1998 Legislation
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SENATE BILL NO. 1430 – Naturopaths, certification

SENATE BILL NO. 1430

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S1430.................................................by HEALTH AND WELFARE
NATUROPATHS - Adds to existing law to create a Board of Naturopathy and to
govern the practice of naturopathy in the state of Idaho, including
education requirements, continuing education and certification.

02/11    Senate intro - 1st rdg - to printing
02/12    Rpt prt - to Health/Wel

Bill Text


S1430


                                                                        
 ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
Fifty-fourth Legislature                 Second Regular Session - 1998
                                                                        

                                      IN THE SENATE

                                   SENATE BILL NO. 1430

                             BY HEALTH AND WELFARE COMMITTEE

 1                                        AN ACT
 2    RELATING TO NATUROPATHY; AMENDING TITLE 54, IDAHO CODE, BY THE ADDITION  OF  A
 3        NEW  CHAPTER  48,  TITLE 54, IDAHO CODE, TO PROVIDE LEGISLATIVE INTENT, TO
 4        DEFINE TERMS, TO REQUIRE CERTIFICATION, TO DEFINE THE SCOPE  OF  PRACTICE,
 5        TO  PROVIDE  APPLICATION  OF THE CHAPTER, TO PROVIDE APPLICATION OF HEALTH
 6        LAWS, TO SPECIFY EDUCATION REQUIREMENTS FOR CERTIFICATION, TO PROVIDE  FOR
 7        APPLICATION  FOR  EXAMINATION,  TO  PROVIDE  RENEWAL  OF CERTIFICATION, TO
 8        REQUIRE CONTINUING EDUCATION, TO PROVIDE FOR DENIAL OR REVOCATION OF  CER-
 9        TIFICATION  BY  THE  BOARD,  TO PROVIDE DENIAL OR REVOCATION PROCEDURE, TO
10        CREATE THE BOARD OF NATUROPATHIC EXAMINERS, TO  PROVIDE  OFFICERS  OF  THE
11        BOARD,  TO  PROVIDE COMPENSATION AND EXPENSES OF BOARD MEMBERS, TO PROVIDE
12        DISPOSITION OF BOARD RECEIPTS, TO GOVERN LIABILITY OF  BOARD  MEMBERS,  TO
13        PROVIDE  ENFORCEMENT,  TO PROVIDE PENALTIES, AND TO PROVIDE APPLICATION TO
14        CURRENT PRACTITIONERS; TO PROVIDE SEVERABILITY;  AND  DECLARING  AN  EMER-
15        GENCY.

16    Be It Enacted by the Legislature of the State of Idaho:

17        SECTION  1.  That Title 54, Idaho Code, be, and the same is hereby amended
18    by the addition thereto of a  NEW CHAPTER , to be known and  desig-
19    nated as Chapter 48, Title 54, Idaho Code, and to read as follows:

20                                      CHAPTER 48
21                               NATUROPATHIC HEALTH ACT

22        54-4801.  LEGISLATIVE  INTENT.  (1) It is the intent of the legislature to
23    recognize the practice of naturopathy as a separate and distinct system of the
24    healing arts.
25        (2)  It is the intent of the legislature to ensure the protection  of  the
26    citizens of Idaho by establishing and administering examination, certification
27    and  regulation  of  naturopathic  physicians  and thereby control unqualified
28    individuals who constitute a clear and present danger to  the  general  public
29    welfare.

