reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 17 - Licensure of Acupuncturists › Rule 653-17.12 - Grounds for Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board may impose any of the disciplinary sanctions set
				forth in 17.11(1) upon determining that a licensee is guilty of any of the
				following acts or offenses:
(1)
Fraud in procuring a license.
Fraud in procuring a license is
			 the deliberate distortion of facts or use of deceptive tactics in the
			 application for licensure to practice acupuncture including, but not limited
			 to:
a. Making false or misleading statements
			 in obtaining or seeking to obtain licensure;
b. Failing to disclose by deliberate omission
			 or concealment any information the board deems relevant to the safe and
			 healthful practice of acupuncture pursuant to Iowa Code chapters 147 and
			 148E;
c. Misrepresenting any fact
			 or deed to meet the application or eligibility requirements established by this
			 chapter; or
d. Filing or attempting
			 to file a false, forged or altered diploma, certificate, affidavit, translated
			 or other official or certified document, including the application form,
			 attesting to the applicant's eligibility for licensure to practice acupuncture
			 in Iowa.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 17 - Licensure of Acupuncturists › Rule 653-17.14 - Reporting Duties and Investigation of Reports

Current through Register Vol. 47, No. 3, July 24, 2024
653-Chapters 22 and 24 shall apply to certain reporting
				responsibilities of licensed acupuncturists and the investigation of
				malpractice cases involving licensed acupuncturists.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 18 - Military Service and Veteran Reciprocity › Rule 653-18.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
As used in this chapter:
"License"
means a license issued by the board,
				including a permanent medical license, resident physician license, special
				physician license, temporary physician license or licensed acupuncturist
				license.
"Military service"
means honorably serving on
				federal active duty, state active duty, or national guard duty, as defined in
				Iowa Code section 29A.1; in the military services
				of other states, as provided in
				10 U.S.C. Section
				101(c); or in the organized
				reserves of the United States, as provided in
				10 U.S.C. Section
				10101.
"Military service applicant"
means an
				individual who is requesting credit toward licensure that is subject to the
				jurisdiction of the board for military education, training, or service obtained
				or completed in military service including, but not limited to, a medical
				physician or surgeon, osteopathic physician or surgeon, or licensed
				acupuncturist.
"Spouse"
means the spouse of an active duty
				member of the military forces of the United States.
"Temporary license"
means a temporary license
				issued pursuant to rule
				653-10.5 (147,148).
"Veteran"
means an individual who meets the
				definition of "veteran" in Iowa Code section
				35.1(2).
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 19 - Prescribing Psychologists › Rule 653-19.4 - Prescribing-joint Rule

Current through Register Vol. 47, No. 3, July 24, 2024
This rule applies to both conditional prescribing psychologists
				and prescribing psychologists. A psychologist shall comply with all
				prescription requirements described in 657-subrule 8.19(1). The following
				limits apply to a psychologist's prescriptive authority:
1. A psychologist shall only prescribe
			 psychotropic medications for the treatment of mental disorders.
2. A psychologist shall only prescribe
			 psychotropic medications in situations where the psychologist has adequate
			 education and training to safely prescribe.
3. A prescription shall identify the
			 prescriber as a "psychologist certified to prescribe" and shall include the
			 Iowa license number of the psychologist.
4. A prescription issued by a conditional
			 prescribing psychologist shall contain the name of the supervising physician
			 overseeing the care of the patient.
5. A psychologist shall not delegate
			 prescriptive authority to any other person.
6. A psychologist is prohibited from
			 prescribing narcotics as defined in Iowa Code section
			 124.101.
7. A psychologist shall maintain an active
			 DEA registration and an active CSA registration in order to dispense,
			 prescribe, or administer controlled substances.
8. A psychologist shall not self-prescribe
			 nor prescribe to any person who is a member of the psychologist's immediate
			 family or household.
9. Before
			 prescribing a psychotropic medication that is classified as a controlled
			 substance, a psychologist shall check the patient's prescriptive profile using
			 the Iowa prescription monitoring program.
10. To prescribe to a patient who is pregnant
			 or lactating, a psychologist shall consult with the patient's
			 obstetrician-gynecologist or the physician managing the patient's pregnancy or
			 postpartum care regarding all prescribing decisions. A psychologist shall not
			 prescribe a psychotropic medication to a patient if the patient's
			 obstetrician-gynecologist or the physician managing care objects on the basis
			 of a contraindication.
11. To
			 prescribe to a patient who has a serious medical condition, including but not
			 limited to heart disease, kidney disease, liver disease, cancer, stroke,
			 seizures, or comorbid psychological conditions, or to a patient who has a
			 developmental or intellectual disability, a psychologist shall consult with the
			 physician who is managing the comorbid condition for that patient regarding all
			 prescribing decisions. A psychologist shall not prescribe a psychotropic
			 medication if the patient's physician objects on the basis of a
			 contraindication.
12. A
			 psychologist shall not prescribe a new psychotropic medication, discontinue a
			 psychotropic medication, or change the dosage of a psychotropic medication if
			 the supervising physician or collaborating physician objects on the basis of a
			 contraindication.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 19 - Prescribing Psychologists › Rule 653-19.5 - Consultation With Primary Care Physicians-joint Rule

