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COMMITTEE ACTION:
SSB 3191 – Administrative Code Editor technical clean up
SSB
3191 is the Administrative Code Editor technical clean-up bill that allows
the Editor authority to update the agency address rather than requiring those
changes to go through the rules process. It requires a fiscal impact for any
rule that costs more than $100,000 or
combined expenditures of at least $500,000 within five years. This
conforms the Code to current practice. The bill consolidates the rule
delaying Code sections and aligns the committee membership with the General
Assembly service terms. The bill makes other technical changes in timeframes
for committee action and agency reporting.
[2/27: Short Form (Excused: Miller-Meeks)]
COMMITTEE AND FLOOR ACTION:
HF 310 – Scope of practice for optometrists – injections
HF
310 allows optometrists to administer sub-conjunctival injections for the
medical treatment of the eye, intra-lesional injections for the treatment of chalazia,
and injections to counteract an anaphylactic reaction. Current law prohibits an
optometrist from administering injections other than to counter an anaphylactic
reaction. The bill prohibits an optometrist from administering any injection
prior to receiving approval from the board. The board will not approve the use
of injections by an optometrist, except for injections to counteract an anaphylactic
reaction, unless the optometrist demonstrates sufficient educational or
clinical training from or equivalent to an accredited college or university. An
amendment was adopted to allow
botulism toxin injections.
[COMMITTEE 2/27: 13-1 (No: Chapman;
Excused: Miller-Meeks)]
[FLOOR 3/3: 41-8 (Excused: Wahls)]
FLOOR ACTION:
SJR 2003 – Gubernatorial line of succession constitutional amendment
SJR
2003 proposes amendments to the Constitution of the State of Iowa relating
to the gubernatorial line of succession and the filling of vacant public
offices. First, there is a reference change from “any office” to “any public
office” regarding the governor’s power to fill vacancies where no mode is
otherwise provided for by law. Second, the resolution creates a system of
succession in the case of a permanent or temporary disability of the governor
or governor-elect. In the case of a temporary disability of the governor or
governor-elect, the lieutenant governor or lieutenant governor-elect will act
as governor or governor-elect until the disability is removed, or the governor
dies, resigns or is removed from office. In the case of death, resignation or
removal from office, the lieutenant governor or lieutenant governor-elect
becomes governor or governor-elect for the remainder of the term. An amendment
makes a technical change. This proposed constitutional amendment must be
approved by the next General Assembly and approved by voters before going into
effect.
[2/27:
49-0 (Excused: Miller-Meeks)]
SF 155 – Removes prohibition on mobile barber shops
SF
155 removes the prohibition on mobile barber shops. This bill was inspired
by a barber who plans to launch a mobile barbershop to better meet the needs of
the homeless and others in Waterloo.
[3/2: 49-0 (Excused: Wahls)]
SF 2135 – Disinterment permits for cremated remains
SF
2135 clarifies the Code regarding cremated remains. An Administrative Rule (ARC
4849C) would have exempted cremated remains from the requirement that a permit
be issued for relocation of remains from the original site if the purpose is
autopsy or burial. ARC 4849C would have gone into effect upon the adjournment
of the 2020 session if the Legislature did not act on the rule. This bill is
aimed at removing remains from cemeteries, but does not impact remains buried
on private property because they do not have a public health burial permit. A
floor amendment was adopted that clarifies the disinterment process, which
mirrors the funeral director’s role under rules to supervise or administor, and
adds additional consideration to include a person that has final rights or
control, and any court order.
[2/27:
46-3 (No: Dotzler, Hogg, R. Taylor; Excused: Miller-Meeks)]
SF 2188 – Department of Homeland Security bill – hazard mitigation
SF
2188 deals with hazard mitigation during a disaster emergency/flooding.
Under the bill, if financial assistance for hazard mitigation/flood recovery is
granted by the federal government (but not by a Governor’s proclamation), the
state may participate in the funding of the financial assistance authorized to
a local government in an amount not to exceed 10% of eligible expenses.
In addition, if financial assistance is granted for state-related hazard
mitigation, the state may participate in the funding in an amount not to exceed
50% of eligible expenses. Local governments must have a state-approved
comprehensive emergency plan to participate.
[3/2: 49-0 (Excused: Wahls)]
SF 2268 – Raising age of vaping to 21
SF 2268 increases
the minimum age to buy and use tobacco, tobacco products, alternative nicotine
products, vapor products and cigarettes from 18 to 21.
[3/4: 43-6 (No: Carlin, Edler, Schultz, Sinclair, Zaun, R. Taylor; Excused:
Rozenboom, Wahls)]
SF 2283 – Training programs for certain emergency medical care providers
SF 2283
authorizes a medical care ambulance service or nontransport service to apply to
establish a training program. Additionally, the bill makes a corresponding
change to the definition of “training program” to reflect the addition of
medical care ambulance services and nontransport services to the category of
eligible training program providers. Current Code says that an Iowa college
approved by the higher learning commission or an Iowa hospital that wants to
provide emergency medical care services training must apply to the Department
of Public Health for authorization.
[3/4: 49-0 (Excused: Wahls)]
SF 2327 – Elimination of hospital licensing board
SF
2327 eliminates the hospital licensing
board. The hospital licensing board duties include consulting with and advising
the Department of Public Health (IDPH) on matters of policy affecting the
licensure and regulation of hospitals, developing rules and standards, and
reviewing and approving rules and standards prior to their approval by the
state board of health and adoption by the department. Instead, IDPH would adopt
rules setting out the standards for the different types of hospitals to be
licensed.
[2/27:
49-0 (Excused: Miller-Meeks)]
SF 2357 – Scope of practice for physician assistants
SF 2357 expands the scope of practice for physician assistants (PAs) in these ways:
- PAs may prescribe, dispense, order, administer or procure prescription drugs for which they have been prepared by education, training or experience, and are competent to perform.
- A physician may delegate the function of prescribing drugs, after the supervising physician determines the physician assistant’s proficiency and competence.
- Includes physician assistants relating to the scope of recovery in an action for damages for personal injury and wrongful death.
- Strikes the reference to a physician assistant examination that may be completed in lieu of graduation from an approved program.
- A physician must be accessible at all times for consultation with a physician assistant. The supervising physician has ultimate responsibility for determining the medical care provided by the supervising physician-physician assistant team.
- The bill also
includes physician assistants as approved providers of health care services,
including primary care for purposes of managed care or prepaid services
contracts under the Medicaid program.
[3/2: 49-0 (Excused: Wahls)]
HF 2267 – Regulation of dental hygienists and dental assistants
HF 2267 removes the requirement that services performed by a dental
hygienist or dental assistant be performed in a dental office, public or
private school, public health agency, hospital or armed forces facility. The
bill allows the dental board to impose an administrative penalty of up to $500
on licensees who practice without the proper license, registration or
qualification. The bill allows a dental assistant, with additional training, to
perform expanded functions and participate in dental radiography. The bill
prohibits a dental assistant from placing sealants on teeth unless the dental
assistant has completed expanded training accredited by the Commission on
Dental Accreditation.
[3/4: 48-0 (Excused: Rozenboom, Wahls)]