HF 648 (LSB 2363HV (1) 91)

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 a dentist.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  NEW SECTION.  153.25  Licensed sedation provider host permit.
   1.  The board may issue a licensed sedation provider host permit to a dentist who does all of the following:
   a.  Completes a course approved by the board as described in subsection 3. If the dentist completed the course more than twelve months before the submission of the application, the dentist must also hold a substantially similar permit issued in another state.
   b.  Meets the facility and equipment requirements as determined by the board by rule.
   c.  Receives certification in administering advanced cardiovascular life support from the American heart association or an equivalent certification as determined by the board by rule.
   d.  Submits an application in a form prescribed by the board.
   2.  A dentist who holds a licensed sedation provider host permit may do all of the following:
   a.  Employ a licensed sedation provider to administer moderate sedation on an outpatient basis to a patient who is at least thirteen years of age on whom the dentist is performing a dental procedure.
   b.  Monitor a patient who is at least thirteen years of age who is under moderate sedation.
   3.  a.  The board shall only approve a course for licensure as a licensed sedation provider host that provides instruction and an assessment of knowledge and skill in the following areas:
   (1)  Preoperative patient assessment.
   (2)  Emergency scenarios and rescue.
   (3)  Respiratory complication.
   (4)  Patient safety and monitoring.
   (5)  Airway assessment and management.
   (6)  Anesthetic drugs.
   (7)  Recovery.
   b.  A course described in paragraph “a” shall ensure that a course participant can do all of the following at the conclusion of the course:
   (1)  Identify a high-risk patient.
   (2)  Differentiate between levels of sedation.
   (3)  Monitor a patient receiving moderate sedation.
   (4)  Rescue a patient from a deeper-than-intended level of sedation.
   c.  The board shall review courses for approval on an annual basis and shall only approve a course for which the director of the course has submitted documentation indicating that the course meets the requirements of this subsection. The board may require the director of a course to participate in an interview as part of the approval process.
   4.  For the purposes of this section, “licensed sedation provider” means a physician and surgeon or osteopathic physician and surgeon anesthesiologist or a certified registered nurse anesthetist licensed in this state.
   5.  The board shall adopt rules pursuant to chapter 17A to implement this section, including rules for the expiration and renewal of a licensed sedation provider host permit.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill relates to the hosting of a licensed sedation provider by a dentist. The bill allows the dental board (board) to issue a licensed sedation provider host permit (permit) to a dentist who completes a course approved by the board, meets facility and equipment requirements as determined by the board by rule, receives certification in administering advanced cardiovascular life support from the American heart association or an equivalent certification as determined by the board by rule, and submits an application in a form prescribed by the board. A dentist with a permit may employ a licensed sedation provider, defined in the bill as a physician and surgeon or osteopathic physician and surgeon anesthesiologist or a certified registered nurse anesthetist licensed in this state, to administer moderate sedation on an outpatient basis to a patient who is at least 13 years of age on whom the dentist is performing a dental procedure, and to monitor a patient who is at least 13 years of age who is under moderate sedation.
   The bill allows the board to approve a course for a permit only if the course meets certain education requirements listed in the bill. The bill requires the board to review courses for approval on an annual basis and allows the board to approve a course only if the course director has submitted documentation indicating that the course meets the requirements of the bill. The bill allows the board to require the director of a course to participate in an interview as part of the approval process. The bill requires the board to adopt rules for the implementation of the bill, including rules for the expiration and renewal of a permit.