reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Behavioral Scientists › Chapter 33 - Discipline for Marital and Family Therapists, Mental Health Counselors, Behavior Analysts, and Assistant Behavior Analysts › Rule 645-33.3 - Method of Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board has the authority to impose the following
				  disciplinary sanctions:
1 Revocation of
				  license.
2 Suspension of license
				  until further order of the board or for a specific period.
3 Prohibit permanently, until further order
				  of the board, or for a specific period the engaging in specified procedures,
				  methods, or acts.
4 Probation.
5 Require additional education or
				  training.
6 Require a
				  reexamination.
7 Order a physical
				  or mental evaluation, or order alcohol and drug screening within a time
				  specified by the board.
8 Impose
				  civil penalties not to exceed $1000.
9 Issue a citation and warning.
10 Such other sanctions allowed by law as may
				  be appropriate.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Behavioral Scientists › Chapter 33 - Discipline for Marital and Family Therapists, Mental Health Counselors, Behavior Analysts, and Assistant Behavior Analysts › Rule 645-33.4 - Discretion of Board

Current through Register Vol. 47, No. 3, July 24, 2024
The following factors may be considered by the board in
				  determining the nature and severity of the disciplinary sanction to be imposed:
1 The relative serious nature of the
				  violation as it relates to ensuring a high standard of professional care to the
				  citizens of this state;
2. The
				  facts of the particular violation;
3. Any extenuating facts or other
				  countervailing considerations;
4.
				  The number of prior violations or complaints;
5. The seriousness of prior violations or
				  complaints;
6. Whether remedial
				  action has been taken; and
7. Such
				  other factors as may reflect upon the competency, ethical standards, and
				  professional conduct of the licensee.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Behavioral Scientists › Chapter 34 - Adoption of Uniform and Model Rules › Rule 645-34.1 - Board of Behavioral Science Adoption of Uniform and Model Rules

Current through Register Vol. 47, No. 3, July 24, 2024
The board hereby adopts by reference the following:
(1) to (9) Reserved.
(10) Model rules for licensee review
				committee, 481-Chapter 505.
This rule is intended to implement Iowa Code chapter
				  272C.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
The following definitions will be applicable to the rules of
				  the Iowa board of chiropractic:
"Active license"
means a license that is
				  current and has not expired.
"Board"
means the Iowa board of
				  chiropractic.
"Council on Chiropractic Education"
or
"CCE"
means the organization that establishes the Educational
				  Standards of Chiropractic Colleges and Bylaws.
"Department"
means the Iowa department of
				  inspections, appeals, and licensing.
"Grace period"
means the 30-day period
				  following expiration of a license when the license is still considered to be
				  active. In order to renew a license during the grace period, a licensee is
				  required to pay a late fee.
"Inactive license"
means a license that has
				  expired because it was not renewed by the end of the grace period. The category
				  of "inactive license" may include licenses formerly known as lapsed, inactive,
				  delinquent, closed, or retired.
"License"
means license to practice
				  chiropractic in Iowa.
"Licensee"
means any person licensed to
				  practice as a chiropractic physician in Iowa.
"License expiration date"
means June 30 of
				  even-numbered years.
"Licensure by endorsement"
means the
				  issuance of an Iowa license to practice chiropractic to an applicant who is or
				  has been licensed in another state and meets the criteria for licensure in this
				  state.
"NBCE"
means the National Board of
				  Chiropractic Examiners.
"Reactivate"
or
"reactivation"
means the process as outlined in rule
				  645-41.14 (17A,147,272C) by
				  which an inactive license is restored to active status.
"Reinstatement"
means the process as
				  outlined in rule 645-11.31 (272C) by which a
				  licensee who has had a license suspended or revoked or who has voluntarily
				  surrendered a license may apply to have the license reinstated, with or without
				  conditions. Once the license is reinstated, the licensee may apply for active
				  status.
"SPEC"
means Special Purposes Examination
				  for Chiropractic, which is an examination provided by the NBCE that is designed
				  specifically for utilization by state or foreign licensing
				  agencies.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.2 - Initial Licensure

