House Study Bill 158 - Introduced HOUSE FILE _____ BY (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON LUNDGREN) 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 2220YC (1) 88 ss/rn
H.F. _____ 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, hospital licensed 21 under chapter 135B, or mobile testing company with a physical 22 location in the state of Iowa, pursuant to rules adopted by 23 the board; provided, however, that the scoring of data and the 24 education of patients may take place in another setting. 25 Sec. 3. NEW SECTION . 148G.3A Supervision of sleep-related 26 services in a patient’s home. 27 Sleep-related services provided in a patient’s home shall 28 be conducted under the general supervision of a physician or 29 qualified health care professional prescriber or a person 30 supervised by a physician or qualified health care professional 31 prescriber and the results thereof shall be interpreted by 32 a physician. Patients shall be educated on the proper use 33 of testing equipment by a respiratory care practitioner, 34 respiratory care and polysomnography practitioner, registered 35 -1- LSB 2220YC (1) 88 ss/rn 1/ 3
H.F. _____ polysomnographic technologist, or physician employed by or 1 affiliated with the sleep diagnostic testing facility providing 2 the sleep-related services, or by a person supervised by such a 3 person. 4 Sec. 4. NEW SECTION . 148G.3B Operation of sleep diagnostic 5 testing facilities. 6 A sleep diagnostic testing facility shall comply with all of 7 the following standards: 8 1. A sleep diagnostic testing facility shall be supervised 9 by a physician. 10 2. A sleep diagnostic testing facility shall be accredited 11 by a nationally recognized sleep medicine laboratory or center 12 accrediting agency. 13 3. Data from the provision of sleep-related services shall 14 be interpreted by a physician. 15 4. All sleep-related services shall be conducted by or under 16 the general supervision of a physician or qualified health care 17 professional prescriber. 18 EXPLANATION 19 The inclusion of this explanation does not constitute agreement with 20 the explanation’s substance by the members of the general assembly. 21 This bill concerns the practice of polysomnography in Iowa. 22 The bill adds a requirement that any in-home sleep 23 diagnostic testing be performed with equipment provided by 24 a sleep diagnostic testing facility, hospital, or mobile 25 testing company with a physical location in Iowa and that the 26 patient receive education on the proper use of such equipment 27 by a respiratory care practitioner, respiratory care and 28 polysomnography practitioner, registered polysomnographic 29 technologist, or physician employed by or affiliated with the 30 sleep diagnostic testing facility, or by a person supervised by 31 such a person. The bill also requires that any sleep-related 32 services provided in a patient’s home be performed under the 33 general supervision of a physician or qualified health care 34 professional prescriber, or a person supervised by such a 35 -2- LSB 2220YC (1) 88 ss/rn 2/ 3
H.F. _____ person, and data from the provision of sleep-related services 1 shall be interpreted by a physician. 2 The bill requires a sleep diagnostic testing facility, 3 as defined in the bill, to be accredited by a nationally 4 recognized sleep medicine laboratory or center accrediting 5 agency. 6 -3- LSB 2220YC (1) 88 ss/rn 3/ 3