Amendments for HB22-1095
House Journal, February 24
36 HB22-1095 be amended as follows, and as so amended, be referred to
37 the Committee of the Whole with favorable
38 recommendation:
39
40 Amend printed bill, page 11, line 5, strike "liable RESPONSIBLE" and
41 substitute "liable".
42
43 Page 11, line 18, strike "liable RESPONSIBLE" and substitute "liable".
44
45 Page 11, line 22, strike "MAY" and substitute "SHALL".
46
47 Page 16, line 21, strike "MAY" and substitute "SHALL".
48
49 Page 20, strike lines 15 through 23 and substitute:
50
51
1 "SECTION 14. Act subject to petition - effective date. This act
2 takes effect January 1, 2023; except that, if a referendum petition is filed
3 pursuant to section 1 (3) of article V of the state constitution against this
4 act or an item, section, or part of this act within the ninety-day period
5 after final adjournment of the general assembly, then the act, item,
6 section, or part will not take effect unless approved by the people at the
7 general election to be held in November 2022 and, in such case, will take
8 effect January 1, 2023, or on the date of the official declaration of the
9 vote thereon by the governor, whichever is later.".
10
11 Strike "THREE" and substitute "FIVE" on: Page 3, line 21; Page 7, line 11;
12 Page 8, line 15; Page 10, lines 16 and 25; Page 11, lines 2, 4, 11, 13, and
13 20; Page 15, lines 11 and 24; Page 16, line 9; and Page 18, lines 20 and
14 22.
15
16 Strike "TWO" and substitute "THREE" on: Page 10, lines 14 and 24.
17
18
House Journal, February 28
49 Amendment recommended by Health & Insurance Report, dated
50 February 23, 2022, and placed in member’s bill file; Report also printed
51 in House Journal, February 24, 2022.
52
53 Laid Over until Friday, March 4, 2022.
54
55
House Journal, March 4
14 Amendment No. 1, Health & Insurance Report, dated February 23, 2022,
15 and placed in member’s bill file; Report also printed in House Journal,
16 February 24, 2022.
17
18 Amendment No. 2, by Representative Will.
19
20 Amend the Health and Insurance Committee Report, dated February 23,
21 2022, page 1, strike lines 7 through 15 and substitute:
22
23 ""SECTION 14. Act subject to petition - effective date. This act
24 takes effect July 1, 2023; except that, if a referendum petition is filed
25 pursuant to section 1 (3) of article V of the state constitution against this
26 act or an item, section, or part of this act within the ninety-day period
27 after final adjournment of the general assembly, then the act, item,
28 section, or part will not take effect unless approved by the people at the
29 general election to be held in November 2022 and, in such case, will take
30 effect July 1, 2023.".".
