Bill Text: IA SSB3009 | 2013-2014 | 85th General Assembly | Introduced
Bill Title: A study bill for an act relating to the practice of nursing, including defining the functions of an advanced registered nurse practitioner and requiring background checks on nursing students.
Spectrum: Unknown
Status: (N/A - Dead) 2014-01-14 - In Human Resources [SSB3009 Detail]
Download: Iowa-2013-SSB3009-Introduced.html
Senate
Study
Bill
3009
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
BOARD
OF
NURSING
BILL)
A
BILL
FOR
An
Act
relating
to
the
practice
of
nursing,
including
defining
1
the
functions
of
an
advanced
registered
nurse
practitioner
2
and
requiring
background
checks
on
nursing
students.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
TLSB
5300DP
(5)
85
ad/nh
S.F.
_____
H.F.
_____
Section
1.
Section
125.2,
subsection
11,
Code
2014,
is
1
amended
to
read
as
follows:
2
11.
“Psychiatric
advanced
registered
nurse
practitioner”
3
means
an
individual
currently
licensed
as
a
registered
nurse
4
under
chapter
152
or
152E
who
holds
a
national
certification
5
in
psychiatric
mental
health
care
and
who
is
registered
with
6
licensed
by
the
board
of
nursing
as
an
advanced
registered
7
nurse
practitioner.
8
Sec.
2.
Section
135G.1,
subsection
1,
Code
2014,
is
amended
9
to
read
as
follows:
10
1.
“Advanced
registered
nurse
practitioner”
means
a
person
11
currently
licensed
as
a
registered
nurse
under
chapter
152
or
12
152E
who
is
registered
with
licensed
by
the
board
of
nursing
as
13
an
advanced
registered
nurse
practitioner.
14
Sec.
3.
Section
147.74,
subsection
21,
Code
2014,
is
amended
15
to
read
as
follows:
16
21.
A
registered
nurse
licensed
under
chapter
152
may
use
17
the
words
“registered
nurse”
or
the
letters
“R.
N.”
after
the
18
person’s
name.
A
licensed
practical
nurse
licensed
under
19
chapter
152
may
use
the
words
“licensed
practical
nurse”
or
20
the
letters
“L.
P.
N.”
after
the
person’s
name.
An
advanced
21
registered
nurse
practitioner
licensed
under
chapter
152
or
22
152E
may
use
the
words
“advanced
registered
nurse
practitioner”
23
or
the
letters
“A.R.N.P.”
after
the
person’s
name.
24
Sec.
4.
Section
147.107,
subsection
8,
Code
2014,
is
amended
25
to
read
as
follows:
26
8.
Notwithstanding
subsection
1
,
but
subject
to
the
27
limitations
contained
in
subsections
2
and
3
,
a
registered
28
nurse
who
is
licensed
and
registered
as
an
advanced
registered
29
nurse
practitioner
and
who
qualifies
for
and
is
registered
30
in
a
recognized
nursing
specialty
may
prescribe
substances
31
or
devices,
including
controlled
substances
or
devices,
if
32
the
nurse
is
engaged
in
the
practice
of
a
nursing
specialty
33
regulated
under
rules
adopted
by
the
board
of
nursing
in
34
consultation
with
the
board
of
medicine
and
the
board
of
35
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_____
pharmacy.
1
Sec.
5.
Section
152.1,
Code
2014,
is
amended
by
adding
the
2
following
new
subsections:
3
NEW
SUBSECTION
.
0A.
“Advanced
registered
nurse
practitioner”
4
means
a
nurse
with
a
current
license
as
a
registered
nurse
in
5
Iowa
or
who
is
licensed
in
another
state
and
recognized
for
6
licensure
in
this
state
pursuant
to
the
nurse
licensure
compact
7
contained
in
chapter
152E,
and
is
also
licensed
in
Iowa
to
8
practice
in
an
advanced
role.
9
NEW
SUBSECTION
.
3A.
The
“practice
of
an
advanced
registered
10
nurse
practitioner”
means
the
practice
of
a
registered
nurse
11
with
formal
advanced
education
who
is
licensed
by
the
board
to
12
do
all
of
the
following:
13
a.
Use
the
title
“advanced
registered
nurse
practitioner”
14
and
the
letters
“A.R.N.P.”
pursuant
to
section
152.6.
15
b.
Utilize
full
practice
authority
in
a
specialty
area
16
approved
by
the
board.
17
c.
Prescribe,
deliver,
distribute,
or
dispense
prescription
18
drugs,
devices,
and
medical
gases
when
the
nurse
is
engaged
in
19
the
practice
of
a
specialty
area
approved
by
the
board
pursuant
20
to
section
147.107.
21
d.
Perform
a
physical
or
an
advanced
assessment;
order
22
and
interpret
diagnostic
procedures;
formulate
a
primary
and
23
differential
diagnosis;
order
therapeutic
treatments;
educate
24
and
counsel
patients
and
family
members;
delegate
and
assign
25
therapeutic
measures
to
assistive
personnel;
maintain
hospital
26
privileges;
consult
with
other
disciplines;
provide
referrals
27
to
health
care
agencies,
health
care
providers,
and
community
28
resources;
and
promote
health
maintenance.
