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Missouri House Bill HB91

Missouri 2025 Regular Session

Missouri House Bill HB91 Compare Versions

Only one version of the bill is available at this time.
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11 FIRSTREGULARSESSION
22 HOUSEBILLNO.91
33 103RDGENERALASSEMBLY
44 INTRODUCEDBYREPRESENTATIVEGRIFFITH.
55 0554H.01I DANARADEMANMILLER,ChiefClerk
66 ANACT
77 Toamendchapter324,RSMo,byaddingtheretofifteennewsectionsrelatingtonaturopathic
88 medicine.
99 BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
1010 SectionA.Chapter324,RSMo,isamendedbyaddingtheretofifteennewsections,to
1111 2beknownassections324.1900,324.1905,324.1910,324.1915,324.1920,324.1925,
1212 3324.1930,324.1935,324.1940,324.1945,324.1950,324.1955,324.1960,324.1965,and
1313 4324.1970,toreadasfollows:
1414 324.1900.Sections324.1900to324.1970shallbeknownandmaybecitedasthe
1515 2"NaturopathicPracticeAct".
1616 324.1905.Asusedinsections324.1900to324.1970,thefollowingtermsmean:
1717 2 (1)"Approvednaturopathicmedicaleducationprogram",aneducation
1818 3programthattheboardhasapprovedasmeetingtherequirementsofsection
1919 4324.1930andthatpreparesnaturopathicdoctorsforthepracticeofnaturopathic
2020 5medicine;
2121 6 (2)"Board",theboardofnaturopathicmedicine;
2222 7 (3)"Commondiagnosticprocedure",anydiagnosticprocedurecommonly
2323 8performedbyhealthcareprofessionalsincluding,butnotlimitedto,thefollowing
2424 9diagnosticprocedures:
2525 10 (a)Takingandrecordingapatient'shealthhistory;
2626 11 (b)Performingaphysicalexamination;
2727 12 (c)Performingvenipuncture;
2828 13 (d)Ordering,butnotinterpreting,radiographyexaminations;
2929 EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
3030 intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 14 (e)Performinglaboratorymedicine;and
3131 15 (f)Obtainingsamplesofhumantissues,exceptsurgicalexcisionbeyondsurgical
3232 16excisionthatisauthorizedasaminorofficeprocedure;
3333 17 (4)"Controlledsubstance",adrug,substance,orimmediateprecursor
3434 18enumeratedinSchedulesIthroughVofsection195.017;
3535 19 (5)"Division",thedivisionofprofessionalregistrationofthedepartmentof
3636 20commerceandinsurance;
3737 21 (6)"Drug",thesamemeaninggiventotheterminsection195.010;
3838 22 (7)"Laboratorymedicine",thecollectionandanalysisofbodyfluidstoprovide
3939 23informationtohelpaidthediagnosisandtreatmentofpatients;
4040 24 (8)"Legenddrug",thesamemeaninggiventotheterminsection338.330;
4141 25 (9)"License",alicenseissuedbytheboardtoanindividualinaccordancewith
4242 26sections324.1900to324.1970andrulesoftheboardauthorizingthatindividualto
4343 27practicenaturopathicmedicineinthisstate;
4444 28 (10)"Licensee",anindividualwhoholdsalicensetopracticenaturopathic
4545 29medicine;
4646 30 (11)"Minorofficeprocedure",anyminorofficeprocedureincluding,butnot
4747 31limitedto,thefollowing:
4848 32 (a)Careandproceduresincidenttheretoofsuperficiallacerations,lesions,or
4949 33abrasionsandtheremovalofforeignbodieslocatedinsuperficialstructures,notto
5050 34includetheeye;
5151 35 (b)Theuseofantisepticsandtopicalorlocalanestheticsinconnectionwiththe
5252 36proceduredescribedinparagraph(a)ofthissubdivision;
5353 37 (c)Intramuscular,intravenous,subcutaneous,andintradermalinjectionsof
5454 38substancesconsistentwiththepracticeofnaturopathicmedicine;
5555 39 (d)Triggerpointtherapy;
5656 40 (e)Noninvasiveandminimallyinvasiveaestheticlasersthatcannotbeusedfor
5757 41majorsurgeriesorcutting;
5858 42 (f)Dermalstimulation;and
5959 43 (g)Allergytesting.
