Georgia 2023-2024 Regular Session

Georgia House Bill HB1264 Compare Versions

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1-24 LC 36 5869S
2-The Senate Committee on Regulated Industries and Utilities offered the following
3-substitute to HB 1264:
1+24 LC 54 0353
2+House Bill 1264
3+By: Representatives Stephens of the 164
4+th
5+, Jones of the 47
6+th
7+, Jones of the 25
8+th
9+, Erwin of the
10+32
11+nd
12+, Clark of the 100
13+th
14+, and others
415 A BILL TO BE ENTITLED
516 AN ACT
6-To amend Title 43 of the Official Code of Georgia Annotated, relating to professions and1
7-businesses, so as to provide certain licensure requirements and programs for certain2
8-healthcare professionals; to authorize the Georgia Composite Board of Professional3
9-Counselors, Social Workers, and Marriage and Family Therapists to establish a professional4
10-health program to provide for monitoring and rehabilitation of impaired healthcare5
11-professionals; to authorize the Georgia Board of Nursing to establish a professional health6
12-program to provide for monitoring and rehabilitation of impaired healthcare professionals;7
13-to provide for funding or gifts in kind; to provide for licensure of certain qualifying foreign8
14-medical graduates; to provide for a nonrenewable limited provisional license under certain9
15-conditions; to provide for a renewable restricted license under certain conditions; to provide10
16-for the application for full licensure under certain conditions; to provide for rules and11
17-regulations; to provide for related matters; to repeal conflicting laws; and for other purposes.12
18-BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:13
19-- 1 - 24 LC 36 5869S
20-SECTION 1.14
21-Title 43 of the Official Code of Georgia Annotated, relating to professions and businesses,15
22-is amended in Chapter 10A, relating to professional counselors, social workers, and marriage16
23-and family therapists, by adding a new Code section to read as follows:17
24-"43-10A-24.18
25-(a) As used in this Code section, the term:19
26-(1) 'Entity' means an organization or medical professional association which conducts20
27-professional health programs.21
28-(2) 'Healthcare professional' means any individual licensed, certified, or permitted by the22
29-board under this chapter.23
30-(3) 'Impaired' means the inability of a healthcare professional to practice with reasonable24
31-skill and safety to patients by reason of illness or use of alcohol, drugs, narcotics,25
32-chemicals, or any other type of material, or as a result of any mental or physical26
33-condition.27
34-(4) 'Professional health program' means a program established for the purposes of28
35-monitoring and rehabilitation of impaired healthcare professionals.29
36-(b) The board shall be authorized to conduct a professional health program to provide30
37-monitoring and rehabilitation of impaired healthcare professionals in this state. To this31
38-end, the board shall be authorized to enter into a contract with an entity for the purpose of32
39-establishing and conducting such professional health program, including, but not limited33
40-to:34
41-(1) Monitoring and rehabilitation of impaired healthcare professionals for the purpose35
42-of ensuring the fitness of each such healthcare professional to resume or continue the36
43-practice of his or her healthcare profession while maintaining the safety of the public;37
44-(2) Performing duties related to paragraph (10) of subsection (a) of Code38
45-Section 43-10A-17; and39
46-(3) Performing such other related activities as determined by the board.40
47-- 2 - 24 LC 36 5869S
48-(c) Notwithstanding subsection (k) of Code Section 43-1-2 and Code Section 43-10A-17,41
49-the board shall be authorized to provide pertinent information regarding healthcare42
50-professionals, as determined by the board and in its sole discretion, to an entity for its43
51-purposes in conducting a professional health program pursuant to this Code section.44
52-(d) All information, interviews, reports, statements, memoranda, or other documents45
53-furnished to an entity by the board or other source or produced by an entity and any46
54-findings, conclusions, recommendations, or reports resulting from the monitoring or47
55-rehabilitation of healthcare professionals pursuant to this Code section are declared to be48
56-privileged and confidential and shall not be subject to Article 4 of Chapter 18 of Title 50,49
57-relating to open records. All such records of an entity shall be confidential and shall be50
58-used by such entity and its employees and agents only in the exercise of the proper function51
59-of the entity pursuant to its contract with the board. Such information, interviews, reports,52
60-statements, memoranda, or other documents furnished to or produced by an entity and any53
61-findings, conclusions, recommendations, or reports resulting from the monitoring or54