Current through Register Vol. 47, No. 3, July 24, 2024
(1) To apply for a
				license, the applicant will complete an online application packet and pay the
				nonrefundable application fee.
a. If licensed
				in another jurisdiction, the applicant will complete the licensure by
				endorsement application and submit a license verification document that
				discloses if disciplinary action was taken in the jurisdiction where the
				applicant was most recently licensed.
b. A person who is licensed in another
				jurisdiction and cannot satisfy the requirements of licensure by endorsement
				may apply for licensure by verification, if eligible, in accordance with rule
				645-19.1(272C).
c. An application
				not completed according to guidelines will not be reviewed by the
				board.
d. The applicant will
				request the accredited chiropractic school submit official copies of the
				applicant's transcripts to the board office.
e. The applicant will submit an official
				certificate of completion of 120 hours of physiotherapy that includes a
				practicum component from a board-approved chiropractic college.
f. The applicant will pass all parts of the
				NBCE examination as outlined in rule
				645-41.3 (151).
g. The applicant will submit a copy of the
				chiropractic diploma.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.3 - Examination Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Applicants will
				submit the application for the NBCE examination and the fee directly to the
				NBCE.
(2) The following criteria
				will apply for the NBCE:
a. Prior to July 1,
				1973, applicants will provide proof of being issued a basic science
				certificate.
b. After July 1, 1973,
				applicants will provide proof of successful completion of the required
				examination from the NBCE. The required examination will meet the following
				criteria:
(1) Examinations completed after
				July 1, 1973, will be defined as the successful completion of Parts I and II of
				the NBCE examination.
(2)
				Examinations completed after August 1, 1976, will be defined as the successful
				completion of Parts I, II and Physiotherapy of the NBCE examination.
(3) Examinations completed after January 1,
				1987, will be defined as the successful completion of Parts I, II, III and
				Physiotherapy of the NBCE examination.
(4) Examinations completed after January 1,
				1996, will be defined as satisfactory completion of Parts I, II, III, IV and
				Physiotherapy of the NBCE examination.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.4 - Educational Qualifications

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An applicant
				will present an official transcript verifying graduation from a CCE-accredited
				and board-approved college of chiropractic.
(2) Foreign-trained chiropractic physicians
				will:
a. Provide an equivalency evaluation of
				their educational credentials processed by the International Education Research
				Foundation, Inc. The professional curriculum must be equivalent to that stated
				in these rules. The candidate will bear the expense of the curriculum
				evaluation.
b. Provide a copy of
				the certificate or diploma awarded to the applicant from a chiropractic program
				in the country in which the applicant was educated.
c. Receive a final determination from the
				board regarding the application for licensure.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.5 - Temporary Certificate

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The board may
				issue a temporary certificate to practice chiropractic at its discretion if the
				issuance is in the public interest and the applicant demonstrates a need for
				the temporary certificate and meets the professional qualifications for
				licensure.
(2) Demonstrated need.
				An applicant must submit information explaining the demonstrated need, how the
				issuance would serve the public interest, the scope of practice requested, and
				why a temporary certificate should be granted. To meet the demonstrated need
				requirement, the applicant will show the need meets one of the following
				conditions:
a. The applicant will provide
				chiropractic services in connection with a special activity, event or program
				conducted in this state;
b. The
				applicant will provide chiropractic services in connection with a state
				emergency as proclaimed by the governor;
c. The applicant previously held an
				unrestricted license to practice chiropractic in this state and will provide
				gratuitous chiropractic services as a voluntary public service; or
d. The applicant will provide chiropractic
				services in connection with an urgent need.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.6 - License Renewal

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The license
				renewal period for a license to practice begins on July 1 of an even numbered
				year and ends on June 30 of the next even numbered year.
(2) An individual who was issued a license
				within six months of the license renewal date will not be required to renew the
				license until the subsequent renewal two years later.
(3) A licensee applying for renewal will:
a. Meet the continuing education requirements
				of rule 645-44.2 (272C) and the
				mandatory reporting requirements of subrule 41.8(4). A licensee whose license
				was reactivated during the current renewal compliance period may use continuing
				education credit earned during the compliance period for the first renewal
				following reactivation; and
b.
				Complete the online renewal application, pay the fee, and attach certificate of
				completing continuing education hours on the Iowa board of chiropractic website
				before the expiration date.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.7 - Requirements for Reactivation

Current through Register Vol. 47, No. 3, July 24, 2024
To apply for reactivation, a licensee will:
(1) Complete an online reactivation
				application on the Iowa board of chiropractic website and pay the nonrefundable
				reactivation fee.
(2) Provide
				verification of current competence to practice as a chiropractic physician by
				satisfying one of the following criteria:
a.
				If the license has been on inactive status for five years or less, an applicant
				must provide the following:
(1) Verification.
				If licensed in another jurisdiction, submit a license verification document
				that discloses if disciplinary action was taken in the jurisdiction where the
				applicant was most recently licensed.
(2) Proof. Submit proof of completing 40
				hours of continuing education within two years of application.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.8 - License Reinstatement

