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Kentucky General Assembly· SB 18signed by Governor (Acts Ch. 85)

An act relating to health services., the official text

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UNOFFICIAL COPY                                                    26 RS SB 18/EN

1   AN ACT relating to health services.

2 Be it enacted by the General Assembly of the Commonwealth of Kentucky:

3   Section 1. KRS 311.380 is amended to read as follows:

4 As used in KRS 311.380 to 311.500[311.390 to 311.510, unless the context otherwise

5 requires]:

6 (1) "Board" means the State Board of Podiatry;

7 (2) "Physician assistant" has the same meaning as in Section 10 of this

8   Act;["Podiatry" is that profession of the health sciences which deals with the

9   examination, diagnosis, treatment, and prevention of diseases, conditions, and

10  malfunctions affecting the human foot and its related or governing structures, by

11  employment of medical, surgical, or other means;]

12 (3) "Podiatric assistant" means a person licensed by the board to assist licensed

13  podiatrists with specific duties and tasks related to the practice of podiatry as

14  permitted by administrative regulations promulgated by the board;

15 (4) "Podiatric residency" means a program of supervised postgraduate clinical

16  training approved by the board for a licensed podiatric resident;

17 (5) "Podiatric resident" means a person licensed by the board and participating in a

18  podiatric residency;

19 (6) "Podiatric supervision" has the same meaning as in Section 10 of this Act;

20 (7)[(3)] "Podiatrist" is a physician and surgeon who has graduated from a college of

21  podiatric medicine accredited by the Council on Podiatric Medical[Podiatry]

22  Education of the American Podiatric Medical[Podiatry] Association or approved

23  by state licensing boards;

24 (8) "Podiatry" is that profession of the health sciences which deals with the

25  examination, diagnosis, treatment, and prevention of diseases, conditions, and

26  malfunctions affecting the human foot and its related or governing structures by

27  employment of medical, surgical, or other means; and

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1 (9) "Supervising podiatrist" has the same meaning as in Section 10 of this Act.

2   Section 2. KRS 311.400 is amended to read as follows:

3 (1) A[No] person shall not profess to be a podiatrist,[ or] practice or assume the duties

4   incident to podiatry in this state, or use the title "podiatrist" or any words or letters

5   which designate or tend to designate to the public that the person is a podiatrist,

6   unless he or she holds a valid, current license from the board, registered in the

7   county in which the holder is engaged in such practice.

8 (2) A licensed podiatric assistant may assist a licensed podiatrist with specific duties

9   and tasks related to the practice of podiatry if:

10  (a) Permitted by administrative regulations promulgated in accordance with

11  KRS Chapter 13A by the board; and

12  (b) Not otherwise prohibited by law.

13 (3) A licensed podiatric resident may engage in the practice of podiatry if:

14  (a) Required as a part of the podiatric residency program;

15  (b) The podiatric resident is practicing under the supervision of a licensed

16  podiatrist;

17  (c) Permitted by administrative regulations promulgated in accordance with

18  KRS Chapter 13A by the board; and

19  (d) Not otherwise prohibited by law.

20  Section 3. KRS 311.410 is amended to read as follows:

21 (1) There is hereby created in the government of the Commonwealth a State Board of

22  Podiatry which shall consist of five (5) members, each appointed by the Governor.

23  Four (4) members shall be appointed from lists of three (3) names for each position

24  submitted by the Kentucky Podiatry Association. One (1) member shall be a citizen

25  at large who is not associated with or financially interested in the practice or

26  business regulated. Any vacancy shall be filled for the unexpired term by the

27  Governor, as provided in the original appointment.

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1 (2) A person to be eligible for appointment as a podiatrist member of the board shall be

2   at least twenty-one (21) years of age, of good moral character, a resident of this

3   state, and a licensed practicing podiatrist in this state for at least five (5)

4   consecutive years next preceding the date of his or her appointment. A[No]

5   member of the board shall not be a stockholder, officer, or member of the faculty or

6   board of trustees of any school, college, or institution of podiatry or chiropody.

7 (3) The terms of office of each member shall be four (4) years, or until his or her

8   successor shall be appointed and qualified.

