Adopted and Filed

Standards of practice—medical cannabidiol, 13.15(1)

Untitled document

ARC 4377C

MEDICINE BOARD[653]

Adopted and Filed

Rule making related to medical conditions for which medical cannabidiol may be used

The Board of Medicine hereby amends Chapter 13, "Standards of Practice and Principles of Medical Ethics," Iowa Administrative Code.

Legal Authority for Rule Making

This rule making is adopted under the authority provided in Iowa Code chapters 124E, 148 and 272C.

State or Federal Law Implemented

This rule making implements, in whole or in part, Iowa Code chapter 124E.

Purpose and Summary

This rule making amends rule 653—13.15(124E,147,148,272C), which establishes the standards of practice for the use of medical cannabidiol, by adding "severe, intractable pediatric autism with self-injurious or aggressive behaviors" to the list of debilitating medical conditions for which medical cannabidiol may be used.

Public Comment and Changes to Rule Making

Notice of Intended Action for this rule making was published in the Iowa Administrative Bulletin on January 16, 2019, as ARC 4241C. A public hearing was held on February 5, 2019, at 9 a.m.at the Board's office, Suite C, 400 S.W. Eighth Street, Des Moines, Iowa. The Board received public comment both at the hearing and outside the hearing that was supportive of adding "severe, intractable pediatric autism with self-injurious or aggressive behaviors" to the list of debilitating medical conditions for which medical cannabidiol may be used. No changes from the Notice have been made.

Adoption of Rule Making

This rule making was adopted by the Board on February 25, 2019.

Fiscal Impact

This rule making has no fiscal impact to the State of Iowa.

Jobs Impact

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

Waivers

Any person who believes that the application of the discretionary provisions of this rule making would result in hardship or injustice to that person may petition the Board for a waiver of the discretionary provisions, if any, pursuant to 653—Chapter 3.

Review by Administrative Rules Review Committee

The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rule making by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rule making at its regular monthly meeting or at a special meeting. The Committee's meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).

Effective Date

This rule making will become effective on May 1, 2019.

The following rule-making action is adopted:

Amend subrule 13.15(1), definition of "Debilitating medical condition," as follows:

"Debilitating medical condition" means any of the following:

1.Cancer, if the underlying condition or treatment produces one or more of the following:

Severe or chronic pain.

Nausea or severe vomiting.

Cachexia or severe wasting.

2.Multiple sclerosis with severe and persistent muscle spasms.

3.Seizures, including those characteristic of epilepsy.

4.AIDS or HIV as defined in Iowa Code section 141A.1.

5.Crohn's disease.

6.Amyotrophic lateral sclerosis.

7.Any terminal illness, with a probable life expectancy of under one year, if the illness or its treatment produces one or more of the following:

Severe or chronic pain.

Nausea or severe vomiting.

Cachexia or severe wasting.

8.Parkinson's disease.

9.Untreatable pain.

10.Ulcerative colitis.

11.Severe, intractable pediatric autism with self-injurious or aggressive behaviors.

[Filed 2/25/19, effective 5/1/19]

[Published 3/27/19]

Editor's Note: For replacement pages for IAC, see IAC Supplement 3/27/19.

Medicine Board


This Organization is a part of the Public Health Department

Official Document

  • Standards of practice—medical cannabidiol, 13.15(1)
  • Published on 3/27/2019
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  • Adopted and Filed

The official published PDF of this document is available from the Iowa General Assembly’s Administrative Rules page.

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View the Iowa Administrative Bulletin for 3/27/2019.

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Related Notices

Administrative Rule References

The following administrative rule references were added to this document. You may click a reference to view related notices.

Rule 653-13.15(1)

Iowa Code References

The following Iowa code references were added to this document. You may click a reference to view related notices.

Iowa Code 141A.1
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