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H.B. 55

This document includes House Committee Amendments incorporated into the bill on Wed, Jan 25, 2012 at 12:11 PM by jeyring. --> This document includes House Floor Amendments incorporated into the bill on Tue, Jan 31, 2012 at 1:46 PM by jeyring. -->              1     

HEALTH CARE ASSOCIATED INFECTIONS

             2     
2012 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Jack R. Draxler

             5     
Senate Sponsor: Peter C. Knudson

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill amends the Utah Communicable Disease Control Act by requiring certain
             10      health care facilities to share with the Department of Health data that the facility is
             11      required to report under federal law regarding health care associated infections and
             12      requiring the Department of Health to release a public report on health care associated
             13      infections.
             14      Highlighted Provisions:
             15          This bill:
             16          .    defines terms;
             17          .    requires an ambulatory surgical facility, a general acute hospital, H. an end stage
             17a      renal disease facility, .H and a specialty
             18      hospital to share with the Department of Health data on health care associated
             19      infections that the facility submits to the National Healthcare Safety Network in the
             20      Centers for Disease Control and Prevention pursuant to requirements of the Center
             21      for Medicare and Medicaid Services;
             22          .    requires the Department of Health to prepare and publicly disclose a report on
             23      health care associated infection rates;
             24          .    establishes a protocol for the creation of the report;
             25          .    permits the report of health care associated infections to include data that compares
             26      and identifies facilities;
             27          .    states that the report H. [ shall ] may .H not be used as evidence in a criminal, civil, or


             28      administrative proceeding; and
             29          .    makes technical changes.
             30      Money Appropriated in this Bill:
             31          None
             32      Other Special Clauses:
             33           H. [ None ] This bill takes effect July 1, 2012. .H
             34      Utah Code Sections Affected:
             35      AMENDS:
             36          26-6-2, as last amended by Laws of Utah 1996, Chapter 211
             37          26-6-27, as last amended by Laws of Utah 2008, Chapter 3
             38          58-1-307, as last amended by Laws of Utah 2011, Chapters 110 and 181
             39          58-17b-620, as last amended by Laws of Utah 2011, Chapter 110
             40      ENACTS:
             41          26-6-31, Utah Code Annotated 1953
             42     
             43      Be it enacted by the Legislature of the state of Utah:
             44          Section 1. Section 26-6-2 is amended to read:
             45           26-6-2. Definitions.
             46          As used in this chapter:
             47          (1) "Ambulatory surgical center" is as defined in Section 26-21-2 .
             48          [(1)] (2) "Carrier" means an infected individual or animal who harbors a specific
             49      infectious agent in the absence of discernible clinical disease and serves as a potential source of
             50      infection for man. The carrier state may occur in an individual with an infection that is
             51      inapparent throughout its course, commonly known as healthy or asymptomatic carrier, or
             52      during the incubation period, convalescence, and postconvalescence of an individual with a
             53      clinically recognizable disease, commonly known as incubatory carrier or convalescent carrier.
             54      Under either circumstance the carrier state may be of short duration, as a temporary or transient
             55      carrier, or long duration, as a chronic carrier.
             56          [(2)] (3) "Communicable disease" means illness due to a specific infectious agent or its
             57      toxic products which arises through transmission of that agent or its products from a reservoir
             58      to a susceptible host, either directly, as from an infected individual or animal, or indirectly,


