Source: http://wvlegislature.gov/bill_Status/bills_text.cfm?billdoc=hb2407%20intr.htm&yr=2019&sesstype=RS&i=2407
Timestamp: 2020-08-09 22:54:04
Document Index: 10063868

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A BILL to repeal §30-7-1a, §30-7-6a, §30-7-6b, §30-7-8a, §30-7-11a, §30-7-15a, §30-7-15b, §30-7-15c, §30-7-15d and §30-7-15e of the Code of West Virginia, 1931, as amended; to repeal §30-7E-1, §30-7E-2 and §30-7E-3 of said code; to amend said code by adding thereto a new section, designated §16-5B-19; to amend and reenact §30-7-1, §30-7-2, §30-7-3, §30-7-4, §30-7-5, §30-7-6, §30-7-7, §30-7-8, §30-7-9, §30-7-10, §30-7-11, §30-7-12, §30-7-13, §30-7-14, §30-7-15 and §30-7-16 of said code; to amend said code by adding thereto a new section, designated §30-7-17; to amend and reenact §30-7-18, §30-7-19 and §30-7-20 of said code; to amend said code by adding thereto eleven new sections, designated §30-7-21, §30-7-22, §30-7-23, §30-7-24, §30-7-25, §30-7-26, §30-7-27, §30-7-28, §30-7-29, §30-7-30 and §30-7-31, all relating to the Board of Nursing; prohibiting the practice of nursing without a license; defining terms; renaming the board; providing for board composition and qualifications; setting forth the powers and duties of the board; clarifying rule-making authority; continuing a special revenue account; establishing license and permit requirements; establishing qualifications for licensure; codifying a scope of practice; creating a temporary permit; providing for reciprocal licensure; establishing renewal requirements; providing for exemptions from licensure; creating a special volunteer license; continuing a Joint Advisory Council; providing the council’s composition; providing council members’ terms; providing powers of the council; providing duties of the council; setting forth limitations of the article; permitting the board to file an injunction; setting forth grounds for disciplinary actions; allowing for specific disciplinary actions; providing procedures for investigation of complaints; providing for judicial review and appeals of decisions; setting forth hearing and notice requirements; providing for civil causes of action; providing criminal offenses are to be reported to law enforcement; providing a period of transition; eliminating the Board of Examiners for licensed practical nurses; repealing expired authority; and updating references.
“Major mental illness” means a diagnosis of a mental disorder within the axis of psychotic or affective or mood, alcohol, or chemical abuse, or alcohol or chemical dependency as stipulated in the International Code of Diagnosis’;
“Nurse health program” means a program meeting the requirements of this article;
“Qualifying illness” means the diagnosis of substance use disorder, alcohol, or substance dependency or major mental illness;
“Temporary permit” means a permit authorizing the holder to practice registered professional nursing until the permit is no longer effective or the holder is granted a license by the board.
(a) The West Virginia Board of Examiners for Registered Professional Nurses is renamed the West Virginia Board of Registered Nurses effective July 1, 2019. The members of the West Virginia Board of Examiners for Registered Professional Nurses shall remain as members until the provisions of this subsection become effective.
(b) On July 1, 2019, the Governor, by and with the advice and consent of the Senate, shall appoint two new board members:
(1) One person licensed as an advanced practice registered professional nurse by the board; and
(2) One person licensed as a registered professional nurse by the board.
(c) As board members’ terms expire, the Governor, by and with the advice and consent of the Senate, shall appoint a new board member in this order:
(3) One person licensed as a registered professional nurse by the board; and
(4) One citizen member who is not licensed under the provisions of this chapter and who has never performed any services as a health care professional.
(13) Establish prescribing requirement for an advanced practice registered nurse as provided in §30-7-15 of this code;
(a) The special revenue fund as expended by the West Virginia Board of Examiners for Registered Professional Nurses pursuant to the authority granted under previous enactments of this article shall expire July 1, 2019, and all such remaining funds shall transfer to the special revenue account which shall be created in the State Treasury on July 1, 2019 and shall be known as the “West Virginia Board of Registered Nurses Fund.”
(b) All fees and other moneys, except administrative fines, received by the board shall be deposited in the “West Virginia Board of Registered Nurses’ Fund” which is continued. The fund is used by the board for the administration of this article. Except as provided in §30-1-1 et seq. of this code, the board retains the amount in the special revenue account from year to year. No compensation or expense incurred under this article is a charge against the General Revenue Fund.
