This filing was published in the 06/01/2008, issue, Vol. 2008, No. 11, of the Utah State Bulletin.
Commerce, Occupational and Professional Licensing
R156-71
Naturopathic Physician Practice Act Rules
DAR File No.: 30854
Filed: 05/12/2008, 08:35
Received by: NL
Following a public hearing and comments received by the Division, additional amendments are being proposed to this rule. A new section (Section R156-69-302a) to the rule is also being proposed to identify an education credentialing service for naturopathic physician programs or schools located outside of the United States as was required in S.B. 56 which passed during the 2008 General Session of the Legislature and amended the governing statute, Title 58, Chapter 71. (DAR NOTE: S.B. 56 (2008) is found at Chapter 238, Laws of Utah 2008, and was effective 05/05/2008.)
Section R156-71-202 changes are made with respect to antibacterials, antifungals, skeletal muscle relaxants, excluding scheduled medications, corticosteroids, and antigout and bone-resorption inhibitors in the naturopathic physician formulary. Subsection R156-71-202(3) was rewritten. New Section R156-71-302a was added to identify the education credentialing service for naturopathic physician programs or schools located outside of the United States. (DAR NOTE: This change in proposed rule has been filed to make additional changes to a proposed amendment that was published in the January 15, 2008, issue of the Utah State Bulletin, on page 6. Underlining in the rule below indicates text that has been added since the publication of the proposed rule mentioned above; strike out indicates text that has been deleted. You must view the change in proposed rule and the proposed amendment together to understand all of the changes that will be enforceable should the agency make this rule effective.)
Section 58-71-101 and Subsections 58-1-106(1)(a) and 58-1-202(1)(a)
Anticipated cost or savings to:The Division will not incur any additional costs beyond those previously identified in the original rule filing.
These additional proposed amendments do not apply to local governments. The proposed amendments only apply to licensed naturopathic physicians and applicants for licensure as a naturopathic physician.
Small businesses and persons: The additional proposed amendments only apply to licensed naturopathic physicians, which may qualify as a small business, and applicants for licensure as a naturopathic physician. The additional proposed amendments with respect to the naturopathic physician formulary will not cause any additional costs or savings beyond those previously identified in the original rule filing. The amendment identifying the education credentialing service would only apply to applicants for licensure as a naturopathic physician by endorsement who had completed their education at a naturopathic program or school located outside of the United States. For these applicants, there is an approximate cost of $200 to have their education reviewed by the credentialing service. The Division only licenses one or two naturopathic physicians per year for an aggregate cost of $400 and it only applies to an applicant for licensure if the naturopathic program or school they completed is located outside of the United States.
The additional proposed amendments only apply to licensed naturopathic physicians and applicants for licensure as a naturopathic physician. The additional proposed amendments with respect to the naturopathic physician formulary will not cause any additional costs or savings beyond those previously identified in the original rule filing. The amendment identifying the education credentialing service would only apply to applicants for licensure as a naturopathic physician by endorsement who had completed their education at a naturopathic program or school located outside of the United States. For these applicants, there is an approximate cost of $200 to have their education reviewed by the credentialing service.
This change in proposed rule clarifies certain categories in the naturopathic formulary and implements a recent statutory change. Therefore, no fiscal impact to businesses is anticipated. Francine A. Giani, Executive Director
Diana Baker at the above address, by phone at 801-530-6179, by FAX at 801-530-6511, or by Internet E-mail at dbaker@utah.gov
07/01/2008
07/08/2008
F. David Stanley, Director
R156. Commerce, Occupational and Professional Licensing.
R156-71. Naturopathic Physician Practice Act Rule.
. . . . . . .
R156-71-202. Naturopathic Physician Formulary.
