1999 Legislation
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HOUSE BILL NO. 257, As Amended, As Amended – Acupuncture, licensure

HOUSE BILL NO. 257, As Amended, As Amended

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H0257aa,aa............................................by HEALTH AND WELFARE
ACUPUNCTURE - Adds to existing law to establish a Board of Acupuncture to
license and certify practitioners of acupuncture; to establish
qualifications for the practice of acupuncture; and to govern the procedure
of the board.

02/15    House intro - 1st rdg - to printing
02/16    Rpt prt - to Health/Wel
03/01    Rpt out - to Gen Ord
03/04    Rpt out amen - to engros
03/05    Rpt engros - 1st rdg - to 2nd rdg as amen
03/08    2nd rdg - to 3rd rdg as amen
03/09    Ret'd to Gen Ord
03/10    Rpt out amen - to engros
03/11    Rpt engros - 1st rdg - to 2nd rdg as amen
    Rules susp - PASSED - 62-1-7
      AYES -- Alltus, Barraclough(Barraclough), Barrett, Bell, Bieter,
      Black, Boe, Callister, Campbell, Chase, Clark, Crow, Cuddy, Deal,
      Denney, Ellsworth, Field(13), Field(20), Gagner, Geddes, Hadley,
      Hammond, Hansen(23), Hansen(29), Henbest, Hornbeck, Jaquet, Jones,
      Judd, Kellogg, Kempton, Kendell, Lake, Limbaugh, Linford, Loertscher,
      Marley, McKague, Montgomery, Mortensen, Moyle, Pischner, Pomeroy,
      Reynolds, Ringo, Robison, Sali, Schaefer, Sellman, Smith, Smylie,
      Stoicheff, Stone, Taylor, Tilman, Tippets, Trail, Watson, Wheeler,
      Williams, Wood, Zimmermann
      NAYS -- Kunz
      Absent and excused -- Bruneel, Gould, Mader, Meyer, Ridinger,
      Stevenson, Mr. Speaker
    Floor Sponsor - Sali
    Title apvd - to Senate
03/12    Senate intro - 1st rdg as amen - to Health/Wel
03/16    Rpt out - rec d/p - to 2nd rdg as amen
03/17    2nd rdg - to 3rd rdg as amen
    Rules susp - PASSED - 25-7-3
      AYES--Andreason, Boatright, Branch, Burtenshaw, Danielson, Davis,
      Deide, Dunklin, Ingram, Ipsen, Keough, King, Lee, McLaughlin,
      Richardson, Riggs, Sandy, Schroeder, Sorensen, Stegner, Stennett,
      Thorne, Twiggs, Wheeler, Whitworth
      NAYS--Cameron, Darrington, Frasure, Geddes, Hawkins, Noh, Risch
      Absent and excused--Bunderson, Crow, Parry
    Floor Sponsor - Whitworth
    Title apvd - to House
03/18    To enrol
03/19    Rpt enrol - Sp signed - Pres signed
03/23    To Governor
03/26    Governor signed
         Session Law Chapter 379
         Effective: 07/01/99

Bill Text


H0257


                                                                        
 ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
Fifty-fifth Legislature                 First Regular Session - 1999
                                                                        

