HF 310 — A bill for an act relating to the practice of optometry. (Formerly HSB 64.) Effective date: 07/01/2020.

House File 310 - IntroducedEnrolled HOUSEHouse FILEFile 310 BYAN COMMITTEEACT ONRELATING STATE GOVERNMENT (SUCCESSOR TO HSBTHE 64)PRACTICE AOF BILLOPTOMETRY. FOR An Act relating to the practice of optometry.

TLSBSection 1540HV1. (2) 88 ss/rn H.F.

310 Section 1.154.1, subsection 3, Code 2020, is amended to read as follows:

Section 154.1, subsection 3, Code 2019, is amended to read as follows:

A Notwithstanding paragraph “b”, a license to practice optometry under this chapter does not authorize the performance of surgical procedures which require the use of injectable or general anesthesia, moderate sedation, penetration of the globe, or the use of ophthalmic lasers for the purpose of ophthalmic surgery within or upon the globe.

(a)House Sub-conjunctivalFile injections310, forp. the medical treatment of the eye.

2 (a) Sub-conjunctival injections for the medical treatment of the eye.

(c) LocalBotulinum anesthetictoxin forto the purposemuscles of drainingfacial anexpression eyelidinnervated abscess.by the facial nerve, including for cosmetic purposes.

(2) AnA licensed optometrist shall not administer any injection prior to receiving approval from the board.

(3) The board shall not approve the use of injections other than to counteract an anaphylactic reaction unless the licensed optometrist demonstrates to the board sufficient educational or clinical training from a college or university accredited LSBby 1540HVa (2)regional 88or -1-professional ss/rnaccreditation 1/3organization H.F.which is recognized or approved by the council for higher education accreditation or by the United States department of education, or clinical training equivalent to clinical training offered by such an institution.

310Training byfor athe regionaladministration orand professionalside accreditationeffects organizationof whichinjection istreatment recognized or approved by the council for higherchalazia educationand accreditation or by the United States department of educationbotulinum ortoxin clinicalshall trainingbe equivalentrequired tobefore clinicala traininglicensed offeredoptometrist bymay administer such aninjections. institution.

AThe licenseboard grantedshall toadopt anrules applicantregarding whotraining graduatedrequired frompursuant anto accreditedthis schoolsubparagraph of optometry and whoapprove passedtraining theproviders. injections skills examination of the national board of examiners in optometry examination on or after January 1, 2011 shall constitute proof of sufficient educational or clinical training.

b.

A licensed optometrist may employ and, notwithstanding section 147.107, supply pharmaceutical-pharmaceutical-delivering delivering contact lenses for the purpose of treatment of conditions of the human eye and adnexa.

A licensed optometrist may be authorized, where reasonable and appropriate, by rule of the board, to employ new diagnostic and therapeutic pharmaceutical agents approved by theHouse UnitedFile States310, foodp. and drug administration on or after July 1, 2002, for the diagnosis and treatment of the human eye and adnexa.

3 the United States food and drug administration on or after July 1, 2002, for the diagnosis and treatment of the human eye and adnexa.

The therapeutic efforts of a licensed optometrist are intended for the purpose of examination, diagnosis, and LSBtreatment 1540HVof (2)visual 88defects, -2-abnormal ss/rnconditions, 2/3and H.F.diseases of the human eye and adnexa, for proper optometric practice or referral for consultation or treatment to persons licensed under chapter 148.

310 treatment of visual defects, abnormal conditions, and diseases of the human eye and adnexa, for proper optometric practice or referral for consultation or treatment to persons licensed under chapter 148.

EXPLANATION______________________________ The______________________________ inclusionPAT ofGRASSLEY thisCHARLES explanationSCHNEIDER doesSpeaker notof constitutethe agreementHouse withPresident of the explanation’sSenate substanceI byhereby thecertify membersthat ofthis bill originated in the generalHouse assembly.andis known as House File 310, Eighty-eighth General Assembly.

This______________________________ billMEGHAN relatesNELSON toChief Clerk of the practiceHouse ofApproved optometry._______________, 2020 ______________________________ KIM REYNOLDS Governor

The bill allows optometrists to administer sub-conjunctival injections for the medical treatment of the eye, intra-lesional injections for the treatment of chalazia, local anesthetic for the purpose of draining an eyelid abscess, and injections to counteract an anaphylactic reaction.

Current law prohibits an optometrist from administering injections other than to counter an anaphylactic reaction.

The bill prohibits an optometrist from administering any injection prior to receiving approval from the board.

The board shall not approve the use of injections by an optometrist, except for injections to counteract an anaphylactic reaction, unless the optometrist demonstrates sufficient educational or clinical training from or equivalent to an accredited college or university.

The bill directs the board to accept a license to practice optometry issued to an applicant who graduated from an accredited school of optometry and who passed the injections skills portion of the national board of examiners in optometry examination on or after January 1, 2011, as proof of sufficient educational or clinical training.

LSB 1540HV (2) 88 -3- ss/rn 3/3