1 | 1 | | Stricken language would be deleted from and underlined language would be added to present law. |
---|
2 | 2 | | *JMB077* 01/27/2025 2:33:18 PM JMB077 |
---|
3 | 3 | | State of Arkansas 1 |
---|
4 | 4 | | 95th General Assembly A Bill 2 |
---|
5 | 5 | | Regular Session, 2025 SENATE BILL 117 3 |
---|
6 | 6 | | 4 |
---|
7 | 7 | | By: Senator C. Penzo 5 |
---|
8 | 8 | | 6 |
---|
9 | 9 | | 7 |
---|
10 | 10 | | For An Act To Be Entitled 8 |
---|
11 | 11 | | AN ACT TO CREATE THE NATUROPATHIC PHYSICIAN PRACTICE 9 |
---|
12 | 12 | | ACT; TO PROVIDE FOR LICENSURE OF NATUROPATHIC 10 |
---|
13 | 13 | | PHYSICIANS IN ARKANSAS; TO CREATE A NATUROPATHIC 11 |
---|
14 | 14 | | PHYSICIAN ADVISORY COMMITTEE TO THE ARKANSAS STATE 12 |
---|
15 | 15 | | MEDICAL BOARD; AND FOR OTHER PURPOSES. 13 |
---|
16 | 16 | | 14 |
---|
17 | 17 | | 15 |
---|
18 | 18 | | Subtitle 16 |
---|
19 | 19 | | TO CREATE THE NATUROPATHIC PHYSICIAN 17 |
---|
20 | 20 | | PRACTICE ACT; TO PROVIDE FOR LICENSURE 18 |
---|
21 | 21 | | OF NATUROPATHIC PHYSICIANS IN ARKANSAS; 19 |
---|
22 | 22 | | AND TO CREATE A NATUROPATHIC PHYSICIAN 20 |
---|
23 | 23 | | ADVISORY COMMITTEE TO THE ARKANSAS STATE 21 |
---|
24 | 24 | | MEDICAL BOARD. 22 |
---|
25 | 25 | | 23 |
---|
26 | 26 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 24 |
---|
27 | 27 | | 25 |
---|
28 | 28 | | SECTION 1. Arkansas Code Title 17, Chapter 95, is amended to add an 26 |
---|
29 | 29 | | additional subchapter to read as follows: 27 |
---|
30 | 30 | | Subchapter 12 — Naturopathic Physician Practice Act 28 |
---|
31 | 31 | | 29 |
---|
32 | 32 | | 17-95-1201. Title. 30 |
---|
33 | 33 | | This subchapter shall be known and may be cited as the "Naturopathic 31 |
---|
34 | 34 | | Physician Practice Act". 32 |
---|
35 | 35 | | 33 |
---|
36 | 36 | | 17-95-1202. Legislative findings and intent. 34 |
---|
37 | 37 | | (a) The General Assembly finds that: 35 |
---|
38 | 38 | | (1) The practice of naturopathic medicine in this state affects 36 SB117 |
---|
39 | 39 | | |
---|
40 | 40 | | 2 01/27/2025 2:33:18 PM JMB077 |
---|
41 | 41 | | the public health, safety, and welfare and should be subject to regulation 1 |
---|
42 | 42 | | and control in the public interest; and 2 |
---|
43 | 43 | | (2) Naturopathic physicians comprise a distinct healthcare 3 |
---|
44 | 44 | | profession that affects the public health, safety, and welfare and increases 4 |
---|
45 | 45 | | freedom of choice in health care in this state. 5 |
---|
46 | 46 | | (b) It is the intent of the General Assembly to ensure that 6 |
---|
47 | 47 | | naturopathic physicians and the practice of naturopathic medicine as defined 7 |
---|
48 | 48 | | in this subchapter merit the confidence of the public, that only qualified 8 |
---|
49 | 49 | | persons be authorized to practice naturopathic medicine in this state, and 9 |
---|
50 | 50 | | that a person shall not practice naturopathic medicine without a valid 10 |
---|
51 | 51 | | existing license. 11 |
---|
52 | 52 | | 12 |
---|
53 | 53 | | 17-95-1203. Definitions. 13 |
---|
54 | 54 | | As used in this subchapter: 14 |
---|
55 | 55 | | (1) "Approved naturopathic medical school" means a medical 15 |
---|
56 | 56 | | school approved by the Arkansas State Medical Board under this subchapter 16 |
---|
57 | 57 | | that prepares a naturopathic physician for the practice of naturopathic 17 |
---|
58 | 58 | | medicine; 18 |
---|
59 | 59 | | (2)(A) "Clinical laboratory procedure" means the use of 19 |
---|
60 | 60 | | venipuncture consistent with naturopathic medical practice, commonly used 20 |
---|
61 | 61 | | diagnostic modalities consistent with naturopathic practice, the recording of 21 |
---|
62 | 62 | | a patient's health history, physical examination, ordering and interpretation 22 |
---|
63 | 63 | | of radiographic diagnostics, and other standard imaging and examination of 23 |
---|
64 | 64 | | body orifices, excluding endoscopy and colonoscopy. 24 |
---|
65 | 65 | | (B) "Clinical laboratory procedure" includes the practice 25 |
---|
66 | 66 | | of obtaining samples of human tissues, except surgical excision beyond 26 |
---|
67 | 67 | | surgical excision that is authorized as a minor office procedure; 27 |
---|
68 | 68 | | (3) "Homeopathic medicine" means a system of medicine based on 28 |
---|
69 | 69 | | the use of minimal doses of substances capable of producing symptoms similar 29 |