(3) Has completed a nursing education program as provided in §30-7-20 of this code;
(7) Is not an alcohol or drug abuser, as these terms are defined in §27-1A-11 of this code, unless an applicant in an active recovery process, which may be evidenced by participation in a Nurse Health Program, structured aftercare, or a 12-step program or other similar group or process, may be considered; and
(2) Has satisfactorily completed a graduate program accredited by a national accreditation body that is acceptable to the board;
(3) Is currently certified by a national certification organization, approved by the board, in one or more of the following nationally recognized advance practice registered nursing roles: certified registered nurse anesthetist, certified nurse-midwife, clinical nurse specialist, or certified nurse practitioner and has a population foci as family/individual across the lifespan, adult-gerontology, neonatal, pediatric, women health/gender-related and psychiatric/mental health;
(4) Has paid the application fee specified by legislative rule; and
(5) Is not an alcohol or drug abuser, as these terms are defined in §27-1A-11 of this code, unless an applicant in an active recovery process, which may, in the discretion of the board, be evidenced by participation in a Nurse Health Program, structured aftercare, or a 12-step program or other similar group or process, may be considered.
(c) An applicant, who is licensed in another jurisdiction as an advanced practice registered nurse, is eligible to apply for licensure only subject to a criminal background check.
(d) By virtue of being a licensed advanced practice registered nurse that person is also licensed as a registered professional nurse. The board may not charge an additional fee for registered professional nurse license.
In any case where it is lawful for a licensed physician, dentist or podiatrist practicing under the laws of this state to administer anesthetics, the administration of anesthetics, anesthetic care and related services, may be provided by an advanced practice registered nurse in the certified registered nurse anesthetist role in collaboration with a physician, dentist or podiatrist. A certified registered nurse anesthetist practicing in collaboration with a physician, dentist or podiatrist is not required to have a written collaborative agreement or prescription authority to administer anesthetics, or to provide anesthesia care and related services necessary for the delivery of care.
(b) The board shall promulgate legislative rules in accordance with §29A of this code governing the eligibility and extent to which an advanced practice registered nurse may prescribe drugs. The rules shall provide, at a minimum, a state formulary classifying those categories of drugs which shall not be prescribed by an advanced practice registered nurse including, but not limited to, Schedules I and II of the Uniform Controlled Substances Act, antineoplastics, and radiopharmaceuticals. Drugs listed under Schedule III shall be limited to a 30-day supply without refill. In addition to the above referenced provisions and restrictions and pursuant to a collaborative agreement as set forth in §30-7-16 of this code, the rules shall permit the prescribing of an annual supply of any drug, with the exception of controlled substances, which is prescribed for the treatment of a chronic condition, other than chronic pain management. For the purposes of this section, a “chronic condition” is a condition which lasts three months or more, generally cannot be prevented by vaccines, can be controlled but not cured by medication, and does not generally disappear. These conditions, with the exception of chronic pain, include, but are not limited to, arthritis, asthma, cardiovascular disease, cancer, diabetes, epilepsy and seizures, and obesity. The prescriber authorized in this section shall note on the prescription the chronic disease being treated.
(b) The board shall authorize an applicant to prescribe prescription drugs under the terms of a collaborative agreement, in accordance with §30-7-15 of this code and applicable legislative rules if the applicant has met the prerequisites of §30-7-14(a) of this code and the following additional prerequisites are satisfied:
(d) Verification of a collaborative agreement shall be by the attestation of the APRN and collaborating physician on a document sent to the board. The APRN shall keep the copy of the verified agreement available upon request by the board.
(f) Notwithstanding the provisions of §30-7-14(e) of this code the board may require an advanced practice registered nurse to practice in a collaborative agreement if the board determines, by order arising out of the board’s complaint process, that a collaborative relationship is necessary for the rehabilitation of a licensee or for protection of the public.
(3) Include the prescriber’s identification number assigned by the board or the prescriber’s national provider identifier assigned by the National Provider System pursuant to 45 C.F.R. §162.408.
(a) The Joint Advisory Council on Limited Prescriptive Authority is continued. The purpose of the council is to advise the board regarding collaborative agreements and prescriptive authority for advanced practice registered nurses.
A temporary permit authorizes the holder to practice registered professional nursing or advanced practice registered nursing, in this state while the temporary permit is effective. A temporary permit is effective for 90 days, unless the board revokes the permit prior to its expiration, and the permit may not be renewed. An applicant for a temporary permit shall make an application on a form prescribed by the board and pay a nonrefundable fee as prescribe by legislative rule.
(b) By July 1, 2022, all nursing programs shall be accredited by a national accrediting agency recognized by the United States Department of Education. A program created after July 1, 2018, has five years to obtain accreditation by an accrediting agency recognized by the United States Department of Education.
(c) The board may grant an exception to the requirements in §30-7-5a(a) and §30-7-5a(b) of this code for faculty members who have qualifications other than those set forth in those subsections which are acceptable to the board.
