House
File
183
-
Introduced
HOUSE
FILE
183
BY
COMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES
(SUCCESSOR
TO
HF
23)
A
BILL
FOR
An
Act
relating
to
the
requirements
for
a
prescribing
1
psychologist
or
a
psychologist
with
a
conditional
2
prescription
certificate.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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183
Section
1.
Section
154B.1,
subsections
3
and
5,
Code
2023,
1
are
amended
to
read
as
follows:
2
3.
“Collaborative
relationship”
means
a
cooperative
3
working
relationship
between
a
prescribing
psychologist
or
4
a
psychologist
with
a
conditional
prescription
certificate
5
and
a
licensed
physician
in
the
provision
of
patient
primary
6
care
provider
as
defined
in
section
280A.1
who
oversees
7
the
patient’s
general
medical
care,
including
diagnosis
and
8
cooperation
in
the
management
and
delivery
of
physical
and
9
mental
health
care.
10
5.
“Physician”
means
a
person
licensed
to
practice
medicine
11
and
surgery
or
osteopathic
medicine
and
surgery
in
this
state
12
who
is
board-certified
in
family
medicine,
internal
medicine,
13
pediatrics,
psychiatry,
or
another
specialty
who
prescribes
14
medications
for
the
treatment
of
a
mental
disorder
to
patients
15
in
the
normal
course
of
the
person’s
clinical
medical
practice
16
pursuant
to
joint
rules
adopted
by
the
board
of
psychology
and
17
the
board
of
medicine.
18
Sec.
2.
Section
154B.10,
subsection
1,
paragraphs
d
and
e,
19
Code
2023,
are
amended
to
read
as
follows:
20
d.
Within
five
years
immediately
preceding
the
date
of
21
application,
successfully
Successfully
completed
a
postdoctoral
22
master
of
science
degree
in
clinical
psychopharmacology
23
approved
by
the
board
of
psychology
and
the
board
of
medicine
24
pursuant
to
joint
rules
adopted
by
both
boards.
The
program
25
shall
at
a
minimum
include
coursework
in
neuroscience,
26
pharmacology,
psychopharmacology,
physiology,
and
appropriate
27
and
relevant
physical
and
laboratory
assessments.
28
e.
Within
five
years
immediately
preceding
the
date
29
of
application,
has
Has
been
certified
by
the
applicant’s
30
supervising
physician
as
having
successfully
completed
a
31
supervised
and
relevant
clinical
experience
in
clinical
32
assessment
and
pathophysiology
and
an
additional
supervised
33
practicum
treating
patients
with
mental
disorders.
The
34
practica
shall
have
been
supervised
by
a
trained
physician.
35
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183
The
board
of
psychology
and
the
board
of
medicine,
pursuant
to
1
joint
rules
adopted
by
the
boards,
shall
determine
sufficient
2
practica
to
competently
train
the
applicant
in
the
treatment
of
3
a
diverse
patient
population.
4
Sec.
3.
Section
154B.12,
subsection
2,
Code
2023,
is
amended
5
to
read
as
follows:
6
2.
When
prescribing
psychotropic
medication
for
a
patient,
7
the
prescribing
psychologist
or
the
psychologist
with
a
8
conditional
prescription
certificate
shall
maintain
an
ongoing
9
collaborative
relationship
with
the
licensed
physician
primary
10
care
provider
as
defined
in
section
280A.1
who
oversees
11
the
patient’s
general
medical
care
to
ensure
that
necessary
12
medical
examinations
are
conducted,
the
psychotropic
medication
13
is
appropriate
for
the
patient’s
medical
condition,
and
14
significant
changes
in
the
patient’s
medical
or
psychological
15
condition
are
discussed.
16
EXPLANATION
17
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
18
the
explanation’s
substance
by
the
members
of
the
general
assembly.
19
Under
current
law,
to
be
granted
a
conditional
prescription
20
certificate,
an
applicant
who
holds
a
current
license
to
21
practice
psychology
in
the
state,
among
other
requirements,
22
must
within
five
years
immediately
preceding
the
date
of
23
application,
have
both
successfully
completed
a
postdoctoral
24
master
of
science
degree
in
clinical
psychopharmacology
25
approved
by
the
board
of
psychology
and
the
board
of
medicine,
26
and
have
been
certified
by
the
applicant’s
supervising
27
physician
as
having
successfully
completed
a
supervised
28
and
relevant
clinical
experience
in
clinical
assessment
and
29
pathophysiology
and
an
additional
supervised
practicum
treating
30
patients
with
mental
disorders.
This
bill
retains
both
of
31
these
requirements
but
eliminates
the
condition
that
these
32
requirements
must
have
been
completed
within
the
five
years
33
immediately
preceding
the
date
of
application
for
a
conditional
34
prescription
certificate.
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183
Current
law
requires
that
when
prescribing
psychotropic
1
medication
for
a
patient,
the
prescribing
psychologist
or
2
the
psychologist
with
a
conditional
prescription
certificate
3
shall
maintain
an
ongoing
collaborative
relationship
with
the
4
licensed
physician
in
the
provision
of
patient
care.
The
bill
5
instead
provides
that
the
ongoing
collaborative
relationship
6
be
with
the
patient’s
primary
care
provider
who
oversees
the
7
patient’s
general
medical
care,
rather
than
the
patient’s
8
licensed
physician.
9
The
bill
also
redefines
“physician”
for
the
purposes
of
Code
10
chapter
154B
(psychology).
Current
law
defines
“physician”
11
to
mean
a
person
licensed
to
practice
medicine
and
surgery
12
or
osteopathic
medicine
and
surgery
in
this
state
who
is
13
board-certified
in
a
speciality
who
prescribes
medications
14
for
the
treatment
of
a
mental
disorder.
The
bill
removes
the
15
condition
that
the
licensed
person
also
be
board-certified
in
16
the
speciality.
17
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