Bill Text: IA HSB577 | 2013-2014 | 85th General Assembly | Introduced
Bill Title: A study bill relating to the licensure of naturopathic physicians.
Spectrum: Unknown
Status: (N/A - Dead) 2014-01-28 - In State Government [HSB577 Detail]
Download: Iowa-2013-HSB577-Introduced.html
House
Study
Bill
577
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
STATE
GOVERNMENT
BILL
BY
CHAIRPERSON
VANDER
LINDEN)
A
BILL
FOR
An
Act
relating
to
the
licensure
of
naturopathic
physicians.
1
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
2
TLSB
5098YC
(4)
85
jr/nh
H.F.
_____
Section
1.
Section
147.1,
subsections
3
and
6,
Code
2014,
1
are
amended
to
read
as
follows:
2
3.
“Licensed”
or
“certified”
,
when
applied
to
a
physician
3
and
surgeon,
podiatric
physician,
osteopathic
physician
4
and
surgeon,
naturopathic
physician,
physician
assistant,
5
psychologist,
chiropractor,
nurse,
dentist,
dental
hygienist,
6
dental
assistant,
optometrist,
speech
pathologist,
audiologist,
7
pharmacist,
physical
therapist,
physical
therapist
assistant,
8
occupational
therapist,
occupational
therapy
assistant,
9
orthotist,
prosthetist,
pedorthist,
respiratory
care
10
practitioner,
practitioner
of
cosmetology
arts
and
sciences,
11
practitioner
of
barbering,
funeral
director,
dietitian,
marital
12
and
family
therapist,
mental
health
counselor,
social
worker,
13
massage
therapist,
athletic
trainer,
acupuncturist,
nursing
14
home
administrator,
hearing
aid
dispenser,
or
sign
language
15
interpreter
or
transliterator
means
a
person
licensed
under
16
this
subtitle
.
17
6.
“Profession”
means
medicine
and
surgery,
podiatry,
18
osteopathic
medicine
and
surgery,
naturopathic
medicine,
19
practice
as
a
physician
assistant,
psychology,
chiropractic,
20
nursing,
dentistry,
dental
hygiene,
dental
assisting,
21
optometry,
speech
pathology,
audiology,
pharmacy,
physical
22
therapy,
physical
therapist
assisting,
occupational
therapy,
23
occupational
therapy
assisting,
respiratory
care,
cosmetology
24
arts
and
sciences,
barbering,
mortuary
science,
marital
25
and
family
therapy,
mental
health
counseling,
social
work,
26
dietetics,
massage
therapy,
athletic
training,
acupuncture,
27
nursing
home
administration,
hearing
aid
dispensing,
sign
28
language
interpreting
or
transliterating,
orthotics,
29
prosthetics,
or
pedorthics.
30
Sec.
2.
Section
147.2,
subsection
1,
Code
2014,
is
amended
31
to
read
as
follows:
32
1.
A
person
shall
not
engage
in
the
practice
of
medicine
33
and
surgery,
naturopathic
medicine,
podiatry,
osteopathic
34
medicine
and
surgery,
psychology,
chiropractic,
physical
35
-1-
LSB
5098YC
(4)
85
jr/nh
1/
11
H.F.
_____
therapy,
physical
therapist
assisting,
nursing,
dentistry,
1
dental
hygiene,
dental
assisting,
optometry,
speech
pathology,
2
audiology,
occupational
therapy,
occupational
therapy
3
assisting,
orthotics,
prosthetics,
pedorthics,
respiratory
4
care,
pharmacy,
cosmetology
arts
and
sciences,
barbering,
5
social
work,
dietetics,
marital
and
family
therapy
or
mental
6
health
counseling,
massage
therapy,
mortuary
science,
athletic
7
training,
acupuncture,
nursing
home
administration,
hearing
aid
8
dispensing,
or
sign
language
interpreting
or
transliterating,
9
or
shall
not
practice
as
a
physician
assistant,
unless
the
10
person
has
obtained
a
license
for
that
purpose
from
the
board
11
for
the
profession.
12
Sec.
3.
Section
147.13,
subsection
1,
Code
2014,
is
amended
13
to
read
as
follows:
14
1.
For
medicine
and
surgery,
osteopathic
medicine
and
15
surgery,
and
acupuncture,
and
naturopathic
medicine,
the
board
16
of
medicine.
17
Sec.
4.
