01RS HB184


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HB 184 (BR 901) - M. Marzian

     AN ACT relating to health care.
     Amend KRS 314.011 to define "dialysis care" and "dialysis technician"; create new sections of KRS 314.011 to 314.161 to prohibit any person, other than a nurse or physician, from providing dialysis care without holding a current active credential as a dialysis technician from the Board of Nursing; prohibit dialysis technician from providing dialysis care if listed on the nurse aide abuse registry with substantiated findings; require board to promulgate administrative regulations relating to dialysis technicians; create the Dialysis Technician Advisory Council under the Board of Nursing and provide for membership; establish penalties; and provide for initial council membership.


     HCS - Retain original provisions, except clarify that any nurse, not just a registered nurse, is exempt from credentialing requirement; and delete provision for initial membership of board.
     SFA (1, T. Buford) - Provide for the Cabinet for Health Services, rather than the Board of Nursing, to regulate dialysis technicians; permit dialysis care in an emergency or if a dialysis technician is not present.
     SFA (2, T. Buford) - Exempt physician assistants from credentialing requirements for dialysis technicians; and require licensing of dialysis technician only if services are performed in a licensed renal dialysis facility.
     SFA (3, J. Denton) - Amend to prohibit the Department for Medicaid Services from implementing any policy that would conflict with the Supreme Court decision in Olmstead v. L.C., 527 U.S. 581 (1999) or hinder an individual who meets institutional level of care from receiving their care in a community setting; and require the department to request that the federal Health Care Financing Administration renew the current home and community based waiver prior to its expiration.
     SFA (4, J. Denton) - Amend KRS 13A.100 to provide that fees set by administrative regulations shall not provide for automatic increase in fee in accordance with the Consumer Price Index, fees shall be set as a specific dollar amount, and shall not be established or increased through the promulgation of an administrative regulation.

     Feb 6-introduced in House
     Feb 7-to Health and Welfare (H)
     Feb 9-posted in committee
     Feb 13-reported favorably, 1st reading, to Calendar with Committee Substitute
     Feb 14-2nd reading, to Rules
     Feb 16-posted for passage in the Regular Orders of the Day for Monday, February 19, 2001
     Feb 19-3rd reading, passed 93-0 with Committee Substitute
     Feb 20-received in Senate
     Feb 23-to Health and Welfare (S)
     Mar 1-reported favorably, 1st reading, to Calendar
     Mar 2-2nd reading, to Rules; floor amendment (1) filed
     Mar 6-floor amendments (2) (3) and (4) filed
     Mar 7-posted for passage in the Regular Orders of the Day for Wednesday, March 7, 2001; 3rd reading; floor amendments (1) (3) and (4) withdrawn ; passed 32-0 with floor amendment (2)
     Mar 8-received in House; posted for passage for concurrence in Senate floor amendment (2) ; House concurred in Senate floor amendment (2) ; passed 91-0
     Mar 9-enrolled, signed by each presiding officer, delivered to Governor
     Mar 20-signed by Governor (Acts ch. 144)

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