9 (4) The board shall elect one (1) of its members as president and another of its

10  members as secretary. The secretary may, subject to approval by the board, employ

11  and fix the compensation of all personnel required for the administration of KRS

12  311.380 to 311.500[311.390 to 311.510]. The board may promulgate

13  administrative[make all rules and] regulations in accordance with KRS Chapter

14  13A, not inconsistent with KRS 311.380 to 311.500[311.390 to 311.510], as may be

15  necessary to implement and carry out the provisions and purposes of KRS 311.380

16  to 311.500[311.390 to 311.510].

17 (5) The board shall hold meetings at least twice a year and as frequently as it deems

18  necessary at such times and places as the board may designate. A majority of the

19  members shall constitute a quorum.

20 (6) The board may sue and be sued in its own name.

21 (7) Members of the board shall be immune from suit in any civil or criminal action

22  which is based upon any official act or acts performed by them in good faith as

23  members of the board.

24  Section 4. KRS 311.420 is amended to read as follows:

25 (1) The board shall conduct examinations at least twice a year at such times and places

26  as the board deems convenient for applicants for licenses to practice podiatry in this

27  state, and shall admit to examination any applicant who:

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1   (a) Is at least eighteen (18) years of age;

2   (b) Is a citizen or legal resident of the United States and a resident of [the State of

3   ]Kentucky;

4   (c) Is of good moral character and temperate habits; and

5   (d) Has completed a course in and graduated from a school or college of podiatry

6   approved by the board.

7 (2) The board shall prescribe the time, place, method, manner, scope, and content of

8   board examinations for licenses to practice podiatry[as relates to KRS 311.380(2);

9   and the board may accept certified, successful National Board of Podiatry

10  examinations in lieu of its written examination].

11 (3) Applicants for board examination shall present their credentials to the board by

12  mail upon forms furnished by the board[,] and shall receive due notice of the place

13  and date of the board examination. Each application shall contain proof of the

14  qualifications required of the applicant,[ shall] be verified by the applicant under

15  oath, and[ shall] be accompanied by an examination fee set by the board.

16 (4) The board shall issue a license to practice podiatry to any person who:[ complies

17  with the provisions of KRS 311.380 to 311.510 and who satisfactorily passes the

18  examination.]

19  (a) 1. Satisfactorily passes the board examination; or

20  2. Provides certified evidence to the board directly from the National

21  Board of Podiatric Medical Examiners that he or she has passed all

22  parts of the American Podiatric Medical Licensing Examination

23  within the past ten (10) years;

24  (b) For any applicant seeking initial licensure after January 1, 2027, provides

25  evidence to the board directly from the sponsoring institution that he or she

26  has satisfactorily completed at least two (2) years of podiatric residency; and

27  (c) Fulfills all other licensure requirements under KRS 311.380 to 311.500 and

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1   in administrative regulations promulgated by the board in accordance with

2   KRS Chapter 13A.

3 (5) The members of the board shall receive no compensation for their services, but

4   shall be paid their traveling and other necessary expenses while employed upon the

5   business of the board.

6 (6) [The board may, in good faith, adopt rules and regulations to license and control

7   those persons who may become formally educated, or by years of employment by a

8   licensed podiatrist, as a podiatric assistant.

9 (7) ]The board may utilize such materials, services or facilities as may be made

10  available to it by other state agencies or may contract therefor, to such extent as the

11  board in its discretion, may determine.

12 (7) The board may promulgate administrative regulations in accordance with KRS

13  Chapter 13A relating to:

14  (a) The licensing and regulation of podiatric assistants;

15  (b) The licensing and regulation of podiatric residents and podiatric residency

16  licenses; and

17  (c) The approval and regulation of supervising podiatrists who provide

18  podiatric supervision of physician assistants in accordance with Section 11

19  this Act.

20  Section 5. KRS 311.450 is amended to read as follows:

21 (1) Every license issued for the practice of podiatry shall expire on June 30 following

22  the date of issuance unless sooner revoked and canceled.

23 (2) On or before June 1 of each year, the board shall send notices to all licensed

24  podiatrists in this state, at their last known addresses, advising them that the annual

25  license renewal fee is due on July 1 of each year. Every registered podiatrist shall

26  renew his or her license on or before July 1 of each year by the payment to the

27  board of an annual license renewal fee which shall be a reasonable fee set by

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1   administrative regulation of the board and upon submission of a statement of

2   compliance with the continuing education regulations of the board. If such renewal

3   fee is not paid or such statement of compliance is not submitted on or before July 1,

4   the board shall notify the delinquent licensee by mail at his or her last known

5   address that such fee and statement are past due and that a delinquent penalty fee is

6   assessed, in addition to the renewal fee and that the renewal fee and penalty must be

7   paid and the statement of compliance submitted on or before January 1. If such fees,

8   penalties and statement are not submitted by January 1, it shall be the duty of the

9   board to suspend or revoke the license for nonpayment of the annual renewal and

10  delinquent fees or for failure to submit the statement of compliance for the current

11  year.