---|
70 | 70 | | to those of the disease treated, as listed in the Homeopathic Pharmacopoeia 30 |
---|
71 | 71 | | of the United States; 31 |
---|
72 | 72 | | (4) "Hygiene" means the use of preventive techniques, including 32 |
---|
73 | 73 | | personal hygiene, asepsis, public health, and safety; 33 |
---|
74 | 74 | | (5) "Laboratory examination" means: 34 |
---|
75 | 75 | | (A) Phlebotomy; 35 |
---|
76 | 76 | | (B) A clinical laboratory procedure; 36 SB117 |
---|
77 | 77 | | |
---|
78 | 78 | | 3 01/27/2025 2:33:18 PM JMB077 |
---|
79 | 79 | | (C) An orificial examination; 1 |
---|
80 | 80 | | (D) A physiological function test; and 2 |
---|
81 | 81 | | (E) A screening or test that is consistent with 3 |
---|
82 | 82 | | naturopathic education and training; 4 |
---|
83 | 83 | | (6) "Minor office procedure" means minor surgical care and 5 |
---|
84 | 84 | | procedures, including: 6 |
---|
85 | 85 | | (A) Surgical care incidental to superficial laceration, 7 |
---|
86 | 86 | | lesion or abrasion, excluding surgical care to treat a lesion suspected of 8 |
---|
87 | 87 | | malignancy; 9 |
---|
88 | 88 | | (B) The removal of foreign bodies located in superficial 10 |
---|
89 | 89 | | structures, excluding the globe of the eye; 11 |
---|
90 | 90 | | (C) Trigger point therapy; 12 |
---|
91 | 91 | | (D) Dermal stimulation; 13 |
---|
92 | 92 | | (E) Allergy testing and treatment; and 14 |
---|
93 | 93 | | (F) The use of antiseptics and topical or local 15 |
---|
94 | 94 | | anesthetics; 16 |
---|
95 | 95 | | (7) "Naturopathic medicine" means: 17 |
---|
96 | 96 | | (A) A system of health care for the prevention, diagnosis, 18 |
---|
97 | 97 | | and treatment of human health conditions, injury, and disease; 19 |
---|
98 | 98 | | (B) The promotion or restoration of health; and 20 |
---|
99 | 99 | | (C) The support and stimulation of a patient's inherent 21 |
---|
100 | 100 | | self-healing processes through patient education and the use of naturopathic 22 |
---|
101 | 101 | | therapies and therapeutic substances; 23 |
---|
102 | 102 | | (8) "Naturopathic physical medicine" means the use of one (1) or 24 |
---|
103 | 103 | | more of the following physical agents in a manner consistent with 25 |
---|
104 | 104 | | naturopathic medical practice on a part or the whole of the body, by hand or 26 |
---|
105 | 105 | | by mechanical means, in the resolution of a human ailment or conditions: 27 |
---|
106 | 106 | | (A) Air; 28 |
---|
107 | 107 | | (B) Water; 29 |
---|
108 | 108 | | (C) Heat; 30 |
---|
109 | 109 | | (D) Cold; 31 |
---|
110 | 110 | | (E) Sound; 32 |
---|
111 | 111 | | (F) Light; 33 |
---|
112 | 112 | | (G) Electromagnetism; 34 |
---|
113 | 113 | | (H) Colon hydrotherapy; 35 |
---|
114 | 114 | | (I) Soft tissue therapy; 36 SB117 |
---|
115 | 115 | | |
---|
116 | 116 | | 4 01/27/2025 2:33:18 PM JMB077 |
---|
117 | 117 | | (J) Joint mobilization; 1 |
---|
118 | 118 | | (K) Therapeutic exercise; or 2 |
---|
119 | 119 | | (L) Naturopathic manipulation; 3 |
---|
120 | 120 | | (9) "Naturopathic physician" means an individual licensed under 4 |
---|
121 | 121 | | this subchapter as a naturopathic physician to practice naturopathic medicine 5 |
---|
122 | 122 | | in the state; 6 |
---|
123 | 123 | | (10) "Naturopathic therapy" means the use of: 7 |
---|
124 | 124 | | (A) Naturopathic physical medicine; 8 |
---|
125 | 125 | | (B) Suggestion; 9 |
---|
126 | 126 | | (C) Hygiene; 10 |
---|
127 | 127 | | (D) A therapeutic substance; 11 |
---|
128 | 128 | | (E) A dangerous drug; 12 |
---|
129 | 129 | | (F) Nutrition and food science; 13 |
---|
130 | 130 | | (G) Homeopathic medicine; 14 |
---|
131 | 131 | | (H) A clinical laboratory procedure; or 15 |
---|
132 | 132 | | (I) A minor office procedure; 16 |
---|
133 | 133 | | (11) "Nutrition and food science" means the prevention and 17 |
---|
134 | 134 | | treatment of disease or other human conditions through the use of food, 18 |
---|
135 | 135 | | water, herbs, roots, bark, or natural food elements; 19 |
---|
136 | 136 | | (12) "Professional examination" means a competency -based 20 |
---|
137 | 137 | | national naturopathic physician licensing examination administered by the 21 |
---|
138 | 138 | | North American Board of Naturopathic Examiners or its successor agency, which 22 |
---|
