Text: SSB1038            Text: SSB1040


Senate Study Bill 1039

SENATE/HOUSE FILE BY (PROPOSED DEPARTMENT OF PUBLIC HEALTH BILL) Passed Senate, Date Passed House, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act renaming health=related examining boards as licensing 2 boards and providing for the nonreversion of fees collected by 3 the boards. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 1207XD 82 6 jr/sh/8 PAG LIN 1 1 Section 1. Section 3.20, subsection 2, Code 2007, is 1 2 amended to read as follows: 1 3 2. The examining licensing board shall pursue a meaningful 1 4 examination and enforcement procedure which upholds the level 1 5 of competency of the licensee to insure that the public 1 6 interest is protected. 1 7 Sec. 2. Section 7E.4, subsection 2, Code 2007, is amended 1 8 to read as follows: 1 9 2. a. "Board" means a policymaking or rulemaking body 1 10 that has the power to hear contested cases. 1 11 b. A policymaking body that has powers for both rulemaking 1 12 and hearing contested cases shall be termed a "board". 1 13 "Board" includes a professional licensing board which sets 1 14 standards of professional competence and conduct for the 1 15 profession or occupation under its supervision, which may 1 16 prepare and grade the examinations of prospective new 1 17 practitioners when authorized by law, which may issue licenses 1 18 when authorized by law, which investigates complaints of 1 19 alleged unprofessional conduct, and which performs other 1 20 functions assigned to it by law. 1 21 Sec. 3. Section 7E.4, subsection 8, Code 2007, is amended 1 22 by striking the subsection. 1 23 Sec. 4. Section 8A.101, subsection 1, unnumbered paragraph 1 24 1, Code 2007, is amended to read as follows: 1 25 "Agency" or "state agency" means a unit of state 1 26 government, which is an authority, board, commission, 1 27 committee, council, department, examining or licensing board, 1 28 or independent agency as defined in section 7E.4, including 1 29 but not limited to each principal central department 1 30 enumerated in section 7E.5. However, "agency" or "state 1 31 agency" does not mean any of the following: 1 32 Sec. 5. Section 8F.2, subsection 1, Code 2007, is amended 1 33 to read as follows: 1 34 1. "Agency" means a unit of state government, which is an 1 35 authority, board, commission, committee, council, department, 2 1 examining or licensing board, or independent agency as defined 2 2 in section 7E.4, including but not limited to each principal 2 3 central department enumerated in section 7E.5. However, 2 4 "agency" does not mean the Iowa public employees' retirement 2 5 system created under chapter 97B, the public broadcasting 2 6 division of the department of education created under section 2 7 256.81, the statewide fire and police retirement system 2 8 created under chapter 411, or an agricultural commodity 2 9 promotion board subject to a producer referendum. 2 10 Sec. 6. Section 10A.402, subsection 1, Code 2007, is 2 11 amended to read as follows: 2 12 1. Investigations relative to the practice of regulated 2 13 professions and occupations, except those within the 2 14 jurisdiction of the board of medical examiners medicine, the 2 15 board of pharmacy examiners, the board of dental examiners 2 16 dentistry, and the board of nursing. 2 17 Sec. 7. Section 80.33, Code 2007, is amended to read as 2 18 follows: 2 19 80.33 ACCESS TO DRUG RECORDS BY PEACE OFFICERS. 2 20 A person required by law to keep records, and a carrier 2 21 maintaining records with respect to any shipment containing 2 22 any controlled or counterfeit substances shall, upon request 2 23 of an authorized peace officer of the department, designated 2 24 by the commissioner, permit such peace officer at reasonable 2 25 times to have access to and copy such records. For the 2 26 purpose of examining and verifying such records, an authorized 2 27 peace officer of the department, designated by the 2 28 commissioner, may enter at reasonable times any place or 2 29 vehicle in which any controlled or counterfeit substance is 2 30 held, manufactured, dispensed, compounded, processed, sold, 2 31 delivered, or otherwise disposed of and inspect such place or 2 32 vehicle and the contents of such place or vehicle. For the 2 33 purpose of enforcing laws relating to controlled or 2 34 counterfeit substances, and upon good cause shown, a peace 2 35 officer of the department shall be allowed to inspect audits 3 1 and records in the possession of the state board of pharmacy 3 2 examiners. 3 3 Sec. 8. Section 124.101, subsection 3, Code 2007, is 3 4 amended to read as follows: 3 5 3. "Board" means the state board of pharmacy examiners. 3 6 Sec. 9. Section 124.204, subsection 4, paragraph m, Code 3 7 2007, is amended to read as follows: 3 8 m. Marijuana, except as otherwise provided by rules of the 3 9 board of pharmacy examiners for medicinal purposes. 3 10 Sec. 10. Section 124.204, subsection 4, paragraph u, 3 11 unnumbered paragraph 1, Code 2007, is amended to read as 3 12 follows: 3 13 Tetrahydrocannabinols, except as otherwise provided by 3 14 rules of the board of pharmacy examiners for medicinal 3 15 purposes. Synthetic equivalents of the substances contained 3 16 in the plant, or in the resinous extractives of Cannabis sp., 3 17 and synthetic substances, derivatives, and their isomers with 3 18 similar chemical structure and pharmacological activity such 3 19 as the following: 3 20 Sec. 11. Section 124.204, subsection 7, Code 2007, is 3 21 amended to read as follows: 3 22 7. EXCLUSIONS. This section does not apply to marijuana, 3 23 tetrahydrocannabinols or chemical derivatives of 3 24 tetrahydrocannabinol when utilized for medicinal purposes 3 25 pursuant to rules of the state board of pharmacy examiners. 3 26 Sec. 12. Section 124.206, subsection 7, paragraph a, Code 3 27 2007, is amended to read as follows: 3 28 a. Marijuana when used for medicinal purposes pursuant to 3 29 rules of the board of pharmacy examiners. 3 30 Sec. 13. Section 124.206, subsection 8, Code 2007, is 3 31 amended to read as follows: 3 32 8. The board of pharmacy examiners, by rule, may except 3 33 any compound, mixture, or preparation containing any stimulant 3 34 listed in subsection 4 from the application of all or any part 3 35 of this chapter if the compound, mixture, or preparation 4 1 contains one or more active medicinal ingredients not having a 4 2 stimulant effect on the central nervous system, and if the 4 3 admixtures are included in such combinations, quantity, 4 4 proportion, or concentration as to vitiate the potential for 4 5 abuse of the substances which have a stimulant or depressant 4 6 effect on the central nervous system. 4 7 Sec. 14. Section 124A.2, subsection 4, Code 2007, is 4 8 amended to read as follows: 4 9 4. "Imitation controlled substance" means a substance 4 10 which is not a controlled substance but which by color, shape, 4 11 size, markings, and other aspects of dosage unit appearance, 4 12 and packaging or other factors, appears to be or resembles a 4 13 controlled substance. 4 14 The state board of pharmacy examiners may designate a 4 15 substance as an imitation controlled substance pursuant to the 4 16 board's rulemaking authority and in accordance with chapter 4 17 17A. 4 18 Sec. 15. Section 124A.2, subsection 43, unnumbered 4 19 paragraph 1, Code 2007, is amended to read as follows: 4 20 When a substance has not been designated as an imitation 4 21 controlled substance by the state board of pharmacy examiners 4 22 and when dosage unit appearance alone does not establish that 4 23 a substance is an imitation controlled substance the following 4 24 factors may be considered in determining whether the substance 4 25 is an imitation controlled substance: 4 26 Sec. 16. Section 124B.1, Code 2007, subsection 1, is 4 27 amended to read as follows: 4 28 1. "Board" means the board of pharmacy examiners. 4 29 Sec. 17. Section 126.2, subsection 3, Code 2007, is 4 30 amended to read as follows: 4 31 3. "Board" means the board of pharmacy examiners. 4 32 Sec. 18. Section 135.11, subsection 9, Code 2007, is 4 33 amended to read as follows: 4 34 9. Exercise sole jurisdiction over the disposal and 4 35 transportation of the dead bodies of human beings and 5 1 prescribe the methods to be used in preparing such bodies for 5 2 disposal and transportation. However, the department may 5 3 approve a request for an exception to the application of 5 4 specific embalming and disposition rules adopted pursuant to 5 5 this subsection if such rules would otherwise conflict with 5 6 tenets and practices of a recognized religious denomination to 5 7 which the deceased individual adhered or of which denomination 5 8 the deceased individual was a member. The department shall 5 9 inform the board of mortuary science examiners of any such 5 10 approved exception which may affect services provided by a 5 11 funeral director licensed pursuant to chapter 156. 5 12 Sec. 19. Section 135.11A, Code 2007, is amended to read as 5 13 follows: 5 14 135.11A PROFESSIONAL LICENSURE DIVISION == OTHER LICENSING 5 15 BOARDS == EXPENSES == FEES. 5 16 There shall be a professional licensure division within the 5 17 department of public health. Each board of examiners 5 18 specified under chapter 147 or under the administrative 5 19 authority of the department, except the state board of 5 20 nursing, state board of medical examiners medicine, state 5 21 board of dental examiners dentistry, and state board of 5 22 pharmacy examiners, shall receive administrative and clerical 5 23 support from the division and may not employ its own support 5 24 staff for administrative and clerical duties. 5 25 The professional licensure division and the licensing 5 26 boards may expend funds in addition to amounts budgeted, if 5 27 those additional expenditures are directly the result of 5 28 actual examination and exceed funds budgeted for examinations. 5 29 Before the division or a licensing board expends or encumbers 5 30 an amount in excess of the funds budgeted for examinations, 5 31 the director of the department of management shall approve the 5 32 expenditure or encumbrance. Before approval is given, the 5 33 department of management shall determine that the examination 5 34 expenses exceed the funds budgeted by the general assembly to 5 35 the division or board and the division or board does not have 6 1 other funds from which examination expenses can be paid. Upon 6 2 approval of the department of management, the division or 6 3 licensing board may expend and encumber funds for excess 6 4 examination expenses. The amounts necessary to fund the 6 5 excess examination expenses shall be collected as fees from 6 6 additional examination applicants and shall be treated as 6 7 repayment receipts as defined in section 8.2. 6 8 Sec. 20. Section 135.24, subsection 2, paragraph a, Code 6 9 2007, is amended to read as follows: 6 10 a. Procedures for registration of health care providers 6 11 deemed qualified by the board of medical examiners medicine, 6 12 the board of physician assistant examiners assistants, the 6 13 board of dental examiners dentistry, the board of nursing, the 6 14 board of chiropractic examiners, the board of psychology 6 15 examiners, the board of social work examiners, the board of 6 16 behavioral science examiners, the board of pharmacy examiners, 6 17 the board of optometry examiners, the board of podiatry 6 18 examiners, the board of physical and occupational therapy 6 19 examiners, the state board for respiratory care, and the Iowa 6 20 department of public health, as applicable. 6 21 Sec. 21. Section 135.31, Code 2007, is amended to read as 6 22 follows: 6 23 135.31 LOCATION OF BOARDS == RULEMAKING. 6 24 The offices for the state board of medical examiners 6 25 medicine, the state board of pharmacy examiners, the state 6 26 board of nursing, and the state board of dental examiners 6 27 dentistry shall be located within the department of public 6 28 health. The individual boards shall have policymaking and 6 29 rulemaking authority. 6 30 Sec. 22. Section 135M.3, subsection 1, Code 2007, is 6 31 amended to read as follows: 6 32 1. The department, in cooperation with the board of 6 33 pharmacy examiners, may establish and maintain a prescription 6 34 drug donation repository program under which any person may 6 35 donate prescription drugs and supplies for use by an 7 1 individual who meets eligibility criteria specified by the 7 2 department by rule. The department may contract with a third 7 3 party to implement and administer the program. 7 4 Sec. 23. Section 136C.3, subsection 2, unnumbered 7 5 paragraph 1, Code 2007, is amended to read as follows: 7 6 Establish minimum training standards including continuing 7 7 education requirements, and administer examinations and 7 8 disciplinary procedures for operators of radiation machines 7 9 and users of radioactive materials. A state of Iowa license 7 10 to practice medicine, osteopathy, chiropractic, podiatry, 7 11 dentistry, dental hygiene, or veterinary medicine, or 7 12 licensure as a physician assistant pursuant to chapter 148C, 7 13 or certification by the board of dental examiners dentistry in 7 14 dental radiography, or by the board of podiatry examiners in 7 15 podiatric radiography, or enrollment in a program or course of 7 16 study approved by the Iowa department of public health which 7 17 includes the application of radiation to humans satisfies the 7 18 minimum training standards for operation of radiation machines 7 19 only. 7 20 Sec. 24. Section 139A.8, subsection 4, paragraph a, Code 7 21 2007, is amended to read as follows: 7 22 a. The applicant, or if the applicant is a minor, the 7 23 applicant's parent or legal guardian, submits to the admitting 7 24 official a statement signed by a physician, advanced 7 25 registered nurse practitioner, or physician assistant who is 7 26 licensed by the board of medical examiners medicine, board of 7 27 nursing, or board of physician assistant examiners assistants 7 28 that the immunizations required would be injurious to the 7 29 health and well=being of the applicant or any member of the 7 30 applicant's family. 7 31 Sec. 25. Section 139A.22, subsections 1, 3, 6, and 7, Code 7 32 2007, are amended to read as follows: 7 33 1. A hospital shall adopt procedures requiring the 7 34 establishment of protocols applicable on a case=by=case basis 7 35 to a health care provider determined to be infected with HIV 8 1 or HBV who ordinarily performs exposure=prone procedures as 8 2 determined by an expert review panel, within the hospital 8 3 setting. The protocols established shall be in accordance 8 4 with the recommendations issued by the centers for disease 8 5 control and prevention of the United States department of 8 6 health and human services. The expert review panel may be an 8 7 established committee of the hospital. The procedures may 8 8 provide for referral of the health care provider to the expert 8 9 review panel established by the department pursuant to 8 10 subsection 3 for establishment of the protocols. The 8 11 procedures shall require reporting noncompliance with the 8 12 protocols by a health care provider to the examining licensing 8 13 board with jurisdiction over the relevant health care 8 14 providers. 8 15 3. The department shall establish an expert review panel 8 16 to determine on a case=by=case basis under what circumstances, 8 17 if any, a health care provider determined to be infected with 8 18 HIV or HBV practicing outside the hospital setting or referred 8 19 to the panel by a hospital or health care facility may perform 8 20 exposure=prone procedures. If a health care provider 8 21 determined to be infected with HIV or HBV does not comply with 8 22 the determination of the expert review panel, the panel shall 8 23 report the noncompliance to the examining licensing board with 8 24 jurisdiction over the health care provider. A determination 8 25 of an expert review panel pursuant to this section is a final 8 26 agency action appealable pursuant to section 17A.19. 8 27 6. The board of medical examiners medicine, the board of 8 28 physician assistant examiners assistants, the board of 8 29 podiatry examiners, the board of nursing, the board of dental 8 30 examiners dentistry, and the board of optometry examiners 8 31 shall require that licensees comply with the recommendations 8 32 issued by the centers for disease control and prevention of 8 33 the United States department of health and human services for 8 34 preventing transmission of human immunodeficiency virus and 8 35 hepatitis B virus to patients during exposure=prone invasive 9 1 procedures, with the recommendations of the expert review 9 2 panel established pursuant to subsection 3, with hospital 9 3 protocols established pursuant to subsection 1, and with 9 4 health care facility procedures established pursuant to 9 5 subsection 2, as applicable. 9 6 7. Information relating to the HIV status of a health care 9 7 provider is confidential and subject to the provisions of 9 8 section 141A.9. A person who intentionally or recklessly 9 9 makes an unauthorized disclosure of such information is 9 10 subject to a civil penalty of one thousand dollars. The 9 11 attorney general or the attorney general's designee may 9 12 maintain a civil action to enforce this section. Proceedings 9 13 maintained under this section shall provide for the anonymity 9 14 of the health care provider and all documentation shall be 9 15 maintained in a confidential manner. Information relating to 9 16 the HBV status of a health care provider is confidential and 9 17 shall not be accessible to the public. Information regulated 9 18 by this section, however, may be disclosed to members of the 9 19 expert review panel established by the department or a panel 9 20 established by hospital protocol under this section. The 9 21 information may also be disclosed to the appropriate examining 9 22 licensing board by filing a report as required by this 9 23 section. The examining licensing board shall consider the 9 24 report a complaint subject to the confidentiality provisions 9 25 of section 272C.6. A licensee, upon the filing of a formal 9 26 charge or notice of hearing by the examining licensing board 9 27 based on such a complaint, may seek a protective order from 9 28 the board. 9 29 Sec. 26. Section 147.1, subsection 2, paragraphs b, c, and 9 30 f, Code 2007, are amended to read as follows: 9 31 b. "Examining board" "Board" shall mean one of the boards 9 32 enumerated in section 147.13 or any other board established in 9 33 this subtitle which is appointed by the governor to give 9 34 examinations to license applicants for licenses and impose 9 35 licensee discipline as authorized by law. 10 1 c. "Licensed" or "certified" when applied to a physician 10 2 and surgeon, podiatric physician, osteopath, osteopathic 10 3 physician and surgeon, physician assistant, psychologist or 10 4 associate psychologist, chiropractor, nurse, dentist, dental 10 5 hygienist, optometrist, speech pathologist, audiologist, 10 6 pharmacist, physical therapist, occupational therapist, 10 7 respiratory care practitioner, practitioner of cosmetology 10 8 arts and sciences, practitioner of barbering, funeral 10 9 director, dietitian, marital and family therapist, mental 10 10 health counselor, social worker, massage therapist, athletic 10 11 trainer, acupuncturist, or interpreter for the hearing 10 12 impaired sign language interpreter or transliterator means a 10 13 person licensed under this subtitle. 10 14 f. "Profession" means medicine and surgery, podiatry, 10 15 osteopathy, osteopathic medicine and surgery, practice as a 10 16 physician assistant, psychology, chiropractic, nursing, 10 17 dentistry, dental hygiene, optometry, speech pathology, 10 18 audiology, pharmacy, physical therapy, occupational therapy, 10 19 respiratory care, cosmetology arts and sciences, barbering, 10 20 mortuary science, marital and family therapy, mental health 10 21 counseling, social work, dietetics, massage therapy, athletic 10 22 training, acupuncture, or interpreting for the hearing 10 23 impaired sign language interpreting or transliterating. 10 24 Sec. 27. Section 147.1, subsection 2, paragraph e, 10 25 subparagraph (4), Code 2007, is amended to read as follows: 10 26 (4) An examining A board enumerated in section 147.13 or 10 27 any other board established in this subtitle which is 10 28 appointed by the governor to license applicants and impose 10 29 licensee discipline as authorized by law. 10 30 Sec. 28. Section 147.2, unnumbered paragraph 1, Code 2007, 10 31 is amended to read as follows: 10 32 A person shall not engage in the practice of medicine and 10 33 surgery, podiatry, osteopathy, osteopathic medicine and 10 34 surgery, psychology, chiropractic, physical therapy, nursing, 10 35 dentistry, dental hygiene, optometry, speech pathology, 11 1 audiology, occupational therapy, respiratory care, pharmacy, 11 2 cosmetology, barbering, social work, dietetics, marital and 11 3 family therapy or mental health counseling, massage therapy, 11 4 mortuary science, athletic training, acupuncture, or 11 5 interpreting for the hearing impaired sign language 11 6 interpreting or transliterating, or shall not practice as a 11 7 physician assistant as defined in the following chapters of 11 8 this subtitle, unless the person has obtained from the 11 9 department a license for that purpose. 11 10 Sec. 29. Section 147.5, unnumbered paragraph 1, Code 2007, 11 11 is amended to read as follows: 11 12 Every license to practice a profession shall be in the form 11 13 of a certificate under the seal of the department, signed by 11 14 the director of public health. Such license shall be issued 11 15 in the name of the examining licensing board which conducts 11 16 examinations for that particular profession. 11 17 Sec. 30. Section 147.11, Code 2007, is amended to read as 11 18 follows: 11 19 147.11 REINSTATEMENT. 11 20 Any licensee who allows the license to lapse by failing to 11 21 renew the same, as provided in section 147.10, may be 11 22 reinstated without examination upon recommendation of the 11 23 examining licensing board for the licensee's profession and 11 24 upon payment of the renewal fees then due. 11 25 Sec. 31. Section 147.12, Code 2007, is amended to read as 11 26 follows: 11 27 147.12 EXAMINING HEALTH PROFESSION BOARDS. 11 28 For the purpose of giving examinations to applicants for 11 29 licenses to practice the professions for which licenses are 11 30 required by this subtitle, the governor shall appoint, subject 11 31 to confirmation by the senate, a board of examiners for each 11 32 of the professions. The board members shall not be required 11 33 to be members of professional societies or associations 11 34 composed of members of their professions. 