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S.B. 74





Sponsor: Lyle W. Hillyard

             6      LONG TITLE
             7      General Description:
             8          This bill authorizes the local departments of health to create and activate a medical
             9      reserve corps during times of an emergency or national disaster.
             10      Highlighted Provisions:
             11          This bill:
             12          .    authorizes the local department of health to organize, activate, and supervise a
             13      medical reserve corps during a time of declared public health emergency or disaster;
             14          .    amends the Occupational and Professional Practices Act to permit retired health
             15      care professionals and out-of-state health care professionals to serve in a medical
             16      reserve corps during a time of disaster or emergency; and
             17          .    clarifies that the Good Samaritan laws apply to health care professionals who
             18      volunteer during a declared emergency or disaster.
             19      Monies Appropriated in this Bill:
             20          None
             21      Other Special Clauses:
             22          None
             23      Utah Code Sections Affected:
             24      AMENDS:
             25          58-1-307, as last amended by Chapters 156 and 280, Laws of Utah 2004
             26          58-13-2, as last amended by Chapter 3, Laws of Utah 2003
             27      ENACTS:

             28          26A-1-126, Utah Code Annotated 1953
             30      Be it enacted by the Legislature of the state of Utah:
             31          Section 1. Section 26A-1-126 is enacted to read:
             32          26A-1-126. Medical reserve corps.
             33          (1) In addition to the duties listed in Section 26A-1-114 , a local health department may
             34      establish a medical reserve corps in accordance with this section.
             35          (2) The purpose of a medical reserve corps is to enable a local health authority to
             36      respond with appropriate health care professionals to a national, state, or local emergency, a
             37      public health emergency as defined in Section 26-23b-102 , or a declaration by the president of
             38      the United States or other federal official requesting public health related activities.
             39          (3) When an emergency has been declared in accordance with Subsection (2), a local
             40      health department may activate a medical reserve corps for the duration of the emergency.
             41          (4) For purposes of this section, a medical reserve corps may include persons who:
             42          (a) are licensed under Title 58, Occupations and Professions, and who are operating
             43      within the scope of their practice;
             44          (b) are exempt from licensure, or operating under modified scope of practice
             45      provisions in accordance with Subsections 58-1-307 (4) and (5); and
             46          (c) within the ten years preceding the declared emergency, held a valid license, in good
             47      standing, for one of the occupations described in Subsection 58-13-2 (1), but the license is not
             48      currently active.
             49          (5) (a) Notwithstanding the provisions of Subsections 58-1-307 (4)(a) and (5)(b) the
             50      local health department may authorize a person described in Subsection (4) to operate in a
             51      modified scope of practice as necessary to respond to the declared emergency.
             52          (b) A person operating as a member of an activated medical reserve corps under this
             53      section:
             54          (i) must be volunteering for and supervised by the local health department;
             55          (ii) must comply with the provisions of this section;
             56          (iii) is exempt from the licensing laws of Title 58, Occupations and Professions; and
             57          (iv) must carry a certificate issued by the local health department which designates the
             58      individual as a member of the medical reserve corps during the duration of the emergency.

             59          (6) The local department of health may access the Division of Occupational and
             60      Professional Licensing database for the purpose of determining if a person's current or expired
             61      license to practice in the state was in good standing.
             62          (7) The local department of health shall maintain a registry of persons who are
             63      members of a medical reserve corps. The registry of the medical reserve corps shall be made
             64      available to the public and to the Division of Occupational and Professional Licensing.
             65          Section 2. Section 58-1-307 is amended to read:
             66           58-1-307. Exemptions from licensure.
             67          (1) Except as otherwise provided by statute or rule, the following persons may engage
             68      in the practice of their occupation or profession, subject to the stated circumstances and
             69      limitations, without being licensed under this title:
             70          (a) a person serving in the armed forces of the United States, the United States Public
             71      Health Service, the United States Department of Veterans Affairs, or other federal agencies
             72      while engaged in activities regulated under this chapter as a part of employment with that
             73      federal agency if the person holds a valid license to practice a regulated occupation or
             74      profession issued by any other state or jurisdiction recognized by the division;
             75          (b) a student engaged in activities constituting the practice of a regulated occupation or
             76      profession while in training in a recognized school approved by the division to the extent the
             77      activities are supervised by qualified faculty, staff, or designee and the activities are a defined
             78      part of the training program;
             79          (c) an individual engaged in an internship, residency, preceptorship, postceptorship,
             80      fellowship, apprenticeship, or on-the-job training program approved by the division while
             81      under the supervision of qualified persons;
             82          (d) an individual residing in another state and licensed to practice a regulated
             83      occupation or profession in that state, who is called in for a consultation by an individual
             84      licensed in this state, and the services provided are limited to that consultation;
             85          (e) an individual who is invited by a recognized school, association, society, or other
             86      body approved by the division to conduct a lecture, clinic, or demonstration of the practice of a
             87      regulated occupation or profession if the individual does not establish a place of business or
             88      regularly engage in the practice of the regulated occupation or profession in this state;
             89          (f) an individual licensed under the laws of this state, other than under this title, to

