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H.B. 148





Sponsor: Bradley G. Last

             6      LONG TITLE
             7      General Description:
             8          This bill amends the Utah Optometry Practice Act.
             9      Highlighted Provisions:
             10          This bill:
             11          .    amends definitions;
             12          .    amends provisions related to unlawful conduct; and
             13          .    amends provisions related to the sale of contact lenses by removing the prohibition
             14      against offering contact lenses as premiums.
             15      Monies Appropriated in this Bill:
             16          None
             17      Other Special Clauses:
             18          None
             19      Utah Code Sections Affected:
             20      AMENDS:
             21          58-16a-102, as last amended by Chapter 270, Laws of Utah 2003
             22          58-16a-501, as last amended by Chapter 160, Laws of Utah 2000
             23          58-16a-801, as enacted by Chapter 160, Laws of Utah 2000
             25      Be it enacted by the Legislature of the state of Utah:
             26          Section 1. Section 58-16a-102 is amended to read:
             27           58-16a-102. Definitions.

             28          In addition to the definitions in Section 58-1-102 , as used in this chapter:
             29          (1) "Board" means the Optometrist Licensing Board created in Section 58-16a-201 .
             30          (2) "Contact lens" means any lens that:
             31          (a) has a spherical, cylindrical, or prismatic power or curvature;
             32          (b) is made pursuant to a current prescription; or
             33          (c) is intended to be worn on the surface of the eye.
             34          (3) (a) "Contact lens prescription" means a written or verbal order for contact lenses
             35      that includes:
             36          (i) the commencement date of the prescription;
             37          (ii) the base curve, power, diameter, material or brand name, and expiration date;
             38          (iii) for a written order, the signature of the prescribing optometrist or physician; and
             39          (iv) for a verbal order, a record maintained by the recipient of:
             40          (A) the name of the prescribing optometrist or physician; and
             41          (B) the date when the prescription was issued or ordered.
             42          (b) A prescription may include:
             43          (i) a limit on the quantity of lenses that may be ordered under the prescription if
             44      required for medical reasons documented in the patient's files; and
             45          (ii) the expiration date of the prescription, which shall be two years from the
             46      commencement date, unless documented medical reasons require otherwise.
             47          (c) When a provider prescribes a private label contact lens for a patient the prescription
             48      shall include:
             49          (i) the name of the manufacturer;
             50          (ii) the trade name of the private label brand; and
             51          (iii) if applicable, the trade name of the equivalent national brand.
             52          (4) "Contact lens prescription verification" means a written request from a person who
             53      sells or provides contact lenses that:
             54          (a) is sent to the prescribing optometrist or physician; and
             55          (b) seeks the confirmation of the accuracy of a patient's prescription.
             56          (5) "Eye and its adnexa" means the human eye and all structures situated within the
             57      orbit, including the conjunctiva, lids, lashes, and lacrimal system.
             58          (6) "Fitting of a contact lens" means:

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

             90          (ii) fit glasses or contact lenses; or
             91          (iii) adjust frames;
             92          (e) removal of a foreign body from the eye or its adnexa, that is not deeper than the
             93      anterior 1/2 of the cornea;
             94          (f) consultation regarding the eye and its adnexa with other appropriate health care
             95      providers, including referral to other appropriate health care providers; and
             96          (g) a person, not licensed as an optometrist, directing a licensee under this chapter to
             97      withhold or alter the eye care services the licensee has ordered.
             98          (12) "Pharmaceutical agent" means any diagnostic or therapeutic drug or combination
             99      of drugs that has the property of assisting in the diagnosis, prevention, treatment, or mitigation
             100      of abnormal conditions or symptoms of the eye and its adnexa.
             101          (13) "Physician" has the same meaning as defined in Subsection 58-67-102 (7).
             102          (14) "Prescription drug" has the same definition as in Section 58-17a-102 .
             103          (15) "Unexpired" means a prescription that was issued:
             104          (a) not more than two years prior to presentation of the prescription for an ophthalmic
             105      lens; or
             106          (b) in accordance with Subsection (3) for a contact lens.
             107          Section 2. Section 58-16a-501 is amended to read:
             108           58-16a-501. Unlawful conduct.
             109          "Unlawful conduct" includes, in addition to the definition in Section 58-1-501 :
             110          (1) buying, selling, or fraudulently obtaining, any optometry diploma, license,
             111      certificate, or registration;
             112          (2) aiding or abetting the buying, selling, or fraudulently obtaining, of any optometry
             113      diploma, license, certificate, or registration;
             114          (3) selling or providing contact lenses in a manner inconsistent with Section
             115      58-16a-801 or intentionally altering a prescription unless the person selling the lenses is a
             116      licensed optometrist or ophthalmologist; or
             117          (4) representing oneself as or using the title of "optometrist," "optometric physician,"
             118      "doctor of optometry," or "O.D.," unless currently licensed under this chapter.
             119          Section 3. Section 58-16a-801 is amended to read:
             120           58-16a-801. Contact lens seller.

             121          (1) A person may sell or provide contact lenses if the person:
             122          (a) does so in the ordinary course of trade from a permanently located and established
             123      place of business;
             124          (b) does not perform refractions, over-refractions, or attempts to traffic upon assumed
             125      skill in testing the eye;
             126          [(c) does not offer or give contact lenses as premiums, as defined in Section 13-26-2 ;]
             127          (c) provides all contact lenses consistent with and in accordance with a valid contact
             128      lens prescription;
             129          (d) does not fit contact lenses;
             130          (e) provides a contact lens to a patient after:
             131          (i) receiving an unexpired verbal or written prescription; or
             132          (ii) sending a contact lens prescription verification to the prescribing optometrist or
             133      physician, regardless of whether the prescribing optometrist or physician responds to or
             134      confirms the verification, provided that:
             135          (A) the person has all of the information necessary to fill the prescription;
             136          (B) the prescribing optometrist or physician has not informed the person that the
             137      prescription has expired or is otherwise inaccurate prior to the person shipping or
             138      hand-delivering the contact lens to the patient;
             139          (C) the person confirms a valid, unexpired contact lens prescription for the patient if
             140      the person is aware that the patient provided inaccurate prescription information in his last
             141      order; and
             142          (D) the person informs the patient that the prescription has expired or that there is a
             143      medical problem associated with the prescription if the information is communicated by the
             144      prescribing optometrist or physician to the person within 72 hours of the contact lens
             145      prescription verification being sent; and
             146          (f) maintains patient information, including the method and date of any prescription
             147      verification, for no less than seven years.
             148          (2) Nothing in this section may be construed as requiring a person to be licensed or
             149      certified in any way under this or any another chapter of this title to sell contact lenses in
             150      accordance with Subsection (1).

Legislative Review Note
    as of 2-2-04 3:21 PM

A limited legal review of this legislation raises no obvious constitutional or statutory concerns.

Office of Legislative Research and General Counsel

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