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S.B. 80

             1     

PHYSICIAN LICENSING - VISITING

             2     
PROFESSORS

             3     
2010 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Peter C. Knudson

             6     
House Sponsor: ____________

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill amends the Utah Medical Practice Act and the Utah Osteopathic Medical
             11      Practice Act.
             12      Highlighted Provisions:
             13          This bill:
             14          .    provides that a physician or surgeon who is licensed in another jurisdiction in good
             15      standing may obtain a license to practice medicine or osteopathic medicine in this
             16      state if:
             17              .    the applicant has received a faculty appointment at a medical school in the state;
             18              .    the dean of the medical school verifies certain information and submits that
             19      information to the division; and
             20              .    the applicant limits the applicant's medical or osteopathic practice to the medical
             21      school facilities and its designated clinical settings.
             22      Monies Appropriated in this Bill:
             23          None
             24      Other Special Clauses:
             25          None
             26      Utah Code Sections Affected:
             27      AMENDS:


             28          58-67-302, as last amended by Laws of Utah 2009, Chapter 183
             29          58-68-302, as last amended by Laws of Utah 2009, Chapter 183
             30     
             31      Be it enacted by the Legislature of the state of Utah:
             32          Section 1. Section 58-67-302 is amended to read:
             33           58-67-302. Qualifications for licensure.
             34          (1) An applicant for licensure as a physician and surgeon, except as set forth in
             35      [Subsection] Subsections (2) and (5), shall:
             36          (a) submit an application in a form prescribed by the division, which may include:
             37          (i) submissions by the applicant of information maintained by practitioner data banks,
             38      as designated by division rule, with respect to the applicant; and
             39          (ii) a record of professional liability claims made against the applicant and settlements
             40      paid by or on behalf of the applicant;
             41          (b) pay a fee determined by the department under Section 63J-1-504 ;
             42          (c) be of good moral character;
             43          (d) provide satisfactory documentation of having successfully completed a program of
             44      professional education preparing an individual as a physician and surgeon, as evidenced by
             45      having received an earned degree of doctor of medicine from:
             46          (i) an LCME accredited medical school or college; or
             47          (ii) a medical school or college located outside of the United States or its jurisdictions
             48      which at the time of the applicant's graduation, met criteria for LCME accreditation;
             49          (e) hold a current certification by the Educational Commission for Foreign Medical
             50      Graduates or any successor organization approved by the division in collaboration with the
             51      board, if the applicant graduated from a medical school or college located outside of the United
             52      States or its jurisdictions;
             53          (f) satisfy the division and board that the applicant:
             54          (i) has successfully completed 24 months of progressive resident training in a program
             55      approved by the ACGME, the Royal College of Physicians and Surgeons, the College of
             56      Family Physicians of Canada, or any similar body in the United States or Canada approved by
             57      the division in collaboration with the board; or
             58          (ii) (A) has successfully completed 12 months of resident training in an ACGME


             59      approved program after receiving a degree of doctor of medicine as required under Subsection
             60      (1)(d);
             61          (B) has been accepted in and is successfully participating in progressive resident
             62      training in an ACGME approved program within Utah, in the applicant's second or third year
             63      of postgraduate training; and
             64          (C) has agreed to surrender to the division the applicant's license as a physician and
             65      surgeon without any proceedings under Title 63G, Chapter 4, Administrative Procedures Act,
             66      and has agreed the applicant's license as a physician and surgeon will be automatically revoked
             67      by the division if the applicant fails to continue in good standing in an ACGME approved
             68      progressive resident training program within the state;
             69          (g) pass the licensing examination sequence required by division rule made in
             70      collaboration with the board;
             71          (h) be able to read, write, speak, understand, and be understood in the English language
             72      and demonstrate proficiency to the satisfaction of the board if requested by the board;
             73          (i) meet with the board and representatives of the division, if requested, for the purpose
             74      of evaluating the applicant's qualifications for licensure;
             75          (j) designate:
             76          (i) a contact person for access to medical records in accordance with the federal Health
             77      Insurance Portability and Accountability Act; and
             78          (ii) an alternate contact person for access to medical records, in the event the original
             79      contact person is unable or unwilling to serve as the contact person for access to medical
             80      records; and
             81          (k) establish a method for notifying patients of the identity and location of the contact
             82      person and alternate contact person, if the applicant will practice in a location with no other
             83      persons licensed under this chapter.
             84          (2) An applicant for licensure as a physician and surgeon by endorsement shall:
             85          (a) be currently licensed with a full unrestricted license in good standing in any state,
             86      district, or territory of the United States;
             87          (b) have been actively engaged in the legal practice of medicine in any state, district, or
             88      territory of the United States for not less than 6,000 hours during the five years immediately
             89      preceding the date of application for licensure in Utah;


