House
Study
Bill
504
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES
BILL
BY
CHAIRPERSON
HARRIS)
A
BILL
FOR
An
Act
relating
to
the
elimination
of
surgical
smoke
by
1
hospitals,
critical
access
hospitals,
and
ambulatory
2
surgical
centers.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
TLSB
5653YC
(4)
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ak/ko
H.F.
_____
Section
1.
NEW
SECTION
.
135S.1
Smoke
evacuation
system
——
1
requirements.
2
1.
As
used
in
this
section,
unless
the
context
otherwise
3
requires:
4
a.
“Ambulatory
surgical
center”
means
an
outpatient
surgical
5
facility
as
defined
in
section
135.61.
6
b.
“Critical
access
hospital”
means
a
hospital
designated
as
7
a
critical
access
hospital
pursuant
to
42
U.S.C.
§1395i-4.
8
c.
“Department”
means
the
department
of
inspections,
9
appeals,
and
licensing.
10
d.
“Smoke
evacuation
system”
means
smoke
evacuators,
laser
11
plume
evacuators,
or
local
exhaust
ventilators
that
capture
and
12
filter
surgical
smoke
at
the
site
of
origin
before
the
surgical
13
smoke
can
make
ocular
contact
or
contact
with
the
respiratory
14
tract
of
a
person.
15
e.
“Surgical
smoke”
means
the
by-product
from
the
use
of
16
energy-generating
devices
including
surgical
plume,
smoke
17
plume,
bioaerosols,
laser-generated
airborne
contaminants,
and
18
lung-damaging
dust.
19
2.
The
department
shall
adopt
rules
pursuant
to
chapter
20
17A
to
require
the
following
entities
to
adopt
policies
21
on
or
before
January
1,
2027,
to
ensure
the
elimination
of
22
surgical
smoke
through
the
use
of
a
smoke
evacuation
system
23
for
each
procedure
that
generates
surgical
smoke
through
the
24
use
of
energy-based
devices
including
but
not
limited
to
25
electrosurgical
devices
and
lasers:
26
a.
An
ambulatory
surgical
center.
27
b.
A
hospital
as
defined
in
section
135B.1.
28
c.
A
critical
access
hospital.
29
EXPLANATION
30
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
31
the
explanation’s
substance
by
the
members
of
the
general
assembly.
32
This
bill
requires
the
department
of
inspections,
appeals,
33
and
licensing
(DIAL)
to
adopt
rules
that
require
each
hospital,
34
critical
access
hospital,
and
ambulatory
surgical
center
in
35
-1-
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5653YC
(4)
91
ak/ko
1/
2
H.F.
_____
the
state
to
adopt
policies
to
ensure
the
elimination
of
1
surgical
smoke
through
the
use
of
a
smoke
evacuation
system
2
for
each
procedure
that
generates
surgical
smoke
through
the
3
use
of
energy-based
devices
including
but
not
limited
to
4
electrosurgical
devices
and
lasers.
5
The
bill
defines
“ambulatory
surgical
center”,
“critical
6
access
hospital”,
“smoke
evacuation
system”,
and
“surgical
7
smoke”
for
the
purposes
of
the
bill.
8
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ak/ko
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2