H.B. 143 Enrolled

             1     

PSYCHIATRIC NURSE AMENDMENTS

             2     
2014 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Edward H. Redd

             5     
Senate Sponsor: Brian E. Shiozawa

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill amends provisions of the Nurse Practice Act related to advanced practice
             10      registered nurse licensing.
             11      Highlighted Provisions:
             12          This bill:
             13          .    for an applicant for a license in advanced practice registered nursing in the
             14      psychiatric mental health specialty:
             15              .    removes a provision that requires the applicant to complete the applicant's
             16      clinical practice requirements before licensure; and
             17              .    adds a provision that requires the applicant to complete the applicant's clinical
             18      practice requirements before renewal, or, if the applicant is renewing in less
             19      than two years, to demonstrate satisfactory progress toward completing the
             20      clinical practice requirements; and
             21          .    makes technical and conforming amendments.
             22      Money Appropriated in this Bill:
             23          None
             24      Other Special Clauses:
             25          None
             26      Utah Code Sections Affected:
             27      AMENDS:
             28           58-31b-302 , as last amended by Laws of Utah 2011, Chapter 367
             29           58-31b-305 , 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 58-31b-302 is amended to read:
             33           58-31b-302. Qualifications for licensure or certification -- Criminal background
             34      checks.
             35          (1) An applicant for certification as a medication aide shall:
             36          (a) submit an application to the division on a form prescribed by the division;
             37          (b) pay a fee to the division as determined under Section 63J-1-504 ;
             38          (c) have a high school diploma or its equivalent;
             39          (d) have a current certification as a nurse aide, in good standing, from the Department
             40      of Health;
             41          (e) have a minimum of 2,000 hours of experience within the two years prior to
             42      application, working as a certified nurse aide in a long-term care facility;
             43          (f) obtain letters of recommendation from a long-term care facility administrator and
             44      one licensed nurse familiar with the applicant's work practices as a certified nurse aide;
             45          (g) be in a condition of physical and mental health that will permit the applicant to
             46      practice safely as a medication aide certified;
             47          (h) have completed an approved education program or an equivalent as determined by
             48      the division in collaboration with the board;
             49          (i) have passed the examinations as required by division rule made in collaboration
             50      with the board; and
             51          (j) meet with the board, if requested, to determine the applicant's qualifications for
             52      certification.
             53          (2) An applicant for licensure as a licensed practical nurse shall:
             54          (a) submit to the division an application in a form prescribed by the division;
             55          (b) pay to the division a fee determined under Section 63J-1-504 ;
             56          (c) have a high school diploma or its equivalent;
             57          (d) be in a condition of physical and mental health that will permit the applicant to


             58      practice safely as a licensed practical nurse;
             59          (e) have completed an approved practical nursing education program or an equivalent
             60      as determined by the board;
             61          (f) have passed the examinations as required by division rule made in collaboration
             62      with the board; and
             63          (g) meet with the board, if requested, to determine the applicant's qualifications for
             64      licensure.
             65          (3) An applicant for licensure as a registered nurse shall:
             66          (a) submit to the division an application form prescribed by the division;
             67          (b) pay to the division a fee determined under Section 63J-1-504 ;
             68          (c) have a high school diploma or its equivalent;
             69          (d) be in a condition of physical and mental health that will allow the applicant to
             70      practice safely as a registered nurse;
             71          (e) have completed an approved registered nursing education program;
             72          (f) have passed the examinations as required by division rule made in collaboration
             73      with the board; and
             74          (g) meet with the board, if requested, to determine the applicant's qualifications for
             75      licensure.
             76          (4) Applicants for licensure as an advanced practice registered nurse shall:
             77          (a) submit to the division an application on a form prescribed by the division;
             78          (b) pay to the division a fee determined under Section 63J-1-504 ;
             79          (c) be in a condition of physical and mental health which will allow the applicant to
             80      practice safely as an advanced practice registered nurse;
             81          (d) hold a current registered nurse license in good standing issued by the state or be
             82      qualified at the time for licensure as a registered nurse;
             83          (e) (i) have earned a graduate degree in:
             84          (A) an advanced practice registered nurse nursing education program; or
             85          (B) a related area of specialized knowledge as determined appropriate by the division


             86      in collaboration with the board; or
             87          (ii) have completed a nurse anesthesia program in accordance with Subsection
             88      (4)(f)(ii);
             89          (f) have completed:
             90          (i) course work in patient assessment, diagnosis and treatment, and
             91      pharmacotherapeutics from an education program approved by the division in collaboration
             92      with the board; or
             93          (ii) a nurse anesthesia program which is approved by the Council on Accreditation of
             94      Nurse Anesthesia Educational Programs;
             95          [(g) have successfully completed clinical practice in psychiatric and mental health
             96      nursing, including psychotherapy as defined by division rule, after completion of a doctorate or
             97      master's degree required for licensure, to practice within the psychiatric and mental health
             98      nursing specialty;]
             99          (g) to practice within the psychiatric mental health nursing specialty, demonstrate, as
             100      described in division rule, that the applicant, after completion of a doctorate or master's degree
             101      required for licensure, is in the process of completing the applicant's clinical practice
             102      requirements in psychiatric mental health nursing, including in psychotherapy;
             103          (h) have passed the examinations as required by division rule made in collaboration
             104      with the board;
             105          (i) be currently certified by a program approved by the division in collaboration with
             106      the board and submit evidence satisfactory to the division of the certification; and
             107          (j) meet with the board, if requested, to determine the applicant's qualifications for
             108      licensure.
             109          (5) For each applicant for licensure or certification under this chapter:
             110          (a) the applicant shall:
             111          (i) submit fingerprint cards in a form acceptable to the division at the time the
             112      application is filed; and
             113          (ii) consent to a fingerprint background check by the Utah Bureau of Criminal