Section
147.74,
Code
2014,
is
amended
by
adding
the
18
following
new
subsection:
19
NEW
SUBSECTION
.
23A.
A
naturopathic
physician
licensed
20
under
chapter
148G
may
use
the
words
“naturopathic
physician”
,
21
“naturopathic
doctor”
,
“doctor
of
naturopathy”
,
“naturopathic
22
medical
doctor”
,
“doctor
of
naturopathic
medicine”
,
“naturopath”
23
or
the
initials
“N.D.”
or
“N.M.D.”
after
the
person’s
name.
24
Sec.
5.
Section
147.107,
Code
2014,
is
amended
by
adding
the
25
following
new
subsection:
26
NEW
SUBSECTION
.
8A.
A
licensed
naturopathic
physician
27
may
prescribe
all
substances
and
devices
consistent
with
the
28
level
of
training
of
the
naturopathic
physician
unless
added
29
to
the
exclusionary
naturopathic
formulary
by
the
naturopathic
30
advisory
council.
31
Sec.
6.
Section
148E.3,
subsection
1,
Code
2014,
is
amended
32
to
read
as
follows:
33
1.
A
person
otherwise
licensed
to
practice
medicine
and
34
surgery,
osteopathic
medicine
and
surgery,
naturopathic
35
-2-
LSB
5098YC
(4)
85
jr/nh
2/
11
H.F.
_____
medicine,
chiropractic,
podiatry,
or
dentistry
who
is
1
exclusively
engaged
in
the
practice
of
the
person’s
profession.
2
Sec.
7.
NEW
SECTION
.
148G.1
Definitions.
3
As
used
in
this
chapter,
unless
the
context
otherwise
4
requires:
5
1.
“Approved
naturopathic
medical
program”
means
any
of
the
6
following:
7
a.
A
naturopathic
medical
education
program
in
the
8
United
States
providing
the
degree
of
doctor
of
naturopathy
9
or
doctor
of
naturopathic
medicine.
Such
program
shall
10
offer
graduate-level,
full-time
didactic
and
supervised
11
clinical
training
and
shall
be
accredited,
or
shall
have
12
achieved
candidacy
status
for
accreditation
by
the
council
13
on
naturopathic
medical
education
or
by
an
equivalent
14
federally
recognized
accrediting
body
for
naturopathic
medical
15
programs
also
recognized
by
the
board.
Additionally,
the
16
program
shall
be
an
institution,
or
part
of
an
institution
of
17
higher
education
that
is
either
accredited
or
is
a
candidate
18
for
accreditation
by
a
regional
or
national
institutional
19
accrediting
agency
recognized
by
the
United
States
secretary
20
of
education.
21
b.
A
diploma-granting,
degree-equivalent
college
or
22
university
in
Canada
that
offers
graduate-level,
full-time
23
didactic
and
supervised
clinical
training
and
is
accredited,
or
24
has
achieved
candidacy
status
for
accreditation
by
the
council
25
on
naturopathic
medical
education
or
an
equivalent
federally
26
recognized
accrediting
body
for
naturopathic
medical
programs
27
also
recognized
by
the
board;
and
the
college
or
university
28
has
provincial
approval
for
participation
in
government-funded
29
student
aid.
30
2.
“Board”
means
the
board
of
medicine
established
in
31
section
147.13.
32
3.
“Director”
means
the
executive
director
of
the
board
of
33
medicine.
34
4.
“Exclusionary
naturopathic
formulary”
means
the
35
-3-
LSB
5098YC
(4)
85
jr/nh
3/
11
H.F.
_____
exclusionary
list
of
medicines,
nonprescription
and
1
prescription,
which
naturopathic
physicians
may
not
use
in
the
2
practice
of
their
profession,
as
determined
by
the
naturopathic
3
advisory
council.
4
5.
“Minor
office
procedures”
means
methods
for
the
repair
5
and
care
incidental
to
superficial
lacerations
and
abrasions,
6
superficial
lesions,
and
the
removal
of
foreign
bodies
located
7
in
the
superficial
tissues.
8
6.
“Naturopathic
advisory
council”
means
the
naturopathic
9
advisory
council
established
under
this
chapter.
10
7.
“Naturopathic
medicine”
means
a
system
of
primary
health
11
care
for
the
prevention,
diagnosis,
and
treatment
of
human
12
health
conditions,
injury,
and
disease,
and
the
promotion
or
13
restoration
of
health.