Current through Register Vol. 47, No. 3, July 24, 2024
This rule applies to both conditional prescribing psychologists
				and prescribing psychologists. A psychologist shall maintain a cooperative
				relationship with the primary care physician who oversees a patient's general
				medical care to ensure that necessary medical examinations are conducted, the
				psychotropic medication is appropriate for the patient's medical conditions,
				and significant changes in the patient's medical or psychological condition are
				discussed.
(1)
Requirement for
			 a primary care physician.
A patient must have a designated primary
			 care physician in order for a psychologist to have the ability to prescribe
			 psychotropic medications to the patient. If a patient does not have a
			 designated primary care physician, a psychologist shall refer the patient to a
			 primary care physician prior to prescribing psychotropic medications to the
			 patient. A psychologist shall not prescribe psychotropic medications to a
			 patient until the patient has established care with a primary care
			 physician.
(2)
Requirement
			 for a release.
A psychologist shall obtain a release of information
			 from the patient, or the patient's legal guardian when appropriate, authorizing
			 the sharing of the patient's health information between the psychologist and
			 the patient's primary care physician. A psychologist shall not prescribe
			 psychotropic medications to a patient who refuses to sign a release.
(3)
Cooperation and consultation with
			 primary care physicians.
A psychologist shall contact each patient's
			 primary care physician on at least a quarterly basis and shall contact the
			 primary care physician to relay information regarding the care of a patient
			 whenever the following occur:
a. A
			 psychologist is considering adding a new psychotropic medication to a patient's
			 medication regimen. A psychologist shall not prescribe a new psychotropic
			 medication if the patient's primary care physician objects on the basis of a
			 contraindication.
b. A psychologist
			 is discontinuing or changing the dosage of a psychotropic medication.
c. A patient experiences adverse effects from
			 any medication prescribed by the psychologist that may be related to the
			 patient's medical condition.
d. A
			 psychologist receives the results of laboratory tests related to the medical
			 care of a patient.
e. A
			 psychologist notes a change in a patient's mental condition that may affect the
			 patient's medical treatment.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 19 - Prescribing Psychologists › Rule 653-19.7 - Complaints-joint Rule

Current through Register Vol. 47, No. 3, July 24, 2024
Any complaint received by the board alleging a violation of
				this chapter shall be forwarded to the board of medicine. Any complaint
				received by the board of medicine alleging a violation of this chapter shall be
				forwarded to the board.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The licensure of genetic counselors is established to ensure
				that practitioners are qualified to provide to Iowans genetic counseling with
				reasonable skill and safety. The provisions of Iowa Code chapters 147, 148H,
				and 272 C authorize the board of medicine to establish eligibility requirements
				for licensure, evaluate the credentials of applicants for licensure, issue
				licenses to qualified applicants, institute continuing education requirements,
				investigate complaints and reports alleging that licensed genetic counselors
				have violated statutes and rules governing the practice of genetic counseling,
				make available participation in the Iowa physician health program, and
				discipline licensed genetic counselors found guilty of infractions as provided
				in state law and board rules.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.2 - Scope of Chapter