                             IN THE HOUSE OF REPRESENTATIVES

                        HOUSE BILL NO. 257, As Amended, As Amended

                             BY HEALTH AND WELFARE COMMITTEE

 1                                        AN ACT
 2    RELATING TO LICENSURE OF ACUPUNCTURE; AMENDING TITLE 54, IDAHO  CODE,  BY  THE
 3        ADDITION  OF  A NEW CHAPTER 47, TITLE 54, IDAHO CODE, TO STATE LEGISLATIVE
 4        PURPOSE, TO DEFINE TERMS, TO REQUIRE A LICENSE TO PRACTICE ACUPUNCTURE, TO
 5        ESTABLISH A BOARD OF ACUPUNCTURE, TO PROVIDE  POWERS  AND  DUTIES  OF  THE
 6        BOARD,  TO SPECIFY REQUIREMENTS FOR LICENSURE, TO PROVIDE REQUIREMENTS FOR
 7        CERTIFICATION, TO SPECIFY REQUIREMENTS FOR AN ACUPUNCTURE TECHNICIAN  CER-
 8        TIFICATE,  TO AUTHORIZE WAIVER OF REQUIREMENTS, TO PROVIDE FOR LICENSE AND
 9        CERTIFICATION EXPIRATION AND RENEWAL, TO PROVIDE FOR SUSPENSION OR REVOCA-
10        TION, TO SPECIFY USE OF TITLES AND TO PROVIDE PENALTIES.

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

12        SECTION 1.  That Title 54, Idaho Code, be, and the same is hereby  amended
13    by  the addition thereto of a  NEW CHAPTER , to be known and desig-
14    nated as Chapter 47, Title 54, Idaho Code, and to read as follows:

15                                      CHAPTER 47
16                                     ACUPUNCTURE

17        54-4701.  PURPOSE. The legislature finds and declares that  the  provision
18    of  acupuncture  services  affects  the public health, safety and welfare. The
19    legislature further finds that it is in the public interest to aid in the pro-
20    vision of acupuncture services of high quality to the people of Idaho.  To aid
21    in fulfilling these purposes, this chapter provides for the licensure and reg-
22    ulation of acupuncturists within the state of Idaho.

23        54-4702.  DEFINITIONS. As used in this chapter:
24        (1)  "Acupuncture" means that theory of health care developed from  tradi-
25    tional  and  modern  Oriental  medical philosophies that employs diagnosis and
26    treatment of conditions of the human body based upon stimulation  of  specific
27    acupuncture  points  on meridians of the human body for the promotion, mainte-
28    nance, and restoration of health and for the prevention of disease.  Therapies
29    within  the scope of acupuncture include manual, mechanical, thermal, electri-
30    cal  and  electromagnetic  treatment  of  such  specific   indicated   points.
31    Adjunctive  therapies  included  in, but not exclusive to, acupuncture include
32    herbal and nutritional treatments, therapeutic exercise  and  other  therapies
33    based on traditional and modern Oriental medical theory.
34        (2)  "Board" means the Idaho state board of acupuncture.
35        (3)  "NCCAOM"   means  "National  Certification Commission for Acupuncture
36    and Oriental Medicine."
37        (4)  "Practice of acupuncture" means the insertion of acupuncture  needles
38    and   use   of   similar  devices  and  therapies,  including  application  of
39    moxibustion, to specific indicated points on the skin of  the  human  body  as
40    indicated  pursuant  to  traditional and modern theories of Oriental medicine.
41    The "practice of acupuncture" does not include:


                                          2

 1        (a)  surgery; or
 2        (b)  prescribing, dispensing or administering  any  prescription  drug  or
 3        legend drug as defined in section 54-1705(26), Idaho Code.

 4        54-4703.  LICENSE  REQUIRED. (1) From and after the 1st day of July, 1999,
 5    it is unlawful for any person to practice acupuncture in this  state  without,
 6    at  such  time  being licensed or certified pursuant to this chapter; provided
 7    however, the provisions of this chapter shall not apply  to  persons  licensed
 8    pursuant to chapter 18, title 54, Idaho Code, but such persons may seek licen-
 9    sure or certification pursuant to this chapter on a voluntary basis.
10        (2)  No person shall use any title, designation, words, letters, abbrevia-
11    tions,  or sign, card or device which indicates to the public that such person
12    may practice acupuncture in any form or has been issued a license or been cer-
13    tified pursuant to this chapter unless the person is so licensed or certified,
14    has been issued such license or certification, and the license  or  certifica-
15    tion is in good standing pursuant to rules of the board.
16        (3)  A  person  who  meets  NCCAOM  eligibility criteria for certification
17    shall be considered by the board as meeting  the  requirements  for  licensure
18    pursuant to this chapter. This provision shall be effective until one (1) year
19    after  the effective date of this act. Thereafter all applicants for licensure
20    must meet the licensing requirement of this chapter.
21        (4)  A person who meets the requirements for full or associate  membership
22    of  the  American  academy  of  medical  acupuncture, or for fellowship of the
23    international academy of medical acupuncture, inc., shall be considered by the
24    board as meeting the requirements for certification pursuant to this  chapter.
25    This  provision shall be effective until one (1) year after the effective date
26    of this act.  Thereafter all applicants for certification must meet the certi-
27    fication requirement of this chapter.