             114      Identification and the Federal Bureau of Investigation regarding the application; and
             115          (b) the division shall request the Department of Public Safety to complete a Federal
             116      Bureau of Investigation criminal background check through the national criminal history
             117      system (NCIC) or any successor system.
             118          (6) For purposes of conducting the criminal background checks required in Subsection
             119      (5), the division shall have direct access to criminal background information maintained
             120      pursuant to Title 53, Chapter 10, Part 2, Bureau of Criminal Identification.
             121          (7) (a) (i) Any new nurse license or certification issued under this section shall be
             122      conditional, pending completion of the criminal background check.
             123          (ii) If the criminal background check discloses the applicant has failed to accurately
             124      disclose a criminal history, the license or certification shall be immediately and automatically
             125      revoked.
             126          (b) (i) Any person whose conditional license or certification has been revoked under
             127      Subsection (7)(a) shall be entitled to a postrevocation hearing to challenge the revocation.
             128          (ii) The hearing shall be conducted in accordance with Title 63G, Chapter 4,
             129      Administrative Procedures Act.
             130          (8) (a) If a person has been charged with a violent felony, as defined in Subsection
             131      76-3-203.5 (1)(c), and, as a result, the person has been convicted, entered a plea of guilty or
             132      nolo contendere, or entered a plea of guilty or nolo contendere held in abeyance pending the
             133      successful completion of probation:
             134          (i) the person is disqualified for licensure under this chapter; and
             135          (ii) (A) if the person is licensed under this chapter, the division:
             136          (I) shall act upon the license as required under Section 58-1-401 ; and
             137          (II) may not renew or subsequently issue a license to the person under this chapter; and
             138          (B) if the person is not licensed under this chapter, the division may not issue a license
             139      to the person under this chapter.
             140          (b) If a person has been charged with a felony other than a violent felony, as defined in
             141      Subsection 76-3-203.5 (1)(c), and, as a result, the person has been convicted, entered a plea of


             142      guilty or nolo contendere, or entered a plea of guilty or nolo contendere held in abeyance
             143      pending the successful completion of probation:
             144          (i) if the person is licensed under this chapter, the division shall determine whether the
             145      felony disqualifies the person for licensure under this chapter and act upon the license, as
             146      required, in accordance with Section 58-1-401 ; and
             147          (ii) if the person is not licensed under this chapter, the person may not file an
             148      application for licensure under this chapter any sooner than five years after having completed
             149      the conditions of the sentence or plea agreement.
             150          Section 2. Section 58-31b-305 is amended to read:
             151           58-31b-305. Term of license -- Expiration -- Renewal.
             152          (1) The division shall issue each license or certification under this chapter in
             153      accordance with a two-year renewal cycle established by rule. The division may by rule extend
             154      or shorten a renewal period by as much as one year to stagger the renewal cycles it administers.
             155          [(2) At the time of renewal, the licensee or person certified under this chapter shall
             156      show satisfactory evidence of each of the following renewal requirements:]
             157          (2) The division shall renew the license of a licensee who, at the time of renewal:
             158          (a) [complete and submit] completes and submits an application for renewal in a form
             159      prescribed by the division [and pay the renewal fee determined];
             160          (b) pays a renewal fee established by the division under Section 63J-1-504 ; and
             161          [(b)] (c) [meet] meets continuing competency requirements as established by rule[,]
             162      [which shall include continuing education requirements for medication aide certified
             163      established by the board and adopted by the division by rule].
             164          (3) In addition to the renewal requirements under Subsection (2), a person licensed as a
             165      advanced practice registered nurse shall be currently certified by a program approved by the
             166      division in collaboration with the board and submit evidence satisfactory to the division of that
             167      qualification or if licensed prior to July 1, 1992, meet the requirements established by rule.
             168          (4) In addition to the requirements described in Subsections (2) and (3), an advanced
             169      practice registered nurse licensee specializing in psychiatric mental health nursing who, as of


             170      the day on which the division originally issued the licensee's license had not completed the
             171      division's clinical practice requirements in psychiatric and mental health nursing, shall, to
             172      qualify for renewal:
             173          (a) if renewing less than two years after the day on which the division originally issued
             174      the license, demonstrate satisfactory progress toward completing the clinical practice
             175      requirements; or
             176          (b) have completed the clinical practice requirements.
             177          [(4)] (5) Each license or certification automatically expires on the expiration date
             178      shown on the license or certification unless renewed in accordance with Section 58-1-308 .


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