12 (3) All fees collected under the provisions of KRS 311.380 to 311.500[311.510], or the

13  administrative[rules and] regulations adopted pursuant thereto, shall be paid into

14  the State Treasury[,] and credited to a trust and agency fund to be used in defraying

15  the costs and expenses in the administration of KRS 311.380 to 311.500[311.510],

16  including[,] but not limited to[,] salaries and necessary travel expenses.[ No part of

17  this fund shall revert to the general funds of this Commonwealth.]

18  Section 6. KRS 311.460 is amended to read as follows:

19 (1) Any person practicing or offering to practice podiatry shall practice under his or

20  her own name only, as his or her name appears in his or her license.

21 (2) A[No] person practicing or offering to practice podiatry shall not use any title or

22  abbreviation thereof except the designation "podiatrist." The term "foot doctor" and

23  "chiropodist," or either of them, may be used in conjunction with the title

24  "podiatrist," but not as a substitute therefor and not alone.

25  Section 7. KRS 311.470 is amended to read as follows:

26 (1) Any person who practices podiatry shall display his or her license, together with

27  the annual license renewal certificate, in a conspicuous place in the office in which

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1   he or she practices.

2 (2) (a) A[No] person practicing or offering to practice podiatry shall not:

3   1. In any manner advertise the prices charged for his or her services; or

4   [nor shall he ]

5   2. Advertise in newspapers, in periodicals, by handbills or circulars, or in

6   bold-face type in any printed matter, or by the use of any form of

7   display sign.[;]

8   (b) Notwithstanding paragraph (a) of this subsection, a person practicing or

9   offering to practice podiatry[except that he] may, upon opening an office or

10  upon change of address, mail or publish announcements to that effect

11  provided such announcements [shall ]not appear more than three (3) times in

12  public print, and the form of such announcement is as[shall be] determined by

13  the board.

14  Section 8. KRS 311.475 is amended to read as follows:

15 The State Board of Podiatry is authorized in its sound discretion to:

16 (1) Enter into reciprocal agreements with podiatry examining boards of other states,

17  having qualifications and standards at least as high as those of this state, providing

18  for reciprocal licensure without further examination of persons who have been duly

19  licensed upon written examination. Approval of such agreements by the Governor,

20  or any other officer or agency of this state, shall not be required.

21 (2) Issue podiatry licenses by reciprocity or endorsement, and without further

22  examination, to persons who have been duly licensed upon written examination in

23  another state having qualifications and standards at least as high as those of this

24  state, or who provide certified evidence to the board directly from the National

25  Board of Podiatric Medical Examiners that he or she has passed all parts of the

26  American Podiatric Medical Licensing Examination within the past ten (10)

27  years[have successfully passed an examination conducted by the National Board of

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1   Podiatry Examiners].

2   Section 9. KRS 311.480 is amended to read as follows:

3 The board may refuse to license or renew, or may suspend, probate, or revoke the license

4 of any podiatrist, podiatric resident, podiatric assistant, or in addition to such refusal,

5 suspension, probation, or revocation,[punishment] or in lieu thereof, may impose a fine

6 not to exceed five hundred dollars ($500) for each offense, upon proof that he or she:

7 (1) Has been convicted of a felony, if in accordance with KRS Chapter 335B;

8 (2) Has been convicted of a misdemeanor, if in accordance with KRS Chapter 335B;

9 (3) Has employed, hired, procured or induced a person not licensed to practice podiatry

10  in this state so to practice;

11 (4) Has aided or abetted in the practice of podiatry a person not licensed to practice

12  podiatry in this state;

13 (5) Has been granted a license upon a mistake of a material fact;

14 (6) Has violated any provision of KRS 311.380 to 311.500[311.390 to 311.510];

15 (7) Has become drug addicted;

16 (8) Has become a chronic or persistent alcoholic;