             90          (c) not have any action pending against the applicant's license;
             91          (d) not have a license that was suspended or revoked in any state, unless the license
             92      was subsequently reinstated as a full unrestricted license in good standing; and
             93          (e) produce satisfactory evidence of the applicant's qualifications, identity, and good
             94      standing to the satisfaction of the division in collaboration with the board.
             95          (3) An applicant for licensure by endorsement may engage in the practice of medicine
             96      under a temporary license while the applicant's application for licensure is being processed by
             97      the division, provided:
             98          (a) the applicant submits a complete application required for temporary licensure to the
             99      division;
             100          (b) the applicant submits a written document to the division from:
             101          (i) a health care facility licensed under Title 26, Chapter 21, Health Care Facility
             102      Licensing and Inspection Act, stating that the applicant is practicing under the invitation of the
             103      health care facility; or
             104          (ii) two individuals licensed under this chapter, whose license is in good standing and
             105      who practice in the same clinical location, both stating that:
             106          (A) the applicant is practicing under the invitation of the individual; and
             107          (B) the applicant will practice at the same clinical location as the individual;
             108          (c) the applicant submits a signed certification to the division that the applicant meets
             109      the requirements of Subsection (2);
             110          (d) the applicant does not engage in the practice of medicine until the division has
             111      issued a temporary license;
             112          (e) the temporary license is only issued for and may not be extended beyond the
             113      duration of one year from issuance; and
             114          (f) the temporary license expires immediately and prior to the expiration of one year
             115      from issuance, upon notification from the division that the applicant's application for licensure
             116      by endorsement is denied.
             117          (4) The division shall issue a temporary license under Subsection (3) within 15
             118      business days after the applicant satisfies the requirements of Subsection (3).
             119          (5) (a) Notwithstanding the provisions of Section 58-67-302.5 , an applicant for a
             120      license as a visiting professor physician and surgeon shall demonstrate to the division:


             121          (i) that the person maintains an equivalent authorization to practice medicine in good
             122      standing in the person's native licensing jurisdiction during the period of the visiting professor
             123      physician and surgeon license; and
             124          (ii) that the person has received a faculty appointment to teach in a medical school in
             125      the state.
             126          (b) The applicant shall submit to the division with the application for a license a
             127      statement from the dean of the medical school at which the applicant will be employed:
             128          (i) describing the applicant's qualifications;
             129          (ii) listing every affiliated institution in which the applicant will be providing
             130      instruction as part of the medical school's education program;
             131          (iii) justifying any clinical activities at each of the institutions listed by the dean; and
             132          (iv) confirming that the applicant is able to read, write, speak, understand, and be
             133      understood in the English language.
             134          (c) An application for a license as a visiting professor physician and surgeon shall:
             135          (i) be made to the division in the form established by the division; and
             136          (ii) be accompanied by the required fee established by the division in accordance with
             137      Title 63J, Chapter 1, Budgetary Procedures Act.
             138          (d) The division may adopt administrative rules pursuant to Title 63G, Chapter 3, Utah
             139      Administrative Rulemaking Act, as necessary to establish equivalent authorization to practice
             140      medicine in good standing in other jurisdictions as required by Subsection (5)(a)(i).
             141          (e) The term of a license for a visiting professor physician and surgeon is two years as
             142      provided in Section 58-67-303 , and may be renewed as provided in Section 58-67-304 .
             143          Section 2. Section 58-68-302 is amended to read:
             144           58-68-302. Qualifications for licensure.
             145          (1) An applicant for licensure as an osteopathic physician and surgeon, except as set
             146      forth in [Subsection (2) or (3)] Subsection (2), (3), or (6), shall:
             147          (a) submit an application in a form prescribed by the division, which may include:
             148          (i) submissions by the applicant of information maintained by practitioner data banks,
             149      as designated by division rule, with respect to the applicant; and
             150          (ii) a record of professional liability claims made against the applicant and settlements
             151      paid by or on behalf of the applicant;