28        54-4704.  BOARD OF ACUPUNCTURE CREATED -- APPOINTMENT -- TERMS. (1)  There
29    is  hereby  established  in  the department of self-governing agencies a state
30    board of acupuncture and the members thereof shall be appointed by the  gover-
31    nor within sixty (60) days following the effective date of this chapter.
32        (2)  The  board shall consist of five (5) members, three (3) of whom shall
33    be licensed pursuant to this chapter, one (1) of whom shall be certified  pur-
34    suant  to  this  chapter,  and one (1) of whom shall be a member of the public
35    with an interest in the rights of the consumers of acupuncture services.
36        (3)  In making appointments to the  board  of  acupuncture,  consideration
37    shall  be  given to recommendations made by the Idaho acupuncture association,
38    other similar professional organizations  and  individual  acupuncturists  and
39    physicians.
40        (4)  All  members  of the board shall be current residents of the state of
41    Idaho and have been residents of the state of Idaho for a minimum of three (3)
42    years immediately preceding appointment.
43        (5)  The initial three (3) licensed acupuncturist  members  of  the  board
44    shall be persons who are eligible to become licensed pursuant to this chapter,
45    and  who  shall, within thirty (30) days of their appointment, become licensed
46    pursuant to this chapter. The certified acupuncturist member shall be a person
47    with sufficient qualification to be eligible  for  certification  pursuant  to
48    this  chapter and shall, within thirty (30) days of appointment, become certi-
49    fied.
50        (6)  The initial board shall be appointed for staggered terms, the  longer
51    of  which shall not exceed four (4) years. After the initial appointments, all
52    terms shall be four (4) years, and a member may be reappointed. In  the  event
53    of  death,  resignation, or removal of any member before the expiration of the


                                          3

 1    term to which appointed, the vacancy shall be filled for the unexpired portion
 2    of the term in the same manner as the original appointment.
 3        (7)  The governor may remove any member of the board for cause,  prior  to
 4    the expiration of the member's term.
 5        (8)  The  board  shall, within thirty (30) days after its appointment, and
 6    at least annually thereafter, hold a meeting and elect a chairman.  The  board
 7    may  hold  additional  meetings  on the call of the chairman or at the written
 8    request of any two (2) members of the board. The board may appoint  such  com-
 9    mittees  as  it considers necessary to carry out its duties. A majority of the
10    members of the board shall constitute a quorum.
11        (9)  Each member of the board shall be compensated as provided in  section
12    59-509(h), Idaho Code.