Current through Register Vol. 47, No. 3, July 24, 2024
A licensee whose license has been revoked, suspended, or
				  voluntarily surrendered must apply for and receive board-approved reinstatement
				  of the license and must apply for and be granted reactivation prior to
				  practicing in the state.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.14 - License Reactivation

Current through Register Vol. 47, No. 3, July 24, 2024
To apply for reactivation of an inactive license, a licensee
				  shall:
(1) Submit a reactivation
				application on a form provided by the board.
(2) Pay the reactivation fee as specified in
				645-subrule 5.4(5).
(3) Provide
				verification of current competence to practice as a chiropractic physician by
				satisfying one of the following criteria:
a.
				If the license has been on inactive status for five years or less, an applicant
				must provide the following:
(1) Verification
				of the license(s) from every jurisdiction in which the applicant is or has been
				licensed and is or has been practicing during the time period the Iowa license
				was inactive, sent directly from the jurisdiction(s) to the board office.
				Web-based verification may be substituted for verification from a
				jurisdiction's board office if the verification includes:
1. Licensee's name;
2. Date of initial licensure;
3. Current licensure status; and
4. Any disciplinary action taken against the
				license; and
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 41 - Licensure of Chiropractic Physicians › Rule 645-41.15 - License Reinstatement

Current through Register Vol. 47, No. 3, July 24, 2024
A licensee whose license has been revoked, suspended, or
				  voluntarily surrendered must apply for and receive reinstatement of the license
				  in accordance with rule
				  645-1131. (272C)
				  and thereafter must apply for and be granted reactivation of the license in
				  accordance with rule 645-41.14(17A,147,272C) prior to practicing as a
				  chiropractic physician in this state.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 42 - Colleges for Chiropractic Physicians › Rule 645-42.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purposes of these rules, the following definitions
				  will apply:
"Chiropractic intern"
means a chiropractic
				  student of an approved college of chiropractic in the student's last academic
				  quarter, semester, or trimester of study, who is eligible for graduation from
				  the college of chiropractic and is eligible to complete a preceptorship
				  program, as authorized by these rules.
"Chiropractic preceptor"
means a
				  chiropractic physician licensed and practicing in Iowa pursuant to Iowa Code
				  chapter 151, who accepts a chiropractic intern or resident into the practice
				  for the purpose of providing the chiropractic student with a clinical
				  experience of the practice of chiropractic, and who meets the requirements of
				  these rules.
"Chiropractic resident"
means a graduate
				  chiropractic physician who has received a doctor of chiropractic degree from a
				  college of chiropractic approved by the board, and who is not licensed in any
				  state, but who is practicing under a chiropractic preceptorship authorized
				  under these rules.
"Chiropractic student"
means a student of an
				  approved college of chiropractic.
"Council on Chiropractic Education"
or
"CCE"
means the organization that establishes the Educational
				  Standards of Chiropractic Colleges and Bylaws. A copy of the standards may be
				  requested from CCE.
"Preceptorship practice"
means the
				  chiropractic practice of a single chiropractic physician or group of
				  chiropractic physicians in a particular business or clinic, into which a
				  licensed practicing chiropractic physician has accepted a chiropractic intern
				  or chiropractic resident for the limited purpose of providing the intern or
				  resident with a clinical experience in the practice of chiropractic.
"60-minute hour"
means at least 50 minutes
				  of resident attendance with no more than 10 minutes for note taking and
				  breaks.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 42 - Colleges for Chiropractic Physicians › Rule 645-42.2 - Board-approved Chiropractic Colleges

Current through Register Vol. 47, No. 3, July 24, 2024
Approval of a chiropractic college may be granted if the
				  program submits proof to the board of chiropractic that the chiropractic
				  program meets the following requirements:
(1) The chiropractic college is fully
				accredited by the Commission on Accreditation of the Council on Chiropractic
				Education (CACCE), as recognized by the U.S. Department of Education.
(2) The core curriculum meets the
				requirements of the CACCE standards and, in addition:
a. Covers a period of four academic years
				totaling not less than 4,000 60-minute hours in actual resident
				attendance;
b. Comprises a
				supervised course of study, including clinical practical instruction, in all of
				the subjects specified in Iowa Code section
				151.1(3);
				and
c. Includes a minimum of 120
				hours of physiotherapy coursework with a clinical practical component on the
				procedures covered in the course.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 42 - Colleges for Chiropractic Physicians › Rule 645-42.3 - Practice by Chiropractic Interns and Chiropractic Residents