30        54-4802.  DEFINITIONS. As used in this chapter:
31        (1)  "Board" means the board of naturopathic examiners.
32        (2)  "Naturopathy,"  as  defined in the federal Dictionary of Occupational
33    Titles  (fourth  edition,  revised   1991.),   means:   "079.101-014   DOCTOR,
34    NATUROPATHIC
35    Diagnoses, treats, and cares for patients, using system of practice that bases
36    treatment  of  physiological functions and abnormal conditions on natural laws
37    governing human body: Utilizes  physiological,  psychological  and  mechanical
38    methods,  such  as air, water, light, heat, earth, phytotherapy, food and herb
39    therapy, psychotherapy, electrotherapy,  physiotherapy,  minor  and  orificial
40    surgery,  mechanotherapy, naturopathic corrections and manipulation, and natu-
41    ral methods or modalities, together with natural medicines, natural  processed


                                          2

 1    foods,  and  herbs  and nature's remedies. Excludes major surgery, therapeutic
 2    use of X-ray and radium, and use of drugs, except those assimilable substances
 3    containing elements or compounds which are components of body tissues and  are
 4    physiologically compatible to body processes for maintenance of life."

 5        54-4803.  CERTIFICATION REQUIRED -- TITLES AND ABBREVIATIONS. (1)  No per-
 6    son  shall  hold  himself/herself out to be a naturopath in this state without
 7    first complying with the provisions of this chapter.
 8        (2)  Persons certified under this chapter may use any or all of  the  fol-
 9    lowing  terms:  "Doctor of Naturopathy," "Doctor of Naturopathic Medicine," or
10    its abbreviations "N.D." or "N.M.D." or "Naturopathic Physician."

11        54-4804.  SCOPE OF PRACTICE.  Scope  of  practice  of  naturopathy  is  as
12    defined  by  the  federal  Dictionary of Occupational Titles, (fourth edition,
13    revised 1991.), 079.101-014 and as described in section 54-4802, Idaho Code.
14        Nothing in this chapter shall be construed to authorize any person  certi-
15    fied under this chapter to perform a planned abortion.
16        Practice  of  naturopathy is limited to use of class I or class II nonpre-
17    scription, approved medical devices as defined in section 513 of  the  federal
18    food, drug and cosmetic act.

19        54-4805.  APPLICATION  OF  CHAPTER.  Nothing in this chapter shall be con-
20    strued to deny to any person licensed under any other Idaho Code  section  the
21    right  of utilizing, for the relief of human suffering, any modality or proce-
22    dure of therapy listed in this chapter.

23        54-4806.  APPLICATION OF HEALTH LAWS. Persons certified under this chapter
24    shall observe and be subject to all federal, state, county and municipal  laws
25    and regulations relating to the control of contagious and infectious diseases,
26    reporting deaths and all matters pertaining to public health.

27        54-4807.  EDUCATION  REQUIREMENTS FOR CERTIFICATION. To apply for certifi-
28    cation a person must have graduated from a school or  college  approved  by  a
29    state,  federal or world health organization accrediting agency, provided that
30    such school or college, in the opinion of the board, meets the minimum  educa-
31    tional requirements of those states which license or certify naturopathic phy-
32    sicians.

33        54-4808.  APPLICATION  FOR  EXAMINATION. Any person who wishes to practice
34    naturopathy in this state shall make application to the board for an  examina-
35    tion  for  a certificate to practice. The examination shall be approved by the
36    board and shall be given not less than once in any given  calendar  year.  The
37    application shall be filed with the board not less than thirty (30) days prior
38    to  the  date of the examination, upon forms provided by the board. All appli-
39    cants shall pay at the time of application a nonrefundable fee  to  be  deter-
40    mined  by the board. Affidavits of two (2) reputable citizens attesting to the
41    good moral character of the applicant shall be filed with the application  for
42    examination.  The  examination  requirement  shall be waived by the board upon
43    proof,  by  the  applicant,  that  he/she  has  successfully  passed   another
44    examination(s)  recognized  by  a  state, federal or world health organization
45    agency and which is approved by the board.

46        54-4809.  BIENNIAL RENEWAL OF CERTIFICATE. (1) On or before January  1  of
47    each  even-numbered year every person holding a certificate under this chapter
48    shall apply to the board for a certificate of renewal of registration,  accom-


                                          3

 1    panied by a fee to be determined by the board.
 2        (2)  Upon  receipt  of an application for renewal, accompanied by the fee,
 3    the board shall issue to the applicant a renewal certificate of biennial  reg-
 4    istration.  This  certificate along with the original certificate shall at all
 5    times be displayed in the office of the person to whom they are issued.
 6        (3)  On or before December 1 or each odd-numbered year  the  secretary  of
 7    the  board  shall  notify each person holding a certificate under this chapter
 8    that the renewal of biennial registration application and fee are  due  on  or
 9    before January 1 following.

