Source: http://wvlegislature.gov/bill_Status/bills_text.cfm?billdoc=HB2407%20SUB.htm&yr=2019&sesstype=RS&i=2407
Timestamp: 2020-08-13 12:18:53
Document Index: 568209140

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Committee Substitute House Bill 2407 History
By Delegates Hill and Wilson
[Originating in the Committee on Health and Human Resources; January 24, 2019]
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 and reenact §16-5B-19 of said code; 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, §30-7-16, §30-7-17, §30-7-18, §30-7-19, and §30-7-20 of said code; to amend said code by adding thereto twelve 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; providing other applicable sections; 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 criminal penalties; repealing expired authority; and updating references.
A registered professional nurse experienced in operating room nursing shall be present as a circulating nurse in each operating room in a hospital, or ambulatory surgical center as defined by §16-5B-1 of this code, during operative procedures.
(a) It is unlawful for a person to practice or offer to practice registered professional nursing or advanced practice registered nursing in this state without a license, issued under the provisions of this article, or advertise or use any title or description tending to convey or give the impression that he or she is a registered professional nurse or advanced practice registered nurse, unless the person is licensed under the provisions of this article.
(b) A business entity may not render any service or engage in any activity which, if rendered or engaged in by an individual, would constitute the practice of registered professional nursing or advanced practice nursing, except through a licensee.
“Board” means the West Virginia Board of Registered Professional Nurses;
“Certified Nurse Anesthetist” means a person who holds a diploma or certificate evidencing his or her successful completion of the educational program of a school of anesthesia accredited by the American Association of Nurse Anesthetists;
“License” means a license to practice registered professional nursing or advanced practice registered nursing;
“Licensee” means a person licensed as a registered professional nurse or advanced practice registered nurse under this article;
"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;
"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.
§30-7-4. West Virginia Board of Registered Professional Nurses.
(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 section become effective.
(b) On July 1, 2019, the Governor, by and with the advice and consent of the Senate, shall appoint four new board members:
(1) One person licensed as an advanced practice registered professional nurse by the board;
(2) One person licensed as a registered professional nurse by the board; and
(3) Two citizen members who are not licensed under the provisions of this chapter and who have never performed any services as a health care professional;
(c) As board members’ terms expire, the Governor, by and with the advice and consent of the Senate, shall appoint a new person board member in this order:
(2) One person who is certified as a dialysis technician by the board member;
(3) One person licensed as a registered professional nurse by the board;
(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;
(5) One person licensed as a registered professional nurse by the board;
(6) One person licensed as a registered professional nurse by the board; and
(7) One person licensed as a registered professional nurse by the board;
(d) The licensed members shall represent a variety of nursing practices;
(e) Organizations that represent nurses may submit to the Governor recommendations for the appointment of the licensed board members.
(f) The appointment term is five years. A member may not serve more than two consecutive terms. A member may continue to serve until his or her successor has been appointed and qualified.
(g) Each licensed member of the board, at the time of his or her appointment, shall have been actively practicing in this state for three out of the last five years immediately preceding the appointment.
(h) Each member of the board shall be a resident of this state during the appointment term.
(j) The Governor may remove any member from the board for neglect of duty, incompetency, or official misconduct.
(k) A licensed member of the board immediately and automatically forfeits membership to the board if his or her license to practice is disciplined in any jurisdiction.
(l) A member of the board immediately and automatically forfeits membership to the board if he or she is convicted of a felony under the laws of any jurisdiction or becomes a nonresident of this state.
(m) The board shall elect one of its members as president and one member as secretary who shall serve at the will and pleasure of the board.
(n) A member of the board is entitled to receive compensation and expense reimbursement in accordance with §30-1-1 et seq. of this code.
(o) A simple majority of the membership serving on the board at a given time is a quorum for the transaction of business.
