147.80 - ESTABLISHMENT OF FEES -- ADMINISTRATIVE COSTS.

        147.80  ESTABLISHMENT OF FEES -- ADMINISTRATIVE
      COSTS.
         1.  Each board may by rule establish fees for the following based
      on the costs of sustaining the board and the actual costs of the
      service:
         a.  Examinations.
         b.  Licensure, certification, or registration.
         c.  Renewal of licensure, certification, or registration.
         d.  Renewal of licensure, certification, or registration
      during the grace period.
         e.  Reinstatement or reactivation of licensure, certification,
      or registration.
         f.  Issuance of a certified statement that a person is
      licensed, registered, or has been issued a certificate to practice in
      this state.
         g.  Issuance of a duplicate license, registration, or
      certificate, which shall be so designated on its face.  A board may
      require satisfactory proof that the original license, registration,
      or certificate issued by the board has been lost or destroyed.
         h.  Issuance of a renewal card.
         i.  Verification of licensure, registration, or certification.

         j.  Returned checks.
         k.  Inspections.
         2.  Each board shall annually prepare estimates of projected
      revenues to be generated by the fees received by the board as well as
      a projection of the fairly apportioned administrative costs and
      rental expenses attributable to the board.  Each board shall annually
      review and adjust its schedule of fees to cover projected expenses.
         3.  The board of medicine, the board of pharmacy, the dental
      board, and the board of nursing shall retain individual executive
      officers, but shall make every effort to share administrative,
      clerical, and investigative staff to the greatest extent possible.
      
         Section History: Early Form
         [C97, § 2576, 2597, 2590; S13, § 2575-a30, -a38, -a39, 2582,
      2583-a, -l, 2589-d, 2600-d; C24, 27, 31, 35, 39, § 2516; C46, 50,
      54, 58, 62, 66, 71, 73, 75, 77, 79, 81, § 147.80; 81 Acts, ch 2, §
      10(5), ch 5, § 4(5)]
        1.  [C97, § 2597; S13, § 2600-d, -m; C24, 27, 31,
      35, 39, § 2516; C46, 50, 54, 58, 62, § 147.80(1, 2, 7); C66, 71,
      73, § 147.80(1, 7); C75, 77, 79, 81, § 147.80(1)]
        2.  [C97, § 2590; S13, § 2589-b, -d; C24, 27, 31,
      35, 39, § 2516; C46, 50, 54, 58, 62, § 147.80(5--7); C66, 71, 73,
      § 147.80(1, 7); C75, 77, 79, 81, § 147.80(2)]
        3.  [C97, § 2576; S13, § 2576, 2582, 2583-a; C24,
      27, 31, 35, 39, § 2516; C46, 50, 54, 58, 62, § 147.80(1--4); C66,
      71, 73, § 147.80(2, 7); C75, 77, 79, 81, § 147.80(3)]
        4.  [C75, 77, 79, 81, § 147.80(4)]
        6.  [C24, 27, 31, 35, 39, § 2516; C46, 50, 54,
      58, 62, 66, 71, 73, § 147.80(3, 4, 7); C75, 77, 79, 81, § 147.80(5)]
        7.  [C24, 27, 31, 35, 39, § 2516; C46, 50, 54,
      58, 62, 66, 71, 73, § 147.80(3, 4, 7); C75, 77, 79, 81, § 147.80(6)]
        8.  [C66, 71, 73, § 147.80(3, 4, 7); C75, 77, 79,
      81, § 147.80(7)]
        10.  [S13, § 2583-l, -n; C24, 27, 31, 35, 39, §