17 (9) Has developed such physical or mental disability, or other condition whereby

18  continued practice is dangerous to patients or to the public;

19 (10) Has violated any order of suspension, or the terms or the conditions of any order of

20  probation, issued by the board;

21 (11) Has engaged in, or attempted to engage in the practice of podiatry under a false or

22  assumed name;

23 (12) Has willfully violated a confidential communication;

24 (13) Has acted in a grossly negligent or willful manner which is inconsistent with the

25  practice of podiatry;

26 (14) Is unfit or incompetent to practice podiatry by reason of gross negligence or other

27  causes including but not limited to being unable to practice podiatry with

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1   reasonable skill or safety;

2 (15) Has a license to practice as a podiatrist denied, limited, suspended, probated, or

3   revoked in another jurisdiction on grounds sufficient to cause a license to be denied,

4   limited, suspended, probated, or revoked in this Commonwealth; or

5 (16) Has engaged in conduct likely to deceive or defraud the public.

6   Section 10. KRS 311.840 is amended to read as follows:

7 As used in KRS 311.840 to 311.862:

8 (1) "Board" means the Kentucky Board of Medical Licensure;

9 (2) "Complaint" means a formal administrative pleading that sets forth charges against

10  a physician assistant and commences a formal disciplinary proceeding;

11 (3) "Physician assistant" means a person licensed under KRS 311.840 to 311.862 who:

12  (a) Has graduated from a physician assistant or surgeon assistant program

13  accredited by the Accreditation Review Commission on Education for

14  Physician Assistants or its predecessor or successor agencies and has passed

15  the certifying examination administered by the National Commission on

16  Certification of Physician Assistants or its predecessor or successor agencies;

17  or

18  (b) Possesses a current physician assistant certificate issued by the board prior to

19  July 15, 2002;

20 (4) "Podiatric supervision" means overseeing the activities of and accepting

21  responsibility for the podiatric services rendered by a physician assistant. Each

22  team of podiatrists and physician assistants shall ensure that the delegation of

23  podiatric tasks is appropriate to the physician assistant's level of training and

24  experience, that the identification of and access to the supervising podiatrist are

25  clearly defined, and that a process for evaluation of the physician assistant's

26  performance is established;

27 (5) "Supervising physician" means a physician licensed by the board who supervises

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1   one (1) or more physician assistants;

2 (6)[(5)] "Supervising physician in anesthesia" means a physician licensed by the board

3   who has completed postgraduate training in anesthesiology at an anesthesiology

4   program accredited by the Accreditation Council for Graduate Medical Education

5   or its equivalent;[ and]

6 (7)[(6)] "Supervising podiatrist" means a podiatrist approved by the board and the

7   State Board of Podiatry to provide podiatric supervision for one (1) or more

8   physician assistants; and

9 (8) "Supervision" means overseeing the activities of and accepting of responsibility for

10  the medical services rendered by a physician assistant. Each team of physicians and

11  physician assistants shall ensure that the delegation of medical tasks is appropriate

12  to the physician assistant's level of training and experience, that the identifications

13  of and access to the supervising physician are clearly defined, and that a process for

14  evaluation of the physician assistant's performance is established.

15  SECTION 11. A NEW SECTION OF KRS 311.840 TO 311.862 IS CREATED

16 TO READ AS FOLLOWS:

17 (1) A podiatrist shall not supervise a physician assistant without approval of the

18  board and the State Board of Podiatry. Failure to obtain approval as a

19  supervising podiatrist or failure to comply with the requirements of KRS 311.840

20  to 311.862 or related administrative regulations shall be considered

21  unprofessional conduct and may result in revocation, suspension, restriction, or

22  placing on probation the supervising podiatrist's right to supervise a physician

23  assistant.

24 (2) To be approved by the board as a supervising podiatrist, a podiatrist shall:

25  (a) Be currently licensed and in good standing with the State Board of

26  Podiatry;

27  (b) Maintain a practice primarily within this Commonwealth;

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1   (c) Submit a completed application and the required fee to the board. The

2   application shall include but is not limited to:

3   1. A description of the nature of the podiatrist's practice;

4   2. A statement of assurance by the supervising podiatrist that the scope

5   of medical services and procedures described in the application or in

6   any supplemental information shall not exceed the normal scope of

7   practice of the supervising podiatrist;

8   3. A description of the means by which the podiatrist shall maintain

9   communication with the physician assistant when they are not in the

10  same physical location;

11  4. A description of the scope of podiatric services and procedures to be

12  performed by the physician assistant for which the physician assistant

13  has been trained in an approved program; and

14  5. An outline of the specific parameters for review of countersignatures.

