2004 Legislation
Print Friendly

HOUSE BILL NO. 657 – Substance abuse, report to employer

HOUSE BILL NO. 657

View Bill Status

View Bill Text

View Statement of Purpose / Fiscal Impact



Text to be added within a bill has been marked with Bold and
Underline. Text to be removed has been marked with
Strikethrough and Italic. How these codes are actually displayed will
vary based on the browser software you are using.

This sentence is marked with bold and underline to show added text.

This sentence is marked with strikethrough and italic, indicating
text to be removed.

Bill Status



H0657.................................................by HEALTH AND WELFARE
SUBSTANCE ABUSE - REPORT TO EMPLOYER - Amends and adds to existing law to
require health care providers to report certain information relating to
substance abuse; and to provide a controlled substance abuse disclosure
requirement on employers of providers.
                                                                        
02/11    House intro - 1st rdg - to printing
02/12    Rpt prt - to Health/Wel

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-seventh Legislature                 Second Regular Session - 2004
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                                     HOUSE BILL NO. 657
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO DISCLOSURE OF ABUSE OF CONTROLLED SUBSTANCES; AMENDING THE HEADING
  3        FOR CHAPTER 45, TITLE 54, IDAHO CODE, AS ADDED BY SECTION 1,  CHAPTER  33,
  4        LAWS  OF 1998, TO REDESIGNATE THE CHAPTER; AMENDING SECTION 54-4501, IDAHO
  5        CODE, AS ADDED BY SECTION 1, CHAPTER 33, LAWS OF 1998, TO REDESIGNATE  THE
  6        SECTION  AND  TO  MAKE  A  TECHNICAL CORRECTION; AMENDING SECTION 54-4602,
  7        IDAHO CODE, TO DEFINE "EMPLOYER," TO FURTHER DEFINE  THE  TERM  "PROVIDER"
  8        AND  TO MAKE A TECHNICAL CORRECTION; AMENDING SECTION 54-4603, IDAHO CODE,
  9        TO REQUIRE PROVIDERS TO REPORT CERTAIN INFORMATION RELATING  TO  SUBSTANCE
 10        ABUSE  AND  TO MAKE A TECHNICAL CORRECTION; AMENDING CHAPTER 46, TITLE 54,
 11        IDAHO CODE, BY THE ADDITION OF A NEW SECTION 54-4605, IDAHO CODE, TO  PRO-
 12        VIDE  A  CONTROLLED SUBSTANCE ABUSE DISCLOSURE REQUIREMENT ON EMPLOYERS OF
 13        PROVIDERS; AND AMENDING SECTION 54-4504, IDAHO CODE, AS ADDED  BY  SECTION
 14        1, CHAPTER 33, LAWS OF 1998, TO REDESIGNATE THE SECTION.
                                                                        
 15    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
 16        SECTION  1.  That  the  Heading  for  Chapter 45, Title 54, Idaho Code, as
 17    added by Section 1, Chapter 33, Laws of 1998,  be,  and  the  same  is  hereby
 18    amended to read as follows:
                                                                        
 19                                     CHAPTER 456
 20                            PATIENT FREEDOM OF INFORMATION
                                                                        
 21        SECTION 2.  That Section 54-4501, Idaho Code, as added by Section 1, Chap-
 22    ter 33, Laws of 1998, be, and the same is hereby amended to read as follows:
                                                                        
 23        54-45014601.  DECLARATION  OF PURPOSE. In recognition of the importance of
 24    health care to all Idahoans, it is the intent of the  legislature  to  provide
 25    patients  with  easily accessible profile information on specified licensed or
 26    registered health care professionals. By creating  a  database  of  individual
 27    profiles  that  the  public  may  access,  patients  will be able to make more
 28    informed decisions about whom they wish to engage when in need of health  care
 29    services. The database should include educational background and work history,
 30    disclosure of any final board disciplinary actions, criminal convictions, mal-
 31    practice history, and other pertinent information as required by this chapter.
 32    The  following  licensed and registered professional health care providers are
 33    subject to this chapter: physicians and surgeons  and  osteopathic  physicians
 34    and surgeons, physical therapists, dentists, podiatrists, chiropractors, opto-
 35    metric physicians, psychologists, physicians' assistants, nurse practitioners,
 36    and certified registered nurse anesthetists.
                                                                        