11 35 If a person who has been appointed by the governor to serve 12 1 on an examining a board has ever been disciplined in a 12 2 contested case by the board to which the person has been 12 3 appointed, all board complaints and statements of charges, 12 4 settlement agreements, findings of fact, and orders pertaining 12 5 to the disciplinary action shall be made available to the 12 6 senate committee to which the appointment is referred at the 12 7 committee's request before the full senate votes on the 12 8 person's appointment. 12 9 Sec. 32. Section 147.13, Code 2007, is amended to read as 12 10 follows: 12 11 147.13 DESIGNATION OF BOARDS. 12 12 The examining boards provided in section 147.12 shall be 12 13 designated as follows: 12 14 1. For medicine and surgery, osteopathy, osteopathic 12 15 medicine and surgery, and acupuncture, medical examiners the 12 16 board of medicine. 12 17 2. For physician assistants, the board of physician 12 18 assistant examiners assistants. 12 19 3. For psychology, the board of psychology examiners. 12 20 4. For podiatry, the board of podiatry examiners. 12 21 5. For chiropractic, the board of chiropractic examiners. 12 22 6. For physical therapists and occupational therapists, 12 23 the board of physical and occupational therapy examiners. 12 24 7. For nursing, the board of nursing. 12 25 8. For dentistry, dental hygiene, and dental assisting, 12 26 dental examiners the board of dentistry. 12 27 9. For optometry, the board of optometry examiners. 12 28 10. For speech pathology and audiology, the board of 12 29 speech pathology and audiology examiners. 12 30 11. For cosmetology arts and sciences, the board of 12 31 cosmetology arts and sciences examiners. 12 32 12. For barbering, barber examiners the board of 12 33 barbering. 12 34 13. For pharmacy, the board of pharmacy examiners. 12 35 14. For mortuary science, the board of mortuary science 13 1 examiners. 13 2 15. For social workers, the board of social work 13 3 examiners. 13 4 16. For marital and family therapists and mental health 13 5 counselors, the board of behavioral science examiners. 13 6 17. For dietetics, dietetic examiners the board of 13 7 dietetics. 13 8 18. For respiratory care therapists, the board of 13 9 respiratory care examiners. 13 10 19. For massage therapists, the board of massage therapy 13 11 examiners. 13 12 20. For athletic trainers, the board of athletic training 13 13 examiners. 13 14 21. For interpreters, interpreter for the hearing impaired 13 15 examiners the board of sign language interpreters and 13 16 transliterators. 13 17 22. For hearing aids, the board of hearing aid dispenser 13 18 examiners dispensers. 13 19 23. For nursing home administrators, the board of nursing 13 20 home administrators examiners. 13 21 Sec. 33. Section 147.14, Code 2007, is amended to read as 13 22 follows: 13 23 147.14 COMPOSITION OF BOARDS. 13 24 The boards of examiners board members shall consist of the 13 25 following: 13 26 1. For barbering, three members licensed to practice 13 27 barbering, and two members who are not licensed to practice 13 28 barbering and who shall represent the general public. A 13 29 quorum shall consist of a majority of the members of the 13 30 board. 13 31 2. For medical examiners medicine, five members licensed 13 32 to practice medicine and surgery, two members licensed to 13 33 practice osteopathic medicine and surgery, and three members 13 34 not licensed to practice either medicine and surgery or 13 35 osteopathic medicine and surgery, and who shall represent the 14 1 general public. A majority of members of the board 14 2 constitutes a quorum. 14 3 3. For the board of nursing, four registered nurses, two 14 4 of whom shall be actively engaged in practice, two of whom 14 5 shall be nurse educators from nursing education programs; of 14 6 these, one in higher education and one in area community and 14 7 vocational=technical registered nurse education; one licensed 14 8 practical nurse actively engaged in practice; and two members 14 9 not registered nurses or licensed practical nurses and who 14 10 shall represent the general public. The representatives of 14 11 the general public shall not be members of health care 14 12 delivery systems. A majority of the members of the board 14 13 constitutes a quorum. 14 14 4. For dental examiners dentistry, five members shall be 14 15 licensed to practice dentistry, two members shall be licensed 14 16 to practice dental hygiene, and two members not licensed to 14 17 practice dentistry or dental hygiene and who shall represent 14 18 the general public. A majority of the members of the board 14 19 shall constitute a quorum. No member of the dental faculty of 14 20 the school of dentistry at the state university of Iowa shall 14 21 be eligible to be appointed. Beginning January 1, 2000, 14 22 persons Persons appointed to the board as dental hygienist 14 23 members shall not be employed by or receive any form of 14 24 remuneration from a dental or dental hygiene educational 14 25 institution. The two dental hygienist board members and one 14 26 dentist board member shall constitute a dental hygiene 14 27 committee of the board as provided in section 153.33A. 14 28 5. For pharmacy examiners, five members licensed to 14 29 practice pharmacy and two members who are not licensed to 14 30 practice pharmacy and who shall represent the general public. 14 31 A majority of the members of the board shall constitute a 14 32 quorum. 14 33 6. For optometry examiners, five members licensed to 14 34 practice optometry and two members who are not licensed to 14 35 practice optometry and who shall represent the general public. 15 1 A majority of the members of the board shall constitute a 15 2 quorum. 15 3 7. For psychology examiners, five members who are licensed 15 4 to practice psychology and two members not licensed to 15 5 practice psychology and who shall represent the general 15 6 public. Of the five members who are licensed to practice 15 7 psychology, one member shall be primarily engaged in graduate 15 8 teaching in psychology, two members shall be persons who 15 9 render services in psychology, one member shall represent 15 10 areas of applied psychology and may be affiliated with 15 11 training institutions and shall devote a major part of the 15 12 member's time to rendering service in psychology, and one 15 13 member shall be primarily engaged in research psychology. A 15 14 majority of the members of the board constitutes a quorum. 15 15 8. For chiropractic examiners, five members licensed to 15 16 practice chiropractic and two members who are not licensed to 15 17 practice chiropractic and who shall represent the general 15 18 public. A majority of the members of the board shall 15 19 constitute a quorum. 15 20 9. For speech pathology and audiology examiners, five 15 21 members licensed to practice speech pathology or audiology at 15 22 least two of which shall be licensed to practice speech 15 23 pathology and at least two of which shall be licensed to 15 24 practice audiology, and two members who are not licensed to 15 25 practice speech pathology or audiology and who shall represent 15 26 the general public. A majority of the members of the board 15 27 shall constitute a quorum. 15 28 10. For physical therapy and occupational therapy, three 15 29 members licensed to practice physical therapy, two members 15 30 licensed to practice occupational therapy, and two members who 15 31 are not licensed to practice physical therapy or occupational 15 32 therapy and who shall represent the general public. A quorum 15 33 shall consist of a majority of the members of the board. 15 34 11. For dietetic examiners dietetics, one licensed 15 35 dietitian representing the approved or accredited dietetic 16 1 education programs, one licensed dietitian representing 16 2 clinical dietetics in hospitals, one licensed dietitian 16 3 representing community nutrition services and two members who 16 4 are not licensed dietitians and who shall represent the 16 5 general public. A majority of the members of the board 16 6 constitutes a quorum. 16 7 12. For the board of physician assistant examiners 16 8 assistants, three members licensed to practice as physician 16 9 assistants, at least two of whom practice in counties with a 16 10 population of less than fifty thousand, one member licensed to 16 11 practice medicine and surgery who supervises a physician 16 12 assistant, one member licensed to practice osteopathic 16 13 medicine and surgery who supervises a physician assistant, and 16 14 two members who are not licensed to practice either medicine 16 15 and surgery or osteopathic medicine and surgery or licensed as 16 16 a physician assistant and who shall represent the general 16 17 public. At least one of the physician members shall be in 16 18 practice in a county with a population of less than fifty 16 19 thousand. A majority of members of the board constitutes a 16 20 quorum. 16 21 13. For behavioral science examiners, three members 16 22 licensed to practice marital and family therapy, one of whom 16 23 shall be employed in graduate teaching, training, or research 16 24 in marital and family therapy and two of whom shall be 16 25 practicing marital and family therapists; three members 16 26 licensed to practice mental health counseling, one of whom 16 27 shall be employed in graduate teaching, training, or research 16 28 in mental health counseling and two of whom shall be 16 29 practicing mental health counselors; and three members who are 16 30 not licensed to practice marital and family therapy or mental 16 31 health counseling and who shall represent the general public. 16 32 A majority of the members of the board constitutes a quorum. 16 33 14. For cosmetology arts and sciences examiners, a total 16 34 of seven members, three who are licensed cosmetologists, one 16 35 who is a licensed electrologist, esthetician, or nail 17 1 technologist, one who is a licensed instructor of cosmetology 17 2 arts and sciences at a public or private school and who does 17 3 not own a school of cosmetology arts and sciences, and two who 17 4 are not licensed in a practice of cosmetology arts and 17 5 sciences and who shall represent the general public. 17 6 15. For respiratory care, one licensed physician with 17 7 training in respiratory care, three respiratory care 17 8 practitioners who have practiced respiratory care for a 17 9 minimum of six years immediately preceding their appointment 17 10 to the board and who are recommended by the society for 17 11 respiratory care, and one member not licensed to practice 17 12 medicine or respiratory care who shall represent the general 17 13 public. A majority of members of the board constitutes a 17 14 quorum. 17 15 16. For mortuary science examiners, four members licensed 17 16 to practice mortuary science, one member owning, operating, or 17 17 employed by a crematory, and two members not licensed to 17 18 practice mortuary science and not a crematory owner, operator, 17 19 or employee who shall represent the general public. A 17 20 majority of the members of the board constitutes a quorum. 17 21 17. For massage therapists, four members licensed to 17 22 practice massage therapy and three members who are not 17 23 licensed to practice massage therapy and who shall represent 17 24 the general public. A majority of the members of the board 17 25 constitutes a quorum. 17 26 18. For athletic trainers, three members licensed to 17 27 practice athletic training, three members licensed to practice 17 28 medicine and surgery, and one member not licensed to practice 17 29 athletic training or medicine and surgery and who shall 17 30 represent the general public. A majority of the members of 17 31 the board constitutes a quorum. 17 32 19. For podiatry examiners, five members licensed to 17 33 practice podiatry and two members who are not licensed to 17 34 practice podiatry and who shall represent the general public. 17 35 A majority of the members of the board shall constitute a 18 1 quorum. 18 2 20. For social work examiners, a total of seven members, 18 3 five who are licensed to practice social work, with at least 18 4 one from each of three levels of licensure described in 18 5 section 154C.3, subsection 1, two employed by a licensee under 18 6 chapter 237, and two who are not licensed social workers and 18 7 who shall represent the general public. 18 8 21. For sign language interpreting for the hearing 18 9 impaired and transliterating, four members licensed to 18 10 practice interpreting and transliterating, three of whom shall 18 11 be practicing interpreters and transliterators at the time of 18 12 appointment to the board and at least one of whom is employed 18 13 in an educational setting; and three members who are consumers 18 14 of interpreting or transliterating services as defined in 18 15 section 154E.1, each of whom shall be deaf. A majority of 18 16 members of the board constitutes a quorum. 18 17 22. For hearing aid dispensers, three licensed hearing aid 18 18 dispensers and two members who are not licensed hearing aid 18 19 dispensers who shall represent the general public. A majority 18 20 of the members of the board constitutes a quorum. 18 21 23. For nursing home administrators, a total of nine 18 22 members: Four licensed nursing home administrators, one of 18 23 whom is the administrator of a nonproprietary nursing home; 18 24 three licensed members of any profession concerned with the 18 25 care and treatment of chronically ill or elderly patients who 18 26 are not nursing home administrators or nursing home owners; 18 27 and two members of the general public who are not licensed 18 28 under chapter 147, have no financial interest in any nursing 18 29 home, and who shall represent the general public. A majority 18 30 of the members of the board constitutes a quorum. 18 31 Sec. 34. Section 147.16, Code 2007, is amended to read as 18 32 follows: 18 33 147.16 EXAMINERS BOARD MEMBERS. 18 34 Each licensed examiner board member shall be actively 18 35 engaged in the practice or the instruction of the examiner's 19 1 board member's profession and shall have been so engaged for a 19 2 period of five years just preceding the examiner's board 19 3 member's appointment, the last two of which shall be in this 19 4 state. 19 5 However, each licensed physician assistant member of the 19 6 board of physician assistant examiners assistants shall be 19 7 actively engaged in practice as a physician assistant and 19 8 shall have been so engaged for a period of three years just 19 9 preceding the member's appointment, the last year of which 19 10 shall be in this state. 19 11 Sec. 35. Section 147.18, Code 2007, is amended to read as 19 12 follows: 19 13 147.18 DISQUALIFICATIONS. 19 14 No examiner A board member shall not be connected in any 19 15 manner with any wholesale or jobbing house dealing in supplies 19 16 or have a financial interest in or be an instructor at a 19 17 proprietary school. 19 18 Sec. 36. Section 147.19, Code 2007, is amended to read as 19 19 follows: 19 20 147.19 TERMS OF OFFICE. 19 21 The board members shall serve three=year terms, which shall 19 22 commence and end as provided by section 69.19. Any vacancy in 19 23 the membership of an examining a board shall be filled by 19 24 appointment of the governor subject to senate confirmation. A 19 25 member shall serve no more than three terms or nine years. 19 26 Sec. 37. Section 147.20, Code 2007, is amended to read as 19 27 follows: 19 28 147.20 NOMINATION OF EXAMINERS BOARD MEMBERS. 19 29 The regular state association or society for each 19 30 profession may recommend the names of potential board members 19 31 to the governor, but the governor shall not be bound by the 19 32 recommendations. 19 33 Sec. 38. Section 147.22, Code 2007, is amended to read as 19 34 follows: 19 35 147.22 OFFICERS. 20 1 Each examining board shall organize annually and shall 20 2 select a chairperson and a secretary from its own membership. 20 3 Sec. 39. Section 147.24, Code 2007, is amended to read as 20 4 follows: 20 5 147.24 COMPENSATION. 20 6 Members of an examining a board shall receive actual 20 7 expenses for their duties as a member of the examining board. 20 8 Each member of each board may also be eligible to receive 20 9 compensation as provided in section 7E.6. The funds shall be 20 10 appropriated to the department and allocated to each examining 20 11 board within the limits of funds. 20 12 Sec. 40. Section 147.25, unnumbered paragraphs 3 and 4, 20 13 Code 2007, are amended to read as follows: 20 14 Examining boards Boards collecting information necessary 20 15 for the division for records and statistics to carry out the 20 16 provisions of this section shall provide the department with 20 17 the information which may be gathered by means including, but 20 18 not limited to, questionnaires forwarded to applicants for a 20 19 license or renewal of a license. 20 20 In addition to any other fee provided by law, a fee may be 20 21 set by the respective examining boards for each license and 20 22 renewal of a license to practice a profession, which fee shall 20 23 be based on the annual cost of collecting information for use 20 24 by the department in the administration of the system of 20 25 health personnel statistics established by this section. The 20 26 fee shall be collected, transmitted to the treasurer of state, 20 27 and deposited in the general fund of the state in the manner 20 28 in which license and renewal fees of the respective 20 29 professions are collected, transmitted, and deposited in the 20 30 general fund. 20 31 Sec. 41. Section 147.26, Code 2007, is amended to read as 20 32 follows: 20 33 147.26 SUPPLIES AND EXAMINATION QUARTERS. 20 34 The department shall furnish each examining board with all 20 35 articles and supplies required for the public use and 21 1 necessary to enable said the board to perform the duties 21 2 imposed upon it by law. Such articles and supplies shall be 21 3 obtained by the department in the same manner in which the 21 4 regular supplies for the department are obtained and the cost 21 5 shall be assessed to the examining board. The director of the 21 6 department of administrative services shall furnish each 21 7 examining board with suitable quarters in which to conduct the 21 8 examination and the cost of the quarters shall be assessed to 21 9 the examining board. 21 10 Sec. 42. Section 147.28, Code 2007, is amended to read as 21 11 follows: 21 12 147.28 NATIONAL ORGANIZATION. 21 13 Each examining board may maintain a membership in the 21 14 national organization of the state examining regulatory boards 21 15 of its profession to be paid from funds appropriated to the 21 16 board. 21 17 Sec. 43. Section 147.28A, Code 2007, is amended to read as 21 18 follows: 21 19 147.28A SCOPE OF PRACTICE REVIEW COMMITTEES == FUTURE 21 20 REPEAL. 21 21 1. The department shall utilize scope of practice review 21 22 committees to evaluate and make recommendations to the general 21 23 assembly and to the appropriate examining boards regarding all 21 24 of the following issues: 21 25 a. Requests from practitioners seeking to become newly 21 26 licensed health professionals or to establish their own 21 27 examining boards. 21 28 b. Requests from health professionals seeking to expand or 21 29 narrow the scope of practice of a health profession. 21 30 c. Unresolved administrative rulemaking disputes between 21 31 examining boards. 21 32 2. A scope of practice review committee established under 21 33 this section shall evaluate the issues specified in subsection 21 34 1 and make recommendations regarding proposed changes to the 21 35 general assembly based on the following standards and 22 1 guidelines: 22 2 a. The proposed change does not pose a significant new 22 3 danger to the public. 22 4 b. Enacting the proposed change will benefit the health, 22 5 safety, or welfare of the public. 22 6 c. The public cannot be effectively protected by other 22 7 more cost=effective means. 22 8 3. A scope of practice review committee shall be limited 22 9 to five members as follows: 22 10 a. One member representing the profession seeking 22 11 licensure, a new examining board, or a change in scope of 22 12 practice. 22 13 b. One member of the health profession directly impacted 22 14 by, or opposed to, the proposed change. 22 15 c. One impartial health professional who is not directly 22 16 or indirectly affected by the proposed change. 22 17 d. Two impartial members of the general public. 22 18 4. The department may contract with a school or college of 22 19 public health to assist in implementing administering this 22 20 section. 22 21 5. The department shall submit an annual progress report 22 22 to the governor and the general assembly by January 15 and 22 23 shall include any recommendations for legislative action as a 22 24 result of review committee activities. 22 25 6. The department shall adopt rules in accordance with 22 26 chapter 17A to implement administer this section. 22 27 7. This section is repealed July 1, 2007. 22 28 Sec. 44. Section 147.33, Code 2007, is amended to read as 22 29 follows: 22 30 147.33 PROFESSIONAL SCHOOLS. 22 31 As a basis for such action on the part of the examining 22 32 board, the registrar of the state university of Iowa and the 22 33 dean of the professional school of said institution which 22 34 teaches the profession for which said the board gives license 22 35 examinations, shall supply such data relative to any such 23 1 professional school as said the board may request. 23 2 Sec. 45. Section 147.34, Code 2007, is amended to read as 23 3 follows: 23 4 147.34 EXAMINATIONS. 23 5 Examinations for each profession licensed under this 23 6 subtitle shall be conducted at least one time per year at such 23 7 time as the department may fix in cooperation with each 23 8 examining board. Examinations may be given at the state 23 9 university of Iowa at the close of each school year for 23 10 professions regulated by this subtitle and examinations may be 23 11 given at other schools located in the state at which any of 23 12 the professions regulated by this subtitle are taught. At 23 13 least one session of each examining board shall be held 23 14 annually at the seat of government and the locations of other 23 15 sessions shall be determined by the examining board, unless 23 16 otherwise ordered by the department. Applicants who fail to 23 17 pass the examination once shall be allowed to take the 23 18 examination at the next scheduled time. Thereafter, 23 19 applicants shall be allowed to take the examination at the 23 20 discretion of the board. Examinations may be given by an 23 21 examining a board which are prepared and scored by persons 23 22 outside the state, and examining boards may contract for such 23 23 services. An examining A board may make an agreement with 23 24 examining boards in other states for administering a uniform 23 25 examination. An applicant who has failed an examination may 23 26 request in writing information from the examining board 23 27 concerning the examination grade and subject areas or 23 28 questions which the applicant failed to answer correctly, 23 29 except that if the examining board administers a uniform, 23 30 standardized examination, the examining board shall only be 23 31 required to provide the examination grade and such other 23 32 information concerning the applicant's examination results 23 33 which are available to the examining board. 