      2516; C46, 50, 54, 58, 62, 66, 71, 73, § 147.80(3, 4, 7); C75,
      77, 79, 81, § 147.80(8)]
        11.  [C24, 27, 31, 35, 39, § 2516; C46, 50, 54,
      58, 62, 66, 71, 73, § 147.80(5--7); C75, 77, 79, 81, § 147.80(9)]
        12.  [S13, § 2575-a38, -a39; C24, 27, 31, 35, 39, §
      2516; C46, 50, 54, 58, 62, 66, 71, 73, § 147.80(5--7); C75, 77,
      79, 81, § 147.80(10)]
        13.  [S13, § 2575-a30; C24, 27, 31, 35, 39, §
      2516; C46, 50, 54, 58, 62, § 147.80(5--7); C66, § 147.80(6, 7,
      16, 17); C71, 73, § 147.80(6, 7, 19, 20); C75, 77, 79, 81, §
      147.80(11)]
        14.  [C66, § 147.80(19); C71, 73, § 147.80(22); C75,
      77, 79, 81, § 147.80(12)]
        15.  [C27, § 2516(5--7); C31, 35, 39, § 2516(5--7,
      11, 13); C46, 50, 54, 58, 62, § 147.80(5--7, 11, 13); C66, 71, 73,
      § 147.80(5--7, 10, 11); C75, 77, 79, 81, § 147.80(13)]
        16.  [C27, 31, 35, 39, § 2516; C46, 50, 54, §
      147.80(5--7, 12, 13); C58, 62, 66, § 147.80(5--7, 12--14); C71, 73, §
      147.80(5--7, 12--17); C75, 77, 79, 81, § 147.80(14)]
        17.  [C77, 79, 81, § 147.80(15)]
        18.  [C81, § 147.80(16)]
        19.  [C81, § 147.80(17)]
        24.  [S13, § 2600-n; C24, 27, 31, 35, 39, §
      2516; C46, 50, 54, 58, 62, 66, 71, 73, § 147.80(8); C75, §
      147.80(15); C77, 79, § 147.80(16); C81, § 147.80(18)]
        25.  [C66, 71, 73, § 147.80(18); C75, § 147.80(16);
      C77, 79, § 147.80(17); C81, § 147.80(19)] 
         Section History: Recent Form
         84 Acts, ch 1075, § 12; 85 Acts, ch 168, § 7; 85 Acts, ch 246, §
      1; 88 Acts, ch 1225, § 11; 89 Acts, ch 240, § 1; 91 Acts, ch 228, §
      2; 91 Acts, ch 229, § 5; 92 Acts, ch 1183, § 5; 92 Acts, ch 1205, §
      17; 93 Acts, ch 86, § 14; 96 Acts, ch 1036, § 22; 98 Acts, ch 1053,
      §20; 2000 Acts, ch 1002, §2; 2000 Acts, ch 1053, §4; 2001 Acts, ch
      24, §31; 2001 Acts, ch 58, §8; 2003 Acts, ch 93, §2, 14; 2004 Acts,
      ch 1175, §425, 433; 2005 Acts, ch 175, §85; 2006 Acts, ch 1155, §5,
      15; 2007 Acts, ch 10, §63; 2007 Acts, ch 218, §199, 200; 2008 Acts,
      ch 1088, §33; 2009 Acts, ch 133, §49
         Referred to in § 147.82, 157.4, 157.8, 157.11, 158.4, 158.7, 158.9

        147.81  Repealed by 81 Acts, ch 5, § 10; 82 Acts, ch
      1005, § 9.
        147.82  FEE RETENTION.
         All fees collected by a board listed in section 147.13 or by the
      department for the bureau of professional licensure, and fees
      collected pursuant to sections 124.301 and 147.80 and chapter 155A by
      the board of pharmacy, shall be retained by each board or by the
      department for the bureau of professional licensure.  The moneys
      retained by a board shall be used for any of the board's duties,
      including but not limited to the addition of full-time equivalent
      positions for program services and investigations.  Revenues retained
      by a board pursuant to this section shall be considered repayment
      receipts as defined in section 8.2.  Notwithstanding section 8.33,
      moneys retained by a board pursuant to this section are not subject
      to reversion to the general fund of the state.  