6060 44
6161 45Thedefinitionof"minorofficeprocedures"doesnotincludegeneralanestheticsor
6262 46surgery;
6363 47 (12)"Naturopathicdoctor",anindividuallicensedinaccordancewithsections
6464 48324.1900to324.1970asanaturopathicdoctortopracticenaturopathicmedicineinthis
6565 49state;
6666 HB91 2 50 (13)"Naturopathicmedicine",asystemofhealthcarefortheprevention,
6767 51diagnosis,andtreatmentofhumanhealthconditions,injury,anddisease;thepromotion
6868 52orrestorationofhealth;andthesupportandstimulationofapatient'sinherentself-
6969 53healingprocessesthroughpatienteducationandtheuseofnaturopathictherapies;
7070 54 (14)"Naturopathicphysicalmedicine",theuseofoneormoreofthefollowing
7171 55physicalagentsortreatmentsinamannerconsistentwithnaturopathicmedicalpractice
7272 56onapartorthewholeofthebody,byhandorbymechanicalmeans,intheresolutionof
7373 57ahumanailmentorcondition:air,water,heat,cold,sound,light,electromagnetism,
7474 58nondiagnosticultrasound,coldlaser,colonhydrotherapy,softtissuetherapy,joint
7575 59mobilization,therapeuticexercise,andtreatmentstaughtinanyapprovednaturopathic
7676 60medicaleducationprogramthatarenototherwiseprohibitedbysections324.1900to
7777 61324.1970;
7878 62 (15)"Naturopathictherapies",anyofthefollowingexemplifiedinastandard
7979 63naturopathicmedicaltext,journal,orpharmacopeia:food;extractsoffood;vitamins;
8080 64minerals;nutraceuticals;oxygen;botanicals;enzymes;aminoacids;homeopathics;
8181 65hormones;hormonalorpharmaceuticalcontraceptives;alldietarysupplementsand
8282 66nonprescriptiondrugsasdefinedbytheFederalFood,Drug,andCosmeticAct,21
8383 67U.S.C.Section301etseq.;humancellularandtissue-basedproductsthatarenot
8484 68regulatedasdrugs;suchlegenddrugsandcontrolledsubstancesthatareconsistentwith
8585 69naturopathicmedicalpractice;andanyotherphysiologicsubstances;
8686 70 (16)"Nutritionalcounseling",thepreventionandtreatmentofdiseaseorother
8787 71humanconditionsthroughtheuseoffood,water,herbs,roots,bark,ornaturalfood
8888 72elements;
8989 73 (17)"Prescription",thesamemeaninggiventotheterminsection338.095;
9090 74 (18)"Professionalexamination",acompetency-basednationallicensing
9191 75examinationadministeredbytheNorthAmericanBoardofNaturopathicExaminers
9292 76oritssuccessoragency,whichboardhasbeennationallyrecognizedtoadministera
9393 77naturopathicexaminationthatrepresentsfederalstandardsofeducationandtraining;
9494 78 (19)"Radiography",radiographicdiagnosticandotherimagingstudies
9595 79including,butnotlimitedto,x-ray,diagnosticultrasound,mammogram,bone
9696 80densitometry,computedtomography,positronemissiontomography,andmagnetic
9797 81resonanceimaging;
9898 82 (20)"Therapeuticdevice",aninstrumentoranapparatusintendedforusein
9999 83diagnosisortreatmentandinthepreventionofdiseaseormaintenanceorrestorationof
100100 84health.
101101 324.1910.1.Thereisherebycreatedwithinthedivisionaboardtobeknownas
102102 2the"BoardofNaturopathicMedicine".
103103 HB91 3 3 2.Theboardofnaturopathicmedicineshallconsistoffivemembersappointed
104104 4bythegovernor,allofwhomshallberesidentsofthisstate.Threemembersshallbe
105105 5naturopathicdoctorsasdescribedinsubsection5ofthissection,onemembershallbea
106106 6physicianlicensedunderchapter334,andonemembershallbeapublicmemberas
107107 7describedinsubsection6ofthissection.
108108 8 3.Theinitialmembersoftheboardshallbeappointedforstaggeredterms,the
109109 9longestofwhichshallnotexceedfouryears.Followingtheinitialappointments,all
110110 10termsshallbeforthreeyears,andnomemberoftheboardshallservemorethanthree
111111 11terms.
112112 12 4.Theinitialphysicianmemberlicensedunderchapter334shallhaveatleast
113113 13fouryearsofexperienceinthepracticeofmedicineorosteopathicmedicine.