             59      through an intermediate plant or animal host, vector, or the inanimate environment.
             60          [(3)] (4) "Communicable period" means the time or times during which an infectious
             61      agent may be transferred directly or indirectly from an infected individual to another individual,
             62      from an infected animal to man, or from an infected man to an animal, including arthropods.
             63          [(4)] (5) "Contact" means an individual or animal having had association with an
             64      infected individual, animal, or contaminated environment so as to have had an opportunity to
             65      acquire the infection.
             66          [(5)] (6) H. "End stage renal disease facility" is as defined in Section 26-21-2.
             66a          (7) .H "Epidemic" means the occurrence or outbreak in a community or region of
             67      cases of an illness clearly in excess of normal expectancy and derived from a common or
             68      propagated source. The number of cases indicating an epidemic will vary according to the
             69      infectious agent, size, and type of population exposed, previous experience or lack of exposure
             70      to the disease, and time and place of occurrence. Epidemicity is considered to be relative to
             71      usual frequency of the disease in the same area, among the specified population, at the same
             72      season of the year.
             73           H. [ (7) ] (8) .H "General acute hospital" is as defined in Section 26-21-2 .
             74          [(6)] H. [ (8) ] (9) .H "Incubation period" means the time interval between exposure
             74a      to an infectious
             75      agent and appearance of the first sign or symptom of the disease in question.
             76          [(7)] H. [ (9) ] (10) .H "Infected individual" means an individual who harbors an
             76a      infectious agent and
             77      who has manifest disease or inapparent infection. An infected individual is one from whom the
             78      infectious agent can be naturally acquired.
             79          [(8)] H. [ (10) ] (11) .H "Infection" means the entry and development or multiplication
             79a      of an
             80      infectious agent in the body of man or animals. Infection is not synonymous with infectious
             81      disease; the result may be inapparent or manifest. The presence of living infectious agents on
             82      exterior surfaces of the body, or upon articles of apparel or soiled articles, is not infection, but
             83      contamination of such surfaces and articles.
             84          [(9)] H. [ (11) ] (12) .H "Infectious agent" means an organism such as a virus, rickettsia,
             84a      bacteria,
             85      fungus, protozoan, or helminth that is capable of producing infection or infectious disease.
             86          [(10)] H. [ (12) ] (13) .H "Infectious disease" means a disease of man or animals
             86a      resulting from an
             87      infection.
             88          [(11)] H. [ (13) ] (14) .H "Isolation" means the separation, for the period of
             88a      communicability, of
             89      infected individuals or animals from others, in such places and under such conditions as to


             90      prevent the direct or indirect conveyance of the infectious agent from those infected to those
             91      who are susceptible or who may spread the agent to others.
             92          [(12)] H. [ (14) ] (15) .H "Quarantine" means the restriction of the activities of well
             92a      individuals or
             93      animals who have been exposed to a communicable disease during its period of
             94      communicability to prevent disease transmission.
             95          [(13)] H. [ (15) ] (16) .H "School" means a public, private, or parochial nursery school,
             95a      licensed or
             96      unlicensed day care center, child care facility, family care home, headstart program,
             97      kindergarten, elementary, or secondary school through grade 12.
             98          [(14)] H. [ (16) ] (17) .H "Sexually transmitted disease" means those diseases
             98a      transmitted through
             99      sexual intercourse or any other sexual contact.
             100           H. [ (17) ] (18) .H "Specialty hospital" is as defined in Section 26-21- 2.
             101          Section 2. Section 26-6-27 is amended to read:
             102           26-6-27. Information regarding communicable or reportable diseases
             103      confidentiality -- Exceptions.
             104          (1) Information collected pursuant to this chapter in the possession of the department
             105      or local health departments relating to an individual who has or is suspected of having a disease
             106      designated by the department as a communicable or reportable disease under this chapter shall
             107      be held by the department and local health departments as strictly confidential. The department
             108      and local health departments may not release or make public that information upon subpoena,
             109      search warrant, discovery proceedings, or otherwise, except as provided by this section.
             110          (2) The information described in Subsection (1) may be released by the department or
             111      local health departments only in accordance with the requirements of this chapter and as
             112      follows:
             113          (a) specific medical or epidemiological information may be released with the written
             114      consent of the individual identified in that information or, if that individual is deceased, his
             115      next-of-kin;
             116          (b) specific medical or epidemiological information may be released to medical
             117      personnel or peace officers in a medical emergency, as determined by the department in
             118      accordance with guidelines it has established, only to the extent necessary to protect the health
             119      or life of the individual identified in the information, or of the attending medical personnel or
             120      law enforcement or public safety officers;


