HB 1241-1_ Filed 02/12/2007, 18:11
Adopted 2/13/2007


Text Box

Adopted Rejected


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COMMITTEE REPORT


                                                        YES:

11

                                                        NO:
1

MR. SPEAKER:
    Your Committee on       Public Health     , to which was referred       House Bill 1241     , has had the same under consideration and begs leave to report the same back to the House with the recommendation that said bill be amended as follows:

SOURCE: Page 4, line 19; (07)AM124105.4. -->     Page 4, line 19, delete "licensure;" and insert " certification;".
    Page 8, between lines 40 and 41, begin a new paragraph and insert:
SOURCE: IC 25-27.5-2-14; (07)AM124105.12. -->     "SECTION 12. IC 25-27.5-2-14 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2007]: Sec. 14. (a) "Supervision" means that the supervising physician or the physician designee accepting responsibility for the physician assistant must be meets either of the following conditions at all times that services are rendered or tasks are performed by the physician assistant:
         (1) The supervising physician or the physician designee is physically present or at the location at which services are rendered or tasks are performed by the physician assistant.
         (2) The supervising physician or the physician designee:
            (A) is
immediately available for consultation; at all times that

services are rendered or tasks are performed by the physician assistant. and
            (B) is not more than:
                (i) thirty (30) miles from the onsite location;

                 (ii) sixty (60) miles from the location of the rural health clinic (as defined in 42 U.S.C. 1396d(l)(1); or
                (iii) a specific distance (as requested by the supervising physician and physician assistant and approved by the board) from the onsite location;

            at which services are rendered or tasks are performed by the physician assistant.
     (b) The term includes the use of protocols, guidelines, and standing orders developed or approved by the supervising physician.".

SOURCE: Page 13, line 32; (07)AM124105.13. -->     Page 13, between lines 32 and 33, begin a new paragraph and insert:
    " (e) A physician assistant may not prescribe drugs unless the physician assistant has successfully completed at least thirty (30) contact hours in pharmacology from an educational program that is approved by the committee.
     (f) A physician assistant may not prescribe, administer, or monitor general anesthesia, regional anesthesia, or deep sedation/analgesia. A physician assistant may not administer moderate sedation/analgesia during diagnostic tests, surgical procedures, or obstetric procedures unless the following conditions are met:
        (1) A physician is physically present in the area, is immediately available to assist in the management of the patient, and is
qualified to rescue patients from deep sedation/analgesia.
        (2) The physician assistant is qualified to rescue patients from deep sedation/analgesia and is competent to manage a compromised airway and provide adequate oxygenation and ventilation by reason of meeting the following conditions:
            (A) The physician assistant is certified in advanced cardiopulmonary life support.
            (B) The physician assistant has knowledge of and training in the medications used in moderate sedation/analgesia, including recommended doses, contraindications, and adverse reactions.

     (g) Before a physician assistant may prescribe drugs, the physician assistant must have been continuously employed as a physician assistant for not less than one (1) year after graduating from a physician assistant program approved by the committee. To be considered to have been continuously employed as a physician assistant for a year for purposes of this subsection, a person must have worked as a physician assistant more than one thousand eight hundred (1,800) hours during the year.".
    Renumber all SECTIONS consecutively.
    (Reference is to HB 1241 as introduced.)

and when so amended that said bill do pass.

__________________________________

Representative Brown C


AM124105/DI 77    2007