114114 14 5.(1)Theinitialthreenaturopathicdoctormembersshallhaveatleastfour
115115 15yearsofexperienceinthepracticeofnaturopathicmedicineandshallbeeligibleto
116116 16becomelicensedundersections324.1900to324.1970.
117117 17 (2)Anynaturopathicdoctormemberappointedfollowingtheinitial
118118 18appointmentstotheboardshallbelicensedundersections324.1900to324.1970and
119119 19shallactivelypracticenaturopathicmedicineinthisstateforthedurationofhisorher
120120 20appointment.
121121 21 6.Thepublicmembershallbe,atthetimeofthemember'sappointment,a
122122 22citizenoftheUnitedStates,aresidentofthisstateforaperiodofoneyear,anda
123123 23registeredvoter.Thepublicmembershallnothavebeenamemberofanyprofession
124124 24licensedorregulatedundersections324.1900to324.1970oranimmediatefamily
125125 25memberofsuchaperson.Thepublicmembershallnothavehadamaterialfinancial
126126 26interestintheprovisionofnaturopathicmedicineorinanactivityororganization
127127 27directlyrelatedtoanyprofessionlicensedorregulatedundersections324.1900to
128128 28324.1970.Thedutiesofthepublicmembershallnotincludeanydeterminationofthe
129129 29technicalrequirementstobemetforlicensureorwhetheranycandidateforlicensure
130130 30meetssuchtechnicalrequirementsoranydeterminationofthetechnicalcompetenceor
131131 31technicaljudgmentofalicenseeorcandidateforlicensure.
132132 32 7.Intheeventofdeath,resignation,orremovalofanymemberoftheboard
133133 33beforetheexpirationofthetermtowhichheorshewasappointed,thevacancyshallbe
134134 34filledfortheunexpiredportionoftheterminthesamemannerastheoriginal
135135 35appointment.
136136 36 8.Theboardshall,withinthirtydaysaftertheappointmentofallmembers,and
137137 37atleastannuallythereafter,holdameetingandelectfromitsmembershipachair,avice
138138 38chair,andasecretary.Theboardmayholdadditionalmeetingsasmayberequiredin
139139 39theperformanceofitsdutiesatthecallofthechairoruponthewrittenrequestofany
140140 HB91 4 40twomembersoftheboard.Noticeofeverymeetingshallbegiventoeachmemberat
141141 41leastthreedaysbeforethedateofthemeeting.
142142 42 9.Theboardmayappointsuchcommitteesasitconsidersnecessarytocarryout
143143 43itsduties.
144144 44 10.Aquorumoftheboardshallconsistofamajorityofitsvotingmembers.The
145145 45affirmativevoteofamajorityofaquorumoftheboardshallberequiredtocarrya
146146 46motionorresolution,toadoptarule,ortopassameasure.
147147 47 11.Thegovernormayremoveaboardmemberformisconduct,incompetence,
148148 48orneglectofofficialdutiesaftergivingtheboardmemberwrittennoticeofthecharges
149149 49andanopportunitytobeheard.
150150 50 12.Notwithstandinganyotherprovisionoflaw,anyappointedmemberofthe
151151 51boardshallreceiveascompensationanamountestablishedbythedirectorofthe
152152 52division,nottoexceedseventy-fivedollarspermemberperdayforcommissionbusiness
153153 53plusactualandnecessaryexpensesincluding,butnotlimitedto,travelexpenses.The
154154 54directorofthedivisionshallestablishbyruleguidelinesforpayment.Allstaffforthe
155155 55boardshallbeprovidedbythedivision.
