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01 LC 22 4234

House Bill 329
By: Representatives Martin of the 47th, McBee of the 88th, Scheid of the 17th, Skipper of the 137th, Orrock of the 56th and others



A BILL TO BE ENTITLED
AN ACT

To amend Chapter 13 of Title 16 of the Official Code of Georgia Annotated, relating to controlled substances, Chapter 4 of Title 26 of the Official Code of Georgia Annotated, relating to pharmacists, Article 8 of Chapter 7 of Title 31 of the Official Code of Georgia Annotated, relating to health service provider psychologists, and Chapter 39 of Title 43 of the Official Code of Georgia Annotated, relating to psychologists, so as to authorize certain psychologists to prescribe drugs in certain circumstances; to provide that psychologists certified to prescribe drugs are exempt from criminal law as are other medical professionals licensed to prescribe; to exempt from liability pharmacists and nurses acting in good faith upon the orders of a psychologist certified to prescribe; to provide for prescriptions by psychologists certified to prescribe who are health service provider psychologists; to provide that the practice of psychology includes administering, ordering, and prescribing drugs in certain circumstances; to limit such prescriptions to those for mental or nervous disorders or illnesses; to provide for the adoption of rules for certification; to provide for training and an examination; to provide for consultation with the patient´s treating physician; to provide for related matters; to provide an effective date; to repeal conflicting laws; and for other purposes.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:

SECTION 1.
Chapter 13 of Title 16 of the Official Code of Georgia Annotated, relating to controlled substances, is amended in Code Section 16-13-21, relating to definitions, by striking in its entirety paragraph (23) and inserting in its place the following:
"(23) 'Practitioner' means:
(A) A physician, dentist, pharmacist, podiatrist, veterinarian, psychologist certified to prescribe as defined in paragraph (4) of Code Section 43-39-1, scientific investigator, or other person licensed, registered, or otherwise authorized under the laws of this state to distribute, dispense, conduct research with respect to, or to administer a controlled substance in the course of professional practice or research in this state;
(B) A pharmacy, hospital, or other institution licensed, registered, or otherwise authorized by law to distribute, dispense, conduct research with respect to, or to administer a controlled substance in the course of professional practice or research in this state; or
(C) A physician´s assistant acting pursuant to the authority of subsection (e.1) of Code Section 43-34-103. For purposes of this chapter and subsection (e.1) of Code Section 43-34-103 and notwithstanding the provisions of subsection (g) of Code Section 43-34-26.1, a physician´s assistant is authorized to register with the federal Drug Enforcement Administration and appropriate state authorities."

SECTION 2.
Said chapter is further amended in Article 3, relating to dangerous drugs, by striking Code Section 16-13-77, relating to the article´s applicability to practitioners of the healing arts, and inserting in its place a new Code section to read as follows:
"16-13-77.
Nothing in this article shall be construed to prohibit the administration of dangerous drugs by or under the direction of a practitioner of the healing arts. For purposes of this article, the terms 'practitioner' and 'practitioner of the healing arts' mean a practitioner as defined in Code Section 16-13-21."

SECTION 3.
Chapter 4 of Title 26 of the Official Code of Georgia Annotated, relating to pharmacists, is amended by striking in its entirety paragraph (33) of Code Section 26-4-5, relating to definitions, and inserting in its place a new paragraph (33) and by adding a new paragraph to be designated paragraph (37.1), so that the two paragraphs as amended read as follows:
"(33) 'Practitioner' or 'practitioner of the healing arts' means a physician, dentist, podiatrist, or veterinarian, or psychologist certified to prescribe and shall include any other person licensed under the laws of this state to use, mix, prepare, dispense, prescribe, and administer drugs in connection with medical treatment to the extent provided by the laws of this state."
"(37.1) 'Psychologist certified to prescribe' means an individual who is certified by the State Board of Examiners of Psychologists to administer, order, and prescribe drugs for the diagnosis, care, and treatment of mental or nervous disorders or illnesses as provided in Code Section 43-39-5.1."