(p) The board shall hold at least one meeting annually. Other meetings shall be held at the call of the president or upon the written request of four members, at the time and place as designated in the call or request.
(q) Prior to commencing his or her duties as a member of the board, each member shall take and subscribe to the oath required by section five, article four of the Constitution of this state.
(r) A board member, when acting in good faith and without malice, shall enjoy immunity from individual civil liability while acting within the scope of their duties as board members.
(9) Maintain an office and hire, discharge, establish the job requirements, and fix the compensation of employees, and contract with persons necessary to enforce the provisions of this article;
(20) Approve a nursing school as provided in §30-7-20;
(21) Establish a nurse health program;
(22) Implement the provisions of the enhanced nurse licensure compact in accordance with §30-7B-1 et seq. of this code;
(23) Coordinate with and assist the Center for Nursing in accordance with §30-7B-1 et seq. of this code; and
(24) Confer with the Attorney General or his or her assistant in connection with legal matters and questions.
(11) Regulate a nursing school as provided for in §30-7-20 of this article;
(15) Establish criteria for licensure by endorsement;
(b) The legislative rules of the West Virginia Board of Examiners for Registered Professional Nurses, pursuant to the authority provided in previous enactments of this article, in effect on June 30, 2019 and not in conflict with the provisions of this article shall remain in effect until they are amended, replaced, or rescinded, and are to be considered transferred to and under the authority of the West Virginia Board of Registered Nurses pursuant to the provisions of this article.
(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 Fun”.
(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.
§30-7-8. License to practice registered professional nursing.
(a) The board may issue a license to practice registered nursing to an applicant who meets the following requirements:
(3) Has completed a nursing education program as provided in §30-7-20;
(4) Has passed an examination approved by the board;
(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 twelve-step program or other similar group or process, may be considered; and
§30-7-9. Scope of practice of a registered professional nurse.
§30-7-10. License to practice advanced practice registered nursing.
(a) The board may issue an advanced practice registered nurse license to an applicant who meets the following requirements:
(2) 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;
(3) Has paid the application fee specified by legislative rule; and
(4) 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 twelve-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.
(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
§30-7-11. Scope of practice for an advanced practice registered nurse.
In addition to the scope of practice set forth in §30-7-9 of this code, the practice of advanced practice registered nursing includes the following:
(7) Performing other acts for which an advanced practice registered nurse is educated and trained, consistent with professional standards which require formalized didactic and clinical education.
§30-7-12. Administration of anesthetics.
In any case where it is lawful for a licensed physician or dentist 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 and in the presence of and under the direct supervision of the physician or dentist. A certified registered nurse anesthetist practicing in collaboration with a physician or dentist 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.
§30-7-13. Prescriptive authority for prescription drugs.
(b) The board shall promulgate legislative rules in accordance with chapter twenty-nine-a 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 up to a 30-day supply. Once a 30 day supply has been reached no refill is permitted. 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.
§30-7-14. Eligibility for prescriptive authority and collaborative relationships.
(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
(1) Has practiced at least three years in a documented collaborative relationship with granted prescriptive authority;
§30-7-15. Form of prescriptions; termination of authority; renewal; notification of termination of authority.
§30-7-16. Advanced practice registered nurse signatory authority.
(2) “Physician orders for life sustaining treatment”, “physician orders for scope of treatment”, and “do not resuscitate” forms;
§30-7-17. Joint Advisory Council on Limited Prescriptive Authority.
(3) Six advanced practice registered nurses as recommended by the Board of Registered Nurses who have at least three years full-time practice experience, and shall include at least one certified nurse practitioner, one certified nurse-midwife, and one certified registered nurse anesthetist, all of whom actively prescribe prescription drugs;
(c) Members of the council who are health care providers shall have at least three years full-time practice experience and hold active state licenses.
(7) Develop other studies and/or pilot projects, including, but not limited to:
§30-7-18. Exceptions.