13        54-4705.  BOARD  OF  ACUPUNCTURE  --  POWERS  AND DUTIES -- FUNDS. (1) The
14    board shall have the authority to:
15        (a)  Determine the qualifications of persons applying for licensure,  cer-
16        tification  and acupuncture technician certificates pursuant to this chap-
17        ter and define, by rule, the appropriate  scope  of  acupuncture  services
18        that may be rendered to the public in this state;
19        (b)  Hire  or appoint employees, including an executive director, investi-
20        gators, attorneys, consultants and independent hearing examiners;
21        (c)  Establish, pursuant to the administrative procedures act, such  rules
22        as  are  necessary for the administration of this chapter, including stan-
23        dards for professional conduct that reflect current practice standards and
24        promote inclusion of innovations and advances in acupuncture;
25        (d)  Conduct investigations and examinations and hold hearings;
26        (e)  Collect fees and other funds as prescribed by this chapter;
27        (f)  Contract, sue and be sued, and pursue other matters  lawful  in  this
28        state;
29        (g)  Provide  such  other services and perform such other functions as are
30        necessary and desirable to fulfill its purposes.
31        (2)  There is hereby created the board of acupuncture fund  in  the  state
32    treasury  where  all funds received pursuant to the provisions of this chapter
33    shall be deposited.  All costs and expenses incurred by the  board  under  the
34    provisions  of  this chapter shall be a charge against and paid from said fund
35    for such purposes, and the funds  collected  hereunder  shall  be  immediately
36    available  for  the  administration of this chapter.  In no instance shall the
37    state board of acupuncture fund be obligated  to  pay  any  claims  which,  in
38    aggregate with claims already allowed, exceed the income to the state board of
39    acupuncture  fund which has been derived from the application of this chapter.
40    Money paid into the state board of acupuncture fund pursuant to  this  chapter
41    is hereby continuously appropriated to the board for expenditure in the manner
42    prescribed  herein  to  defray  the  expenses of the board in carrying out and
43    enforcing the provisions of this chapter.

44        54-4706.  REQUIREMENTS FOR LICENSURE. A  person  applying  for  a  license
45    shall,  in  addition to paying all required fees, submit a written application
46    provided by the board showing to the satisfaction of the board that such  per-
47    son meets the following requirements:
48        (1)  Has  successfully  completed  the  requirements to be a candidate for
49    NCCAOM certification, or such other similar requirements as have been approved
50    by the board; and
51        (2)  Has  successfully  completed  an  acupuncture  internship   or   pre-
52    professional  practice  program, coordinated program, or such other equivalent
53    experience as may be approved by the board; and


                                          4

 1        (3)  Has passed an examination or other demonstration  of  proficiency  as
 2    may  be  uniformly  required by the board for other similarly qualified appli-
 3    cants for licensure.

 4        54-4707.  REQUIREMENTS FOR CERTIFICATION. A person applying for a certifi-
 5    cation shall, in addition to paying all required fees, submit a written appli-
 6    cation provided by the board showing to the satisfaction  of  the  board  that
 7    such person meets the following requirements:
 8        (1)  Has  successfully  completed  the requirements for full membership in
 9    the American academy of medical acupuncture, fellowship in  the  international
10    academy of medical acupuncture, inc., or such other comparable requirements as
11    have been approved by the board; and
12        (2)  Has  passed  an  examination or other demonstration of proficiency as
13    may be uniformly required by the board for other  similarly  qualified  appli-
14    cants for certification.

15        54-4708.  ACUPUNCTURE  TECHNICIAN  CERTIFICATE. (1) A person may apply for
16    an acupuncture technician certificate by, in addition to paying  all  required
17    fees,  submitting  a  written application provided by the board and showing to
18    the satisfaction of the board that such person meets  the  following  require-
19    ments:
20        (a)  Completion of the requirements for clinical technician certificate by
21        the international academy of medical acupuncture, inc., or such other com-
22        parable requirements as are approved by the board; and
23        (b)  Passed  a clean needle technique course that has been approved by the
24        board; and
25        (c)  Passed an examination or other demonstration of proficiency as may be
26        uniformly required for other similarly qualified applicants  for  an  acu-
27        puncture technician certificate.
28        (2)  In  approving  an  acupuncture technician certificate the board shall
29    consider the scope and extent of the applicant's academic and  other  training
30    and experience in health care and may, for each individual acupuncture techni-
31    cian:
32        (a)  Require  supervision  by  a  person licensed or certified pursuant to
33        this chapter;
34        (b)  Restrict the practice of acupuncture for the  acupuncture  technician
35        to specified therapies or treatments.

36        54-4709.  WAIVER  OF REQUIREMENTS. The board may waive the requirements of
37    section 54-4706, Idaho Code, and grant a license to any  applicant  who  shall
38    present proof of current licensure to engage in the practice of acupuncture in
39    another  state,  the  District  of Columbia, or territory of the United States
40    which requires standards for licensure considered by the board to  be  equiva-
41    lent to the requirements for licensure pursuant to this chapter.