SECTION 4.
Said chapter is further amended by inserting a new Code section to be designated Code Section 26-4-31 to read as follows:
"26-4-31.
Nothing in this chapter shall be construed to create a presumption of liability, either civil or criminal, on the part of a pharmacist who is duly licensed under this chapter and who in good faith fills a prescription drug ordered or prescribed by a psychologist certified to prescribe."

SECTION 5.
Article 8 of Chapter 7 of Title 31 of the Official Code of Georgia Annotated, relating to health service provider psychologists, is amended by striking in its entirety Code Section 31-7-160, relating to definitions, and inserting in its place a new Code section to read as follows:
"31-7-160.
As used in this article, the term:
(1) 'Health service provider psychologist' means a licensed psychologist who meets the criteria of training and experience as provided in Code Section 31-7-162 in the delivery of direct, preventive, assessment and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at a high risk of impairment.
(2) 'Psychologist´s order' means an order issued by a health service provider psychologist practicing psychology in accordance with Chapter 39 of Title 43 for the care and treatment rendered to a person in a medical facility or institution, including admission and discharge. Such care and treatment does not include includes the ordering or prescribing of medications, only by a psychologist certified to prescribe. Such care and treatment does not include nursing assessments or interventions, or medical procedures."

SECTION 6.
Chapter 39 of Title 43 of the Official Code of Georgia Annotated, relating to psychologists, is amended in Code Section 43-39-1, relating to definitions, by striking in its entirety paragraph (3) and inserting in lieu thereof the following:
"(3) 'To practice psychology' means to render or offer to render to individuals, groups, organizations, or the public for a fee or any remuneration, monetary or otherwise, any service involving the application of recognized principles, methods, and procedures of the science and profession of psychology, such as, but not limited to, diagnosing and treating mental and nervous disorders and illnesses, rendering opinions concerning diagnoses of mental disorders, including organic brain disorders and brain damage, engaging in neuropsychology, engaging in psychotherapy, interviewing, administering, and interpreting tests of mental abilities, aptitudes, interests, and personality characteristics for such purposes as psychological classification or evaluation, or for education or vocational placement, or for such purposes as psychological counseling, guidance, or readjustment. Nothing in this paragraph shall be construed as permitting the administration or prescription of drugs or in any way infringing upon the practice of medicine as defined in the laws of this state. The practice of psychology shall include the administering, ordering, and prescribing of drugs by a psychologist certified to prescribe for the diagnosis, care, and treatment of mental or nervous disorders or illnesses.
(4) 'Psychologist certified to prescribe' means a licensed psychologist who meets the criteria of training and experience as provided in Code Section 43-39-5.1 and is certified by the board to administer, order, and prescribe drugs as authorized by the board pursuant to Code Section 43-39-5.1."

SECTION 7.
Said chapter is further amended by inserting new Code sections to be designated Code Sections 43-39-5.1 and 43-39-21 to read as follows:
"43-39-5.1.
The board shall adopt rules for the certification of psychologists to administer, order, and prescribe drugs for the diagnosis, care, and treatment of mental and nervous disorders and illnesses. The rules shall include as requirements the successful completion of pharmacological training from an institution of higher learning or from an approved provider of continuing education and the successful passage of an examination approved by the board which tests knowledge of pharmacology in the diagnosis, care, and treatment of mental and nervous disorders and illnesses. The board shall further adopt rules providing that the psychologist certified to prescribe shall consult with the patient´s treating physician."

"43-39-21.
Notwithstanding any other provision of law, a registered professional nurse and a licensed practical nurse shall have the authority to execute an order for the administration of drugs issued by a psychologist certified to prescribe, provided that a registered professional nurse or licensed practical nurse may confer with the psychologist certified to prescribe prior to executing the psychologist´s order. Nothing contained in this Code section shall be deemed to alter the standard of care of the registered professional nurse or the licensed practical nurse applicable to the evaluation and execution of orders, including an order of a psychologist certified to prescribe."

SECTION 8.
This Act shall become effective on January 1, 2002.

SECTION 9.
All laws and parts of laws in conflict with this Act are repealed.