139 | 139 | | nationally administers a naturopathic examination that represents federal 23 |
---|
140 | 140 | | standards of education and training; 24 |
---|
141 | 141 | | (13) "Suggestion" means a technique using: 25 |
---|
142 | 142 | | (A) Biofeedback; 26 |
---|
143 | 143 | | (B) Hypnosis; 27 |
---|
144 | 144 | | (C) Health education; or 28 |
---|
145 | 145 | | (D) Health counseling; and 29 |
---|
146 | 146 | | (14) "Therapeutic substance" means any of the following 30 |
---|
147 | 147 | | exemplified in a standard naturopathic medical text, journal, or 31 |
---|
148 | 148 | | pharmacopeia: 32 |
---|
149 | 149 | | (A) A vitamin; 33 |
---|
150 | 150 | | (B) A mineral; 34 |
---|
151 | 151 | | (C) A nutraceutical; 35 |
---|
152 | 152 | | (D) A botanical medicine; 36 SB117 |
---|
153 | 153 | | |
---|
154 | 154 | | 5 01/27/2025 2:33:18 PM JMB077 |
---|
155 | 155 | | (E) Oxygen; 1 |
---|
156 | 156 | | (F) A homeopathic medicine; 2 |
---|
157 | 157 | | (G) A hormone; 3 |
---|
158 | 158 | | (H) A hormonal or pharmaceutical contraceptive device; or 4 |
---|
159 | 159 | | (I) Other physiologic substance. 5 |
---|
160 | 160 | | 6 |
---|
161 | 161 | | 17-95-1204. Exemptions. 7 |
---|
162 | 162 | | This subchapter does not prohibit or restrict: 8 |
---|
163 | 163 | | (1) The practice of a healthcare profession by an individual who 9 |
---|
164 | 164 | | is licensed, certified, or registered under the laws of this state and who is 10 |
---|
165 | 165 | | performing services within the individual's scope of practice; 11 |
---|
166 | 166 | | (2) The practice of naturopathic medicine by a student enrolled 12 |
---|
167 | 167 | | in an approved naturopathic medical school if the practice of naturopathic 13 |
---|
168 | 168 | | medicine by a student is performed under a course of instruction or an 14 |
---|
169 | 169 | | assignment from an instructor and under the supervision of the instructor who 15 |
---|
170 | 170 | | is a licensee or a duly licensed professional in the instructed field; 16 |
---|
171 | 171 | | (3) Any person that sells a vitamin or herb from providing 17 |
---|
172 | 172 | | information about the vitamin or herb; 18 |
---|
173 | 173 | | (4) The practice of naturopathic medicine by a person who is 19 |
---|
174 | 174 | | licensed to practice in any other state or district in the United States and 20 |
---|
175 | 175 | | who enters this state to consult with a naturopathic physician of this state 21 |
---|
176 | 176 | | if the consultation is limited to examination, recommendation, or testimony 22 |
---|
177 | 177 | | in litigation; or 23 |
---|
178 | 178 | | (5) Any person or practitioner who is not licensed as a 24 |
---|
179 | 179 | | naturopathic physician from recommending ayurvedic medicine, herbal remedies, 25 |
---|
180 | 180 | | nutritional advice, homeopathy, or other therapy that is within the scope of 26 |
---|
181 | 181 | | practice of naturopathic medicine if that person or practitioner does not: 27 |
---|
182 | 182 | | (A) Use a title protected under this subchapter; 28 |
---|
183 | 183 | | (B) Represent or assume the character or appearance of a 29 |
---|
184 | 184 | | licensee of this subchapter; or 30 |
---|
185 | 185 | | (C) Otherwise use a name, title, or other designation that 31 |
---|
186 | 186 | | indicates or implies that the person is a licensee of this subchapter. 32 |
---|
187 | 187 | | 33 |
---|
188 | 188 | | 17-95-1205. Qualifications for licensure. 34 |
---|
189 | 189 | | The Arkansas State Medical Board shall license an applicant who: 35 |
---|
190 | 190 | | (1) Submits, in accordance with rules of the Arkansas State 36 SB117 |
---|
191 | 191 | | |
---|
192 | 192 | | 6 01/27/2025 2:33:18 PM JMB077 |
---|
193 | 193 | | Medical Board, the following items to the Arkansas State Medical Board: 1 |
---|
194 | 194 | | (A) An application for licensure developed by the Arkansas 2 |
---|
195 | 195 | | State Medical Board and submitted in accordance with rules of the Arkansas 3 |
---|
196 | 196 | | State Medical Board; 4 |
---|
197 | 197 | | (B) An application fee submitted in an amount and manner 5 |
---|
198 | 198 | | established by rules of the Arkansas State Medical Board; 6 |
---|
199 | 199 | | (C) Evidence that the applicant has: 7 |
---|
200 | 200 | | (i) Graduated from an approved naturopathic medical 8 |
---|
201 | 201 | | school; 9 |
---|
202 | 202 | | (ii) Successful completion of a competency -based 10 |