“Naturopathic
medicine”
includes
the
use
14
of
physiological,
psychological,
or
mechanical
methods,
and
the
15
use
of
natural
medicines,
prescription
or
legend
drugs,
foods,
16
herbs,
or
other
natural
remedies.
17
8.
“Naturopathic
physician”
means
a
practitioner
of
18
naturopathic
medicine
who
has
been
properly
licensed
for
that
19
purpose
by
the
board
of
medicine
under
this
chapter,
who
may
20
diagnose,
treat,
and
help
prevent
diseases
using
a
system
21
of
practice
that
is
based
on
the
natural
healing
capacity
22
of
individuals,
and
may
use
physiological,
psychological,
23
or
mechanical
methods,
and
may
use
natural
medicines,
24
prescription,
or
legend
drugs,
foods,
herbs,
or
other
natural
25
remedies.
26
9.
“Prescription
drug”
means
any
drug
described
in
section
27
503(b)
of
the
federal
Food,
Drug
and
Cosmetic
Act,
21
U.S.C.
28
§353,
if
its
label
is
required
to
bear
the
symbol
“RX
only”.
29
Sec.
8.
NEW
SECTION
.
148G.2
Licensure
——
naturopathic
30
medicine.
31
1.
Qualifications
for
licensure.
An
applicant
for
a
license
32
to
practice
naturopathic
medicine
shall
be
granted
a
license
33
by
the
board
if
the
applicant
satisfies
all
of
the
following
34
requirements:
35
-4-
LSB
5098YC
(4)
85
jr/nh
4/
11
H.F.
_____
a.
Submits
an
application
for
licensure
designed
and
1
approved
by
the
naturopathic
advisory
council.
2
b.
Pays
an
application
fee
established
by
the
board.
3
c.
Has
graduated
from
an
approved
naturopathic
medical
4
program.
5
d.
Has
passed
a
competency-based
national
naturopathic
6
licensing
examination
administered
by
the
north
American
board
7
of
naturopathic
examiners
or
successor
agency,
that
has
been
8
nationally
recognized
to
administer
a
naturopathic
examination
9
representing
federal
standards
of
education
and
training.
For
10
applicants
who
completed
an
approved
naturopathic
medical
11
program
located
in
Canada,
eligibility
for
licensure
may
be
12
granted
with
evidence
of
successful
passage
of
a
Canadian
13
provincial
competency
examination.
14
e.
Provides
evidence
that
the
applicant
is
of
good
ethical
15
and
professional
reputation.
An
applicant
shall
not
have
had
16
a
license
to
practice
naturopathic
medicine
or
other
health
17
care
license,
registration,
or
certificate
refused,
revoked,
18
or
suspended
by
this
state
or
any
other
jurisdiction
for
19
reasons
that
relate
to
the
applicant’s
ability
to
skillfully
20
and
safely
practice
naturopathic
medicine
unless
that
license,
21
registration,
or
certification
has
been
restored
to
good
22
standing.
23
f.
Provides
evidence
that
the
applicant
is
physically
and
24
mentally
capable
of
safely
practicing
naturopathic
medicine
25
with
or
without
reasonable
accommodation.
26
2.
Term
of
license.
A
license
granted
pursuant
to
this
27
section
shall
be
renewed
every
two
years.
28
Sec.
9.
NEW
SECTION
.
148G.3
Use
of
title
——
exceptions.
29
1.
A
person
shall
not
represent
that
the
person
is
a
30
naturopathic
physician,
a
doctor
of
naturopathic
medicine,
a
31
doctor
of
naturopathy,
a
naturopath,
or
as
being
otherwise
32
authorized
to
practice
naturopathic
medicine
in
this
state,
or
33
use
the
titles
“N.D.”
or
“N.M.D.”
or
any
other
titles,
words,
34
letters,
abbreviations,
or
insignia
indicating
or
implying
that
35
-5-
LSB
5098YC
(4)
85
jr/nh
5/
11
H.F.
_____
the
individual
is
a
licensed
naturopathic
physician
unless
1
the
individual
has
been
licensed
as
a
naturopathic
physician
2
pursuant
to
this
chapter
without
first
obtaining
from
the
board
3
a
license
to
practice
naturopathic
medicine
pursuant
to
the
4
provisions
of
this
chapter.
5
2.
The
practice
of
naturopathic
medicine
by
a
naturopathic
6
physician
licensed
pursuant
to
this
chapter
does
not
constitute
7
the
practice
of
medicine
and
surgery
under
chapter
148,
the
8
practice
of
osteopathic
medicine
and
surgery
under
chapter
148,
9
or
the
practice
of
nursing
under
chapter
152.