156156 324.1915.1.Theboardshalladoptrulesthatarenecessaryorproperforthe
157157 2administrationofsections324.1900to324.1970including,butnotlimitedto,ruleson:
158158 3 (1)Regulatingthelicensureofnaturopathicdoctorsanddeterminingthehours
159159 4ofcontinuingeducationunitsrequiredformaintaininglicensureasanaturopathic
160160 5doctor;
161161 6 (2)Establishingthemannerinwhichrecordsofexaminationsandtreatments
162162 7shallbekeptandmaintained;
163163 8 (3)Establishingstandardsforprofessionalresponsibilityandconduct;
164164 9 (4)Identifyingdisciplinaryactionsandcircumstancesthatrequiredisciplinary
165165 10action;
166166 11 (5)Developingameanstoprovideinformationtoalllicenseesinthestate;
167167 12 (6)Providingfortheinvestigationofcomplaintsagainstlicenseesorpersons
168168 13holdingthemselvesoutasnaturopathicdoctorsinthisstate;
169169 14 (7)Providingforthepublicationofinformationforthepublicaboutlicensees
170170 15andthepracticeofnaturopathicmedicineinthisstate;
171171 16 (8)Providingforanorderlyprocessforreinstatementofalicense;
172172 17 (9)Establishingcriteriaforadvertisingorpromotionalmaterials;
173173 18 (10)Establishingcontinuingeducationrequirementsrelatedtohoursand
174174 19acceptablecontent;
175175 20 (11)Establishingstandardsforthestatejurisprudenceexamination;
176176 HB91 5 21 (12)Establishingproceduresandstandardsforreviewinglicensingexamination
177177 22scores;
178178 23 (13)Establishingproceduresforreviewingtranscriptsdemonstrating
179179 24completionoftheapprovednaturopathicmedicaleducationprogram;
180180 25 (14)Establishingtherequirementsforissuanceandrenewaloflicenses;and
181181 26 (15)Regulatinganyothermatternecessarytoimplementsections324.1900to
182182 27324.1970.
183183 28 2.Theboardshallestablishandmaintainalistofnaturopathicmedical
184184 29educationprogramsthatmeettherequirementsofsection324.1930.
185185 30 3.Theboardshalladministerandenforceallprovisionsofsections324.1900to
186186 31324.1970andallrulesadoptedbytheboardundertheauthoritygrantedinsections
187187 32324.1900to324.1970.
188188 33 4.Theboardshallsettheamountofthefeesthatsections324.1900to324.1970
189189 34authorizeandrequirebyrulesandregulationspromulgatedundersection536.021.The
190190 35feesshallbesetataleveltoproducerevenuethatshallnotsubstantiallyexceedthecost
191191 36andexpenseofadministeringsections324.1900to324.1970.
192192 37 5.Allfeespayableundersections324.1900to324.1970shallbecollectedbythe
193193 38divisionandtransmittedtothedepartmentofrevenuefordepositinthestatetreasury
194194 39tothecreditoftheboardofnaturopathicmedicinefundestablishedundersection
195195 40324.1920.
196196 41 6.Theboardshallemploypermanentortemporarypersonnelitdeems
197197 42necessarytocarryoutthepurposesofsections324.1900to324.1970anddesignatetheir
198198 43duties.
199199 44 7.Anyruleorportionofarule,asthattermisdefinedinsection536.010,thatis
200200 45createdundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifit
201201 46complieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,
202202 47section536.028.Thissectionandchapter536arenonseverableandifanyofthepowers
203203 48vestedwiththegeneralassemblypursuanttochapter536toreview,todelaythe
204204 49effectivedate,ortodisapproveandannularulearesubsequentlyheldunconstitutional,
205205 50thenthegrantofrulemakingauthorityandanyruleproposedoradoptedafterAugust
206206 5128,2025,shallbeinvalidandvoid.
207207 324.1920.1.Thereisherebycreatedinthestatetreasurythe"Boardof
208208 2NaturopathicMedicineFund".Allfeesauthorizedtobechargedbytheboardshallbe
209209 3collectedbythedirectorofthedivisionandshallbetransmittedtothedepartmentof
210210 4revenuefordepositinthestatetreasuryforcredittothisfund.Thestatetreasurershall
211211 5becustodianofthefund.Inaccordancewithsections30.170and30.180,thestate
212212 6treasurermayapprovedisbursements.Thefundshallbeadedicatedfundand,upon
213213 HB91 6 7appropriation,moneysinthisfundshallbeusedsolelyinpaymentofexpensesof
214214 8maintainingtheboardandfortheenforcementoftheprovisionsoflawconcerningthe
215215 9practiceofnaturopathicmedicine.
216216 10 2.Notwithstandingtheprovisionsofsection33.080tothecontrary,moneysin
217217 11thisfundshallnotbetransferredandplacedtothecreditofgeneralrevenueuntilthe
218218 12amountinthefundattheendofthebienniumexceedsthreetimestheamountofthe
219219 13appropriationfromthefundfortheprecedingfiscalyear.Theamount,ifany,inthe
220220 14fundthatshalllapseisthatamountinthefundthatexceedstheappropriatemultipleof
221221 15theappropriationsfromthefundfortheprecedingfiscalyear.