10        54-4810.  CONTINUING EDUCATION REQUIRED. (1) Each person holding a certif-
11    icate  under  this  chapter  shall,  at  the  time he/she submits the biennial
12    request for renewal of registration and fee, shall also submit an affidavit of
13    having satisfactorily completed forty (40) hours of a board  approved  program
14    of  continuing  education  in  naturopathy,  completed in the two (2) calendar
15    years preceding the date on which the renewal is requested. The evidence shall
16    be kept in the possession of the applicant and  available  to  the  board  for
17    examination at such time as the board might request.
18        (2)  The  board may exempt a person holding a certificate under this chap-
19    ter from the requirements of subsection (1) of this section by him/her showing
20    evidence satisfactory to the board that he/she was unable to comply  with  the
21    requirements because of unusual or extenuating circumstances.

22        54-4811.  DENIAL  OR REVOCATION OF CERTIFICATE BY THE BOARD. The board may
23    refuse to grant or may suspend or revoke a certificate to practice naturopathy
24    in this state for any of the following reasons:
25        (1)  The use of fraud or deception in securing a certificate;
26        (2)  The impersonation of another practitioner;
27        (3)  Practicing naturopathy under an assumed name;
28        (4)  Failure to practice within the scope of practice as contained in this
29    chapter;
30        (5)  Conviction of a sex related crime;
31        (6)  Habitual use of or addiction to ardent spirits  and/or  mind-altering
32    drugs;
33        (7)  Legally declared mental incompetency;
34        (8)  Knowingly  aiding  or  abetting  any  individual in circumventing the
35    requirements of this chapter;
36        (9)  Practicing naturopathy within the state when a  certificate  pursuant
37    to this chapter is suspended or revoked;
38        (10) Failure  to pay the biennial registration fee and/or failure to main-
39    tain the continuing educational requirements for renewal of certification;
40        (11) Failure to maintain the confidentiality of patient records, except as
41    required by law;
42        (12) Is under suspension or revocation or being reviewed for suspension or
43    revocation of a license or certification to practice  naturopathy  in  another
44    jurisdiction in which such is required;
45        (13) Advertising the practice of naturopathy in a misleading or fraudulent
46    manner;
47        (14) Failure  of  the  individual practitioner to maintain his/her profes-
48    sional premises in a clean, sanitary and professional manner.
49        (15) The board may not refuse to grant certification or  may  not  base  a
50    finding  of professional incompetence solely on the basis that the practice of
51    a certificate holder is unconventional  or  experimental  in  the  absence  of
52    demonstrable  harm  to  a  patient if the attending certificate holder and the
53    patient have signed a waiver to the effect that said device  and/or  treatment


                                          4

 1    is usually considered unconventional or experimental.

 2        54-4812.  CERTIFICATION  DENIAL  OR  REVOCATION PROCEDURE. Where the board
 3    proposes to refuse to issue or to renew certification, or proposes  to  revoke
 4    or  suspend  certification, opportunity for a hearing shall be governed by the
 5    provisions of chapter 52, title 67, Idaho Code.

 6        54-4813.  BOARD OF NATUROPATHIC EXAMINERS. There is hereby established  in
 7    the  department of self-governing agencies a state board of naturopathic exam-
 8    iners to be composed of five (5) members. The members shall  be  appointed  by
 9    the  governor  from a list of candidates submitted by the various naturopathic
10    associations within the state. Four (4) such members  shall  be  practitioners
11    certified under the provisions of this chapter and one (1) shall be a lay per-
12    son  who  must have been a resident of Idaho for a minimum of three (3) years.
13    The term of service for each board member will be three (3) years  with  rota-
14    tion terms to be established during the tenure of the first board.