Current through Register Vol. 47, No. 3, July 24, 2024
A student enrolled in a board-approved chiropractic
				  preceptorship program in the state of Iowa may treat patients without obtaining
				  an Iowa license, provided the requirements of these rules are
				  met.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 42 - Colleges for Chiropractic Physicians › Rule 645-42.4 - Approved Chiropractic Preceptorship Program

Current through Register Vol. 47, No. 3, July 24, 2024
The board will approve a chiropractic college's preceptorship
				  program if the program meets the following requirements:
(1) The preceptorship program meets current
				CCE standards for consumer protection.
(2) The preceptorship program is an
				established component of the curriculum offered by a board-approved
				chiropractic college.
(3)
				Chiropractic interns who participate in the preceptorship program have met all
				requirements for graduation from the chiropractic college except for completion
				of the preceptorship period.
(4)
				Chiropractic residents who participate in the postgraduate preceptorship
				program have graduated from a chiropractic college approved by the
				board.
(5) All chiropractic
				physicians who serve as preceptors will be approved under rule
				645-42.5(151).
(6) The chiropractic
				college retains ultimate responsibility for student learning and evaluations
				during the preceptorship.
(7) The
				chiropractic preceptor will supervise no more than one chiropractic intern or
				one chiropractic resident for the duration of a given preceptorship period.
If a preceptor agreement must be canceled for any reason, it
				  is the responsibility of the chiropractic college to assign the intern or
				  resident to another preceptor and notify the Iowa board of chiropractic of the
				  preceptorship cancellation. The notice shall include reasons for cancellation
				  of the preceptorship.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 42 - Colleges for Chiropractic Physicians › Rule 645-42.5 - Approved Chiropractic Physician Preceptors

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A chiropractic
				physician will be approved to be a chiropractic physician preceptor if the
				following criteria are met:
a. The
				chiropractic physician holds a current Iowa chiropractic license and has
				continuously held licensure in the United States for the previous five years
				prior to preceptorship;
b. The
				chiropractic physician is currently fully credentialed by the sponsoring
				chiropractic college and approved by the board; and
c. The chiropractic physician has not had any
				formal disciplinary action.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 42 - Colleges for Chiropractic Physicians › Rule 645-42.6 - Termination of Preceptorship

Current through Register Vol. 47, No. 3, July 24, 2024
A preceptorship may terminate upon the occurrence of one of
				  the following events:
(1) Interns. The
				intern graduates from a board-approved college of chiropractic.
(2) Residents. Twelve months have passed
				since the resident graduated from a board-approved college of
				chiropractic.
(3) Formal
				disciplinary action is taken against the preceptor or the preceptor is a party
				to a final malpractice judgment or settlement agreement.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.4 - Chiropractic Insurance Consultant

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A chiropractic
				insurance consultant advises insurance companies, third-party administrators
				and other similar entities of Iowa standards of:
a. Recognized and accepted chiropractic
				services and procedures permitted by the Iowa Code and administrative rules,
				and
b. The propriety of
				chiropractic diagnosis and care.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.5 - Acupuncture

Current through Register Vol. 47, No. 3, July 24, 2024
A chiropractic physician who engages in the practice of
				  acupuncture will maintain documentation that shows the chiropractic physician
				  has successfully completed a course in acupuncture consisting of at least 100
				  hours of traditional, in-person classroom instruction with the instructor on
				  site. The licensee will maintain a transcript or certification of completion
				  showing the licensee's name, school or course sponsor's name, date of course
				  completion or graduation, grade or other evidence of successful completion, and
				  number of course hours. The licensee will provide the transcript or
				  certification of completion to the board upon request.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.6 - Adjunctive Procedures

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Adjunctive
				procedures are defined as procedures related to differential
				diagnosis.
(2) For any applicant
				for licensure to practice chiropractic in the state of Iowa who chooses to be
				tested in limited adjunctive procedures, those limited procedures must be
				adequate for the applicant to come to a differential diagnosis in order to pass
				the examination.
(3) Applicants for
				licenses to practice chiropractic who refuse to utilize any of the adjunctive
				procedures that they have been taught in approved colleges of chiropractic must
				adequately show the board that they can come to an adequate differential
				diagnosis without the use of adjunctive procedures.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.7 - Physical Examination

