General Assembly: 85 (2013 Regular GA) - Chapter 32 - Orthotic, prosthetic, and pedorthic services


Published: 2013-04-05

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CHAPTER 32 ORTHOTIC, PROSTHETIC, AND PEDORTHIC SERVICES

H.F. 486

AN ACT relating to persons offering orthotic, prosthetic, and pedorthic services to the public, and relating to the scope of orthotic, prosthetic, and pedorthic services which may be ordered by certain health care providers, and including transition provisions.

Be It Enacted by the General Assembly of the State of Iowa:

Section 1. Section 148F.2, subsections 2 and 4, Code 2013, are amended to read as follows: 2. “Orthosis” means a custom-fabricated or custom-fitted brace or support designed

to provide for alignment, correction, or prevention of neuromuscular or musculoskeletal dysfunction, disease, injury, or deformity. “Orthosis” does not include fabric or elastic supports, corsets, arch supports, low temperature plastic splints, trusses, elastic hoses hose, canes, crutches, soft cervical collars, dental appliances, or other similar devices carried in stock and sold as “over-the-counter” items by a drug store, department store, corset shop, or surgical supply facility. 4. “Orthotic and prosthetic scope of practice” means a list of tasks, with relative weight

given to such factors as importance, criticality, and frequency, based on nationally accepted standards of orthotic and prosthetic care as outlined by the American board for certification in orthotics, prosthetics, and pedorthics, incorporated.

Sec. 2. Section 148F.2, subsection 3, unnumbered paragraph 1, Code 2013, is amended to read as follows: “Orthotic and prosthetic education program” means a course of instruction accredited by

the national commission on accreditation of allied health education programs, consisting of both of the following:

Sec. 3. Section 148F.2, subsection 8, unnumbered paragraph 1, Code 2013, is amended to read as follows: “Pedorthic education program”means an educational program accredited by the American

board for certification in orthotics, prosthetics, and pedorthics approved by the national commission on orthotic and prosthetic education consisting of all of the following:

Sec. 4. Section 148F.2, subsections 9 and 16, Code 2013, are amended to read as follows: 9. “Pedorthic scope of practice” means a list of tasks with relative weight given to such

factors as importance, criticality, and frequency based on nationally accepted standards of pedorthic care as outlined by the American board for certification in orthotics, prosthetics, and pedorthics, incorporated. 16. “Resident” means a person who has completed an education program in either

orthotics or prosthetics and is continuing the person’s clinical education in a residency accredited by the American board for certification in orthotics, prosthetics and pedorthics national commission on orthotic and prosthetic education.

Sec. 5. Section 148F.5, subsection 2, paragraph c, Code 2013, is amended to read as follows: c. Complete a qualified work clinical experience program or internship in pedorthics that

has a minimum of one thousand hours of pedorthic patient care experience in accordance with any standards, guidelines, or procedures established and approved by the board. The majority of trainingmust be devoted to services performed under the supervision of a licensed orthotist or licensed practitioner of pedorthics or a person certified as a certified pedorthist whose practice is located outside the state.

Sec. 6. Section 148F.7, Code 2013, is amended to read as follows: 148F.7 Limitation on provision of care and services. A licensed orthotist, prosthetist, or pedorthist may provide care or services only if the care

or services are provided pursuant to an order from a licensed physician, a licensed podiatric

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physician, an advanced registered nurse practitioner who has a written collaborative agreement with a collaborating physician or podiatric physician that specifically authorizes ordering the services of an orthotist, prosthetist, or pedorthist, an advanced registered nurse practitioner who practices in a hospital or ambulatory surgical treatment center and possesses clinical privileges to order services of an orthotist, prosthetist, or pedorthist licensed pursuant to chapter 152 or 152E, or a physician assistant who has been delegated the authority to order the services of an orthotist, prosthetist, or pedorthist by the assistant’s supervising physician. A licensed podiatric physician or an advanced registered nurse practitioner collaborating with a podiatric physician may only order care or services concerning the foot from a licensed pedorthist or orthotist.

Sec. 7. NEW SECTION. 148F.9 Transition period. 1. Through June 30, 2014, a person certified as an orthotist, prosthetist, or pedorthist by

the American board for certification in orthotics, prosthetics, and pedorthics, incorporated, or holding similar certification from other accrediting bodies, may apply for and may be issued an initial license to practice orthotics, prosthetics, or pedorthics under the provisions of this chapter without meeting the requirements of section 148F.5, upon proof of current certification in good standing and payment of the required licensure fees. 2. Through June 30, 2014, a person not certified as described in subsection 1 who has

practiced continuously for at least thirty hours per week on average for at least five of seven years in an accredited and bonded facility as an orthotist, prosthetist, or pedorthist may file an application with the board to continue to practice orthotics, prosthetics, or pedorthics. The practice described under this subsection shall only be required to have been performed in an accredited and bonded facility if the facility is required to be accredited and bonded by Medicare. The five years of continuous practice must occur between July 1, 2007, and July 1, 2014. A person applying under this subsection may be issued an initial license to practice orthotics, prosthetics, or pedorthics under the provisions of this chapter without meeting the requirements of section 148F.5, upon payment of the licensure fees required by the department and after the board has reviewed the application. 3. On or after July 1, 2014, an applicant for licensure as an orthotist, prosthetist, or

pedorthist shall meet the requirements of section 148F.5. 4. The board shall adopt rules to administer this section.

Approved April 5, 2013

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