             121          (c) specific medical or epidemiological information may be released to authorized
             122      personnel within the department, local health departments, official health agencies in other
             123      states, the United States Public Health Service, the Centers for Disease Control and Prevention
             124      (CDC), or when necessary to continue patient services or to undertake public health efforts to
             125      interrupt the transmission of disease;
             126          (d) if the individual identified in the information is under the age of 18, the information
             127      may be released to the Division of Child and Family Services within the Department of Human
             128      Services in accordance with Section 62A-4a-403 . If that information is required in a court
             129      proceeding involving child abuse or sexual abuse under Title 76, Chapter 5, Offenses Against
             130      the Person, the information shall be disclosed in camera and sealed by the court upon
             131      conclusion of the proceedings;
             132          (e) specific medical or epidemiological information may be released to authorized
             133      personnel in the department or in local health departments, and to the courts, to carry out the
             134      provisions of this title, and rules adopted by the department in accordance with this title;
             135          (f) specific medical or epidemiological information may be released to blood banks,
             136      organ and tissue banks, and similar institutions for the purpose of identifying individuals with
             137      communicable diseases. The department may, by rule, designate the diseases about which
             138      information may be disclosed under this subsection, and may choose to release the name of an
             139      infected individual to those organizations without disclosing the specific disease;
             140          (g) specific medical or epidemiological information may be released in such a way that
             141      no individual is identifiable;
             142          (h) specific medical or epidemiological information may be released to a "health care
             143      provider" as defined in Section 78B-3-403 , health care personnel, and public health personnel
             144      who have a legitimate need to have access to the information in order to assist the patient, or to
             145      protect the health of others closely associated with the patient[. This subsection does not create
             146      a duty to warn third parties, but is intended only to aid health care providers in their treatment
             147      and containment of infectious disease; and];
             148          (i) specific medical or epidemiological information regarding a health care provider, as
             149      defined in Section 78B-3-403 , may be released to the department, the appropriate local health
             150      department, and the Division of Occupational and Professional Licensing within the
             151      Department of Commerce, if the identified health care provider is endangering the safety or life


             152      of any individual by his continued practice of health care[.]; and
             153          (j) specific medical or epidemiological information may be released in accordance with
             154      Section 26-6-31 if an individual is not identifiable.
             155          (3) The provisions of Subsection (2)(h) do not create a duty to warn third parties, but is
             156      intended only to aid health care providers in their treatment and containment of infectious
             157      disease.
             158          Section 3. Section 26-6-31 is enacted to read:
             159          26-6-31. Public reporting of health care associated infections.
             160          (1) An ambulatory surgical facility, a general acute hospital, H. [ and ] .H a specialty
             160a      hospital H. , an end stage renal disease facility, and other facilities as required by rules
             160b      of the Center for Medicare and Medicaid Services .H
             161      shall give the department access to the facility's data on the incidence and rate of health care
             162      associated infections that the facility submits to the National Healthcare Safety Network in the
             163      Center for Disease Control pursuant to the Center for Medicare and Medicaid Services rules for
             164      infection reporting H. [ under the Inpatient Prospective Payment System ] .H . Access to data
             164a      under this
             165      Subsection (1) may include data sharing through the National Healthcare Safety Network.
             166          (2) (a) The department shall, beginning May 1, 2013, use the data submitted by the
             167      facilities in accordance with Subsection (1) to compile an annual report on health care
             168      associated infections in ambulatory surgical facilities, general acute hospitals, and specialty
             169      hospitals for public distribution in accordance with the requirements of this subsection. The
             170      department shall publish the report on the department's website and the Utah Health Exchange.
             171          (b) The department's report under this section shall:
             172          (i) include the following health care associated infections as required by the Center for
             173      Medicare and Medicaid Services and protocols adopted by the National Healthcare Safety
             174      Network in the Center for Disease Control:
             175          (A) central line associated bloodstream infections;
             176          (B) catheter associated urinary tract infections;
             177          (C) surgical site infections from procedures on the colon or an abdominal
             178      hysterectomy;
             179          (D) methicillin-resistant staphylococcus aureus bacteremia;
             180          (E) clostridium difficile of the colon; and
             181          (F) other health care associated infections when reporting is required by the Center for
             182      Medicare and Medicaid Services and protocols adopted by the National Healthcare Safety


