HB91--NATUROPTHICLICENSURE SPONSOR: Griffith Thisbillestablishesthe"NaturopathicPracticeAct"anddefines theterms,scope,andrequirementsforthepracticeofnaturopathic medicine. Thebillcreatesa"BoardofNaturopathicMedicine"consistingof fivemembersappointedbytheGovernor. TheBoardmustincludethe following: (1)Threenaturopathicdoctors; (2)Onephysician;and (3)OneregisteredvoterwhohaslivedintheStateforoneyear. TheBoardiscreatedwithintheDivisionofProfessional Registration,withintheDepartmentofCommerceandInsurance,to regulatethelicensureanddisciplineofnaturopathicdoctors. Thisbillcreatesthe"BoardofNaturopathicMedicineFund". MoneysintheFundconsistoffeesauthorizedtobechargedbythe Board.TheFundwillbeusedforthepaymentofexpensesof maintainingtheBoardandforenforcingprovisionsconcerningthe practiceofnaturopathicmedicine. Alicenseemaypracticenaturopathicmedicinetoprovideprimary careinalignmentwithnaturopathicmedicaleducation,asspecified inthebillandincludes: (1)Takingandrecordingapatient'shealthhistory; (2)Performingphysicalexaminations; (3)Performingvenipuncture; (4)Ordering,butnotinterpreting,radiographyexaminations; (5)Performinglaboratorymedicine; (6)Obtainingsamplesofhumantissues,exceptsurgicalexcision beyondsurgicalexcisionthisisauthorizedasaminoroffice procedure; (7)Administering, dispensing,andorderingnaturopathic therapies; (8)Recommending,prescribing,administering, dispensing,and ordering:alllegenddrugsandover-the-counterdrugs;controlled substanceswithinSchedulesIII,IV,andVofSection195.017,RSMo, excludingallopioidsandopioidderivatives;anddurablemedical equipmentanddevices; (9)Administeringsubstancesauthorizedforintradermal, subcutaneous,intramuscular, intravenous,ligamentous,tendinous, periarticular, intra-articular,intravaginal,andintrauterine administration consistentwiththeeducationandtrainingofa naturopathicdoctor; (10)Performingnaturopathicphysicalmedicine; (11)Recommending,ordering,andusingtherapeuticdevices; (12)Recommending,ordering,andusingbarriercontraceptionand contraceptivedevices,includingintrauterinedevices; (13)Performingminorofficeprocedures; (14)Providingbiofeedbackandneurofeedbacktherapies;and (15)Providinghealthcarecounseling,nutritionalcounseling,and dietarytherapy. Anaturopathicdoctormustrecordeachprescriptionorderin writing,haveexperiencemanagingamedicalregimen,andregister withtheUnitedStatesDrugEnforcementAdministration (DEA)in ordertoprescribecontrolledsubstances. Anaturopathicdoctormustrefertoaphysiciananypatientwhose medicalconditionisbeyondthescopeofpracticeofthe naturopathicdoctor. Thequalifications, fees,examinations,andrenewalproceduresfor obtainingandmaintainingalicensetopracticenaturopathic medicine,aswellastheprohibitedactsandgroundsfor disciplinaryactionareoutlinedinthebill. ThisbillissimilartoHCSHB2446(2024).