Current through Register Vol. 47, No. 3, July 24, 2024
The chiropractic physician is to perform physical
				  examinations to determine human ailments, or the absence thereof, utilizing
				  principles taught by chiropractic colleges. Physical examination procedures
				  will not include prescription drugs or operative surgery.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.8 - Recordkeeping

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Chiropractic
				physicians will maintain clinical records in a manner consistent with the
				protection of the welfare of the patient. Records will be timely, dated,
				chronological, accurate, signed or initialed, legible, and easily
				understandable. Recordkeeping rules apply to all patient records whether
				handwritten, typed or maintained electronically. Electronic signatures are
				acceptable when the record has been reviewed by the physician whose signature
				appears on the record.
(2)
				Chiropractic physicians will maintain clinical records for each patient, which
				include all of the following:
a.
Personal data.
(1)
				Name;
(2) Date of birth;
(3) Address; and
(4) Name of parent or guardian if a patient
				is a minor.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.9 - Billing Procedures

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Chiropractic
				physicians will maintain accurate billing records for each patient. Records may
				be stored on paper or electronically. The records will contain all of the
				following:
a. Name, date of birth and
				address.
b. Diagnosis indicated
				with description or ICD code.
c.
				Services provided with description or CPT code.
d. Dates of services provided.
e. Charges for each service
				provided.
f. Payments made for each
				service and indication of the party providing payment.
g. Dates payments are made.
h. Balance due for any outstanding
				charges.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.10 - Certified Chiropractic Assistants

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Supervisory responsibilities of the chiropractic physician.
a. The supervising chiropractic physician
				will ensure at all times that the certified chiropractic assistant has the
				necessary training and skills as required by these rules to competently perform
				the delegated services.
b. The
				supervising chiropractic physician may delegate services to a certified
				chiropractic assistant that are within the scope of practice of the
				chiropractic physician in a manner consistent with these rules. Violation of
				these rules will be grounds for discipline under 645-Chapter 45.
c. A chiropractic physician will not delegate
				to the certified chiropractic assistant the following:
(1) Services outside the chiropractic
				physician's scope of practice;
(2)
				Initiation, alteration, or termination of chiropractic treatment
				programs;
(3) Chiropractic
				manipulation and adjustments;
(4)
				Diagnosis of a condition.
d. A supervising chiropractic physician will
				ensure that a certified chiropractic assistant is informed of the supervisor
				and certified chiropractic assistant relationship and is responsible for all
				services performed by the certified chiropractic assistant.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.11 - Billing Procedures

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Chiropractic
				physicians shall maintain accurate billing records for each patient. Records
				may be stored on paper or electronically. The records shall contain all of the
				following:
a. Name, date of birth and
				address.
b. Diagnosis indicated
				with description or ICD code.
c.
				Services provided with description or CPT code.
d. Dates of services provided.
e. Charges for each service
				provided.
f. Payments made for each
				service and indication of the party providing payment.
g. Dates payments are made.
h. Balance due for any outstanding
				charges.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 43 - Practice of Chiropractic Physicians › Rule 645-43.12 - Chiropractic Assistants

