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H.B. 148 Enrolled





Sponsor: Bradley G. Last

                  LONG TITLE
                  General Description:
                      This bill amends the Utah Optometry Practice Act.
                  Highlighted Provisions:
                      This bill:
                      .    amends definitions;
                      .    amends provisions related to unlawful conduct; and
                      .    amends provisions related to the sale of contact lenses by removing the prohibition
                  against offering contact lenses as premiums.
                  Monies Appropriated in this Bill:
                  Other Special Clauses:
                  Utah Code Sections Affected:
                      58-16a-102, as last amended by Chapter 270, Laws of Utah 2003
                      58-16a-501, as last amended by Chapter 160, Laws of Utah 2000
                      58-16a-801, as enacted by Chapter 160, Laws of Utah 2000
                  Be it enacted by the Legislature of the state of Utah:
                      Section 1. Section 58-16a-102 is amended to read:
                       58-16a-102. Definitions.
                      In addition to the definitions in Section 58-1-102 , as used in this chapter:
                      (1) "Board" means the Optometrist Licensing Board created in Section 58-16a-201 .

                      (2) "Contact lens" means any lens that:
                      (a) has a spherical, cylindrical, or prismatic power or curvature;
                      (b) is made pursuant to a current prescription; or
                      (c) is intended to be worn on the surface of the eye.
                      (3) (a) "Contact lens prescription" means a written or verbal order for contact lenses that
                      (i) the commencement date of the prescription;
                      (ii) the base curve, power, diameter, material or brand name, and expiration date;
                      (iii) for a written order, the signature of the prescribing optometrist or physician; and
                      (iv) for a verbal order, a record maintained by the recipient of:
                      (A) the name of the prescribing optometrist or physician; and
                      (B) the date when the prescription was issued or ordered.
                      (b) A prescription may include:
                      (i) a limit on the quantity of lenses that may be ordered under the prescription if required
                  for medical reasons documented in the patient's files; and
                      (ii) the expiration date of the prescription, which shall be two years from the
                  commencement date, unless documented medical reasons require otherwise.
                      (c) When a provider prescribes a private label contact lens for a patient the prescription
                  shall include:
                      (i) the name of the manufacturer;
                      (ii) the trade name of the private label brand; and
                      (iii) if applicable, the trade name of the equivalent national brand.
                      (4) "Contact lens prescription verification" means a written request from a person who
                  sells or provides contact lenses that:
                      (a) is sent to the prescribing optometrist or physician; and
                      (b) seeks the confirmation of the accuracy of a patient's prescription.
                      (5) "Eye and its adnexa" means the human eye and all structures situated within the orbit,
                  including the conjunctiva, lids, lashes, and lacrimal system.

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                      (6) "Fitting of a contact lens" means:
                      (a) the using of a keratometer to measure the human eye;
                      (b) utilizing refractive data provided by a licensed optometrist or ophthalmologist; and
                      (c) trial fitting of contact lenses, which includes a period of time for evaluation for fit and
                  performance, to determine a tentative contact lens prescription for a patient if the patient:
                      (i) has not worn contact lenses before; or
                      (ii) has changed to a different type or base curve.
                      (7) "Laser surgery" means surgery in which human tissue is cut, burned, or vaporized by
                  means of laser or ionizing radiation.
                      (8) "Ophthalmic lens" means any lens used to treat the eye and that:
                      (a) has a spherical, cylindrical, or prismatic power;
                      (b) is made pursuant to an unexpired prescription; and
                      (c) is intended to be used in eyeglasses or spectacles.
                      (9) "Optometric assistant" means an unlicensed individual:
                      (a) working under the direct and immediate supervision of a licensed optometrist; and
                      (b) engaged in specific tasks assigned by the licensed optometrist in accordance with the
                  standards and ethics of the profession.
                      (10) "Optometrist" or "optometric physician" means an individual licensed under this
                      (11) "Optometry" and "practice of optometry" mean any one or any combination of the
                  following practices:
                      (a) examination of the human eye and its adnexa to detect and diagnose defects or
                  abnormal conditions;
                      (b) determination or modification of the accommodative or refractive state of the human
                  eye or its range or power of vision by administration and prescription of pharmaceutical agents or
                  the use of diagnostic instruments;
                      (c) prescription, ordering, administration, or adaptation of ophthalmic lenses, contact
                  lenses, ophthalmic devices, pharmaceutical agents, laboratory tests, or ocular exercises to

