House
File
648
-
Introduced
HOUSE
FILE
648
BY
COMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES
(SUCCESSOR
TO
HF
339)
A
BILL
FOR
An
Act
relating
to
a
licensed
sedation
provider
host
permit
for
1
a
dentist.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
TLSB
2363HV
(1)
91
ss/ko
H.F.
648
Section
1.
NEW
SECTION
.
153.25
Licensed
sedation
provider
1
host
permit.
2
1.
The
board
may
issue
a
licensed
sedation
provider
host
3
permit
to
a
dentist
who
does
all
of
the
following:
4
a.
Completes
a
course
approved
by
the
board
as
described
in
5
subsection
3.
If
the
dentist
completed
the
course
more
than
6
twelve
months
before
the
submission
of
the
application,
the
7
dentist
must
also
hold
a
substantially
similar
permit
issued
8
in
another
state.
9
b.
Meets
the
facility
and
equipment
requirements
as
10
determined
by
the
board
by
rule.
11
c.
Receives
certification
in
administering
advanced
12
cardiovascular
life
support
from
the
American
heart
association
13
or
an
equivalent
certification
as
determined
by
the
board
by
14
rule.
15
d.
Submits
an
application
in
a
form
prescribed
by
the
board.
16
2.
A
dentist
who
holds
a
licensed
sedation
provider
host
17
permit
may
do
all
of
the
following:
18
a.
Employ
a
licensed
sedation
provider
to
administer
19
moderate
sedation
on
an
outpatient
basis
to
a
patient
who
is
at
20
least
thirteen
years
of
age
on
whom
the
dentist
is
performing
a
21
dental
procedure.
22
b.
Monitor
a
patient
who
is
at
least
thirteen
years
of
age
23
who
is
under
moderate
sedation.
24
3.
a.
The
board
shall
only
approve
a
course
for
licensure
25
as
a
licensed
sedation
provider
host
that
provides
instruction
26
and
an
assessment
of
knowledge
and
skill
in
the
following
27
areas:
28
(1)
Preoperative
patient
assessment.
29
(2)
Emergency
scenarios
and
rescue.
30
(3)
Respiratory
complication.
31
(4)
Patient
safety
and
monitoring.
32
(5)
Airway
assessment
and
management.
33
(6)
Anesthetic
drugs.
34
(7)
Recovery.
35
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648
b.
A
course
described
in
paragraph
“a”
shall
ensure
that
1
a
course
participant
can
do
all
of
the
following
at
the
2
conclusion
of
the
course:
3
(1)
Identify
a
high-risk
patient.
4
(2)
Differentiate
between
levels
of
sedation.
5
(3)
Monitor
a
patient
receiving
moderate
sedation.
6
(4)
Rescue
a
patient
from
a
deeper-than-intended
level
of
7
sedation.
8
c.
The
board
shall
review
courses
for
approval
on
an
annual
9
basis
and
shall
only
approve
a
course
for
which
the
director
10
of
the
course
has
submitted
documentation
indicating
that
the
11
course
meets
the
requirements
of
this
subsection.
The
board
12
may
require
the
director
of
a
course
to
participate
in
an
13
interview
as
part
of
the
approval
process.
14
4.
For
the
purposes
of
this
section,
“licensed
sedation
15
provider”
means
a
physician
and
surgeon
or
osteopathic
physician
16
and
surgeon
anesthesiologist
or
a
certified
registered
nurse
17
anesthetist
licensed
in
this
state.
18
5.
The
board
shall
adopt
rules
pursuant
to
chapter
17A
to
19
implement
this
section,
including
rules
for
the
expiration
and
20
renewal
of
a
licensed
sedation
provider
host
permit.
21
EXPLANATION
22
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
23
the
explanation’s
substance
by
the
members
of
the
general
assembly.
24
This
bill
relates
to
the
hosting
of
a
licensed
sedation
25
provider
by
a
dentist.
The
bill
allows
the
dental
board
26
(board)
to
issue
a
licensed
sedation
provider
host
permit
27
(permit)
to
a
dentist
who
completes
a
course
approved
by
the
28
board,
meets
facility
and
equipment
requirements
as
determined
29
by
the
board
by
rule,
receives
certification
in
administering
30
advanced
cardiovascular
life
support
from
the
American
heart
31
association
or
an
equivalent
certification
as
determined
by
the
32
board
by
rule,
and
submits
an
application
in
a
form
prescribed
33
by
the
board.
A
dentist
with
a
permit
may
employ
a
licensed
34
sedation
provider,
defined
in
the
bill
as
a
physician
and
35
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3
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648
surgeon
or
osteopathic
physician
and
surgeon
anesthesiologist
1
or
a
certified
registered
nurse
anesthetist
licensed
in
this
2
state,
to
administer
moderate
sedation
on
an
outpatient
basis
3
to
a
patient
who
is
at
least
13
years
of
age
on
whom
the
dentist
4
is
performing
a
dental
procedure,
and
to
monitor
a
patient
who
5
is
at
least
13
years
of
age
who
is
under
moderate
sedation.
6
The
bill
allows
the
board
to
approve
a
course
for
a
permit
7
only
if
the
course
meets
certain
education
requirements
listed
8
in
the
bill.
The
bill
requires
the
board
to
review
courses
for
9
approval
on
an
annual
basis
and
allows
the
board
to
approve
a
10
course
only
if
the
course
director
has
submitted
documentation
11
indicating
that
the
course
meets
the
requirements
of
the
12
bill.
The
bill
allows
the
board
to
require
the
director
of
a
13
course
to
participate
in
an
interview
as
part
of
the
approval
14
process.
The
bill
requires
the
board
to
adopt
rules
for
the
15
implementation
of
the
bill,
including
rules
for
the
expiration
16
and
renewal
of
a
permit.
17
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