             90      practice or engage in an occupation or profession, while engaged in the lawful, professional,
             91      and competent practice of that occupation or profession;
             92          (g) an individual licensed in a health care profession in another state who performs that
             93      profession while attending to the immediate needs of a patient for a reasonable period during
             94      which the patient is being transported from outside of this state, into this state, or through this
             95      state;
             96          (h) an individual licensed in another state or country who is in this state temporarily to
             97      attend to the needs of an athletic team or group, except that the practitioner may only attend to
             98      the needs of the athletic team or group, including all individuals who travel with the team or
             99      group in any capacity except as a spectator;
             100          (i) an individual licensed and in good standing in another state, who is in this state:
             101          (i) temporarily, under the invitation and control of a sponsoring entity;
             102          (ii) for a reason associated with a special purpose event, based upon needs that may
             103      exceed the ability of this state to address through its licensees, as determined by the division;
             104      and
             105          (iii) for a limited period of time not to exceed the duration of that event, together with
             106      any necessary preparatory and conclusionary periods;
             107          (j) an individual who:
             108          (i) is certified as an athletic trainer by the National Athletic Trainers Association Board
             109      of Certification or another entity approved by the division;
             110          (ii) is employed or officially associated with an educational institution, a professional
             111      sports organization, or a bona fide amateur sports organization; and
             112          (iii) only provides athletic training services:
             113          (A) to athletes of the educational institution or sports organization to which the
             114      individual is employed or officially associated;
             115          (B) at an official athletic training, practice, or competition site; and
             116          (C) that are within the scope of the individual's certification; and
             117          (k) a law enforcement officer, as defined under Section 53-13-103 , who:
             118          (i) is operating a voice stress analyzer in the course of the officer's full-time
             119      employment with a federal, state, or local law enforcement agency;
             120          (ii) has completed the manufacturer's training course and is certified by the

             121      manufacturer to operate that voice stress analyzer; and
             122          (iii) is operating the voice stress analyzer in accordance with Section 58-64-601 ,
             123      regarding deception detection instruments.
             124          (2) A practitioner temporarily in this state who is exempted from licensure under
             125      Subsection (1) shall comply with each requirement of the licensing jurisdiction from which the
             126      practitioner derives authority to practice. Violation of any limitation imposed by this section
             127      constitutes grounds for removal of exempt status, denial of license, or other disciplinary
             128      proceedings.
             129          (3) An individual who is licensed under a specific chapter of this title to practice or
             130      engage in an occupation or profession may engage in the lawful, professional, and competent
             131      practice of that occupation or profession without additional licensure under other chapters of
             132      this title, except as otherwise provided by this title.
             133          (4) Upon the declaration of a national, state, or local emergency, a public health
             134      emergency as defined in Section 26-23b-102 , or a declaration by the President of the United
             135      States or other federal official requesting public health-related activities, the division in
             136      collaboration with the board may:
             137          (a) suspend the requirements for permanent or temporary licensure of persons who are
             138      licensed in another state. Persons exempt under this Subsection (4)(a) shall be exempt from
             139      licensure for the duration of the emergency while engaged in the scope of practice for which
             140      they are licensed in the other state;
             141          (b) modify, under the circumstances described in this Subsection (4) and Subsection
             142      (5), the scope of practice restrictions under this title for persons who are licensed under this
             143      title as:
             144          (i) a physician under Chapter 67, Utah Medical Practice Act, or Chapter 68, Utah
             145      Osteopathic Medical Practice Act;
             146          (ii) a nurse under Chapter 31b, Nurse Practice Act, or Chapter 31c, Nurse Licensure
             147      Compact;
             148          (iii) a certified nurse midwife under Chapter 44a, Nurse Midwife Practice Act;
             149          (iv) a pharmacist, pharmacy technician, or pharmacy intern under Chapter 17b,
             150      Pharmacy Practice Act;
             151          (v) a respiratory therapist under Chapter 57, Respiratory Care Practices Act; and

