2004-S AMH GREE MORI 031

SHB 2004 - H AMD 259

By Representative Green

NOT CONSIDERED 4/26/2009

    Strike everything after the enacting clause and insert the following:

"NEW SECTION. Sec. 1.  A new section is added to chapter 18.36A RCW to read as follows:

    (1) A naturopath licensed under this chapter may delegate the application of certain health care modalities to an unlicensed practitioner under the following conditions:

    (a) The supervising naturopath shall ensure that the unlicensed practitioner has sufficient training and competency to deliver the delegated modalities in a manner that is consistent with all current standards for public safety;

    (b) The unlicensed practitioner has liability coverage for the delegated modalities; and

    (c) The unlicensed practitioner has a written emergency protocol to address urgent needs that may occur as a result of the delegated modalities.

    (2) For purposes of this section, "certain health care modalities" means those therapeutic procedures that do not require direct, one-on-one contact by the naturopath and may include colon hydrotherapy performed at a facility other than the supervising naturopath's office.

Sec. 2. RCW 18.36A.050 and 1991 c 3 s 90 are each amended to read as follows:

    Nothing in this chapter shall be construed to prohibit or restrict:

    (1) The practice of a profession by individuals who are licensed, certified, or registered under other laws of this state who are performing services within their authorized scope of practice;

    (2) The practice of naturopathic medicine by an individual employed by the government of the United States while the individual is engaged in the performance of duties prescribed for him or her by the laws and regulations of the United States;

    (3) The practice of naturopathic medicine by students enrolled in a school approved by the secretary.  The performance of services shall be pursuant to a course of instruction or assignments from an instructor and under the supervision of the instructor.  The instructor shall be a naturopath licensed pursuant to this chapter; ((or))

    (4) The practice of oriental medicine or oriental herbology, or the rendering of other dietary or nutritional advice; or

(5) The practice of certain health care modalities delegated to unlicensed practitioners under section 1 of this act."

EFFECT:   Strikes all of the provisions in the underlying bill (authorizing the practice of colony hydrotherapy by an unlicensed practitioner under the indirect supervision of a naturopath.  Instead, authorizes a naturopath to delegate "certain health care modalities" to an unlicensed practitioner if: (1) the supervising naturopath ensures that the unlicensed practitioner has sufficient training and competency to deliver the modalities in a manner that is consistent with all current standards of public safety, (2) the unlicensed practitioner has liability coverage for the delegated modalities, and (3) the unlicensed practitioner has a written emergency protocol to address urgent needs that may occur as a result of the delegated modalities.  "Certain health care modalities" are defined as therapeutic procedures that do not require direct, one-on-one contact by the naturopath and may include colon hydrotherapy performed at a facility other than the supervising physician's office.

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