             183      Network in the Center for Disease Control;
             184          (ii) include data on the rate of health care associated infections:
             185          (A) for the infection types described in Subsection (2)(b)(i); and
             186          (B) by health care facility or hospital;
             187          (iii) include data on how the rate of health care associated infections in ambulatory
             188      surgical facilities, general acute hospitals, and specialty hospitals compares with the rates in
             189      other states;
             190          (iv) in compiling the report described in Subsection (2)(a), use analytical
             191      methodologies that meet accepted standards of validity and reliability;
             192          (v) clearly identify and acknowledge, in the report, the limitations of the data sources
             193      and analytic methodologies used to develop comparative facility or hospital information;
             194          (vi) decide whether information supplied by a facility or hospital under Subsection (1)
             195      is appropriate to include in the report;
             196          (vii) adjust comparisons among facilities and hospitals for patient case mix and other
             197      relevant factors, when appropriate; and
             198          (viii) control for provider peer groups, when appropriate.
             199          (3) Before posting or releasing the report described in Subsection (2)(a), the
             200      department shall:
             201          (a) disclose to each ambulatory surgical facility, general acute hospital, and specialty
             202      hospital whose data is included in the report:
             203          (i) the entire methodology for analyzing the data; and
             204          (ii) the comparative facility or hospital information and other information the
             205      department has compiled for the facility or hospital; and
             206          (b) give the facility or hospital 30 days to suggest corrections or add explanatory
             207      comments about the data.
             208          (4) The department shall develop and implement effective safeguards to protect against
             209      the unauthorized use or disclosure of ambulatory surgical facility, general acute hospital, and
             210      specialty hospital data, including the dissemination of inconsistent, incomplete, invalid,
             211      inaccurate, or subjective data.
             212          (5) The report described in Subsection (2)(a):
             213          (a) may include data that compare and identify general acute hospitals, ambulatory


             214      surgical centers, and specialty hospitals;
             215          (b) shall contain only statistical, non-identifying information and may not disclose the
             216      identity of:
             217          (i) an employee of an ambulatory surgical facility, a general acute hospital, or a
             218      specialty hospital;
             219          (ii) a patient; or
             220          (iii) a health care provider licensed under Title 58, Occupations and Professions; and
             221          (c) may not be used as evidence in a criminal, civil, or administrative proceeding.
             222          (6) This section does not limit the department's authority to investigate and collect data
             223      regarding infections and communicable diseases under other provisions of state or federal law.
             224          Section 4. Section 58-1-307 is amended to read:
             225           58-1-307. Exemptions from licensure.
             226          (1) Except as otherwise provided by statute or rule, the following individuals may
             227      engage in the practice of their occupation or profession, subject to the stated circumstances and
             228      limitations, without being licensed under this title:
             229          (a) an individual serving in the armed forces of the United States, the United States
             230      Public Health Service, the United States Department of Veterans Affairs, or other federal
             231      agencies while engaged in activities regulated under this chapter as a part of employment with
             232      that federal agency if the individual holds a valid license to practice a regulated occupation or
             233      profession issued by any other state or jurisdiction recognized by the division;
             234          (b) a student engaged in activities constituting the practice of a regulated occupation or
             235      profession while in training in a recognized school approved by the division to the extent the
             236      activities are supervised by qualified faculty, staff, or designee and the activities are a defined
             237      part of the training program;
             238          (c) an individual engaged in an internship, residency, preceptorship, postceptorship,
             239      fellowship, apprenticeship, or on-the-job training program approved by the division while
             240      under the supervision of qualified individuals;
             241          (d) an individual residing in another state and licensed to practice a regulated
             242      occupation or profession in that state, who is called in for a consultation by an individual
             243      licensed in this state, and the services provided are limited to that consultation;
             244          (e) an individual who is invited by a recognized school, association, society, or other