---|
203 | 203 | | national naturopathic medicine licensing examination; 11 |
---|
204 | 204 | | (iii) Passed a pharmacy examination authorized by 12 |
---|
205 | 205 | | rules of the Arkansas State Medical Board and administered by North American 13 |
---|
206 | 206 | | Board of Naturopathic Examiners; and 14 |
---|
207 | 207 | | (iv) Passed a state jurisprudence examination that 15 |
---|
208 | 208 | | meets standards established in rules of the Arkansas State Medical Board; and 16 |
---|
209 | 209 | | (D) Evidence of professional liability insurance with 17 |
---|
210 | 210 | | policy limits not less than prescribed by the Arkansas State Medical Board; 18 |
---|
211 | 211 | | (2) Is determined by the Arkansas State Medical Board, upon 19 |
---|
212 | 212 | | recommendation by the Naturopathic Physician Advisory Committee, to be 20 |
---|
213 | 213 | | physically and mentally capable of safely practicing naturopathic medicine 21 |
---|
214 | 214 | | with or without reasonable accommodation; and 22 |
---|
215 | 215 | | (3) Has not had a license to practice naturopathic medicine or 23 |
---|
216 | 216 | | other healthcare license, registration, or certificate refused, revoked, or 24 |
---|
217 | 217 | | suspended by any other jurisdiction for reasons that relate to the 25 |
---|
218 | 218 | | applicant's ability to skillfully and safely practice naturopathic medicine 26 |
---|
219 | 219 | | unless that license, registration, or certification has been restored to good 27 |
---|
220 | 220 | | standing by that jurisdiction. 28 |
---|
221 | 221 | | 29 |
---|
222 | 222 | | 17-95-1206. Scope of practice. 30 |
---|
223 | 223 | | A licensee may practice naturopathic medicine to provide primary care 31 |
---|
224 | 224 | | in alignment with naturopathic medical education to: 32 |
---|
225 | 225 | | (1) Perform physical examinations; 33 |
---|
226 | 226 | | (2) Order laboratory examinations; 34 |
---|
227 | 227 | | (3) Order diagnostic imaging studies; 35 |
---|
228 | 228 | | (4) Interpret the results of laboratory examinations for 36 SB117 |
---|
229 | 229 | | |
---|
230 | 230 | | 7 01/27/2025 2:33:18 PM JMB077 |
---|
231 | 231 | | diagnostic purposes; 1 |
---|
232 | 232 | | (5) Order and, based on a radiologist's report, take action on 2 |
---|
233 | 233 | | diagnostic imaging studies in a manner consistent with naturopathic training; 3 |
---|
234 | 234 | | (6) Prescribe, administer, dispense, and order food, extracts of 4 |
---|
235 | 235 | | food, nutraceuticals, vitamins, amino acids, minerals, enzymes, botanicals 5 |
---|
236 | 236 | | and their extracts, botanical medicines, homeopathic medicines, all dietary 6 |
---|
237 | 237 | | supplements, and nonprescription drugs as defined by the Federal Food, Drug, 7 |
---|
238 | 238 | | and Cosmetic Act, 21 U.S.C. § 301 et seq.; 8 |
---|
239 | 239 | | (7) Prescribe, administer, dispense, and order: 9 |
---|
240 | 240 | | (A) A legend drug as defined under § 20 -64-503; and 10 |
---|
241 | 241 | | (B) A drug listed within Schedules III - V; 11 |
---|
242 | 242 | | (8) Administer intramuscular, intravenous, subcutaneous, intra -12 |
---|
243 | 243 | | articular, and intradermal injections of substances appropriate to 13 |
---|
244 | 244 | | naturopathic medicine; 14 |
---|
245 | 245 | | (9) Use routes of administration that include oral, nasal, 15 |
---|
246 | 246 | | auricular, ocular, rectal, vaginal, transdermal, intradermal, subcutaneous, 16 |
---|
247 | 247 | | intravenous, intra-articular, and intramuscular consistent with the education 17 |
---|
248 | 248 | | and training of a naturopathic physician; 18 |
---|
249 | 249 | | (10) Perform naturopathic physical medicine; 19 |
---|
250 | 250 | | (11) Employ the use of naturopathic therapy; 20 |
---|
251 | 251 | | (12) Use therapeutic devices, barrier contraception, 21 |
---|
252 | 252 | | intrauterine devices, hormonal and pharmaceutical contraception, and durable 22 |
---|
253 | 253 | | medical equipment; and 23 |
---|
254 | 254 | | (13) Perform minor office procedures. 24 |
---|
255 | 255 | | 25 |
---|
256 | 256 | | 17-95-1207. Prohibitions. 26 |
---|
257 | 257 | | A naturopathic physician shall not: 27 |
---|
258 | 258 | | (1) Perform surgery outside of the scope of minor office 28 |
---|
259 | 259 | | procedures permitted in the employment of naturopathic therapy; 29 |
