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First Substitute H.B. 12

Representative Katherine M. Bryson proposes the following substitute bill:





Sponsor: Katherine M. Bryson

             6      This act modifies the Utah Optometry Practice Act by changing the definition of "contact
             7      lens prescription." The act conforms state law to federal regulations on standards for
             8      privacy of individually identifiable health information. The act requires a provider who
             9      prescribes a private label contact lens for a patient to include on the prescription the
             10      name of the manufacturer, the trade name of the private label brand, and, if applicable,
             11      the trade name of the equivalent national brand.
             12      This act affects sections of Utah Code Annotated 1953 as follows:
             13      AMENDS:
             14          58-16a-102, as last amended by Chapter 160, Laws of Utah 2000
             15          58-16a-306, as last amended by Chapter 160, Laws of Utah 2000
             16      Be it enacted by the Legislature of the state of Utah:
             17          Section 1. Section 58-16a-102 is amended to read:
             18           58-16a-102. Definitions.
             19          In addition to the definitions in Section 58-1-102 , as used in this chapter:
             20          (1) "Board" means the Optometrist Licensing Board created in Section 58-16a-201 .
             21          (2) "Contact lens" means any lens that:
             22          (a) has a spherical, cylindrical, or prismatic power or curvature;
             23          (b) is made pursuant to a current prescription; [and] or
             24          (c) is intended to be worn on the surface of the eye.
             25          (3) (a) "Contact lens prescription" means a written or verbal order for contact lenses

             26      that includes:
             27          (i) the commencement date of the prescription;
             28          (ii) the base curve, power, diameter, material or brand name, and expiration date;
             29          (iii) for a written order, the signature of the prescribing optometrist or physician; and
             30          (iv) for a verbal order, a record maintained by the recipient of:
             31          (A) the name of the prescribing optometrist or physician; and
             32          (B) the date when the prescription was issued or ordered.
             33          (b) A prescription may include:
             34          (i) a limit on the quantity of lenses that may be ordered under the prescription if[:(A)
             35      the prescription is for more than one contact per eye; or(B)] required for medical reasons
             36      documented in the patient's files; and
             37          (ii) the expiration date of the prescription, which [may not] shall be [less than one year]
             38      two years from the commencement date, unless documented medical reasons require
             39      [continuous monitoring, nor more than two years] otherwise.
             40          (c) [A prescription shall be valid for two years if the] When a provider prescribes a
             41      private label contact lens for a patient the prescription [does not] shall include [an expiration
             42      date.]:
             43          (i) the name of the manufacturer;
             44          (ii) the trade name of the private label brand; and
             45          (iii) if applicable, the trade name of the equivalent national brand.
             46          (4) "Contact lens prescription verification" means a written request from a person who
             47      sells contact lenses that:
             48          (a) is sent to the prescribing optometrist or physician; and
             49          (b) seeks the confirmation of the accuracy of a patient's prescription.
             50          (5) "Eye and its adnexa" means the human eye and all structures situated within the
             51      orbit, including the conjunctiva, lids, lashes, and lacrimal system.
             52          (6) "Fitting of a contact lens" means:
             53          (a) the using of a keratometer to measure the human eye;
             54          (b) utilizing refractive data provided by a licensed optometrist or ophthalmologist; and
             55          (c) trial fitting of contact lenses, which includes a period of time for evaluation for fit
             56      and performance, to determine a tentative contact lens prescription for a patient if the patient:

             57          (i) has not worn contact lenses before; or
             58          (ii) has changed to a different type or base curve.
             59          (7) "Laser surgery" means surgery in which human tissue is cut, burned, or vaporized
             60      by means of laser or ionizing radiation.
             61          (8) "Ophthalmic lens" means any lens used to treat the eye and that:
             62          (a) has a spherical, cylindrical, or prismatic power;
             63          (b) is made pursuant to an unexpired prescription; and
             64          (c) is intended to be used in eyeglasses or spectacles.
             65          (9) "Optometric assistant" means an unlicensed individual:
             66          (a) working under the direct and immediate supervision of a licensed optometrist; and
             67          (b) engaged in specific tasks assigned by the licensed optometrist in accordance with
             68      the standards and ethics of the profession.
             69          (10) "Optometrist" or "optometric physician" means an individual licensed under this
             70      chapter.
             71          (11) "Optometry" and "practice of optometry" mean any one or any combination of the
             72      following practices:
             73          (a) examination of the human eye and its adnexa to detect and diagnose defects or
             74      abnormal conditions;
             75          (b) determination or modification of the accommodative or refractive state of the
             76      human eye or its range or power of vision by administration and prescription of pharmaceutical
             77      agents or the use of diagnostic instruments;
             78          (c) prescription, ordering, administration, or adaptation of ophthalmic lenses, contact
             79      lenses, ophthalmic devices, pharmaceutical agents, laboratory tests, or ocular exercises to
             80      diagnose and treat diseases, defects, or other abnormal conditions of the human eye and its
             81      adnexa;
             82          (d) display of any advertisement, circular, sign, or device offering to:
             83          (i) examine the eyes;
             84          (ii) fit glasses or contact lenses; or
             85          (iii) adjust frames;
             86          (e) removal of a foreign body from the eye or its adnexa, that is not deeper than the
             87      anterior 1/2 of the cornea;

             88          (f) consultation regarding the eye and its adnexa with other appropriate health care
             89      providers, including referral to other appropriate health care providers; and
             90          (g) a person, not licensed as an optometrist, directing a licensee under this chapter to
             91      withhold or alter the eye care services the licensee has ordered.
             92          (12) "Pharmaceutical agent" means any diagnostic or therapeutic drug or combination
             93      of drugs that has the property of assisting in the diagnosis, prevention, treatment, or mitigation
             94      of abnormal conditions or symptoms of the eye and its adnexa.
             95          (13) "Physician" has the same meaning as defined in Subsection 58-67-102 (7).
             96          [(13)] (14) "Prescription drug" has the same definition as in Section 58-17a-102 .
             97          [(14)] (15) "Unexpired" means a prescription that was issued:
             98          (a) not more than two years prior to presentation of the prescription for an ophthalmic
             99      lens; or
             100          (b) in accordance with Subsection (3) for a contact lens.
             101          Section 2. Section 58-16a-306 is amended to read:
             102           58-16a-306. Contact lens prescription -- Qualifications.
             103          (1) An optometrist or [ophthalmologist] physician issuing a contact lens prescription
             104      shall:
             105          (a) be licensed under this title to practice in Utah;
             106          (b) ensure the final contact lens prescription is accurate;
             107          (c) present a written copy of the prescription to the patient after fitting [unless:]; and
             108          [(i) there are unpaid fees associated with the examination or treatment; or]
             109          [(ii) providing a copy is not in the best medical interests of the patient in the
             110      professional judgement of the prescribing optometrist or physician; and]
             111          (d) provide a copy of the patient's contact lens prescription to a person who sells
             112      contact lenses upon the request of the patient or the person selling the contact lenses.
             113          (2) An optometrist or physician may not be held liable as a result of providing a
             114      prescription to a patient as required by Subsection (1).
             115          (3) Application of the provisions of this section shall be consistent with 45 C.F.R. Parts
             116      160 and 164, Standards for Privacy of Individually Identifiable Health Information.

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