House
File
310
-
Enrolled
House
File
310
AN
ACT
RELATING
TO
THE
PRACTICE
OF
OPTOMETRY.
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
Section
1.
Section
154.1,
subsection
3,
Code
2020,
is
amended
to
read
as
follows:
3.
a.
An
optometrist
licensed
under
this
chapter
may
employ
all
diagnostic
and
therapeutic
pharmaceutical
agents
for
the
purpose
of
diagnosis
and
treatment
of
conditions
of
the
human
eye
and
adnexa
pursuant
to
this
subsection
,
excluding
the
use
of
injections
other
than
to
counteract
an
anaphylactic
reaction,
and
notwithstanding
section
147.107
,
may
without
charge
supply
any
of
the
above
pharmaceuticals
to
commence
a
course
of
therapy.
A
licensed
optometrist
may
perform
minor
surgical
procedures
and
use
medications
for
the
diagnosis
and
treatment
of
diseases,
disorders,
and
conditions
of
the
eye
and
adnexa.
A
license
to
practice
optometry
under
this
chapter
does
not
authorize
the
performance
of
surgical
procedures
which
require
the
use
of
injectable
or
general
anesthesia,
moderate
sedation,
penetration
of
the
globe,
or
the
use
of
ophthalmic
lasers
for
the
purpose
of
ophthalmic
surgery
within
or
upon
the
globe.
The
removal
of
pterygia
and
Salzmann’s
nodules,
incisional
corneal
refractive
surgery,
and
strabismus
surgery
are
prohibited.
b.
(1)
A
licensed
optometrist
may
administer
only
the
following
injections:
House
File
310,
p.
2
(a)
Sub-conjunctival
injections
for
the
medical
treatment
of
the
eye.
(b)
Intra-lesional
injections
for
the
treatment
of
chalazia.
(c)
Botulinum
toxin
to
the
muscles
of
facial
expression
innervated
by
the
facial
nerve,
including
for
cosmetic
purposes.
(d)
Injections
to
counteract
an
anaphylactic
reaction.
(2)
A
licensed
optometrist
shall
not
administer
any
injection
prior
to
receiving
approval
from
the
board.
(3)
The
board
shall
not
approve
the
use
of
injections
other
than
to
counteract
an
anaphylactic
reaction
unless
the
licensed
optometrist
demonstrates
to
the
board
sufficient
educational
or
clinical
training
from
a
college
or
university
accredited
by
a
regional
or
professional
accreditation
organization
which
is
recognized
or
approved
by
the
council
for
higher
education
accreditation
or
by
the
United
States
department
of
education,
or
clinical
training
equivalent
to
clinical
training
offered
by
such
an
institution.
Training
for
the
administration
and
side
effects
of
injection
treatment
for
chalazia
and
of
botulinum
toxin
shall
be
required
before
a
licensed
optometrist
may
administer
such
injections.
The
board
shall
adopt
rules
regarding
training
required
pursuant
to
this
subparagraph
and
approve
training
providers.
c.
A
licensed
optometrist
may
employ
and,
notwithstanding
section
147.107
,
supply
pharmaceutical-delivering
contact
lenses
for
the
purpose
of
treatment
of
conditions
of
the
human
eye
and
adnexa.
For
purposes
of
this
paragraph,
“pharmaceutical-delivering
contact
lenses”
means
contact
lenses
that
contain
one
or
more
therapeutic
pharmaceutical
agents
authorized
for
employment
by
this
section
for
the
purpose
of
treatment
of
conditions
of
the
human
eye
and
adnexa
and
that
deliver
such
agents
into
the
wearer’s
eye.
c.
d.
A
licensed
optometrist
may
prescribe
oral
steroids
for
a
period
not
to
exceed
fourteen
days
without
consultation
with
a
physician.
d.
e.
A
licensed
optometrist
may
be
authorized,
where
reasonable
and
appropriate,
by
rule
of
the
board,
to
employ
new
diagnostic
and
therapeutic
pharmaceutical
agents
approved
by
House
File
310,
p.
3
the
United
States
food
and
drug
administration
on
or
after
July
1,
2002,
for
the
diagnosis
and
treatment
of
the
human
eye
and
adnexa.
e.
f.
The
board
is
not
required
to
adopt
rules
relating
to
topical
pharmaceutical
agents,
oral
antimicrobial
agents,
oral
antihistamines,
oral
antiglaucoma
agents,
and
oral
analgesic
agents.
A
licensed
optometrist
may
remove
superficial
foreign
bodies
from
the
human
eye
and
adnexa.
f.
g.
The
therapeutic
efforts
of
a
licensed
optometrist
are
intended
for
the
purpose
of
examination,
diagnosis,
and
treatment
of
visual
defects,
abnormal
conditions,
and
diseases
of
the
human
eye
and
adnexa,
for
proper
optometric
practice
or
referral
for
consultation
or
treatment
to
persons
licensed
under
chapter
148
.
g.
h.
A
licensed
optometrist
is
an
optometrist
who
is
licensed
to
practice
optometry
in
this
state
and
who
is
certified
by
the
board
to
use
the
agents
and
procedures
authorized
pursuant
to
this
subsection
.
______________________________
PAT
GRASSLEY
Speaker
of
the
House
______________________________
CHARLES
SCHNEIDER
President
of
the
Senate
I
hereby
certify
that
this
bill
originated
in
the
House
andis
known
as
House
File
310,
Eighty-eighth
General
Assembly.
______________________________
MEGHAN
NELSON
Chief
Clerk
of
the
House
Approved
_______________,
2020
______________________________
KIM
REYNOLDS
Governor