15 (3) Prior to a physician assistant performing any service or procedure beyond those

16  described in the initial application submitted to the board under subsection (2)(c)

17  of this section, the supervising podiatrist shall supplement that application with

18  information that includes but is not limited to:

19  (a) A description of the additional podiatric service or procedure;

20  (b) A description of the physician assistant's education, training, experience,

21  and institutional credentialing;

22  (c) A description of the level of podiatric supervision to be provided for the

23  additional podiatric service or procedure;

24  (d) The location or locations where the additional podiatric service or

25  procedure will be provided; and

26  (e) Any changes to the specific parameters for review of countersignatures.

27  The initial and supplemental applications required under this section may be

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1   submitted to the board at the same time.

2 (4) A podiatrist may enter into podiatric supervision agreements with no more than

3   four (4) physician assistants and shall not supervise more than four (4) physician

4   assistants at any one (1) time. Application for board approval to be a supervising

5   podiatrist shall be obtained individually for each physician assistant.

6 (5) The board may impose restrictions on the scope of practice of a physician

7   assistant or on the methods of podiatric supervision upon consideration of

8   recommendations of the Physician Assistant Advisory Committee established in

9   KRS 311.842 after providing the applicant with reasonable notice of its intended

10  action and after providing a reasonable opportunity to be heard.

11 (6) A supervising podiatrist shall be responsible for all duties of a supervising

12  physician as required under KRS 311.856 as those duties relate to the practice of

13  podiatry and podiatric supervision.

14  Section 12. KRS 311.390 is amended to read as follows:

15 KRS 311.380 to 311.500[311.510], shall not apply to:

16 (1) Any person manufacturing or selling, as merchandise in a duly established

17  mercantile establishment, shoes or appliances designed and intended to equalize

18  pressure on different parts of the foot, or the sale by any licensed druggist of

19  plasters, salves, and lotions for corns, warts, callosities and bunions, provided such

20  persons shall make no diagnosis or recommendation and shall prescribe no remedy

21  or treatment;

22 (2) Or interfere in any manner with the practice of any person whose religion treats or

23  administers to the sick or suffering by purely spiritual means, nor with any

24  individual's selection of any such person;

25 (3) Physicians licensed by the State Board of Medical Examiners of this state;

26 (4) Surgeons of the United States Army, Navy, United States Department of Veterans

27  Affairs, and United States Public Health Service, when in actual performance of

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1   their official duties.

2   Section 13. KRS 311.490 is amended to read as follows:

3 (1) A suspension, probation, or revocation of a license, or a refusal to renew a license,

4   may be made or a fine imposed by the board only after a hearing which shall be

5   conducted in accordance with KRS Chapter 13B.

6 (2) The board may institute, in its own name, proceedings to temporarily or

7   permanently restrain and enjoin violations of KRS 311.380 to 311.500[311.510],

8   regardless of whether the defendant has been convicted for violations of the penal

9   provisions thereof, and shall not be required to pay any cost or filing fees or furnish

10  any bond in connection therewith. Violations of injunctions and restraining orders

11  shall be punished as a contempt without the intervention of a jury.

12 (3) A licensee whose license has been revoked, probated, or suspended, or against

13  whom a fine has been imposed by the board, or who has been refused a renewal

14  license, may appeal a final order of the board to the Circuit Court of the county in

15  which the hearing was held.

16  Section 14. KRS 311.495 is amended to read as follows:

17 (1) County and Commonwealth's attorneys and the Attorney General, within their

18  respective jurisdictions, shall prosecute all violations of the penal provisions of

19  KRS 311.380 to 311.500[311.510] and shall, when requested by the board,

20  represent the board in matters relating to the enforcement of KRS 311.380 to

21  311.500[311.510].

22 (2) For the purpose of enforcing the provisions of KRS 311.380 to 311.500[311.510],

23  the investigators, inspectors, representatives and agents of the board shall have the

24  full power and authority of peace officers in this state, and shall have the power and

25  authority to administer oaths, to enter upon premises at all times for the purpose of

26  making inspections, to seize evidence, to interrogate all persons, and to require the

27  production of books, papers, documents or other evidence.