29
e.
Perform
acts
or
nursing
specialities
that
require
30
education
as
prescribed
by
the
board,
commensurate
with
the
31
advanced
registered
nurse
practitioner’s
education,
continuing
32
education,
demonstrated
competencies,
and
experience.
33
f.
Sign
death
certificates,
pursuant
to
section
144.26
or
34
144.28.
35
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85
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2/
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S.F.
_____
H.F.
_____
Sec.
6.
Section
152.1,
subsections
4
and
5,
Code
2014,
are
1
amended
to
read
as
follows:
2
4.
The
“practice
of
a
licensed
practical
nurse”
means
the
3
practice
of
a
natural
person
who
is
licensed
by
the
board
to
do
4
all
of
the
following:
5
a.
Perform
services
in
the
provision
of
supportive
or
6
restorative
care
under
the
supervision
of
a
registered
nurse
7
or
a
physician.
8
b.
Perform
additional
acts
under
emergency
or
other
9
conditions
which
require
education
and
training
and
which
are
10
recognized
by
the
medical
and
nursing
professions
and
are
11
approved
by
the
board,
as
being
proper
to
be
performed
by
a
12
licensed
practical
nurse
that
require
education
as
prescribed
13
by
the
board,
commensurate
with
the
licensed
practical
nurse’s
14
education,
continuing
education,
demonstrated
competencies,
and
15
experience
.
16
c.
Make
the
pronouncement
of
death
for
a
patient
whose
death
17
is
anticipated
if
the
death
occurs
in
a
licensed
hospital,
a
18
licensed
health
care
facility,
a
Medicare-certified
home
health
19
agency,
a
Medicare-certified
hospice
program
or
facility,
or
20
an
assisted
living
facility
or
residential
care
facility,
21
with
notice
of
the
death
to
a
physician
and
in
accordance
22
with
any
directions
of
a
physician
,
advanced
registered
nurse
23
practitioner,
or
physician
assistant
.
24
5.
The
“practice
of
nursing”
means
the
practice
of
a
25
registered
nurse
,
or
a
licensed
practical
nurse
,
or
an
advanced
26
registered
nurse
practitioner
.
It
does
not
mean
any
of
the
27
following:
28
a.
The
practice
of
medicine
and
surgery
and
the
practice
of
29
osteopathic
medicine
and
surgery,
as
defined
in
chapter
148
,
30
or
the
practice
of
pharmacy
as
defined
in
chapter
155A
,
except
31
practices
which
are
recognized
by
the
medical
and
nursing
32
professions
and
approved
by
the
board
as
proper
to
be
performed
33
by
a
registered
nurse
approved
by
the
board
as
proper
to
be
34
performed
by
a
registered
nurse
with
appropriate
education
and
35
-3-
LSB
5300DP
(5)
85
ad/nh
3/
17
S.F.
_____
H.F.
_____
demonstrated
competencies
.
1
b.
The
performance
of
nursing
services
by
an
unlicensed
2
student
enrolled
in
a
nursing
education
program
if
performance
3
is
part
of
the
course
of
study.
Individuals
who
have
been
4
licensed
as
registered
nurses
,
or
licensed
practical
or
5
vocational
nurses
,
or
advanced
registered
nurse
practitioners
6
in
any
state
or
jurisdiction
of
the
United
States
are
not
7
subject
to
this
exemption.
8
c.
The
performance
of
services
by
unlicensed
workers
9
employed
in
offices,
hospitals,
or
health
care
facilities,
as
10
defined
in
section
135C.1
,
under
the
supervision
of
a
physician
11
or
a
nurse
licensed
under
this
chapter
,
or
employed
in
the
12
office
of
a
psychologist,
podiatric
physician,
optometrist,
13
chiropractor,
speech
pathologist,
audiologist,
or
physical
14
therapist
licensed
to
practice
in
this
state,
and
when
acting
15
while
within
the
scope
of
the
employer’s
license.
16
d.
The
practice
of
a
nurse
licensed
in
another
state
17
and
employed
in
this
state
by
the
federal
government
if
the
18
practice
is
in
discharge
of
official
employment
duties.
19
e.
The
care
of
the
sick
rendered
in
connection
with
the
20
practice
of
the
religious
tenets
of
any
church
or
order
by
21
the
adherents
thereof
which
is
not
performed
for
hire,
or
if
22
performed
for
hire
by
those
who
depend
upon
prayer
or
spiritual
23
means
for
healing
in
the
practice
of
the
religion
of
their
24
church
or
denomination,
so
long
as
they
do
not
otherwise
engage
25
in
the
practice
of
nursing
as
practical
nurses.
26
Sec.
7.
Section
152.1,
subsection
6,
paragraphs
d
and
e,
27
Code
2014,
are
amended
to
read
as
follows:
28
d.