---|
260 | 260 | | (2) Use general or spinal anesthetics; 30 |
---|
261 | 261 | | (3) Administer ionizing radioactive substances for therapeutic 31 |
---|
262 | 262 | | purposes; 32 |
---|
263 | 263 | | (4) Perform a surgical procedure: 33 |
---|
264 | 264 | | (A) Using a laser device; or 34 |
---|
265 | 265 | | (B) Involving any of the following areas of the body that 35 |
---|
266 | 266 | | extend beyond superficial tissue: 36 SB117 |
---|
267 | 267 | | |
---|
268 | 268 | | 8 01/27/2025 2:33:18 PM JMB077 |
---|
269 | 269 | | (i) Eye; 1 |
---|
270 | 270 | | (ii) Ear; 2 |
---|
271 | 271 | | (iii) Tendon; 3 |
---|
272 | 272 | | (iv) Nerves; 4 |
---|
273 | 273 | | (v) Veins; or 5 |
---|
274 | 274 | | (vi) Artery; 6 |
---|
275 | 275 | | (5) Perform a surgical abortion; 7 |
---|
276 | 276 | | (6) Treat any lesion suspected of malignancy or requiring 8 |
---|
277 | 277 | | surgical removal; or 9 |
---|
278 | 278 | | (7) Perform acupuncture. 10 |
---|
279 | 279 | | 11 |
---|
280 | 280 | | 17-95-1208. License expiration and renewal — Denial and revocation — 12 |
---|
281 | 281 | | Continuing education. 13 |
---|
282 | 282 | | (a) A license issued or renewed under this subchapter shall expire two 14 |
---|
283 | 283 | | (2) years following its issuance or last renewal. 15 |
---|
284 | 284 | | (b) The Arkansas State Medical Board may renew the license of any 16 |
---|
285 | 285 | | naturopathic physician who, upon the expiration of his or her license: 17 |
---|
286 | 286 | | (1) Has submitted an application for renewal; 18 |
---|
287 | 287 | | (2) Has paid the renewal fee established by rules of the board; 19 |
---|
288 | 288 | | (3) Meets the qualifications for licensure under this subchapter 20 |
---|
289 | 289 | | and rules of the board; and 21 |
---|
290 | 290 | | (4) Meets the continuing education requirements established by 22 |
---|
291 | 291 | | the board. 23 |
---|
292 | 292 | | (c) The board shall grant an opportunity for a hearing to applicants 24 |
---|
293 | 293 | | and licensees for whom the board intends to refuse to issue or renew a 25 |
---|
294 | 294 | | license, or whose license the board proposes to revoke or suspend. 26 |
---|
295 | 295 | | 27 |
---|
296 | 296 | | 17-95-1209. Display of license. 28 |
---|
297 | 297 | | A naturopathic physician shall display his or her license in the his or 29 |
---|
298 | 298 | | her place of business in a location clearly visible to his or her patients 30 |
---|
299 | 299 | | and shall also display evidence of the naturopathic physician having 31 |
---|
300 | 300 | | completed an approved naturopathic medical school 32 |
---|
301 | 301 | | 33 |
---|
302 | 302 | | 17-95-1210. Referral requirement. 34 |
---|
303 | 303 | | A naturopathic physician shall refer to a physician licensed to 35 |
---|
304 | 304 | | practice in the state any patient whose medical condition is determined, at 36 SB117 |
---|
305 | 305 | | |
---|
306 | 306 | | 9 01/27/2025 2:33:18 PM JMB077 |
---|
307 | 307 | | the time of evaluation or treatment, to be beyond the scope of practice of 1 |
---|
308 | 308 | | the naturopathic physician. 2 |
---|
309 | 309 | | 3 |
---|
310 | 310 | | 17-95-1211. Title protection. 4 |
---|
311 | 311 | | (a) A licensee shall use the title "naturopathic physician" or 5 |
---|
312 | 312 | | "naturopathic doctor" and the recognized abbreviation "N.D.". 6 |
---|
313 | 313 | | (b) A licensee has the exclusive right to use the following terms in 7 |
---|
314 | 314 | | reference to the licensee's self: 8 |
---|
315 | 315 | | (1) "Naturopathic physician"; 9 |
---|
316 | 316 | | (2) "Naturopathic doctor"; 10 |
---|
317 | 317 | | (3) "Doctor of naturopathic medicine"; 11 |
---|
318 | 318 | | (4) "Doctor of naturopathy"; 12 |
---|
319 | 319 | | (5) "N.D."; 13 |
---|
320 | 320 | | (6) "ND"; 14 |
---|
321 | 321 | | (7) "NMD"; and 15 |
---|
322 | 322 | | (8) "N.M.D.". 16 |
---|
323 | 323 | | (c) An individual represents the individual's self to be a 17 |
---|
324 | 324 | | naturopathic physician or a naturopathic doctor when the individual uses or 18 |
---|
325 | 325 | | adopts any of the terms in subdivisions (b)(1) -(8) of this section in 19 |
---|
326 | 326 | | reference to the individual's self. 20 |
---|
327 | 327 | | (d)(1) An individual shall not represent the individual's self to the 21 |
---|