             245      body approved by the division to conduct a lecture, clinic, or demonstration of the practice of a
             246      regulated occupation or profession if the individual does not establish a place of business or
             247      regularly engage in the practice of the regulated occupation or profession in this state;
             248          (f) an individual licensed under the laws of this state, other than under this title, to
             249      practice or engage in an occupation or profession, while engaged in the lawful, professional,
             250      and competent practice of that occupation or profession;
             251          (g) an individual licensed in a health care profession in another state who performs that
             252      profession while attending to the immediate needs of a patient for a reasonable period during
             253      which the patient is being transported from outside of this state, into this state, or through this
             254      state;
             255          (h) an individual licensed in another state or country who is in this state temporarily to
             256      attend to the needs of an athletic team or group, except that the practitioner may only attend to
             257      the needs of the athletic team or group, including all individuals who travel with the team or
             258      group in any capacity except as a spectator;
             259          (i) an individual licensed and in good standing in another state, who is in this state:
             260          (i) temporarily, under the invitation and control of a sponsoring entity;
             261          (ii) for a reason associated with a special purpose event, based upon needs that may
             262      exceed the ability of this state to address through its licensees, as determined by the division;
             263      and
             264          (iii) for a limited period of time not to exceed the duration of that event, together with
             265      any necessary preparatory and conclusionary periods;
             266          (j) a law enforcement officer, as defined under Section 53-13-103 , who:
             267          (i) is operating a voice stress analyzer in the course of the officer's full-time
             268      employment with a federal, state, or local law enforcement agency;
             269          (ii) has completed the manufacturer's training course and is certified by the
             270      manufacturer to operate that voice stress analyzer; and
             271          (iii) is operating the voice stress analyzer in accordance with Section 58-64-601 ,
             272      regarding deception detection instruments; and
             273          (k) the spouse of an individual serving in the armed forces of the United States while
             274      the individual is stationed within this state, provided:
             275          (i) the spouse holds a valid license to practice a regulated occupation or profession


             276      issued by any other state or jurisdiction recognized by the division; and
             277          (ii) the license is current and the spouse is in good standing in the state of licensure.
             278          (2) (a) A practitioner temporarily in this state who is exempted from licensure under
             279      Subsection (1) shall comply with each requirement of the licensing jurisdiction from which the
             280      practitioner derives authority to practice.
             281          (b) Violation of a limitation imposed by this section constitutes grounds for removal of
             282      exempt status, denial of license, or other disciplinary proceedings.
             283          (3) An individual who is licensed under a specific chapter of this title to practice or
             284      engage in an occupation or profession may engage in the lawful, professional, and competent
             285      practice of that occupation or profession without additional licensure under other chapters of
             286      this title, except as otherwise provided by this title.
             287          (4) Upon the declaration of a national, state, or local emergency, a public health
             288      emergency as defined in Section 26-23b-102 , or a declaration by the President of the United
             289      States or other federal official requesting public health-related activities, the division in
             290      collaboration with the board may:
             291          (a) suspend the requirements for permanent or temporary licensure of individuals who
             292      are licensed in another state for the duration of the emergency while engaged in the scope of
             293      practice for which they are licensed in the other state;
             294          (b) modify, under the circumstances described in this Subsection (4) and Subsection
             295      (5), the scope of practice restrictions under this title for individuals who are licensed under this
             296      title as:
             297          (i) a physician under Chapter 67, Utah Medical Practice Act, or Chapter 68, Utah
             298      Osteopathic Medical Practice Act;
             299          (ii) a nurse under Chapter 31b, Nurse Practice Act, or Chapter 31c, Nurse Licensure
             300      Compact;
             301          (iii) a certified nurse midwife under Chapter 44a, Nurse Midwife Practice Act;
             302          (iv) a pharmacist, pharmacy technician, or pharmacy intern under Chapter 17b,
             303      Pharmacy Practice Act;
             304          (v) a respiratory therapist under Chapter 57, Respiratory Care Practices Act;
             305          (vi) a dentist and dental hygienist under Chapter 69, Dentist and Dental Hygienist
             306      Practice Act; and


