SLS 12RS-1397 ENGROSSED Page 1 of 6 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2012 SENATE BILL NO. 637 (Substitute of Senate Bill No. 83 by Senator Murray) BY SENATOR MURRAY HEALTH SERVICES. Amends the Polysomnographic Practice Act. (8/1/12) AN ACT1 To amend and reenact R.S. 37:2862(7) through (12), 2864(C), (D), and (E), 2865(A) and2 (C), 2866(A) and (C), and 2870(A)(1), to enact R.S. 37:2865(E), 2866(D), and3 2869(A)(3), and to repeal R.S. 37:2864(F), relative to Polysomnographic Practice4 Act; to provide for definitions; to remove term limits on the advisory committee5 members; to provide for technologist; to provide for technicians; to provide with6 respect to exemptions from state licensure and permit requirements; to provide for7 prohibitions; and to provide for related matters.8 Be it enacted by the Legislature of Louisiana:9 Section 1. R.S. 37:2862(7) through (12), 2864(C), (D), and (E), 2865(A) and (C),10 2866(A) and (C), and 2870(A)(1) are hereby amended and reenacted and R.S. 37:2865(E),11 2866(D), and 2869(A)(3) are hereby enacted to read as follows:12 §2862. Definitions13 The following terms shall have the following meanings, unless otherwise14 specified:15 * * *16 (7) "Individual-in-training" means an individual who enters the field of17 SB NO. 637 SLS 12RS-1397 ENGROSSED Page 2 of 6 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. polysomnographic technology after January 1, 2006, who must work under the1 direction and supervision of a registered polysomnographic technologist or the2 medical director of a sleep center or laboratory and is working towards BRPT3 registry or completion of a CAAHEP accredited program in polysomnography, or4 both. This Paragraph shall be null and cease to have effect after January 1, 2011.5 (8) (7) "Louisiana State Board of Medical Examiners" means that6 organization agency established in R.S. 37:1263.7 (9) (8) "Physician" means an individual licensed by the Louisiana State Board8 of Medical Examiners.9 (10) (9) "Polysomnography" means the performance of sleep diagnostics10 under the direction and supervision of a physician to provide comprehensive clinical11 evaluation.12 (11) (10) "Polysomnographic technician" or "permit technician" means a13 registry eligible allied health professional who has completed an accredited14 CAAHEP educational program in polysomnography.15 (12) (11) "Polysomnographic technologist" or "technologist" means an allied16 health professional who is credentialed by the Board of Polysomnographic17 Technologists to perform both diagnostic and therapeutic polysomnograms under the18 direction and supervision of a physician holds a license to practice19 polysomnographic technology issued by the Louisiana State Board of Medical20 Examiners.21 (13) (12) "Polysomnographic technology" means the allied health specialty22 practiced under the direction and supervision of a physician involving the attended23 monitoring and testing of individuals suffering from any sleep disorders as classified24 in the International Classification of Sleep Disorders. Such procedures include but25 are not limited to the following, conducted only upon written prescription or verbal26 order of a physician and under his direction and supervision:27 (a) Application of electrodes and apparatus necessary to monitor and evaluate28 sleep disturbances, including application of devices which allow a physician to29 SB NO. 637 SLS 12RS-1397 ENGROSSED Page 3 of 6 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. diagnose sleep disorders, which disorders include sleep breathing disorders,1 movement disorders, disorders of excessive somnolence, and physiologic impotence.2 (b) Institution of any type of physiologic monitoring applicable to3 polysomnography.4 (c) Initiation of treatment changes and testing techniques required for the5 implementation of polysomnographic protocols under the supervision and direction6 of a physician.7 * * *8 §2864. Advisory Committee on Polysomnography; creation9 * * *10 C. Three members shall serve an initial term of one year; three shall serve an11 initial term of two years; and all others shall serve an initial term of three years as12 determined by lot conducted at the first meeting of the board. After the initial terms13 have expired, members shall serve for three-year terms.14 D C. A majority of the members of the committee shall elect a chairman.15 E D. The committee shall meet no less than quarterly annually at a time and16 place to be determined by the chairman of the committee. A majority of the members17 of the committee shall constitute a quorum for the transaction of all business.18 F E. Each member shall serve without compensation but shall be reimbursed19 for travel expenses incurred during attendance at meetings of the committee and20 other expenses incurred on business of the committee. Such compensation shall be21 paid from funds derived from fees as provided in R.S. 37:2868.22 §2865. Technologist; qualifications for license; renewal; reciprocity; title23 A. In order to obtain a polysomnographic technologist license, an applicant24 shall demonstrate all of the following to the Louisiana State Board of Medical25 Examiners:26 (1) He The applicant is of good moral character.27 (2) He The applicant has current credentials as a registered28 polysomnographic technologist granted by the Board of Registered29 SB NO. 637 SLS 12RS-1397 ENGROSSED Page 4 of 6 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Polysomnographic Technologists or equivalent organization and approved