222222 16 3.Thestatetreasurershallinvestmoneysinthefundinthesamemanneras
223223 17otherfundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbe
224224 18creditedtothefund.
225225 324.1925.Theboardshallissuealicensetoanapplicantwho:
226226 2 (1)Isofgoodmoralcharacter,inaccordancewithstandardsestablishedbyrules
227227 3oftheboard;
228228 4 (2)Submits,inaccordancewithrulesoftheboard,thefollowingitemstothe
229229 5board:
230230 6 (a)Anapplicationforlicensuredesignedandapprovedbytheboardand
231231 7submittedinaccordancewithrulesoftheboard;
232232 8 (b)Anapplicationfeesubmittedinanamountandmannerestablishedbyrules
233233 9oftheboard;
234234 10 (c)Evidencethattheapplicanthasgraduatedfromanapprovednaturopathic
235235 11medicaleducationprogram;
236236 12 (d)Evidencethattheapplicanthassuccessfullycompletedaprofessional
237237 13examinationor,forgraduatesofapprovednaturopathicmedicaleducationprogramsin
238238 14theUnitedStatespriortotheexistenceoftheCouncilonNaturopathicMedical
239239 15Education,acompetency-basedstatenaturopathicmedicinelicensingexaminationor
240240 16equivalentCanadianprovinciallicensingexaminationforthepracticeofnaturopathic
241241 17medicineapprovedbytheboard;
242242 18 (e)Evidencethattheapplicanthaspassedapharmacyexaminationauthorized
243243 19byrulesoftheboardandadministeredbytheNorthAmericanBoardofNaturopathic
244244 20Examiners;
245245 21 (f)Evidencethattheapplicanthaspassedastatejurisprudenceexamination
246246 22thatmeetsstandardsestablishedinrulesoftheboard;and
247247 23 (g)Evidenceofprofessionalliabilityinsurance;
248248 24 (3)Isdeterminedbytheboardtobephysicallyandmentallycapableofsafely
249249 25practicingnaturopathicmedicinewithorwithoutreasonableaccommodation;and
250250 HB91 7 26 (4)Hasnothadalicensetopracticenaturopathicmedicineorotherhealthcare
251251 27license,registration,orcertificaterefused,revoked,orsuspendedbyanyother
252252 28jurisdictionforreasonsthatrelatetotheapplicant'sabilitytoskillfullyandsafely
253253 29practicenaturopathicmedicineunlessthatlicense,registration,orcertificationhasbeen
254254 30restoredtogoodstandingbythatjurisdiction.
255255 324.1930.1.Theboardshallestablishbyruleguidelinesforthelicensure
256256 2requirementsdescribedinsection324.1925relatingtograduationfromanapproved
257257 3naturopathicmedicaleducationprogram.Theguidelinesshallmeettherequirementsof
258258 4thissectionandtheboard'sspecificationsfortheeducationofnaturopathicdoctors.
259259 5 2.Therequirementforgraduationfromanapprovednaturopathicmedical
260260 6educationprogramshallbeinterpretedintheguidelinesasrequiring,ataminimum,
261261 7graduationfrom:
262262 8 (1)AnaturopathicmedicaleducationprogramintheUnitedStatesproviding
263263 9thedegreeofdoctorofnaturopathicmedicine,whichshall:
264264 10 (a)Offergraduate-level,full-timedidacticandsupervisedclinicaltraining;
265265 11 (b)Beaccreditedorhaveachievedcandidacystatusforaccreditationbythe
266266 12CouncilonNaturopathicMedicalEducationoranequivalentfederallyrecognized
267267 13accreditingbodyfornaturopathicmedicalprogramsalsorecognizedbytheboard;and
268268 14 (c)Beaninstitutionofhighereducationorpartofaninstitutionofhigher
269269 15educationthatiseitheraccreditedorisacandidateforaccreditationbyaregionalor
270270 16nationalinstitutionalaccreditingagencyrecognizedbytheUnitedStatesSecretaryof
271271 17Education;
272272 18 (2)Adegree-grantinginstitutionofhighereducationthat,priortotheexistence
273273 19oftheCouncilonNaturopathicMedicalEducation,offeredafull-time,structured
274274 20curriculuminbasicsciencesandsupervisedpatientcarecomprisingadoctoral