             152          (b) pay a fee determined by the department under Section 63J-1-504 ;
             153          (c) be of good moral character;
             154          (d) provide satisfactory documentation of having successfully completed a program of
             155      professional education preparing an individual as an osteopathic physician and surgeon, as
             156      evidenced by having received an earned degree of doctor of osteopathic medicine from:
             157          (i) an AOA approved medical school or college; or
             158          (ii) an osteopathic medical school or college located outside of the United States or its
             159      jurisdictions which at the time of the applicant's graduation, met criteria for accreditation by the
             160      AOA;
             161          (e) hold a current certification by the Educational Commission for Foreign Medical
             162      Graduates or any successor organization approved by the division in collaboration with the
             163      board, if the applicant graduated from a medical school or college located outside of the United
             164      States or its jurisdictions;
             165          (f) satisfy the division and board that the applicant:
             166          (i) has successfully completed 24 months of progressive resident training in an
             167      ACGME or AOA approved program after receiving a degree of doctor of osteopathic medicine
             168      required under Subsection (1)(d); or
             169          (ii) (A) has successfully completed 12 months of resident training in an ACGME or
             170      AOA approved program after receiving a degree of doctor of osteopathic medicine as required
             171      under Subsection (1)(d);
             172          (B) has been accepted in and is successfully participating in progressive resident
             173      training in an ACGME or AOA approved program within Utah, in the applicant's second or
             174      third year of postgraduate training; and
             175          (C) has agreed to surrender to the division the applicant's license as an osteopathic
             176      physician and surgeon without any proceedings under Title 63G, Chapter 4, Administrative
             177      Procedures Act, and has agreed the applicant's license as an osteopathic physician and surgeon
             178      will be automatically revoked by the division if the applicant fails to continue in good standing
             179      in an ACGME or AOA approved progressive resident training program within the state;
             180          (g) pass the licensing examination sequence required by division rule, as made in
             181      collaboration with the board;
             182          (h) be able to read, write, speak, understand, and be understood in the English language


             183      and demonstrate proficiency to the satisfaction of the board, if requested by the board;
             184          (i) meet with the board and representatives of the division, if requested for the purpose
             185      of evaluating the applicant's qualifications for licensure;
             186          (j) designate:
             187          (i) a contact person for access to medical records in accordance with the federal Health
             188      Insurance Portability and Accountability Act; and
             189          (ii) an alternate contact person for access to medical records, in the event the original
             190      contact person is unable or unwilling to serve as the contact person; and
             191          (k) establish a method for notifying patients of the identity and location of the contact
             192      person and alternate contact person, if the applicant will practice in a location with no other
             193      persons licensed under this chapter.
             194          (2) An applicant for licensure as an osteopathic physician and surgeon qualifying under
             195      the endorsement provision of Section 58-1-302 shall:
             196          (a) be currently licensed in good standing in another jurisdiction as set forth in Section
             197      58-1-302 ;
             198          (b) (i) document having met all requirements for licensure under Subsection (1) except,
             199      if an applicant received licensure in another state or jurisdiction based upon only 12 months
             200      residency training after graduation from medical school, the applicant may qualify for licensure
             201      in Utah by endorsement only if licensed in the other state prior to July 1, 1996; or
             202          (ii) document having obtained licensure in another state or jurisdiction whose licensure
             203      requirements were at the time of obtaining licensure equal to licensure requirements at that
             204      time in Utah;
             205          (c) have passed the SPEX examination within 12 months preceding the date of
             206      application for licensure in Utah if the date on which the applicant passed qualifying
             207      examinations for licensure is greater than five years prior to the date of the application for
             208      licensure in Utah, or meet medical specialty certification requirements which may be
             209      established by division rule made in collaboration with the board;
             210          (d) have been actively engaged in the practice as an osteopathic physician and surgeon
             211      for not less than 6,000 hours during the five years immediately preceding the date of
             212      application for licensure in Utah;
             213          (e) meet with the board and representatives of the division, if requested for the purpose