         Section History: Early Form
         [C97, § 2583; S13, § 2575-a44, 2583-a, -s; C24, 27, 31, 35, 39, §
      2518; C46, 50, 54, 58, 62, 66, § 147.82; C71, 73, § 147.82,
      153.4; C75, 77, 79, 81, § 147.82] 
         Section History: Recent Form
         2005 Acts, ch 175, §86; 2006 Acts, ch 1155, §6, 15; 2006 Acts, ch
      1184, §86; 2007 Acts, ch 10, §184; 2008 Acts, ch 1088, §34
         Referred to in § 147.25, 153.37 
         Footnotes
         Nonreversion of unencumbered or unobligated funds appropriated or
      received as fees or repayment receipts for the fiscal period
      beginning July 1, 2006, and ending July 1, 2007, until the close of
      the next succeeding fiscal year; 2006 Acts, ch 1155, §14, 15
        147.83  INJUNCTION.
         Any person engaging in any business or in the practice of any
      profession for which a license is required by this subtitle without
      such license may be restrained by permanent injunction.  
         Section History: Early Form
         [C24, 27, 31, 35, 39, § 2519; C46, 50, 54, 58, 62, 66, 71, 73,
      75, 77, 79, 81, § 147.83] 
         Section History: Recent Form
         94 Acts, ch 1132, §24; 96 Acts, ch 1036, § 23; 98 Acts, ch 1053,
      §21
         Referred to in § 154C.2, 156.16
         Injunctions, R.C.P. 1.1501--1.1511
        147.84  FORGERIES.
         Any person who files or attempts to file with a board any false or
      forged diploma, certificate or affidavit of identification or
      qualification, or other document shall be guilty of a fraudulent
      practice.  
         Section History: Early Form
         [C97, § 2580, 2595; S13, § 2583-d; C24, 27, 31, 35, 39, §
      2520; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, § 147.84]
      
         Section History: Recent Form
         2008 Acts, ch 1088, §35
         Referred to in § 148.6
         See chapter 715A
         Fraudulent practice, see §714.8
        147.85  FRAUD.
         Any person who presents to a board a diploma or certificate of
      which the person is not the rightful owner, for the purpose of
      procuring a license, or who falsely impersonates anyone to whom a
      license has been issued by the board shall be guilty of a serious
      misdemeanor.  
         Section History: Early Form
         [C97, § 2580, 2581, 2595; S13, § 2575-a45, 2581, 2583-c, -d; C24,
      27, 31, 35, 39, § 2521; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77,
      79, 81, § 147.85] 
         Section History: Recent Form
         2008 Acts, ch 1088, §36; 2009 Acts, ch 133, §50
         Referred to in § 148.6
        147.86  PENALTIES.
         Any person violating any provision of this or the following
      chapters of this subtitle, except insofar as the provisions apply or
      relate to or affect the practice of pharmacy, or where a specific
      penalty is otherwise provided, shall be guilty of a serious
      misdemeanor.  
         Section History: Early Form
         [C97, § 2580, 2581, 2588, 2590, 2591, 2595; S13, § 2575-a35, -a45,
      2581, 2583-d, -r, 2589-d, 2600-o4; SS15, § 2588; C24, 27, 31, 35, 39,
      § 2522; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §
      147.86] 
         Section History: Recent Form
         92 Acts, ch 1183, § 6; 94 Acts, ch 1023, §12; 94 Acts, ch 1132,
      §25; 96 Acts, ch 1036, § 24; 98 Acts, ch 1053, §22
         Referred to in § 147.107, 147.108, 147.109
        147.87  ENFORCEMENT.
         A board shall enforce the provisions of this chapter and the
      board's enabling statute and for that purpose may request the
      department of inspections and appeals to make necessary
      investigations.  Every licensee and member of a board shall furnish
      the board or the department of inspections and appeals such evidence
      as the member or licensee may have relative to any alleged violation
      which is being investigated.  
         Section History: Early Form
         [C24, 27, 31, 35, 39, § 2523; C46, 50, 54, 58, 62, 66, 71, 73,
      75, 77, 79, 81, § 147.87] 
         Section History: Recent Form
         90 Acts, ch 1204, §19; 94 Acts, ch 1132, §26; 96 Acts, ch 1036, §
      25; 98 Acts, ch 1053, §23; 2007 Acts, ch 10, §64; 2008 Acts, ch 1088,
      §37; 2009 Acts, ch 41, §53
         Referred to in § 152.10, 153.36, 156.9
         Continuing education and regulation, chapter 272C
        147.88  INSPECTIONS AND INVESTIGATIONS.
         The department of inspections and appeals may perform inspections
      and investigations as required by this subtitle, except inspections
      and investigations for the board of medicine, board of pharmacy,
      board of nursing, and the dental board.  The department of
      inspections and appeals shall employ personnel related to the
      inspection and investigative functions.  