by the1 Louisiana State Board of Medical Examiners.2 (3) After July 1, 2017, the following requirements shall also be met:3 (a) The applicant has graduated from a CAAHEP accredited program.4 (b) The applicant has taken an examination that is administered as a5 component of a certification program that is accredited by the National6 Commission for Certifying Agencies, the American National Standards7 Institute, or other national accrediting organizations approved by the8 Louisiana State Board of Medical Examiners.9 (4) The applicant satisfies such other procedures and requirements as the10 Louisiana State Board of Medical Examiners may require.11 * * *12 C. A polysomnographic technologist who submits a license renewal13 application after January, 2006, shall have completed, in the prior twelve months, at14 least ten hours or units of continuing education courses sanctioned by the Advisory15 Committee on Polysomnography and approved by the Louisiana State Board of16 Medical Examiners.17 * * *18 E. A license shall entitle the individual to use the title "polysomnographic19 technologist", "technologist", or "permit technician", or the initials "PSGT".20 §2866. Technicians; qualifications for permit; renewal21 A. The Louisiana State Board of Medical Examiners may issue a permit to22 an individual to practice as a polysomnographic technician who has applied for23 the BRPT examination. The permit shall be valid for twelve months until the date on24 which the results of the qualifying examination are known and acted upon by the25 Louisiana State Board of Medical Examiners.26 * * *27 C. The permit shall entitle the individual to use the title "polysomnographic28 technician" or "permit technician", or the initials "PSGT-E".29 SB NO. 637 SLS 12RS-1397 ENGROSSED Page 5 of 6 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. * * *1 §2869. Individuals and practices not affected2 A. Nothing in this Chapter shall be construed as prohibiting, preventing, or3 restricting the practice, services, or activities of:4 * * *5 (3) Any individual pursuing a course of study in an accredited CAAHEP6 polysomnographic technology education program for performing a7 polysomnography procedure or service, provided both of the following8 conditions are met:9 (a) The polysomnographic procedure or service is within the individual's10 course of study.11 (b)The polysomnography procedure or service is performed under the12 direct supervision of a physician or a registered polysomnographic technologists13 who is physically present in the area where such a polysomnographic procedure14 or service is being performed and is available to furnish assistance and direction15 throughout the polysomnography procedure or service.16 * * *17 §2870. Prohibitions18 A.(1) On or after January 1, 2006, no No individual shall engage or attempt19 to engage in the practice of polysomnography or perform or attempt to perform20 polysomnograms, unless he holds a license issued by the Louisiana State Board of21 Medical Examiners in accordance with the provisions of this Chapter.22 * * *23 Section 2. R.S. 37:2864(F) is hereby repealed.24 The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST Murray (SB 637) Present law provides for the Polysomnographic Practice Act. Proposed law deletes the definition of "individual-in-training" and amends the definition of SB NO. 637 SLS 12RS-1397 ENGROSSED Page 6 of 6 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. polysomnographic technologist" or "technologist" to mean an allied health professional who holds a license to practice polysomnographic technology issued by the Louisiana State Board of Medical Examiners. Proposed law deletes term limits for members of the Advisory Committee on Polysomnography and amends present law to change the meeting requirement from quarterly to annually. Proposed law provides additional requirements for a technologist applicant to meet after July 1, 2017: 1. The applicant has graduated from a CAAHEP accredited program. 2. The applicant has taken an examination that is administered as a component of a certification program that is accredited by the National Commission for Certifying Agencies, the American National Standards Institute, or other national accrediting organizations approved by the Louisiana State Board of Medical Examiners. Proposed law further provides that the applicant satisfy such other procedures and requirements as the Louisiana State Board of Medical Examiners may require. Proposed law provides use of title for technologists. Proposed law retains present law regarding exemptions to the Polysomnographic Practice Act and adds an additional exemption for an individual who is pursuing a course of study in an accredited CAAHEP polysomnographic technology education program, provided both of the following are met: 1. The procedure or service is part of the individual's course of study. 2. A physician or registered polysomnographic technologist is physically present for the procedure and available to provide assistance and direction. Proposed law provides no individual shall engage or attempt to engage in the practice of polysomnography or perform or attempt to perform polysomnograms, unless he holds a license issued by the Louisiana State Board of Medical Examiners in accordance with the provisions of this Chapter. Effective August 1, 2012. (Amends R.S. 37:2862(7) through (12), 2864(C), (D), and (E), 2865(A) and (C), 2866(A) and (C), and 2870(A)(1); adds R.S. 37:2865(E), 2866(D), and 2869(A)(3); and repeals R.S. 37:2864(F))