(1) In accordance with Subsections 58-71-102(8), 58-71-102(12)(a) and 58-71-202, the naturopathic physician formulary which consists of noncontrolled substance legend medications deemed appropriate for the primary health care of patients within the scope of practice of naturopathic physicians, the prescription of which is approved by the Division in collaboration with the Naturopathic Formulary Advisory Peer Committee, consists of the following legend drugs, listed by category, with reference numbers identified in the American Hospital Formulary Service (AHFS), published by the American Society of Health System Pharmacists, 2006 edition:
4:00 Antihistamines
8:08 Antihelminthics
8:12 Antibacterials, oral forms only
8:14 Antifungals, oral and topical forms
8:18 Antivirals limited to oral and topical dosage forms, excluding:
8:18:08 Antiretrovirals
8:18:20 Interferons
8:18:24 Monoclonal Antibodies
8:18:32 Nucleosides and Nucleotides
8:30:04 Amebicides
8:30:92 Miscellaneous Antiprotozoals excluding those whose primary indication is the treatment of infection in immunosuppressed patients (i.e. Pentamidine and Trimetrexate)
8:36 Urinary anti-infectives
12:12:08:12 Selective Beta 2 Adrenergic Agonists
12:12:12 Alpha and Beta Adrenergic Agonists
12:16 Sympatholytic (Adrenergic Blocking) Agents, limited to ergot derivatives
12:20 Skeletal Muscle Relaxants, excluding scheduled medications
20:24 Hemorrheologic Agents
24:04:08 Cardiotonic agents - limited to Digoxin
24:06 Antilipemic Agents
24:08 Hypotensive Agents - limited to oral dosage forms
24:20 Alpha Adrenergic Blocking Agents
24:24 Beta Adrenergic Blocking Agents - limited to oral dosage forms
24:28 Calcium Channel Blocking Agents - limited to oral dosage forms
24:32 Renin-Angiotensive-Aldosterone System Inhibitors - limited to oral dosage forms
28:08 Analgesics and Antipyrectics, excluding scheduled medications
28:16.04.20 Selective-Serotonin Reuptake Inhibitors
28:16.04.24 Serotonin Modulators
28:16.04.28 Tricyclics and Other Norepinephrine-Reuptake Inhibitors
40:00 Electrolytic, caloric, and water balance
40:28 Diuretics
44:00 Enzymes, limited to digestive and proteolytic
52:08 Corticosteroids (oral, [or]
topical, and injectable), Anti-Inflammatory Agents except Ophthmologic
Preparations, and DMARDS
52:16 Local Anesthetics
56:22 Antiemetics
56:28 H2 Blockers, Anti-ulcer agents and Acid Suppressants
68:12 Contraceptives, except implants and injections
68:16.04 Estrogen
68:20.02 Alpha-Glucosidase Inhibitors
68:20.08 Insulins and Biguanides
68:20.20 Sulfonylureas
68:24 Parathyroid
68:32 Progestin
68:36.04 Thyroid agents, including thyroid of glandular extract
88:28 Multivitamin preparations
92:00 Antigout, and Bone-Resorption Inhibitors, limited to Raloxifene, and botulinum toxin type A, limited to superficial injections
(2) In addition, amino acids, minerals, oxygen and silver nitrate, although not listed in Subsection (1), are approved for primary health care.
(3) [A
naturopathic physician shall not prescribe or administer any medications not
listed in Subsections (1) and (2), unless the naturopathic physician first
submits a request for approval to the Division and the Naturopathic Formulary
Peer Committee and obtains such approval]New categories or classes of
drugs will need to be approved as part of the formulary prior to
prescribing/administering.
(4) The licensed naturopathic physician has the responsibility to be knowledgeable about the medication being prescribed or administered.
. . . . . . .
R156-71-302a. Qualifications for Licensure - Education Requirements for Graduates of Naturopathic Physician Programs or Schools Located Outside the United States.
The satisfactory documentation of compliance with the licensure requirement set forth in Subsection 58-71-302(2)(b) shall be a report submitted to the Division by the International Credentialing Associates, Inc. (ICA) confirming that the applicant's naturopathic physician program or school has met the accreditation standards.
. . . . . . .
KEY: licensing, naturopaths, naturopathic physician
Date of Enactment or Last Substantive Amendment: 2008
Notice of Continuation: January 8, 2007
Authorizing, and Implemented or Interpreted Law: 58-71-101; 58-1-106(1)(a); 58-1-202(1)(a)
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For questions regarding the content or application of this rule, please contact Diana Baker at the above address, by phone at 801-530-6179, by FAX at 801-530-6511, or by Internet E-mail at dbaker@utah.gov For questions about the rulemaking process, please contact the Division of Administrative Rules (801-538-3764).
Last modified: 06/04/2008 10:44 AM