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1   Section 15. KRS 311.990 is amended to read as follows:

2 (1) Any person who violates KRS 311.250 shall be guilty of a violation.

3 (2) Any college or professor thereof violating the provisions of KRS 311.300 to

4   311.350 shall be civilly liable on his or her bond for a sum not less than one

5   hundred dollars ($100) nor more than one thousand dollars ($1,000) for each

6   violation, which may be recovered by an action in the name of the Commonwealth.

7 (3) Any person who presents to the county clerk for the purpose of registration any

8   license which has been fraudulently obtained, or obtains any license under KRS

9   311.380 to 311.500[311.510] by false or fraudulent statement or representation, or

10  practices podiatry under a false or assumed name or falsely impersonates another

11  practitioner or former practitioner of a like or different name, or aids and abets any

12  person in the practice of podiatry within the state without conforming to the

13  requirements of KRS 311.380 to 311.500[311.510], or otherwise violates or

14  neglects to comply with any of the provisions of KRS 311.380 to 311.500[311.510],

15  shall be guilty of a Class A misdemeanor. Each case of practicing podiatry in

16  violation of the provisions of KRS 311.380 to 311.500[311.510] shall be considered

17  a separate offense.

18 (4) Each violation of KRS 311.560 shall constitute a Class D felony.

19 (5) Each violation of KRS 311.590 shall constitute a Class D felony. Conviction under

20  this subsection of a holder of a license or permit shall result automatically in

21  permanent revocation of such license or permit.

22 (6) Conviction of willfully resisting, preventing, impeding, obstructing, threatening, or

23  interfering with the board or any of its members, or of any officer, agent, inspector,

24  or investigator of the board or the Cabinet for Health and Family Services, in the

25  administration of any of the provisions of KRS 311.550 to 311.620 shall be a Class

26  A misdemeanor.

27 (7) Each violation of KRS 311.375(1) shall, for the first offense, be a Class B

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1   misdemeanor, and, for each subsequent offense shall be a Class A misdemeanor.

2 (8) Each violation of KRS 311.375(2) shall, for the first offense, be a violation, and, for

3   each subsequent offense, be a Class B misdemeanor.

4 (9) Each day of violation of either subsection of KRS 311.375 shall constitute a

5   separate offense.

6 (10) (a) Any person who intentionally or knowingly performs an abortion contrary to

7   the requirements of KRS 311.723(1) shall be guilty of a Class D felony.

8   (b) Any person who intentionally, knowingly, or recklessly violates the

9   requirements of KRS 311.723(2) shall be guilty of a Class A misdemeanor.

10 (11) (a) 1. Any physician who performs a partial-birth abortion in violation of KRS

11  311.765 shall be guilty of a Class D felony. However, a physician shall

12  not be guilty of the criminal offense if the partial-birth abortion was

13  necessary to save the life of the mother whose life was endangered by a

14  physical disorder, illness, or injury.

15  2. A physician may seek a hearing before the State Board of Medical

16  Licensure on whether the physician's conduct was necessary to save the

17  life of the mother whose life was endangered by a physical disorder,

18  illness, or injury. The board's findings, decided by majority vote of a

19  quorum, shall be admissible at the trial of the physician. The board shall

20  promulgate administrative regulations to carry out the provisions of this

21  subparagraph.

22  3. Upon a motion of the physician, the court shall delay the beginning of

23  the trial for not more than thirty (30) days to permit the hearing, referred

24  to in subparagraph 2. of this paragraph, to occur.

25  (b) Any person other than a physician who performs a partial-birth abortion shall

26  not be prosecuted under this subsection but shall be prosecuted under

27  provisions of law which prohibit any person other than a physician from

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1   performing any abortion.

2   (c) No penalty shall be assessed against the woman upon whom the partial-birth

3   abortion is performed or attempted to be performed.

4 (12) (a) Except as provided in KRS 311.732(12), any person who intentionally,

5   knowingly, or recklessly performs an abortion upon a minor without obtaining

6   the required consent pursuant to KRS 311.732 shall be guilty of a Class D

7   felony.

8   (b) Except as provided in paragraph (a) of this subsection, any person who

9   intentionally or knowingly fails to conform to any requirement of KRS

10  311.732 is guilty of a Class A misdemeanor.