 37        SECTION  3.  That  Section 54-4602, Idaho Code, be, and the same is hereby
 38    amended to read as follows:
                                                                        
 39        54-4602.  DEFINITIONS. As used in this chapter, the following  terms  have
                                                                        
                                           2
                                                                        
  1    the following meanings:
  2        (1)  "Board"  means  the  professional  licensing  and registration board,
  3    respectively,  for each of the named providers.
  4        (2)  "Employer" means a person or entity licensed under chapter 18,  title
  5    54, Idaho Code, or chapter 14, title 39, Idaho Code, who employs a provider or
  6    providers.
  7        (3)  "Patient"  means all past, current or future consumers of health care
  8    services.
  9        (34)  "Provider(s)" means the following  licensed  or  registered  profes-
 10    sional  health  care  providers:  podiatrists  licensed pursuant to chapter 6,
 11    title 54, Idaho Code; chiropractors licensed pursuant to chapter 7, title  54,
 12    Idaho  Code;  dentists  licensed  pursuant to chapter 9, title 54, Idaho Code;
 13    licensed professional nurses and  advanced  practice  professional  nurses  to
 14    include certified nurse-midwives, clinical nurse specialists, nurse practitio-
 15    ners and certified registered nurse anesthetists licensed or registered pursu-
 16    ant to chapter 14, title 54, Idaho Code; optometric physicians licensed pursu-
 17    ant  to  chapter 15, title 54, Idaho Code; physicians and surgeons and osteop-
 18    athic physicians and surgeons, licensed pursuant  to  chapter  18,  title  54,
 19    Idaho  Code;  physicians'  assistants registered pursuant to chapter 18, title
 20    54, Idaho Code; physical therapists registered pursuant to chapter  22,  title
 21    54,  Idaho  Code; and psychologists licensed pursuant to chapter 23, title 54,
 22    Idaho Code.
                                                                        
 23        SECTION 4.  That Section 54-4603, Idaho Code, be, and the same  is  hereby
 24    amended to read as follows:
                                                                        
 25        54-4603.  PATIENT  ACCESS  TO  PROVIDER  INFORMATION.  (1) Each person who
 26    applies for initial licensure or registration as a provider must, at the  time
 27    of  licensure  or  registration,  and each provider who applies for license or
 28    registration renewal must, in conjunction with the renewal  of  a  license  or
 29    registration,  and  under procedures which shall be adopted by the  board, and
 30    in addition to any other information that may be required from the  applicant,
 31    furnish the following information to the board:
 32        (a)  Names and addresses of medical/professional schools or other institu-
 33        tions  of  higher  learning that provider attended, including any graduate
 34        education, and dates of graduation;
 35        (b)  Speciality certifications that are recognized by the board;
 36        (c)  Appointments to faculty of any medical/professional school and  indi-
 37        cation  whether  provider  has had a responsibility for graduate education
 38        within the most recent ten (10) years (optional);
 39        (d)  Location and type of practice for the most recent ten (10) years;
 40        (e)  Current location of provider's primary practice setting, and if  more
 41        than  one  (1)  setting,  the approximate percentage of time spent at each
 42        location;
 43        (f)  The hospital(s) that  serves  as  the  provider's  primary  admitting
 44        facility  and at which the provider has active clinical privileges in good
 45        standing;
 46        (g)  Disclosure of whether the provider participates in medicaid and medi-
 47        care programs (but not necessarily accepting new patients),  or  has  ever
 48        been barred from participation in either program;
 49        (h)  Disclosure  of  any translating services that may be available at the
 50        provider's practice location(s) (optional);
 51        (i)  Description of any criminal convictions for felonies or other  crimes
 52        of  moral turpitude within the most recent ten (10) years. For purposes of
 53        this subsection, a person shall be deemed convicted of a crime if he  pled
                                                                        
