|
Senate Engrossed House Bill
medical assistants; training requirements |
|
State of Arizona House of Representatives Fifty-fifth Legislature First Regular Session 2021
|
|
HOUSE BILL 2266 |
|
|
|
|
AN ACT
Amending sections 32-1456, 32-1559, 32-1803 and 32-1853.01, Arizona Revised Statutes; relating to the Arizona medical board.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Section 32-1456, Arizona Revised Statutes, is amended to read:
32-1456. Medical assistants; allowable tasks; training; use of title; violation; classification
A. A medical assistant may perform the following medical procedures under the direct supervision of a doctor of medicine, physician assistant or nurse practitioner:
1. Take body fluid specimens.
2. Administer injections.
B. The board by rule may prescribe other medical procedures which that a medical assistant may perform under the direct supervision of a doctor of medicine, physician assistant or nurse practitioner on a determination by the board that the procedures may be competently performed by a medical assistant.
C. Without the direct supervision of a doctor of medicine, physician assistant or nurse practitioner, a medical assistant may perform do the following tasks:
1. perform billing and coding.
2. Verifying verify insurance.
3. Making make patient appointments.
4. perform scheduling.
5. Recording Record a doctor's findings in patient charts and transcribing transcribe materials in patient charts and records.
6. Performing Perform visual acuity screening as part of a routine physical.
7. Taking take and recording record patient vital signs and medical history on medical records.
D. The board by rule shall prescribe medical assistant training requirements. The training requirements for a medical assistant may be satisfied through a training program that meets all of the following:
1. Is designed and offered by a physician.
2. Meets or exceeds any of the approved training program requirements specified in rule.
3. Verifies the entry-level competencies of a medical assistant as prescribed by rule.
4. Provides written verification to the individual of successful completion of the training program.
E. A person who uses the title medical assistant or a related abbreviation is guilty of a class 3 misdemeanor unless that person is working as a medical assistant under the direct supervision of a doctor of medicine, physician assistant or nurse practitioner or possesses written verification of successful completion of a training program provided pursuant to subsection D of this section.
Sec. 2. Section 32-1559, Arizona Revised Statutes, is amended to read:
32-1559. Naturopathic medical assistants; certification; supervision; duties; training; use of title
A. A person who wishes to be certified as a naturopathic medical assistant shall submit an application as prescribed in section 32-1524.
B. A certified naturopathic medical assistant may assist a doctor of naturopathic medicine who is licensed under this chapter.
C. The board by rule may prescribe naturopathic medical treatment procedures that a naturopathic medical assistant certified under this section may perform under the direct supervision of a doctor of naturopathic medicine who is licensed under this chapter if the board determines that these procedures:
1. May be competently performed by the assistant.
2. Do not exceed the procedures that the supervising doctor of naturopathic medicine has been licensed by this state to perform.
D. The board by rule shall prescribe naturopathic medical assistant training requirements. The training requirements for a naturopathic medical assistant may be satisfied through a training program that meets all of the following:
1. Is designed and offered by a physician.
2. Meets or exceeds any of the approved training program requirements specified in rule.
3. Verifies the entry-level competencies of a naturopathic medical assistant as prescribed by rule.
4. provides written verification to the individual of successful completion of the program.
D. E. A naturopathic medical assistant may do perform clerical tasks without direct supervision if the tasks do not involve the treatment of treating a person's condition or other procedures that are prohibited under this chapter.
E. F. A person shall not use the title "medical assistant" or a related abbreviation unless that person is working as a naturopathic medical assistant pursuant to this section or possesses written verification of successful completion of a training program provided pursuant to subsection D of this section.
Sec. 3. Section 32-1803, Arizona Revised Statutes, is amended to read:
32-1803. Powers and duties
A. The board shall:
1. Protect the public from unlawful, incompetent, unqualified, impaired and unprofessional practitioners of osteopathic medicine.
2. Issue licenses, conduct hearings, place physicians on probation, revoke or suspend licenses, enter into stipulated orders, issue letters of concern or decrees of censure and administer and enforce this chapter.
3. Maintain a record of its acts and proceedings, including the issuance, denial, renewal, suspension or revocation of licenses to practice according to this chapter. The board shall delete records of complaints only as follows:
(a) If the board dismisses a complaint, the board shall delete the public record of the complaint five years after it dismissed the complaint.
(b) If the board has issued a letter of concern but has taken no further action on the complaint, the board shall delete the public record of the complaint five years after it issued the letter of concern.
(c) If the board has required additional continuing medical education pursuant to section 32-1855 but has not taken further action, the board shall delete the public record of the complaint five years after the person satisfies this requirement.
4. Maintain a public directory of all osteopathic physicians and surgeons who are or were licensed pursuant to this chapter that includes:
(a) The name of the physician.
(b) The physician's current or last known address of record.
(c) The date and number of the license issued to the physician pursuant to this chapter.
(d) The date the license is scheduled to expire if not renewed or the date the license expired or was revoked, suspended or canceled.
(e) Any disciplinary actions taken against the physician by the board.
(f) Letters of concern, remedial continuing medical education ordered and dismissals of complaints against the physician until deleted from the public record pursuant to paragraph 3 of this subsection.
5. Adopt rules regarding the regulation, and the qualifications and training of medical assistants. The training requirements for a medical assistant may be satisfied through a training program that meets all of the following:
(a) Is designed and offered by a physician.
(b) Meets or exceeds any of the approved training program requirements specified in rule.
(c) Verifies the entry-level competencies of a medical assistant as prescribed by rule.
(d) Provides written verification to the individual of successful completion of the program.
6. Discipline and rehabilitate osteopathic physicians.
7. Determine whether a prospective or current Arizona licensed physician has the training or experience to demonstrate the physician's ability to treat and manage opiate-dependent patients as a qualifying physician pursuant to 21 United States Code section 823(g)(2)(G)(ii).
B. The public records of the board are open to inspection at all times during office hours.
C. The board may:
1. Adopt rules necessary or proper to administer this chapter.
2. Appoint one of its members to the jurisdiction arbitration panel pursuant to section 32-2907, subsection B.
3. Accept and spend federal monies and private grants, gifts, contributions and devises. These monies do not revert to the state general fund at the end of a fiscal year.
4. Develop and publish advisory opinions and standards governing the profession.
D. The board shall adopt and use a seal, the imprint of which, together with the signature of either the president, vice president or executive director, is evidence of its official acts.
E. In conducting investigations pursuant to this chapter, the board may receive and review confidential internal staff reports relating to complaints and malpractice claims.
F. The board may make available to academic and research organizations public records regarding statistical information on doctors of osteopathic medicine and applicants for licensure.
Sec. 4. Section 32-1853.01, Arizona Revised Statutes, is amended to read:
32-1853.01. Use of title by a medical assistant
It is unlawful for a person to use the title "medical assistant" or a related abbreviation unless the person is working as a medical assistant under the supervision of a doctor of osteopathic medicine pursuant to rules adopted by the board or possesses written verification of successful completion of a training program provided pursuant to rules adopted by the board.