275275 21naturopathicmedicaleducationrequiringnotlessthanonehundredthirty-twoweeksof
276276 22courseworktobecompletedwithinaperiodofnotlessthanthirty-fivemonths,which
277277 23wasreputableandingoodstandinginthejudgmentoftheboardandwhichifstillin
278278 24existencehascurrentprogrammaticaccreditationbytheCouncilonNaturopathic
279279 25MedicalEducationorafederallyrecognizedequivalentaccreditingagency;
280280 26 (3)Adiploma-granting,degree-equivalentinstitutionofhighereducation
281281 27locatedinCanadathat,priortotheexistenceoftheCouncilonNaturopathicMedical
282282 28Education,hadprovincialapprovalforparticipationingovernment-fundedstudentaid
283283 29programs,offeredafull-time,structuredcurriculuminbasicsciencesandsupervised
284284 30patientcarecomprisingadoctoralnaturopathicmedicaleducationrequiringnotless
285285 31thanonehundredthirty-twoweeksofcourseworktobecompletedwithinaperiodof
286286 32notlessthanthirtymonths,wasreputableandingoodstandinginthejudgmentofthe
287287 HB91 8 33board,andifstillinexistence,hascurrentprogrammaticaccreditationbytheCouncil
288288 34onNaturopathicMedicalEducationorafederallyrecognizedequivalentaccrediting
289289 35agencyandcurrentlyhasprovincialapprovalforparticipationingovernment-funded
290290 36studentaidprograms;or
291291 37 (4)Adiploma-granting,degree-equivalentinstitutionofhighereducation
292292 38locatedinCanadathathasprovincialapprovalforparticipationingovernment-funded
293293 39studentaidprograms,offersgraduate-level,full-timedidacticandsupervisedclinical
294294 40training,andisaccreditedorhasachievedcandidacystatusforaccreditationbythe
295295 41CouncilonNaturopathicMedicalEducationoranequivalentfederallyrecognized
296296 42accreditingbodyfornaturopathicmedicalprogramsalsorecognizedbytheboard.
297297 324.1935.1.Apersonwhoholdsalicenseundersections324.1900to324.1970
298298 2shalldisplaythelicensee'slicenseinthelicensee'splaceofbusinessinalocationclearly
299299 3visibletothelicensee'spatientsandshallalsodisplayevidenceofthelicenseehaving
300300 4completedanapprovednaturopathicmedicaleducationprogram.
301301 5 2.Apersonwhopractices,conductsaffairs,orisemployedatmorethanone
302302 6locationandwhomaintainsacontinuingactivityasauthorizedbythelicenseshall
303303 7displayaduplicateofsuchdocumentissuedbytheboardateachlocation.
304304 324.1940.Alicenseemaypracticenaturopathicmedicinetoprovideprimary
305305 2careinalignmentwithnaturopathicmedicaleducationby:
306306 3 (1)Performingcommondiagnosticprocedures;
307307 4 (2)Administering,dispensing,andorderingnaturopathictherapies;
308308 5 (3)Recommending,prescribing,administering,dispensing,andordering:
309309 6 (a)Alllegenddrugsandover-the-counterdrugs;
310310 7 (b)ControlledsubstanceswithinSchedulesIII,IV,andVofsection195.017,
311311 8excludingallopioidsandopioidderivatives;and
312312 9 (c)Durablemedicalequipmentanddevices;
313313 10 (4)Administeringsubstancesauthorizedforintradermal,subcutaneous,
314314 11intramuscular,intravenous,ligamentous,tendinous,periarticular,intra-articular,
315315 12intravaginal,andintrauterineadministrationconsistentwiththeeducationand
316316 13trainingofanaturopathicdoctor;
317317 14 (5)Performingnaturopathicphysicalmedicine;
318318 15 (6)Recommending,ordering,andusingtherapeuticdevices;
319319 16 (7)Recommending,ordering,andusingbarriercontraceptionandcontraceptive
320320 17devices,includingintrauterinedevices;
321321 18 (8)Performingminorofficeprocedures;
322322 19 (9)Providingbiofeedbackandneurofeedbacktherapies;and
323323 HB91 9 20 (10)Providinghealthcarecounseling,nutritionalcounseling,anddietary
324324 21therapy.
