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H.B. 121 Enrolled






Chief Sponsor: Melvin R. Brown

Senate Sponsor: Kevin T. Van Tassell

             7      Cosponsors:
             8      Sheryl L. Allen
             9      Jackie Biskupski
             10      Stephen D. Clark
             11      Susan Duckworth
             12      James A. DunniganGage Froerer
Kevin S. Garn
Francis D. Gibson
James R. Gowans
Neil A. Hansen
Christine A. JohnsonBrian S. King
David Litvack
Michael T. Morley
Carol Spackman Moss
Michael E. Noel
Patrick Painter              13     
             14      LONG TITLE
             15      General Description:
             16          This bill enacts the Retired Volunteer Health Care Practitioner Act in the Occupations
             17      and Professions Code.
             18      Highlighted Provisions:
             19          This bill:
             20          .    defines terms;
             21          .    establishes eligibility for a volunteer health care practitioner license;
             22          .    provides a waiver of division fees for licensing of a volunteer health care
             23      practitioner;
             24          .    limits the practice of a volunteer health care practitioner to exclusive charity care at
             25      a charity location; and
             26          .    requires supervision of a volunteer health care practitioner.
             27      Monies Appropriated in this Bill:
             28          None
             29      Other Special Clauses:
             30          None

             31      Utah Code Sections Affected:
             32      ENACTS:
             33          58-78-101, Utah Code Annotated 1953
             34          58-78-102, Utah Code Annotated 1953
             35          58-78-103, Utah Code Annotated 1953
             36          58-78-104, Utah Code Annotated 1953
             38      Be it enacted by the Legislature of the state of Utah:
             39          Section 1. Section 58-78-101 is enacted to read:

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

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

             87      included in Subsection (5)(a):
             88          (i) entering into a delegation of service agreement with a supervising professional in
             89      accordance with Subsection 58-78-103 (2);
             90          (ii) having the ability to contact the supervising professional during the time the
             91      volunteer is providing volunteer services; and
             92          (iii) for every 40 hours of volunteer service hours, meeting with the supervising
             93      professional.
             94          (7) "Volunteer" means the individual health care practitioner:
             95          (a) will devote the health care practitioner's practice exclusively to providing care to
             96      the needy and indigent in the state:
             97          (i) within:
             98          (A) the practitioner's scope of practice; and
             99          (B) the delegation of service agreement between the volunteer and the supervising
             100      professional; and
             101          (ii) at a qualified location;
             102          (b) will agree to donate professional services in a qualified location; and
             103          (c) will not receive remuneration or compensation for the health care practitioner's
             104      services.
             105          Section 3. Section 58-78-103 is enacted to read:
             106          58-78-103. Eligibility for volunteer health care practitioner license -- Delegation
             107      of service agreement.
             108          (1) A health care practitioner is eligible to apply to the division and board for a
             109      volunteer health care practitioner license if the health care practitioner:
             110          (a) certifies to the division and board that the applicant will be engaged exclusively in
             111      volunteer health care services; and
             112          (b) completes an application for a volunteer health care practitioner license, which
             113      includes documentation:
             114          (i) of professional education, exams passed, and graduation;

             115          (ii) of practice history;
             116          (iii) of a qualified location for which the health care practitioner will be practicing;
             117          (iv) identifying the supervising health care practitioner and the supervising heath care
             118      practitioner's delegation of service agreement with the volunteer practitioner; and
             119          (v) that the applicant has:
             120          (A) previously been issued an unrestricted license to practice in Utah or another state
             121      of the United States;
             122          (B) never been the subject of any significant disciplinary action in any jurisdiction;
             123      and
             124          (C) is in good health and does not have a condition which would impair the health
             125      care practitioner's ability to practice with reasonable skill and safety to patients.
             126          (2) A health care provider who has agreed to be a supervising professional for a
             127      volunteer at a qualified location shall:
             128          (a) enter into a delegation of service agreement with the volunteer health care
             129      practitioner;
             130          (b) agree to provide the level of supervision required in Subsection 58-78-102 (5);
             131          (c) determine with the volunteer whether the volunteer's scope of practice or ability to
             132      prescribe controlled substances will be limited by the delegation of service agreement;
             133          (d) include in the delegation of service agreement that the volunteer may not prescribe
             134      a controlled substance to himself, the volunteer's family, or a staff member of the qualified
             135      location; and
             136          (e) forward the delegation of service agreement to the division.
             137          Section 4. Section 58-78-104 is enacted to read:
             138          58-78-104. Volunteer health care practitioner license -- Waiver of fees --
             139      Rulemaking authority.
             140          (1) The division and board shall issue a volunteer health care practitioner license to an
             141      applicant who:
             142          (a) completes an application under Section 58-78-103 ; and

             143          (b) meets the requirements of this chapter.
             144          (2) A license issued under this chapter shall:
             145          (a) comply with the scope of practice for a similarly situated licensed practitioner,
             146      except that the license shall limit the health care practitioner's practice to the qualified
             147      location;
             148          (b) permit the health care practitioner to apply for a controlled substance license as
             149      permitted for other similarly situated licensed practitioners; and
             150          (c) state that the license is a volunteer health care practitioner license and is subject to
             151      the restriction of Subsection (2)(a).
             152          (3) The division and board shall waive all division fees, including application fees,
             153      examination fees, and annual renewal fees for an applicant who applies for a volunteer health
             154      care practitioner license and who otherwise meets licensure requirements.
             155          (4) The division and board may adopt rules in accordance with Title 63G, Chapter 3,
             156      Utah Administrative Rulemaking Act, to:
             157          (a) approve the charity locations that qualify under Section 58-78-102 ;
             158          (b) develop standards for the information that must be included in a delegation of
             159      service agreement, including a standard form that a supervising professional may use; and
             160          (c) implement the provisions of this chapter.
             161          (5) A health care practitioner who is licensed as a volunteer health care practitioner
             162      under this chapter is entitled to qualified immunity for charity care if the health care
             163      practitioner meets the requirements of Section 58-13-3 .

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