Current through Register Vol. 47, No. 3, July 24, 2024
The requirements of this rule shall become effective on July
				  1, 2009.
(1)
Supervisory
				responsibilities of the chiropractic physician.
a. The supervising chiropractic physician
				shall ensure at all times that the chiropractic assistant has the necessary
				training and skills as required by these rules to competently perform the
				delegated services.
b. The
				supervising chiropractic physician may delegate services to a chiropractic
				assistant that are within the scope of practice of the chiropractic physician
				in a manner consistent with these rules. Violation of these rules shall be
				grounds for discipline under 645-Chapter 45.
c. A chiropractic physician shall not
				delegate to the chiropractic assistant the following:
(1)Services outside the chiropractic
				physician's scope of practice;
(2)Initiation, alteration, or termination of
				chiropractic treatment programs;
(3)Chiropractic manipulation and
				adjustments;
(4)Diagnosis of a
				condition.
d. A
				supervising chiropractic physician shall ensure that a chiropractic assistant
				is informed of the supervisor and chiropractic assistant relationship and is
				responsible for all services performed by the chiropractic assistant.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 44 - Continuing Education for Chiropractic Physicians › Rule 645-44.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions
				  will apply:
"Active license"
means a license that is
				  current and has not expired.
"Audit"
means the selection of licensees for
				  verification of satisfactory completion of continuing education requirements
				  during a specified time period.
"Board"
means the Iowa board of
				  chiropractic.
"Clinical case management"
means coursework
				  pertaining to diagnosis, treatment, and appropriate referral or coordination of
				  care.
"Continuing education"
means planned,
				  organized learning acts meeting the standards set forth in these rules,
				  acquired during licensure, and designed to maintain, improve, or expand a
				  licensee's knowledge and skills in order for the licensee to develop new
				  knowledge and skills relevant to the enhancement of chiropractic practice,
				  education, or theory development to improve the safety and welfare of the
				  public.
"Hour of continuing education"
means at
				  least 50 minutes spent by a licensee in actual attendance at and completion of
				  an approved continuing education activity.
"Inactive license"
means a license that has
				  expired because it was not renewed by the end of the grace period. The category
				  of "inactive license" may include licenses formerly known as lapsed, inactive,
				  delinquent, closed, or retired.
"Independent study"
means a
				  subject/program/activity that a person pursues autonomously that meets
				  standards for approval criteria in the rules and includes a posttest and
				  certificate of completion.
"License"
means license to practice
				  chiropractic in Iowa.
"Licensee"
means any person licensed to
				  practice as a chiropractic physician in Iowa.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 44 - Continuing Education for Chiropractic Physicians › Rule 645-44.2 - Continuing Education Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The biennial
				continuing education compliance period extends for a two-year period beginning
				on July 1 of each even-numbered year and ending on June 30 of each
				even-numbered year two years later.
(2) Requirements of new licensees. Continuing
				education is not required in the first renewal period with the exception of two
				hours in the content areas of 645-Chapters 41 through 45 and Iowa Code chapter
				151. Continuing education hours acquired any time from the initial licensing
				until the second license renewal, with the exception of two hours in the
				content areas of 645-Chapters 41 through 45 and Iowa Code chapter 151, may be
				used after the first renewal period. The new licensee will be required to
				complete a minimum of 40 hours of continuing education per biennium for each
				subsequent license renewal.
(3)
				Hours of continuing education credit will be obtained by attending and
				participating in a continuing education activity as stipulated in
				rule.
(4) No hours of continuing
				education will be carried over into the next biennium except as stated in
				subrule 44.2(2) and subparagraph 44.3(2)
"a"
(3). A licensee
				whose license is reactivated during the current renewal compliance period may
				use continuing education earned during the compliance period for the first
				renewal following reactivation.
(5)
				It is the responsibility of each licensee to finance the cost of continuing
				education.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 44 - Continuing Education for Chiropractic Physicians › Rule 645-44.3 - Standards