Perform
additional
acts
or
nursing
specialties
which
29
that
require
education
and
training
under
emergency
or
other
30
conditions
which
are
recognized
by
the
medical
and
nursing
31
professions
and
are
approved
by
the
board
as
being
proper
to
32
be
performed
by
a
registered
nurse
as
prescribed
by
the
board,
33
commensurate
with
the
registered
nurse’s
education,
continuing
34
education,
demonstrated
competencies,
and
experience
.
35
-4-
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5300DP
(5)
85
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4/
17
S.F.
_____
H.F.
_____
e.
Make
the
pronouncement
of
death
for
a
patient
whose
death
1
is
anticipated
if
the
death
occurs
in
a
licensed
hospital,
a
2
licensed
health
care
facility,
a
Medicare-certified
home
health
3
agency,
a
Medicare-certified
hospice
program
or
facility,
an
4
assisted
living
facility,
or
a
residential
care
facility,
with
5
notice
of
the
death
to
a
physician
and
in
accordance
with
any
6
directions
of
a
,
advanced
registered
nurse
practitioner,
or
7
physician
assistant
.
8
Sec.
8.
Section
152.4,
Code
2014,
is
amended
to
read
as
9
follows:
10
152.4
Appropriations
Use
of
funds
.
11
The
board
may
apply
appropriated
use
any
available
funds
to
12
and
moneys
retained
by
the
board
pursuant
to
section
147.82
for
13
any
of
the
following
:
14
1.
The
administration
and
enforcement
of
the
applicable
15
provisions
of
this
chapter
and
of
chapter
chapters
147
,
152E,
16
and
272C
.
17
2.
The
elevation
of
the
standards
of
the
schools
of
nursing.
18
3.
The
promotion
of
educational
and
professional
standards
19
of
nurses
in
this
state.
20
4.
The
collection,
analysis,
and
dissemination
of
nursing
21
workforce
data.
22
Sec.
9.
Section
152.5,
subsections
1
and
2,
Code
2014,
are
23
amended
to
read
as
follows:
24
1.
All
programs
preparing
a
person
to
be
a
registered
nurse
,
25
or
a
licensed
practical
nurse
,
or
an
advanced
registered
nurse
26
practitioner
shall
be
approved
by
the
board.
The
board
shall
27
not
recognize
a
program
unless
it:
28
a.
Is
of
recognized
standing.
29
b.
Has
provisions
for
adequate
physical
and
clinical
30
facilities
and
other
resources
with
which
to
conduct
a
sound
31
education
program.
32
c.
Requires,
for
graduation
of
a
registered
nurse
applicant,
33
the
completion
of
at
least
a
two
academic
year
course
of
study.
34
d.
Requires,
for
graduation
of
a
licensed
practical
nurse
35
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_____
H.F.
_____
applicant,
the
completion
of
at
least
a
one
academic
year
1
course
of
study
as
prescribed
by
the
board.
2
e.
Requires,
for
graduation
of
an
advanced
registered
nurse
3
practitioner,
satisfactory
completion
of
a
formal
advanced
4
practice
educational
program
of
study
in
a
nursing
specialty
5
area
approved
by
the
board
and
appropriate
clinical
experience
6
as
approved
by
the
board.
7
2.
All
advanced
postlicensure
formal
academic
nursing
8
education
programs
shall
also
be
approved
by
the
board.
9
Sec.
10.
Section
152.5,
subsection
3,
Code
2014,
is
amended
10
by
striking
the
subsection.
11
Sec.
11.
NEW
SECTION
.
152.5A
Student
record
checks.
12
1.
For
the
purposes
of
this
section:
13
a.
“Nursing
program”
means
a
nursing
program
that
is
14
approved
by
the
board
pursuant
to
section
152.5.
15
b.
“Student”
means
a
person
applying
for,
enrolled
in,
or
16
returning
to
the
clinical
education
component
of
a
nursing
17
program.
18
2.
All
nursing
programs
shall
conduct
record
checks
on
19
students
as
provided
in
this
section.
20
3.
A
nursing
program
may
access
the
single
contact
21
repository
established
pursuant
to
section
135C.33
as
necessary
22
for
the
nursing
program
to
initiate
record
checks
of
students.
23
4.
A
nursing
program
shall
request
that
the
department
24
of
public
safety
perform
a
criminal
history
check
and
the
25
department
of
human
services
perform
child
and
dependent
adult
26
abuse
record
checks
in
this
state
on
the
nursing
program’s
27
students.
28
5.
If
a
student
has
a
criminal
record
or
a
record
of
founded
29
child
or
dependent
adult
abuse,
upon
request
of
the
nursing
30
program,
the
department
of
human
services
shall
perform
an
31
evaluation
to
determine
whether
the
record
warrants
prohibition
32
of
the
person’s
involvement
in
a
clinical
education
component
33
of
a
nursing
program
involving
children
or
dependent
adults.
34
The
department
of
human
services
shall
utilize
the
criteria
35
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S.F.