31
32 Amendment No. 3, by Representative Lontine.
33
34 Amend printed bill, page 4, lines 3 and 4, strike "MORE THAN FOUR
35 COLLABORATIVE PLANS AT ANY ONE" and substitute "A COLLABORATIVE
36 PLAN AT ANY".
37
38 Page 5, line 19, strike "definitions." and substitute "definitions - rules.".
39
40 Page 7, line 2, strike "CHANGE" and substitute "CHANGE, AS DETERMINED
41 BY THE BOARD BY RULE,".
42
43 Page 8, line 16 strike "REFER TO APPROPRIATE MEMBERS OF THE
44 PHYSICIAN ASSISTANT'S" and substitute "REFER TO, THROUGH ONGOING
45 COORDINATION AND COMMUNICATION, PHYSICIANS AND MEMBERS OF
46 THE".
47
48 Page 9, line 15, strike "OR FACILITY" and substitute "FACILITY, OR
49 PHYSICIAN".
50
51 Page 15, lines 20 and 21, strike "MORE THAN FOUR COLLABORATIVE
52 PLANS AT ANY ONE" and substitute "A COLLABORATIVE PLAN AT ANY".
53
54
1 Page 16, lines 9 and 10, strike "REFER TO APPROPRIATE MEMBERS OF THE
2 PHYSICIAN ASSISTANT'S" and substitute "REFER TO, THROUGH ONGOING
3 COORDINATION AND COMMUNICATION, PODIATRISTS AND MEMBERS OF
4 THE".
5
6 Page 16, line 17, strike "OR FACILITY" and substitute "FACILITY, OR
7 PODIATRIST".
8
9 As amended, ordered engrossed and placed on the Calendar for Third
10 Reading and Final Passage.
11
House Journal, March 15
36 Amendment 1, by Representative Lontine.
37
38 Amend engrossed bill, page 2, strike lines 7 through 11.
39
40 Page 3, strike lines 1 through 15 and substitute "rule - repeal. (6) (a) A
41 person licensed under the laws of this state to practice medicine may
42 delegate to a physician assistant licensed by the board pursuant to section
43 12-240-113 the authority to perform acts that constitute the practice of
44 medicine and acts that physicians are authorized by law to perform to the
45 extent and in the manner authorized by rules promulgated by the board,
46 including the authority to prescribe medication, including controlled
47 substances, and dispense only the drugs designated by the board. The acts
48 must be consistent with sound medical practice. Each prescription for a
49 controlled substance, as defined in section 18-18-102 (5), issued by a
50 physician assistant licensed by the board shall be imprinted with the name
51 of the physician assistant's supervising physician. For all other
52 prescriptions issued by a physician assistant, the name and address of the
53 health facility and, if the health facility is a multi-speciality organization,
54 the name and address of the speciality clinic within the health facility
55 where the physician assistant is practicing must be imprinted on the
56 prescription. Nothing in this subsection (6) limits the ability of otherwise
1 licensed health personnel to perform delegated acts. The dispensing of
2 prescription medication by a physician assistant is subject to section
3 12-280-120 (6). A PHYSICIAN ASSISTANT MAY:
4 (I) PROVIDE THE MEDICAL SERVICE FOR WHICH A PHYSICIAN
5 ASSISTANT IS PREPARED BY EDUCATION, TRAINING, AND EXPERIENCE AND
6 IS COMPETENT TO PERFORM, INCLUDING:
7 (A) OBTAINING A COMPREHENSIVE HEALTH HISTORY AND
8 PERFORM A PHYSICAL EXAMINATION;
9 (B) EVALUATING, DIAGNOSING, MANAGING, AND PROVIDING
10 MEDICAL TREATMENT;
11 (C) PERFORMING, ORDERING, AND EVALUATING DIAGNOSTIC
12 STUDIES AND THERAPEUTIC PROCEDURES;
13 (D) EDUCATING A PATIENT ON HEALTH PROMOTION AND DISEASE
14 PREVENTION;
15 (E) PROVIDING CONSULTATION TO OTHER HEALTH CARE
16 PROFESSIONALS UPON REQUEST; AND
17 (F) WRITING A MEDICAL ORDER.
18 (II) PRESCRIBE AND DISPENSE MEDICATION, INCLUDING
19 CONTROLLED SUBSTANCES, IF:
20 (A) ALL PRESCRIPTIONS ISSUED BY A PHYSICIAN ASSISTANT
21 INCLUDE THE PHYSICIAN ASSISTANT'S NAME, THE NAME AND ADDRESS OF
22 THE HEALTH FACILITY, AND, IF THE HEALTH FACILITY IS A MULTISPECIALTY
23 ORGANIZATION, THE NAME AND ADDRESS OF THE SPECIALTY CLINIC
24 WITHIN THE HEALTH FACILITY WHERE THE PHYSICIAN ASSISTANT IS
25 PRACTICING; AND
26 (B) THE DISPENSING OF MEDICATION BY A PHYSICIAN ASSISTANT
27 IS IN ACCORDANCE WITH SECTION 12-280-120 (6).
28 (III) OBTAIN INFORMED CONSENT;
29 (IV) SUPERVISE, DELEGATE, AND ASSIGN THERAPEUTIC AND
30 DIAGNOSTIC MEASURES;
31 (V) CERTIFY THE HEALTH OR DISABILITY OF A PATIENT AS
32 REQUIRED BY ANY LOCAL, STATE, OR FEDERAL PROGRAM;
33 (VI) AUTHENTICATE ANY DOCUMENT WITH THE SIGNATURE,
34 CERTIFICATION, STAMP, VERIFICATION, AFFIDAVIT, OR ENDORSEMENT OF
35 THE PHYSICIAN ASSISTANT IF THE DOCUMENT MAY BE AUTHENTICATED BY
36 THE SIGNATURE, CERTIFICATION, STAMP, VERIFICATION, AFFIDAVIT, OR
37 ENDORSEMENT OF A PHYSICIAN; AND
38 (VII) PRONOUNCE DEATH.".
39
40 As amended, declared lost on Second Reading.
41