23 34 Sec. 46. Section 147.35, Code 2007, is amended to read as 23 35 follows: 24 1 147.35 NAMES OF ELIGIBLE CANDIDATES. 24 2 Prior to each examination the department shall transmit to 24 3 each examining board the list of candidates who are eligible 24 4 to take the examination given by such board. In making up 24 5 such list the department may call upon any examining board, or 24 6 any member thereof, for information relative to the 24 7 eligibility of any applicant. 24 8 Sec. 47. Section 147.36, unnumbered paragraph 1, Code 24 9 2007, is amended to read as follows: 24 10 Each examining board shall establish rules for: 24 11 Sec. 48. Section 147.37, Code 2007, is amended to read as 24 12 follows: 24 13 147.37 IDENTITY OF CANDIDATE CONCEALED. 24 14 All examinations in theory shall be in writing, and the 24 15 identity of the person taking the same shall not be disclosed 24 16 upon the examination papers in such a way as to enable the 24 17 members of the examining board to know by whom written until 24 18 after the papers have been passed upon. In examinations in 24 19 practice the identity of the candidate shall also be concealed 24 20 as far as possible. 24 21 Sec. 49. Section 147.39, Code 2007, is amended to read as 24 22 follows: 24 23 147.39 CLERK. 24 24 Upon the request of any examining board, the department 24 25 shall detail some employee to act as clerk of any examination 24 26 given by said examining the board. Such clerk shall have 24 27 charge of the candidates during the examination and perform 24 28 such other duties as the examining board may direct. If the 24 29 duties of such clerk are performed away from the seat of 24 30 government, the clerk shall receive necessary travel and 24 31 expenses, which shall be paid from the appropriations to the 24 32 examining board in the same manner in which other similar 24 33 expenses are paid. The department shall be reimbursed by the 24 34 examining board for costs incurred. 24 35 Sec. 50. Section 147.40, Code 2007, is amended to read as 25 1 follows: 25 2 147.40 CERTIFICATION OF APPLICANTS. 25 3 Every examination shall be passed upon in accordance with 25 4 the established rules of the examining board and shall be 25 5 satisfactory to at least a majority of the professional 25 6 members of the board. In the case of the board of dental 25 7 examiners dentistry, only licensed dentist members of the 25 8 board shall determine whether an applicant has passed the 25 9 examination to practice as a licensed dentist. After each 25 10 examination, the examining board shall certify the names of 25 11 the successful applicants to the department in the manner 25 12 prescribed by it. The department shall then issue the proper 25 13 license. 25 14 Sec. 51. Section 147.41, unnumbered paragraph 1, Code 25 15 2007, is amended to read as follows: 25 16 Any examining board may provide for a partial examination 25 17 for a license to practice a profession to any applicant who 25 18 has completed a portion of the professional course. For such 25 19 purpose said the board shall establish by rule: 25 20 Sec. 52. Section 147.42, Code 2007, is amended to read as 25 21 follows: 25 22 147.42 RULES RELATIVE TO PARTIAL EXAMINATIONS. 25 23 In case any examining If a board shall provide provides for 25 24 partial examinations under section 147.41, the department 25 25 shall adopt rules establishing: 25 26 1. The portion of the license fee fixed in this chapter 25 27 which shall be paid for a partial examination. 25 28 2. The credentials which shall be presented to the 25 29 department by an applicant showing the applicant's 25 30 qualifications to take such examination. 25 31 3. The method of certifying the list of the eligible 25 32 applicants for such examination to the proper examining 25 33 appropriate board. 25 34 4. The method of certifying back to the department the 25 35 list of applicants who successfully pass such examination. 26 1 5. The method of keeping the records of such applicants 26 2 for use at the time of completing the examination for a 26 3 license. 26 4 6. The credentials which shall be presented to the 26 5 department by such an applicant upon the completion of the 26 6 professional course. 26 7 7. The method of certifying such applicant to the proper 26 8 examining board for the remainder of the examination. 26 9 8. Such other matters of procedure as are necessary to 26 10 carry into effect section 147.41. 26 11 Sec. 53. Section 147.44, Code 2007, is amended to read as 26 12 follows: 26 13 147.44 AGREEMENTS. 26 14 For the purpose of recognizing licenses which have been 26 15 issued in other states to practice any profession for which a 26 16 license is required by this subtitle, the department shall 26 17 enter into a reciprocal agreement with every state which is 26 18 certified to it the department by the proper examining 26 19 appropriate board under the provisions of section 147.45 and 26 20 with which this state does not have an existing agreement at 26 21 the time of such certification. 26 22 Sec. 54. Section 147.45, Code 2007, is amended to read as 26 23 follows: 26 24 147.45 STATES ENTITLED TO RECIPROCAL RELATIONS. 26 25 The department shall at least once each year lay before the 26 26 proper examining appropriate board the requirements of the 26 27 several states for a license to practice the profession for 26 28 which such examining the board conducts examinations for 26 29 licenses in this state. Said examining The board shall 26 30 immediately examine such requirements and after making such 26 31 other inquiries as it deems necessary, shall certify to the 26 32 department the states having substantially equivalent 26 33 requirements to those existing in this state for that 26 34 particular profession and with which said examining the board 26 35 desires this state to enter into reciprocal relations. 27 1 Sec. 55. Section 147.46, subsection 2, Code 2007, is 27 2 amended to read as follows: 27 3 2. SPECIAL CONDITIONS. When any examining board has 27 4 established by rule any special condition upon which 27 5 reciprocal agreements shall be entered into, as provided in 27 6 section 147.47, such condition shall be incorporated into the 27 7 reciprocal agreements negotiated with reference to licenses to 27 8 practice the professions for which such examining the board 27 9 conducts examinations. 27 10 Sec. 56. Section 147.47, Code 2007, is amended to read as 27 11 follows: 27 12 147.47 SPECIAL CONDITIONS. 27 13 An examining A board shall have power to provide by rule 27 14 that no reciprocal relation shall be entered into by the 27 15 department with any state with reference to licenses to 27 16 practice the profession for which such examining the board 27 17 conducts examinations, unless every person licensed in another 27 18 state when applying for a license to practice in this state 27 19 shall comply with one or both of the following conditions: 27 20 1. Furnish satisfactory proof to the department that the 27 21 person has been actively engaged in the practice of the 27 22 profession for a certain period of years to be fixed by such 27 23 examining the board. 27 24 2. Pass a practical examination in the practice of the 27 25 person's particular profession as prescribed by such examining 27 26 the board. 27 27 Sec. 57. Section 147.48, Code 2007, is amended to read as 27 28 follows: 27 29 147.48 TERMINATION OF AGREEMENTS. 27 30 When If the requirements for a license in any state with 27 31 which this state has a reciprocal agreement are changed by any 27 32 law or rule of the authorities therein in that state so that 27 33 such requirements are no longer substantially as high as those 27 34 existing in this state, then such the agreement shall be 27 35 deemed terminated and licenses issued in such that state shall 28 1 not be recognized as a basis of granting a license in this 28 2 state until a new agreement has been negotiated. The fact of 28 3 such change shall be determined by the proper examining 28 4 appropriate board and certified to the department for its 28 5 guidance in enforcing the provisions of this section. 28 6 Sec. 58. Section 147.49, Code 2007, is amended to read as 28 7 follows: 28 8 147.49 LICENSE OF ANOTHER STATE. 28 9 The department shall, upon presentation of a license to 28 10 practice a profession issued by the duly constituted authority 28 11 of another state, with which this state has established 28 12 reciprocal relations, and subject to the rules of the 28 13 examining board for such profession, license said the 28 14 applicant to practice in this state, unless under the rules of 28 15 said examining the board a practical examination is required 28 16 in such cases. The department may, upon the recommendation of 28 17 the medical examiners board of medicine, accept in lieu of the 28 18 examination prescribed in section 148.3 or section 150A.3 a 28 19 license to practice medicine and surgery or osteopathic 28 20 medicine and surgery, issued by the duly constituted authority 28 21 of another state, territory, or foreign country. Endorsement 28 22 may be accepted by the department in lieu of further written 28 23 examination without regard to the existence or nonexistence of 28 24 a reciprocal agreement, but shall not be in lieu of the 28 25 standards and qualifications prescribed by section 148.3 or 28 26 section 150A.3. 28 27 Sec. 59. Section 147.50, Code 2007, is amended to read as 28 28 follows: 28 29 147.50 PRACTICAL EXAMINATIONS. 28 30 If the rules of any examining board require an applicant 28 31 for a license under a reciprocal agreement to pass a practical 28 32 examination in the practice of the applicant's profession, 28 33 then such the applicant shall make application therefore for 28 34 the license to the department upon a form provided by it the 28 35 department. 29 1 Sec. 60. Section 147.53, Code 2007, is amended to read as 29 2 follows: 29 3 147.53 POWER TO ADOPT RULES. 29 4 The department and each examining board shall have power to 29 5 establish the adopt necessary rules, not inconsistent with 29 6 law, for carrying out the reciprocal relations with other 29 7 states which are authorized by this chapter. 29 8 Sec. 61. Section 147.74, subsections 7, 15, and 22, Code 29 9 2007, are amended to read as follows: 29 10 7. A graduate of a school accredited on by the board of 29 11 optometric examiners optometry may use the prefix "Doctor", 29 12 but shall add after the person's name the letters "O. D." 29 13 15. A pharmacist who possesses a doctoral degree 29 14 recognized by the American council of pharmaceutical education 29 15 from a college of pharmacy approved by the board of pharmacy 29 16 examiners or a doctor of philosophy degree in an area related 29 17 to pharmacy may use the prefix "Doctor" or "Dr." but shall add 29 18 after the person's name the word "pharmacist" or "Pharm. D." 29 19 22. An A sign language interpreter licensed under chapter 29 20 154E and this chapter may use the title "licensed sign 29 21 language interpreter" or the letters "L. I." after the 29 22 person's name. 29 23 Sec. 62. Section 147.76, Code 2007, is amended to read as 29 24 follows: 29 25 147.76 RULES. 29 26 The examining boards for the various professions shall 29 27 adopt all necessary and proper rules to implement administer 29 28 and interpret this chapter and chapters 147A through 158, 29 29 except chapter 148D. 29 30 Sec. 63. Section 147.80, Code 2007, is amended to read as 29 31 follows: 29 32 147.80 LICENSE == EXAMINATION == FEES. 29 33 An examining Each board shall set the fees for the 29 34 examination of applicants, which fees shall be based upon the 29 35 cost of administering the examinations. An examining A board 30 1 shall set the license fees and renewal fees required for any 30 2 of the following based upon the cost of sustaining the board 30 3 and the actual costs of licensing: 30 4 1. License to practice dentistry issued upon the basis of 30 5 an examination given by the board of dental examiners 30 6 dentistry, license to practice dentistry issued under a 30 7 reciprocal agreement, resident dentist's license, renewal of a 30 8 license to practice dentistry. 30 9 2. License to practice pharmacy issued upon the basis of 30 10 an examination given by the board of pharmacy examiners, 30 11 license to practice pharmacy issued under a reciprocal 30 12 agreement, renewal of a license to practice pharmacy. 30 13 3. License to practice medicine and surgery, osteopathic 30 14 medicine and surgery, or osteopathy and renewal of a license 30 15 to practice medicine and surgery, osteopathic medicine and 30 16 surgery, or osteopathy. 30 17 4. Certificate to practice psychology or associate 30 18 psychology issued on the basis of an examination given by the 30 19 board of psychology examiners, or certificate to practice 30 20 psychology or associate psychology issued under a reciprocity 30 21 agreement or by endorsement, renewal of a certificate to 30 22 practice psychology or associate psychology. 30 23 5. Application for a license to practice as a physician 30 24 assistant, issuance of a license to practice as a physician 30 25 assistant issued upon the basis of an examination given or 30 26 approved by the board of physician assistant examiners 30 27 assistants, issuance of a license to practice as a physician 30 28 assistant issued under a reciprocal agreement, renewal of a 30 29 license to practice as a physician assistant, temporary 30 30 license to practice as a physician assistant. 30 31 6. License to practice chiropractic issued on the basis of 30 32 an examination given by the board of chiropractic examiners. 30 33 License to practice chiropractic issued by endorsement or 30 34 under a reciprocal agreement, renewal of a license to practice 30 35 chiropractic. 31 1 7. License to practice podiatry issued upon the basis of 31 2 an examination given by the board of podiatry examiners, 31 3 license to practice podiatry issued under a reciprocal 31 4 agreement, renewal of a license to practice podiatry. 31 5 8. License to practice physical therapy issued upon the 31 6 basis of an examination given by the board of physical and 31 7 occupational therapy examiners, license to practice physical 31 8 therapy issued under a reciprocal agreement, renewal of a 31 9 license to practice physical therapy. 31 10 9. License to practice as a physical therapist assistant 31 11 issued on the basis of an examination given by the board of 31 12 physical and occupational therapy examiners, license to 31 13 practice as a physical therapist assistant issued under a 31 14 reciprocal agreement, renewal of a license to practice as a 31 15 physical therapist assistant. 31 16 10. For a license to practice optometry issued upon the 31 17 basis of an examination given by the board of optometry 31 18 examiners, license to practice optometry issued under a 31 19 reciprocal agreement, renewal of a license to practice 31 20 optometry. 31 21 11. License to practice dental hygiene issued upon the 31 22 basis of an examination given by the board of dental examiners 31 23 dentistry, license to practice dental hygiene issued under a 31 24 reciprocal agreement, renewal of a license to practice dental 31 25 hygiene. 31 26 12. License to practice mortuary science issued upon the 31 27 basis of an examination given by the board of mortuary science 31 28 examiners, license to practice mortuary science issued under a 31 29 reciprocal agreement, renewal of a license to practice 31 30 mortuary science. 31 31 13. License to practice nursing issued upon the basis of 31 32 an examination given by the board of nursing; license to 31 33 practice nursing based on an endorsement from another state, 31 34 territory, or foreign country; renewal of a license to 31 35 practice nursing. 32 1 14. A nurse who does not engage in nursing during the year 32 2 succeeding the expiration of the license shall notify the 32 3 board to place the nurse upon the inactive list and the nurse 32 4 shall not be required to pay the renewal fee so long as the 32 5 nurse remains inactive and so notifies the board. To resume 32 6 nursing, the nurse shall notify the board and remit the 32 7 renewal fee for the current period. 32 8 15. License to practice cosmetology arts and sciences 32 9 issued upon the basis of an examination given by the board of 32 10 cosmetology arts and sciences examiners, license to practice 32 11 cosmetology arts and sciences under a reciprocal agreement, 32 12 renewal of a license to practice cosmetology arts and 32 13 sciences, temporary permit to practice as a cosmetology arts 32 14 and sciences trainee, original license to conduct a school of 32 15 cosmetology arts and sciences, renewal of license to conduct a 32 16 school of cosmetology arts and sciences, original license to 32 17 operate a salon, renewal of a license to operate a salon, 32 18 original license to practice manicuring and pedicuring, 32 19 renewal of a license to practice manicuring and pedicuring, 32 20 annual inspection of a school of cosmetology arts and 32 21 sciences, annual inspection of a salon, original cosmetology 32 22 arts and sciences school instructor's license, and renewal of 32 23 cosmetology arts and sciences school instructor's license. 32 24 16. License to practice barbering on the basis of an 32 25 examination given by the board of barber examiners barbering, 32 26 license to practice barbering under a reciprocal agreement, 32 27 renewal of a license to practice barbering, annual inspection 32 28 by the department of inspections and appeals of barber school 32 29 and annual inspection of barber shop, an original barber 32 30 school license, renewal of a barber school license, transfer 32 31 of license upon change of ownership of a barber shop or barber 32 32 school, inspection by the department of inspections and 32 33 appeals and an original barber shop license, renewal of a 32 34 barber shop license, original barber school instructor's 32 35 license, renewal of a barber school instructor's license. 33 1 17. License to practice speech pathology or audiology 33 2 issued on the basis of an examination given by the board of 33 3 speech pathology and audiology, or license to practice speech 33 4 pathology or audiology issued under a reciprocity agreement, 33 5 renewal of a license to practice speech pathology or 33 6 audiology. 33 7 18. License to practice occupational therapy issued upon 33 8 the basis of an examination given by the board of physical and 33 9 occupational therapy examiners, license to practice 33 10 occupational therapy issued under a reciprocal agreement, 33 11 renewal of a license to practice occupational therapy. 33 12 19. License to assist in the practice of occupational 33 13 therapy issued upon the basis of an examination given by the 33 14 board of physical and occupational therapy examiners, license 33 15 to assist in the practice of occupational therapy issued under 33 16 a reciprocal agreement, renewal of a license to assist in the 33 17 practice of occupational therapy. 33 18 20. License to practice social work issued on the basis of 33 19 an examination by the board of social work examiners, or 33 20 license to practice social work issued under a reciprocity 33 21 agreement, or renewal of a license to practice social work. 33 22 21. License to practice marital and family therapy issued 33 23 upon the basis of an examination given by the board of 33 24 behavioral science examiners, license to practice marital and 33 25 family therapy issued under a reciprocal agreement, or renewal 33 26 of a license to practice marital and family therapy. 33 27 22. License to practice mental health counseling issued 33 28 upon the basis of an examination given by the board of 33 29 behavioral science examiners, license to practice mental 33 30 health counseling issued under a reciprocal agreement, or 33 31 renewal of a license to practice mental health counseling. 33 32 23. License to practice dietetics issued upon the basis of 33 33 an examination given by the board of dietetic examiners 33 34 dietetics, license to practice dietetics issued under a 33 35 reciprocal agreement, or renewal of a license to practice 34 1 dietetics. 34 2 24. License to practice acupuncture, license to practice 34 3 acupuncture under a reciprocal agreement, or renewal of a 34 4 license to practice acupuncture. 34 5 25. License to practice respiratory care, license to 34 6 practice respiratory care under a reciprocal license, or 34 7 renewal of a license to practice respiratory care. 34 8 26. License to practice massage therapy, license to 34 9 practice massage therapy under a reciprocal license, or 34 10 renewal of a license to practice massage therapy. 34 11 27. License to practice athletic training, license to 34 12 practice athletic training under a reciprocal license, or 34 13 renewal of a license to practice athletic training. 34 14 28. Registration to practice as a dental assistant, 34 15 registration to practice as a dental assistant under a 34 16 reciprocal agreement, or renewal of registration to practice 34 17 as a dental assistant. 34 18 29. License to practice sign language interpreting and 34 19 transliterating, license to practice sign language 34 20 interpreting and transliterating under a reciprocal license, 34 21 or renewal of a license to practice sign language interpreting 34 22 and transliterating. 34 23 30. License to practice hearing aid dispensing, license to 34 24 practice hearing aid dispensing under a reciprocal license, or 34 25 renewal of a license to practice hearing aid dispensing. 34 26 31. License to practice nursing home administration, 34 27 license to practice nursing home administration under a 34 28 reciprocal license, or renewal of a license to practice 34 29 nursing home administration. 34 30 32. For a certified statement that a licensee is licensed 34 31 in this state. 