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H.F.
_____
provided
in
section
135C.33
in
performing
the
evaluation
and
1
shall
report
the
results
of
the
evaluation
to
the
nursing
2
program.
The
department
of
human
services
has
final
authority
3
in
determining
whether
prohibition
of
the
person’s
involvement
4
in
a
clinical
education
component
is
warranted.
5
Sec.
12.
Section
152.6,
Code
2014,
is
amended
to
read
as
6
follows:
7
152.6
Licenses
——
professional
abbreviations.
8
The
board
may
license
a
natural
person
to
practice
as
a
9
registered
nurse
,
or
as
a
licensed
practical
nurse
,
or
an
10
advanced
registered
nurse
practitioner
.
However,
only
a
person
11
currently
licensed
as
a
registered
nurse
in
this
state
may
12
use
that
title
and
the
abbreviation
“R
N”
letters
“R.N.”
after
13
the
person’s
name
;
and
only
a
person
currently
licensed
as
a
14
licensed
practical
nurse
in
this
state
may
use
that
title
and
15
the
abbreviation
“L
P
N”
letters
“L.P.N.”
after
the
person’s
16
name
;
and
only
a
person
currently
licensed
as
an
advanced
17
registered
nurse
practitioner
may
use
that
title
and
the
18
letters
“A.R.N.P.”
after
the
person’s
name
.
For
purposes
of
19
this
section
,
“currently
licensed”
includes
persons
licensed
20
in
another
state
and
recognized
for
licensure
in
this
state
21
pursuant
to
the
nurse
licensure
compact
contained
in
section
22
152E.1
or
pursuant
to
the
advanced
practice
registered
nurse
23
compact
contained
in
section
152E.3
.
24
Sec.
13.
Section
152.7,
Code
2014,
is
amended
by
adding
the
25
following
new
subsection:
26
NEW
SUBSECTION
.
1A.
An
applicant
to
be
licensed
as
an
27
advanced
registered
nurse
practitioner
shall
have
the
following
28
qualifications:
29
a.
Hold
a
current
license
as
a
registered
nurse
pursuant
to
30
this
chapter.
31
b.
Complete
an
advanced
practice
educational
program
as
set
32
out
in
section
152.5.
33
c.
Hold
an
advanced
level
certification
by
an
appropriate
34
national
certifying
body.
35
-7-
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85
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7/
17
S.F.
_____
H.F.
_____
Sec.
14.
Section
152.10,
subsection
2,
paragraph
d,
Code
1
2014,
is
amended
to
read
as
follows:
2
d.
(1)
Having
a
license
to
practice
nursing
as
a
registered
3
nurse
or
licensed
practical
nurse
revoked
or
suspended,
or
4
having
other
disciplinary
action
taken
by
a
licensing
authority
5
of
another
state,
territory,
or
country.
A
certified
copy
of
6
the
record
or
order
of
suspension,
revocation,
or
disciplinary
7
action
is
prima
facie
evidence
of
such
fact.
8
(2)
Having
a
license
to
practice
nursing
as
a
registered
9
nurse
or
licensed
practical
nurse
revoked
or
suspended,
10
or
having
other
disciplinary
action
taken,
by
a
licensing
11
authority
in
another
state
which
has
adopted
the
nurse
12
licensure
compact
contained
in
section
152E.1
or
the
advanced
13
practice
registered
nurse
compact
contained
in
section
152E.3
14
and
which
has
communicated
information
relating
to
such
15
action
pursuant
to
the
coordinated
licensure
information
16
system
established
by
the
compact.
If
the
action
taken
by
17
the
licensing
authority
occurs
in
a
jurisdiction
which
does
18
not
afford
the
procedural
protections
of
chapter
17A
,
the
19
licensee
may
object
to
the
communicated
information
and
shall
20
be
afforded
the
procedural
protections
of
chapter
17A
.
21
Sec.
15.
Section
152.10,
subsection
2,
paragraph
h,
22
subparagraph
(2),
Code
2014,
is
amended
to
read
as
follows:
23
(2)
The
board
may,
upon
probable
cause,
request
a
licensee
24
to
submit
to
an
appropriate
medical
examination
by
a
designated
25
physician.
If
requested
by
the
licensee,
the
licensee
may
also
26
designate
a
physician
for
an
independent
medical
examination.
27
The
reasonable
costs
of
such
examinations
and
medical
reports
28
to
the
board
shall
be
paid
by
the
board.
Refusal
or
failure
29
of
a
licensee
to
complete
such
examinations
shall
constitute
30
an
admission
of
any
allegations
relating
to
such
condition.
31
All
objections
shall
be
waived
as
to
the
admissibility
of
the
32
examining
physicians’
testimony
or
examination
reports
on
the
33
grounds
that
they
constitute
privileged
communication.
The
34
medical
testimony
or
examination
reports
shall
not
be
used
35
-8-
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17
S.F.
_____
H.F.
_____
against
a
registered
nurse
or
licensed
practical
nurse
licensee
1
in
another
proceeding
and
shall
be
confidential.