42        54-4710.  EXPIRATION  AND  RENEWAL.  (1) A license or certification issued
43    under the provisions of this chapter shall be subject to  annual  renewal  and
44    shall  expire  unless  renewed  in  the  manner prescribed by the rules of the
45    board, upon payment of a renewal fee.
46        (2)  The board shall establish the following fees relating  to  licensing,
47    which  fees shall be established in an amount that is sufficient to defray all
48    costs necessary for the administration of this chapter:
49        (a)  Initial license;
50        (b)  Renewal of license fee;
51        (c)  Initial fee for certification;


                                          5

 1        (d)  Initial acupuncture technician certificate;
 2        (e)  Renewal acupuncture technician certificate;
 3        (f)  Inactive license and certification fees;
 4        (g)  Late renewal fees.

 5        54-4711.  SUSPENSION AND REVOCATION. To protect  the  health,  safety  and
 6    welfare of the public, the board, in accordance with the requirements of chap-
 7    ter  52, title 67, Idaho Code, may refuse to issue a license or certification,
 8    refuse to renew a license or certification, or may suspend or revoke a license
 9    or certification, under such conditions as the board  may  determine,  if  the
10    applicant or holder of the license or certification:
11        (1)  Has  been convicted of a felonious act, or crime involving moral tur-
12    pitude;
13        (2)  Obtained a license or permit pursuant to this  chapter  by  means  of
14    fraud, misrepresentation or concealment of material facts;
15        (3)  Endangered  the health of any person engaging in the practice of acu-
16    puncture in a manner which does not  meet the generally accepted standards for
17    the practice of acupuncture within the state of Idaho;
18        (4)  Has failed to maintain the confidentiality of records or other infor-
19    mation pertaining to an identifiable client, except as required or  authorized
20    by law;
21        (5)  Engaged in any conduct that constitutes an abuse or exploitation of a
22    client  arising out of the trust and confidence placed in the acupuncturist by
23    the client.

24        54-4712.  TITLES. Persons licensed pursuant to this chapter  may  use  the
25    title  "licensed  acupuncturist."  Persons certified or granted an acupuncture
26    technician certificate pursuant to this chapter may use the  title  "certified
27    acupuncturist"  or  "acupuncture technician" respectively, but may not use the
28    title "licensed acupuncturist"  or  "doctor,"  or  any  abbreviation  thereof,
29    unless  the acupuncturist is otherwise authorized to use such title. No person
30    authorized to practice acupuncture pursuant to this chapter may  hold  himself
31    out  in  any  way  as a medical physician, doctor of osteopathy, chiropractor,
32    physical therapist or other health care  professional  unless  the  person  is
33    properly authorized for such practice pursuant to law.

34        54-4713.  PENALTIES. (1) A person who violates any provision of this chap-
35    ter shall, upon conviction, be guilty of a misdemeanor.
36        (2)  The  board  may seek injunction against any person who practices acu-
37    puncture in violation of this chapter  and  may,  in  the  event  a  permanent
38    injunction  is  entered  against  such  person or plea or verdict of guilty is
39    entered in any criminal matter, impose a civil penalty in the  amount  of  all
40    costs and fees incurred by the board in prosecuting the matter.
41        (3)  The  representation  to  another  person that a person is licensed or
42    holds certification pursuant to this  chapter,  when  such  representation  is
43    untrue,  constitutes the using of a method, act, or practice which is declared
44    to be unlawful under the provisions of chapter 6, title 48, Idaho Code.