             152          (vi) a dentist and dental hygienist under Chapter 69, Dentist and Dental Hygienist
             153      Practice Act;
             154          (c) suspend the requirements for licensure under this title and modify the scope of
             155      practice in the circumstances described in this Subsection (4) and Subsection (5) for medical
             156      services personnel or paramedics required to be certified under Section 26-8a-302 ; [and]
             157          (d) suspend requirements in Subsections 58-17b-620 (3) through (6) which require
             158      certain prescriptive procedures[.]; and
             159          (e) exempt or modify the requirement for licensure of a person who is activated as a
             160      member of a medical reserve corps during a time of emergency as provided in Section
             161      26A-1-126 .
             162          (5) Persons exempt under Subsection (4)(c) and persons operating under modified
             163      scope of practice provisions under Subsection (4)(b):
             164          (a) shall be exempt from licensure or subject to modified scope of practice for the
             165      duration of the emergency;
             166          (b) must be engaged in the distribution of medicines or medical devises in response to
             167      the emergency or declaration; and
             168          (c) must be employed by or volunteering for a local or state department of health.
             169          Section 3. Section 58-13-2 is amended to read:
             170           58-13-2. Emergency care rendered by licensee.
             171          (1) A person licensed under Title 58, Occupations and Professions, to practice as any
             172      of the following health care professionals, who is under no legal duty to respond, and who in
             173      good faith renders emergency care at the scene of an emergency gratuitously and in good faith,
             174      is not liable for any civil damages as a result of any acts or omissions by the person in
             175      rendering the emergency care:
             176          (a) osteopathic physician;
             177          (b) physician and surgeon;
             178          (c) naturopathic physician;
             179          (d) dentist or dental hygienist;
             180          (e) chiropractic physician;
             181          (f) physician assistant;
             182          (g) optometrist;

             183          (h) nurse licensed under Section 58-31b-301 or 58-31c-102 ;
             184          (i) podiatrist;
             185          (j) certified nurse midwife;
             186          (k) respiratory therapist; or
             187          (l) pharmacist, pharmacy technician, and pharmacy intern.
             188          (2) [(a)] This Subsection (2) applies to health care professionals:
             189          (a) (i) described in Subsection (1); and
             190          (ii) who are under no legal duty to respond to the circumstances described in
             191      Subsection [(2)(b)] (3); or
             192          (b) who are activated as a member of a medical reserve corps as described in Section
             193      26A-1-126 during the time of an emergency as provided in Section 26A-1-126 ; and
             194          [(iii)] (c) (i) who are acting within the scope of the health care professional's license, or
             195      within the scope of practice as modified under Subsection 58-1-307 (4) or Section 26A-1-126 ;
             196      and
             197          [(iv)] (ii) who are acting in good faith without compensation or remuneration as
             198      defined in Subsection 58-13-3 (2).
             199          [(b)] (3) A health care professional described in Subsection (2)[(a)] is not liable for any
             200      civil damages as a result of any acts or omissions by the health care professional in rendering
             201      care as a result of:
             202          [(i)] (a) implementation of measures to control the causes of epidemic and
             203      communicable diseases and other conditions significantly affecting the public health or
             204      necessary to protect the public health as set out in Title 26A, Chapter 1, Local Health
             205      Departments;
             206          [(ii)] (b) investigating and controlling suspected bioterrorism and disease as set out in
             207      Title 26, Chapter 23b, Detection of Public Health Emergencies Act; and
             208          [(iii)] (c) responding to a national, state, or local emergency, a public health emergency
             209      as defined in Section 26-23b-102 , or a declaration by the President of the United States or other
             210      federal official requesting public health-related activities.
             211          [(3)] (4) The immunity in Subsection [(2)] (3) is in addition to any immunity or
             212      protection in state or federal law that may apply.
             213          (5) For purposes of Subsection (2)(c)(ii) remuneration does not include:

             214          (a) food supplied to the volunteer;
             215          (b) clothing supplied to the volunteer to help identify the volunteer during the time of
             216      the emergency; or
             217          (c) other similar support for the volunteer.

Legislative Review Note
    as of 1-13-05 11:35 AM

Based on a limited legal review, this legislation has not been determined to have a high
probability of being held unconstitutional.

Office of Legislative Research and General Counsel

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