62-rehabilitation of healthcare professionals shall not be available for court subpoenas or for55
63-discovery proceedings.56
64-(e) An impaired healthcare professional who participates in a professional health program57
65-conducted pursuant to this Code section shall bear all costs associated with such58
66-participation.59
67-(f) Any entity that contracts with the board pursuant to this Code section shall be immune60
68-from any liability, civil or criminal, that might otherwise be incurred or imposed for the61
69-performance of any functions or duties under the contract, if performed in accordance with62
70-the terms of such contract and the provisions of this Code section.63
71-(g) This Code section shall be subject to appropriation by the General Assembly. The64
72-board may accept and solicit private funding, public grants, in-kind gifts, or any other65
73-funding or donations that may be available to facilitate the purpose of conducting a66
74-professional health program."67
75-- 3 - 24 LC 36 5869S
76-SECTION 2.68
77-Said title is further amended in Chapter 26, relating to nurses, by adding a new article to read69
78-as follows:70
79-"ARTICLE 571
80-43-26-70.72
81-As used in this article, the term:73
82-(1) 'Board' means the Georgia Board of Nursing.74
83-(2) 'Entity' means an organization or medical professional association which conducts75
84-professional health programs.76
85-(3) 'Healthcare professional' means any individual licensed, certified, or permitted by the77
86-board under this chapter.78
87-(4) 'Impaired' means the inability of a healthcare professional to practice with reasonable79
88-skill and safety to patients by reason of illness or use of alcohol, drugs, narcotics,80
89-chemicals, or any other type of material, or as a result of any mental or physical81
90-condition.82
91-(5) 'Professional health program' means a program established for the purposes of83
92-monitoring and rehabilitation of impaired healthcare professionals.84
93-43-26-71.85
94-(a) The board shall be authorized to conduct a professional health program to provide86
95-monitoring and rehabilitation of impaired healthcare professionals in this state. To this87
96-end, the board shall be authorized to enter into a contract with an entity for the purpose of88
97-establishing and conducting such professional health program, including, but not limited89
98-to:90
99-- 4 - 24 LC 36 5869S
100-(1) Monitoring and rehabilitation of impaired healthcare professionals for the purpose91
101-of ensuring the fitness of each such healthcare professional to resume or continue the92
102-practice of his or her healthcare profession while maintaining the safety of the public;93
103-(2) Performing duties related to paragraph (2) of Code Section 43-26-11; and94
104-(3) Performing such other related activities as determined by the board.95
105-(b) Notwithstanding subsection (k) of Code Section 43-1-2 and Code Section 43-26-11,96
106-the board shall be authorized to provide pertinent information regarding healthcare97
107-professionals, as determined by the board and in its sole discretion, to an entity for its98
108-purposes in conducting a professional health program pursuant to this Code section.99
109-(c) All information, interviews, reports, statements, memoranda, or other documents100
110-furnished to an entity by the board or other source or produced by an entity and any101
111-findings, conclusions, recommendations, or reports resulting from the monitoring or102
112-rehabilitation of healthcare professionals pursuant to this Code section are declared to be103
113-privileged and confidential and shall not be subject to Article 4 of Chapter 18 of Title 50,104
114-relating to open records. All such records of an entity shall be confidential and shall be105
115-used by such entity and its employees and agents only in the exercise of the proper function106
116-of the entity pursuant to its contract with the board. Such information, interviews, reports,107
117-statements, memoranda, or other documents furnished to or produced by an entity and any108
118-findings, conclusions, recommendations, or reports resulting from the monitoring or109
119-rehabilitation of healthcare professionals shall not be available for court subpoenas or for110
120-discovery proceedings.111
121-43-26-72.112
122-An impaired healthcare professional who participates in a professional health program113
123-conducted pursuant to Code Section 43-26-71 shall bear all costs associated with such114
124-participation.115
125-- 5 - 24 LC 36 5869S
126-43-26-73.116
127-Any entity that contracts with the board pursuant to Code Section 43-26-71 shall be117
128-immune from any liability, civil or criminal, that might otherwise be incurred or imposed118
129-for the performance of any functions or duties under the contract if performed in119
130-accordance with the terms of such contract and the provisions of this article.120
131-43-26-74.121