             307          (vii) a physician assistant under Chapter 70a, Physician Assistant Act;
             308          (c) suspend the requirements for licensure under this title and modify the scope of
             309      practice in the circumstances described in this Subsection (4) and Subsection (5) for medical
             310      services personnel or paramedics required to be certified under Section 26-8a-302 ;
             311          (d) suspend requirements in Subsections 58-17b-620 (3) through (6) which require
             312      certain prescriptive procedures;
             313          (e) exempt or modify the requirement for licensure of an individual who is activated as
             314      a member of a medical reserve corps during a time of emergency as provided in Section
             315      26A-1-126 ; and
             316          (f) exempt or modify the requirement for licensure of an individual who is registered as
             317      a volunteer health practitioner as provided in Title 26, Chapter 49, Uniform Emergency
             318      Volunteer Health Practitioners Act.
             319          (5) Individuals exempt under Subsection (4)(c) and individuals operating under
             320      modified scope of practice provisions under Subsection (4)(b):
             321          (a) are exempt from licensure or subject to modified scope of practice for the duration
             322      of the emergency;
             323          (b) must be engaged in the distribution of medicines or medical devices in response to
             324      the emergency or declaration; and
             325          (c) must be employed by or volunteering for:
             326          (i) a local or state department of health; or
             327          (ii) a host entity as defined in Section 26-49-102 .
             328          (6) In accordance with the protocols established under Subsection (8), upon the
             329      declaration of a national, state, or local emergency, the Department of Health or a local health
             330      department shall coordinate with public safety authorities as defined in Subsection
             331      26-23b-110 (1) and may:
             332          (a) use a vaccine, antiviral, antibiotic, or other prescription medication that is not a
             333      controlled substance to prevent or treat a disease or condition that gave rise to, or was a
             334      consequence of, the emergency; or
             335          (b) distribute a vaccine, antiviral, antibiotic, or other prescription medication that is not
             336      a controlled substance:
             337          (i) if necessary, to replenish a commercial pharmacy in the event that the commercial


             338      pharmacy's normal source of the vaccine, antiviral, antibiotic, or other prescription medication
             339      is exhausted; or
             340          (ii) for dispensing or direct administration to treat the disease or condition that gave
             341      rise to, or was a consequence of, the emergency by:
             342          (A) a pharmacy;
             343          (B) a prescribing practitioner;
             344          (C) a licensed health care facility;
             345          (D) a federally qualified community health clinic; or
             346          (E) a governmental entity for use by a community more than 50 miles from a person
             347      described in Subsections (6)(b)(ii)(A) through (D).
             348          (7) In accordance with protocols established under Subsection (8), upon the declaration
             349      of a national, state, or local emergency, the Department of Health shall coordinate the
             350      distribution of medications:
             351          (a) received from the strategic national stockpile to local health departments; and
             352          (b) from local health departments to emergency personnel within the local health
             353      departments' geographic region.
             354          (8) The Department of Health shall establish by rule, made in accordance with Title
             355      63G, Chapter 3, Utah Administrative Rulemaking Act, protocols for administering, dispensing,
             356      and distributing a vaccine, an antiviral, an antibiotic, or other prescription medication that is
             357      not a controlled substance in the event of a declaration of a national, state, or local emergency.
             358      The protocol shall establish procedures for the Department of Health or a local health
             359      department to:
             360          (a) coordinate the distribution of:
             361          (i) a vaccine, an antiviral, an antibiotic, or other prescription medication that is not a
             362      controlled substance received by the Department of Health from the strategic national stockpile
             363      to local health departments; and
             364          (ii) a vaccine, an antiviral, an antibiotic, or other non-controlled prescription
             365      medication received by a local health department to emergency personnel within the local
             366      health department's geographic region;
             367          (b) authorize the dispensing, administration, or distribution of a vaccine, an antiviral,
             368      an antibiotic, or other prescription medication that is not a controlled substance to the contact