             214      of evaluating the applicant's qualifications for licensure; and
             215          (f) not have a license that was suspended or revoked in any state, unless the license was
             216      subsequently reinstated as a full unrestricted license in good standing.
             217          (3) An applicant for licensure as an osteopathic physician and surgeon, who has been
             218      licensed as an osteopathic physician in Utah, who has allowed the applicant's license in Utah to
             219      expire for nonpayment of license fees, and who is currently licensed in good standing in
             220      another state or jurisdiction of the United States shall:
             221          (a) submit an application in a form prescribed by the division;
             222          (b) pay a fee determined by the department under Section 63J-1-504 ;
             223          (c) be of good moral character;
             224          (d) have passed the SPEX examination within 12 months preceding the date of
             225      application for licensure in Utah if the date on which the applicant passed qualifying
             226      examinations for licensure is greater than five years prior to the date of the application for
             227      licensure in Utah;
             228          (e) have been actively engaged in the practice as an osteopathic physician for not fewer
             229      than 6,000 hours during the five years immediately preceding the date of application for
             230      licensure; and
             231          (f) meet with the board and representatives of the division, if requested for the purpose
             232      of evaluating the applicant's qualifications for licensure.
             233          (4) An applicant for licensure by endorsement may engage in the practice of medicine
             234      under a temporary license while the applicant's application for licensure is being processed by
             235      the division, provided:
             236          (a) the applicant submits a complete application required for temporary licensure to the
             237      division;
             238          (b) the applicant submits a written document to the division from:
             239          (i) a health care facility licensed under Title 26, Chapter 21, Health Care Facility
             240      Licensing and Inspection Act, stating that the applicant is practicing under the invitation of the
             241      health care facility; or
             242          (ii) two individuals licensed under this chapter, whose license is in good standing and
             243      who practice in the same clinical location, both stating that:
             244          (A) the applicant is practicing under the invitation of the individual; and


             245          (B) the applicant will practice at the same clinical location as the individual;
             246          (c) the applicant submits a signed certification to the division that the applicant meets
             247      the requirements of Subsection (2);
             248          (d) the applicant does not engage in the practice of medicine until the division has
             249      issued a temporary license;
             250          (e) the temporary license is only issued for and may not be extended beyond the
             251      duration of one year from issuance; and
             252          (f) the temporary license expires immediately and prior to the expiration of one year
             253      from issuance, upon notification from the division that the applicant's application for licensure
             254      by endorsement is denied.
             255          (5) The division shall issue a temporary license under Subsection (4) within 15
             256      business days after the applicant satisfies the requirements of Subsection (4).
             257          (6) (a) An applicant for a license as a visiting professor osteopathic physician and
             258      surgeon shall demonstrate to the division:
             259          (i) that the person maintains an equivalent authorization to practice medicine in good
             260      standing in the person's native licensing jurisdiction during the period of the visiting professor
             261      osteopathic physician and surgeon license; and
             262          (ii) that the person has received a faculty appointment to teach in a medical school in
             263      the state.
             264          (b) The applicant shall submit to the division with the application for a license a
             265      statement from the dean of the medical school at which the applicant will be employed:
             266          (i) describing the applicant's qualifications;
             267          (ii) listing every affiliated institution in which the applicant will be providing
             268      instruction as part of the medical school's education program;
             269          (iii) justifying any clinical activities at each of the institutions listed by the dean; and
             270          (iv) confirming that the applicant is able to read, write, speak, understand, and be
             271      understood in the English language.
             272          (c) An application for a visiting professor osteopathic physician and surgeon license
             273      shall:
             274          (i) be made to the division in the form established by the division; and
             275          (ii) be accompanied by the required fee established by the division in accordance with


             276      Title 63J, Chapter 1, Budgetary Procedures Act.
             277          (d) The division may adopt administrative rules pursuant to Title 63G, Chapter 3, Utah
             278      Administrative Rulemaking Act, as necessary to establish equivalent authorization to practice
             279      medicine in good standing in other jurisdictions as required by Subsection (6)(a)(i).
             280          (e) The term of a license for a visiting professor osteopathic physician and surgeon is
             281      two years and may be renewed as provided in Section 58-68-303 .




Legislative Review Note
    as of 10-27-09 9:42 AM


Office of Legislative Research and General Counsel


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