328 | 328 | | public as a naturopathic physician, naturopathic doctor, a doctor of 22 |
---|
329 | 329 | | naturopathic medicine, or a doctor of naturopathy, or as being otherwise 23 |
---|
330 | 330 | | authorized to practice naturopathic medicine in the state, unless the 24 |
---|
331 | 331 | | individual is licensed under this subchapter. 25 |
---|
332 | 332 | | (2) An individual who is not licensed under this subchapter is 26 |
---|
333 | 333 | | guilty of a Class A misdemeanor if he or she: 27 |
---|
334 | 334 | | (A) Holds himself or herself out as a naturopathic 28 |
---|
335 | 335 | | physician or naturopathic doctor; 29 |
---|
336 | 336 | | (B) Uses any combination or abbreviation of the term 30 |
---|
337 | 337 | | "naturopathic physician" or "naturopathic doctor" indicating or implying that 31 |
---|
338 | 338 | | he or she is a naturopathic physician or naturopathic doctor; or 32 |
---|
339 | 339 | | (C) Acts as a naturopathic physician without being 33 |
---|
340 | 340 | | licensed by the Arkansas State Medical Board. 34 |
---|
341 | 341 | | 35 |
---|
342 | 342 | | 17-95-1212. Approved naturopathic medical school 36 SB117 |
---|
343 | 343 | | |
---|
344 | 344 | | 10 01/27/2025 2:33:18 PM JMB077 |
---|
345 | 345 | | (a) With the advice and consent of the Naturopathic Physician Advisory 1 |
---|
346 | 346 | | Committee, the Arkansas State Medical Board shall establish, by rule, 2 |
---|
347 | 347 | | guidelines for an approved naturopathic medical school and specifications for 3 |
---|
348 | 348 | | the education of naturopathic physicians in this state. 4 |
---|
349 | 349 | | (b) The guidelines established under subsection (a) of this section 5 |
---|
350 | 350 | | shall include that the approved naturopathic medical school shall require at 6 |
---|
351 | 351 | | a minimum: 7 |
---|
352 | 352 | | (1) Graduation from: 8 |
---|
353 | 353 | | (A) A naturopathic medical education program in the United 9 |
---|
354 | 354 | | States providing the degree of Doctor of Naturopathy or Doctor of 10 |
---|
355 | 355 | | Naturopathic Medicine, that: 11 |
---|
356 | 356 | | (i) Offers graduate -level, full-time didactic, and 12 |
---|
357 | 357 | | supervised clinical training; 13 |
---|
358 | 358 | | (ii) Is accredited or has achieved candidacy status 14 |
---|
359 | 359 | | for accreditation by the Council on Naturopathic Medical Education or an 15 |
---|
360 | 360 | | equivalent federally recognized accrediting body for naturopathic medical 16 |
---|
361 | 361 | | programs also recognized by the Arkansas State Medical Board; and 17 |
---|
362 | 362 | | (iii) Is an institution of higher education or part 18 |
---|
363 | 363 | | of an institution of higher education that is either accredited or is a 19 |
---|
364 | 364 | | candidate for accreditation by a regional or national institutional 20 |
---|
365 | 365 | | accrediting agency recognized by the United States Secretary of Education; 21 |
---|
366 | 366 | | (B) A degree-granting institution of higher education 22 |
---|
367 | 367 | | that, before the existence of the Council on Naturopathic Medical Education, 23 |
---|
368 | 368 | | offered a full-time, structured curriculum in basic sciences and supervised 24 |
---|
369 | 369 | | patient care comprising a doctoral naturopathic medical education requiring 25 |
---|
370 | 370 | | not less than one hundred thirty -two (132) weeks of coursework to be 26 |
---|
371 | 371 | | completed within a period of not less than thirty -five (35) months, that was 27 |
---|
372 | 372 | | reputable and in good standing in the judgment of the Arkansas State Medical 28 |
---|
373 | 373 | | Board and which, if still in existence, has current programmatic 29 |
---|
374 | 374 | | accreditation by the Council on Naturopathic Medical Education or a federally 30 |
---|
375 | 375 | | recognized equivalent accrediting agency; 31 |
---|
376 | 376 | | (C) A diploma-granting, degree-equivalent institution of 32 |
---|
377 | 377 | | higher education located in Canada that, before the existence of the Council 33 |
---|
378 | 378 | | on Naturopathic Medical Education, had provincial approval for participation 34 |
---|
379 | 379 | | in government- funded student aid programs, offered a full -time, structured 35 |
---|
380 | 380 | | curriculum in basic sciences and supervised patient care comprising a 36 SB117 |
---|
381 | 381 | | |