At
reasonable
2
intervals,
a
registered
nurse
or
licensed
practical
nurse
3
licensee
shall
be
afforded
an
opportunity
to
demonstrate
that
4
the
registered
nurse
or
licensed
practical
nurse
licensee
can
5
resume
the
competent
practice
of
nursing
with
reasonable
skill
6
and
safety
to
patients.
7
Sec.
16.
Section
152.11,
Code
2014,
is
amended
to
read
as
8
follows:
9
152.11
Investigators
for
nurses
.
10
The
board
of
nursing
may
appoint
investigators,
who
shall
11
not
be
members
of
the
board,
to
administer
and
aid
in
the
12
enforcement
of
the
provisions
of
law
related
to
those
licensed
13
to
practice
nursing.
The
amount
of
compensation
for
the
14
investigators
shall
be
determined
pursuant
to
chapter
8A,
15
subchapter
IV
.
Investigators
authorized
by
the
board
of
nursing
16
have
the
powers
and
status
of
peace
officers
when
enforcing
17
this
chapter
and
chapters
147
and
272C
.
18
Sec.
17.
Section
225C.6,
subsection
4,
paragraph
c,
19
subparagraph
(1),
Code
2014,
is
amended
to
read
as
follows:
20
(1)
A
comprehensive
set
of
wraparound
services
for
persons
21
who
have
had
or
are
at
imminent
risk
of
having
acute
or
22
crisis
mental
health
symptoms
that
do
not
permit
the
persons
23
to
remain
in
or
threatens
removal
of
the
persons
from
their
24
home
and
community,
but
who
have
been
determined
by
a
mental
25
health
professional
and
a
licensed
health
care
professional,
26
subject
to
the
professional’s
scope
of
practice,
not
to
need
27
inpatient
acute
hospital
services.
For
the
purposes
of
this
28
subparagraph,
“mental
health
professional”
means
the
same
as
29
defined
in
section
228.1
and
“licensed
health
care
professional”
30
means
a
person
licensed
under
chapter
148
to
practice
medicine
31
and
surgery
or
osteopathic
medicine
and
surgery,
an
advanced
32
registered
nurse
practitioner
licensed
under
chapter
152
or
33
152E
and
registered
with
licensed
by
the
board
of
nursing,
or
a
34
physician
assistant
licensed
to
practice
under
the
supervision
35
-9-
LSB
5300DP
(5)
85
ad/nh
9/
17
S.F.
_____
H.F.
_____
of
a
physician
as
authorized
in
chapters
147
and
148C
.
1
Sec.
18.
Section
228.1,
subsection
6,
paragraph
b,
Code
2
2014,
is
amended
to
read
as
follows:
3
b.
The
individual
holds
a
current
Iowa
license
if
4
practicing
in
a
field
covered
by
an
Iowa
licensure
law
and
5
is
a
psychiatrist,
an
advanced
registered
nurse
practitioner
6
who
holds
a
national
certification
in
psychiatric
mental
7
health
care
registered
by
the
board
of
nursing
and
who
is
8
licensed
by
the
board
of
nursing
as
an
advanced
registered
9
nurse
practitioner
,
a
physician
assistant
practicing
under
the
10
supervision
of
a
psychiatrist,
or
an
individual
who
holds
a
11
doctorate
degree
in
psychology
and
is
licensed
by
the
board
of
12
psychology.
13
Sec.
19.
Section
229.1,
subsection
13,
Code
2014,
is
amended
14
to
read
as
follows:
15
13.
“Psychiatric
advanced
registered
nurse
practitioner”
16
means
an
individual
currently
licensed
as
a
registered
nurse
17
under
chapter
152
or
152E
who
holds
a
national
certification
18
in
psychiatric
mental
health
care
and
who
is
registered
with
19
licensed
by
the
board
of
nursing
as
an
advanced
registered
20
nurse
practitioner.
21
Sec.
20.
Section
231B.21,
subsection
2,
paragraph
a,
Code
22
2014,
is
amended
to
read
as
follows:
23
a.
If
administration
of
medications
is
delegated
to
24
the
elder
group
home
by
the
tenant
or
tenant’s
legal
25
representative,
the
medications
shall
be
administered
by
26
a
registered
nurse,
licensed
practical
nurse,
or
advanced
27
registered
nurse
practitioner
licensed
or
registered
in
Iowa
28
or
by
the
individual
to
whom
such
licensed
or
registered
29
individuals
may
properly
delegate
administration
of
30
medications.
31
Sec.
21.
Section
231C.16A,
subsection
2,
paragraph
a,
Code
32
2014,
is
amended
to
read
as
follows:
33
a.
If
administration
of
medications
is
delegated
to
the
34
program
by
the
tenant
or
tenant’s
legal
representative,
35
-10-
LSB
5300DP
(5)
85
ad/nh
10/
17
S.F.
_____
H.F.