             369      of a patient, as defined in [Subsection] Section 26-6-2 [(4)], without a patient-practitioner
             370      relationship, if the contact's condition is the same as that of the physician's patient; and
             371          (c) authorize the administration, distribution, or dispensing of a vaccine, an antiviral,
             372      an antibiotic, or other non-controlled prescription medication to an individual who:
             373          (i) is working in a triage situation;
             374          (ii) is receiving preventative or medical treatment in a triage situation;
             375          (iii) does not have coverage for the prescription in the individual's health insurance
             376      plan;
             377          (iv) is involved in the delivery of medical or other emergency services in response to
             378      the declared national, state, or local emergency; or
             379          (v) otherwise has a direct impact on public health.
             380          (9) The Department of Health shall give notice to the division upon implementation of
             381      the protocol established under Subsection (8).
             382          Section 5. Section 58-17b-620 is amended to read:
             383           58-17b-620. Prescriptions issued within the public health system.
             384          (1) As used in this section:
             385          (a) "Department of Health" means the state Department of Health created in Section
             386      26-1-4 .
             387          (b) "Health department" means either the Department of Health or a local health
             388      department.
             389          (c) "Local health departments" mean the local health departments created in Title 26A,
             390      Chapter 1, Local Health Departments.
             391          (2) When it is necessary to treat a reportable disease or non-emergency condition that
             392      has a direct impact on public health, a health department may implement the prescription
             393      procedure described in Subsection (3) for a prescription drug that is not a controlled substance
             394      for use in:
             395          (a) a clinic; or
             396          (b) a remote or temporary off-site location, including a triage facility established in the
             397      community, that provides:
             398          (i) treatment for sexually transmitted infections;
             399          (ii) fluoride treatment;


             400          (iii) travel immunization;
             401          (iv) preventative treatment for an individual with latent tuberculosis infection;
             402          (v) preventative treatment for an individual at risk for an infectious disease that has a
             403      direct impact on public health when the treatment is indicated to prevent the spread of disease
             404      or to mitigate the seriousness of infection in the exposed individual; or
             405          (vi) other treatment as defined by the Department of Health rule.
             406          (3) In a circumstance described in Subsection (2), an individual with prescriptive
             407      authority may write a prescription for each contact, as defined in [Subsection] Section
             408      26-6-2 [(4)], of a patient of the individual with prescriptive authority without a face-to-face
             409      exam, if:
             410          (a) the individual with prescriptive authority is treating the patient for a reportable
             411      disease or non-emergency condition having a direct impact on public health; and
             412          (b) the contact's condition is the same as the patient of the individual with prescriptive
             413      authority.
             414          (4) The following prescription procedure shall be carried out in accordance with the
             415      requirements of Subsection (5) and may be used only in the circumstances described under
             416      Subsections (2) and (3):
             417          (a) a physician writes and signs a prescription for a prescription drug, other than a
             418      controlled substance, without the name and address of the patient and without the date the
             419      prescription is provided to the patient; and
             420          (b) the physician authorizes a registered nurse employed by the health department to
             421      complete the prescription written under this Subsection [(3)] (4) by inserting the patient's name
             422      and address, and the date the prescription is provided to the patient, in accordance with the
             423      physician's standing written orders and a written health department protocol approved by the
             424      physician and the medical director of the state Department of Health.
             425          (5) A physician assumes responsibility for all prescriptions issued under this section in
             426      the physician's name.
             427          (6) (a) All prescription forms to be used by a physician and health department in
             428      accordance with this section shall be serially numbered according to a numbering system
             429      assigned to that health department.
             430          (b) All prescriptions issued shall contain all information required under this chapter


             431      and rules adopted under this chapter.
             431a      H. Section 6. Effective Date
             431b          This bill takes effect July 1, 2012. .H




Legislative Review Note
    as of 12-15-11 6:34 AM


Office of Legislative Research and General Counsel


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