                                           3
                                                                        
  1        guilty  or  if  he  was  found  or adjudged guilty by a court of competent
  2        jurisdiction;
  3        (j)  Description of any final board disciplinary actions within  the  most
  4        recent  ten (10) years that are considered to be public in accordance with
  5        the provisions of chapter 3, title 9, Idaho Code;
  6        (k)  Description of any final disciplinary actions by  a  board  from  any
  7        other  state  including,  but  not limited to, revocation or suspension of
  8        license, within the most recent ten (10) years;
  9        (l)  Description of revocation  or  involuntary  restriction  of  hospital
 10        privileges,  or  a  reduction  in  credentialing for more than one hundred
 11        eighty (180) days, from any state, for reasons related  to  competence  or
 12        character,  that  have  been  taken  by a hospital's governing body or any
 13        other official of  a  hospital  after  procedural  due  process  has  been
 14        afforded; or the resignation from or nonrenewal of a medical staff member-
 15        ship,  or  the restriction of privileges at a hospital taken in lieu of or
 16        in settlement of a pending disciplinary  case  related  to  competence  or
 17        character in that hospital, within the most recent ten (10) years;
 18        (m)  Whether  the provider carries professional malpractice insurance, and
 19        if not, has ever been denied malpractice insurance;
 20        (n)  Disclosure of all malpractice court  judgments  and  all  malpractice
 21        arbitration  awards  in which a payment was awarded to a complaining party
 22        during the most recent ten (10) years. Pending  malpractice  claims  shall
 23        not  be  disclosed by the board to patients; however, nothing herein shall
 24        be construed to prevent the board from investigating  and  disciplining  a
 25        provider on the basis of pending malpractice claims.;
 26        (o)  Disclosure  of  settlements of professional malpractice claims within
 27        the most recent five (5) years of continuous practice;
 28             (i)   Providers need only disclose malpractice settlements  if  there
 29             have  been  five  (5) or more settlements in the most recent five (5)
 30             years of continuous practice, of fifty thousand dollars ($50,000), or
 31             more, per settlement, or if there have been more than ten  (10)  set-
 32             tlements within the most recent five (5) years of continuous practice
 33             of any dollar amount;
 34             (ii)  Settlements  that  result  solely  in  an adjustment to the fee
 35             charged for a provider's services shall not be disclosed pursuant  to
 36             this chapter;
 37             (iii) Information  concerning all settlements shall be accompanied by
 38             the following statement: "Settlement of a claim may occur for a vari-
 39             ety of reasons which do not necessarily  reflect  negatively  on  the
 40             professional  competence  or conduct of a provider. A payment in set-
 41             tlement of a malpractice action or claim should not be  construed  as
 42             creating  presumption that malpractice has occurred. Malpractice his-
 43             tories tend to vary by speciality. Some specialities are more  likely
 44             than others to be the subject of litigation.";
 45             (iv)  Nothing herein shall be construed to limit or prevent the board
 46             from providing further explanatory information regarding settlements;
 47        (p)  Percentage of ownership interest provider has in other health facili-
 48        ties, laboratories, equipment or therapy, except for ownership interest in
 49        the  primary practice business, to which the provider's patients are, have
 50        been, or may be referred;
 51        (q)  In the case of a provider whose license permits the provider to  pre-
 52        scribe, handle or dispense controlled substances as defined in chapter 27,
 53        title  37,  Idaho  Code,  whether  the provider has been disciplined by an
 54        employer for mishandling or abusing controlled substances,  including  the
 55        name  and  address of the employer, the date of the disciplinary action, a
                                                                        
                                           4
                                                                        
  1        description of the disciplinary action and a description  of  the  grounds
  2        for such action;
  3        (r)  In  the case of a provider whose license permits the provider to pre-
  4        scribe, handle or dispense controlled substances, as  defined  in  chapter
  5        27,  title  37, Idaho Code, whether the provider has been convicted of, or
  6        pled guilty to, a state or a federal charge for mishandling  or  abuse  of
  7        controlled substances, including a description of the charge, the name and
  8        location  of  the  court  where the charge was filed, a description of the
  9        charge involved in the conviction or plea, and the nature of the  sentence
 10        imposed;
 11        (s)  In  the case of a provider whose license permits the provider to pre-
 12        scribe, handle or dispense controlled substances, as  defined  in  chapter
 13        27,  title  37, Idaho Code, whether a board has imposed discipline or cor-
 14        rective action for the provider's mishandling or abuse of controlled  sub-
 15        stances,  including  the name and location of the board, the nature of the
 16        discipline or corrective action imposed, the date of such  action,  and  a
 17        description of the grounds for such action.
 18        (2)  Each profile submitted by a provider must include a statement, signed
 19    under  oath,  by the provider attesting to the correctness and completeness of
 20    the information contained in the profile.
 21        (3)  The board shall not be held liable for the correctness  or  complete-
 22    ness  of the information contained in the provider profiles, and shall include
 23    a disclaimer statement on  all  released  profiles,  attesting  to  the  self-
 24    reporting  nature  of the program, and that the information has not been veri-
 25    fied by the board.
 26        (4)  The board shall, at the time of  issuing a new license  or  registra-
 27    tion,  or  in  conjunction  with  license or registration renewal, collect and
 28    maintain the information  required in this chapter, as submitted by  the  pro-
 29    vider, for the purpose of creating individual profiles on providers that shall
 30    be made available to the public as provided in this chapter.
 31        (5)  No  state  law that would otherwise prohibit, limit, or penalize dis-
 32    closure of information about a provider shall apply to disclosure of  informa-
 33    tion required by this chapter.
 34        (6)  If  a  provider  fails  to comply with the provisions of this chapter
 35    with full and truthful disclosure of information to the board within the  time
 36    specified by the board, the board may:
 37        (a)  Fine  the provider up to fifty dollars ($50.00) for each day that the
 38        provider is not in compliance with the provisions of this chapter;
 39        (b)  Take any other disciplinary action it deems appropriate,  except  the
 40        board  may  not  revoke,  suspend,  refuse  to  issue or refuse to renew a
 41        provider's license or registration solely because the provider  failed  to
 42        comply with the provisions of this chapter.
                                                                        