Current through Register Vol. 47, No. 3, July 24, 2024
This chapter shall not be construed to apply to any of the
				following:
1. A physician or surgeon
			 or an osteopathic physician or surgeon licensed under Iowa Code chapter 148, a
			 registered nurse or an advanced registered nurse practitioner licensed under
			 Iowa Code chapter 152, a physician assistant licensed under Iowa Code chapter
			 148C, or other persons licensed under Iowa Code chapter 147 when acting within
			 the scope of the person's profession and doing work of a nature consistent with
			 the person's education and training.
2. A person who is certified by the American
			 Board of Medical Genetics and Genomics as a doctor of philosophy and is not a
			 genetic counselor licensed pursuant to Iowa Code chapter 148H.
3. A person employed as a genetic counselor
			 by the federal government or an agency thereof if the person provides genetic
			 counseling services solely under the direction and control of the entity by
			 which the person is employed.
4. A
			 genetic counseling intern.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.3 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Active candidate status"
means a person has
				met the requirements established by the American Board of Genetic Counseling to
				take the American Board of Genetic Counseling certification examination in
				general genetics and genetic counseling and has been granted this designation
				by the American Board of Genetic Counseling.
"American Board of Genetic Counseling"
or
"ABGC"
means the United States-based commission, or its
				equivalent or successor organization, that validates entry-level competency in
				the practice of genetic counseling through professional certification.
"American Board of Medical Genetics and
				Genomics"
or
"ABMGG"
means the United States-based
				commission, or its equivalent or successor organization, that validates
				entry-level competency in the practice of genetic counseling through
				professional certification.
"Board"
means the board of medicine.
"Committee"
means the licensure committee of
				the board.
"Genetic counseling"
means the provision of
				services by a person who qualifies for a license under Iowa Code chapter
				148H.
"Genetic counseling intern"
means a student
				enrolled in a genetic counseling program accredited by the accreditation
				council for genetic counseling or the American Board of Medical Genetics and
				Genomics.
"Genetic counselor"
means a person who is
				licensed under Iowa Code chapter 148H to engage in the practice of genetic
				counseling.
"Qualified supervisor"
means any person who is
				a genetic counselor licensed under Iowa Code chapter 148H, a physician licensed
				under Iowa Code chapter 148, or an advanced registered nurse practitioner
				licensed under Iowa Code chapter 152.
"Supervision"
means supervision by a qualified
				supervisor who has the overall responsibility of assessing the work of a
				provisional licensee, provided that an annual supervision contract signed by
				the qualified supervisor and the provisional licensee is on file with both
				parties. "Supervision" does not require the qualified supervisor's presence
				during the performance of services.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.4 - Scope of Practice

Current through Register Vol. 47, No. 3, July 24, 2024
A person licensed pursuant to Iowa Code chapter 148H may do any
				of the following:
1. Obtain and
			 evaluate individual, family, and medical histories to determine genetic risk
			 for genetic and medical conditions and diseases in a patient, the patient's
			 offspring, and other family members.
2. Discuss the features, history, means of
			 diagnosis, genetic and environmental factors, and management of risk for
			 genetic and medical conditions and diseases.
3. Identify, order, and coordinate genetic
			 laboratory tests and other diagnostic studies as appropriate for the genetic
			 assessment of a patient.
4. Refer a
			 patient to a specialty or subspecialty department as necessary for the purpose
			 of collaborating on diagnosis and treatment involving multiple body systems and
			 general medical management.
5.
			 Integrate genetic laboratory test results and other diagnostic studies with
			 personal and family medical history to assess and communicate risk factors for
			 genetic and medical conditions and diseases.
6. Explain the clinical implications of
			 genetic laboratory tests and other diagnostic studies and their
			 results.
7. Evaluate the responses
			 of a patient or patient's family to the condition or risk of recurrence and
			 provide patient-centered genetic counseling and anticipatory
			 guidance.
8. Identify and utilize
			 community resources that provide medical, educational, financial, and
			 psychosocial support and advocacy.
9. Provide written documentation of medical,
			 genetic, and counseling information for families and health care
			 professionals.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.5 - Titles Used

Current through Register Vol. 47, No. 3, July 24, 2024
A genetic counselor licensed under Iowa Code chapter 148H may
				use the words "genetic counselor" or "licensed genetic counselor" or the
				corresponding abbreviation "LGC" after the person's name. Persons who possess a
				provisional license shall add the designation "provisional licensed genetic
				counselor."
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.6 - Qualifications for Licensure

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
			 Each applicant for licensure under Iowa Code chapter 148H shall:
a. Submit an application form and supporting
			 documentation as prescribed by the board.
b. Hold active certification as a genetic
			 counselor by the American Board of Genetic Counseling, as a genetic counselor
			 by the American Board of Medical Genetics and Genomics, or as a medical
			 geneticist by the American Board of Medical Genetics and Genomics, or the
			 successor to any of the aforementioned organizations.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.7 - Qualifications for Provisional Licensure