34 32 33. Duplicate license, which shall be so designated on its 34 33 face, upon satisfactory proof the original license issued by 34 34 the department has been destroyed or lost. 34 35 The licensing and certification division shall prepare 35 1 estimates of projected revenues to be generated by the 35 2 licensing, certification, and examination fees of each board 35 3 as well as a projection of the fairly apportioned 35 4 administrative costs and rental expenses attributable to each 35 5 board. Each board shall annually review and adjust its 35 6 schedule of fees so that, as nearly as possible, projected 35 7 revenues equal projected costs and any imbalance in revenues 35 8 and costs in a fiscal year is offset in a subsequent fiscal 35 9 year. 35 10 The board of medical examiners medicine, the board of 35 11 pharmacy examiners, the board of dental examiners dentistry, 35 12 and the board of nursing shall retain individual executive 35 13 officers, but shall make every effort to share administrative, 35 14 clerical, and investigative staffs to the greatest extent 35 15 possible. The department shall annually submit a status 35 16 report to the general assembly in December regarding the 35 17 sharing of staff during the previous fiscal year. 35 18 Sec. 64. Section 147.82, Code 2007, is amended to read as 35 19 follows: 35 20 147.82 FEES. 35 21 Notwithstanding section 12.10, all fees collected under 35 22 this chapter by an examining a board or the department shall 35 23 be paid to the treasurer of state and credited to the general 35 24 fund of the state, except for the following: 35 25 1. The department may retain and expend or encumber a 35 26 portion of fees collected under this chapter for an examining 35 27 a board if the expenditure or encumbrance is directly the 35 28 result of an unanticipated litigation expense or an expense 35 29 associated with a scope of practice review committee created 35 30 pursuant to section 147.28A. Before the department retains, 35 31 expends, or encumbers funds for an unanticipated litigation 35 32 expense or a scope of practice review committee, the director 35 33 of the department of management shall approve the expenditure 35 34 or encumbrance. The amount of fees retained pursuant to this 35 35 subsection shall not exceed five percent of the average annual 36 1 fees generated by the affected examining board for the two 36 2 previous fiscal years. The amount of fees retained shall be 36 3 considered repayment receipts as defined in section 8.2. 36 4 2. The department may annually retain and expend not more 36 5 than two hundred ninety=seven thousand nine hundred sixty=one 36 6 dollars for lease and maintenance expenses from fees collected 36 7 pursuant to section 147.80 by the board of dental examiners 36 8 dentistry, the board of pharmacy examiners, the board of 36 9 medical examiners medicine, and the board of nursing. Fees 36 10 retained by the department pursuant to this subsection shall 36 11 be considered repayment receipts as defined in section 8.2. 36 12 3. The department may annually retain and expend not more 36 13 than one hundred thousand dollars for reduction of the number 36 14 of days necessary to process medical license requests and for 36 15 reduction of the number of days needed for consideration of 36 16 malpractice cases from fees collected pursuant to section 36 17 147.80 by the board of medical examiners. Fees retained by 36 18 the department pursuant to this subsection shall be considered 36 19 repayment receipts as defined in section 8.2 and shall be used 36 20 for the purposes described in this subsection. 36 21 4. The board of dental examiners dentistry may annually 36 22 retain and expend not more than one hundred forty=eight 36 23 thousand sixty dollars from revenues generated pursuant to 36 24 section 147.80. Fees retained by the board pursuant to this 36 25 subsection shall be considered repayment receipts as defined 36 26 in section 8.2 and shall be used for the purposes of 36 27 regulating dental assistants. 36 28 5. The board of nursing may annually retain and expend 36 29 ninety percent of the revenues generated from an increase in 36 30 license and renewal fees established pursuant to section 36 31 147.80 for the practice of nursing, above the license and 36 32 renewal fees in effect as of July 1, 2003. The moneys 36 33 retained shall be used for any of the board's duties, 36 34 including but not limited to the addition of full=time 36 35 equivalent positions for program services and investigations. 37 1 Revenues retained by the board pursuant to this subsection 37 2 shall be considered repayment receipts as defined in section 37 3 8.2, and shall be used for the purposes described in this 37 4 subsection. 37 5 6. The board of pharmacy examiners may annually retain and 37 6 expend ninety percent of the revenues generated from an 37 7 increase in license and renewal fees established pursuant to 37 8 sections 124.301 and 147.80, and chapter 155A, for the 37 9 practice of pharmacy, above the license and renewal fees in 37 10 effect as of July 1, 2004. The moneys retained shall be used 37 11 for any of the board's duties, including but not limited to 37 12 the addition of full=time equivalent positions for program 37 13 services and investigations. Revenues retained by the board 37 14 pursuant to this subsection shall be considered repayment 37 15 receipts as defined in section 8.2, and shall be used for the 37 16 purposes described in this subsection. 37 17 7. In addition to the amounts authorized in subsections 1 37 18 through 6, the examining boards listed in section 147.80 may 37 19 retain and expend ninety percent of the revenue generated from 37 20 an increase in license and renewal fees established pursuant 37 21 to section 147.80 for the practice of the licensed profession 37 22 for which an examining a board conducts examinations above the 37 23 license and renewal fees in effect as of June 30, 2005. The 37 24 moneys retained by an examining a board shall be used for any 37 25 of the board's duties, including but not limited to addition 37 26 of full=time equivalent positions for program services and 37 27 investigations. Revenues retained by an examining a board 37 28 pursuant to this subsection shall be considered repayment 37 29 receipts as defined in section 8.2. Notwithstanding section 37 30 8.33, revenues retained by a board pursuant to this subsection 37 31 are not subject to reversion to the general fund of the state. 37 32 Sec. 65. Section 147.87, Code 2007, is amended to read as 37 33 follows: 37 34 147.87 ENFORCEMENT. 37 35 The department shall enforce the provisions of this and the 38 1 following chapters of this subtitle and for that purpose may 38 2 request the department of inspections and appeals to make 38 3 necessary investigations. Every licensee and member of an 38 4 examining a board shall furnish the department or the 38 5 department of inspections and appeals such evidence as the 38 6 member or licensee may have relative to any alleged violation 38 7 which is being investigated. 38 8 Sec. 66. Section 147.88, Code 2007, is amended to read as 38 9 follows: 38 10 147.88 INSPECTIONS. 38 11 The department of inspections and appeals may perform 38 12 inspections as required by this subtitle, except for the board 38 13 of medical examiners medicine, board of pharmacy examiners, 38 14 board of nursing, and the board of dental examiners dentistry. 38 15 The department of inspections and appeals shall employ 38 16 personnel related to the inspection functions. 38 17 Sec. 67. Section 147.89, unnumbered paragraph 1, Code 38 18 2007, is amended to read as follows: 38 19 Every licensee and member of an examining a board shall 38 20 report, also, to the department the name of every person, 38 21 without a license, that the member or licensee has reason to 38 22 believe is engaged in: 38 23 Sec. 68. Section 147.91, subsection 3, Code 2007, is 38 24 amended to read as follows: 38 25 3. The rules of the examining board relative to 38 26 examinations. 38 27 Sec. 69. Section 147.94, subsections 1, 2, 3, and 4, Code 38 28 2007, are amended to read as follows: 38 29 1. Every application for a license to practice pharmacy 38 30 shall be made to the secretary executive director of the board 38 31 of pharmacy examiners. 38 32 2. A license and all renewals of a license shall be issued 38 33 by the board of pharmacy examiners. 38 34 3. Every reciprocal agreement for the recognition of any 38 35 license issued in another state shall be negotiated by the 39 1 board of pharmacy examiners. 39 2 4. All records in connection with the licensing of 39 3 pharmacists shall be kept by the secretary executive director 39 4 of the board of pharmacy examiners. 39 5 Sec. 70. Section 147.95, Code 2007, is amended to read as 39 6 follows: 39 7 147.95 ENFORCEMENT == AGENTS AS PEACE OFFICERS. 39 8 The provisions of this subtitle insofar as they affect the 39 9 practice of pharmacy shall be enforced by the board of 39 10 pharmacy examiners and the provisions of sections 147.87, 39 11 147.88, and 147.89 shall not apply to said profession. 39 12 Officers, agents, inspectors, and representatives of the board 39 13 of pharmacy examiners shall have the powers and status of 39 14 peace officers when enforcing the provisions of this subtitle. 39 15 Sec. 71. Section 147.96, Code 2007, is amended to read as 39 16 follows: 39 17 147.96 BOARD OF PHARMACY EXAMINERS. 39 18 In discharging the duties and exercising the powers 39 19 provided for in sections 147.94 and 147.95, the board of 39 20 pharmacy examiners and their secretary the executive director 39 21 of the board shall be governed by all the provisions of this 39 22 chapter which govern the department when discharging a similar 39 23 duty or exercising a similar power with reference to any of 39 24 the professions regulated by this subtitle. 39 25 Sec. 72. Section 147.98, Code 2007, is amended to read as 39 26 follows: 39 27 147.98 SECRETARY OF PHARMACY EXAMINERS EXECUTIVE DIRECTOR 39 28 OF THE BOARD OF PHARMACY. 39 29 The board of pharmacy examiners shall have the right to may 39 30 employ a full=time secretary executive director, who shall not 39 31 be a member of the examining board, at such compensation as 39 32 may be fixed pursuant to chapter 8A, subchapter IV, but the 39 33 provisions of section 147.22 providing for a secretary for 39 34 each examining board shall not apply to the board of pharmacy 39 35 examiners. 40 1 Sec. 73. Section 147.99, Code 2007, is amended to read as 40 2 follows: 40 3 147.99 DUTIES OF SECRETARY EXECUTIVE DIRECTOR. 40 4 The secretary executive director of the board of pharmacy 40 5 examiners shall, upon the direction of the board, make 40 6 inspections of alleged violations of the provisions of this 40 7 subtitle relative to the practice of pharmacy and of chapters 40 8 124, 126, and 205. The secretary executive director shall be 40 9 allowed necessary traveling and hotel expenses in making such 40 10 inspections. 40 11 Sec. 74. Section 147.100, Code 2007, is amended to read as 40 12 follows: 40 13 147.100 EXPIRATIONS AND RENEWALS. 40 14 Licenses shall expire in multiyear intervals as determined 40 15 by the examining each board. A person who fails to renew a 40 16 license by the expiration date shall be allowed to do so 40 17 within thirty days following its expiration, but the examining 40 18 board may assess a reasonable penalty. 40 19 Sec. 75. Section 147.102, Code 2007, is amended to read as 40 20 follows: 40 21 147.102 PSYCHOLOGISTS, CHIROPRACTORS, AND DENTISTS. 40 22 Notwithstanding the provisions of this subtitle, every 40 23 application for a license to practice psychology, 40 24 chiropractic, or dentistry shall be made directly to the 40 25 chairperson, executive director, or secretary of the examining 40 26 board of such profession, and every reciprocal agreement for 40 27 the recognition of any such license issued in another state 40 28 shall be negotiated by the examining board for such 40 29 profession. All examination, license, and renewal fees 40 30 received from persons licensed to practice any of such 40 31 professions shall be paid to and collected by the chairperson, 40 32 executive director, or secretary of the examining board of 40 33 such profession. The salary of the secretary shall be 40 34 established by the governor with the approval of the executive 40 35 council pursuant to section 8A.413, subsection 2, under the 41 1 pay plan for exempt positions in the executive branch of 41 2 government. 41 3 Sec. 76. Section 147.103, Code 2007, is amended to read as 41 4 follows: 41 5 147.103 INVESTIGATORS FOR PHYSICIAN ASSISTANTS. 41 6 The board of physician assistant examiners assistants may 41 7 appoint investigators, who shall not be members of the 41 8 examining board, to administer and aid in the enforcement of 41 9 the provisions of law relating to physician assistants. The 41 10 amount of compensation for the investigators shall be 41 11 determined pursuant to chapter 8A, subchapter IV. 41 12 Investigators authorized by the board of physician 41 13 assistant examiners assistants have the powers and status of 41 14 peace officers when enforcing this chapter and chapters 148C 41 15 and 272C. 41 16 Sec. 77. Section 147.103A, unnumbered paragraph 1, Code 41 17 2007, is amended to read as follows: 41 18 This chapter shall apply to the licensing of persons to 41 19 practice as physicians and surgeons, osteopaths, and 41 20 osteopathic physicians and surgeons by the board of medical 41 21 examiners medicine subject to the following provisions: 41 22 Sec. 78. Section 147.103A, subsection 3, Code 2007, is 41 23 amended to read as follows: 41 24 3. The board may appoint investigators, who shall not be 41 25 members of the examining board, and whose compensation shall 41 26 be determined pursuant to chapter 8A, subchapter IV. 41 27 Investigators appointed by the board have the powers and 41 28 status of peace officers when enforcing this chapter and 41 29 chapters 148, 150, 150A, and 272C. 41 30 Sec. 79. Section 147.107, subsections 2, 4, 5, and 8, Code 41 31 2007, are amended to read as follows: 41 32 2. A pharmacist, physician, dentist, or podiatric 41 33 physician who dispenses prescription drugs, including but not 41 34 limited to controlled substances, for human use, may delegate 41 35 nonjudgmental dispensing functions to staff assistants only 42 1 when verification of the accuracy and completeness of the 42 2 prescription is determined by the pharmacist or practitioner 42 3 in the pharmacist's or practitioner's physical presence. 42 4 However, the physical presence requirement does not apply when 42 5 a pharmacist or practitioner is utilizing an automated 42 6 dispensing system. When using an automated dispensing system 42 7 the pharmacist or practitioner shall utilize an internal 42 8 quality control assurance plan that ensures accuracy for 42 9 dispensing. Verification of automated dispensing accuracy and 42 10 completeness remains the responsibility of the pharmacist or 42 11 practitioner and shall be determined in accordance with rules 42 12 adopted by the state board of pharmacy examiners, the state 42 13 board of medical examiners medicine, the state board of dental 42 14 examiners dentistry, and the state board of podiatry examiners 42 15 for their respective licensees. 42 16 A dentist, physician, or podiatric physician who dispenses 42 17 prescription drugs, other than drug samples, pursuant to this 42 18 subsection, shall register the fact that they dispense 42 19 prescription drugs with the practitioner's respective 42 20 examining board at least biennially. 42 21 A physician, dentist, or podiatric physician who dispenses 42 22 prescription drugs, other than drug samples, pursuant to this 42 23 subsection, shall offer to provide the patient with a written 42 24 prescription that may be dispensed from a pharmacy of the 42 25 patient's choice or offer to transmit the prescription orally, 42 26 electronically, or by facsimile in accordance with section 42 27 155A.27 to a pharmacy of the patient's choice. 42 28 4. Notwithstanding subsection 3, a physician assistant 42 29 shall not dispense prescription drugs as an incident to the 42 30 practice of the supervising physician or the physician 42 31 assistant, but may supply, when pharmacist services are not 42 32 reasonably available, or when it is in the best interests of 42 33 the patient, a quantity of properly packaged and labeled 42 34 prescription drugs, controlled substances, or medical devices 42 35 necessary to complete a course of therapy. However, a remote 43 1 clinic, staffed by a physician assistant, where pharmacy 43 2 services are not reasonably available, shall secure the 43 3 regular advice and consultation of a pharmacist regarding the 43 4 distribution, storage, and appropriate use of such drugs, 43 5 substances, and devices. Prescription drugs supplied under 43 6 the provisions of this subsection shall be supplied for the 43 7 purpose of accommodating the patient and shall not be sold for 43 8 more than the cost of the drug and reasonable overhead costs, 43 9 as they relate to supplying prescription drugs to the patient, 43 10 and not at a profit to the physician or the physician 43 11 assistant. If prescription drug supplying authority is 43 12 delegated by a supervising physician to a physician assistant, 43 13 a nurse or staff assistant may assist the physician assistant 43 14 in providing that service. Rules shall be adopted by the 43 15 board of physician assistant examiners assistants, after 43 16 consultation with the board of pharmacy examiners, to 43 17 implement this subsection. 43 18 5. Notwithstanding subsection 1 and any other provision of 43 19 this section to the contrary, a physician may delegate the 43 20 function of prescribing drugs, controlled substances, and 43 21 medical devices to a physician assistant licensed pursuant to 43 22 chapter 148C. When delegated prescribing occurs, the 43 23 supervising physician's name shall be used, recorded, or 43 24 otherwise indicated in connection with each individual 43 25 prescription so that the individual who dispenses or 43 26 administers the prescription knows under whose delegated 43 27 authority the physician assistant is prescribing. Rules 43 28 relating to the authority of physician assistants to prescribe 43 29 drugs, controlled substances, and medical devices pursuant to 43 30 this subsection shall be adopted by the board of physician 43 31 assistant examiners assistants, after consultation with the 43 32 board of medical examiners medicine and the board of pharmacy 43 33 examiners. However, the rules shall prohibit the prescribing 43 34 of schedule II controlled substances which are listed as 43 35 depressants pursuant to chapter 124. 44 1 8. Notwithstanding subsection 1, but subject to the 44 2 limitations contained in subsections 2 and 3, a registered 44 3 nurse who is licensed and registered as an advanced registered 44 4 nurse practitioner and who qualifies for and is registered in 44 5 a recognized nursing specialty may prescribe substances or 44 6 devices, including controlled substances or devices, if the 44 7 nurse is engaged in the practice of a nursing specialty 44 8 regulated under rules adopted by the board of nursing in 44 9 consultation with the board of medical examiners medicine and 44 10 the board of pharmacy examiners. 44 11 Sec. 80. Section 147.108, subsection 1, Code 2007, is 44 12 amended to read as follows: 44 13 1. A person shall not dispense or adapt contact lenses 44 14 without first receiving authorization to do so by a written, 44 15 electronic, or facsimile prescription, except when authorized 44 16 orally under subsection 2, from a person licensed under 44 17 chapter 148, 150, 150A, or 154. The board of optometry 44 18 examiners shall adopt rules relating to electronic or 44 19 facsimile transmission of a prescription under this section. 44 20 Sec. 81. Section 147.109, subsection 1, Code 2007, is 44 21 amended to read as follows: 44 22 1. A person shall not dispense or adapt an ophthalmic 44 23 spectacle lens or lenses without first receiving authorization 44 24 to do so by a written, electronic, or facsimile prescription 44 25 from a person licensed under chapter 148, 150, 150A, or 154. 44 26 For the purpose of this section, "ophthalmic spectacle lens" 44 27 means one which has been fabricated to fill the requirements 44 28 of a particular spectacle lens prescription. The board of 44 29 optometry examiners shall adopt rules relating to electronic 44 30 or facsimile transmission of a prescription under this 44 31 section. 44 32 Sec. 82. Section 147.114, Code 2007, is amended to read as 44 33 follows: 44 34 147.114 INSPECTOR. 44 35 An inspector may be appointed by the board of dental 45 1 examiners dentistry pursuant to the provisions of chapter 8A, 45 2 subchapter IV. 45 3 Sec. 83. Section 147.135, subsections 2 and 3, Code 2007, 45 4 are amended to read as follows: 45 5 2. As used in this subsection, "peer review records" means 45 6 all complaint files, investigation files, reports, and other 45 7 investigative information relating to licensee discipline or 45 8 professional competence in the possession of a peer review 45 9 committee or an employee of a peer review committee. As used 45 10 in this subsection, "peer review committee" does not include 45 11 examining licensing boards. Peer review records are 45 12 privileged and confidential, are not subject to discovery, 45 13 subpoena, or other means of legal compulsion for release to a 45 14 person other than an affected licensee or a peer review 45 15 committee and are not admissible in evidence in a judicial or 45 16 administrative proceeding other than a proceeding involving 45 17 licensee discipline or a proceeding brought by a licensee who 45 18 is the subject of a peer review record and whose competence is 45 19 at issue. A person shall not be liable as a result of filing 45 20 a report or complaint with a peer review committee or 45 21 providing information to such a committee, or for disclosure 45 22 of privileged matter to a peer review committee. A person 45 23 present at a meeting of a peer review committee shall not be 45 24 permitted to testify as to the findings, recommendations, 45 25 evaluations, or opinions of the peer review committee in any 45 26 judicial or administrative proceeding other than a proceeding 45 27 involving licensee discipline or a proceeding brought by a 45 28 licensee who is the subject of a peer review committee meeting 45 29 and whose competence is at issue. Information or documents 45 30 discoverable from sources other than the peer review committee 45 31 do not become nondiscoverable from the other sources merely 45 32 because they are made available to or are in the possession of 45 33 a peer review committee. However, such information relating 45 34 to licensee discipline may be disclosed to an appropriate 45 35 licensing authority in any jurisdiction in which the licensee 46 1 is licensed or has applied for a license. If such information 46 2 indicates a crime has been committed, the information shall be 46 3 reported to the proper law enforcement agency. This 46 4 subsection shall not preclude the discovery of the 46 5 identification of witnesses or documents known to a peer 46 6 review committee. Any final written decision and finding of 46 7 fact by a licensing board in a disciplinary proceeding is a 46 8 public record. Upon appeal by a licensee of a decision of a 46 9 licensing board, the entire case record shall be submitted to 46 10 the reviewing court. In all cases where privileged and 46 11 confidential information under this subsection becomes 46 12 discoverable, admissible, or part of a court record the 46 13 identity of an individual whose privilege has been 46 14 involuntarily waived shall be withheld. 