(1) The furnishing of nursing assistance in an emergency;
(2) The practice of nursing incidental to a program of study by students enrolled in a nursing program;
(3) Caring for the sick when done in connection with the practice of religious tenets of any church and by and for its members.
(4) The practice of any legally qualified nurse of another state who is employed by the United States or any bureau, division, or agency thereof, while in the discharge of his or her official duties; or
(5) A licensed registered professional nurse or licensed advanced practice registered nurse, who accompanies a patient to whom he or she administers registered professional nursing, or advanced practice registered nursing while the patient is in transit or being transported into, out of, or through this state. The board may set forth additional requirements for this exemption by legislative rule.
§30-7-19. Temporary permits.
The board may issue a temporary permit to a person applying for a license under this article.
§30-7-20. Schools of nursing.
§30-7-21. Schools of nursing faculty requirements.
§30-7-22. Voluntary agreements relating to alcohol or chemical dependency; confidentiality.
§30-7-23. License renewal.
§30-7-24. Special volunteer nurse; civil immunity for voluntary services rendered to indigents.
(a) There is continued a special volunteer licensed registered professional nurse, and advanced practice nurse who has retired from the active practice of registered professional nursing, or an advanced practice nursing and want to donate their expertise for the care and treatment of indigent and needy patients in the clinical setting of clinics organized, in whole or in part, for the delivery of health care services without charge. The special volunteer to a licensee under this article and the legislative rules promulgated hereunder without the payment of an application fee, license fee, or renewal fee, shall be issued for the remainder of the licensing period, and renewed consistent with the board’s other licensing requirements. The board shall develop application forms for the special volunteer license provided in this subsection which shall contain the licensee’s acknowledgment that:
(e) For purposes of this section, a person otherwise eligible for licensure means a person who satisfies all of 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 of that section and of the legislative rules promulgated by the board relating to fees.
§30-7-25. Reinstatement.
§30-7-26. Actions to enjoin violations.
§30-7-27. Complaints; investigations; due process procedure; grounds for disciplinary action.
(8) Having an incapacity that prevents a licensee from engaging in the practice of registered professional nursing, or advanced practice registered nursing, with reasonable skill, competence, and safety to the public;
(9) Committing fraud in connection with the practice of registered professional nursing or advanced practice registered nursing;
(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;
(E) Harassing, abusing, intimidating, insulting, degrading, or humiliating a patient physically, verbally, or through another form of communication;
(F) Obtaining any fee by fraud or misrepresentation;
(G) Engaging in any action or conduct which would have warranted the denial of the license.
(13) Knowing or suspecting that a licensee is incapable of engaging in the practice of registered professional nursing, or advanced practice registered nursing, with reasonable skill, competence, and safety to the public, and failing to report any relevant information to the board;
(7) Mandatory continuing education or other training;
(j) An advanced practice registered nurse may not be disciplined for providing expedited partner therapy in accordance with 16-4F-1 et. seq.”
(k) A person authorized to practice under this article who reports or otherwise provides evidence of the negligence, impairment, or incompetence of another member of this profession to the board or to any peer review organization is not liable to any person for making the report if the report is made without actual malice and in the reasonable belief that the report is warranted by the facts known to him or her at the time.
§30-7-28. Procedures for hearing; right of appeal.
(e) If, after a hearing, the board determines the licensee or permittee has violated provisions of this article or the board's rules, a formal written decision shall be prepared which contains findings of fact, conclusions of law, and a specific description of the disciplinary actions imposed.
§30-7-29. Judicial review.
§30-7-30. Criminal offenses.
§30-7-31. Single act evidence of practice.
NOTE: The purpose of this bill is to rewrite the article on registered professional nurses.
§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, §30-7-15e, §30-7E-1, §30-7E-2, and §30-7E-3 are repealed.
§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, §30-7-16, §30-7-18, §30-7-19, and §30-7-20 have been completely rewritten; therefore they have been completely underscored.