Bill Text: CA SB1446 | 2011-2012 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Naturopathic doctors.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Passed) 2012-09-14 - Chaptered by Secretary of State. Chapter 333, Statutes of 2012. [SB1446 Detail]

Download: California-2011-SB1446-Amended.html

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BILL NUMBER: SB 1446	AMENDED
	BILL TEXT

	AMENDED IN SENATE  MAY 14, 2012
	AMENDED IN SENATE  APRIL 9, 2012

INTRODUCED BY   Senator Negrete McLeod

                        FEBRUARY 24, 2012

   An act to amend Sections 3640 and 3640.7 of the Business and
Professions Code, relating to healing arts.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 1446, as amended, Negrete McLeod. Naturopathic doctors.
   Existing law, the Naturopathic Doctors Act, provides for the
licensure and regulation of naturopathic doctors by the Naturopathic
Medicine Committee in the Osteopathic Medical Board of California.
Existing law authorizes a naturopathic doctor to perform various
tasks, including dispensing, administering, ordering, and prescribing
 specified substances, including food, extracts of food,
 nutraceuticals,  and  vitamins  ,
amino acids, and minerals, among other substances  . 
Existing law authorizes a naturopathic doctor to furnish or order
  drugs when, among other requirements, the drugs are
ordered or furnished under physician supervision. Existing law
authorizes a naturopathic doctor to independently prescribe
epinephrine and natural synthetic hormones, as specified. 
   This bill would  also  authorize a naturopathic doctor to
 also  furnish  the specified substances
  nutraceuticals, vitamins, amino acids, and minerals,
among other substances, and to independently prescribe
nutraceuticals, vitamins, amino acids, and minerals, among other
substances, that require a prescription because they are injectable
solutions administered by   intramuscular or intravenous
routes  . 
   Existing law authorizes a naturopathic doctor to use specified
routes of administration, including intramuscular and intravenous
administration, of specified substances, including food, extracts of
food, nutraceuticals, and vitamins. Existing law also authorizes a
naturopathic doctor to independently prescribe epinephrine to treat
anaphylaxis and natural synthetic hormones.  
   This bill would instead authorize a naturopathic doctor to
independently dispense, administer, order, prescribe, or furnish
those specified substances, consistent with those specified routes of
administration, as well as epinephrine and natural synthetic
hormones. 
   Vote: majority. Appropriation: no. Fiscal committee: no.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 3640 of the Business and Professions Code is
amended to read:
   3640.  (a) A naturopathic doctor may order and perform physical
and laboratory examinations for diagnostic purposes, including, but
not limited to, phlebotomy, clinical laboratory tests, speculum
examinations, orificial examinations, and physiological function
tests.
   (b) A naturopathic doctor may order diagnostic imaging studies,
including X-ray, ultrasound, mammogram, bone densitometry, and
others, consistent with naturopathic training as determined by the
committee, but shall refer the studies to an appropriately licensed
health care professional to conduct the study and interpret the
results.
   (c) A naturopathic doctor may dispense, administer, order,
prescribe, and furnish or perform the following:
   (1) Food, extracts of food, nutraceuticals, vitamins, amino acids,
minerals, enzymes, botanicals and their extracts, botanical
medicines, homeopathic medicines, all dietary supplements and
nonprescription drugs as defined by the federal Food, Drug, and
Cosmetic Act, consistent with the routes of administration identified
in subdivision (d).
   (2) Hot or cold hydrotherapy; naturopathic physical medicine
inclusive of the manual use of massage, stretching, resistance, or
joint play examination but exclusive of small amplitude movement at
or beyond the end range of normal joint motion; electromagnetic
energy; colon hydrotherapy; and therapeutic exercise.
   (3) Devices, including, but not limited to, therapeutic devices,
barrier contraception, and durable medical equipment.
   (4) Health education and health counseling.
   (5) Repair and care incidental to superficial lacerations and
abrasions, except suturing.
   (6) Removal of foreign bodies located in the superficial tissues.
   (d) A naturopathic doctor may utilize routes of administration
that include oral, nasal, auricular, ocular, rectal, vaginal,
transdermal, intradermal, subcutaneous, intravenous, and
intramuscular.
   (e) The committee may establish regulations regarding ocular or
intravenous routes of administration that are consistent with the
education and training of a naturopathic doctor.
   (f) Nothing in this section shall exempt a naturopathic doctor
from meeting applicable licensure requirements for the performance of
clinical laboratory tests, including the requirements imposed under
Chapter 3 (commencing with Section 1200).
  SEC. 2.  Section 3640.7 of the Business and Professions Code is
amended to read:
   3640.7.  Notwithstanding the requirements of Section 3640.5 or any
other provision of this chapter, a naturopathic doctor may
independently  dispense, administer, order, 
prescribe  , or furnish  the following:
   (a) Epinephrine to treat anaphylaxis.
   (b) Natural and synthetic hormones.
   (c) Any of the substances listed in paragraph (1) of subdivision
(c) of Section 3640  consistent with the routes of
administration identified in subdivision (d) of that section
  that require a prescription because they are
injectable solutions administered by intramuscular or intravenous
routes  .