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H.B. 136

             1     

PROVIDING HEALTH CARE SERVICE -

             2     
EXEMPTIONS FROM LICENSURE

             3     
2006 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Bradley M. Daw

             6     
Senate Sponsor: ____________

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill modifies provisions of Title 58, Occupations and Professions, related to
             11      creating exemptions from licensure for certain persons who provide health care
             12      services.
             13      Highlighted Provisions:
             14          This bill:
             15          .    provides that individuals may provide certain health care services, as defined in the
             16      bill, without being licensed or certified under Title 58, Occupations and
             17      Professions;
             18          .    provides the qualifications required for an exemption from licensure in providing
             19      health care services;
             20          .    requires written disclosure by an exempted practitioner prior to providing health
             21      care services and a written acknowledgment from the potential client of the received
             22      disclosure;
             23          .    limits the application of a health care services provider's exemption; and
             24          .    provides a penalty.
             25      Monies Appropriated in this Bill:
             26          None
             27      Other Special Clauses:


             28          None
             29      Utah Code Sections Affected:
             30      ENACTS:
             31          58-1-307.5, Utah Code Annotated 1953
             32     
             33      Be it enacted by the Legislature of the state of Utah:
             34          Section 1. Section 58-1-307.5 is enacted to read:
             35          58-1-307.5. Providing health care services -- Exemption from licensure --
             36      Disclosure -- Limitations -- Penalty.
             37          (1) As used in this section, "health care services" means the broad domain of health
             38      care and healing therapies and methods which are:
             39          (a) provided by an individual who does not hold a license, permit, certification, or
             40      registration issued by the division under Title 58, Occupations and Professions; and
             41          (b) not prohibited under this section.
             42          (2) Notwithstanding any other provision of this title, an individual providing health
             43      care services in compliance with this section is exempt from the requirement of licensure in
             44      providing health care services if the individual:
             45          (a) provides the health care services in accordance with this section; and
             46          (b) does not:
             47          (i) perform surgery or any other procedure that punctures the skin, except for finger
             48      pricking for screening purposes;
             49          (ii) set fractures;
             50          (iii) prescribe or administer X-ray radiation to an individual;
             51          (iv) prescribe or administer a prescription drug, a prescription device, or a controlled
             52      substance to an individual;
             53          (v) diagnose and treat a mental or physical condition of an individual and as a direct
             54      result of that service knowingly and willfully cause the individual recognizable and eminent
             55      risk of significant and discernable physical or mental injury;
             56          (vi) state, advertise, or otherwise represent to any person that the individual is licensed,
             57      certified, or registered to practice a health care profession in Utah;
             58          (vii) perform a chiropractic adjustment of an articulation of the spine; and


             59          (viii) recommend the discontinuance of a medically prescribed drug or medically
             60      prescribed treatment.
             61          (3) (a) An individual providing health care services under this section, who is
             62      advertising or charging a fee for those services, shall, prior to providing the services, disclose
             63      to the client in a plainly worded written statement:
             64          (i) the individual's name, business address, and telephone number;
             65          (ii) that the individual is not a health care practitioner licensed by the state;
             66          (iii) the nature of the health care services to be provided; and
             67          (iv) the degrees, training, experience, credentials, or other qualifications of the
             68      individual regarding the health care services to be provided.
             69          (b) (i) Before the individual provides health care services to a client for the first time,
             70      the individual must obtain a written acknowledgment from the client or the client's legal
             71      guardian stating that the client has been provided with the information required under
             72      Subsection (3)(a).
             73          (ii) The client shall receive a copy of the written acknowledgment required under
             74      Subsection (3)(b)(i) and the individual providing the health care services shall maintain the
             75      written acknowledgment for a period of two years.
             76          (iii) Any change in the disclosure information required under Subsection (3)(a) shall be
             77      given to the client in writing prior to the providing of health care services that would occur
             78      after the change.
             79          (4) Nothing in this section:
             80          (a) shall be construed to apply to the practice, conduct, activities, or services of a
             81      person licensed, registered, certified, or otherwise credentialed under Title 58, Occupations and
             82      Professions;
             83          (b) applies to, controls, or prevents:
             84          (i) a health care practice from being practiced if it is already exempt from Title 58,
             85      Occupations and Professions, any professional practice acts, or under state law; or
             86          (ii) an individual from providing health care services if the individual is already
             87      exempt from Title 58, Occupations and Professions, any professional practice acts, or under
             88      state law;
             89          (c) shall be interpreted to apply to, control, prevent, or restrict the practice, service, or


             90      activity of lawfully marketing, selling, or distributing products such as food, dietary
             91      supplements, or homeopathic remedies, educating consumers about the products, or explaining
             92      the use of the products; and
             93          (d) limits the right of an individual to seek relief for negligence or any other civil
             94      remedy against an individual providing services subject to the requirements of this section.
             95          (5) Any person who violates Subsection (3)(a) or (3)(b)(iii) by knowingly making a
             96      misrepresentation in the disclosure statement is guilty of a class A misdemeanor.




Legislative Review Note
    as of 1-13-06 3:01 PM


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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