06 AM 33
0436
ADOPTED
Senators
Tolleson of the 20th, Adelman of the 42nd, Unterman of the 45th and Brown of the
26th offered the following amendment:
Amend
the Senate Health and Human Services Committee substitute (LC 33 1434S) to SB
603 by striking line 10 of page 5 and inserting in lieu thereof the
following:
(6)
'Diagnostic study' means a laboratory test, X-ray, ultrasound, or other
procedure used to identify a characteristic or distinguishing feature of a
particular disease or condition.
By
striking lines 16 through 31 of page 6 and inserting in lieu thereof the
following:
(2)
A physician who is a party to a nurse protocol agreement shall review on a
regular basis the medical acts delegated to an advanced practice registered
nurse in a nurse protocol agreement. An advanced practice registered nurse who
is party to a nurse protocol agreement shall be responsible for the nursing acts
performed under such an agreement and a delegating physician shall be
responsible for the medical acts performed under such an agreement.
(3)
A patient who receives a prescription drug order from an advanced practice
registered nurse pursuant to a nurse protocol agreement shall be reviewed,
evaluated, or examined by a physician at intervals for such review, evaluation,
or examination as determined by the delegating physician.
By
striking lines 24 through 25 of page 7 and inserting in lieu thereof the
following:
(8)
Be available for review upon written request to the advanced practice registered
nurse by the Georgia Board of Nursing or to the delegating physician by the
board.
By
striking lines 14 through 29 of page 8 and inserting in lieu thereof the
following:
(g)
A delegating physician may not enter into a nurse protocol agreement pursuant to
this Code section with more than four advanced practice registered nurses at any
one time as calculated on a full-time equivalency basis, except this limitation
shall not apply to an advanced practice registered nurse who is
practicing:
(1)
In a hospital licensed under Title 31;
(2)
In any college or university as defined in Code Section 20-8-1;
(3)
In the Department of Human Resources;
(4)
In any county board of health;
(5)
In any free health clinic;
(6)
In a birthing center;
(7)
In any entity which:
(A)
Is exempt from federal taxes pursuant to Section 501(c)(3) of the Internal
Revenue Code, as defined in Code Section 48-1-2; or
(B)
Has been established under the authority of or is receiving funds pursuant to 42
U.S.C. Section 254b or 254c of the United States Public Health Service
Act;
(8)
In a school nurse program of any local board of education; or
(9)
In a health maintenance organization that has an exclusive contract with a
medical group practice or arrange for the provision of substantially all
physician services to enrollees in health benefits of the health maintenance
organization.
By
striking lines 8 through 13 of page 9 and inserting in lieu thereof the
following:
(l)
Except for practice settings identified in paragraphs (1) through (9) of
subsection (g) of this Code section, it shall be unlawful for a physician to be
an employee of an advanced practice registered nurse, alone or in combination
with others, if the physician is required to supervise the medical acts of the
employing advanced practice registered nurse. Such practice shall be subject to
sanctions by the Georgia Board of Nursing as to the advanced practice registered
nurse and the board as to the physician.