Current through Register Vol. 47, No. 3, July 24, 2024
The board may issue a provisional license to an applicant who
				meets all of the requirements for licensure except for the certification
				component and who has been granted active candidate status by the American
				Board of Genetic Counseling or the American Board of Medical Genetics and
				Genomics.
(1) The applicant shall
			 submit a provisional license application form, proof of active candidate
			 status, and supporting documentation prescribed by the board.
(2) A provisional license shall expire and
			 become inactive upon the earliest of the following:
a. Issuance of a license as a genetic
			 counselor by the board.
b. Loss of
			 active candidate status.
(1) A person holding
			 a provisional license which is inactive due to loss of active candidate status
			 may submit an application for reactivation of the provisional license upon
			 demonstrating that active candidate status has been reestablished.
(2) An application for extension of a
			 provisional license shall be signed by a qualified supervisor.
c. The date printed on the
			 provisional license.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.8 - Application Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Application for licensure.
To apply for a license to practice
			 genetic counseling, an applicant shall:
a.
			 Submit the completed application form provided by the board, including required
			 credentials and documents, a completed fingerprint packet and a sworn statement
			 by the applicant attesting to the truth of all information provided by the
			 applicant;
b. Pay the nonrefundable
			 initial application fee identified in 653-paragraph 8.14(2)
"a"
and pay the fee identified in 653-paragraph 8.14(2)
"f"
for the
			 evaluation of the fingerprint packet and the national criminal history
			 background checks by the Iowa division of criminal investigation (DCI) and the
			 Federal Bureau of Investigation (FBI).
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.9 - Display of License and Notification Required to Change the Board's Data System

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Display of license.
Licensed genetic counselors shall display
			 the license issued by the board in a conspicuous place in their primary place
			 of business.
(2)
Change of
			 contact information.
Licensees shall notify the board within one month
			 of a change in home address, address of the place of practice, home or practice
			 telephone number, or personal email address regularly used by the applicant or
			 licensee for correspondence with the board.
(3)
Change of full legal
			 name.
A licensee shall notify the board of any change in the
			 licensee's full legal name within one month of making the name change.
			 Notification requires a notarized copy of a marriage license or a notarized
			 copy of court documents.
(4)
Deceased.
A licensee's file shall be closed and labeled
			 "deceased" when the board receives a copy of the licensee's death certificate
			 or other reliable information of the licensee's death.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.10 - Biennial Renewal of License Required

Current through Register Vol. 47, No. 3, July 24, 2024
Pursuant to Iowa Code section
				148H.3,
				a license expires on October 31 of odd-numbered years and can be renewed for
				the fee identified in 653-paragraph 8.14(2)
"c."
(1) The applicant for renewal shall provide:
a. A renewal application provided by the
			 board.
b. A letter sent directly
			 from the ABGC or ABMGG to the board verifying that the applicant holds active
			 certification in genetic counseling by the ABGC or ABMGG for genetic counselor
			 licensure or a letter sent directly from ABGC or ABMGG to the board verifying
			 the applicant has been granted active candidate status for provisional
			 licensure.
c. Satisfactory evidence
			 to the board that in the period since the license was issued or last renewed,
			 the applicant has completed 30 hours of National Society of Genetic Counselors
			 or ABMGG continuing education units as approved by the board.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.11 - Reinstatement of an Inactive License

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Reinstatement
			 requirements.
Licensees who allow their licenses to go inactive by
			 failing to renew may apply for reinstatement of a license. Pursuant to Iowa
			 Code section
			 147.11,
			 applicants for reinstatement shall:
a. Submit
			 upon forms provided by the board a completed application for reinstatement of a
			 license to practice genetic counseling. The application shall include the
			 following information:
(1) The applicant's
			 full legal name, date and place of birth, home address, mailing address,
			 principal business address, and personal email address regularly used by the
			 applicant or licensee for correspondence with the board.
(2) Every jurisdiction in which the applicant
			 is or has been authorized to practice, including license numbers and dates of
			 issuance.
(3) Full disclosure of
			 the applicant's involvement in civil litigation related to the practice of
			 genetic counseling in any jurisdiction of the United States or other nations or
			 territories. Copies of the legal documents may be requested if needed during
			 the review process.
(4) A statement
			 disclosing and explaining any warnings issued, investigations conducted or
			 disciplinary actions taken, whether by voluntary agreement or formal action, by
			 a medical, genetic counseling or professional regulatory authority; an
			 educational institution; a training or research program; or a health facility
			 in any jurisdiction.
(5) A
			 statement of the applicant's physical and mental health, including full
			 disclosure and a written explanation of any dysfunction or impairment which may
			 affect the ability of the applicant to engage in practice and provide patients
			 with safe and healthful care.
(6)
			 Verification of an applicant's hospital and clinical staff privileges and other
			 professional experience for the past five years if requested by the
			 board.
(7) A chronology accounting
			 for all time periods from the date of initial licensure.
(8) A statement disclosing and explaining any
			 charge of a misdemeanor or felony involving the applicant filed in any
			 jurisdiction, whether or not any appeal or other proceeding is pending to have
			 the conviction or plea set aside.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.12 - Code of Ethics