         Section History: Early Form
         [C31, 35, § 2523-c1; C39, § 2523.1; C46, 50, 54, 58, 62, 66,
      71, 73, 75, 77, 79, 81, § 147.88] 
         Section History: Recent Form
         90 Acts, ch 1204, §20; 94 Acts, ch 1132, §27; 96 Acts, ch 1036, §
      26; 98 Acts, ch 1053, §24; 2007 Acts, ch 10, §65; 2007 Acts, ch 218,
      §201; 2008 Acts, ch 1088, §38
         Referred to in § 152.10, 153.36
        147.89  REPORT OF VIOLATORS.
         Every licensee and member of a board shall report to the board the
      name of any person without the required license if the licensee or
      member of the board has reason to believe the person is practicing
      the profession without a license.  
         Section History: Early Form
         [C24, 27, 31, 35, 39, § 2524; C46, 50, 54, 58, 62, 66, 71, 73,
      75, 77, 79, 81, § 147.89] 
         Section History: Recent Form
         2007 Acts, ch 10, §66; 2008 Acts, ch 1088, §39; 2009 Acts, ch 41,
      §54
         Referred to in § 152.10, 153.36
        147.90  RULES AND FORMS.  Repealed by 2008 Acts, ch
      1088, § 78.
        147.91  PUBLICATIONS.
         Each board shall provide access to the laws and rules regulating
      the board to the public upon request and shall make this information
      available through the internet.  
         Section History: Early Form
         [C24, 27, 31, 35, 39, § 2526; C46, 50, 54, 58, 62, 66, 71, 73,
      75, 77, 79, 81, § 147.91] 
         Section History: Recent Form
         90 Acts, ch 1204, §22; 2001 Acts, ch 58, §9; 2007 Acts, ch 10,
      §67; 2008 Acts, ch 1088, §40
         Referred to in § 153.36
        147.92  ATTORNEY GENERAL.
         Upon request of a board the attorney general shall institute in
      the name of the state the proper proceedings against any person
      charged by the board with violating any provision of this or the
      following chapters of this subtitle.  
         Section History: Early Form
         [S13, § 2600-o7; C24, 27, 31, 35, 39, § 2527; C46, 50, 54, 58,
      62, 66, 71, 73, 75, 77, 79, 81, § 147.92] 
         Section History: Recent Form
         94 Acts, ch 1132, §29; 94 Acts, ch 1173, §8; 96 Acts, ch 1036, §
      28; 98 Acts, ch 1053, §26; 2008 Acts, ch 1088, §41
         Referred to in § 153.36
        147.93  PRIMA FACIE EVIDENCE.
         The opening of an office or place of business for the practice of
      any profession for which a license is required by this subtitle, the
      announcing to the public in any way the intention to practice any
      such profession, the use of any professional degree or designation,
      or of any sign, card, circular, device, internet website, or
      advertisement, as a practitioner of any such profession, or as a
      person skilled in the same, shall be prima facie evidence of engaging
      in the practice of such profession.  
         Section History: Early Form
         [S13, § 2575-a28, -a31, 2600-o; C24, 27, 31, 35, 39, § 2528;
      C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, § 147.93] 
         Section History: Recent Form
         94 Acts, ch 1132, §30; 96 Acts, ch 1036, § 29; 98 Acts, ch 1053,
      §27; 2008 Acts, ch 1088, §42
        147.94 THROUGH 147.96  Repealed by 2008 Acts, ch
      1088, § 79.
        147.97  Reserved.
        147.98 THROUGH 147.100  Repealed by 2008 Acts, ch
      1088, § 79.
        147.101  Repealed by 74 Acts, ch 1086, § 198.
        147.102  PSYCHOLOGISTS, CHIROPRACTORS, AND DENTISTS.
      Repealed by 2008 Acts, ch 1088, § 79.