325325 324.1945.Anaturopathicdoctorwhoprescribesinaccordancewithsection
326326 2324.1940shall:
327327 3 (1)Recordeachprescriptionorderinwriting,whichmayincludean
328328 4electronicallyrecordedandtransmittedcommunication.Theordershallincludethe
329329 5name,address,andtelephonenumberofthenaturopathicdoctor;
330330 6 (2)Prescribeonlywhenthenaturopathicdoctorhasadequateeducation,
331331 7training,andexperiencetosafelymanagethemedicalregimen;and
332332 8 (3)RegisterwiththeUnitedStatesDrugEnforcementAdministration(DEA)in
333333 9ordertoprescribecontrolledsubstancesauthorizedbysections324.1900to324.1970.
334334 324.1950.Alicenseeshallrefertoaphysicianlicensedandauthorizedtoengage
335335 2inthepracticeofmedicineasdescribedinsection334.010anypatientwhosemedical
336336 3conditionshould,atthetimeofevaluationortreatment,bedeterminedtobebeyondthe
337337 4scopeofpracticeofthelicensee.
338338 324.1955.Alicenseeshallnot:
339339 2 (1)Performmajorsurgery;
340340 3 (2)Usegeneralorspinalanesthetics;
341341 4 (3)Administerionizingradioactivesubstancesfortherapeuticpurposes;
342342 5 (4)Performasurgicalprocedureusingalaserdevice;
343343 6 (5)Performasurgicalprocedureinvolvinganyofthefollowingareasofthebody
344344 7thatextendsbeyondsuperficialtissue:eyes,ears,tendons,nerves,veins,orarteries;
345345 8 (6)Performasurgicalormedicalabortion;
346346 9 (7)Treatanylesionsuspectedofmalignancyorrequiringsurgicalremoval;
347347 10 (8)Practicechiropracticmedicine;
348348 11 (9)Practiceacupuncture;or
349349 12 (10)Practicephysicaltherapy.
350350 324.1960.Nothinginsections324.1900to324.1970shallbeconstruedtoprohibit
351351 2ortorestrict:
352352 3 (1)Thepracticeofahealthcareprofessionbyanindividualwhoislicensed,
353353 4certified,orregisteredunderotherlawsofthisstateandwhoisperformingservices
354354 5withintheindividual'sauthorizedscopeofpractice;
355355 6 (2)Thepracticeofnaturopathicmedicinebyastudentenrolledinanapproved
356356 7naturopathicmedicaleducationprogram,providedthatthepracticeofnaturopathic
357357 8medicinebyastudentisperformedasspecifiedbyacourseofinstructionoran
358358 9assignmentfromaninstructorandunderthesupervisionofaninstructorwhoisa
359359 10licenseeoradulylicensedprofessionalintheinstructedfield;
360360 HB91 10 11 (3)Anypersonwhosellsavitaminorherbfromprovidinginformationabout
361361 12thevitaminorherb;
362362 13 (4)Thepracticeofnaturopathicmedicinebypersonswhoarelicensedto
363363 14practiceinanyotherstateordistrictintheUnitedStatesandwhoenterthisstateto
364364 15consultwithanaturopathicdoctorofthisstate,providedthattheconsultationislimited
365365 16toexamination,recommendation,ortestimonyinlitigation;or
366366 17 (5)Anypersonorpractitionerwhoisnotlicensedasanaturopathicdoctorfrom
367367 18recommendingayurvedicmedicine,herbalremedies,nutritionaladvice,homeopathy,or
368368 19othertherapythatiswithinthescopeofpracticeofnaturopathicmedicine,provided
369369 20thatthepersonorpractitionershallnot:
370370 21 (a)Useatitleprotectedundersection324.1965;
371371 22 (b)Representorassumethecharacterorappearanceofalicensee;or
372372 23 (c)Otherwiseuseaname,title,orotherdesignationthatindicatesorimpliesthat
373373 24thepersonisalicensee.
374374 324.1965.1.Alicenseeshallusethetitle"naturopathicphysician"or
375375 2"naturopathicdoctor"andtherecognizedabbreviation"N.D.".
376376 3 2.Alicenseehastheexclusiverighttousethefollowingtermsinreferencetothe
377377 4licensee'sself:"naturopathicphysician","naturopathicdoctor","doctorof
378378 5naturopathicmedicine","N.D.","ND","NMD",and"N.M.D.".