Current through Register Vol. 47, No. 3, July 24, 2024
The NSGC Code of Ethics prepared and approved by the National
				Society of Genetic Counselors shall be utilized by the board as guiding
				principles in the practice of genetic counseling in this
				state.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.17 - Student Loan Default or Delinquency-prohibited Grounds for Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board shall not suspend or revoke a license issued by the
				board to a person who is in default or is delinquent on repayment or a service
				obligation under federal or state postsecondary educational loans or public or
				private services-conditional postsecondary tuition assistance solely on the
				basis of such default or delinquency.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.20 - Grounds for Discipline of Genetic Counselors

Current through Register Vol. 47, No. 3, July 24, 2024
The board has authority to impose discipline for any violation
				of Iowa Code chapter 147, 148H, or 272C or the rules promulgated thereunder.
				These grounds for discipline apply to genetic counselors. This rule is not
				subject to waiver pursuant to 653-Chapter 3 or any other provision of law. The
				board may impose any of the disciplinary sanctions set forth in 653-subrule
				25.25(1) when the board determines that the licensee is guilty of any of the
				following acts or offenses:
(1)
			 Violating any of the grounds for revocation or suspension of a license as
			 listed in Iowa Code section
			 147.55,
			 148H.7,
			 272C.10,
			 or
			 272C.15.
(2) Professional incompetency. Professional
			 incompetency includes, but is not limited to, any of the following:
a. Willful or repeated gross
			 malpractice;
b. Willful or gross
			 negligence;
c. A substantial lack
			 of knowledge or ability to discharge professional obligations within the scope
			 of the genetic counselor's practice;
d. A substantial deviation by the genetic
			 counselor from the standards of learning or skill ordinarily possessed and
			 applied by other genetic counselors in the state of Iowa acting in the same or
			 similar circumstances;
e. A failure
			 by a genetic counselor to exercise in a substantial respect that degree of care
			 which is ordinarily exercised by an average genetic counselor in the state of
			 Iowa acting in the same or similar circumstances;
f. A willful or repeated departure from or
			 failure to conform to the minimal standard of acceptable and prevailing
			 practice of genetic counseling in the state of Iowa.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 20 - Licensure of Genetic Counselors › Rule 653-20.24 - Surrender of License to the Board

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A genetic counselor whose license is
			 suspended or revoked or whose surrender of license with or without prejudice
			 has been accepted by the board shall promptly surrender the original license to
			 the board.
(2) A genetic counselor
			 whose ABGC certification has lapsed or whose certification has been revoked by
			 the ABGC shall surrender the genetic counselor's license to the
			 board.
(3) A provisional licensee
			 who loses active candidate status with the ABGC must immediately cease the
			 practice of genetic counseling until the provisional licensee obtains an
			 extension of the provisional license or obtains a new provisional
			 license.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 21 - Physician Supervision of a Physician Assistant › Rule 653-21.1 - Ineligibility Determinants

Current through Register Vol. 47, No. 3, July 24, 2024
A physician with an active permanent, special, or temporary
				Iowa license who is actively engaged in the practice of medicine in Iowa may
				supervise a physician assistant. A physician is ineligible to supervise a
				physician assistant for any of the following reasons:
(1) The physician does not hold an active,
			 permanent, special or temporary Iowa medical license.
(2) The physician is subject to a
			 disciplinary order of the board that restricts or rescinds the physician's
			 authority to supervise a physician assistant. The physician may supervise a
			 physician assistant to the extent that the order allows.
(3) The physician does not have a written
			 supervisory agreement in place with each physician assistant supervised by the
			 physician.
(4) The physician is
			 already supervising five physician assistants.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 21 - Physician Supervision of a Physician Assistant › Rule 653-21.2 - Exemptions From This Chapter

Current through Register Vol. 47, No. 3, July 24, 2024
This chapter shall not apply to the following:
(1) A physician working in a federal facility
			 or under federal authority when the provisions of
this chapter conflict with federal regulations.
(2) A physician who supervises a
			 physician assistant providing medical care created by an emergency or a state
			 or local disaster pursuant to Iowa Code section
			 148C.4
			 as amended by 2003 Iowa
Acts, chapter 93, section 10.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 21 - Physician Supervision of a Physician Assistant › Rule 653-21.3 - Board Notification