Amendment


AH0257


                                                                        
 ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
Fifty-fifth Legislature                 First Regular Session - 1999
                                                                        

                                       Moved by     Sali                 

                                       Seconded by  Loertscher           


                             IN THE HOUSE OF REPRESENTATIVES
                             HOUSE AMENDMENT TO H.B. NO. 257

 1                               AMENDMENTS TO SECTION 1
 2        On page 2 of the printed bill, in line 18, following  "full"  insert:  "or
 3    associate";  and in line 19, following "acupuncture" insert: ", or for fellow-
 4    ship of the international academy of medical acupuncture, inc.,".
 5        On page 3, in line 12, delete "assistant"  and  insert:  "technician";  in
 6    line  19, following "conduct" insert: "that reflect current practice standards
 7    and promote inclusion of innovations and advances in acupuncture".
 8        On page 4, in line 4, following "for" insert: "full"; in line  11,  delete
 9    "ASSISTANT"  and  insert:  "TECHNICIAN";  in  line  12, delete "assistant" and
10    insert: "technician"; in line 15, following "(a)" delete the remainder of  the
11    line  and  all of lines 16, 17 and 18, and insert: "Completion of the require-
12    ments for clinical technician certificate by the international academy of med-
13    ical acupuncture, inc., or such other comparable requirements as are  approved
14    by  the  board;  and";  and  in lines 23, 24, 26 and 27, 30, 48 and 49, delete
15    "assistant" and insert: "technician".
16        On page 5, in line 1, delete "The" and insert:  "To  protect  the  health,
17    safety  and  welfare of the public, the"; and in line 11, delete "Engaged" and
18    insert: "Endangered the health of any person by engaging"; and following  line
19    19, insert:
20        "54-4712.  TITLES.  Persons  licensed pursuant to this chapter may use the
21    title "licensed acupuncturist." Persons certified or  granted  an  acupuncture
22    technician  certificate  pursuant to this chapter may use the title "certified
23    acupuncturist" or "acupuncture technician" respectively, but may not  use  the
24    title  "licensed  acupuncturist"  or  "doctor,"  or  any abbreviation thereof,
25    unless the acupuncturist is otherwise authorized to use such title. No  person
26    authorized  to  practice acupuncture pursuant to this chapter may hold himself
27    out in any way as a medical physician,  doctor  of  osteopathy,  chiropractor,
28    physical  therapist  or  other  health  care professional unless the person is
29    properly authorized for such practice pursuant to law.";
30    and in line 20, delete "2" and insert: "3".

31                                 CORRECTIONS TO TITLE
32        On page 1, in line 7, delete "ASSISTANT" and insert: "TECHNICIAN"; and  in
33    line 10, following "TION" insert: ", TO SPECIFY USE OF TITLES".
                                       Moved by     Sali                 

                                       Seconded by  Reynolds             


                             IN THE HOUSE OF REPRESENTATIVES
                       HOUSE AMENDMENT TO H.B. NO. 257, As Amended

34                               AMENDMENTS TO SECTION 1
35        On  page  2 of the engrossed bill, in line 6, following "chapter"  insert:

                                ]]]

                                         2

 1    "; provided however, the provisions of this chapter shall not apply to persons
 2    licensed pursuant to chapter 18, title 54, Idaho Code, but  such  persons  may
 3    seek  licensure  or  certification  pursuant  to  this  chapter on a voluntary
 4    basis"; in line 30, delete "shall be licensed" and insert:  "shall  be  certi-
 5    fied";  in  line  31,  following "ant to" insert: "this"; and also in line 31,
 6    following "chapter" delete "18, title 54, Idaho Code"; in line  41,  following
 7    "(3)"  insert:  "licensed";  and  in  line  44, delete "medical physician" and
 8    insert: "certified acupuncturist".

Statement of Purpose / Fiscal Impact


                       STATEMENT OF PURPOSE

                             RS09049C1

This legislation enacts licensing and certification provisions
for acupuncturists and creates a board for administration of the
chapter.




                            FISCAL NOTE

There is no impact to the general fund. The board is projected to
be self-funded by licensing and certification fees.







CONTACT:  Rep. William T. Sali 334-2000
        Emi Miller 343-0800
        





STATEMENT OF PURPOSE/ FISCAL NOTE    Bill No.      H 257