132-This article shall be subject to appropriation by the General Assembly. The board may122
133-accept and solicit private funding, public grants, in-kind gifts, or any other funding or123
134-donations that may be available to facilitate the purpose of conducting a professional health124
135-program."125
136-SECTION 3.126
137-Said title is further amended in Chapter 34, relating to physicians, physician assistants, and127
138-others, by revising Code Section 43-34-34, relating to limited provisional licenses relative128
139-to physicians, as follows:129
140-"43-34-34.130
141-(a) A person who held a valid provisional license on or before April 16, 1979, shall be able131
142-to renew such license annually without any one-time-only renewal limitation, as long as132
143-such person continues to meet the other requirements specified in this article and does not133
144-otherwise violate this article.134
145-(b) The board may issue a limited provisional license to a physician licensed or otherwise135
146-authorized to practice in a jurisdiction outside of the United States, provided that the board136
147-receives acceptable evidence that the applicant has:137
148-(1) Received a degree of doctor of medicine or its equivalent from an accredited medical138
149-school outside of the United States, has been licensed or otherwise authorized to practice139
150-- 6 - 24 LC 36 5869S
151-medicine in a jurisdiction outside of the United States, and has practiced medicine for at140
152-least three years;141
153-(2) Received a valid certificate issued by the Educational Commission for Foreign142
154-Medical Graduates or other credential evaluation service approved by the board;143
155-provided, however, that the board may waive such certification at its discretion when the144
156-applicant is unable to obtain the required documentation from a noncooperative country;145
157-(3) Achieved a passing score on both Step 1 and Step 2 Clinical Knowledge of the146
158-United States Medical Licensing Examination;147
159-(4) Entered into an agreement for a full-time employment relationship with a hospital148
160-licensed by the Department of Community Health, a board approved medical school, a149
161-teaching hospital within this state, a federally qualified health center, or a clinic within150
162-this state that services Medicaid, indigent, or underserved populations, provided that any151
163-such prospective employing entity shall carry medical malpractice insurance covering152
164-such licensee for the duration of employment; and153
165-(5) Satisfied any other criteria that the board may require for issuance of a limited154
166-provisional license pursuant to this subsection.155
167-(c) The limited provisional license provided for in subsection (b) of this Code section shall156
168-be valid for a period not to exceed two years and shall not be renewed.157
169-(d) A person who holds a current, valid limited provisional license as provided for in158
170-subsection (b) of this Code section for two years shall be eligible to apply for a restricted159
171-license to practice medicine in a designated health professional shortage area or medically160
172-underserved area or with a medically underserved population in this state as determined by161
173-the board. The board may issue such restricted license to an applicant, provided that the162
174-board receives acceptable evidence that the applicant has:163
175-(1) Maintained in good standing a provisional license pursuant to subsection (b) of this164
176-Code section;165
177-- 7 - 24 LC 36 5869S
178-(2) Achieved a passing score on Step 3 of the United States Medical Licensing166
179-Examination; and167
180-(3) Entered into an agreement for a full-time employment relationship with a hospital168
181-licensed by the Department of Community Health, a board approved medical school, a169
182-teaching hospital within this state, a federally qualified health center, or a clinic within170
183-this state that services Medicaid, indigent, or underserved populations, provided that any171
184-such prospective employing entity shall carry medical malpractice insurance covering172
185-such licensee for the duration of employment.173
186-(e) The restricted license provided for in subsection (d) of this Code section shall be valid174
187-for two years and may be renewed.175
188-(f) A person who holds a current, valid restricted license issued pursuant to subsection (d)176
189-of this Code section for two years shall be eligible to apply for a full, unrestricted license177
190-to practice medicine in this state, and the board may establish standards for evaluating such178
191-applications.179
192-(g) A person licensed pursuant to this Code section shall be subject to the rules and180
193-regulations of the board. Any license provided for in this Code section may be granted or181
194-denied at the discretion of the board but shall be subject to revocation by the board after182
195-notice and opportunity for hearing.183
