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Second Substitute H.B. 121

This document includes House Floor Amendments incorporated into the bill on Fri, Feb 6, 2009 at 12:08 PM by ddonat. -->

Representative Melvin R. Brown proposes the following substitute bill:





Chief Sponsor: Melvin R. Brown

Senate Sponsor: Kevin T. Van Tassell

             8      LONG TITLE
             9      General Description:
             10          This bill enacts the Retired Volunteer Health Care Practitioner Act in the Occupations
             11      and Professions Code.
             12      Highlighted Provisions:
             13          This bill:
             14          .    defines terms;
             15          .    establishes eligibility for a volunteer health care practitioner license;
             16          .    provides a waiver of division fees for licensing of a volunteer health care
             17      practitioner;
             18          .    limits the practice of a volunteer health care practitioner to exclusive charity care at
             19      a charity location; and
             20          .    requires supervision of a volunteer health care practitioner.
             21      Monies Appropriated in this Bill:
             22          None
             23      Other Special Clauses:
             24          None
             25      Utah Code Sections Affected:

             26      ENACTS:
             27          58-78-101, Utah Code Annotated 1953
             28          58-78-102, Utah Code Annotated 1953
             29          58-78-103, Utah Code Annotated 1953
             30          58-78-104, Utah Code Annotated 1953
             32      Be it enacted by the Legislature of the state of Utah:
             33          Section 1. Section 58-78-101 is enacted to read:

             35          58-78-101. Title.
             36          This chapter is known as the "Retired Volunteer Health Care Practitioner Act."
             37          Section 2. Section 58-78-102 is enacted to read:
             38          58-78-102. Definitions.
             39          For purposes of this chapter:
             40          (1) "Board" means the state licensing board created for each of the health care
             41      practitioners included in Subsection (2).
             42          (2) "Health care practitioner" includes:
             43          (a) a podiatrist licensed under Chapter 5a, Podiatric Physician Licensing Act;
             44          (b) a physical therapist licensed under Chapter 24a, Physical Therapist Practice Act;
             45          (c) a nurse or advanced practice registered nurse licensed under Chapter 31b, Nurse
             46      Practice Act;
             47          (d) a recreational therapist licensed under Chapter 40, Recreational Therapist Practice
             48      Act;
             49          (e) an occupational therapist licensed under Chapter 42a, Occupational Therapy
             50      Practice Act;
             51          (f) a nurse midwife licensed under Chapter 44a, Nurse Midwife Practice Act;
             52          (g) a mental health professional licensed under Chapter 60, Mental Health Professional
             53      Practice Act;
             54          (h) a physician licensed under Chapter 67, Utah Medical Practice Act;
             55          (i) an osteopath licensed under Chapter 68, Utah Osteopathic Medical Practice Act;
             56          (j) a dentist or dental hygienist licensed under Chapter 69, Dentist and Dental

             57      Hygienist Practice Act; H. [ or ] .H
             58          (k) a physician assistant licensed under Chapter 70a, Physician Assistant Act H. ;
             58a          (l) a pharmacist licensed under Chapter 17b, Pharmacy Practice Act; or
             58b          (m) an optometrist licensed under Chapter 16a, Utah Optometry Practice Act .H .
             59          (3) "Qualified location" means:
             60          (a) a clinic, hospital, church, or organization whose primary purposes is to sponsor,
             61      promote, or organize uncompensated health care services for people unable to pay for health
             62      care services; and
             63          (b) is a location approved by the division.
             64          (4) "Remuneration or compensation" is as defined in Section 58-13-3 .
             65          (5) "Supervision" means:
             66          (a) the level of supervision required for:
             67          (i) a social service worker in Chapter 60, Mental Health Profession Practice Act;
             68          (ii) a dental hygienist in Chapter 69, Dentist and Dental Hygienist Practice Act;
             69          (iii) a recreational therapist technician in Chapter 40, Recreational Therapist Practice
             70      Act; and
             71          (iv) an occupational technician assistant in Chapter 42, Occupational Therapy Practice
             72      Act; and
             73          (b) for the health care practitioners listed in Subsections (2)(a) through H. [ (j) ] (m) .H
             73a      and not
             74      included in Subsection (5)(a):
             75          (i) entering into a delegation of service agreement with a supervising professional in
             76      accordance with Subsection 58-78-103 (2);
             77          (ii) having the ability to contact the supervising professional during the time the
             78      volunteer is providing volunteer services; and
             79          (iii) for every 40 hours of volunteer service hours, meeting with the supervising
             80      professional.
             81          (6) "Supervising professional" means a health care practitioner:
             82          (a) who has an active license in the state in good standing;
             83          (b) with a scope of practice that is appropriate for supervising the applicant as
             84      determined by the division and board; and
             85          (c) who is practicing at the qualified location.
             86          (7) "Volunteer" means the individual health care practitioner:
             87          (a) will devote the health care practitioner's practice exclusively to providing care to