10
3.
This
chapter
and
chapter
147
do
not
prevent
qualified
11
members
of
other
professions
including
but
not
limited
12
to
individuals
licensed
under
chapter
148,
150,
150A,
or
13
152
from
providing
services
consistent
with
the
nature
of
14
naturopathic
medicine,
but
these
persons
shall
not
use
a
title
15
or
description
denoting
that
they
are
licensed
naturopathic
16
physicians.
17
Sec.
10.
NEW
SECTION
.
148G.4
Duties
of
board.
18
The
board
shall
adopt
rules
consistent
with
this
chapter,
19
chapter
147,
and
as
recommended
by
the
naturopathic
advisory
20
council
which
are
necessary
for
the
performance
of
the
board’s
21
duties.
22
Sec.
11.
NEW
SECTION
.
148G.5
Naturopathic
advisory
council.
23
1.
A
naturopathic
advisory
council
is
established,
24
consisting
of
the
following
members,
appointed
by
the
governor:
25
a.
Prior
to
July
1,
2016,
four
members
who
are
naturopathic
26
physicians
who
are
residents
of
the
state
of
Iowa
and
who
are
27
currently
licensed
in
good
standing
in
another
state.
On
28
and
after
July
1,
2016,
such
members
shall
be
naturopathic
29
physicians
licensed
under
this
chapter.
30
b.
One
member
who
is
a
pharmacist
licensed
in
Iowa.
31
c.
One
member
who
is
a
medical
or
osteopathic
physician
32
licensed
in
Iowa,
who
has
expertise
in
integrative
medicine.
33
d.
One
member
representing
the
general
public.
34
2.
Members
shall
not
receive
per
diem
or
expense
payments.
35
-6-
LSB
5098YC
(4)
85
jr/nh
6/
11
H.F.
_____
3.
Members
shall
serve
two-year
terms,
and
shall
serve
until
1
their
successors
have
been
appointed.
2
4.
The
council
shall
select
a
chairperson
from
its
3
membership.
4
Sec.
12.
NEW
SECTION
.
148G.6
Council
powers
and
duties.
5
The
naturopathic
advisory
council
shall
do
all
of
the
6
following:
7
1.
Advise
the
board
regarding
standards
for
licensed
8
naturopathic
physicians.
9
2.
Provide
for
distribution
of
information
regarding
10
licensed
naturopathic
physician
standards.
11
3.
Advise
the
board
on
enforcement
issues.
12
4.
Review
applications
for
licensure
and
license
renewal
13
and
recommend
the
granting
or
denial
thereof.
14
5.
Advise
the
board
on
issues
related
to
receiving
and
15
investigating
complaints,
conducting
hearings,
and
imposing
16
disciplinary
action
in
relation
to
complaints
against
licensed
17
naturopathic
physicians.
18
6.
Review
naturopathic
education
and
training
for
and
19
make
specific
recommendations
to
the
board
regarding
the
20
qualifications
to
practice
naturopathic
childbirth
attendance.
21
7.
Recommend
to
the
board
any
prescription
drugs
which
22
should
be
included
on
the
exclusionary
naturopathic
formulary.
23
8.
Advise
the
board
regarding
approval
of
continuing
24
education
programs
specific
to
naturopathic
practice.
25
Sec.
13.
NEW
SECTION
.
148G.7
Scope
of
practice.
26
A
naturopathic
physician
may
do
any
of
the
following:
27
1.
Order
and
perform
physical
and
laboratory
examinations
28
consistent
with
naturopathic
education
and
training
for
29
diagnostic
purposes,
including
but
not
limited
to
phlebotomy,
30
clinical
laboratory
tests,
orificial
examinations,
and
31
physiological
function
tests.
32
2.
Order
diagnostic
imaging
studies
consistent
with
33
naturopathic
training.
All
diagnostic
tests
not
consistent
34
with
naturopathic
medical
education
and
training
must
be
35
-7-
LSB
5098YC
(4)
85
jr/nh
7/
11
H.F.
_____
referred
for
performance
and
interpretation
to
an
appropriately
1
licensed
health
care
professional.
2
3.
Dispense,
administer,
order,
and
prescribe,
provide,
or
3
perform
the
following,
as
applicable:
4
a.
