Bill Text: IA HF486 | 2013-2014 | 85th General Assembly | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: A bill for an act relating to persons offering orthotic, prosthetic, and pedorthic services to the public, and relating to the scope of orthotic, prosthetic, and pedorthic services which may be ordered by certain health care providers, and including transition provisions. (Formerly HF 166) Effective 7-1-13.
Spectrum: Committee Bill
Status: (Passed) 2013-12-31 - END OF 2013 ACTIONS [HF486 Detail]
Download: Iowa-2013-HF486-Introduced.html
Bill Title: A bill for an act relating to persons offering orthotic, prosthetic, and pedorthic services to the public, and relating to the scope of orthotic, prosthetic, and pedorthic services which may be ordered by certain health care providers, and including transition provisions. (Formerly HF 166) Effective 7-1-13.
Spectrum: Committee Bill
Status: (Passed) 2013-12-31 - END OF 2013 ACTIONS [HF486 Detail]
Download: Iowa-2013-HF486-Introduced.html
House
File
486
-
Introduced
HOUSE
FILE
486
BY
COMMITTEE
ON
STATE
GOVERNMENT
(SUCCESSOR
TO
HF
166)
A
BILL
FOR
An
Act
relating
to
persons
offering
orthotic,
prosthetic,
and
1
pedorthic
services
to
the
public,
and
relating
to
the
scope
2
of
orthotic,
prosthetic,
and
pedorthic
services
which
may
3
be
ordered
by
certain
health
care
providers,
and
including
4
transition
provisions.
5
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
6
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Section
1.
Section
148F.2,
subsections
2
and
4,
Code
2013,
1
are
amended
to
read
as
follows:
2
2.
“Orthosis”
means
a
custom-fabricated
or
custom-fitted
3
brace
or
support
designed
to
provide
for
alignment,
correction,
4
or
prevention
of
neuromuscular
or
musculoskeletal
dysfunction,
5
disease,
injury,
or
deformity.
“Orthosis”
does
not
include
6
fabric
or
elastic
supports,
corsets,
arch
supports,
low
7
temperature
plastic
splints,
trusses,
elastic
hoses
hose
,
8
canes,
crutches,
soft
cervical
collars,
dental
appliances,
9
or
other
similar
devices
carried
in
stock
and
sold
as
10
“over-the-counter”
items
by
a
drug
store,
department
store,
11
corset
shop,
or
surgical
supply
facility.
12
4.
“Orthotic
and
prosthetic
scope
of
practice”
means
a
13
list
of
tasks,
with
relative
weight
given
to
such
factors
as
14
importance,
criticality,
and
frequency,
based
on
nationally
15
accepted
standards
of
orthotic
and
prosthetic
care
as
16
outlined
by
the
American
board
for
certification
in
orthotics,
17
prosthetics,
and
pedorthics
,
incorporated
.
18
Sec.
2.
Section
148F.2,
subsection
3,
unnumbered
paragraph
19
1,
Code
2013,
is
amended
to
read
as
follows:
20
“Orthotic
and
prosthetic
education
program”
means
a
course
21
of
instruction
accredited
by
the
national
commission
on
22
accreditation
of
allied
health
education
programs,
consisting
23
of
both
of
the
following:
24
Sec.
3.
Section
148F.2,
subsection
8,
unnumbered
paragraph
25
1,
Code
2013,
is
amended
to
read
as
follows:
26
“Pedorthic
education
program”
means
an
educational
program
27
accredited
by
the
American
board
for
certification
in
28
orthotics,
prosthetics,
and
pedorthics
approved
by
the
national
29
commission
on
orthotic
and
prosthetic
education
consisting
of
30
all
of
the
following:
31
Sec.
4.
Section
148F.2,
subsections
9
and
16,
Code
2013,
are
32
amended
to
read
as
follows:
33
9.
“Pedorthic
scope
of
practice”
means
a
list
of
tasks
34
with
relative
weight
given
to
such
factors
as
importance,
35
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486
criticality,
and
frequency
based
on
nationally
accepted
1
standards
of
pedorthic
care
as
outlined
by
the
American
board
2
for
certification
in
orthotics,
prosthetics
,
and
pedorthics
,
3
incorporated
.
4
16.
“Resident”
means
a
person
who
has
completed
an
education
5
program
in
either
orthotics
or
prosthetics
and
is
continuing
6
the
person’s
clinical
education
in
a
residency
accredited
by
7
the
American
board
for
certification
in
orthotics,
prosthetics
8
and
pedorthics
national
commission
on
orthotic
and
prosthetic
9
education
.
10
Sec.
5.
Section
148F.5,
subsection
2,
paragraph
c,
Code
11
2013,
is
amended
to
read
as
follows:
12
c.
Complete
a
qualified
work
clinical
experience
program
13
or
internship
in
pedorthics
that
has
a
minimum
of
one
thousand
14
hours
of
pedorthic
patient
care
experience
in
accordance
15
with
any
standards,
guidelines,
or
procedures
established
16
and
approved
by
the
board.