        147.103  INVESTIGATORS FOR PHYSICIAN ASSISTANTS.
      Repealed by 2008 Acts, ch 1088, § 79.  See § 148C.13.
        147.103A  PHYSICIANS AND SURGEONS, OSTEOPATHS, AND
      OSTEOPATHIC PHYSICIANS AND SURGEONS.  Repealed by 2008 Acts, ch
      1088, § 79.  See chapter 148.
        147.104  RECORDS.  Repealed by 2008 Acts, ch 1088, §
      78.
        147.105  Reserved.
        147.106  ANATOMIC PATHOLOGY SERVICES -- BILLING.
         1.  A physician or a clinical laboratory located in this state or
      in another state that provides anatomic pathology services to a
      patient in this state shall present or cause to be presented a claim,
      bill, or demand for payment for such services only to the following
      persons:
         a.  The patient who is the recipient of the services.
         b.  The insurer or other third-party payor responsible for
      payment of the services.
         c.  The hospital that ordered the services.
         d.  The public health clinic or nonprofit clinic that ordered
      the services.
         e.  The referring clinical laboratory, other than the
      laboratory of a physician's office or group practice, that ordered
      the services.  A laboratory of a physician's office or group practice
      that ordered the services may be presented a claim, bill, or demand
      for payment if a physician in the physician's office or group
      practice is performing the professional component of the anatomic
      pathology services.
         f.  A governmental agency or a specified public or private
      agent, agency, or organization that is responsible for payment of the
      services on behalf of the recipient of the services.
         2.  Except as provided under subsections 5 and 6, a clinical
      laboratory or a physician providing anatomic pathology services to
      patients in this state shall not, directly or indirectly, charge,
      bill, or otherwise solicit payment for such services unless the
      services were personally rendered by the clinical laboratory or the
      physician or under the direct supervision of the clinical laboratory
      or the physician in accordance with section 353 of the federal Public
      Health Service Act, 42 U.S.C. § 263a.
         3.  A person to whom a claim, bill, or demand for payment for
      anatomic pathology services is submitted is not required to pay the
      claim, bill, or demand for payment if the claim, bill, or demand for
      payment is submitted in violation of this section.
         4.  This section shall not be construed to mandate the assignment
      of benefits for anatomic pathology services as defined in this
      section.
         5.  This section does not prohibit claims or charges presented to
      a referring clinical laboratory, other than a laboratory of a
      physician's office or group practice unless in accordance with
      subsection 1, paragraph "e", by another clinical laboratory when
      samples are transferred between laboratories for the provision of
      anatomic pathology services.
         6.  This section does not prohibit claims or charges for anatomic
      pathology services presented on behalf of a public health clinic or
      nonprofit clinic that ordered the services provided that the clinic
      is identified on the claim or charge presented.
         7.  A violation of this section by a physician shall subject the
      physician to the disciplinary provisions of section 272C.3,
      subsection 2.
         8.  As used in this section:
         a.  "Anatomic pathology services" includes all of the
      following:
         (1)  Histopathology or surgical pathology, meaning the gross and
      microscopic examination and histologic processing of organ tissue
      performed by a physician or under the supervision of a physician.
         (2)  Cytopathology, meaning the examination of cells from fluids,
      aspirates, washings, brushings, or smears, including the Pap test
      examination, performed by a physician or under the supervision of a
      physician.
         (3)  Hematology, meaning the microscopic evaluation of bone marrow
      aspirates and biopsies performed by a physician or under the
      supervision of a physician, and the examination of peripheral blood
      smears performed by a physician or under the supervision of a
      physician upon the request of an attending or treating physician or
      technologist that a blood smear be reviewed by a physician.
         (4)  Subcellular pathology and molecular pathology services
      performed by a physician or under the supervision of a physician.
         (5)  Bloodbanking services performed by a physician or under the
      supervision of a physician.
         b.  "Physician" means any person licensed to practice medicine
      and surgery or osteopathic medicine and surgery in this state or in
      another state.  