_____
the
medications
shall
be
administered
by
a
registered
1
nurse,
licensed
practical
nurse,
or
advanced
registered
2
nurse
practitioner
licensed
or
registered
in
Iowa
or
by
the
3
individual
to
whom
such
licensed
or
registered
individuals
may
4
properly
delegate
administration
of
medications.
5
Sec.
22.
Section
231D.13A,
subsection
2,
paragraph
a,
Code
6
2014,
is
amended
to
read
as
follows:
7
a.
If
administration
of
medications
is
delegated
to
8
the
program
by
the
participant
or
the
participant’s
legal
9
representative,
the
medications
shall
be
administered
by
10
a
registered
nurse,
licensed
practical
nurse,
or
advanced
11
registered
nurse
practitioner
licensed
or
registered
in
Iowa
12
or
by
the
individual
to
whom
such
licensed
or
registered
13
individuals
may
properly
delegate
administration
of
14
medications.
15
Sec.
23.
Section
321.34,
subsection
14,
Code
2014,
is
16
amended
to
read
as
follows:
17
14.
Persons
with
disabilities
special
plates.
An
owner
18
referred
to
in
subsection
12
or
an
owner
of
a
trailer
used
19
to
transport
a
wheelchair
who
is
a
person
with
a
disability,
20
or
who
is
the
parent
or
guardian
of
a
child
who
resides
21
with
the
parent
or
guardian
owner
and
who
is
a
person
with
a
22
disability,
as
defined
in
section
321L.1
,
may,
upon
written
23
application
to
the
department,
order
special
registration
24
plates
with
a
persons
with
disabilities
processed
emblem
25
designed
by
the
department
bearing
the
international
symbol
26
of
accessibility.
The
special
registration
plates
with
a
27
persons
with
disabilities
processed
emblem
shall
only
be
28
issued
if
the
application
is
accompanied
with
a
statement
from
29
a
physician
licensed
under
chapter
148
or
149
,
a
physician
30
assistant
licensed
under
chapter
148C
,
an
advanced
registered
31
nurse
practitioner
licensed
under
chapter
152
or
152E
,
or
32
a
chiropractor
licensed
under
chapter
151
,
written
on
the
33
physician’s,
physician
assistant’s,
nurse
practitioner’s,
34
or
chiropractor’s
stationery,
stating
the
nature
of
the
35
-11-
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5300DP
(5)
85
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11/
17
S.F.
_____
H.F.
_____
applicant’s
or
the
applicant’s
child’s
disability
and
such
1
additional
information
as
required
by
rules
adopted
by
the
2
department,
including
proof
of
residency
of
a
child
who
is
3
a
person
with
a
disability.
If
the
application
is
approved
4
by
the
department,
the
special
registration
plates
with
a
5
persons
with
disabilities
processed
emblem
shall
be
issued
6
to
the
applicant.
There
shall
be
no
fee
in
addition
to
the
7
regular
annual
registration
fee
for
the
special
registration
8
plates
with
a
persons
with
disabilities
processed
emblem.
The
9
authorization
for
special
registration
plates
with
a
persons
10
with
disabilities
processed
emblem
shall
not
be
renewed
11
without
the
applicant
furnishing
evidence
to
the
department
12
that
the
owner
of
the
vehicle
or
the
owner’s
child
is
still
13
a
person
with
a
disability
as
defined
in
section
321L.1
.
An
14
owner
who
has
a
child
who
is
a
person
with
a
disability
shall
15
provide
satisfactory
evidence
to
the
department
that
the
16
child
with
a
disability
continues
to
reside
with
the
owner.
17
The
registration
plates
with
a
persons
with
disabilities
18
processed
emblem
shall
be
surrendered
in
exchange
for
regular
19
registration
plates
as
provided
in
subsection
12
when
the
owner
20
of
the
vehicle
or
the
owner’s
child
no
longer
qualifies
as
a
21
person
with
a
disability
as
defined
in
section
321L.1
or
when
22
the
owner’s
child
who
is
a
person
with
a
disability
no
longer
23
resides
with
the
owner.
24
Sec.
24.
Section
321.186,
subsection
4,
Code
2014,
is
25
amended
to
read
as
follows:
26
4.
A
physician
licensed
under
chapter
148
,
an
advanced
27
registered
nurse
practitioner
licensed
under
chapter
152
and
28
registered
with
the
board
of
nursing
or
152E
,
a
physician
29
assistant
licensed
under
chapter
148C
,
or
an
optometrist
30
licensed
under
chapter
154
may
report
to
the
department
31
the
identity
of
a
person
who
has
been
diagnosed
as
having
a
32
physical
or
mental
condition
which
would
render
the
person
33
physically
or
mentally
incompetent
to
operate
a
motor
vehicle
34
in
a
safe
manner.
The
physician,
advanced
registered
nurse
35
-12-
LSB
5300DP
(5)
85
ad/nh
12/
17
S.F.
_____
H.F.
_____
practitioner,
physician
assistant,
or
optometrist
shall
make
1
reasonable
efforts
to
notify
the
person
who
is
the
subject
of
2
the
report,
in
writing.