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                  diagnose and treat diseases, defects, or other abnormal conditions of the human eye and its
                      (d) display of any advertisement, circular, sign, or device offering to:
                      (i) examine the eyes;
                      (ii) fit glasses or contact lenses; or
                      (iii) adjust frames;
                      (e) removal of a foreign body from the eye or its adnexa, that is not deeper than the
                  anterior 1/2 of the cornea;
                      (f) consultation regarding the eye and its adnexa with other appropriate health care
                  providers, including referral to other appropriate health care providers; and
                      (g) a person, not licensed as an optometrist, directing a licensee under this chapter to
                  withhold or alter the eye care services the licensee has ordered.
                      (12) "Pharmaceutical agent" means any diagnostic or therapeutic drug or combination of
                  drugs that has the property of assisting in the diagnosis, prevention, treatment, or mitigation of
                  abnormal conditions or symptoms of the eye and its adnexa.
                      (13) "Physician" has the same meaning as defined in Subsection 58-67-102 (7).
                      (14) "Prescription drug" has the same definition as in Section 58-17a-102 .
                      (15) "Unexpired" means a prescription that was issued:
                      (a) not more than two years prior to presentation of the prescription for an ophthalmic
                  lens; or
                      (b) in accordance with Subsection (3) for a contact lens.
                      Section 2. Section 58-16a-501 is amended to read:
                       58-16a-501. Unlawful conduct.
                      "Unlawful conduct" includes, in addition to the definition in Section 58-1-501 :
                      (1) buying, selling, or fraudulently obtaining, any optometry diploma, license, certificate,
                  or registration;
                      (2) aiding or abetting the buying, selling, or fraudulently obtaining, of any optometry
                  diploma, license, certificate, or registration;

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                      (3) selling or providing contact lenses in a manner inconsistent with Section 58-16a-801
                  or intentionally altering a prescription unless the person selling the lenses is a licensed optometrist
                  or ophthalmologist; or
                      (4) representing oneself as or using the title of "optometrist," "optometric physician,"
                  "doctor of optometry," or "O.D.," unless currently licensed under this chapter.
                      Section 3. Section 58-16a-801 is amended to read:
                       58-16a-801. Contact lens seller.
                      (1) A person may sell or provide contact lenses if the person:
                      (a) does so in the ordinary course of trade from a permanently located and established
                  place of business;
                      (b) does not perform refractions, over-refractions, or attempts to traffic upon assumed
                  skill in testing the eye;
                      [(c) does not offer or give contact lenses as premiums, as defined in Section 13-26-2 ;]
                      (c) provides all contact lenses consistent with and in accordance with a valid contact lens
                      (d) does not fit contact lenses;
                      (e) provides a contact lens to a patient after:
                      (i) receiving an unexpired verbal or written prescription; or
                      (ii) sending a contact lens prescription verification to the prescribing optometrist or
                  physician, regardless of whether the prescribing optometrist or physician responds to or confirms
                  the verification, provided that:
                      (A) the person has all of the information necessary to fill the prescription;
                      (B) the prescribing optometrist or physician has not informed the person that the
                  prescription has expired or is otherwise inaccurate prior to the person shipping or hand-delivering
                  the contact lens to the patient;
                      (C) the person confirms a valid, unexpired contact lens prescription for the patient if the
                  person is aware that the patient provided inaccurate prescription information in his last order; and
                      (D) the person informs the patient that the prescription has expired or that there is a

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                  medical problem associated with the prescription if the information is communicated by the
                  prescribing optometrist or physician to the person within 72 hours of the contact lens prescription
                  verification being sent; and
                      (f) maintains patient information, including the method and date of any prescription
                  verification, for no less than seven years.
                      (2) Nothing in this section may be construed as requiring a person to be licensed or
                  certified in any way under this or any another chapter of this title to sell contact lenses in
                  accordance with Subsection (1).

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