 43        SECTION  5.  That  Chapter  46,  Title 54, Idaho Code, be, and the same is
 44    hereby amended by the addition thereto of a NEW SECTION, to be known and  des-
 45    ignated as Section 54-4605, Idaho Code, and to read as follows:
                                                                        
 46        54-4605.  DISCLOSURE  OF CONTROLLED SUBSTANCE ABUSE. When an employer of a
 47    provider has imposed discipline upon a provider  for  mishandling  or  abusing
 48    controlled  substances,  as  defined  in chapter 27, title 37, Idaho Code, the
 49    employer shall, within thirty (30) days of the imposition of such  discipline,
 50    furnish  to  the  provider's board a description of the disciplinary action, a
 51    description of the grounds for such action and the date  of  the  disciplinary
 52    action.
                                                                        
                                           5
                                                                        
  1        SECTION 6.  That Section 54-4504, Idaho Code, as added by Section 1, Chap-
  2    ter 33, Laws of 1998, be, and the same is hereby amended to read as follows:
                                                                        
  3        54-45044604.  INFORMATION  AND ACCESS TO PROVIDER PROFILE INFORMATION. The
  4    boards and providers subject to the provisions of this  chapter  shall  inform
  5    the  public that provider profile information is available and make the infor-
  6    mation available upon request.
  7        The boards and providers shall fully  implement  the  provisions  of  this
  8    chapter no later than January 1, 2000.
  9        The  boards and providers shall be responsible for promoting public aware-
 10    ness of and access to provider profiles as provided  in  this  chapter,  which
 11    shall  include  the creation of printed materials and signs to be available in
 12    board and provider offices. Profile information on individual providers  shall
 13    be  available at the office(s) of the provider, and their respective board, in
 14    written form, upon request, and electronically where available, and  shall  be
 15    considered public information.

Statement of Purpose / Fiscal Impact



                       STATEMENT OF PURPOSE
                                 
                            RS 13971

This bill amends Chapter 46, Title 54, Idaho Code, to include
licensed professional nurses in the category of providers that
are required to furnish certain job-related information to
professional licensing boards.  Currently these professionals,
also generally known as registered nurses, do not need to provide
such information.  The information is designed to put the public 
on notice of certain background information pertaining to the
professionals, including criminal convictions, disciplinary
action, malpractice information, and the like.  The reporting
requirements for all providers are expanded to include instances
where providers who are authorized to handle controlled
substances have been disciplined or convicted for abuse of such
substances.  The legislation also imposes certain reporting
requirements on employers of such providers.  All reporting is
subject to the safeguards of the current statutory provisions. 
The reporting measures will allow the general public to know
whether a provider who handles controlled substances has a
history of substance abuse.
                                 
                         FISCAL IMPACT

There may be a slight fiscal impact on the nursing board by
virtue of having to develop a reporting form like that which is
currently in use by other licensing boards and to file and
process the forms.  However, the cost can and should be passed
along to the providers as part of their licensing fees.  There
should be no impact on the general account.  Other agencies will
have to add language to their current reporting forms but, again,
there should be no impact to the general account.


Contact
Name: Jim Jones 
Phone: 385-9200




STATEMENT OF PURPOSE/FISCAL NOTE                        H 657