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
General
				criteria.
A continuing education activity must meet the following
				criteria:
a. Constitute an organized program
				of learning that contributes directly to the professional competency of the
				licensee;
b. Pertain to subject
				matters that integrally relate to the practice of the profession;
c. Be conducted by individuals who have
				specialized education, training and experience concerning the subject matter of
				the program. At the time of audit, the board may request the qualifications of
				presenters;
d. Fulfill stated
				program goals, objectives, or both; and
e. Provide proof of attendance to licensees
				in attendance including:
(1) Date(s),
				location, course title, presenter(s);
(2) Number of program clock hours;
				and
(3) Certificate of completion
				or evidence of successful completion of the course provided by the course
				sponsor.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 45 - Discipline for Chiropractic Physicians › Rule 645-45.1 - Grounds for Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board may impose any of the disciplinary sanctions
				  provided in rule 645-45.1 (147,272C) when the
				  board determines that the licensee is guilty of any of the following acts or
				  offenses or those listed in 645-Chapter 13:
(1) Knowingly making misleading, deceptive,
				untrue or fraudulent representations in the practice of the profession or
				engaging in unethical conduct or practice harmful or detrimental to the public.
				This includes representations utilizing the term "physical therapy" when
				informing the public of the services offered by the chiropractic physician
				unless a licensed physical therapist is performing such services. Nothing
				herein will be construed as prohibiting a chiropractic physician from making
				representations regarding physiotherapy that may be the same as, or similar to,
				physical therapy or physical medicine as long as treatment is appropriate as
				authorized in Iowa Code chapter 151. Proof of actual injury need not be
				established.
(2) Use of untruthful
				or improbable statements in advertisements and marketing. Use of untruthful or
				improbable statements in advertisements includes but is not limited to an
				action by a licensee in making information or intention known to the public
				that is false, deceptive, misleading or promoted through fraud or
				misrepresentation, or representations that are likely to cause the average
				person to misunderstand. The term "advertisements" includes oral, written,
				electronic, and other types of communication disseminated by or at the
				direction of a licensee for the purpose of encouraging or soliciting the use of
				the licensee's services.
(3)
				Violate the provisions of direct health care agreements pursuant to Iowa Code
				section 135N.1.
(4) Failure to
				maintain a patient's record(s) for a minimum of six years after the date of
				last examination or treatment. Records for minors shall be maintained for one
				year after the patient reaches the age of majority (18) or six years after the
				date of last examination or treatment, whichever is longer. Proper safeguards
				shall be maintained to ensure the safety of records from destructive elements.
				This provision includes both clinical and fiscal records.
This rule is intended to implement Iowa Code chapters 147,
				  151, and 272C.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 45 - Discipline for Chiropractic Physicians › Rule 645-45.2 - Grounds for Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board may impose any of the disciplinary sanctions
				  provided in rule 645-45.3 (147,272C) when the
				  board determines that the licensee is guilty of any of the following acts or
				  offenses:
(1) Fraud in procuring a
				license. Fraud in procuring a license includes, but is not limited to, an
				intentional perversion of the truth in making application for a license to
				practice in this state, which includes the following:
a. False representations of a material fact,
				whether by word or by conduct, by false or misleading allegations, or by
				concealment of that which should have been disclosed when making application
				for a license in this state, or
b.
				Attempting to file or filing with the board or the department of public health
				any false or forged diploma or certificate or affidavit or identification or
				qualification in making an application for a license in this
				state.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 45 - Discipline for Chiropractic Physicians › Rule 645-45.3 - Method of Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board has the authority to impose the following
				  disciplinary sanctions:
1. Revocation of
				  license.
2. Suspension of license
				  until further order of the board or for a specific period.
3. Prohibit permanently, until further order
				  of the board, or for a specific period the licensee's engaging in specified
				  procedures, methods, or acts.
4.
				  Probation.
5. Require additional
				  education or training.
6. Require a
				  reexamination.
7. Order a physical
				  or mental evaluation, or order alcohol and drug screening within a time
				  specified by the board.
8. Impose
				  civil penalties not to exceed $1000.
9. Issue a citation and warning.
10. Such other sanctions allowed by law as
				  may be appropriate.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 45 - Discipline for Chiropractic Physicians › Rule 645-45.4 - Discretion of Board

Current through Register Vol. 47, No. 3, July 24, 2024
The following factors may be considered by the board in
				  determining the nature and severity of the disciplinary sanction to be imposed:
1. The relative serious nature of the
				  violation as it relates to ensuring a high standard of professional care to the
				  citizens of this state;
2. The
				  facts of the particular violation;
3. Any extenuating facts or other
				  countervailing considerations;
4.
				  The number of prior violations or complaints;
5. The seriousness of prior violations or
				  complaints;
6. Whether remedial
				  action has been taken; and
7. Such
				  other factors as may reflect upon the competency, ethical standards, and
				  professional conduct of the licensee.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Chiropractic › Chapter 46 - Adoption of Uniform and Model Rules › Rule 645-46.1 - Board of Behavioral Science Adoption of Uniform and Model Rules

Current through Register Vol. 47, No. 3, July 24, 2024
The board hereby adopts by reference the following:
(1) to (9) Reserved.
(10) Model rules for licensee review
				committee, 481-Chapter 505.
This rule is intended to implement Iowa Code chapter
				  272C.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Cosmetologists › Chapter 60 - Licensure of Barbers and Cosmetologists, Electrologists, Estheticians, Nail Technologists, and Instructors of Barbering and Cosmetology Arts and Sciences › Rule 645-60.3 - Examination Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An applicant
				shall pass a national examination prescribed by the board for the particular
				practice discipline with a score of 75 percent or greater.
The applicant shall submit the test registration fee directly
				  to the test service. NIC examinations are administered according to guidelines
				  set forth by the NIC.
(2) If
				applying for licensure by endorsement, an applicant who graduated from a barber
				or cosmetology school prior to January 1, 2000, shall have passed the state
				written and practical examination required by the state in which the applicant
				was originally licensed.
(3) An
				applicant who graduated from a barber or cosmetology school after January 1,
				2000, shall have passed a national theory examination for the discipline in
				which the applicant seeks licensure.
(4) An applicant for the barbering and
				cosmetology license who graduated from a barber or cosmetology school after
				July 1, 2023, shall have passed a national theory examination. Shaving with a
				razor requires additional certification by the board.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Cosmetologists › Chapter 60 - Licensure of Barbers and Cosmetologists, Electrologists, Estheticians, Nail Technologists, and Instructors of Barbering and Cosmetology Arts and Sciences › Rule 645-60.4 - Criteria for Licensure in Prescribed Practice Disciplines