(a) A licensee or applicant may enter into a voluntary agreement with a nurse health program. The agreement between the licensee or applicant and the nurse health program shall include a voluntarily withdrawal from practice and placement of license on inactive status until lifted by the board, jointly agreed upon treatment program and mandatory conditions and procedures to monitor compliance with the program of recovery.
(c) A licensee who renders nursing service to indigent and needy patients of a clinic organized, in whole or in part, for the delivery of health care services without charge under a special volunteer license authorized under §30-7-24(a) of this code or pursuant to an arrangement with a clinic as authorized pursuant to §30-7-24(b) of this code without payment or compensation or the expectation or promise of payment or compensation is immune from liability for any civil action arising out of any act or omission resulting from the rendering of the nursing service at the clinic unless the act or omission was the result of the licensee’s gross negligence or willful misconduct. In order for the immunity under this subsection to apply, there must be a written agreement between the licensee and the clinic pursuant to which the licensee will provide voluntary uncompensated nursing services under the control of the clinic to patients of the clinic before the rendering of any services by the licensee at the clinic: Provided, That any clinic entering into such written agreement is required to maintain liability coverage of not less than $1 million per occurrence.
(d) Notwithstanding the provisions of §30-7-24(b) of this code, a clinic organized, in whole or in part, for the delivery of health care services without charge is not relieved from imputed liability for the negligent acts of a registered professional nurse rendering voluntary nursing services at or for the clinic under a special volunteer license authorized under §30-7-24(a) of this code or who renders such care and treatment pursuant to an arrangement with a clinic as authorized pursuant to §30-7-24(b) of this code.
(e) For purposes of this section, a person otherwise eligible for licensure means a person who satisfies all the requirements for licensure as listed in §30-7-8, §30-7-10, and §30-7-12 of this code, and in the legislative rules promulgated thereunder, except the fee requirements.
(g) Any policy or contract of liability insurance providing coverage for liability sold, issued, or delivered in this state to a licensee covered under the provisions of this article shall be read so as to contain a provision or endorsement where the company issuing the policy waives or agrees not to assert as a defense on behalf of the policyholder or any beneficiary thereof, to any claim covered by the terms of the policy within the policy limits, the immunity from liability of the insured by reason of the care and treatment of needy and indigent patients by a registered professional nurse who holds a special volunteer registered professional nurse license or who renders such care and treatment pursuant to an arrangement with a clinic as authorized pursuant to §30-7-24(b) of this code.
(b) After reviewing any information obtained through an investigation, the board shall determine if probable cause exists that the licensee or permittee has violated §30-7-27(g) of this code or rules promulgated pursuant to this article.
(d) Upon a finding that probable cause exists that the licensee permittee has violated §30-7-27(g) of this code or rules promulgated pursuant to this article, the board may enter into a consent decree or hold a hearing for disciplinary action against the licensee or permittee. Any hearing shall be held in accordance with the provisions of this article and shall require a violation to be proven by a preponderance of the evidence.
(10) Failing to report to the board of one’s surrender of a license or authorization to practice of registered professional nursing, or advanced practice registered nursing in another jurisdiction while under disciplinary investigation by any of those authorities or bodies for conduct that would constitute grounds for action as defined in this section;
(h) For the purposes of §30-7-27(g) of this code, effective July 1, 2018, disciplinary action may include:
NOTE: The purpose of this bill is to rewrite the article on registered professional nurses. The bill prohibits the practice of nursing without a license. The bill defines terms. The bill renames the board. The bill provides for board composition and qualifications. The bill sets forth the powers and duties of the board. The bill clarifies rule-making authority. The bill continues a special revenue account. The bill establishes license and permit requirements. The bill establishes qualifications for licensure. The bill codifies a scope of practice. The bill creates a temporary permit. The bill provides for reciprocal licensure. The bill establishes renewal requirements. The bill provides for exemptions from licensure. The bill creates a special volunteer license. The bill continues a Joint Advisory Council. The bill provides the council’s composition. The bill provides council members’ terms. The bill provides powers of the council. The bill provides duties of the council. The bill sets forth limitations of the article. The bill permits the board to file an injunction. The bill sets forth grounds for disciplinary actions. The bill allows for specific disciplinary actions. The bill provides procedures for investigation of complaints. The bill provides for judicial review and appeals of decisions. The bill sets forth hearing and notice requirements. The bill provides for civil causes of action. The bill provides criminal offenses are to be reported to law enforcement. The bill provides a period of transition. The bill eliminates the Board of Examiners for licensed practical nurses. The bill repeals expired authority. The bill updates references.