| 11 | 9 | | 7 |
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| 12 | 10 | | For An Act To Be Entitled 8 |
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| 13 | 11 | | AN ACT TO MODIFY THE SIGNATURE AUTHORITY FOR ADVANCED 9 |
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| 14 | 12 | | PRACTICE REGISTERED NURSES AND PHYSICIAN ASSISTANTS; 10 |
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| 15 | 13 | | TO CLARIFY THAT DURABLE MEDICAL EQUIPMENT INCLUDES 11 |
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| 16 | 14 | | DIABETIC SHOES AND SHOE INSERTS; AND FOR OTHER 12 |
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| 17 | 15 | | PURPOSES. 13 |
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| 18 | 16 | | 14 |
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| 19 | 17 | | 15 |
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| 20 | 18 | | Subtitle 16 |
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| 21 | 19 | | TO MODIFY THE SIGNATURE AUTHORITY FOR 17 |
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| 22 | 20 | | ADVANCED PRACTICE REGISTERED NURSES AND 18 |
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| 23 | 21 | | PHYSICIAN ASSISTANTS; AND TO CLARIFY 19 |
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| 24 | 22 | | THAT DURABLE MEDICAL EQUIPMENT INCLUDES 20 |
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| 25 | 23 | | DIABETIC SHOES AND SHOE INSERTS. 21 |
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| 26 | 24 | | 22 |
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| 27 | 25 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 23 |
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| 28 | 26 | | 24 |
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| 29 | 27 | | SECTION 1. Arkansas Code ยง 17 -80-120(a), concerning the signature 25 |
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| 30 | 28 | | authority for advanced practice registered nurses and physician assistants, 26 |
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| 31 | 29 | | is amended to read as follows: 27 |
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| 32 | 30 | | (a) When a provision of law or rule requires a signature, 28 |
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| 33 | 31 | | certification, stamp, verification, affidavit, or endorsement by a physician, 29 |
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| 34 | 32 | | the requirement may be fulfilled by an advanced practice registered nurse or 30 |
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| 35 | 33 | | a physician assistant in any of the following circumstances: 31 |
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| 36 | 34 | | (1) Certification of disability for patients to receive disabled 32 |
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| 37 | 35 | | parking permits or placards from the Office of Motor Vehicle; or 33 |
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| 38 | 36 | | (2) Signature for: 34 |
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| 39 | 37 | | (A) Sports physicals to authorize student athletes to 35 |
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| 45 | 41 | | (B) Physicals for bus drivers; 1 |
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| 46 | 42 | | (C) Forms relating to do -not-resuscitate orders; 2 |
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| 47 | 43 | | (D) Forms excusing a potential jury member due to an 3 |
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| 48 | 44 | | illness; 4 |
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| 49 | 45 | | (E) Death certificates; 5 |
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| 50 | 46 | | (F) Workers' compensation forms; 6 |
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| 51 | 47 | | (G) Forms relating to absenteeism for employment or school 7 |
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| 52 | 48 | | purposes; or 8 |
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| 53 | 49 | | (H) Authorizations for durable medical equipment , 9 |
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| 54 | 50 | | including without limitation orthotics, prosethetics, and diabetic shoes or 10 |
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| 55 | 51 | | shoe inserts that are designed to reduce the risk of skin breakdown in 11 |
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| 56 | 52 | | patients with diabetes and existing foot disease and to relieve pressure to 12 |
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| 57 | 53 | | prevent diabetic foot ulcers . 13 |
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| 58 | 54 | | 14 |
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