2017 INF/INA Conference & Annual Meeting

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2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference Substance Abuse ($55,529); Cancer Registry ($149,051); Biocatalysis ($723,727); Primary Health Care ($648,930); Birth Defects Registry ($38,288) SF 404 EXPERIMENTAL TREATMENTS Establishes the ‘Right to Try Act’ permitting patients with terminal illnesses to attempt treatment with experimental drugs or devices. Requires that the manufacturer receive written consent from the patient. Requires the consent to show that the treatments are not approved and unlikely to prolong life. Deems that the heirs of a patient cannot be charged for any unpaid costs. Prohibits the Board of Medicine from taking adverse action against a doctor. Prohibits the treatments from being used as a cause of action. The Senate and House passed unanimously. SF 419 INTERSTATE NURSE COMPACT (amended and substituted for HF 419) Adopts the interstate Nurse licensing compact. The Senate passed it 49-0 and the House 98-0. INA supported this bill that, once enacted in 26 states, allows nurses to have mobility across state borders because licensing standards are aligned. This includes federal and state fingerprint-based criminal background checks. NOTE: This summer, North Carolina became the 26th state to pass the compact, which triggered its enactment. Once operational rules are adopted and implementation dates set, implementation details will be shared with licensed nurses and the public. Think of it similar to a driver’s license. We are allowed to drive in another state with a license from the state we reside in as long as we follow the rules and regulations of the states we are traveling in. SSB 1075 APRN COMPACT Proposed the adoption of the Interstate Advanced Practice Registered Nurse Compact. Would change the current title of ARNP (Advanced Registered Nurse Practitioner) to APRN. INA supported this bill. It passed subcommittee but the bill died. It will still be active in the 2018 session. SF 465 MEDICAL MALPRACTICE (substituted for HF 487) Damages: Limits non-economic damages (pain, suffering and other non-pecuniary damages) to $250,000, except in cases of actual malice. Fees: Requires the court to review contingency fees in personal injury/ wrongful death cases against Advanced Nurse Practitioners and various residential/nursing care facilities. Experts: Establishes standards for expert witnesses. Requires the witness to be a health care provider in good standing, with relevant experience and training. Certificate of Merit: Requires a plaintiff to serve a certificate of merit on the defendant within 90 days of the answer by the defendant for each expert the plaintiff intends to call. Requires the certificate to state the credentials of the expert, the standard of care, how the health care provider breached that standard and what actions should have been taken. Allows for a dismissal for a failure to substantially comply with the requirements. Evidence: Requires courts to admit evidence-based medical practice guidelines. Establishes an affirmative defense for the health care provider that evidence-based medical practice guidelines were used. Adverse Outcome: Includes additional health care professionals under the provisions regarding discussions between a health care provider and a patient of an adverse outcome. House amended and passed 65-32; Senate concurred with amendment and passed 37-12. SF 484 PHARMACY REGULATIONS Allows the Board of Pharmacy (BOP) to establish of a pool of seven alternative board members in order to ensure quorums for contested cases. Requires the Governor to approve. Identifies the licensed health care providers who are authorized to prescribe drugs. (Specifies in Section 2 of the bill that in Iowa Code 155A.3 advanced registered nurse practitioners (ARNPs) are included in definition of “practitioner” and are 62
2017 Iowa Nurses Foundation / Iowa Nurses Association Annual Meeting and Conference allowed to prescribe.) Allows the BOP to allocate from its fees for the cost of administering pharmaceutical collection and disposal program. Passed Senate and House unanimously. CHILDREN’S HEALTH & SCHOOL HEALTH HF 543 DRUG ENDANGERED CHILDREN (formerly HF 276) Deems that an unmarried child who is drug-endangered can be the subject of a ChINA. Deems it child abuse for the parent responsible for the child to allow the child to be drug endangered. Defines drug endangered as the child being in the presence or the house of dangerous drug use or manufacture (meth lab). Passed House and Senate unanimously. SF 51 CYTOMEGALOVIRUS (Similar to SF 68, which did not move) Requires the Center for Congenital and Inherited Disorders to work with health agencies and other organizations to develop materials on the cytomegalovirus and the dangers to pregnant women. Requires healthcare providers to make the information available to women in the first trimester of pregnancy. Requires DPH to make the materials available to health care providers and to publish information on the internet. Screening: Requires that newborns who show hearing loss be screened for congenital cytomegalovirus, unless the parent objects. The Senate and House passed unanimously. INA supported this bill. SF 475 CHILDREN’S HEALTH SCREENINGS Among other provisions, repeals provisions on dental and vision screening, and related provisions on dental clinics and vision cards. INSO (Iowa School Nurse Organization) was vocal about the need for screening students. INA also opposed the bill. HF 7 VACCINATION EXEMPTION Establishes an exemption for school vaccinations for children based on the personal convictions of the parent or guardian. Passed out of Subcommittee even with substantial resistance from health care providers. INA and ISNO both oppose this bill as do all health care groups. Bill died. WOMEN’S HEALTH SF 250 BREAST DENSITY Requires the DPH to adopt rules requiring that mammogram facilities give patients information on breast density and inform patients if they have dense breasts per national standards, that dense breasts may make cancer detection more difficult. Requires mammography facilities to comply by January 2018. Does not change any existing liability. Passed Senate 49-0 and House passed 95-2. SF 2 FAMILY PLANNING Addressed state family planning services program and Medicaid funding. This bill resulted in a dramatic and abrupt change in the availability of women’s health care services in Iowa. PUBLIC HEALTH & SAFETY SF 234 TEXTING AS PRIMARY OFFENSE A bill that prohibits a person from using a hand held electronic communications device to write, send or view an electronic message while driving a motor vehicle, unless the motor vehicle is at a complete stop off of the traveled portion of the roadway. Senate passed 43-6 and House passed 90-6. SF 489 FIREWORKS SALES Requires the State Fire Marshal to develop rules regarding licenses for fireworks sellers. Maintains current 63
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2017 INF/INA Conference & Annual Meeting

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