House File 601 - Introduced HOUSE FILE 601 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HSB 158) A BILL FOR An Act relating to the practice of polysomnography. 1 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 2 TLSB 2220HV (2) 88 ss/rn

H.F. 601 Section 1. Section 148G.1, Code 2019, is amended by adding 1 the following new subsection: 2 NEW SUBSECTION . 10A. “Sleep diagnostic testing facility” 3 means a building or place situated in a fixed location 4 or a mobile entity that is used to provide sleep-related 5 services and includes sleep-related disorder centers and 6 laboratories for sleep-related respiratory disorders, but 7 does not include a hospital licensed under chapter 135B that 8 provides sleep-related services for its patients, including 9 sleep-related services provided under arrangements made by 10 the hospital for its patients whereby the hospital exercises 11 professional responsibility over the arranged services. 12 Sec. 2. Section 148G.3, Code 2019, is amended to read as 13 follows: 14 148G.3 Location of services. 15 The practice of polysomnography shall take place only in a 16 facility that is accredited by a nationally recognized sleep 17 medicine laboratory or center accrediting agency, in a facility 18 operated by a hospital or a hospital licensed under chapter 19 135B , or in a patient’s home , with testing equipment provided 20 by a sleep diagnostic testing facility, or hospital licensed 21 under chapter 135B with a physical location in the state of 22 Iowa, or a mobile testing company with a physical location in 23 the state of Iowa or within ninety miles of the state of Iowa, 24 pursuant to rules adopted by the board; provided, however, that 25 the scoring of data and the education of patients may take 26 place in another setting. 27 Sec. 3. NEW SECTION . 148G.3A Supervision of sleep-related 28 services in a patient’s home. 29 Sleep-related services provided in a patient’s home shall 30 be conducted under the general supervision of a physician or 31 qualified health care professional prescriber or a person 32 supervised by an American academy of sleep medicine board 33 certified physician or qualified health care professional 34 prescriber and the results thereof shall be interpreted by an 35 -1- LSB 2220HV (2) 88 ss/rn 1/ 3

H.F. 601 American academy of sleep medicine board certified physician. 1 Patients shall be educated on the proper use of testing 2 equipment by a respiratory care practitioner, respiratory care 3 and polysomnography practitioner, registered polysomnographic 4 technologist, or American academy of sleep medicine board 5 certified physician employed by or affiliated with the sleep 6 diagnostic testing facility providing the sleep-related 7 services, or by a person supervised by such a person. 8 Sec. 4. NEW SECTION . 148G.3B Operation of sleep diagnostic 9 testing facilities. 10 A sleep diagnostic testing facility shall comply with all of 11 the following standards: 12 1. A sleep diagnostic testing facility shall be supervised 13 by an American academy of sleep medicine board certified 14 physician. 15 2. A sleep diagnostic testing facility shall be accredited 16 by a nationally recognized sleep medicine laboratory or center 17 accrediting agency. 18 3. Data from the provision of sleep-related services shall 19 be interpreted by an American academy of sleep medicine board 20 certified physician. 21 4. All sleep-related services shall be conducted by or 22 under the general supervision of an American academy of sleep 23 medicine board certified physician or qualified health care 24 professional prescriber. 25 EXPLANATION 26 The inclusion of this explanation does not constitute agreement with 27 the explanation’s substance by the members of the general assembly. 28 This bill concerns the practice of polysomnography in Iowa. 29 The bill adds a requirement that any in-home sleep 30 diagnostic testing be performed with equipment provided by a 31 sleep diagnostic testing facility, hospital, or mobile testing 32 company with a physical location in Iowa or within 90 miles of 33 Iowa and that the patient receive education on the proper use 34 of such equipment by a certified respiratory care practitioner, 35 -2- LSB 2220HV (2) 88 ss/rn 2/ 3

H.F. 601 respiratory care and polysomnography practitioner, registered 1 polysomnographic technologist, or physician employed by or 2 affiliated with the sleep diagnostic testing facility, or by 3 a person supervised by such a person. The bill also requires 4 that any sleep-related services provided in a patient’s home 5 be performed under the general supervision of a physician or 6 qualified health care professional prescriber, or a person 7 supervised by such a person, and data from the provision of 8 sleep-related services shall be interpreted by a physician. 9 The bill requires a sleep diagnostic testing facility, 10 as defined in the bill, to be accredited by a nationally 11 recognized sleep medicine laboratory or center accrediting 12 agency. 13 -3- LSB 2220HV (2) 88 ss/rn 3/ 3