Current through Register Vol. 47, No. 3, July 24, 2024
A physician who supervises a physician assistant shall notify
				the board of the supervisory relationship within 60 days of the provision of
				initial supervision and at the time of the physician's license
				renewal.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 21 - Physician Supervision of a Physician Assistant › Rule 653-21.4 - Supervisory Agreements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A
			 physician who supervises a physician assistant shall establish a written
			 supervisory agreement prior to supervising a physician assistant. A sample
			 supervisory agreement form is available from the board. The purpose of the
			 supervisory agreement is to define the nature and extent of the supervisory
			 relationship and the expectations of each party. The supervisory agreement
			 shall take into account the physician assistant's demonstrated skills, training
			 and experience, proximity of the supervising physician to the physician
			 assistant, and the nature and scope of the medical practice. The supervising
			 physician shall maintain a copy of the supervisory agreement and provide a copy
			 of the agreement to the board upon request. The supervisory agreement shall, at
			 a minimum, address the following provisions.
a.
Review of requirements.
The supervising physician and the physician assistant shall review all of the
			 requirements of physician assistant licensure, practice, supervision, and
			 delegation of medical services as set forth in Iowa Code section
			 148.13
			 and chapter 148C, these rules, and 645-Chapters 326 to 329.
b.
Assessment of education, training,
			 skills, and experience.
Each supervising physician shall assess the
			 education, training, skills, and relevant experience of the physician assistant
			 prior to providing supervision. Each supervising physician and physician
			 assistant shall ensure that the other party has the appropriate education,
			 training, skills, and relevant experience necessary to successfully collaborate
			 on patient care delivered by the team. The method for assessing and providing
			 feedback regarding the physician assistant's education, training, skills, and
			 experience shall be reflected in the supervisory agreement.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 21 - Physician Supervision of a Physician Assistant › Rule 653-21.5 - Grounds for Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
A physician may be subject to disciplinary action for
				supervising a physician assistant in violation of these rules or the rules
				found in 653-Chapter 23 or 645-Chapters 326 and 327, which relate to duties and
				responsibilities for physician supervision of physician assistants. Grounds for
				discipline also include:
(1) The
			 physician supervises a physician assistant when the physician does not have
			 sufficient training or experience to supervise a physician assistant in the
			 area of medical practice in which a physician assistant is to be
			 utilized.
(2) A physician
			 supervises more than five physician assistants at the same time.
(3) The physician fails to ensure that the
			 physician assistant is adequately supervised, including being available in
			 person or by telecommunication to respond to the physician assistant.
(4) The physician fails to adequately direct
			 and supervise a physician assistant or fails to comply with the minimum
			 standards of supervision in accordance with this chapter, Iowa Code section
			 148.13
			 and chapter 148C, and 645-Chapters 326 to 329.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 21 - Physician Supervision of a Physician Assistant › Rule 653-21.6 - Disciplinary Sanction

Current through Register Vol. 47, No. 3, July 24, 2024
The board may restrict or rescind a physician's authority to
				supervise a physician assistant as part of a disciplinary sanction following a
				contested case proceeding, if the reason for the disciplinary action impacts
				the ability of the physician to supervise a physician assistant. The board
				shall notify the board of physician assistants when it takes a disciplinary
				action against a physician's license that affects the physician's authority to
				supervise a physician assistant.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 21 - Physician Supervision of a Physician Assistant › Rule 653-21.7 - Communication With Physician Assistant Supervisees

Current through Register Vol. 47, No. 3, July 24, 2024
The physician shall notify all physician assistant supervisees
				within one workday upon receiving disciplinary action from the board or any
				other change in status that affects the physician's eligibility to supervise a
				physician assistant.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 22 - Mandatory Reporting › Rule 653-22.1 - Mandatory Reporting-judgments or Settlements

Current through Register Vol. 47, No. 3, July 24, 2024
Each licensee, including a licensee holding an inactive
				license, shall report to the board every adverse judgment and every settlement
				of a claim against the licensee in a malpractice action to which the licensee
				is a party. The report, together with a copy of the judgment or settlement,
				must be filed with the board within 30 days from the date of said judgment or
				settlement. Failure to report judgments or settlements in accordance with this
				rule within the required 30-day period shall constitute a basis for
				disciplinary action against the licensee who failed to
				report.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 22 - Mandatory Reporting › Rule 653-22.2 - Mandatory Reporting-wrongful Acts or Omissions

