ARC 2387C

ARC 2387C

MEDICINE BOARD[653]

Adopted and Filed

Pursuant to the authority of Iowa Code section 147.76, the Board of Medicine hereby amends Chapter 13, "Standards of Practice and Principles of Medical Ethics," Iowa Administrative Code.

The purpose of Chapter 13 is to establish standards of medical practice for medical physicians and surgeons and osteopathic physicians and surgeons. The amendment implements 2015 Iowa Acts, Senate File 462, which allows physicians to write prescriptions for authorized facilities, including public schools, to stock an epinephrine auto-injector supply for administration by trained non-health care personnel to individuals at risk of anaphylaxis.

The Board approved a Notice of Intended Action during a regularly scheduled meeting on October 16, 2015. Notice of Intended Action for the amendment was published in the Iowa Administrative Bulletin on November 25, 2015, as ARC 2249C. A public hearing was held on December 15, 2015. No comments were presented or statements received in writing.

On January 14, 2016, the Board voted to adopt the amendment.

One technical change has been made to the amendment published under Notice of Intended Action. References to 2015 Iowa Acts, Senate File 462, have been updated to Iowa Code references.

After analysis and review of this rule making, no impact on jobs in Iowa has been found.

This amendment is intended to implement Iowa Code chapters 135, 147, 148, 272C and 280.

This amendment will become effective March 9, 2016.

The following amendment is adopted.

Adopt the following new rule 653—13.12(135,147,148,272C,280):

653—13.12(135,147,148,272C,280) Standards of practice—prescribing epinephrine auto-injectors in the name of an authorized facility.

13.12(1) Definitions. For purposes of this rule:

"Authorized facility" means any nonpublic school which is accredited pursuant to Iowa Code section 256.11, any school directly supported in whole or in part by taxation, a food establishment as defined in Iowa Code section 137F.1, a carnival as defined in Iowa Code section 88A.1, a recreational camp, a youth sports facility, or a sports area.

"Epinephrine auto-injector" means a device for immediate self-administration or administration by another trained person of a measured dose of epinephrine to a person at risk of anaphylaxis.

"Physician" means a person licensed pursuant to Iowa Code chapter 148 to practice medicine and surgery or osteopathic medicine and surgery.

13.12(2) Notwithstanding any other provision of law to the contrary, a physician may prescribe epinephrine auto-injectors in the name of an authorized facility to be maintained for use pursuant to Iowa Code sections 135.185, 280.16 and 280.16A.

13.12(3) A physician who prescribes epinephrine auto-injectors in the name of an authorized facility to be maintained for use pursuant to Iowa Code sections 135.185, 280.16 and 280.16A, provided the physician has acted reasonably and in good faith, shall not be liable for any injury arising from the provision, administration, or assistance in the administration of an epinephrine auto-injector.

[Filed 1/14/16, effective 3/9/16]

[Published 2/3/16]

Editor's Note: For replacement pages for IAC, see IAC Supplement 2/3/16.