         Section History: Recent Form
         2005 Acts, ch 10, §1; 2005 Acts, ch 179, §120; 2006 Acts, ch 1185,
      §73, 74; 2008 Acts, ch 1088, §95
        147.107  DRUG DISPENSING, SUPPLYING, AND PRESCRIBING
      -- LIMITATIONS.
         1.  A person, other than a pharmacist, physician, dentist,
      podiatric physician, or veterinarian who dispenses as an incident to
      the practice of the practitioner's profession, shall not dispense
      prescription drugs or controlled substances.
         2. a.  A pharmacist, physician, dentist, or podiatric
      physician who dispenses prescription drugs, including but not limited
      to controlled substances, for human use, may delegate nonjudgmental
      dispensing functions to staff assistants only when verification of
      the accuracy and completeness of the dispensing is determined by the
      pharmacist or practitioner in the pharmacist's or practitioner's
      physical presence.  However, the physical presence requirement does
      not apply when a pharmacist or practitioner is utilizing an automated
      dispensing system or when a pharmacist is utilizing a tech-check-tech
      program, as defined in section 155A.3.  When using an automated
      dispensing system the pharmacist or practitioner shall utilize an
      internal quality control assurance plan that ensures accuracy for
      dispensing.  When using a tech-check-tech program the pharmacist
      shall utilize an internal quality control assurance plan, in
      accordance with rules adopted by the board of pharmacy, that ensures
      accuracy for dispensing.  Verification of automated dispensing and
      tech-check-tech accuracy and completeness remains the responsibility
      of the pharmacist or practitioner and shall be determined in
      accordance with rules adopted by the board of pharmacy, the board of
      medicine, the dental board, and the board of podiatry for their
      respective licensees.
         b.  A dentist, physician, or podiatric physician who dispenses
      prescription drugs, other than drug samples, pursuant to this
      subsection, shall report the fact that they dispense prescription
      drugs with the practitioner's respective board at least biennially.
         c.  A physician, dentist, or podiatric physician who dispenses
      prescription drugs, other than drug samples, pursuant to this
      subsection, shall offer to provide the patient with a written
      prescription that may be dispensed from a pharmacy of the patient's
      choice or offer to transmit the prescription orally, electronically,
      or by facsimile in accordance with section 155A.27 to a pharmacy of
      the patient's choice.
         3.  A physician assistant or registered nurse may supply, when
      pharmacist services are not reasonably available or when it is in the
      best interests of the patient, on the direct order of the supervising
      physician, a quantity of properly packaged and labeled prescription
      drugs, controlled substances, or contraceptive devices necessary to
      complete a course of therapy.  However, a remote clinic, staffed by a
      physician assistant or registered nurse, where pharmacy services are
      not reasonably available, shall secure the regular advice and
      consultation of a pharmacist regarding the distribution, storage, and
      appropriate use of such drugs, substances, and devices.
         4.  Notwithstanding subsection 3, a physician assistant shall not
      dispense prescription drugs as an incident to the practice of the
      supervising physician or the physician assistant, but may supply,
      when pharmacist services are not reasonably available, or when it is
      in the best interests of the patient, a quantity of properly packaged
      and labeled prescription drugs, controlled substances, or medical
      devices necessary to complete a course of therapy.  However, a remote
      clinic, staffed by a physician assistant, where pharmacy services are
      not reasonably available, shall secure the regular advice and
      consultation of a pharmacist regarding the distribution, storage, and
      appropriate use of such drugs, substances, and devices.  Prescription
      drugs supplied under the provisions of this subsection shall be
      supplied for the purpose of accommodating the patient and shall not
      be sold for more than the cost of the drug and reasonable overhead
      costs, as they relate to supplying prescription drugs to the patient,
      and not at a profit to the physician or the physician assistant.  If
      prescription drug supplying authority is delegated by a supervising
      physician to a physician assistant, a nurse or staff assistant may
      assist the physician assistant in providing that service.  Rules
      shall be adopted by the board of physician assistants, after
      consultation with the board of pharmacy, to implement this
      subsection.