46 15 3. A full and confidential report concerning any final 46 16 hospital disciplinary action approved by a hospital board of 46 17 trustees that results in a limitation, suspension, or 46 18 revocation of a physician's privilege to practice for reasons 46 19 relating to the physician's professional competence or 46 20 concerning any voluntary surrender or limitation of privileges 46 21 for reasons relating to professional competence shall be made 46 22 to the board of medical examiners medicine by the hospital 46 23 administrator or chief of medical staff within ten days of 46 24 such action. The board of medical examiners medicine shall 46 25 investigate the report and take appropriate action. These 46 26 reports shall be privileged and confidential as though 46 27 included in and subject to the requirements for peer review 46 28 committee information in subsection 2. Persons making these 46 29 reports and persons participating in resulting proceedings 46 30 related to these reports shall be immune from civil liability 46 31 with respect to the making of the report or participation in 46 32 resulting proceedings. As used in this subsection, 46 33 "physician" means a person licensed pursuant to chapter 148, 46 34 chapter 150, or chapter 150A. 46 35 Notwithstanding subsection 2, if the board of medical 47 1 examiners medicine conducts an investigation based on a 47 2 complaint received or upon its own motion, a hospital pursuant 47 3 to subpoena shall make available information and documents 47 4 requested by the board, specifically including reports or 47 5 descriptions of any complaints or incidents concerning an 47 6 individual who is the subject of the board's investigation, 47 7 even though the information and documents are also kept for, 47 8 are the subject of, or are being used in peer review by the 47 9 hospital. However, the deliberations, testimony, decisions, 47 10 conclusions, findings, recommendations, evaluations, work 47 11 product, or opinions of a peer review committee or its members 47 12 and those portions of any documents or records containing or 47 13 revealing information relating thereto shall not be subject to 47 14 the board's request for information, subpoena, or other legal 47 15 compulsion. All information and documents received by the 47 16 board from a hospital under this section shall be confidential 47 17 pursuant to section 272C.6, subsection 4. 47 18 Sec. 84. Section 147.151, subsection 2, Code 2007, is 47 19 amended to read as follows: 47 20 2. "Board" means the Iowa board of speech pathology and 47 21 audiology examiners established pursuant to section 147.14, 47 22 subsection 9. 47 23 Sec. 85. Section 147.152, subsection 1, Code 2007, is 47 24 amended to read as follows: 47 25 1. Licensed physicians and surgeons, licensed osteopathic 47 26 physicians and surgeons, licensed osteopaths, approved 47 27 physician assistants and registered nurses acting under the 47 28 supervision of a physician, persons conducting hearing tests 47 29 under the direct supervision of a licensed physician and 47 30 surgeon, licensed osteopathic physician and surgeon, or 47 31 licensed osteopath, or students of medicine or surgery or 47 32 osteopathic medicine and surgery pursuing a course of study in 47 33 a medical school or college of osteopathic medicine and 47 34 surgery approved by the medical examiners board of medicine 47 35 while performing functions incidental to their course of 48 1 study. 48 2 Sec. 86. Section 147A.13, subsection 1, Code 2007, is 48 3 amended to read as follows: 48 4 1. Documentation has been reviewed and approved at the 48 5 local level by the medical director of the ambulance, rescue, 48 6 or first response service in accordance with the rules of the 48 7 board of physician assistant examiners assistants developed 48 8 after consultation with the department. 48 9 Sec. 87. Section 148.2, subsections 3 and 6, Code 2007, 48 10 are amended to read as follows: 48 11 3. Students of medicine or surgery who have completed at 48 12 least two years' study in a medical school, approved by the 48 13 medical examiners board, and who prescribe medicine under the 48 14 supervision of a licensed physician and surgeon, or who render 48 15 gratuitous service to persons in case of emergency. 48 16 6. A graduate of a medical school who is continuing 48 17 training and performing the duties of an intern, or who is 48 18 engaged in postgraduate training deemed the equivalent of an 48 19 internship in a hospital approved for training by the medical 48 20 examiners board. 48 21 Sec. 88. Section 148.2A, Code 2007, is amended to read as 48 22 follows: 48 23 148.2A BOARD OF MEDICAL EXAMINERS MEDICINE. 48 24 As used in this chapter, "board" and "medical examiners" 48 25 mean means the board of medical examiners medicine established 48 26 in chapter 147. 48 27 Sec. 89. Section 148.3, Code 2007, is amended to read as 48 28 follows: 48 29 148.3 REQUIREMENTS FOR LICENSE. 48 30 An applicant for a license to practice medicine and surgery 48 31 shall: 48 32 1. Present a diploma issued by a medical college approved 48 33 by the medical examiners board, or present other evidence of 48 34 equivalent medical education approved by the medical examiners 48 35 board. The medical examiners board may accept, in lieu of a 49 1 diploma from a medical college approved by them, all of the 49 2 following: 49 3 a. A diploma issued by a medical college which has been 49 4 neither approved nor disapproved by the medical examiners; and 49 5 board. 49 6 b. A valid standard certificate issued by the educational 49 7 commission for foreign medical graduates or similar 49 8 accrediting agency. 49 9 2. Pass an examination prescribed by the medical examiners 49 10 board which shall include subjects which determine the 49 11 applicant's qualifications to practice medicine and surgery 49 12 and which shall be given according to the methods deemed by 49 13 the medical examiners board to be the most appropriate and 49 14 practicable. However, the federation licensing examination 49 15 (FLEX) or any other national standardized examination which 49 16 the medical examiners shall approve board approves may be 49 17 administered to any or all applicants in lieu of or in 49 18 conjunction with other examinations which the medical 49 19 examiners shall prescribe board prescribes. The medical 49 20 examiners board may establish necessary achievement levels on 49 21 all examinations for a passing grade and adopt rules relating 49 22 to examinations. 49 23 3. Present to the medical examiners board satisfactory 49 24 evidence that the applicant has successfully completed one 49 25 year of postgraduate internship or resident training in a 49 26 hospital approved for such training by the medical examiners 49 27 board. Beginning July 1, 2006, an applicant who holds a valid 49 28 certificate issued by the educational commission for foreign 49 29 medical graduates shall submit satisfactory evidence of 49 30 successful completion of two years of such training. 49 31 Sec. 90. Section 148.4, Code 2007, is amended to read as 49 32 follows: 49 33 148.4 CERTIFICATES OF NATIONAL BOARD. 49 34 The medical examiners board of medicine may accept in lieu 49 35 of the examination prescribed in section 148.3 a certificate 50 1 of examination issued by the national board of medical 50 2 examiners of the United States of America, but every applicant 50 3 for a license upon the basis of such certificate shall be 50 4 required to pay the fee prescribed by the medical examiners 50 5 board of medicine for licenses. 50 6 Sec. 91. Section 148.5, Code 2007, is amended to read as 50 7 follows: 50 8 148.5 RESIDENT PHYSICIAN LICENSE. 50 9 A physician, who is a graduate of a medical school and is 50 10 serving as a resident physician who is not otherwise licensed 50 11 to practice medicine and surgery in this state, shall be 50 12 required to obtain from the medical examiners board a license 50 13 to practice as a resident physician. The license shall be 50 14 designated "Resident Physician License" and shall authorize 50 15 the licensee to serve as a resident physician only, under the 50 16 supervision of a licensed practitioner of medicine and surgery 50 17 or osteopathic medicine and surgery, in an institution 50 18 approved for such training by the medical examiners board. A 50 19 license shall be valid for a duration as determined by the 50 20 board. The fee for each license shall be set by the medical 50 21 examiners board to cover the administrative costs of issuing 50 22 the license. The medical examiners board shall determine in 50 23 each instance those eligible for a license, whether or not 50 24 examinations shall be given, and the type of examinations. 50 25 Requirements of the law pertaining to regular permanent 50 26 licensure shall not be mandatory for a resident physician 50 27 license except as specifically designated by the medical 50 28 examiners board. The granting of a resident physician license 50 29 does not in any way indicate that the person licensed is 50 30 necessarily eligible for regular permanent licensure, nor are 50 31 the medical examiners or that the board in any way is 50 32 obligated to license the individual. 50 33 Sec. 92. Section 148.6, Code 2007, is amended to read as 50 34 follows: 50 35 148.6 REVOCATION. 51 1 1. The medical examiners board, after due notice and 51 2 hearing in accordance with chapter 17A, may issue an order to 51 3 discipline a licensee for any of the grounds set forth in 51 4 section 147.55, chapter 272C, or this subsection. 51 5 Notwithstanding section 272C.3, licensee discipline may 51 6 include a civil penalty not to exceed ten thousand dollars. 51 7 2. Pursuant to this section, the board of medical 51 8 examiners may discipline a licensee who is guilty of any of 51 9 the following acts or offenses: 51 10 a. Knowingly making misleading, deceptive, untrue or 51 11 fraudulent representation in the practice of the physician's 51 12 profession. 51 13 b. Being convicted of a felony in the courts of this state 51 14 or another state, territory, or country. Conviction as used 51 15 in this paragraph shall include a conviction of an offense 51 16 which if committed in this state would be deemed a felony 51 17 without regard to its designation elsewhere, or a criminal 51 18 proceeding in which a finding or verdict of guilt is made or 51 19 returned, but the adjudication of guilt is either withheld or 51 20 not entered. A certified copy of the final order or judgment 51 21 of conviction or plea of guilty in this state or in another 51 22 state shall be conclusive evidence. 51 23 c. Violating a statute or law of this state, another 51 24 state, or the United States, without regard to its designation 51 25 as either felony or misdemeanor, which statute or law relates 51 26 to the practice of medicine. 51 27 d. Having the license to practice medicine and surgery, 51 28 osteopathic medicine and surgery, or osteopathy revoked or 51 29 suspended, or having other disciplinary action taken by a 51 30 licensing authority of another state, territory, or country. 51 31 A certified copy of the record or order of suspension, 51 32 revocation, or disciplinary action is prima facie evidence. 51 33 e. Knowingly aiding, assisting, procuring, or advising a 51 34 person to unlawfully practice medicine and surgery, 51 35 osteopathic medicine and surgery, or osteopathy. 52 1 f. Being adjudged mentally incompetent by a court of 52 2 competent jurisdiction. Such adjudication shall automatically 52 3 suspend a license for the duration of the license unless the 52 4 board orders otherwise. 52 5 g. Being guilty of a willful or repeated departure from, 52 6 or the failure to conform to, the minimal standard of 52 7 acceptable and prevailing practice of medicine and surgery, 52 8 osteopathic medicine and surgery, or osteopathy in which 52 9 proceeding actual injury to a patient need not be established; 52 10 or the committing by a physician of an act contrary to 52 11 honesty, justice, or good morals, whether the same is 52 12 committed in the course of the physician's practice or 52 13 otherwise, and whether committed within or without this state. 52 14 h. Inability to practice medicine and surgery, osteopathic 52 15 medicine and surgery, or osteopathy with reasonable skill and 52 16 safety by reason of illness, drunkenness, excessive use of 52 17 drugs, narcotics, chemicals, or other type of material or as a 52 18 result of a mental or physical condition. The medical 52 19 examiners board may, upon probable cause, compel a physician 52 20 to submit to a mental or physical examination by designated 52 21 physicians or to submit to alcohol or drug screening within a 52 22 time specified by the medical examiners board. Failure of a 52 23 physician to submit to an examination or to submit to alcohol 52 24 or drug screening shall constitute admission to the 52 25 allegations made against the physician and the finding of fact 52 26 and decision of the medical examiners board may be entered 52 27 without the taking of testimony or presentation of evidence. 52 28 At reasonable intervals, a physician shall be afforded an 52 29 opportunity to demonstrate that the physician can resume the 52 30 competent practice of medicine with reasonable skill and 52 31 safety to patients. 52 32 A person licensed to practice medicine and surgery, 52 33 osteopathic medicine and surgery, or osteopathy who makes 52 34 application for the renewal of a license, as required by 52 35 section 147.10, gives consent to submit to a mental or 53 1 physical examination as provided by this paragraph when 53 2 directed in writing by the medical examiners board. All 53 3 objections shall be waived as to the admissibility of the 53 4 examining physicians' testimony or examination reports on the 53 5 grounds that they constitute privileged communication. The 53 6 medical testimony or examination reports shall not be used 53 7 against a physician in another proceeding and shall be 53 8 confidential, except for other actions filed against a 53 9 physician to revoke or suspend a license. 53 10 i. Willful or repeated violation of lawful rule or 53 11 regulation adopted by the board or violating a lawful order of 53 12 the board, previously entered by the board in a disciplinary 53 13 or licensure hearing, or violating the terms and provisions of 53 14 a consent agreement or informal settlement between a licensee 53 15 and the board. 53 16 Sec. 93. Section 148.7, subsections 1, 2, 3, 7, and 9, 53 17 Code 2007, are amended to read as follows: 53 18 1. The medical examiners board may, upon their its own 53 19 motion or upon verified complaint in writing, and shall, if 53 20 such complaint is filed by the director of public health, 53 21 issue an order fixing the time and place for hearing. A 53 22 written notice of the time and place of the hearing together 53 23 with a statement of the charges shall be served upon the 53 24 licensee at least ten days before the hearing in the manner 53 25 required for the service of notice of the commencement of an 53 26 ordinary action or by restricted certified mail. 53 27 2. If the licensee has left the state, the notice and 53 28 statement of the charges shall be so served at least twenty 53 29 days before the date of the hearing, wherever the licensee may 53 30 be found. If the whereabouts of the licensee is unknown, 53 31 service may be had by publication as provided in the rules of 53 32 civil procedure upon filing the affidavit required by said the 53 33 rules. In case the licensee fails to appear, either in person 53 34 or by counsel at the time and place designated in said the 53 35 notice, the medical examiners board shall proceed with the 54 1 hearing as hereinafter provided. 54 2 3. The hearing shall be before a member or members 54 3 designated by the board or before an administrative law judge 54 4 appointed by the board according to the requirements of 54 5 section 17A.11, subsection 1. The presiding board member or 54 6 administrative law judge may issue subpoenas, administer 54 7 oaths, and take or cause depositions to be taken in connection 54 8 with the hearing. The presiding board member or 54 9 administrative law judge shall issue subpoenas at the request 54 10 and on behalf of the licensee. The hearing shall be open to 54 11 the public. 54 12 The administrative law judge shall be an attorney vested 54 13 with full authority of the board to schedule and conduct 54 14 hearings. The administrative law judge shall prepare and file 54 15 with the medical examiners board the administrative law 54 16 judge's findings of fact and conclusions of law, together with 54 17 a complete written transcript of all testimony and evidence 54 18 introduced at the hearing and all exhibits, pleas, motions, 54 19 objections, and rulings of the administrative law judge. 54 20 7. If a majority of the members of the board vote in favor 54 21 of finding the licensee guilty of an act or offense specified 54 22 in section 147.55 or 148.6, the board shall prepare written 54 23 findings of fact and its decision imposing one or more of the 54 24 following disciplinary measures: 54 25 a. Suspend the licensee's license to practice the 54 26 profession for a period to be determined by the board. 54 27 b. Revoke the licensee's license to practice the 54 28 profession. 54 29 c. Suspend imposition of judgment and penalty or impose 54 30 the judgment and penalty, but suspend enforcement and place 54 31 the physician on probation. The probation ordered may be 54 32 vacated upon noncompliance. The medical examiners board may 54 33 restore and reissue a license to practice medicine and 54 34 surgery, osteopathic medicine and surgery, or osteopathy, but 54 35 may impose a disciplinary or corrective measure which it the 55 1 board might originally have imposed. A copy of the medical 55 2 examiners' board's order, findings of fact, and decision, 55 3 shall be served on the licensee in the manner of service of an 55 4 original notice or by certified mail return receipt requested. 55 5 9. The medical examiners' board's order revoking or 55 6 suspending a license to practice medicine and surgery, 55 7 osteopathic medicine and surgery, or osteopathy or to 55 8 discipline a licensee shall remain in force and effect until 55 9 the appeal is finally determined and disposed of upon its 55 10 merit. 55 11 Sec. 94. Section 148.8, Code 2007, is amended to read as 55 12 follows: 55 13 148.8 VOLUNTARY SURRENDER OF LICENSE. 55 14 The medical examiners board may accept the voluntary 55 15 surrender of a license if accompanied by a written statement 55 16 of intention. A voluntary surrender, when accepted, has the 55 17 same force and effect as an order of revocation. 55 18 Sec. 95. Section 148.9, Code 2007, is amended to read as 55 19 follows: 55 20 148.9 REINSTATEMENT. 55 21 Any person whose license has been suspended, revoked, or 55 22 placed on probation may apply to the board of medical 55 23 examiners for reinstatement at any time and the board may hold 55 24 hearings on any such petition and may order reinstatement and 55 25 impose terms and conditions thereof and issue a certificate of 55 26 reinstatement to the director of public health who shall 55 27 thereupon issue a license as directed by the board. 55 28 Sec. 96. Section 148.10, Code 2007, is amended to read as 55 29 follows: 55 30 148.10 TEMPORARY CERTIFICATE. 55 31 The medical examiners board may, in their discretion, issue 55 32 a temporary certificate authorizing the licensee to practice 55 33 medicine and surgery or osteopathic medicine and surgery in a 55 34 specific location or locations and for a specified period of 55 35 time if, in the opinion of the medical examiners board, a need 56 1 exists and the person possesses the qualifications prescribed 56 2 by the medical examiners board for the license, which shall be 56 3 substantially equivalent to those required for licensure under 56 4 this chapter or chapter 150A, as the case may be. The medical 56 5 examiners board shall determine in each instance those 56 6 eligible for this license, whether or not examinations shall 56 7 be given, and the type of examinations. No requirements of 56 8 the law pertaining to regular permanent licensure are 56 9 mandatory for this temporary license except as specifically 56 10 designated by the medical examiners board. The granting of a 56 11 temporary license does not in any way indicate that the person 56 12 so licensed is necessarily eligible for regular licensure, nor 56 13 are the medical examiners or that the board in any way is 56 14 obligated to so license the person. 56 15 The temporary certificate shall be issued for a period not 56 16 to exceed one year and may be renewed, but a person shall not 56 17 practice medicine and surgery or osteopathic medicine and 56 18 surgery in excess of three years while holding a temporary 56 19 certificate. The fee for this license and the fee for renewal 56 20 of this license shall be set by the medical examiners board. 56 21 The fees shall be based on the administrative costs of issuing 56 22 and renewing the licenses. 56 23 Sec. 97. Section 148.11, subsection 1, Code 2007, is 56 24 amended to read as follows: 56 25 1. Whenever the need exists, the board of medical 56 26 examiners may issue a special license. The special license 56 27 shall authorize the licensee to practice medicine and surgery 56 28 under the policies and standards applicable to the health care 56 29 services of a medical school academic staff member or as 56 30 otherwise specified in the special license. 