15        54-4814.  OFFICERS OF THE BOARD. The board shall annually elect one (1) of
16    its  members  as president and one (1) of its members as secretary. The board,
17    or its designated hearing officer,  shall  have  power  to  summon  witnesses,
18    administer oaths and to take testimony and affidavits, certifying thereto. The
19    secretary  of  the  board shall cause a record to be kept of all action of the
20    board, including a detailed register of applicants for certification.

21        54-4815.  COMPENSATION AND EXPENSES OF BOARD MEMBERS. A  board  member  is
22    entitled  to compensation and expenses as provided in section 59-509(h), Idaho
23    Code.

24        54-4816.  DISPOSITION OF BOARD RECEIPTS. All money received by  the  board
25    under  this  chapter shall be paid into the occupational licenses account, and
26    be dispensed in accordance with section 67-2606, Idaho Code.

27        54-4817.  LIABILITY OF BOARD MEMBERS. Members of the board acting in their
28    official capacities, as set forth in this chapter, shall be immune  from  lia-
29    bility  with respect to action and decision rendered in good faith and without
30    malice. Nothing in this chapter shall be construed to relieve any practitioner
31    from liability which may be incurred in professional care and treatment of any
32    patient.

33        54-4818.  ENFORCEMENT. County prosecutors of  the  state  shall  prosecute
34    persons charged with violation of any provision of this chapter. The board has
35    the power to assist in prosecuting any person so charged.

36        54-4819.  PENALTIES. Violation of any provision of this chapter is punish-
37    able,  upon  conviction, by a fine of not less than one hundred dollars ($100)
38    nor more than one thousand dollars ($1,000) or imprisonment in the county jail
39    for not less than thirty (30) days nor more than six (6) months, or both.

40        54-4820.  APPLICATION TO CURRENTLY PRACTICING NATUROPATHIC PHYSICIANS. (1)
41    All persons who have been engaged in the practice of naturopathy in the  state
42    of  Idaho for a minimum period of three (3) years prior to the passage of this
43    chapter, shall be certified under this chapter by making  application  to  the
44    board within one hundred eighty (180) days from the date on which this chapter
45    takes  effect.  Proof  of the duration of such practice plus the affidavits of
46    two (2) reputable citizens attesting to the good moral character of the appli-


                                          5

 1    cant shall be filed with the application.
 2        (2)  Failure of persons currently practicing naturopathy in this state  to
 3    apply  for  certification within the one hundred eighty (180) day period shall
 4    cause such persons to be subject to prosecution under section  54-4419,  Idaho
 5    Code.

 6        SECTION  2.  SEVERABILITY.  The provisions of this act are hereby declared
 7    to be severable and if any provision of this act or the  application  of  such
 8    provision  to  any  person or circumstance is declared invalid for any reason,
 9    such declaration shall not affect the validity of the  remaining  portions  of
10    this act.

11        SECTION  3.  An  emergency  existing  therefor,  which emergency is hereby
12    declared to exist, this act shall be in full force and effect on and after its
13    passage and approval.

Statement of Purpose / Fiscal Impact


    





                            STATEMENT OF PURPOSE
    
                                 RS07790C1
    
    The purpose of this legislation is to assure high standards 
    in the practice of naturopathy by creating a method for the 
    certification of naturopathic physicians.
    
    The legislation creates the Board of Naturopathic Examiners, 
    defines the scope of practice according to federal guidelines, 
    requires examination and certification by the Board, sets 
    educational standards, requires continuing education and 
    provides procedures for penalties and revocation of 
    certification.
    
                                FISCAL NOTE
                                      
    
    The Board of Naturopathic Examiners will be self-sustaining 
    through fees paid by naturopaths for certification and 
    renewal.
    
    CONTACT: Sen. Lin Whitworth
             332-1357
    
    STATEMENT OF PURPOSE/ FISCAL NOTE
    
    Bill No S1430