         5.  Notwithstanding subsection 1 and any other provision of this
      section to the contrary, a physician may delegate the function of
      prescribing drugs, controlled substances, and medical devices to a
      physician assistant licensed pursuant to chapter 148C.  When
      delegated prescribing occurs, the supervising physician's name shall
      be used, recorded, or otherwise indicated in connection with each
      individual prescription so that the individual who dispenses or
      administers the prescription knows under whose delegated authority
      the physician assistant is prescribing.  Rules relating to the
      authority of physician assistants to prescribe drugs, controlled
      substances, and medical devices pursuant to this subsection shall be
      adopted by the board of physician assistants, after consultation with
      the board of medicine and the board of pharmacy.  However, the rules
      shall prohibit the prescribing of schedule II controlled substances
      which are listed as depressants pursuant to chapter 124.
         6.  Health care providers shall consider the instructions of the
      physician assistant to be instructions of the supervising physician
      if the instructions concern duties delegated to the physician
      assistant by a supervising physician.
         7.  Notwithstanding subsection 1, a family planning clinic may
      dispense birth control drugs and devices upon the order of a
      physician.  Subsections 2 and 3 do not apply to a family planning
      clinic under this subsection.
         8.  Notwithstanding subsection 1, but subject to the limitations
      contained in subsections 2 and 3, a registered nurse who is licensed
      and registered as an advanced registered nurse practitioner and who
      qualifies for and is registered in a recognized nursing specialty may
      prescribe substances or devices, including controlled substances or
      devices, if the nurse is engaged in the practice of a nursing
      specialty regulated under rules adopted by the board of nursing in
      consultation with the board of medicine and the board of pharmacy.
         9.  Notwithstanding section 147.86, a person, including a
      pharmacist, who violates this section is guilty of a simple
      misdemeanor.  
         Section History: Recent Form
         84 Acts, ch 1006, § 1; 88 Acts, ch 1232, § 1; 91 Acts, ch 238, §
      1; 91 Acts, ch 239, § 1; 92 Acts, ch 1163, § 37; 92 Acts, ch 1183, §
      10; 94 Acts, ch 1134, §1; 95 Acts, ch 108, §5; 2002 Acts, ch 1108,
      §13; 2003 Acts, ch 93, §3, 14; 2003 Acts, ch 108, §39; 2004 Acts, ch
      1036, §8; 2004 Acts, ch 1101, § 22; 2006 Acts, ch 1094, §1; 2007
      Acts, ch 10, §78; 2007 Acts, ch 218, §202; 2008 Acts, ch 1016, §1;
      2008 Acts, ch 1088, §43
         Referred to in § 154.1, 155A.2, 155A.4, 280.16
         See also § 154.1, 155A.4
        147.108  CONTACT LENS PRESCRIBING AND DISPENSING.
         1.  A person shall not dispense or adapt contact lenses without
      first receiving authorization to do so by a written, electronic, or
      facsimile prescription, except when authorized orally under
      subsection 2, from a person licensed under chapter 148 or 154.  The
      board of optometry shall adopt rules relating to electronic or
      facsimile transmission of a prescription under this section.
         2.  After contact lenses have been adequately adapted and the
      patient released from initial follow-up care by a person licensed
      under chapter 148 or 154, the patient may request a copy, at no cost,
      of the contact lens prescription from that licensed person.  A person
      licensed under chapter 148 or 154 shall not withhold a contact lens
      prescription after the requirements of this section have been met.
      The prescription, at the option of the prescriber, may be given
      orally only to a person who is actively practicing and licensed under
      chapter 148, 154, or 155A.  The contact lens prescription shall
      contain an expiration date, at the discretion of the prescriber, but
      not to exceed eighteen months.  The contact lens prescription shall
      contain the necessary requirements of the ophthalmic lens, and the
      prescription validation requirements as defined by rules adopted
      pursuant to this section.  The prescription may contain adapting and
      material guidelines and may also contain specific instructions for
      use by the patient.  For the purpose of this section, "ophthalmic
      lens" means one which has been fabricated to fill the requirements
      of a particular contact lens prescription.
         3.  A person who fills a contact lens prescription shall maintain
      a file of a valid prescription for a period of two years.
