HF 601 (LSB 2220HV (2) 88)

HOUSE FILE 601

BY  COMMITTEE ON HUMAN RESOURCES

(SUCCESSOR TO HSB 158)

A BILL FOR

An Act relating to the practice of polysomnography.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 148G.1, Code 2019, is amended by adding the following new subsection:
   NEW SUBSECTION.  10A.  “Sleep diagnostic testing facility” means a building or place situated in a fixed location or a mobile entity that is used to provide sleep-related services and includes sleep-related disorder centers and laboratories for sleep-related respiratory disorders, but does not include a hospital licensed under chapter 135B that provides sleep-related services for its patients, including sleep-related services provided under arrangements made by the hospital for its patients whereby the hospital exercises professional responsibility over the arranged services.
    Sec. 2.  Section 148G.3, Code 2019, is amended to read as follows:
   148G.3  Location of services.
   The practice of polysomnography shall take place only in a facility that is accredited by a nationally recognized sleep medicine laboratory or center accrediting agency, in a facility operated by a hospital or a hospital licensed under chapter 135B, or in a patient’s home, with testing equipment provided by a sleep diagnostic testing facility, or hospital licensed under chapter 135B with a physical location in the state of Iowa, or a mobile testing company with a physical location in the state of Iowa or within ninety miles of the state of Iowa, pursuant to rules adopted by the board; provided, however, that the scoring of data and the education of patients may take place in another setting.
    Sec. 3.  NEW SECTION.  148G.3A  Supervision of sleep-related services in a patient’s home.
   Sleep-related services provided in a patient’s home shall be conducted under the general supervision of a physician or qualified health care professional prescriber or a person supervised by an American academy of sleep medicine board certified physician or qualified health care professional prescriber and the results thereof shall be interpreted by an American academy of sleep medicine board certified physician. Patients shall be educated on the proper use of testing equipment by a respiratory care practitioner, respiratory care and polysomnography practitioner, registered polysomnographic technologist, or American academy of sleep medicine board certified physician employed by or affiliated with the sleep diagnostic testing facility providing the sleep-related services, or by a person supervised by such a person.
    Sec. 4.  NEW SECTION.  148G.3B  Operation of sleep diagnostic testing facilities.
   A sleep diagnostic testing facility shall comply with all of the following standards:
   1.  A sleep diagnostic testing facility shall be supervised by an American academy of sleep medicine board certified physician.
   2.  A sleep diagnostic testing facility shall be accredited by a nationally recognized sleep medicine laboratory or center accrediting agency.
   3.  Data from the provision of sleep-related services shall be interpreted by an American academy of sleep medicine board certified physician.
   4.  All sleep-related services shall be conducted by or under the general supervision of an American academy of sleep medicine board certified physician or qualified health care professional prescriber.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill concerns the practice of polysomnography in Iowa.
   The bill adds a requirement that any in-home sleep diagnostic testing be performed with equipment provided by a sleep diagnostic testing facility, hospital, or mobile testing company with a physical location in Iowa or within 90 miles of Iowa and that the patient receive education on the proper use of such equipment by a certified respiratory care practitioner, respiratory care and polysomnography practitioner, registered polysomnographic technologist, or physician employed by or affiliated with the sleep diagnostic testing facility, or by a person supervised by such a person. The bill also requires that any sleep-related services provided in a patient’s home be performed under the general supervision of a physician or qualified health care professional prescriber, or a person supervised by such a person, and data from the provision of sleep-related services shall be interpreted by a physician.
   The bill requires a sleep diagnostic testing facility, as defined in the bill, to be accredited by a nationally recognized sleep medicine laboratory or center accrediting agency.