---|
382 | 382 | | 11 01/27/2025 2:33:18 PM JMB077 |
---|
383 | 383 | | doctoral naturopathic medical education requiring not less than one hundred 1 |
---|
384 | 384 | | thirty-two (132) weeks of coursework to be completed within a period of not 2 |
---|
385 | 385 | | less than thirty (30) months, was reputable and in good standing in the 3 |
---|
386 | 386 | | judgment of the Arkansas State Medical Board, and, if still in existence, has 4 |
---|
387 | 387 | | current programmatic accreditation by the Council on Naturopathic Medical 5 |
---|
388 | 388 | | Education or a federally recognized equivalent accrediting agency, and 6 |
---|
389 | 389 | | currently has provincial approval for participation in government -funded 7 |
---|
390 | 390 | | student aid programs; or 8 |
---|
391 | 391 | | (D) A diploma-granting, degree-equivalent institution of 9 |
---|
392 | 392 | | higher education located in Canada that has provincial approval for 10 |
---|
393 | 393 | | participation in government -funded student aid programs, offers graduate -11 |
---|
394 | 394 | | level, full-time didactic, and supervised clinical training, and is 12 |
---|
395 | 395 | | accredited or has achieved candidacy status for accreditation by the Council 13 |
---|
396 | 396 | | on Naturopathic Medical Education or an equivalent federally recognized 14 |
---|
397 | 397 | | accrediting body for naturopathic medical programs also recognized by the 15 |
---|
398 | 398 | | Arkansas State Medical Board; and 16 |
---|
399 | 399 | | (2) Successful completion of a competency -based national 17 |
---|
400 | 400 | | naturopathic medicine licensing examination administered by the North 18 |
---|
401 | 401 | | American Board of Naturopathic Examiners, or an equivalent agency recognized 19 |
---|
402 | 402 | | by the Arkansas State Medical Board, or, for graduates of approved 20 |
---|
403 | 403 | | naturopathic medical programs in the United States before the existence of 21 |
---|
404 | 404 | | the Council on Naturopathic Medical Education, a competency -based state 22 |
---|
405 | 405 | | naturopathic medicine licensing examination, or equivalent Canadian 23 |
---|
406 | 406 | | provincial licensing examination for the practice of naturopathic medicine 24 |
---|
407 | 407 | | approved by the Arkansas State Medical Board. 25 |
---|
408 | 408 | | 26 |
---|
409 | 409 | | 17-95-1213. Naturopathic Physician Advisory Committee — Creation — 27 |
---|
410 | 410 | | Powers and duties. 28 |
---|
411 | 411 | | (a)(1) The Naturopathic Physician Advisory Committee is created as an 29 |
---|
412 | 412 | | advisory committee to the Arkansas State Medical Board. 30 |
---|
413 | 413 | | (2) The committee shall advise the board regarding: 31 |
---|
414 | 414 | | (A) Licensure of naturopathic physicians; and 32 |
---|
415 | 415 | | (B) The board's approval of matters relating to the 33 |
---|
416 | 416 | | training and licensure of naturopathic physicians. 34 |
---|
417 | 417 | | (b)(1) On or before October 1, 2025, the board shall appoint an 35 |
---|
418 | 418 | | initial committee of one (1) member for a term of four (4) years and two (2) 36 SB117 |
---|
419 | 419 | | |
---|
420 | 420 | | 12 01/27/2025 2:33:18 PM JMB077 |
---|
421 | 421 | | members for terms of three (3) years each. 1 |
---|
422 | 422 | | (2) The initial committee shall consist of three (3) voting 2 |
---|
423 | 423 | | members as follows: 3 |
---|
424 | 424 | | (A) Two (2) licensed naturopathic physicians who are 4 |
---|
425 | 425 | | members of the Arkansas Naturopathic Physician's Association, Inc.; and 5 |
---|
426 | 426 | | (B) One (1) member who is a resident of the state who is 6 |
---|
427 | 427 | | not, and never has been, a licensed healthcare practitioner and who does not 7 |
---|
428 | 428 | | have an interest in naturopathic education, naturopathic medicine, or 8 |
---|
429 | 429 | | naturopathic business or practice. 9 |
---|
430 | 430 | | (3) On the expiration of the terms of the initial committee 10 |
---|
431 | 431 | | members, the board shall appoint successors for terms of four (4) years each 11 |
---|
432 | 432 | | as follows: 12 |
---|
433 | 433 | | (A) Two (2) naturopathic physicians licensed under this 13 |
---|
434 | 434 | | subchapter; and 14 |
---|
435 | 435 | | (B) One (1) member who is a resident of the state who is 15 |
---|