         4.  Notwithstanding section 147.86, a person who violates this
      section is guilty of a simple misdemeanor for a first violation.
      Subsequent violations are governed by section 147.86.  
         Section History: Recent Form
         94 Acts, ch 1098, §1; 2004 Acts, ch 1036, §9; 2007 Acts, ch 10,
      §79; 2008 Acts, ch 1088, §96
        147.109  OPHTHALMIC SPECTACLE LENS PRESCRIBING AND
      DISPENSING.
         1.  A person shall not dispense or adapt an ophthalmic spectacle
      lens or lenses without first receiving authorization to do so by a
      written, electronic, or facsimile prescription from a person licensed
      under chapter 148 or 154.  For the purpose of this section,
      "ophthalmic spectacle lens" means one which has been fabricated
      to fill the requirements of a particular spectacle lens prescription.
      The board of optometry shall adopt rules relating to electronic or
      facsimile transmission of a prescription under this section.
         2.  Upon completion of an eye examination, a person licensed under
      chapter 148 or 154 shall furnish the patient a copy of their
      ophthalmic spectacle lens prescription at no cost.  The ophthalmic
      spectacle lens prescription shall contain an expiration date.  The
      ophthalmic spectacle lens prescription shall contain the requirements
      of the ophthalmic spectacle lens and the prescription validation
      requirements as defined by rules adopted pursuant to this section.
      The prescription, at the option of the prescriber, may contain
      adapting and material guidelines and may also contain specific
      instructions for use by the patient.
         3.  Upon request of a patient, a person licensed under chapter 148
      or 154 shall provide the prescription of the patient, if the
      prescription has not expired, at no cost to another person licensed
      under chapter 148 or 154.  The person licensed under chapter 148 or
      154 shall accept the prescription and shall not require the patient
      to undergo an eye examination unless, due to observation or patient
      history, the licensee has reason to require an examination.
         4.  A dispenser shall maintain a file of a valid prescription for
      a period of two years.
         5.  Notwithstanding section 147.86, a person who violates this
      section is guilty of a simple misdemeanor for a first violation.
      Subsequent violations are governed by section 147.86.  
         Section History: Recent Form
         94 Acts, ch 1098, §2; 2004 Acts, ch 1036, §10; 2007 Acts, ch 10,
      §80; 2008 Acts, ch 1088, §97
        147.110  Reserved.
        147.111  REPORT OF TREATMENT OF WOUNDS AND OTHER
      INJURIES.
         Any person licensed under the provisions of this subtitle who
      shall administer any treatment to any person suffering a gunshot or
      stab wound or other serious injury, as defined in section 702.18,
      which appears to have been received in connection with the commission
      of a criminal offense, or to whom an application is made for
      treatment of any nature because of any such gunshot or stab wound or
      other serious injury, as defined in section 702.18, shall at once but
      not later than twelve hours thereafter, report that fact to the law
      enforcement agency within whose jurisdiction the treatment was
      administered or an application therefor was made, or if
      ascertainable, to the law enforcement agency in whose jurisdiction
      the gunshot or stab wound or other serious injury occurred, stating
      the name of such person, the person's residence if ascertainable, and
      giving a brief description of the gunshot or stab wound or other
      serious injury.  Any provision of law or rule of evidence relative to
      confidential communications is suspended insofar as the provisions of
      this section are concerned.  
         Section History: Early Form
         [C31, 35, § 2537-d1; C39, § 2537.7; C46, 50, 54, 58, 62, 66,
      71, 73, 75, 77, 79, 81, § 147.111] 
         Section History: Recent Form
         93 Acts, ch 100, § 2; 94 Acts, ch 1132, §31; 96 Acts, ch 1036, §
      30; 98 Acts, ch 1053, §28; 99 Acts, ch 114, §8
         Referred to in § 147.112, 331.653
        147.112  INVESTIGATION AND REPORT BY LAW ENFORCEMENT
      AGENCY.
         The law enforcement agency who has received any report required by
      this chapter and who has any reason to believe that the person
      injured was involved in the commission of any crime, either as
      perpetrator or victim, shall at once commence an investigation into
      the circumstances of th