February 12, 2013

Footer Correction




HOUSE BILL No. 1383

_____


DIGEST OF HB 1383 (Updated February 11, 2013 11:57 am - DI 77)



Citations Affected: Noncode.

Synopsis: Practice of polysomnography. Urges the legislative council to assign a summer study committee to study topics related to the practice of polysomnography.

Effective: July 1, 2013.





Kirchhofer , Brown C




    January 22, 2013, read first time and referred to Committee on Public Health.
    February 11, 2013, amended, reported _ Do Pass.





February 12, 2013

Footer Correction

First Regular Session 118th General Assembly (2013)


PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2012 Regular Session of the General Assembly.

HOUSE BILL No. 1383



    A BILL FOR AN ACT concerning professions and occupations.

Be it enacted by the General Assembly of the State of Indiana:

SOURCE: ; (13)HB1383.2.1. -->     SECTION 1. [EFFECTIVE JULY 1, 2013] (a) As used in this SECTION, "practice of polysomnography" means performing any of the following tasks, under the general supervision of a licensed physician:
        (1) Monitoring, recording, and evaluating physiologic data during the evaluation of sleep related disorders, including sleep related respiratory disturbances, by applying the following techniques, equipment, and procedures:
            (A) Noninvasive continuous, bi-level positive airway pressure, or adaptive servo ventilation titration on spontaneously breathing patients using an oral or nasal interface, if the oral or nasal interface does not extend into the trachea or attach to an artificial airway.
            (B) Supplemental low flow oxygen therapy of less than six (6) liters per minute, using a nasal cannula or incorporated into a positive airway pressure device during a polysomnogram.

            (C) Capnography during a polysomnogram.
            (D) Cardiopulmonary resuscitation.
            (E) Pulse oximetry.
            (F) Gastroesophageal pH monitoring.
            (G) Esophageal pressure monitoring.
            (H) Sleep stage recording using surface electroencephalography, surface electrooculography, and surface submental electromyography.
            (I) Surface electromyography.
            (J) Electrocardiography.
            (K) Respiratory effort monitoring, including thoracic and abdominal movement.
            (L) Plethysmography blood flow monitoring.
            (M) Snore monitoring.
            (N) Audio and video monitoring.
            (O) Body movement monitoring.
            (P) Nocturnal penile tumescence monitoring.
            (Q) Nasal and oral airflow monitoring.
            (R) Body temperature monitoring.
            (S) Monitoring the effects that a mask or oral appliance used to treat sleep disorders has on sleep patterns, if the mask or oral appliance does not extend into the trachea or attach to an artificial airway.
        (2) Observing and monitoring physical signs and symptoms, general behavior, and general physical response to polysomnographic evaluation and determining whether initiation, modification, or discontinuation of a treatment regimen is warranted.
        (3) Analyzing and scoring data collected during the monitoring described in subdivisions (1) and (2) for the purpose of assisting a licensed physician in the diagnosis and treatment of sleep and wake disorders that result from developmental defects, the aging process, physical injury, disease, or actual or anticipated somatic dysfunction.
        (4) Implementation of a written or verbal order from a licensed physician to perform polysomnography.
        (5) Education of a patient regarding the treatment regimen that assists the patient in improving the patient's sleep.
    (b) The term includes the use of any oral appliance used to treat sleep disordered breathing while under the care of a licensed polysomnographic technologist during the performance of a sleep study under the direction of a licensed dentist.
    (c) The legislative council is urged to:
        (1) assign an interim or statutory study committee; or
        (2) establish an interim study committee;
to study topics related to the practice of polysomnography, including appropriate credentials for polysomnographic technologists and appropriate facility settings for the practice of polysomnography.
    (d) The committee shall operate under the policies and rules governing study committees adopted by the legislative council.
    (e) This SECTION expires December 1, 2013.