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Definitions.
For the
			 purposes of this rule, the following definitions apply:
"Knowledge"
means any information or evidence
				of reportable conduct acquired by personal observation, from a reliable or
				authoritative source, or under circumstances causing the licensee to believe
				that wrongful acts or omissions may have occurred.
"Reportable conduct"
means wrongful acts or
				omissions that are grounds for license revocation or suspension under these
				rules or that otherwise constitute negligence, careless acts or omissions that
				demonstrate a licensee's inability to practice medicine competently, safely, or
				within the bounds of medical ethics, pursuant to Iowa Code sections
				272C.3(2)
				 and
				272C.4(6)
				 and 653-Chapter 23.
(2)
Reporting requirement.
A report shall be filed with the board when a licensee has knowledge as defined
			 in this rule that another person licensed by the board may have engaged in
			 reportable conduct.
a. The report shall be
			 filed with the board no later than 30 days from the date the licensee acquires
			 knowledge of the reportable conduct.
b. The report shall contain the name and
			 address of the licensee who may have engaged in the reportable conduct; the
			 date, time, place and circumstances in which the conduct occurred; and a
			 statement explaining how knowledge of the reportable conduct was
			 acquired.
c. The final
			 determination of whether or not wrongful acts or omissions have occurred is the
			 responsibility of the board.
d. A
			 physician is not required to report confidential communication obtained from a
			 physician in the course and as a result of a physician-patient relationship or
			 when a state or federal statute prohibits such disclosure.
e. Failure to report a wrongful act or
			 omission in accordance with this rule within the required 30-day period shall
			 constitute a basis for disciplinary action against the licensee who failed to
			 report.
f. A licensee shall not be
			 civilly liable as a result of filing a report with the board so long as such
			 report is not made with malice.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 22 - Mandatory Reporting › Rule 653-22.3 - Mandatory Reporting-disciplinary Action in Another Jurisdiction

Current through Register Vol. 47, No. 3, July 24, 2024
Each licensee, including a licensee holding an inactive
				license, shall report to the board every license revocation, suspension or
				other disciplinary action taken against the licensee by a professional
				licensing authority of another state, an agency of the United States
				government, or any country, territory or other jurisdiction. The report must be
				filed with the board within 30 days from the date of the action against the
				physician's license. Failure to report such disciplinary action in accordance
				with this rule within the required 30-day period shall constitute a basis for
				disciplinary action against the licensee.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 22 - Mandatory Reporting › Rule 653-22.4 - Mandatory Reporting-child Abuse and Dependent Adult Abuse

Current through Register Vol. 47, No. 3, July 24, 2024
Each licensee shall report child abuse and dependent adult
				abuse as required by state and federal law. Knowingly and willfully failing to
				report child abuse and dependent adult abuse as required by state and federal
				law in accordance with this rule may be grounds for disciplinary action against
				the licensee.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 22 - Mandatory Reporting › Rule 653-22.5 - Mandatory Reporting-hospital Disciplinary Action

Current through Register Vol. 47, No. 3, July 24, 2024
Each licensee, including a licensee holding an inactive
				license, shall file with the board a written report describing any disciplinary
				action taken by a hospital for reasons relating to the physician's professional
				competence or conduct which results in a limitation, restriction, suspension,
				revocation, relinquishment or nonrenewal of the licensee's hospital privileges
				or any voluntary limitation, restriction, suspension, revocation,
				relinquishment or nonrenewal of the licensee's hospital privileges to avoid an
				investigation or other hospital disciplinary action. A licensee is not required
				to report a limitation, restriction, suspension, revocation, relinquishment or
				nonrenewal of the licensee's privileges of fewer than 10 days. A licensee is
				not required to report a voluntary, nondisciplinary limitation or
				relinquishment of hospital privileges upon the election of the licensee to
				narrow or change the nature of the licensee's medical practice for reasons not
				related to competency or conduct. The written report and a copy of the hospital
				disciplinary action or the licensee's voluntary action must be filed with the
				board within 30 days of the date of the action. Failure to file the written
				report and a copy of the action in accordance with the requirements of this
				rule may constitute a basis for action against the licensee. Reports shall be
				maintained by the board in accordance with Iowa Code section
				272C.6,
				subsection 4.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 23 - Grounds for Discipline › Rule 653-23.1 - Grounds for Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board has authority to impose discipline for any violation
				of Iowa Code chapter 147, 148, 148E, 252J, 272C or 272D or the rules
				promulgated thereunder. The grounds for discipline apply to physicians and
				acupuncturists. This rule is not subject to waiver pursuant to 653-Chapter 3 or
				any other provision of law. The board may impose any of the disciplinary
				sanctions set forth in 653-subrule 25.25(1), including civil penalties in an
				amount not to exceed $10,000, when the board determines that the licensee is
				guilty of any of the following acts or offenses:
(1) Violating any of the grounds for the
			 revocation or suspension of a license as listed in Iowa Code section
			 147.55,
			 148.6,
			 148E.8,
			 272C.10,
			 or
			 272C.15.
(2) Professional incompetency. Professional
			 incompetency includes, but is not limited to, any of the following:
a. Willful or repeated gross
			 malpractice;
b. Willful or gross
			 negligence;
c. A substantial lack
			 of knowledge or ability to discharge professional obligations within the scope
			 of the physician's or surgeon's practice;
d. A substantial deviation by the physician
			 from the standards of learning or skill ordinarily possessed and applied by
			 other physicians or surgeons in the state of Iowa acting in the same or similar
			 circumstances;
e. A failure by a
			 physician or surgeon to exercise in a substantial respect that degree of care
			 which is ordinarily exercised by the average physician or surgeon in the state
			 of Iowa acting in the same or similar circumstances;
f. A willful or repeated departure from or
			 the failure to conform to the minimal standard of acceptable and prevailing
			 practice of medicine and surgery or osteopathic medicine and surgery in the
			 state of Iowa;
g. Failure to meet
			 the acceptable and prevailing standard of care when delegating or supervising
			 medical services provided by another physician, health care practitioner, or
			 other individual who is collaborating with or acting as an agent, associate, or
			 employee of the physician responsible for the patient's care, whether or not
			 injury results.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 23 - Grounds for Discipline › Rule 653-23.2 - Student Loan Default or Delinquency-prohibited Grounds for Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board shall not suspend or revoke a license issued by the
				board to a person who is in default or is delinquent on repayment or a service
				obligation under federal or state postsecondary educational loans or public or
				private services-conditional postsecondary tuition assistance solely on the
				basis of such default or delinquency.
This rule is intended to implement Iowa Code section
				272C.4(10).
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 24 - Complaints and Investigations › Rule 653-24.1 - Complaints