56 31 Sec. 98. Section 148.12, Code 2007, is amended to read as 56 32 follows: 56 33 148.12 VOLUNTARY AGREEMENTS. 56 34 The medical examiners board, after due notice and hearing, 56 35 may issue an order to revoke, suspend, or restrict a license 57 1 to practice medicine and surgery, osteopathic medicine and 57 2 surgery, or osteopathy, or to issue a restricted license on 57 3 application if the medical examiners determine board 57 4 determines that a physician licensed to practice medicine and 57 5 surgery, osteopathic medicine and surgery, or osteopathy, or 57 6 an applicant for licensure has entered into a voluntary 57 7 agreement to restrict the practice of medicine and surgery, 57 8 osteopathic medicine and surgery, or osteopathy in another 57 9 state, district, territory, country, or an agency of the 57 10 federal government. A certified copy of the voluntary 57 11 agreement shall be considered prima facie evidence. 57 12 Sec. 99. Section 148.13, Code 2007, is amended to read as 57 13 follows: 57 14 148.13 AUTHORITY OF BOARD AS TO SUPERVISING PHYSICIANS AND 57 15 REVIEW OF CONTESTED CASES UNDER CHAPTER 148C == RULES. 57 16 1. The board of medical examiners medicine shall adopt 57 17 rules setting forth in detail its criteria and procedures for 57 18 determining the ineligibility of a physician to serve as a 57 19 supervising physician under chapter 148C. The rules shall 57 20 provide that a physician may serve as a supervising physician 57 21 under chapter 148C until such time as the board of medicine 57 22 determines, following normal disciplinary procedures, that the 57 23 physician is ineligible to serve in that capacity. 57 24 2. The board of medical examiners medicine shall establish 57 25 by rule specific procedures for consulting with and 57 26 considering the advice of the board of physician assistant 57 27 examiners assistants in determining whether to initiate a 57 28 disciplinary proceeding under chapter 17A against a licensed 57 29 physician in a matter involving the supervision of a physician 57 30 assistant. 57 31 3. In exercising their respective authorities, the board 57 32 of medical examiners medicine and the board of physician 57 33 assistant examiners assistants shall cooperate with the goal 57 34 of encouraging the utilization of physician assistants in a 57 35 manner that is consistent with the provision of quality health 58 1 care and medical services for the citizens of Iowa. 58 2 4. The board of medical examiners medicine shall adopt 58 3 rules requiring a physician serving as a supervising physician 58 4 to notify the board of medicine of the identity of a physician 58 5 assistant the physician is supervising, and of any change in 58 6 the status of the supervisory relationship. 58 7 Sec. 100. Section 148A.1, Code 2007, is amended by adding 58 8 the following unnumbered paragraph: 58 9 NEW PARAGRAPH. As used in this chapter, "board" means the 58 10 board of physical and occupational therapy, created under 58 11 chapter 147. 58 12 Sec. 101. Section 148A.4, Code 2007, is amended to read as 58 13 follows: 58 14 148A.4 REQUIREMENTS TO PRACTICE. 58 15 Each applicant for a license to practice physical therapy 58 16 shall: 58 17 1. Complete a course of study in, and hold a diploma or 58 18 certificate issued by, a school of physical therapy accredited 58 19 by the American physical therapy association or another 58 20 appropriate accrediting body, and meet requirements as 58 21 established by rules of the board of physical and occupational 58 22 therapy examiners. 58 23 2. Have passed an examination administered by the board of 58 24 physical and occupational therapy examiners. 58 25 Sec. 102. Section 148A.6, Code 2007, is amended to read as 58 26 follows: 58 27 148A.6 PHYSICAL THERAPIST ASSISTANT. 58 28 1. A licensed physical therapist assistant is required to 58 29 function under the direction and supervision of a licensed 58 30 physical therapist to perform physical therapy procedures 58 31 delegated and supervised by the licensed physical therapist in 58 32 a manner consistent with the rules adopted by the board of 58 33 physical and occupational therapy examiners. Selected and 58 34 delegated tasks of physical therapist assistants may include, 58 35 but are not limited to, therapeutic procedures and related 59 1 tasks, routine operational functions, documentation of 59 2 treatment progress, and the use of selected physical agents. 59 3 The ability of the licensed physical therapist assistant to 59 4 perform the selected and delegated tasks shall be assessed on 59 5 an ongoing basis by the supervising physical therapist. The 59 6 licensed physical therapist assistant shall not interpret 59 7 referrals, perform initial evaluation or reevaluations, 59 8 initiate physical therapy treatment programs, change specified 59 9 treatment programs, or discharge a patient from physical 59 10 therapy services. 59 11 2. Each applicant for a license to practice as a physical 59 12 therapist assistant shall: 59 13 a. Successfully complete a course of study for the 59 14 physical therapist assistant accredited by the commission on 59 15 accreditation in education of the American physical therapy 59 16 association, or another appropriate accrediting body, and meet 59 17 other requirements established by the rules of the board of 59 18 physical and occupational therapy examiners. 59 19 b. Have passed an examination administered by the board of 59 20 physical and occupational therapy examiners. 59 21 3. This section does not prevent a person not licensed as 59 22 a physical therapist assistant from performing services 59 23 ordinarily performed by a physical therapy aide, assistant, or 59 24 technician, provided that the person does not represent to the 59 25 public that the person is a licensed physical therapist 59 26 assistant, or use the title "physical therapist assistant" or 59 27 the letters "P.T.A.", and provided that the person performs 59 28 services consistent with the supervision requirements of the 59 29 board of physical and occupational therapy examiners for 59 30 persons not licensed as physical therapist assistants. 59 31 Sec. 103. Section 148B.2, subsection 1, Code 2007, is 59 32 amended to read as follows: 59 33 1. "Board" means the board of physical and occupational 59 34 therapy examiners, created under chapter 147. 59 35 Sec. 104. Section 148B.7, Code 2007, is amended to read as 60 1 follows: 60 2 148B.7 BOARD OF PHYSICAL AND OCCUPATIONAL THERAPY 60 3 EXAMINERS == POWERS AND DUTIES. 60 4 The board shall adopt rules relating to professional 60 5 conduct to carry out the policy of this chapter, including but 60 6 not limited to rules relating to professional licensing and to 60 7 the establishment of ethical standards of practice for persons 60 8 holding a license to practice occupational therapy in this 60 9 state. 60 10 Sec. 105. Section 148B.8, Code 2007, is amended to read as 60 11 follows: 60 12 148B.8 BOARD OF PHYSICAL AND OCCUPATIONAL THERAPY 60 13 EXAMINERS == ADMINISTRATIVE PROVISIONS. 60 14 The board may employ an executive secretary and officers 60 15 and employees as necessary, and shall determine their duties 60 16 and fix their compensation. 60 17 Sec. 106. Section 148C.1, subsection 2, Code 2007, is 60 18 amended to read as follows: 60 19 2. "Board" means the board of physician assistant 60 20 examiners assistants, created under chapter 147. 60 21 Sec. 107. Section 148C.3, subsection 6, Code 2007, is 60 22 amended to read as follows: 60 23 6. The board shall adopt rules pursuant to this section 60 24 after consultation with the board of medical examiners 60 25 medicine. 60 26 Sec. 108. Section 148E.1, subsection 3, Code 2007, is 60 27 amended to read as follows: 60 28 3. "Board" means the board of medical examiners medicine, 60 29 established in chapter 147. 60 30 Sec. 109. Section 149.1, Code 2007, is amended by adding 60 31 the following new subsection: 60 32 NEW SECTION. 1A. As used in this chapter, "board" means 60 33 the board of podiatry, created under chapter 147. 60 34 Sec. 110. Section 149.3, subsection 2, Code 2007, is 60 35 amended to read as follows: 61 1 2. Present an official transcript issued by a school of 61 2 podiatry approved by the board of podiatry examiners. 61 3 Sec. 111. Section 149.4, Code 2007, is amended to read as 61 4 follows: 61 5 149.4 APPROVED SCHOOL. 61 6 A school of podiatry shall not be approved by the board of 61 7 podiatry examiners as a school of recognized standing unless 61 8 the school: 61 9 1. Requires for graduation or the receipt of any podiatric 61 10 degree the completion of a course of study covering a period 61 11 of at least eight months in each of four calendar years. 61 12 2. After January 1, 1962, a A school of podiatry shall not 61 13 be approved by the board of podiatry examiners which does not 61 14 have as an additional entrance requirement two years study in 61 15 a recognized college, university, or academy. 61 16 Sec. 112. Section 149.7, Code 2007, is amended to read as 61 17 follows: 61 18 149.7 TEMPORARY CERTIFICATE. 61 19 The podiatry examiners board may issue a temporary 61 20 certificate authorizing the licensee named in the certificate 61 21 to practice podiatry if, in the opinion of the podiatry 61 22 examiners board, a need exists and the person possesses the 61 23 qualifications prescribed by the podiatry examiners board for 61 24 the certificate, which shall be substantially equivalent to 61 25 those required for regular licensure under this chapter. The 61 26 podiatry examiners board shall determine in each instance the 61 27 applicant's eligibility for the certificate, whether or not an 61 28 examination shall be given, and the type of examination. The 61 29 requirements of the law pertaining to regular permanent 61 30 licensure shall not be mandatory for this temporary 61 31 certificate except as specifically designated by the podiatry 61 32 examiners board. The granting of a temporary certificate does 61 33 not in any way indicate that the person licensed is 61 34 necessarily eligible for regular licensure, and the podiatry 61 35 examiners are board is not obligated to license the person. 62 1 The temporary certificate shall be issued for one year and 62 2 may be renewed, but a person shall not be entitled to practice 62 3 podiatry in excess of three years while holding a temporary 62 4 certificate. The fee for this certificate shall be set by the 62 5 podiatry examiners board, and if extended beyond one year, a 62 6 renewal fee per year shall be set by the podiatry examiners 62 7 board. The fees shall be based on the administrative costs of 62 8 issuing and renewing the certificates. 62 9 Sec. 113. Section 150.11, Code 2007, is amended to read as 62 10 follows: 62 11 150.11 OSTEOPATHY DISCONTINUED. 62 12 After May 10, 1963, no license to practice osteopathy shall 62 13 be issued, provided that the Iowa department of public health 62 14 shall issue renewal licenses to practice osteopathy as 62 15 provided in chapter 147 and the department, upon 62 16 recommendation of the medical examiners board of medicine, may 62 17 grant a license to practice osteopathy by reciprocity or 62 18 endorsement if the applicant holds a valid license to practice 62 19 osteopathy or osteopathic medicine and surgery issued by 62 20 another state prior to May 10, 1963. 62 21 Sec. 114. NEW SECTION. 150A.1A DEFINITION. 62 22 As used in this chapter, "board" means the board of 62 23 medicine, created under chapter 147. 62 24 Sec. 115. Section 150A.2, subsection 3, Code 2007, is 62 25 amended to read as follows: 62 26 3. Students of medicine or surgery or osteopathic medicine 62 27 and surgery, who have completed at least two years study in a 62 28 medical school or college of osteopathic medicine and surgery 62 29 approved by the medical examiners board, and who prescribe 62 30 medicine under the supervision of a licensed physician and 62 31 surgeon or osteopathic physician and surgeon, or who render 62 32 gratuitous service to persons in case of emergency. 62 33 Sec. 116. Section 150A.3, Code 2007, is amended to read as 62 34 follows: 62 35 150A.3 REQUIREMENTS TO PRACTICE. 63 1 Each applicant for a license to practice osteopathic 63 2 medicine and surgery shall: 63 3 1. Either comply with all of the following: 63 4 a. Present a diploma issued, after May 10, 1963, by a 63 5 college of osteopathic medicine and surgery approved by the 63 6 medical examiners board or present other evidence of 63 7 equivalent medical education approved by the medical examiners 63 8 board. 63 9 b. Pass an examination prescribed by the medical examiners 63 10 board in subjects including anatomy, chemistry, physiology, 63 11 materia medica and therapeutics, obstetrics, pathology, 63 12 medicine, public health and hygiene, and surgery. The board 63 13 of medical examiners may require written, oral, and practical 63 14 examinations of the applicant. 63 15 c. Present to the Iowa department of public health 63 16 satisfactory evidence that the applicant has completed one 63 17 year of internship or resident training in a hospital approved 63 18 for such training by the medical examiners. 63 19 2. Or comply with the following: 63 20 a. Present a valid license to practice osteopathy in this 63 21 state together with satisfactory evidence that the applicant 63 22 has completed either: (1) a two=year postgraduate course, of 63 23 nine months each, in an accredited college of osteopathy, 63 24 osteopathic medicine and surgery or medicine approved by the 63 25 board of medical examiners of Iowa, involving a thorough and 63 26 intensive study of the subject of surgery as prescribed by 63 27 such medical examiners the board, or (2) a one=year 63 28 postgraduate course of nine months in such accredited college, 63 29 and in addition thereto, has completed a one=year course of 63 30 training as a surgical assistant in a hospital having at least 63 31 twenty=five beds for patients and equipped for doing surgical 63 32 work. 63 33 b. Pass an examination as prescribed by the medical 63 34 examiners board in the subject of surgery, which shall be of 63 35 such character as to thoroughly test the qualifications of the 64 1 applicant as a practitioner of major surgery. 64 2 Sec. 117. Section 150A.4, Code 2007, is amended to read as 64 3 follows: 64 4 150A.4 APPROVED COLLEGES. 64 5 Any college of osteopathic medicine and surgery which does 64 6 not permit the medical examiners board to make such reasonable 64 7 annual inspection as they desire the board desires shall not 64 8 be approved by the medical examiners board. Until July 1, 64 9 1968, any college of osteopathic medicine and surgery which is 64 10 accredited by the American Osteopathic Association osteopathic 64 11 association shall, by virtue thereof, stand as provisionally 64 12 approved by the medical examiners board unless the medical 64 13 examiners board, by majority action including the osteopathic 64 14 physician and surgeon member, shall disapprove. 64 15 Sec. 118. Section 150A.7, Code 2007, is amended to read as 64 16 follows: 64 17 150A.7 NATIONAL BOARD CERTIFICATE. 64 18 The Iowa department of public health may, with the approval 64 19 of the medical examiners board, accept in lieu of the 64 20 examination prescribed in section 150A.3 a certificate of 64 21 examination issued by the National Board national board of 64 22 Osteopathic Examiners osteopathic examiners of the United 64 23 States of America, but every applicant for a license upon the 64 24 basis of such certificate shall be required to pay the fee 64 25 prescribed for license issued under reciprocal agreements. 64 26 Sec. 119. Section 150A.9, Code 2007, is amended to read as 64 27 follows: 64 28 150A.9 RESIDENT LICENSE. 64 29 An osteopathic physician and surgeon, who is a graduate of 64 30 a college of osteopathic medicine and surgery and is serving 64 31 as a resident physician and who is not licensed to practice 64 32 osteopathic medicine and surgery in this state, shall be 64 33 required to obtain from the medical examiners board a license 64 34 to practice as a resident osteopathic physician and surgeon. 64 35 The license shall be designated "Resident Osteopathic 65 1 Physician and Surgeon License", and shall authorize the 65 2 licensee to serve as a resident physician only, under the 65 3 supervision of a licensed practitioner of osteopathic medicine 65 4 and surgery or licensed practitioner of medicine and surgery, 65 5 in an institution approved for such training by the medical 65 6 examiners board. A license shall be valid for a duration as 65 7 determined by the board. The fee for each license shall be 65 8 set by the medical examiners board and based on the 65 9 administrative cost of issuing the license. The medical 65 10 examiners board shall determine in each instance those 65 11 eligible for a license, whether or not examinations shall be 65 12 given, and the type of examinations. Requirements of the law 65 13 pertaining to regular permanent licensure shall not be 65 14 mandatory for a resident osteopathic physician and surgeon's 65 15 license except as specifically designated by the medical 65 16 examiners board. The granting of a resident osteopathic 65 17 physician and surgeon's license does not in any way indicate 65 18 that the person licensed is necessarily eligible for regular 65 19 permanent licensure, nor are or that the medical examiners in 65 20 any way board is obligated to license the individual person. 65 21 Sec. 120. NEW SECTION. 151.1A BOARD DEFINED. 65 22 As used in this chapter, "board" means the board of 65 23 chiropractic, created under chapter 147. 65 24 Sec. 121. Section 151.2, subsection 3, Code 2007, is 65 25 amended to read as follows: 65 26 3. Students of chiropractic who have entered upon a 65 27 regular course of study in a chiropractic college approved by 65 28 the chiropractic examiners board, who practice chiropractic 65 29 under the direction of a licensed chiropractor and in 65 30 accordance with the rules of said examiners the board. 65 31 Sec. 122. Section 151.3, subsections 2 and 3, Code 2007, 65 32 are amended to read as follows: 65 33 2. Present a diploma issued by a college of chiropractic 65 34 approved by the chiropractic examiners board. 65 35 3. Pass an examination prescribed by the chiropractic 66 1 examiners board in the subjects of anatomy, physiology, 66 2 nutrition and dietetics, symptomatology and diagnosis, hygiene 66 3 and sanitation, chemistry, histology, pathology, and 66 4 principles and practice of chiropractic, including a clinical 66 5 demonstration of vertebral palpation, nerve tracing, and 66 6 adjusting. 66 7 Sec. 123. Section 151.4, unnumbered paragraph 1, Code 66 8 2007, is amended to read as follows: 66 9 No A college of chiropractic shall not be approved by the 66 10 chiropractic examiners board as a college of recognized 66 11 standing unless said the college: 66 12 Sec. 124. Section 151.8, Code 2007, is amended to read as 66 13 follows: 66 14 151.8 TRAINING IN PROCEDURES USED IN PRACTICE. 66 15 A chiropractor shall not use in the chiropractor's practice 66 16 the procedures otherwise authorized by law unless the 66 17 chiropractor has received training in their use by a college 66 18 of chiropractic offering courses of instructions approved by 66 19 the board of chiropractic examiners. 66 20 Any chiropractor licensed as of July 1, 1974, may use the 66 21 procedures authorized by law if the chiropractor files with 66 22 the board of chiropractic examiners an affidavit that the 66 23 chiropractor has completed the necessary training and is fully 66 24 qualified in these procedures and possesses that degree of 66 25 proficiency and will exercise that care which is common to 66 26 physicians in this state. 66 27 A chiropractor using the additional procedures and 66 28 practices authorized by this Act chapter shall be held to the 66 29 standard of care applicable to any other health care 66 30 practitioner in this state. 66 31 Sec. 125. Section 151.11, Code 2007, is amended to read as 66 32 follows: 66 33 151.11 RULES. 66 34 The board of chiropractic examiners shall adopt rules 66 35 necessary to administer section 151.1, to protect the health, 67 1 safety, and welfare of the public, including rules governing 67 2 the practice of chiropractic and defining any terms, whether 67 3 or not specified in section 151.1, subsection 3. Such rules 67 4 shall not be inconsistent with the practice of chiropractic 67 5 and shall not expand the scope of practice of chiropractic or 67 6 authorize the use of procedures not authorized by this 67 7 chapter. These rules shall conform with chapter 17A. 67 8 Sec. 126. Section 151.12, Code 2007, is amended to read as 67 9 follows: 67 10 151.12 TEMPORARY CERTIFICATE. 67 11 The chiropractic examiners board may, in their its 67 12 discretion, issue a temporary certificate authorizing the 67 13 licensee to practice chiropractic if, in the opinion of the 67 14 chiropractic examiners, a need exists and the person possesses 67 15 the qualifications prescribed by the chiropractic examiners 67 16 board for the license, which shall be substantially equivalent 67 17 to those required for licensure under this chapter. The 67 18 chiropractic examiners board shall determine in each instance 67 19 those eligible for this license, whether or not examinations 67 20 shall be given, the type of examinations, and the duration of 67 21 the license. No requirements of the law pertaining to regular 67 22 permanent licensure are mandatory for this temporary license 67 23 except as specifically designated by the chiropractic 67 24 examiners board. The granting of a temporary license does not 67 25 in any way indicate that the person so licensed is eligible 67 26 for regular licensure, nor are or that the chiropractic 67 27 examiners in any way board is obligated to so license the 67 28 person. 67 29 The temporary certificate shall be issued for one year and 67 30 at the discretion of the chiropractic examiners board may be 67 31 renewed, but a person shall not practice chiropractic in 67 32 excess of three years while holding a temporary certificate. 67 33 The fee for this license shall be set by the chiropractic 67 34 examiners board, and if extended beyond one year, a renewal 67 35 fee per year shall be set by the chiropractic examiners board. 68 1 The fee for the temporary license shall be based on the 68 2 administrative costs of issuing the licenses. 68 3 Sec. 127. Section 152.1, subsection 3, Code 2007, is 68 4 amended to read as follows: 68 5 3. "Physician" means a person licensed in this state to 68 6 practice medicine and surgery, osteopathy and surgery, or 68 7 osteopathy, or a person licensed in this state to practice 68 8 dentistry or podiatry when acting within the scope of the 68 9 license. A physician licensed to practice medicine and 68 10 surgery, osteopathic medicine and surgery, or osteopathy in a 68 11 state bordering this state shall be considered a physician for 68 12 purposes of this chapter unless previously determined to be 68 13 ineligible for such consideration by the Iowa board of medical 68 14 examiners medicine. 