House File 549 - Reprinted HOUSE FILE 549 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HSB 140) (As Amended and Passed by the House March 9, 2021 ) A BILL FOR An Act relating to regulatory provisions applicable to care 1 provided in health care facilities and assisted living 2 programs. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 HF 549 (5) 89 pf/rh/md
H.F. 549 Section 1. Section 135C.34, Code 2021, is amended to read 1 as follows: 2 135C.34 Medication aide —— certification. 3 The department of inspections and appeals, in cooperation 4 with other appropriate agencies, shall establish a procedure to 5 allow recognize the credentials of a person who is certified as 6 a medication aide in another state to become certified in this 7 state upon completion and passage of both the certified nurse 8 aide and certified medication aide challenge examinations, 9 without additional requirements for certification, including 10 but not limited to, completion and passage of both the 11 certified nurse aide competency examination and the certified 12 medication aide challenge examination or required employment 13 in this state prior to certification , if upon the request of 14 the person seeking certification, the department determines 15 that the other state in which the person is certified has 16 substantially similar certification requirements . The 17 department shall adopt rules pursuant to chapter 17A to 18 administer this section . 19 Sec. 2. MEDICATION ADMINISTRATION BY NURSING STUDENTS AND 20 GRADUATE NURSES IN NURSING FACILITIES. The department of 21 inspections and appeals, in cooperation with other appropriate 22 agencies, shall adopt or amend rules pursuant to chapter 23 17A to allow a nursing student or a graduate nurse with an 24 appropriate level of training to administer medications if 25 the nursing facility documents that the nursing facility has 26 implemented training and supervision measures to ensure the 27 nursing student’s or graduate nurse’s competency in safe 28 medication administration. The rules shall not require the 29 nursing student or graduate nurse to complete a medication 30 course or challenge examination if the nursing facility meets 31 such requirements. 32 Sec. 3. CERTIFIED NURSE AIDE TRAINING —— RECIPROCITY. The 33 department of inspections and appeals shall adopt or amend 34 rules pursuant to chapter 17A to recognize a person who is 35 -1- HF 549 (5) 89 pf/rh/md 1/ 2
H.F. 549 a nurse aide in another state and is able to demonstrate 1 competency in skills and techniques necessary to care for the 2 needs of residents in nursing facilities as required by 42 3 C.F.R. §483.35(c) and (d)(1)(k) to become certified in this 4 state without additional requirements for certification. The 5 rules shall provide for such persons to complete the direct 6 care worker registry application and to be included in the 7 direct care worker registry maintained by the department. 8 Sec. 4. ASSISTED LIVING PROGRAM MANAGER WHO IS ALSO A 9 LICENSED NURSING HOME ADMINISTRATOR. The department of 10 inspections and appeals shall amend the administrative rules 11 pursuant to chapter 17A relating to an assisted living program 12 manager to allow a new assisting living program manager who 13 is currently licensed as a nursing home administrator to 14 complete any required assisted living management class within 15 twelve months of employment rather than within six months of 16 employment. 17 -2- HF 549 (5) 89 pf/rh/md 2/ 2