Food,
extracts
of
food,
nutraceuticals,
vitamins,
amino
5
acids,
minerals,
enzymes,
botanicals
and
their
extracts,
6
botanical
medicines,
homeopathic
medicines,
and
all
dietary
7
supplements
and
nonprescription
drugs
as
defined
by
the
federal
8
Food,
Drug,
and
Cosmetic
Act,
21
U.S.C.
§301
et
seq.
9
b.
Prescription
or
legend
drugs
and
hormonal
replacement.
10
c.
Hot
or
cold
hydrotherapy,
naturopathic
physical
medicine,
11
and
therapeutic
exercise.
12
d.
Devices,
including
but
not
limited
to
therapeutic
13
devices,
barrier
contraception,
and
durable
medical
equipment.
14
e.
Health
education
and
health
counseling.
15
f.
Repair
and
care
incidental
to
superficial
lacerations
and
16
abrasions.
17
g.
Removal
of
foreign
bodies
located
in
the
superficial
18
tissues.
19
h.
Musculoskeletal
manipulation
consistent
with
20
naturopathic
education
and
training.
21
4.
Utilize
routes
of
administration
that
include
oral,
22
nasal,
auricular,
ocular,
rectal,
vaginal,
transdermal,
23
intradermal,
subcutaneous,
intravenous,
and
intramuscular
24
consistent
with
the
education
and
training
of
a
naturopathic
25
physician.
26
5.
Perform
all
therapies
as
trained
and
educated,
which
are
27
approved
by
the
naturopathic
advisory
council.
28
Sec.
14.
NEW
SECTION
.
148G.8
Prohibitions.
29
A
naturopathic
physician
licensed
under
this
chapter
shall
30
not
do
any
of
the
following:
31
1.
Perform
or
induce
abortions.
32
2.
Perform
surgical
procedures
except
those
minor
office
33
procedures
authorized
by
this
chapter.
34
3.
Practice
or
claim
to
practice
as
a
medical
or
osteopathic
35
-8-
LSB
5098YC
(4)
85
jr/nh
8/
11
H.F.
_____
physician,
dentist,
pharmacist,
podiatrist,
optometrist,
1
psychologist,
advanced
practice
registered
nurse,
physician
2
assistant,
chiropractor,
physical
therapist,
acupuncturist,
or
3
any
other
health
care
provider
not
authorized
in
this
chapter
4
unless
licensed
by
the
state
of
Iowa
as
such.
5
4.
Use
general
or
spinal
anesthetics.
6
5.
Administer
ionizing
radioactive
substances
for
7
therapeutic
purposes.
8
6.
Administer
or
prescribe
chemotherapeutic
medications
for
9
the
purpose
of
cancer
treatment.
10
7.
Perform
surgical
procedures
of
the
eye,
ear,
nerves,
11
veins,
or
arteries
extending
beyond
superficial
tissue.
12
Sec.
15.
NEW
SECTION
.
148G.9
Exemptions.
13
Nothing
in
this
chapter
shall
be
construed
to
prohibit
or
14
restrict:
15
1.
The
practice
of
a
profession
by
an
individual
who
is
16
licensed,
certified,
or
registered
under
another
law
of
this
17
state
who
is
performing
services
within
the
individual’s
18
authorized
scope
of
practice.
19
2.
The
practice
of
naturopathic
medicine
by
an
individual
20
employed
by
the
government
of
the
United
States
while
the
21
individual
is
engaged
in
the
performance
of
duties
prescribed
22
by
the
laws
and
regulations
of
the
United
States.
23
3.
The
practice
of
naturopathic
medicine
by
students
24
enrolled
in
an
approved
naturopathic
medical
program.
The
25
performance
of
services
shall
be
pursuant
to
a
course
of
26
instruction
or
assignments
from
an
instructor
and
under
the
27
supervision
of
the
instructor.
The
instructor
shall
be
a
28
naturopathic
physician
licensed
pursuant
to
this
chapter
or
a
29
duly
licensed
professional
in
the
instructed
field.
30
4.
Persons
from
treating
themselves
and
family
members
31
based
on
religious
or
health
beliefs.
32
5.
Persons
who
sell
vitamins
and
herbs
from
providing
33
information
about
their
products.
34
6.
Persons
or
practitioners
from
advising
in
the
use
35
-9-
LSB
5098YC
(4)
85
jr/nh
9/
11
H.F.