The
written
notification
shall
state
3
the
nature
of
the
disclosure
and
the
reason
for
the
disclosure.
4
A
physician,
advanced
registered
nurse
practitioner,
physician
5
assistant,
or
optometrist
making
a
report
under
this
section
6
shall
be
immune
from
any
liability,
civil
or
criminal,
which
7
might
otherwise
be
incurred
or
imposed
as
a
result
of
the
8
report.
A
physician,
advanced
registered
nurse
practitioner,
9
physician
assistant,
or
optometrist
has
no
duty
to
make
a
10
report
or
to
warn
third
parties
with
regard
to
any
knowledge
11
concerning
a
person’s
mental
or
physical
competency
to
operate
12
a
motor
vehicle
in
a
safe
manner.
Any
report
received
by
13
the
department
from
a
physician,
advanced
registered
nurse
14
practitioner,
physician
assistant,
or
optometrist
under
this
15
section
shall
be
kept
confidential.
Information
regulated
by
16
chapter
141A
shall
be
subject
to
the
confidentiality
provisions
17
and
remedies
of
that
chapter.
18
Sec.
25.
Section
321L.2,
subsection
1,
unnumbered
paragraph
19
1,
Code
2014,
is
amended
to
read
as
follows:
20
A
resident
of
the
state
with
a
disability
desiring
a
persons
21
with
disabilities
parking
permit
shall
apply
to
the
department
22
upon
an
application
form
furnished
by
the
department
providing
23
the
applicant’s
full
legal
name,
address,
date
of
birth,
and
24
social
security
number
or
Iowa
driver’s
license
number
or
25
Iowa
nonoperator’s
identification
card
number,
and
shall
also
26
provide
a
statement
from
a
physician
licensed
under
chapter
27
148
or
149
,
a
physician
assistant
licensed
under
chapter
148C
,
28
an
advanced
registered
nurse
practitioner
licensed
under
29
chapter
152
or
152E
,
or
a
chiropractor
licensed
under
chapter
30
151
,
or
a
physician,
physician
assistant,
nurse
practitioner,
31
or
chiropractor
licensed
to
practice
in
a
contiguous
state,
32
written
on
the
physician’s,
physician
assistant’s,
nurse
33
practitioner’s,
or
chiropractor’s
stationery,
stating
the
34
nature
of
the
applicant’s
disability
and
such
additional
35
-13-
LSB
5300DP
(5)
85
ad/nh
13/
17
S.F.
_____
H.F.
_____
information
as
required
by
rules
adopted
by
the
department
1
under
section
321L.8
.
If
the
person
is
applying
for
a
2
temporary
persons
with
disabilities
parking
permit,
the
3
physician’s,
physician
assistant’s,
nurse
practitioner’s,
or
4
chiropractor’s
statement
shall
state
the
period
of
time
during
5
which
the
person
is
expected
to
be
disabled
and
the
period
6
of
time
for
which
the
permit
should
be
issued,
not
to
exceed
7
six
months.
The
department
may
waive
the
requirement
that
8
the
applicant
furnish
the
applicant’s
social
security
number,
9
Iowa
driver’s
license
number,
or
nonoperator’s
identification
10
card
number
when
the
application
for
a
temporary
persons
with
11
disabilities
parking
permit
is
made
on
behalf
of
a
person
who
12
is
less
than
one
year
old.
13
Sec.
26.
Section
514C.11,
Code
2014,
is
amended
to
read
as
14
follows:
15
514C.11
Services
provided
by
licensed
physician
assistants
16
and
licensed
advanced
registered
nurse
practitioners.
17
Notwithstanding
section
514C.6
,
a
policy
or
contract
18
providing
for
third-party
payment
or
prepayment
of
health
or
19
medical
expenses
shall
include
a
provision
for
the
payment
20
of
necessary
medical
or
surgical
care
and
treatment
provided
21
by
a
physician
assistant
licensed
pursuant
to
chapter
148C
,
22
or
provided
by
an
advanced
registered
nurse
practitioner
23
licensed
pursuant
to
chapter
152
or
152E
and
performed
within
24
the
scope
of
the
license
of
the
licensed
physician
assistant
25
or
the
licensed
advanced
registered
nurse
practitioner
if
the
26
policy
or
contract
would
pay
for
the
care
and
treatment
if
27
the
care
and
treatment
were
provided
by
a
person
engaged
in
28
the
practice
of
medicine
and
surgery
or
osteopathic
medicine
29
and
surgery
under
chapter
148
.
The
policy
or
contract
shall
30
provide
that
policyholders
and
subscribers
under
the
policy
31
or
contract
may
reject
the
coverage
for
services
which
may
32
be
provided
by
a
licensed
physician
assistant
or
licensed
33
advanced
registered
nurse
practitioner
if
the
coverage
is
34
rejected
for
all
providers
of
similar
services.
