Bill Text: CA SB667 | 2011-2012 | Regular Session | Amended

California Senate Bill 667 (Prior Session Legislation)

Bill Title: Naturopathic doctors.

Sponsorship: Partisan Bill (Republican 1)

Status: (Introduced - Dead) 2012-01-31 - Returned to Secretary of Senate pursuant to Joint Rule 56. [SB667 Detail]

Download: California-2011-SB667-Amended.html

BILL NUMBER: SB 667	AMENDED
	BILL TEXT

	AMENDED IN SENATE  JANUARY 4, 2012
	AMENDED IN SENATE  MARCH 31, 2011

INTRODUCED BY   Senator Runner

                        FEBRUARY 18, 2011

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



	LEGISLATIVE COUNSEL'S DIGEST


   SB 667, as amended, Runner. Naturopathic  doctor.
  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 sets forth the scope of practice of naturopathic
doctors. Existing law authorizes  a naturopathic doctor to
dispense, administer, order, and prescribe vitamins, minerals, and
nonprescription drugs, among other substances, using various routes
of administration, as specified. Under existing law,  a
naturopathic doctor  to   may furnish and
order drugs  under standardized procedures and protocols
developed by the naturopathic doctor and his or her supervising
physician and surgeon, as specified   if, among other
requirements, the furnishing or ordering occurs under physician
supervision pursuant to a standardized procedure or protocol, except
that existing law authorizes a naturopathic doctor to independently
prescribe epinephrine and natural and synthetic hormones, as
specified  .  Existing law provides that the authority
to use all routes for furnishing prescription drugs shall be
consistent with other specified oversight and supervision
requirements.  
   This bill would specify that a naturopathic doctor may also
independently dispense, furnish, administer, and order epinephrine
and natural and synthetic hormones, as specified. The bill would also
authorize a naturopathic doctor to independently dispense, furnish,
administer, order, and prescribe vitamins, minerals, and
nonprescription drugs, among other substances, using various
specified routes of administration. The bill would make other related
conforming changes.  
   This bill would delete that provision and would instead provide
that nothing in the act prohibits a naturopathic doctor from
ordering, prescribing, or administering a nonprescription substance
that becomes a substance requiring a prescription based solely on its
route of administration. 
   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,  furnish, 
administer, order, and prescribe 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. 
   (g)  Nothing in this chapter shall prohibit a naturopathic doctor
from ordering, prescribing, or administering a nonprescription
substance that becomes a substance requiring a prescription based
solely on its route of administration. 
   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   do both of the following: 
    (a)     Independently dispense, furnish,
administer, order, and  prescribe epinephrine to treat
anaphylaxis and natural and synthetic hormones. 
   (b) Independently dispense, furnish, administer, order, and
prescribe 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 Section 3640.