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Form
			 and content of the complaint.
A complaint shall be made in the form
			 deemed acceptable by the board. The complaint shall contain the following
			 information:
a. The full name, address and
			 telephone number of the complainant, except in instances in which the identity
			 of the complainant is unknown.
b.
			 The full name, address and telephone number, if known, of the
			 licensee.
c. A clear and accurate
			 statement of the facts that apprises the board of the allegations against the
			 licensee.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 24 - Complaints and Investigations › Rule 653-24.2 - Processing Complaints and Investigations

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Complaint and investigative
			 files.
Board staff shall open a complaint file upon receiving a
			 complaint or other appropriate information or upon a motion of the board. A
			 complaint file becomes an investigative file once an investigation is ordered.
a. If the board does not have legal
			 jurisdiction over a matter, staff may close the complaint file administratively
			 without investigation or review by the board. All other complaints shall be
			 sent to the complaint review committee.
b. A complaint file shall be labeled as such
			 and is not a public record. A complaint file shall become part of the
			 licensee's history with the board and shall be shared with another licensing
			 authority, upon request.
c. Anytime
			 an investigation is ordered, a complaint file shall be relabeled as an
			 investigative file. An investigative file is not a public record. The
			 investigative file shall become part of the licensee's history with the board
			 and shall be shared with another licensing authority, upon request.
Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 24 - Complaints and Investigations › Rule 653-24.3 - Peer Review

Current through Register Vol. 47, No. 3, July 24, 2024
The board may assign any case to peer review for evaluation of
				the professional services rendered by the licensee and report to the
				board.
(1)
Registration of
			 peer reviewers.
The board may register peer reviewers by maintaining a
			 list of peer reviewers in the board office. The board shall enter into a
			 contract with peer reviewers to provide peer review services.
(2)
Case referral for peer
			 review.
The board or board staff shall determine which peer reviewers
			 will review a case and what investigative information shall be referred to a
			 peer reviewer.
(3)
Board
			 assistance to peer reviewers.
The board may provide investigatory and
			 related services to assist the peer reviewers.
(4)
Confidentiality.
Peer
			 reviewers shall observe the confidentiality requirements imposed by Iowa Code
			 section
			 272C.6(4).
(5)
Liability defense and
			 indemnity.
Peer reviewers shall not be liable for acts, omissions or
			 decisions made in connection with service on the peer review committee.
			 However, such immunity from civil liability shall not apply if such act is done
			 with malice. Peer reviewers shall be provided a defense by the state for civil
			 lawsuits related to board peer review and shall be indemnified for all such
			 judgments or settlements as provided by applicable law and administrative
			 rules.
(6)
Written peer
			 review report.
Peer reviewers shall review the information provided by
			 the board and provide a written report to the board.
a. The written report shall contain a
			 statement of facts, an opinion of the peer reviewers whether the licensee
			 violated the standard of care, and the rationale supporting the
			 opinion.
b. The written report
			 shall be signed by the peer reviewers concurring in the report.
c. If the peer reviewers find that they are
			 unable to review the case, the investigative information shall be returned to
			 the board.