379379 6 3.Anindividualrepresentstheindividual'sselftobeanaturopathicphysicianor
380380 7anaturopathicdoctorwhentheindividualusesoradoptsanyofthefollowingtermsin
381381 8referencetotheindividual'sself:"naturopathicphysician","naturopathicdoctor",
382382 9"doctorofnaturopathicmedicine","N.D.","ND","NMD",and"N.M.D.".
383383 10 4.Anindividualshallnotrepresenttheindividual'sselftothepublicasa
384384 11naturopathicphysician,anaturopathicdoctor,oradoctorofnaturopathicmedicine,or
385385 12asbeingotherwiseauthorizedtopracticenaturopathicmedicineinthisstate,unlessthe
386386 13individualisalicensee.
387387 324.1970.1.Theboardmayrefusetoissue,renew,orreinstateanylicense
388388 2requiredbysections324.1900to324.1970foroneoranycombinationofcausesstatedin
389389 3subsection2ofthissection.Theboardshallnotifytheapplicantinwritingofthe
390390 4reasonsfortherefusalandshalladvisetheapplicantofhisorherrighttofilea
391391 5complaintwiththeadministrativehearingcommissionasprovidedinchapter621.
392392 6 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
393393 7commissionasprovidedbychapter621againstanyholderofalicenseissuedunder
394394 8sections324.1900to324.1970oranypersonwhohasfailedtoreneworhassurrendered
395395 9hisorherlicenseforanyoneoranycombinationofthefollowingcauses:
396396 HB91 11 10 (1)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
397397 11guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystate,ofthe
398398 12UnitedStates,orofanycountryforanyoffensedirectlyrelatedtothedutiesand
399399 13responsibilitiesoftheoccupation,assetforthinsection324.012,regardlessofwhethera
400400 14sentenceisimposed;
401401 15 (2)Useoffraud,deception,misrepresentation,orbriberyinsecuringanylicense
402402 16issuedundersections324.1900to324.1970orinobtainingpermissiontotakeany
403403 17examinationgivenorrequiredundersections324.1900to324.1970;
404404 18 (3)Obtainingorattemptingtoobtainanyfee,charge,tuition,orother
405405 19compensationbyfraud,deception,ormisrepresentation;
406406 20 (4)Incompetency,misconduct,grossnegligence,fraud,misrepresentation,or
407407 21dishonestyintheperformanceofthefunctionsordutiesoftheprofessionregulatedby
408408 22sections324.1900to324.1970;
409409 23 (5)Violationof,orassistingorenablinganypersontoviolate,anyprovisionof
410410 24sections324.1900to324.1970orofanylawfulruleorregulationadoptedundersections
411411 25324.1900to324.1970;
412412 26 (6)Impersonationofanypersonholdingalicenseorallowinganyotherperson
413413 27tousehisorherdiplomafromanyschool;
414414 28 (7)Disciplinaryactionagainsttheholderofalicenseorotherrighttopractice
415415 29theprofessionregulatedbysections324.1900to324.1970grantedbyanotherstate,
416416 30territory,federalagency,orcountryupongroundsforwhichrevocationorsuspensionis
417417 31authorizedinthisstate;
418418 32 (8)Apersonisfinallyadjudgedinsaneorincompetentbyacourtofcompetent
419419 33jurisdiction;
420420 34 (9)Issuanceofalicensebaseduponamaterialmistakeoffact;or
421421 35 (10)Useofanyadvertisementorsolicitationthatisfalse,misleading,or
422422 36deceptivetothegeneralpublicorpersonstowhomtheadvertisementorsolicitationis
423423 37primarilydirected.
424424 38 3.Anyperson,organization,association,orcorporationthatreportsorprovides
425425 39informationtotheboardordivisioninaccordancewiththeprovisionsofsections
426426 40324.1900to324.1970andthatdoessoingoodfaithandwithoutnegligenceshallnotbe
427427 41subjecttoanactionforcivildamagesasaresultthereof.
428428 42 4.Afterthefilingofacomplaintundersubsection2ofthissection,the
429429 43proceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upon
430430 44afindingbytheadministrativehearingcommissionthatoneormoreofthegroundsfor
431431 45disciplinaryactionprovidedinsubsection2ofthissectionaremet,theboardmay,
432432 46singlyorincombination,censureorplacethepersonnamedinthecomplainton
433433 HB91 12 47probationorsuspensionorrevokethelicenseofthepersononsuchtermsand
434434 48conditionsastheboarddeemsappropriate.
435435 âś”
436436 HB91 13