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H.B. 109

This document includes House Committee Amendments incorporated into the bill on Mon, Mar 4, 2013 at 2:32 PM by lerror. -->              1     




Chief Sponsor: Brad L. Dee

Senate Sponsor: ____________

             7      LONG TITLE
             8      General Description:
             9          This bill creates a new licensing chapter in the Division of Occupational and
             10      Professional Licensing for Anesthesiologist Assistants.
             11      Highlighted Provisions:
             12          This bill:
             13          .    defines terms;
             14          .    puts anesthesiologist assistants under supervision of the Physician Assistant
             15      Licensing Board;
             16          .    requires licensure;
             17          .    establishes qualifications for licensure;
             18          .    establishes terms for the license; H. [ and ] .H
             19          .    defines unlawful and unprofessional conduct H. [ . ] ; and
             19a          . requires the Division of Occupational and Professional Licensing to study and work
             19b      with the Legislature's Health and Human Services Interim Committee to develop
             19c      recommendations regarding certain patient consent and notice requirements. .H
             20      Money Appropriated in this Bill:
             21          None
             22      Other Special Clauses:
             23          None
             24      Utah Code Sections Affected:
             25      AMENDS:
             26          58-70a-201, as last amended by Laws of Utah 2010, Chapter 37
             27      ENACTS:

             28          58-70b-101, Utah Code Annotated 1953
             29          58-70b-102, Utah Code Annotated 1953
             30          58-70b-201, Utah Code Annotated 1953
             31          58-70b-301, Utah Code Annotated 1953
             32          58-70b-302, Utah Code Annotated 1953
             33          58-70b-303, Utah Code Annotated 1953
             34          58-70b-401, Utah Code Annotated 1953
             35          58-70b-501, Utah Code Annotated 1953
             36          58-70b-502, Utah Code Annotated 1953
             36a           H. Uncodified Material Affected:
             36b          ENACTS UNCODIFIED MATERIAL .H
             38      Be it enacted by the Legislature of the state of Utah:
             39          Section 1. Section 58-70a-201 is amended to read:
             40           58-70a-201. Board.
             41          (1) There is created the Physician Assistant Licensing Board, which consists of seven
             42      members:
             43          (a) three licensed physicians, at least two of whom are individuals who are supervising
             44      or who have supervised a physician assistant;
             45          (b) three physician assistants, one of whom is involved in the administration of an
             46      approved physician assistant education program within the state; and
             47          (c) one person from the general public.
             48          (2) The board shall be appointed and serve in accordance with Section 58-1-201 .
             49          (3) The duties and responsibilities of the board are:
             50          (a) in accordance with Sections 58-1-202 and 58-1-203 [. In addition, the board shall];
             51          (b) in accordance with Section 58-70b-201 , and this Subsection (3), to function as the
             52      board for individual's licensed under Chapter 70b, Anesthesiologist Assistant Licensing Act;
             53      and
             54          (c) to designate one of its members on a permanent or rotating basis to:
             55          [(a)] (i) assist the division in reviewing complaints concerning the unlawful or
             56      unprofessional conduct of a licensee; and
             57          [(b)] (ii) advise the division in its investigation of these complaints.
             58          (4) A board member who has, under Subsection (3)(c), reviewed a complaint or

             59      advised in its investigation may be disqualified from participating with the board when the
             60      board serves as a presiding officer in an adjudicative proceeding concerning the complaint.
             61      The board member may be disqualified:
             62          (a) on the member's own motion, due to actual or perceived bias or lack of objectivity;
             63      or
             64          (b) upon challenge for cause raised on the record by any party to the adjudicative
             65      proceeding.
             66          Section 2. Section 58-70b-101 is enacted to read:

Part 1. General Provisions

             69          58-70b-101. Title.
             70          This chapter is known as the "Anesthesiologist Assistant Licensing Act."
             71          Section 3. Section 58-70b-102 is enacted to read:
             72          58-70b-102. Definitions.
             73          In addition to the definitions in Section 58-1-102 , as used in this chapter:
             74          (1) "Anesthesiologist assistant" means an allied health graduate of an accredited
             75      anesthesiologist assistant program.
             76          (2) "Board" means the Physician Assistant Licensing Board created in Section
             77      58-70a-201 .
             78          (3) (a) "Practice of anesthesiologist assistant" means assisting a supervising
             79      anesthesiologist with health care services delegated to the anesthesiologist assistant by the
             80      supervising anesthesiologist in accordance with the acceptable medical practice and the
             81      American Society of Anesthesiologists' guidance for best practice of anesthesia in a care team
             82      model.
             83          (b) The practice of anesthesiologist assistant is limited to performing the practice of
             84      anesthesiologist assistant as described in Subsection (3)(a):
             85          (i) under the supervision of a physician, as defined in Subsection (4), who:
             86          (A) is licensed under Chapter 67, Utah Medical Practice Act, or Chapter 68, Utah
             87      Osteopathic Medical Practice Act; and
             88          (B) has completed a residency program in anesthesiology; and
             89          (ii) as may be further limited by administrative rule adopted by the division in

             90      consultation with the board.
             91          (4) "Supervision" means a supervising anesthesiologist is immediately available in
             92      physical proximity that allows the anesthesiologist to return and re-establish direct contact with
             93      the patient to meet the medical needs and address any urgent or emergent clinical problems.
             94          (5) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-70b-501 .
             95          (6) "Unprofessional conduct" is as defined in Sections 58-1-501 and 58-70b-502 and as
             96      may be further defined by administrative rule adopted by the division in accordance with Title
             97      63G, Chapter 3, Utah Administrative Rulemaking Act.
             98          Section 4. Section 58-70b-201 is enacted to read:
Part 2. Board