             88      the needy and indigent in the state:
             89          (i) within:
             90          (A) the practitioner's scope of practice; and
             91          (B) the delegation of service agreement between the volunteer and the supervising
             92      professional; and
             93          (ii) at a qualified location;
             94          (b) will agree to donate professional services in a qualified location; and
             95          (c) will not receive remuneration or compensation for the health care practitioner's
             96      services.
             97          Section 3. Section 58-78-103 is enacted to read:
             98          58-78-103. Eligibility for volunteer health care practitioner license -- Delegation of
             99      service agreement.
             100          (1) A health care practitioner is eligible to apply to the division and board for a
             101      volunteer health care practitioner license if the health care practitioner:
             102          (a) certifies to the division and board that the applicant will be engaged exclusively in
             103      volunteer health care services; and
             104          (b) completes an application for a volunteer health care practitioner license, which
             105      includes documentation:
             106          (i) of professional education, exams passed, and graduation;
             107          (ii) of practice history;
             108          (iii) of a qualified location for which the health care practitioner will be practicing;
             109          (iv) identifying the supervising health care practitioner and the supervising heath care
             110      practitioner's delegation of service agreement with the volunteer practitioner; and
             111          (v) that the applicant has:
             112          (A) previously been issued an unrestricted license to practice in Utah or another state
             113      of the United States;
             114          (B) never been the subject of any significant disciplinary action in any jurisdiction; and
             115          (C) is in good health and does not have a condition which would impair the health care
             116      practitioner's ability to practice with reasonable skill and safety to patients.
             117          (2) A health care provider who has agreed to be a supervising professional for a
             118      volunteer at a qualified location shall:

             119          (a) enter into a delegation of service agreement with the volunteer health care
             120      practitioner;
             121          (b) agree to provide the level of supervision required in Subsection 58-78-102 (5);
             122          (c) determine with the volunteer whether the volunteer's scope of practice or ability to
             123      prescribe controlled substances will be limited by the delegation of service agreement;
             124          (d) include in the delegation of service agreement that the volunteer may not prescribe
             125      a controlled substances to himself, the volunteer's family, or a staff member of the qualified
             126      location; and
             127          (e) forward the delegation of service agreement to the division.
             128          Section 4. Section 58-78-104 is enacted to read:
             129          58-78-104. Volunteer health care practitioner license -- Waiver of fees --
             130      Rulemaking authority.
             131          (1) The division and board shall issue a volunteer health care practitioner license to an
             132      applicant who:
             133          (a) completes an application under Section 58-78-103 ; and
             134          (b) meets the requirements of this chapter.
             135          (2) A license issued under this chapter shall:
             136          (a) comply with the scope of practice for a similarly situated licensed practitioner,
             137      except that the license shall limit the health care practitioner's practice to the qualified location;
             138          (b) permit the health care practitioner to apply for a controlled substance license as
             139      permitted for other similarly situated licensed practitioners; and
             140          (c) state that the license is a volunteer health care practitioner license and is subject to
             141      the restriction of Subsection (2)(a).
             142          (3) The division and board shall waive all division fees, including application fees,
             143      examination fees, and annual renewal fees for an applicant who applies for a volunteer health
             144      care practitioner license and who otherwise meets licensure requirements.
             145          (4) The division and a board may adopt rules in accordance with Title 63G, Chapter 3,
             146      Utah Administrative Rulemaking Act, to:
             147          (a) approve the charity locations that qualify under Section 58-78-102 ;
             148          (b) develop standards for the information that must be included in a delegation of
             149      service agreement, including a standard form that a supervising professional may use; and

             150          (c) implement the provisions of this chapter.
             151          (5) A health care practitioner who is licensed as a volunteer health care practitioner
             152      under this chapter is entitled to qualified immunity for charity care if the health care
             153      practitioner meets the requirements of Section 58-13-3 .

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