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A barbering and
				cosmetology license is not a requirement for an electrology, esthetics, or nail
				technology license.
(2) Core life
				sciences curriculum hours shall be transferable in their entirety from one
				practice discipline to another practice discipline.
(3) Theory hours earned in each practice
				discipline of barbering and cosmetology arts and sciences may be used in
				applying for a barbering and cosmetology license.
(4) A barber and cosmetologist licensed after
				July 1, 2005, is not eligible to be certified in chemical peels,
				microdermabrasion, laser or intense pulsed light (IPL) and shall not provide
				those services.
(5) Licensees must
				hold a shaving certificate, or the license will be restricted from the practice
				of shaving. An individual who was licensed as an Iowa barber prior to July 1,
				2023, is not required to hold a shaving certificate.
(6) Pedicuring shall only be done by a
				licensee who possesses the skill and knowledge required to perform the service
				in a professionally competent manner in compliance with 645-Chapter
				63.
(7) Waxing shall only be done
				by a licensee who possesses the skill and knowledge required to perform the
				service in a professionally competent manner in compliance with 645-Chapter
				63.
(8) An initial license to
				practice manicuring shall not be issued by the board after December 31, 2007. A
				manicurist license issued on or before December 31, 2007, may be renewed
				subject to licensure requirements identified by statute and administrative rule
				unless the license becomes inactive. A manicurist license that becomes inactive
				cannot be reactivated or renewed.
(9) Any person previously licensed as a
				barber prior to July 1, 2024, pursuant to 645-Chapter 21 will, upon successful
				renewal of such license, receive a barbering and cosmetology license.
(10) Any person previously licensed as a
				cosmetologist prior to July 1, 2024, pursuant to this chapter will, upon
				successful renewal of such license, receive a barbering and cosmetology
				license.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Cosmetologists › Chapter 60 - Licensure of Barbers and Cosmetologists, Electrologists, Estheticians, Nail Technologists, and Instructors of Barbering and Cosmetology Arts and Sciences › Rule 645-60.5 - Prescribed Practice Training Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
As outlined below, the board may approve a licensee to
				  provide the prescribed practice services of shaving, microdermabrasion,
				  chemical exfoliation, laser services, and IPL hair removal treatments once a
				  licensee has complied with training requirements and submitted a completed
				  application, the required supporting evidence, and applicable fees as specified
				  in these rules. The applicant shall receive a certification following board
				  approval. Machine-, product-, model- or device-specific certifications do not
				  need renewal.
(1) Shaving for hair
				removal.
a. Shaving shall only be performed
				by a barber and cosmetologist who is certified by the board to perform those
				services. A barber licensed before July 1, 2023, is exempt from this
				requirement.
b. Shaving shall only
				be used for hair removal on the scalp, face or neck.
c. In order to receive board certification
				and be eligible to perform shaving for hair removal services, the licensee must
				complete a shaving program or pass an exam as outlined below:
(1) Provide evidence of passing the NIC
				barber practical exam or a national barber practical exam, or
(2) Complete a 40-hour shaving program from
				an Iowa licensed school, or a program sponsored by an Iowa licensed school,
				that is conducted by a licensed instructor who has specialized education,
				training and experience by reason of which said licensed instructor should be
				considered qualified concerning the subject matter of the program, then:
1. Obtain from the program a certification of
				training that contains the following information:
* Date, location, and course title;
* Name and license number of the instructor;
* Name and license number of the school;
* Number of contact hours;
* Evidence that the training program includes a safety
				  training component that provides a thorough understanding of the procedures to
				  be performed. The training program shall address fundamentals of skin care,
				  blood-borne pathogens and infection control.
2. Complete a board-approved certification
				application form and submit to the board office the completed form, a copy of
				the certification of training, and the required fee pursuant to 645-subrule
				5.5(14). The fee is nonrefundable.