_____
of
a
therapy
including
but
not
limited
to
herbal
medicine,
1
homeopathy,
nutrition,
or
other
nondrug
or
nonsurgical
therapy
2
that
is
within
the
scope
of
practice
of
naturopathic
physicians
3
as
provided
in
this
chapter
as
long
as
such
therapy
is
lawful,
4
or,
if
a
licensed
health
care
provider,
within
the
scope
of
5
practice
of
the
profession;
and
provided
that
such
person
is
6
not
using
a
title
protected
pursuant
to
this
chapter
or
holding
7
themselves
out
to
be
a
naturopathic
physician.
8
7.
The
practice
of
naturopathic
medicine
by
persons
who
9
are
licensed
to
practice
in
any
other
state
as
practicing
10
naturopathic
physicians,
who
enter
this
state
to
consult
with
11
a
licensed
naturopathic
physician
in
this
state;
provided,
12
however,
that
the
consultation
is
to
be
limited
to
examination,
13
recommendation,
or
testimony
in
litigation.
14
Sec.
16.
FUNDING.
The
board
of
medicine
shall
apply
15
to
the
department
of
administrative
services
to
request
an
16
allocation
of
moneys
from
the
IowAccess
revolving
fund
to
fund
17
the
estimated
costs
for
expansion
of
the
advanced
Maryland
18
automatic
network
disk
archiver
(AMANDA)
system
to
allow
19
licensure
of
naturopathic
physicians
in
the
AMANDA
system.
20
The
board
shall
not
implement
a
fee
increase
to
make
this
21
adjustment
to
the
AMANDA
system
for
naturopathic
physicians.
22
EXPLANATION
23
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
24
the
explanation’s
substance
by
the
members
of
the
general
assembly.
25
This
bill
requires
the
licensing
of
naturopathic
physicians
26
and
makes
the
provisions
of
Code
chapter
147,
including
27
penalty
and
other
regulatory
provisions,
applicable
to
other
28
health
professions
applicable
to
the
practice
of
naturopathic
29
medicine.
The
bill
provides
that
the
practice
of
naturopathic
30
medicine
means
the
provision
of
naturopathic
services
defined
31
as
a
system
of
primary
health
care
for
the
prevention,
32
diagnosis,
and
treatment
of
human
health
conditions,
injury,
33
and
disease,
and
the
promotion
or
restoration
of
health.
34
Naturopathic
medicine
includes
the
use
of
physiological,
35
-10-
LSB
5098YC
(4)
85
jr/nh
10/
11
H.F.
_____
psychological,
or
mechanical
methods,
and
the
use
of
natural
1
medicines,
prescription
or
legend
drugs,
foods,
herbs,
or
2
other
natural
remedies.
The
bill
specifies
qualifications
3
for
licensure
and
the
scope
of
practice
for
a
naturopathic
4
physician,
and
details
functions
that
a
naturopathic
physician
5
may
not
perform.
6
The
practice
of
naturopathic
medicine
is
regulated
by
the
7
board
of
medicine,
with
the
advice
of
a
naturopathic
advisory
8
council.
The
council
consists
of
seven
members,
four
of
9
whom
are
naturopathic
physicians,
one
medical
or
osteopathic
10
physician,
a
pharmacist,
and
one
member
representing
the
11
general
public.
The
council
does
not
receive
a
per
diem
or
12
expenses.
13
The
bill
provides
that
qualified
members
of
other
14
professions,
including
physicians
and
nurses,
are
not
prevented
15
from
providing
services
consistent
with
naturopathic
medicine,
16
but
these
persons
shall
not
use
a
title
or
description
denoting
17
that
they
are
naturopathic
physicians.
The
bill
sets
out
these
18
titles.
19
The
bill
provides
for
inclusion
of
licensed
naturopathic
20
physicians
in
the
AMANDA
system.
This
system
is
a
network
21
disk
archiver
system
currently
used
by
the
boards
of
nursing,
22
dentistry,
and
medicine.
23
Code
section
422.7(27)
provides
an
income
tax
exemption
for
24
payments
received
by
an
individual
providing
unskilled
in-home
25
health-related
care
services
to
a
member
of
the
individual
26
caregiver’s
family.
This
exemption
is
not
available
to
health
27
care
professionals
licensed
by
the
board
of
medicine.
Under
28
the
bill,
naturopathic
physicians
are
to
be
licensed
by
the
29
board
of
medicine,
making
them
ineligible
for
this
exemption.
30
-11-
LSB
5098YC
(4)
85
jr/nh
11/
11
