Rep. Norm Thurston — Voting Record

Bill

Number

H.B. 448 First Substitute (2018GS)

Sponsor

Rep. Fawson, J.

Final action

Governor Signed 3/19/2018

Outcome

Became law — signed by Gov. Gary R. Herbert

Summary

What it does

• This bill:
• amends provisions related to the scope of practice for a licensed podiatric physician; and
• makes technical and conforming changes.

Every vote on this bill

Bill text

PODIATRIC PHYSICIAN PRACTICE AMENDMENTS
GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Justin L. Fawson
Senate Sponsor: 
David P. Hinkins
LONG TITLE
General Description:
This bill amends provisions related to the scope of practice for a licensed podiatric
physician.
Highlighted Provisions:
This bill:
▸ amends provisions related to the scope of practice for a licensed podiatric physician;
and
▸ makes technical and conforming changes.
Money Appropriated in this Bill:
None
Other Special Clauses:
None
Utah Code Sections Affected:
AMENDS:
58-5a-103
, as enacted by Laws of Utah 2015, Chapter 230
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 
58-5a-103
 is amended to read:
58-5a-103.
Scope of practice.
(1) Subject to [
Subsections (4) and (5)
] 
the provisions of this section
, an individual
licensed as a podiatric physician under this chapter may perform a surgical procedure on a bone
of the foot or ankle[
, except that the individual
]
.
(2) Except as provided in Subsections (3) and (4), an individual licensed as a podiatric
physician under this chapter
 may not perform:
(a) 
an
 ankle fusion;
(b) 
a
 massive ankle reconstruction; or
(c) 
a
 reduction of a trimalleolar ankle fracture.
[
(2) Notwithstanding Subsections (1)(a), (b), and (c), and subject to Subsections (4)
and (5), an individual licensed as a podiatric physician under this chapter that meets the
additional training requirements described in Subsection (3) may perform a surgical procedure
that is related to the treatment of a foot or ankle condition, including the treatment of a foot or
ankle condition that involves the soft tissues, including tendons, ligaments, and nerves, of the
foot or ankle, except that the individual may only:
]
(3) An individual licensed as a podiatric physician under this chapter who meets the
requirements described in Subsection (4) may only: 
(a) treat a fracture of the tibia if at least one portion of the fracture line enters the ankle
joint;
(b) treat a foot or ankle condition using hardware, including screws, plates, staples,
pins, and wires, if at least one portion of the hardware system is attached to a bony structure at
or below the ankle mortise; and
(c) place hardware for the treatment of soft tissues in the foot or ankle no more
proximal than the distal 10 centimeters of the tibia.
[
(3) An
] 
(4) Subject to Subsection (3), an
 individual licensed as a podiatric physician
under this chapter may [
not
] 
only
 perform [
the procedures
] 
a procedure
 described in Subsection
(2) [
unless
] 
if
 the individual:
(a) (i) graduated on or after June 1, 2006, from a three-year residency program in
podiatric medicine and surgery that was accredited, at the time of graduation, by the Council on
Podiatric Medical Education; and
(ii) is board certified in reconstructive rearfoot and ankle surgery by the American
Board of Foot and Ankle Surgery;
(b) (i) graduated on or after June 1, 2006, from a three-year residency program in
podiatric medicine and surgery that was accredited, at the time of graduation, by the Council on
Podiatric Medical Education;
(ii) is board qualified in reconstructive rearfoot ankle surgery by the American Board
of Foot and Ankle Surgery; and
(iii) provides the division documentation that the podiatric physician has completed
training or experience, which the division determines is acceptable, in standard or advanced
[
midfoot,
] rearfoot[
,
] and ankle procedures; or
(c) (i) graduated before June 1, 2006, from a residency program in podiatric medicine
and surgery that was at least two years in length and that was accredited, at the time of
graduation, by the Council on Podiatric Medical Education;
(ii) (A) is board certified in reconstructive rearfoot ankle surgery by the American
Board of Foot and Ankle Surgery;
(B) if the residency described in Subsection [
(3)
] 
(4)
(c)(i) is a PSR-24 24-month
podiatric surgical residency, provides proof that the individual completed the residency, to a
hospital that is accredited by the Joint Commission, and meets the hospital's credentialing
criteria for foot and ankle surgery; or
(C) in addition to the residency described in Subsection [
(3)
] 
(4)
(c)(i), has completed a
fellowship in foot and ankle surgery that was accredited by the Council on Podiatric Medical
Education at the time of completion; and
(iii) provides the division documentation that the podiatric physician has completed
training and experience, which the division determines is acceptable, in standard or advanced
[
midfoot,
] rearfoot[
,
] and ankle procedures.
[
(4)
] 
(5)
 An individual licensed as a podiatric physician under this chapter may not
perform an amputation proximal to Chopart's joint.
[
(5)
] 
(6)
 An individual licensed as a podiatric physician under this chapter may not
perform a surgical treatment on an ankle, on a governing structure of the foot or ankle above
the ankle, or on a structure related to the foot or ankle above the ankle, unless the individual
performs the surgical treatment:
(a) in an ambulatory surgical facility, a general acute hospital, or a specialty hospital, as
defined in Section 
26-21-2
; and
(b) subject to review by a quality care review body that includes qualified, licensed
physicians and surgeons.