68 15 Sec. 128. Section 152A.1, subsection 1, Code 2007, is 68 16 amended to read as follows: 68 17 1. "Board" means the board of dietetic examiners 68 18 dietetics, created under chapter 147. 68 19 Sec. 129. Section 152B.1, subsection 1, Code 2007, is 68 20 amended to read as follows: 68 21 1. "Board" means the state board for respiratory care, 68 22 created under chapter 147. 68 23 Sec. 130. Section 152B.13, subsection 1, unnumbered 68 24 paragraph 1, Code 2007, is amended to read as follows: 68 25 A state The board for respiratory care is established to 68 26 administer this chapter. Membership of the board shall be 68 27 established pursuant to section 147.14, subsection 15. 68 28 Sec. 131. Section 152C.1, subsection 1, Code 2007, is 68 29 amended to read as follows: 68 30 1. "Board" means the board of examiners for massage 68 31 therapy, created under chapter 147. 68 32 Sec. 132. Section 152D.1, subsection 5, Code 2007, is 68 33 amended to read as follows: 68 34 5. "Board" means the board of examiners for athletic 68 35 training, created under chapter 147. 69 1 Sec. 133. NEW SECTION. 153.12 BOARD DEFINED. 69 2 As used in this chapter, "board" means the board of 69 3 dentistry, created under chapter 147. 69 4 Sec. 134. Section 153.14, subsection 1, Code 2007, is 69 5 amended to read as follows: 69 6 1. Students of dentistry who practice dentistry upon 69 7 patients at clinics in connection with their regular course of 69 8 instruction at the state dental college, students of dental 69 9 hygiene who practice upon patients at clinics in connection 69 10 with their regular course of instruction at state=approved 69 11 schools, and students of dental assisting who practice upon 69 12 patients at clinics in connection with a regular course of 69 13 instruction determined by the board of dentistry pursuant to 69 14 section 153.39. 69 15 Sec. 135. Section 153.15, Code 2007, is amended to read as 69 16 follows: 69 17 153.15 DENTAL HYGIENISTS == SCOPE OF TERM. 69 18 A licensed dental hygienist may perform those services 69 19 which are educational, therapeutic, and preventive in nature 69 20 which attain or maintain optimal oral health as determined by 69 21 the board of dentistry and may include but are not necessarily 69 22 limited to complete oral prophylaxis, application of 69 23 preventive agents to oral structures, exposure and processing 69 24 of radiographs, administration of medicaments prescribed by a 69 25 licensed dentist, obtaining and preparing nonsurgical, 69 26 clinical and oral diagnostic tests for interpretation by the 69 27 dentist, and preparation of preliminary written records of 69 28 oral conditions for interpretation by the dentist. Such 69 29 services shall be performed under supervision of a licensed 69 30 dentist and in a dental office, a public or private school, 69 31 public health agencies, hospitals, and the armed forces, but 69 32 nothing herein shall be construed to authorize a dental 69 33 hygienist to practice dentistry. 69 34 Sec. 136. Section 153.22, Code 2007, is amended to read as 69 35 follows: 70 1 153.22 RESIDENT LICENSE. 70 2 A dentist or dental hygienist who is serving only as a 70 3 resident, intern, or graduate student and who is not licensed 70 4 to practice in this state is required to obtain from the board 70 5 of dentistry a temporary or special license to practice as a 70 6 resident, intern, or graduate student. The license shall be 70 7 designated "Resident License" and shall authorize the licensee 70 8 to serve as a resident, intern, or graduate student only, 70 9 under the supervision of a licensed practitioner, in an 70 10 institution approved for this purpose by the board. Such 70 11 license shall be renewed at the discretion of the board. The 70 12 fee for a resident license and the renewal fee shall be set by 70 13 the board based upon the cost of issuance of the license. The 70 14 board shall determine in each instance those eligible for a 70 15 resident license, whether or not examinations shall be given, 70 16 and the type of examination. None of the requirements for 70 17 regular permanent licensure are mandatory for resident 70 18 licensure except as specifically designated by the board. The 70 19 issuance of a resident license shall not in any way indicate 70 20 that the person so licensed is necessarily eligible for 70 21 regular licensure, nor is or that the board in any way is 70 22 obligated to so license such individual the person. The board 70 23 may revoke a resident license at any time it shall determine 70 24 either that the caliber of work done by a licensee or the type 70 25 of supervision being given such licensee does not conform to 70 26 reasonable standards established by the board. 70 27 Sec. 137. Section 153.33, subsection 2, Code 2007, is 70 28 amended to read as follows: 70 29 2. To appoint investigators, who shall not be members of 70 30 the examining board, to administer and aid in the enforcement 70 31 of the provisions of law relating to those persons licensed to 70 32 practice dentistry and dental hygiene, and persons registered 70 33 as dental assistants. The amount of compensation for the 70 34 investigators shall be determined pursuant to chapter 8A, 70 35 subchapter IV. Investigators authorized by the board of 71 1 dental examiners have the powers and status of peace officers 71 2 when enforcing this chapter and chapters 147 and 272C. 71 3 Sec. 138. Section 153.33A, subsection 1, Code 2007, is 71 4 amended to read as follows: 71 5 1. A three=member dental hygiene committee of the board of 71 6 dental examiners is created, consisting of the two dental 71 7 hygienist members of the board and one dentist member of the 71 8 board. The dentist member of the committee must have 71 9 supervised and worked in collaboration with a dental hygienist 71 10 for a period of at least three years immediately preceding 71 11 election to the committee. The dentist member shall be 71 12 elected to the committee annually by a majority vote of board 71 13 members. 71 14 Sec. 139. Section 153.34, subsection 4, Code 2007, is 71 15 amended to read as follows: 71 16 4. For willful or repeated violations of this chapter, 71 17 this subtitle, or the rules of the state board of dentistry. 71 18 Sec. 140. Section 153.36, subsections 2 and 3, Code 2007, 71 19 are amended to read as follows: 71 20 2. In addition to the provisions of section 272C.2, 71 21 subsection 4, a person licensed by the board of dental 71 22 examiners shall also be deemed to have complied with 71 23 continuing education requirements of this state if, during 71 24 periods that the person practiced the profession in another 71 25 state or district, the person met all of the continuing 71 26 education and other requirements of that state or district for 71 27 the practice of the occupation or profession. 71 28 3. Notwithstanding the panel composition provisions in 71 29 section 272C.6, subsection 1, the board of dental examiners' 71 30 board's disciplinary hearing panels shall be comprised of 71 31 three board members, at least two of which are licensed in the 71 32 profession. 71 33 Sec. 141. Section 153.37, Code 2007, is amended to read as 71 34 follows: 71 35 153.37 DENTAL COLLEGE AND DENTAL HYGIENE PROGRAM FACULTY 72 1 PERMITS. 72 2 The state board of dental examiners may issue a faculty 72 3 permit entitling the holder to practice dentistry or dental 72 4 hygiene within a college of dentistry or a dental hygiene 72 5 program and affiliated teaching facilities as an adjunct to 72 6 the faculty member's teaching position, associated 72 7 responsibilities, and functions. The dean of the college of 72 8 dentistry or chairperson of a dental hygiene program shall 72 9 certify to the state board of dental examiners those bona fide 72 10 members of the college's or a dental hygiene program's faculty 72 11 who are not licensed and registered to practice dentistry or 72 12 dental hygiene in Iowa. Any faculty member so certified 72 13 shall, prior to commencing the member's duties in the college 72 14 of dentistry or a dental hygiene program, make written 72 15 application to the state board of dental examiners for a 72 16 permit. The permit shall be for a period determined by the 72 17 board and may be renewed at the discretion of the state board 72 18 of dental examiners. The fee for the faculty permit and the 72 19 renewal shall be set by the state board of dental examiners 72 20 based upon the administrative cost of issuance of the permit. 72 21 The fee shall be deposited in the same manner as fees provided 72 22 for in section 147.82. The faculty permit shall be valid 72 23 during the time the holder remains a member of the faculty and 72 24 shall subject the holder to all provisions of this chapter. 72 25 Sec. 142. Section 153.38, Code 2007, is amended to read as 72 26 follows: 72 27 153.38 DENTAL ASSISTANTS == SCOPE OF PRACTICE. 72 28 A registered dental assistant may perform those services of 72 29 assistance to a licensed dentist as determined by the board of 72 30 dentistry by rule. Such services shall be performed under 72 31 supervision of a licensed dentist in a dental office, a public 72 32 or private school, public health agencies, hospitals, and the 72 33 armed forces, but shall not be construed to authorize a dental 72 34 assistant to practice dentistry or dental hygiene. Every 72 35 licensed dentist who utilizes the services of a registered 73 1 dental assistant for the purpose of assistance in the practice 73 2 of dentistry shall be responsible for acts delegated to the 73 3 registered dental assistant. A dentist shall delegate to a 73 4 registered dental assistant only those acts which are 73 5 authorized to be delegated to registered dental assistants by 73 6 the board of dentistry. 73 7 Sec. 143. Section 154.1, Code 2007, is amended to read as 73 8 follows: 73 9 154.1 BOARD DEFINED == OPTOMETRY == CERTIFIED LICENSED 73 10 OPTOMETRISTS == THERAPEUTICALLY CERTIFIED OPTOMETRISTS. 73 11 1. As used in this chapter, "board" means the board of 73 12 optometry, created under chapter 147. 73 13 2. For the purpose of this subtitle, the following classes 73 14 of persons shall be deemed to be engaged in the practice of 73 15 optometry: 73 16 1. a. Persons employing any means other than the use of 73 17 drugs, medicine, or surgery for the measurement of the visual 73 18 power and visual efficiency of the human eye; the prescribing 73 19 and adapting of lenses, prisms and contact lenses, and the 73 20 using or employing of visual training or ocular exercise, for 73 21 the aid, relief, or correction of vision. 73 22 2. b. Persons who allow the public to use any mechanical 73 23 device for such purpose. 73 24 3. c. Persons who publicly profess to be optometrists and 73 25 to assume the duties incident to said profession. 73 26 3. Certified licensed optometrists may employ 73 27 cycloplegics, mydriatics, and topical anesthetics as 73 28 diagnostic agents topically applied to determine the condition 73 29 of the human eye for proper optometric practice or referral 73 30 for treatment to a person licensed under chapter 148 or 150A. 73 31 A certified licensed optometrist is an optometrist who is 73 32 licensed to practice optometry in this state and who is 73 33 certified by the board of optometry examiners to use 73 34 diagnostic agents. A certified licensed optometrist shall be 73 35 provided with a distinctive certificate by the board which 74 1 shall be displayed for viewing by the patients of the 74 2 optometrist. 74 3 4. Therapeutically certified optometrists may employ all 74 4 diagnostic and therapeutic pharmaceutical agents for the 74 5 purpose of diagnosis and treatment of conditions of the human 74 6 eye and adnexa pursuant to this paragraph, excluding the use 74 7 of injections other than to counteract an anaphylactic 74 8 reaction, and notwithstanding section 147.107, may without 74 9 charge supply any of the above pharmaceuticals to commence a 74 10 course of therapy. Therapeutically certified optometrists may 74 11 prescribe oral steroids for a period not to exceed fourteen 74 12 days without consultation with a primary care physician. 74 13 Therapeutically certified optometrists shall not prescribe 74 14 oral Imuran or oral Methotrexate. Therapeutically certified 74 15 optometrists may be authorized, where reasonable and 74 16 appropriate, by rule of the board, to employ new diagnostic 74 17 and therapeutic pharmaceutical agents approved by the United 74 18 States food and drug administration on or after July 1, 2002, 74 19 for the diagnosis and treatment of the human eye and adnexa. 74 20 The board shall not be required to adopt rules relating to 74 21 topical pharmaceutical agents, oral antimicrobial agents, oral 74 22 antihistamines, oral antiglaucoma agents, and oral analgesic 74 23 agents. Superficial foreign bodies may be removed from the 74 24 human eye and adnexa. The therapeutic efforts of a 74 25 therapeutically certified optometrist are intended for the 74 26 purpose of examination, diagnosis, and treatment of visual 74 27 defects, abnormal conditions, and diseases of the human eye 74 28 and adnexa, for proper optometric practice or referral for 74 29 consultation or treatment to persons licensed under chapter 74 30 148 or 150A. A therapeutically certified optometrist is an 74 31 optometrist who is licensed to practice optometry in this 74 32 state and who is certified by the board of optometry examiners 74 33 to use the agents and procedures authorized pursuant to this 74 34 paragraph. A therapeutically certified optometrist shall be 74 35 provided with a distinctive certificate by the board which 75 1 shall be displayed for viewing by the patients of the 75 2 optometrist. 75 3 Sec. 144. Section 154.3, subsections 3, 4, 5, 6, and 8, 75 4 Code 2007, are amended to read as follows: 75 5 3. A person licensed as an optometrist prior to January 1, 75 6 1980, who applies to be a certified licensed optometrist shall 75 7 first satisfactorily complete a course consisting of at least 75 8 one hundred contact hours in pharmacology as it applies to 75 9 optometry including clinical training as it applies to 75 10 optometry with particular emphasis on the topical application 75 11 of diagnostic agents to the human eye and possible adverse 75 12 reactions thereto, for the purpose of examination of the human 75 13 eye and the diagnosis of conditions of the human eye, provided 75 14 by an institution accredited by a regional or professional 75 15 accreditation organization which is recognized or approved by 75 16 the council on postsecondary accreditation or the United 75 17 States office of education, and approved by the board of 75 18 optometry examiners. 75 19 4. In addition to the examination required by subsection 75 20 1, paragraph "c", a person applying to be a certified licensed 75 21 optometrist shall also pass an examination prescribed by the 75 22 optometry examiners board in the subjects of physiology and 75 23 pathology appropriate to the use of diagnostic pharmaceutical 75 24 agents and diagnosis of conditions of the human eye, and 75 25 pharmacology including systemic effects of ophthalmic 75 26 diagnostic pharmaceutical agents and the possible adverse 75 27 reactions thereto, authorized for use by optometrists by 75 28 section 154.1. 75 29 5. A person applying to be licensed as an optometrist 75 30 after January 1, 1986, shall also apply to be a 75 31 therapeutically certified optometrist and shall, in addition 75 32 to satisfactorily completing all requirements for a license to 75 33 practice optometry, satisfactorily complete a course as 75 34 defined by rule of the state board of optometry examiners with 75 35 particular emphasis on the examination, diagnosis and 76 1 treatment of conditions of the human eye and adnexa provided 76 2 by an institution accredited by a regional or professional 76 3 accreditation organization which is recognized or approved by 76 4 the council on postsecondary accreditation of the United 76 5 States office of education, and approved by the board of 76 6 optometry examiners. The rule rules of the board shall 76 7 require a course including a minimum of forty hours of 76 8 didactic education and sixty hours of approved supervised 76 9 clinical training in the examination, diagnosis, and treatment 76 10 of conditions of the human eye and adnexa. The board may 76 11 also, by rule, provide a procedure by which an applicant who 76 12 has received didactic education meeting the requirements of 76 13 rules adopted pursuant to this subsection at an approved 76 14 school of optometry may apply to the board for a waiver of the 76 15 didactic education requirements of this subsection. 76 16 6. A person licensed in any state as an optometrist prior 76 17 to January 1, 1986, who applies to be a therapeutically 76 18 certified optometrist shall first satisfactorily complete a 76 19 course as defined by rule of the board of optometry examiners 76 20 with particular emphasis on the examination, diagnosis, and 76 21 treatment of conditions of the human eye and adnexa provided 76 22 by an institution accredited by a regional or professional 76 23 accreditation organization which is recognized or approved by 76 24 the council on postsecondary accreditation of the United 76 25 States office of education, and approved by the board of 76 26 optometry examiners. The rule of the board shall require a 76 27 course including a minimum of forty hours of didactic 76 28 education and sixty hours of approved supervised clinical 76 29 training in the examination, diagnosis, and treatment of 76 30 conditions of the human eye and adnexa. Effective July 1, 76 31 1987, the board shall require that therapeutically certified 76 32 optometrists prior to the utilization of topical and oral 76 33 antiglaucoma agents, oral antimicrobial agents, and oral 76 34 analgesic agents shall complete an additional forty=four hours 76 35 of education with emphasis on treatment and management of 77 1 glaucoma and use of oral pharmaceutical agents for treatment 77 2 and management of ocular diseases, provided by an institution 77 3 accredited by a regional or professional accreditation 77 4 organization which is recognized or approved by the council on 77 5 postsecondary accreditation of the United States office of 77 6 education, and approved by the board of optometry examiners. 77 7 Upon completion of the additional forty=four hours of 77 8 education, a therapeutically certified optometrist shall also 77 9 pass an oral or written examination prescribed by the board. 77 10 The board shall suspend the optometrist's therapeutic 77 11 certificate for failure to comply with this subsection by July 77 12 1, 1988. 77 13 The board shall adopt rules requiring an additional twenty 77 14 hours per biennium of continuing education in the treatment 77 15 and management of ocular disease for all therapeutically 77 16 certified optometrists. The department of ophthalmology of 77 17 the school of medicine of the state university of Iowa shall 77 18 be one of the providers of this continuing education. 77 19 8. In addition to the examination required by subsection 77 20 1, paragraph "c", a person applying to be a therapeutically 77 21 certified optometrist shall also pass an examination 77 22 prescribed by the board of optometry examiners in the 77 23 examination, diagnosis, and treatment of diseases of the human 77 24 eye and adnexa. 77 25 Sec. 145. Section 154.5, unnumbered paragraph 1, Code 77 26 2007, is amended to read as follows: 77 27 No A school of optometry shall not be approved by the 77 28 optometry examiners board as a school of recognized standing 77 29 unless said the school: 77 30 Sec. 146. Section 154A.1, subsection 1, Code 2007, is 77 31 amended to read as follows: 77 32 1. "Board" means the board of examiners for the licensing 77 33 and regulation of hearing aid dispensers. 77 34 Sec. 147. Section 154A.24, subsection 3, paragraph e, Code 77 35 2007, is amended to read as follows: 78 1 e. Representing that the service or advice of a person 78 2 licensed to practice medicine, or one who is certificated as a 78 3 clinical audiologist by the board of examiners of speech 78 4 pathology and audiology or its equivalent, will be used or 78 5 made available in the fitting or selection, adjustment, 78 6 maintenance, or repair of hearing aids when that is not true, 78 7 or using the words "doctor", "clinic", "clinical audiologist", 78 8 "state approved", or similar words, abbreviations, or symbols 78 9 which tend to connote the medical or other professions, except 78 10 where the title "certified hearing aid audiologist" has been 78 11 granted by the national hearing aid society, or that the 78 12 hearing aid dispenser has been recommended by this state or 78 13 the board when such is not accurate. 78 14 Sec. 148. Section 154C.1, subsection 1, Code 2007, is 78 15 amended to read as follows: 78 16 1. "Board" means the board of social work, examiners 78 17 established in chapter 147. 78 18 Sec. 149. Section 154C.3, subsection 1, paragraph c, 78 19 subparagraph (5), Code 2007, is amended to read as follows: 78 20 (5) Supervision shall be provided in any of the following 78 21 manners: 78 22 (a) By a social worker licensed at least at the level of 78 23 the social worker being supervised and qualified under this 78 24 section to practice without supervision. 78 25 (b) By another qualified professional, if the board of 78 26 social work examiners determines that supervision by a social 78 27 worker as defined in subparagraph subdivision (a) is 78 28 unobtainable or in other situations considered appropriate by 78 29 the board. 78 30 Additional standards for supervision shall be determined by 78 31 the board of social work examiners. 78 32 Sec. 150. Section 154D.1, subsection 1, Code 2007, is 78 33 amended to read as follows: 78 34 1. "Board" means the board of behavioral science 78 35 examiners, established in section 147.13 chapter 147. 79 1 Sec. 151. Section 154E.1, subsection 1, Code 2007, is 79 2 amended to read as follows: 79 3 1. "Board" means the board of interpreter for the hearing 79 4 impaired examiners sign language interpreters and 79 5 transliterators, established in chapter 147. 79 6 Sec. 152. Section 155.1, subsection 1, Code 2007, is 79 7 amended to read as follows: 79 8 1. "Board" means the Iowa state board of examiners for 79 9 nursing home administrators hereinafter created, established 79 10 in chapter 147. 