Bill Text: IA HF2248 | 2021-2022 | 89th General Assembly | Introduced
Bill Title: A bill for an act relating to the information to be provided by a health care provider as part of a referral of a patient to an ambulatory surgical center, and providing for licensee discipline.(Formerly HSB 605.)
Spectrum: Committee Bill
Status: (Engrossed - Dead) 2022-03-24 - Referred to Human Resources. S.J. 622. [HF2248 Detail]
Download: Iowa-2021-HF2248-Introduced.html
House
File
2248
-
Introduced
HOUSE
FILE
2248
BY
COMMITTEE
ON
STATE
GOVERNMENT
(SUCCESSOR
TO
HSB
605)
A
BILL
FOR
An
Act
relating
to
the
information
to
be
provided
by
a
health
1
care
provider
as
part
of
a
referral
of
a
patient
to
an
2
ambulatory
surgical
center,
and
providing
for
licensee
3
discipline.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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2248
Section
1.
NEW
SECTION
.
147.163
Provision
of
information
——
1
referral
to
ambulatory
surgical
center
——
licensee
discipline.
2
1.
A
health
care
provider
who
determines
that
a
patient
is
a
3
candidate
for
outpatient
surgery
based
on
the
patient’s
medical
4
status
and
surgical
service
needs,
and
refers
the
patient
to
5
an
ambulatory
surgical
center
as
an
option
for
the
surgery,
6
shall
provide
the
patient
with
a
written
document
listing
the
7
factors
the
patient
should
consider
to
make
a
fully
informed
8
decision
about
the
patient’s
recommended
course
of
care.
The
9
considerations
shall
include
all
of
the
following:
10
a.
The
differences
in
ownership;
licensure,
certification,
11
or
accreditation;
and
payment
alternatives
between
the
12
ambulatory
surgical
center
and
a
hospital.
13
b.
The
types
of
medical
personnel
generally
involved
in
the
14
patient’s
surgical
service
and
the
capacity
of
the
ambulatory
15
surgical
center
and
a
hospital
to
comply
with
the
personnel
16
requirements.
17
c.
The
capacity
of
the
ambulatory
surgical
center
and
a
18
hospital
to
respond
to
medical
complications
and
emergencies
19
that
may
arise
from
the
surgical
service.
20
d.
The
proximity
of
the
ambulatory
surgical
center
to
a
21
hospital
and
the
protocols
in
place
for
transfer
of
a
patient
22
from
the
ambulatory
surgical
center
to
the
hospital
for
23
emergency
care.
24
e.
The
type
of
anesthesia
generally
used
for
the
patient’s
25
surgical
service
and
the
capacity
of
the
ambulatory
surgical
26
center
and
a
hospital
to
comply
with
requirements
relative
to
27
the
use
of
anesthesia.
28
2.
For
the
purposes
of
this
section:
29
a.
“Ambulatory
surgical
center”
means
a
distinct
facility
30
that
operates
exclusively
for
the
purpose
of
providing
surgical
31
services
to
patients
not
requiring
hospitalization
and
in
which
32
the
expected
duration
of
services
does
not
exceed
twenty-four
33
hours
following
an
admission.
“Ambulatory
surgical
center”
34
includes
a
facility
that
otherwise
meets
the
definition
of
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2248
ambulatory
surgical
center
whether
or
not
licensed,
certified,
1
or
accredited
as
an
ambulatory
surgical
center
and
which
may
2
or
may
not
operate
on
a
partially
cash-only
or
completely
3
cash-only
basis.
“Ambulatory
surgical
center”
does
not
include
4
individual
or
group
practice
offices
of
private
physicians
5
or
podiatrists
that
do
not
contain
a
distinct
area
used
for
6
outpatient
surgical
treatment
on
a
regular
basis,
or
that
7
only
provide
surgery
routinely
provided
in
a
physician’s
8
or
podiatrist’s
office
using
local
anesthesia
or
conscious
9
sedation;
individual
or
group
practice
offices
of
private
10
dentists;
or
a
portion
of
a
licensed
hospital
designated
for
11
outpatient
surgical
treatment.
12
b.
“Health
care
provider”
means
a
person
who
is
licensed,
13
certified,
or
otherwise
authorized
or
permitted
by
the
laws
of
14
this
state
to
administer
health
care
in
the
ordinary
course
of
15
business
or
in
the
practice
of
a
profession.
16
c.
“Hospital”
means
the
same
as
defined
in
section
135B.1.
17
3.
A
health
care
provider
who
violates
this
section
is
18
subject
to
licensee
discipline
by
the
appropriate
licensing
or
19
disciplinary
authority.
20
EXPLANATION
21
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
22
the
explanation’s
substance
by
the
members
of
the
general
assembly.
23
This
bill
requires
a
health
care
provider
who
determines
24
that
a
patient
is
a
candidate
for
outpatient
surgery
based
25
on
the
patient’s
medical
status
and
surgical
service
needs,
26
and
refers
the
patient
to
an
ambulatory
surgical
center
as
an
27
option
for
the
surgery,
to
provide
the
patient
with
a
written
28
document
listing
the
factors
the
patient
should
consider
to
29
make
a
fully
informed
decision
about
the
patient’s
recommended
30
course
of
care.
The
bill
specifies
the
considerations
to
be
31
included
in
the
written
document
and
provides
definitions
32
of
“ambulatory
surgical
center”,
“health
care
provider”,
33
and
“hospital”
for
the
purposes
of
the
bill.
A
health
34
care
provider
who
violates
the
bill
is
subject
to
licensee
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