196-(h) The board shall not grant a license under this Code section unless the foreign medical184
197-graduate possesses federal immigration status that allows him or her to practice as a185
198-physician in the United States.186
199-(i) The board shall promulgate rules and regulations necessary to implement the provisions187
200-of this Code section."188
201-SECTION 4.189
202-All laws and parts of laws in conflict with this Act are repealed.190
203-- 8 -
17+To amend Title 43 of the Official Code of Georgia Annotated, relating to professions and
18+1
19+businesses, so as to authorize the Georgia Composite Board of Professional Counselors,2
20+Social Workers, and Marriage and Family Therapists to establish a professional health3
21+program to provide for monitoring and rehabilitation of impaired healthcare professionals;4
22+to authorize the Georgia Board of Nursing to establish a professional health program to5
23+provide for monitoring and rehabilitation of impaired healthcare professionals; to provide for6
24+funding or gifts in kind; to provide for related matters; to repeal conflicting laws; and for7
25+other purposes.8
26+BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:9
27+SECTION 1.10
28+Title 43 of the Official Code of Georgia Annotated, relating to professions and businesses,11
29+is amended in Chapter 10A, relating to professional counselors, social workers, and marriage12
30+and family therapists, by adding a new Code section to read as follows:13
31+H. B. 1264
32+- 1 - 24 LC 54 0353
33+"43-10A-24.14
34+(a) As used in this Code section, the term:15
35+(1) 'Entity' means an organization or medical professional association which conducts16
36+professional health programs.17
37+(2) 'Healthcare professional' means any individual licensed, certified, or permitted by the18
38+board under this chapter.19
39+(3) 'Impaired' means the inability of a healthcare professional to practice with reasonable20
40+skill and safety to patients by reason of illness or use of alcohol, drugs, narcotics,21
41+chemicals, or any other type of material, or as a result of any mental or physical22
42+condition.23
43+(4) 'Professional health program' means a program established for the purposes of24
44+monitoring and rehabilitation of impaired healthcare professionals.25
45+(b) The board shall be authorized to conduct a professional health program to provide26
46+monitoring and rehabilitation of impaired healthcare professionals in this state. To this27
47+end, the board shall be authorized to enter into a contract with an entity for the purpose of28
48+establishing and conducting such professional health program, including, but not limited29
49+to:30
50+(1) Monitoring and rehabilitation of impaired healthcare professionals for the purpose31
51+of ensuring the fitness of each such healthcare professional to resume or continue the32
52+practice of his or her healthcare profession while maintaining the safety of the public;33
53+(2) Performing duties related to paragraph (10) of subsection (a) of Code34
54+Section 43-10A-17; and35
55+(3) Performing such other related activities as determined by the board.36
56+(c) Notwithstanding subsection (k) of Code Section 43-1-2 and Code Section 43-10A-17,37
57+the board shall be authorized to provide pertinent information regarding healthcare38
58+professionals, as determined by the board and in its sole discretion, to an entity for its39
59+purposes in conducting a professional health program pursuant to this Code section.40
60+H. B. 1264
61+- 2 - 24 LC 54 0353
62+(d) All information, interviews, reports, statements, memoranda, or other documents41
63+furnished to an entity by the board or other source or produced by an entity and any42
64+findings, conclusions, recommendations, or reports resulting from the monitoring or43
65+rehabilitation of healthcare professionals pursuant to this Code section are declared to be44
66+privileged and confidential and shall not be subject to Article 4 of Chapter 18 of Title 50,45
67+relating to open records. All such records of an entity shall be confidential and shall be46
68+used by such entity and its employees and agents only in the exercise of the proper function47
69+of the entity pursuant to its contract with the board. Such information, interviews, reports,48
70+statements, memoranda, or other documents furnished to or produced by an entity and any49
71+findings, conclusions, recommendations, or reports resulting from the monitoring or50
72+rehabilitation of healthcare professionals shall not be available for court subpoenas or for51
73+discovery proceedings.52
74+(e) An impaired healthcare professional who participates in a professional health program53
75+conducted pursuant to this Code section shall bear all costs associated with such54
76+participation.55
77+(f) Any entity that contracts with the board pursuant to this Code section shall be immune56