79 11 Sec. 153. Section 155.2, unnumbered paragraph 1, Code 79 12 2007, is amended to read as follows: 79 13 There is established a state board of examiners for nursing 79 14 home administrators which shall consist of nine members 79 15 appointed by the governor subject to confirmation by the 79 16 senate as follows: 79 17 Sec. 154. Section 155A.3, subsection 3, Code 2007, is 79 18 amended to read as follows: 79 19 3. "Board" means the board of pharmacy examiners. 79 20 Sec. 155. Section 155A.21, subsection 2, Code 2007, is 79 21 amended to read as follows: 79 22 2. Subsection 1 does not apply to a licensed pharmacy, 79 23 licensed wholesaler, physician, veterinarian, dentist, 79 24 podiatric physician, therapeutically certified optometrist, 79 25 advanced registered nurse practitioner, physician assistant, a 79 26 nurse acting under the direction of a physician, or the board 79 27 of pharmacy examiners, its officers, agents, inspectors, and 79 28 representatives, nor or to a common carrier, manufacturer's 79 29 representative, or messenger when transporting the drug or 79 30 device in the same unbroken package in which the drug or 79 31 device was delivered to that person for transportation. 79 32 Sec. 156. Section 155A.26, Code 2007, is amended to read 79 33 as follows: 79 34 155A.26 ENFORCEMENT == AGENTS AS PEACE OFFICERS. 79 35 The board of pharmacy examiners, its officers, agents, 80 1 inspectors, and representatives, and all peace officers within 80 2 the state, and all county attorneys shall enforce all 80 3 provisions of this chapter, except those specifically 80 4 delegated, and shall cooperate with all agencies charged with 80 5 the enforcement of the laws of the United States, of this 80 6 state, and of all other states relating to prescription drugs. 80 7 Officers, agents, inspectors, and representatives of the board 80 8 of pharmacy examiners shall have the powers and status of 80 9 peace officers when enforcing the provisions of this chapter. 80 10 Sec. 157. Section 156.1, subsection 1, Code 2007, is 80 11 amended to read as follows: 80 12 1. "Board" means the board of mortuary science examiners. 80 13 Sec. 158. Section 157.1, subsection 1, Code 2007, is 80 14 amended to read as follows: 80 15 1. "Board" means the board of cosmetology arts and 80 16 sciences examiners. 80 17 Sec. 159. Section 157.1, subsection 6, paragraph e, Code 80 18 2007, is amended to read as follows: 80 19 e. Manicuring and pedicuring. 80 20 Sec. 160. Section 158.1, subsection 5, Code 2007, is 80 21 amended to read as follows: 80 22 5. "Board" means the board of barber examiners barbering. 80 23 Sec. 161. Section 205.6, Code 2007, is amended to read as 80 24 follows: 80 25 205.6 POISON REGISTER. 80 26 It shall be unlawful for any pharmacist to sell at retail 80 27 any of the poisons enumerated in section 205.5 unless the 80 28 pharmacist ascertains that the purchaser is aware of the 80 29 character of the drug and the purchaser represents that it is 80 30 to be used for a proper purpose and every sale of any poison 80 31 enumerated in section 205.5 shall be entered in a book kept 80 32 for that purpose, to be known as a "Poison Register" and the 80 33 same shall show the date of the sale, the name and address of 80 34 the purchaser, the name of the poison, the purpose for which 80 35 it was represented to be purchased, and the name of the 81 1 natural person making the sale, which book or books shall be 81 2 open for inspection by the board of pharmacy examiners, or any 81 3 magistrate or peace officer of this state, and preserved for 81 4 at least five years after the date of the last sale therein 81 5 recorded. 81 6 Sec. 162. Section 205.11, Code 2007, is amended to read as 81 7 follows: 81 8 205.11 ENFORCEMENT. 81 9 The provisions of this chapter and chapters 124 and 126 81 10 shall be administered and enforced by the board of pharmacy 81 11 examiners. In discharging any duty or exercising any power 81 12 under those chapters, the board of pharmacy examiners shall be 81 13 governed by all the provisions of chapter 189, which govern 81 14 the department of agriculture and land stewardship when 81 15 discharging a similar duty or exercising a similar power with 81 16 reference to any of the articles dealt with in this subtitle, 81 17 to the extent that chapter 189 is not inconsistent with this 81 18 chapter and chapters 124 and 126. 81 19 Sec. 163. Section 205.12, Code 2007, is amended to read as 81 20 follows: 81 21 205.12 CHEMICAL ANALYSIS OF DRUGS. 81 22 Any chemical analysis deemed necessary by the board of 81 23 pharmacy examiners in the enforcement of this chapter and 81 24 chapters 124 and 126 shall be made by the department of 81 25 agriculture and land stewardship when requested by the board 81 26 of pharmacy examiners. 81 27 Sec. 164. Section 205.13, Code 2007, is amended to read as 81 28 follows: 81 29 205.13 APPLICABILITY OF OTHER STATUTES. 81 30 Insofar as applicable the provisions of chapter 189 shall 81 31 apply to the articles dealt with in this chapter and chapters 81 32 124 and 126. The powers vested in the department of 81 33 agriculture and land stewardship by chapter 189 shall be 81 34 deemed for the purpose of this chapter and chapters 124 and 81 35 126 to be vested in the board of pharmacy examiners. 82 1 Sec. 165. Section 232.69, subsection 3, paragraph a, Code 82 2 2007, is amended to read as follows: 82 3 a. For the purposes of this subsection, "licensing board" 82 4 means an examining a board designated in section 147.13, the 82 5 board of educational examiners created in section 272.2, or a 82 6 licensing board as defined in section 272C.1. 82 7 Sec. 166. Section 232.69, subsection 3, paragraph d, 82 8 subparagraph (1), Code 2007, is amended to read as follows: 82 9 (1) A continuing education program required under chapter 82 10 272C and approved by the appropriate licensing or examining 82 11 board. 82 12 Sec. 167. Section 235A.15, subsection 2, paragraph d, 82 13 subparagraph (7), Code 2007, is amended to read as follows: 82 14 (7) Each licensing board of examiners specified under 82 15 chapter 147 and the Iowa department of public health for the 82 16 purpose of licensure, certification or registration, 82 17 disciplinary investigation, or the renewal of licensure, 82 18 certification or registration, or disciplinary proceedings of 82 19 health care professionals. 82 20 Sec. 168. Section 235B.6, subsection 2, paragraph b, 82 21 subparagraph (7), Code 2007, is amended to read as follows: 82 22 (7) Each board of examiners specified under chapter 147 82 23 and the Iowa department of public health for the purpose of 82 24 licensure, certification or registration, disciplinary 82 25 investigation, or the renewal of licensure, certification or 82 26 registration, or disciplinary proceedings of health care 82 27 professionals. 82 28 Sec. 169. Section 235B.16, subsection 5, paragraph a, Code 82 29 2007, is amended to read as follows: 82 30 a. For the purposes of this subsection, "licensing board" 82 31 means an examining a board designated in section 147.13, the 82 32 board of educational examiners created in section 272.2, or a 82 33 licensing board as defined in section 272C.1. 82 34 Sec. 170. Section 235B.16, subsection 5, paragraph d, 82 35 subparagraph (1), Code 2007, is amended to read as follows: 83 1 (1) A continuing education program required under chapter 83 2 272C and approved by the appropriate licensing or examining 83 3 board. 83 4 Sec. 171. Section 235B.16, subsection 5, paragraph e, Code 83 5 2007, is amended to read as follows: 83 6 e. A person required to complete both child abuse and 83 7 dependent adult abuse mandatory reporter training may complete 83 8 the training through a program which combines child abuse and 83 9 dependent adult abuse curricula and thereby meet the training 83 10 requirements of both this subsection and section 232.69 83 11 simultaneously. A person who is a mandatory reporter for both 83 12 child abuse and dependent adult abuse may satisfy the combined 83 13 training requirements of this subsection and section 232.69 83 14 through completion of a two=hour training program, if the 83 15 training program curriculum is approved by the appropriate 83 16 licensing or examining board or the abuse education review 83 17 panel established by the director of public health pursuant to 83 18 section 135.11. 83 19 Sec. 172. Section 272C.1, subsection 6, Code 2007, is 83 20 amended to read as follows: 83 21 6. "Licensing board" or "board" includes the following 83 22 boards: 83 23 a. The state board of engineering and land surveying 83 24 examiners, created pursuant to chapter 542B. 83 25 b. The board of examiners of shorthand reporters created 83 26 pursuant to article 3 of chapter 602. 83 27 c. The Iowa accountancy examining board, created pursuant 83 28 to chapter 542. 83 29 d. The Iowa real estate commission, created pursuant to 83 30 chapter 543B. 83 31 e. The board of architectural examiners, created pursuant 83 32 to chapter 544A. 83 33 f. The Iowa board of landscape architectural examiners, 83 34 created pursuant to chapter 544B. 83 35 g. The board of barber examiners barbering, created 84 1 pursuant to chapter 147. 84 2 h. The board of chiropractic examiners, created pursuant 84 3 to chapter 147. 84 4 i. The board of cosmetology arts and sciences examiners, 84 5 created pursuant to chapter 147. 84 6 j. The board of dental examiners dentistry, created 84 7 pursuant to chapter 147. 84 8 k. The board of mortuary science examiners, created 84 9 pursuant to chapter 147. 84 10 l. The board of medical examiners medicine, created 84 11 pursuant to chapter 147. 84 12 m. The board of physician assistant examiners assistants, 84 13 created pursuant to chapter 148C. 84 14 n. The board of nursing, created pursuant to chapter 147. 84 15 o. The board of examiners for nursing home administrators, 84 16 created pursuant to chapter 155. 84 17 p. The board of optometry examiners, created pursuant to 84 18 chapter 147. 84 19 q. The board of pharmacy examiners, created pursuant to 84 20 chapter 147. 84 21 r. The board of physical and occupational therapy 84 22 examiners, created pursuant to chapter 147. 84 23 s. The board of podiatry examiners, created pursuant to 84 24 chapter 147. 84 25 t. The board of psychology examiners, created pursuant to 84 26 chapter 147. 84 27 u. The board of speech pathology and audiology examiners, 84 28 created pursuant to chapter 147. 84 29 v. The board for the licensing and regulation of hearing 84 30 aid dispensers, created pursuant to chapter 154A. 84 31 w. The board of veterinary medicine, created pursuant to 84 32 chapter 169. 84 33 x. The director of the department of natural resources in 84 34 certifying water treatment operators as provided in sections 84 35 455B.211 through 455B.224. 85 1 y. Any professional or occupational licensing board 85 2 created after January 1, 1978. 85 3 z. The state board of respiratory care in licensing 85 4 respiratory care practitioners pursuant to chapter 152B. 85 5 aa. The board of examiners for athletic training in 85 6 licensing athletic trainers pursuant to chapter 152D. 85 7 ab. The board of examiners for massage therapy in 85 8 licensing massage therapists pursuant to chapter 152C. 85 9 ac. The board of interpreter for the hearing impaired 85 10 examiners sign language interpreters and transliterators, 85 11 created pursuant to chapter 154E. 85 12 ad. The director of public health in certifying emergency 85 13 medical care providers and emergency medical care services 85 14 pursuant to chapter 147A. 85 15 Sec. 173. Section 272C.2, subsections 4 and 5, Code 2007, 85 16 are amended to read as follows: 85 17 4. A person licensed to practice an occupation or 85 18 profession in this state shall be deemed to have complied with 85 19 the continuing education requirements of this state during 85 20 periods that the person serves honorably on active duty in the 85 21 military services, or for periods that the person is a 85 22 resident of another state or district having a continuing 85 23 education requirement for the occupation or profession and 85 24 meets all requirements of that state or district for practice 85 25 therein, or for periods that the person is a government 85 26 employee working in the person's licensed specialty and 85 27 assigned to duty outside of the United States, or for other 85 28 periods of active practice and absence from the state approved 85 29 by the appropriate licensing board of examiners. 85 30 5. A person licensed to sell real estate in this state 85 31 shall be deemed to have complied with the continuing education 85 32 requirements of this state during periods that the person 85 33 serves honorably on active duty in the military services, or 85 34 for periods that the person is a resident of another state or 85 35 district having a continuing education requirement for the 86 1 occupation or profession and meets all requirements of that 86 2 state or district for practice therein, if the state or 86 3 district accords the same privilege to Iowa residents, or for 86 4 periods that the person is a government employee working in 86 5 the person's licensed specialty and assigned to duty outside 86 6 of the United States, or for other periods of active practice 86 7 and absence from the state approved by the appropriate 86 8 licensing board of examiners. 86 9 Sec. 174. Section 272C.2A, Code 2007, is amended to read 86 10 as follows: 86 11 272C.2A CONTINUING EDUCATION MINIMUM REQUIREMENTS == 86 12 BARBERING AND COSMETOLOGY ARTS AND SCIENCES. 86 13 The board of barber examiners barbering and the board of 86 14 cosmetology arts and sciences examiners, created pursuant to 86 15 chapter 147, shall each require, as a condition of license 86 16 renewal, a minimum of six hours of continuing education in the 86 17 two years immediately prior to a licensee's license renewal. 86 18 The board of cosmetology arts and sciences examiners may 86 19 notify cosmetology arts and sciences licensees on a quarterly 86 20 basis regarding continuing education opportunities. 86 21 Sec. 175. Section 321J.2, subsection 7, paragraph a, Code 86 22 2007, is amended to read as follows: 86 23 a. This section does not apply to a person operating a 86 24 motor vehicle while under the influence of a drug if the 86 25 substance was prescribed for the person and was taken under 86 26 the prescription and in accordance with the directions of a 86 27 medical practitioner as defined in chapter 155A or if the 86 28 substance was dispensed by a pharmacist without a prescription 86 29 pursuant to the rules of the board of pharmacy examiners, if 86 30 there is no evidence of the consumption of alcohol and the 86 31 medical practitioner or pharmacist had not directed the person 86 32 to refrain from operating a motor vehicle. 86 33 Sec. 176. Section 331.756, subsection 40, Code 2007, is 86 34 amended to read as follows: 86 35 40. Prosecute violations of the Iowa drug, device, and 87 1 cosmetic Act as requested by the board of pharmacy examiners 87 2 as provided in section 126.7. 87 3 Sec. 177. Section 462A.14, subsection 7, paragraph a, Code 87 4 2007, is amended to read as follows: 87 5 a. This section does not apply to a person operating a 87 6 motorboat or sailboat while under the influence of a drug if 87 7 the substance was prescribed for the person and was taken 87 8 under the prescription and in accordance with the directions 87 9 of a medical practitioner as defined in chapter 155A or if the 87 10 substance was dispensed by a pharmacist without a prescription 87 11 pursuant to the rules of the board of pharmacy examiners, if 87 12 there is no evidence of the consumption of alcohol and the 87 13 medical practitioner or pharmacist had not directed the person 87 14 to refrain from operating a motor vehicle, or motorboat or 87 15 sailboat. 87 16 Sec. 178. Section 514F.1, Code 2007, is amended to read as 87 17 follows: 87 18 514F.1 UTILIZATION AND COST CONTROL REVIEW COMMITTEES. 87 19 The licensing boards of examiners under chapters 148, 149, 87 20 150, 150A, 151, and 152 shall establish utilization and cost 87 21 control review committees of licensees under the respective 87 22 chapters, selected from licensees who have practiced in Iowa 87 23 for at least the previous five years, or shall accredit and 87 24 designate other utilization and cost control organizations as 87 25 utilization and cost control committees under this section, 87 26 for the purposes of utilization review of the appropriateness 87 27 of levels of treatment and of giving opinions as to the 87 28 reasonableness of charges for diagnostic or treatment services 87 29 of licensees. Persons governed by the various chapters of 87 30 Title XIII, subtitle 1, of the Code and self=insurers for 87 31 health care benefits to employees may utilize the services of 87 32 the utilization and cost control review committees upon the 87 33 payment of a reasonable fee for the services, to be determined 87 34 by the respective boards of examiners. The respective boards 87 35 of examiners under chapters 148, 149, 150, 150A, 151, and 152 88 1 shall adopt rules necessary and proper for the implementation 88 2 administration of this section pursuant to chapter 17A. It is 88 3 the intent of this general assembly that conduct of the 88 4 utilization and cost control review committees authorized 88 5 under this section shall be exempt from challenge under 88 6 federal or state antitrust laws or other similar laws in 88 7 regulation of trade or commerce. 88 8 Sec. 179. Section 523A.813, Code 2007, is amended to read 88 9 as follows: 88 10 523A.813 LICENSE REVOCATION == RECOMMENDATION BY 88 11 COMMISSIONER TO BOARD OF MORTUARY SCIENCE EXAMINERS. 88 12 Upon a determination by the commissioner that grounds exist 88 13 for an administrative license revocation or suspension action 88 14 by the board of mortuary science examiners under chapter 156, 88 15 the commissioner may forward to the board the grounds for the 88 16 determination, including all evidence in the possession of the 88 17 commissioner, so that the board may proceed with the matter as 88 18 deemed appropriate. 88 19 Sec. 180. Section 622.10, subsection 5, Code 2007, is 88 20 amended to read as follows: 88 21 5. For the purposes of this section, "mental health 88 22 professional" means a psychologist licensed under chapter 88 23 154B, a registered nurse licensed under chapter 152, a social 88 24 worker licensed under chapter 154C, a marital and family 88 25 therapist licensed under chapter 154D, a mental health 88 26 counselor licensed under chapter 154D, or an individual 88 27 holding at least a master's degree in a related field as 88 28 deemed appropriate by the board of behavioral science 88 29 examiners. 88 30 Sec. 181. Section 622.31, Code 2007, is amended to read as 88 31 follows: 88 32 622.31 EVIDENCE OF REGRET OR SORROW. 88 33 In any civil action for professional negligence, personal 88 34 injury, or wrongful death or in any arbitration proceeding for 88 35 professional negligence, personal injury, or wrongful death 89 1 against a person in a profession represented by the examining 89 2 boards listed in section 272C.1 and any other licensed 89 3 profession recognized in this state, a hospital licensed 89 4 pursuant to chapter 135B, or a health care facility licensed 89 5 pursuant to chapter 135C, based upon the alleged negligence in 89 6 the practice of that profession or occupation, that portion of 89 7 a statement, affirmation, gesture, or conduct expressing 89 8 sorrow, sympathy, commiseration, condolence, compassion, or a 89 9 general sense of benevolence that was made by the person to 89 10 the plaintiff, relative of the plaintiff, or decision maker 89 11 for the plaintiff that relates to the discomfort, pain, 89 12 suffering, injury, or death of the plaintiff as a result of an 89 13 alleged breach of the applicable standard of care is 89 14 inadmissible as evidence. Any response by the plaintiff, 89 15 relative of the plaintiff, or decision maker for the plaintiff 89 16 to such statement, affirmation, gesture, or conduct is 89 17 similarly inadmissible as evidence. 89 18 Sec. 182. Section 707.8A, subsection 7, Code 2007, is 89 19 amended to read as follows: 89 20 7. a. A licensed physician subject to the authority of 89 21 the state board of medical examiners medicine who is accused 89 22 of a violation of subsection 2 may seek a hearing before the 89 23 board on whether the physician's conduct was necessary to save 89 24 the life of the mother whose life was endangered by a physical 89 25 disorder, physical illness, or physical injury. 89 26 b. The board's findings concerning the physician's conduct 89 27 are admissible at the criminal trial of the physician. Upon a 89 28 motion of the physician, the court shall delay the beginning 89 29 of the trial for not more than thirty days to permit the 89 30 hearing before the board of medical examiners medicine to take 89 31 place. 89 32 Sec. 183. Section 714.25, unnumbered paragraph 2, Code 89 33 2007 is amended to read as follows: 89 34 A proprietary school shall, prior to the time a student is 89 35 obligated for payment of any moneys, inform the student, the 90 1 college student aid commission, and in the case of a school 90 2 licensed under section 157.8, the board of cosmetology 90 3 examiners arts and sciences or in the case of a school 90 4 licensed under section 158.7, the board of barber examiners 90 5 barbering, of all of the following: 90 6 Sec. 184. Section 729.6, subsection 1, paragraph e, Code 90 7 2007, is amended to read as follows: 90 8 e. "Licensing agency" means a board, commission, 90 9 committee, council, department, examining board, or officer, 90 10 except a judicial officer, in the state, or in a city, county, 90 11 township, or local government, authorized to grant, deny, 90 12 renew, revoke, suspend, annul, withdraw, or amend a license or 90 13 certificate of registration. 90 14 EXPLANATION 90 15 The department of public health contains 23 health=related 90 16 licensing boards. This bill strikes the word "examiners" from 90 17 the name of only these health=related boards, clarifying that 90 18 boards do much more than test applicants for licensure. The 90 19 bill also renames the secretary of the pharmacy board as the 90 20 executive director. Conforming amendments are included in 90 21 numerous chapters throughout the Code. 90 22 The bill also makes revenues that are generated and 90 23 retained by the licensing boards not subject to reversion to 90 24 the general fund of the state. 90 25 LSB 1207XD 82 90 26 jr:rj/sh/8.1
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