A
policy
or
35
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contract
subject
to
this
section
shall
not
impose
a
practice
1
or
supervision
restriction
which
is
inconsistent
with
or
more
2
restrictive
than
the
restriction
already
imposed
by
law.
This
3
section
applies
to
services
provided
under
a
policy
or
contract
4
delivered,
issued
for
delivery,
continued,
or
renewed
in
this
5
state
on
or
after
July
1,
1996,
and
to
an
existing
policy
or
6
contract,
on
the
policy’s
or
contract’s
anniversary
or
renewal
7
date,
or
upon
the
expiration
of
the
applicable
collective
8
bargaining
contract,
if
any,
whichever
is
later.
This
section
9
does
not
apply
to
policyholders
or
subscribers
eligible
for
10
coverage
under
Tit.
XVIII
of
the
federal
Social
Security
Act
11
or
any
similar
coverage
under
a
state
or
federal
government
12
plan.
For
the
purposes
of
this
section
,
third-party
payment
13
or
prepayment
includes
an
individual
or
group
policy
of
14
accident
or
health
insurance
or
individual
or
group
hospital
15
or
health
care
service
contract
issued
pursuant
to
chapter
16
509
,
514
,
or
514A
,
an
individual
or
group
health
maintenance
17
organization
contract
issued
and
regulated
under
chapter
514B
,
18
an
organized
delivery
system
contract
regulated
under
rules
19
adopted
by
the
director
of
public
health,
or
a
preferred
20
provider
organization
contract
regulated
pursuant
to
chapter
21
514F
.
Nothing
in
this
section
shall
be
interpreted
to
require
22
an
individual
or
group
health
maintenance
organization,
an
23
organized
delivery
system,
or
a
preferred
provider
organization
24
or
arrangement
to
provide
payment
or
prepayment
for
services
25
provided
by
a
licensed
physician
assistant
or
licensed
advanced
26
registered
nurse
practitioner
unless
the
physician
assistant’s
27
supervising
physician,
the
physician-physician
assistant
team,
28
the
advanced
registered
nurse
practitioner,
or
the
advanced
29
registered
nurse
practitioner’s
collaborating
physician
has
30
entered
into
a
contract
or
other
agreement
to
provide
services
31
with
the
individual
or
group
health
maintenance
organization,
32
the
organized
delivery
system,
or
the
preferred
provider
33
organization
or
arrangement.
34
Sec.
27.
Section
514C.13,
subsection
1,
paragraph
c,
Code
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2014,
is
amended
to
read
as
follows:
1
c.
“Health
care
provider”
means
a
hospital
licensed
2
pursuant
to
chapter
135B
,
a
person
licensed
under
chapter
148
,
3
148C
,
149
,
151
,
or
154
,
or
a
person
licensed
as
an
advanced
4
registered
nurse
practitioner
under
chapter
152
or
152E
.
5
Sec.
28.
Section
514F.6,
subsection
2,
paragraph
a,
Code
6
2014,
is
amended
to
read
as
follows:
7
a.
“Advanced
registered
nurse
practitioner”
means
a
licensed
8
an
advanced
registered
nurse
who
is
also
registered
to
practice
9
in
an
advanced
role
practitioner
licensed
under
chapter
152
or
10
152E
.
11
Sec.
29.
TRANSITION
PROVISIONS
——
CONTINUING
VALIDITY
OF
12
REGISTRATIONS.
A
registration
as
an
advanced
registered
nurse
13
practitioner
issued
prior
to
July
1,
2014,
remains
valid
until
14
its
expiration.
A
renewal
shall
be
by
license
as
provided
in
15
this
Act.
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
This
bill
contains
various
revisions
to
Code
provisions
20
relating
to
the
practice
of
nursing.
The
bill
requires
21
advanced
registered
nurse
practitioners
to
be
licensed
by
the
22
board
of
nursing
rather
than
registered,
and
authorizes
the
23
professional
abbreviation
“A.R.N.P.”
24
Current
Code
language
authorizes
licensed
practical
nurses
25
and
registered
nurses
to
perform
acts
or
nursing
specialties
26
which
are
recognized
by
the
medical
and
nursing
professions
27
and
are
approved
by
the
board.
The
bill
eliminates
this
28
provision
and
provides
that
the
regulation
of
nursing
is
the
29
authority
and
responsibility
of
the
board
to
determine
which
30
acts
or
specialties
may
be
performed
by
a
nurse,
commensurate
31
with
the
nurse’s
education,
continuing
education,
demonstrated
32
competencies
and
experience.
33
The
bill
specifies
the
purposes
for
which
licensing
fees
34
which
are
treated
as
return
receipts
may
be
used
by
the
board.
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The
bill
separates
the
provision
on
education
programs
and
1
student
records
into
two
Code
sections.
2
Currently,
the
board
of
nursing
may
request
a
nurse
who
is
3
a
licensee
to
submit
to
an
appropriate
medical
examination.
4
The
bill
eliminates
the
requirement
that
the
board
pay
the
5
reasonable
costs
for
such
examinations
and
medical
reports.
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