78+from any liability, civil or criminal, that might otherwise be incurred or imposed for the57
79+performance of any functions or duties under the contract, if performed in accordance with58
80+the terms of such contract and the provisions of this Code section.59
81+(g) This Code section shall be subject to appropriation by the General Assembly. The60
82+board may accept and solicit private funding, public grants, in-kind gifts, or any other61
83+funding or donations that may be available to facilitate the purpose of conducting a62
84+professional health program."63
85+SECTION 2.64
86+Said title is further amended in Chapter 26, relating to nurses, by adding a new article to read65
87+as follows:66
88+H. B. 1264
89+- 3 - 24 LC 54 0353
90+"ARTICLE 567
91+43-26-70.68
92+As used in this article, the term:69
93+(1) 'Board' means the Georgia Board of Nursing.70
94+(2) 'Entity' means an organization or medical professional association which conducts71
95+professional health programs.72
96+(3) 'Healthcare professional' means any individual licensed, certified, or permitted by the73
97+board under this chapter.74
98+(4) 'Impaired' means the inability of a healthcare professional to practice with reasonable75
99+skill and safety to patients by reason of illness or use of alcohol, drugs, narcotics,76
100+chemicals, or any other type of material, or as a result of any mental or physical77
101+condition.78
102+(5) 'Professional health program' means a program established for the purposes of79
103+monitoring and rehabilitation of impaired healthcare professionals.80
104+43-26-71.81
105+(a) The board shall be authorized to conduct a professional health program to provide82
106+monitoring and rehabilitation of impaired healthcare professionals in this state. To this83
107+end, the board shall be authorized to enter into a contract with an entity for the purpose of84
108+establishing and conducting such professional health program, including, but not limited85
109+to:86
110+(1) Monitoring and rehabilitation of impaired healthcare professionals for the purpose87
111+of ensuring the fitness of each such healthcare professional to resume or continue the88
112+practice of his or her healthcare profession while maintaining the safety of the public;89
113+(2) Performing duties related to paragraph (2) of Code Section 43-26-11; and90
114+(3) Performing such other related activities as determined by the board.91
115+H. B. 1264
116+- 4 - 24 LC 54 0353
117+(b) Notwithstanding subsection (k) of Code Section 43-1-2 and Code Section 43-26-11,92
118+the board shall be authorized to provide pertinent information regarding healthcare93
119+professionals, as determined by the board and in its sole discretion, to an entity for its94
120+purposes in conducting a professional health program pursuant to this Code section.95
121+(c) All information, interviews, reports, statements, memoranda, or other documents96
122+furnished to an entity by the board or other source or produced by an entity and any97
123+findings, conclusions, recommendations, or reports resulting from the monitoring or98
124+rehabilitation of healthcare professionals pursuant to this Code section are declared to be99
125+privileged and confidential and shall not be subject to Article 4 of Chapter 18 of Title 50,100
126+relating to open records. All such records of an entity shall be confidential and shall be101
127+used by such entity and its employees and agents only in the exercise of the proper function102
128+of the entity pursuant to its contract with the board. Such information, interviews, reports,103
129+statements, memoranda, or other documents furnished to or produced by an entity and any104
130+findings, conclusions, recommendations, or reports resulting from the monitoring or105
131+rehabilitation of healthcare professionals shall not be available for court subpoenas or for106
132+discovery proceedings.107
133+43-26-72.108
134+An impaired healthcare professional who participates in a professional health program109
135+conducted pursuant to Code Section 43-26-71 shall bear all costs associated with such110
136+participation.111
137+43-26-73.112
138+Any entity that contracts with the board pursuant to Code Section 43-26-71 shall be113
139+immune from any liability, civil or criminal, that might otherwise be incurred or imposed114
140+for the performance of any functions or duties under the contract if performed in115
141+accordance with the terms of such contract and the provisions of this article.116
142+H. B. 1264
143+- 5 - 24 LC 54 0353
144+43-26-74.117
145+This article shall be subject to appropriation by the General Assembly. The board may118
146+accept and solicit private funding, public grants, in-kind gifts, or any other funding or119
147+donations that may be available to facilitate the purpose of conducting a professional health120
148+program."121
149+SECTION 3.122
150+All laws and parts of laws in conflict with this Act are repealed.123
151+H. B. 1264
152+- 6 -