The
majority
of
training
must
17
be
devoted
to
services
performed
under
the
supervision
of
a
18
licensed
orthotist
or
licensed
practitioner
of
pedorthics
or
a
19
person
certified
as
a
certified
pedorthist
whose
practice
is
20
located
outside
the
state.
21
Sec.
6.
Section
148F.7,
Code
2013,
is
amended
to
read
as
22
follows:
23
148F.7
Limitation
on
provision
of
care
and
services.
24
A
licensed
orthotist,
prosthetist,
or
pedorthist
may
provide
25
care
or
services
only
if
the
care
or
services
are
provided
26
pursuant
to
an
order
from
a
licensed
physician,
a
licensed
27
podiatric
physician,
an
advanced
registered
nurse
practitioner
28
who
has
a
written
collaborative
agreement
with
a
collaborating
29
physician
or
podiatric
physician
that
specifically
authorizes
30
ordering
the
services
of
an
orthotist,
prosthetist,
or
31
pedorthist,
an
advanced
registered
nurse
practitioner
who
32
practices
in
a
hospital
or
ambulatory
surgical
treatment
center
33
and
possesses
clinical
privileges
to
order
services
of
an
34
orthotist,
prosthetist,
or
pedorthist
licensed
pursuant
to
35
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486
chapter
152
or
152E
,
or
a
physician
assistant
who
has
been
1
delegated
the
authority
to
order
the
services
of
an
orthotist,
2
prosthetist,
or
pedorthist
by
the
assistant’s
supervising
3
physician.
A
licensed
podiatric
physician
or
an
advanced
4
registered
nurse
practitioner
collaborating
with
a
podiatric
5
physician
may
only
order
care
or
services
concerning
the
foot
6
from
a
licensed
pedorthist
or
orthotist.
7
Sec.
7.
NEW
SECTION
.
148F.9
Transition
period.
8
1.
Through
June
30,
2014,
a
person
certified
as
an
9
orthotist,
prosthetist,
or
pedorthist
by
the
American
board
10
for
certification
in
orthotics,
prosthetics,
and
pedorthics,
11
incorporated,
or
holding
similar
certification
from
other
12
accrediting
bodies,
may
apply
for
and
may
be
issued
an
initial
13
license
to
practice
orthotics,
prosthetics,
or
pedorthics
under
14
the
provisions
of
this
chapter
without
meeting
the
requirements
15
of
section
148F.5,
upon
proof
of
current
certification
in
good
16
standing
and
payment
of
the
required
licensure
fees.
17
2.
Through
June
30,
2014,
a
person
not
certified
as
18
described
in
subsection
1
who
has
practiced
continuously
19
for
at
least
thirty
hours
per
week
on
average
for
at
least
20
five
of
seven
years
in
an
accredited
and
bonded
facility
21
as
an
orthotist,
prosthetist,
or
pedorthist
may
file
an
22
application
with
the
board
to
continue
to
practice
orthotics,
23
prosthetics,
or
pedorthics.
The
practice
described
under
this
24
subsection
shall
only
be
required
to
have
been
performed
in
25
an
accredited
and
bonded
facility
if
the
facility
is
required
26
to
be
accredited
and
bonded
by
Medicare.
The
five
years
of
27
continuous
practice
must
occur
between
July
1,
2007,
and
July
28
1,
2014.
A
person
applying
under
this
subsection
may
be
29
issued
an
initial
license
to
practice
orthotics,
prosthetics,
30
or
pedorthics
under
the
provisions
of
this
chapter
without
31
meeting
the
requirements
of
section
148F.5,
upon
payment
of
the
32
licensure
fees
required
by
the
department
and
after
the
board
33
has
reviewed
the
application.
34
3.
On
or
after
July
1,
2014,
an
applicant
for
licensure
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486
as
an
orthotist,
prosthetist,
or
pedorthist
shall
meet
the
1
requirements
of
section
148F.5.
2
4.
The
board
shall
adopt
rules
to
administer
this
section.
3
EXPLANATION
4
This
bill
contains
several
amendments
to
Code
chapter
148F
5
regulating
orthotic,
prosthetic,
and
pedorthic
practice
and
6
services.
The
name
of
the
national
organization
which
approves
7
the
course
of
instruction
has
been
changed,
and
the
bill
makes
8
related
conforming
changes.
The
bill
also
provides
that
the
9
work
component
of
the
licensing
requirement
include
a
clinical
10
component
and
eliminates
provisions
for
internships.
11
The
bill
strikes
a
provision
in
Code
section
148F.7
that
12
specified
circumstances
under
which
a
licensed
advanced
13
registered
nurse
practitioner
could
order
care
or
services
14
concerning
the
foot
from
a
licensed
pedorthist
or
orthotist,
15
and,
instead,
generally
gives
a
licensed
advanced
registered
16
nurse
practitioner
that
authority.
17
The
bill
creates
a
transition
period
through
June
30,
18
2014,
allowing
persons
who
are
certified
as
an
orthotist,
19
prosthetist,
or
pedorthist
by
a
national
organization
or
who
20
have
worked
continuously
as
an
orthotist,
prosthetist,
or
21
pedorthist
for
five
of
seven
specified
years
to
be
licensed
22
without
otherwise
meeting
the
requirements
of
Code
chapter
23
148F.
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