436 | 436 | | not, and never has been, a licensed healthcare practitioner and who does not 16 |
---|
437 | 437 | | have an interest in naturopathic education, naturopathic medicine, or 17 |
---|
438 | 438 | | naturopathic business or practice. 18 |
---|
439 | 439 | | (c)(1) On or before October 1, 2025, the board shall call the first 19 |
---|
440 | 440 | | meeting of the committee, at which meeting members shall elect a chair. 20 |
---|
441 | 441 | | (2) By January 1, 2026, and at least once during each calendar 21 |
---|
442 | 442 | | quarter thereafter, the committee shall hold a meeting at the call of the 22 |
---|
443 | 443 | | chair. 23 |
---|
444 | 444 | | (3) The committee may hold additional meetings at the call of 24 |
---|
445 | 445 | | the chair or at the written request of any two (2) members of the committee. 25 |
---|
446 | 446 | | (d) Vacancies on the committee shall be filled by the board from a 26 |
---|
447 | 447 | | list of not fewer than three (3) candidates provided by the Arkansas 27 |
---|
448 | 448 | | Naturopathic Physician's Association, Inc. 28 |
---|
449 | 449 | | (e) A majority of the committee membership shall constitute a quorum. 29 |
---|
450 | 450 | | (f) At the discretion of the board, members of the committee may 30 |
---|
451 | 451 | | receive expense reimbursement under § 25 -16-902. 31 |
---|
452 | 452 | | (g) The committee shall develop guidelines for the board to consider 32 |
---|
453 | 453 | | for rulemaking with regard to: 33 |
---|
454 | 454 | | (1) Regulating the licensure of naturopathic physicians and 34 |
---|
455 | 455 | | determining the hours of continuing education units required for maintaining 35 |
---|
456 | 456 | | licensure as a naturopathic physician; 36 SB117 |
---|
457 | 457 | | |
---|
458 | 458 | | 13 01/27/2025 2:33:18 PM JMB077 |
---|
459 | 459 | | (2) Prescribing the manner in which records of examinations and 1 |
---|
460 | 460 | | treatments shall be kept and maintained; 2 |
---|
461 | 461 | | (3) Establishing: 3 |
---|
462 | 462 | | (A) Standards for professional responsibility and conduct; 4 |
---|
463 | 463 | | (B) Criteria for advertising or promotional materials; 5 |
---|
464 | 464 | | (C) Continuing education hours and content; 6 |
---|
465 | 465 | | (D) Standards for the state jurisprudence examination; 7 |
---|
466 | 466 | | (E) Schedules for providing licensing examinations and for 8 |
---|
467 | 467 | | the issuance of examination results; 9 |
---|
468 | 468 | | (F) Procedures and standards for reviewing licensing 10 |
---|
469 | 469 | | examination scores; 11 |
---|
470 | 470 | | (G) Procedures for reviewing transcripts demonstrating 12 |
---|
471 | 471 | | completion of the approved naturopathic medical school; 13 |
---|
472 | 472 | | (H) Requirements for issuance and renewal of licenses; and 14 |
---|
473 | 473 | | (I) Any other matter necessary to implement this 15 |
---|
474 | 474 | | subchapter; 16 |
---|
475 | 475 | | (4) Identifying disciplinary actions and circumstances that 17 |
---|
476 | 476 | | require disciplinary action; 18 |
---|
477 | 477 | | (5) Developing a means to provide information to all 19 |
---|
478 | 478 | | naturopathic physicians in the state; 20 |
---|
479 | 479 | | (6) Providing for: 21 |
---|
480 | 480 | | (A) The investigation of complaints against naturopathic 22 |
---|
481 | 481 | | physicians or persons holding themselves out as naturopathic physicians in 23 |
---|
482 | 482 | | the state; 24 |
---|
483 | 483 | | (B) The publication of information for the public about 25 |
---|
484 | 484 | | naturopathic physicians and the practice of naturopathic medicine in the 26 |
---|
485 | 485 | | state; and 27 |
---|
486 | 486 | | (C) An orderly process for reinstatement of a license; and 28 |
---|
487 | 487 | | (7) Creating and maintaining a list of approved naturopathic 29 |
---|
488 | 488 | | medical schools that meet statutory requirements under this subchapter. 30 |
---|
489 | 489 | | 31 |
---|
490 | 490 | | SECTION 2. DO NOT CODIFY. TEMPORARY LANGUAGE. Issuance of first 32 |
---|
491 | 491 | | licenses. 33 |
---|
492 | 492 | | On or before December 1, 2025, the Arkansas State Medical Board shall 34 |
---|
493 | 493 | | issue licenses to those applicants who have met the requirements of this act 35 |
---|
494 | 494 | | and board rules promulgated in accordance with this act. 36 |
---|