             100          58-70b-201. Board.
             101          Anesthesiologist Assistants will be regulated by the Physician Assistant Licensing
             102      Board created in Section 58-70a-201 .
             103          Section 5. Section 58-70b-301 is enacted to read:
Part 3. Licensing

             105          58-70b-301. Licensure required -- Issuance of licenses -- Effect on insurers.
             106          (1) Beginning January 1, 2014, and except as provided in Section 58-1-307 , a license is
             107      required to engage in the practice of anesthesiologist assistant.
             108          (2) The division shall issue to any person who qualifies under this chapter a license to
             109      practice as an anesthesiologist assistant.
             110          (3) Nothing in this chapter shall be construed to require payment from insurers for
             111      anesthesiologist assistant services.
             112          Section 6. Section 58-70b-302 is enacted to read:
             113          58-70b-302. Qualifications for licensure -- Temporary license.
             114          (1) Except as provided in Subsection (2), each applicant for licensure as an
             115      anesthesiologist assistant under this chapter shall:
             116          (a) submit an application in a form prescribed by the division;
             117          (b) pay a fee determined by the department under Section 63-38-3.2 ;
             118          (c) be of good moral character;
             119          (d) provide satisfactory documentation of having graduated from a program certified by
             120      the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or its

             121      successor organization;
             122          (e) within 12 months of completing the training under Subsection (1)(d), pass the
             123      certification exam offered by the National Commission for Certification of Anesthesiologist
             124      Assistants (NCCAA); and
             125          (f) be certified by the NCCAA at the time of the application and throughout the term of
             126      the license.
             127          (2) The division may issue a temporary license, in accordance with Section 58-1-303
             128      and any other conditions established by rule, to an applicant who meets all of the requirements
             129      for licensure except the examination requirement of Subsection (1)(e).
             130          Section 7. Section 58-70b-303 is enacted to read:
             131          58-70b-303. Term of license -- Expiration -- Renewal.
             132          (1) The division shall issue each license under this chapter in accordance with a
             133      two-year renewal cycle established by rule. The division may by rule extend or shorten a
             134      renewal cycle by as much as one year to stagger the renewal cycles it administers.
             135          (2) Each licensee shall, at the time of applying for renewal, demonstrate compliance
             136      with continuing education requirements established by rule by the division in collaboration
             137      with the board.
             138          (3) Each license automatically expires on the expiration date shown on the license
             139      unless the licensee renews it in accordance with Section 58-1-308 .
             140          Section 8. Section 58-70b-401 is enacted to read:
Part 4. License Denial and Discipline

             142          58-70b-401. Grounds for denial of license -- Disciplinary proceedings.
             143          Grounds for refusing to issue a license to an applicant, for refusing to renew the license
             144      of a licensee, for revoking, suspending, restricting, or placing on probation the license of a
             145      licensee, for issuing a public or private reprimand to a licensee, and for issuing a cease and
             146      desist order shall be in accordance with Section 58-1-401 .
             147          Section 9. Section 58-70b-501 is enacted to read:
Part 5. Unlawful and Unprofessional Conduct

             149          58-70b-501. Unlawful conduct.
             150          "Unlawful conduct" includes, in addition to the definition in Section 58-1-501 :
             151          (1) using the title "anesthesiologist assistant" or any other title or designation tending to

             152      indicate that the person is an anesthesiologist assistant unless that person has a current license
             153      as an anesthesiologist assistant issued under this chapter; or
             154          (2) engaging in the practice of anesthesiologist assistant without the supervision of an
             155      anesthesiologist as required by Subsection 58-70b-102 (3)(b).
             156          Section 10. Section 58-70b-502 is enacted to read:
             157          58-70b-502. Unprofessional conduct.
             158          "Unprofessional conduct" includes, in addition to the definition in Section 58-1-501 and
             159      as may be further defined by rule:
             160          (1) engaging in any act or practice in a professional capacity which the licensee is not
             161      competent to perform through training or experience;
             162          (2) failing to refer a client to other competent professionals when the licensee is unable
             163      or unwilling to adequately support or serve the client;
             164          (3) failing to maintain the confidentiality of any information received from a client,
             165      unless released by the client or otherwise authorized or required by law; and
             166          (4) exploiting a client for personal advantage, profit, or interest.
             166a           H. Section 11. Division of Occupational and Professional Licensing Study.
             166b          The Division of Occupational and Professional Licensing shall consult the professional
             166c      boards for health care providers licensed under Title 58, Chapters 31b, Nurse Practice Act,
             166d      and 70b, Anesthesiologist Assistant Licensing Act , and physicians described in
             166e      Section 58-70b-102(3), to work with the Legislative Health and Human Services Interim
             166f      Committee to study and make a recommendation on or before November 15, 2015:
             166g          (1) that identify anesthesia procedures that:
             166h          (a) may be performed by an individual licensed under Title 58, Chapters 31b, Nurse
             166i      Practice Act or 70b, Anesthesiologist Assistant Licensing Act; and
             166j          (b) involve significant risk to a patient; and
             166k          (2) recommend whether a patient should:
             166l          (a) be informed of the level of training of, or the type of license held by the provider
             166m      who will perform the procedure; and
             166n          (b) be required to consent to the type of provider who will perform the procedure. .H

Legislative Review Note
    as of 1-30-13 11:27 AM

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