11  (c) Any person who negligently releases information or documents which are

12  confidential under KRS 311.732 is guilty of a Class B misdemeanor.

13 (13) Any person who performs an abortion upon a married woman either with

14  knowledge or in reckless disregard of whether KRS 311.735 applies to her and who

15  intentionally, knowingly, or recklessly fails to conform to the requirements of KRS

16  311.735 shall be guilty of a Class D felony.

17 (14) Any person convicted of violating KRS 311.750 shall be guilty of a Class B felony.

18 (15) Any person who violates KRS 311.760(2) shall be guilty of a Class D felony.

19 (16) Any person who violates KRS 311.770 shall be guilty of a Class D felony.

20 (17) Except as provided in KRS 311.787(3), any person who intentionally violates KRS

21  311.787 shall be guilty of a Class D felony.

22 (18) A person convicted of violating KRS 311.780 shall be guilty of a Class C felony.

23 (19) Except as provided in KRS 311.782(6), any person who intentionally violates KRS

24  311.782 shall be guilty of a Class D felony.

25 (20) Any person who violates KRS 311.783(1) shall be guilty of a Class B

26  misdemeanor.

27 (21) Any person who violates KRS 311.7705(1) is guilty of a Class D felony.

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1 (22) Any person who violates KRS 311.7706(1) is guilty of a Class D felony.

2 (23) Except as provided in KRS 311.731(7), any person who violates KRS 311.731(2)

3   shall be guilty of a Class D felony.

4 (24) Any physician, physician assistant, advanced practice registered nurse, nurse, or

5   other healthcare provider who intentionally violates KRS 311.823(2) shall be guilty

6   of a Class D felony. As used in this subsection, "healthcare provider" has the same

7   meaning as in KRS 311.821.

8 (25) Any person who violates KRS 311.810 shall be guilty of a Class A misdemeanor.

9 (26) Any professional medical association or society, licensed physician, or hospital or

10  hospital medical staff who shall have violated the provisions of KRS 311.606 shall

11  be guilty of a Class B misdemeanor.

12 (27) Any administrator, officer, or employee of a publicly owned hospital or publicly

13  owned health care facility who performs or permits the performance of abortions in

14  violation of KRS 311.800(1) shall be guilty of a Class A misdemeanor.

15 (28) Any person who violates KRS 311.905(3) shall be guilty of a violation.

16 (29) Any person who violates the provisions of KRS 311.820 shall be guilty of a Class A

17  misdemeanor.

18 (30) Any person who fails to test organs, skin, or other human tissue which is to be

19  transplanted, or violates the confidentiality provisions required by KRS 311.281,

20  shall be guilty of a Class A misdemeanor.

21 (31) Any person who sells or makes a charge for any transplantable organ shall be guilty

22  of a Class D felony.

23 (32) Any person who offers remuneration for any transplantable organ for use in

24  transplantation into himself or herself shall be fined not less than five thousand

25  dollars ($5,000) nor more than fifty thousand dollars ($50,000).

26 (33) Any person brokering the sale or transfer of any transplantable organ shall be guilty

27  of a Class C felony.

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1 (34) Any person charging a fee associated with the transplantation of a transplantable

2   organ in excess of the direct and indirect costs of procuring, distributing, or

3   transplanting the transplantable organ shall be fined not less than fifty thousand

4   dollars ($50,000) nor more than five hundred thousand dollars ($500,000).

5 (35) Any hospital performing transplantable organ transplants which knowingly fails to

6   report the possible sale, purchase, or brokering of a transplantable organ shall be

7   fined not less than ten thousand dollars ($10,000) or more than fifty thousand

8   dollars ($50,000).

9 (36) (a) Any physician or qualified technician who violates KRS 311.727 shall be

10  fined not more than one hundred thousand dollars ($100,000) for a first

11  offense and not more than two hundred fifty thousand dollars ($250,000) for

12  each subsequent offense.

13  (b) In addition to the fine, the court shall report the violation of any physician, in

14  writing, to the Kentucky Board of Medical Licensure for such action and

15  discipline as the board deems appropriate.

16 (37) Any person who violates KRS 311.691 shall be guilty of a Class B misdemeanor

17  for the first offense, and a Class A misdemeanor for a second or subsequent offense.

18  In addition to any other penalty imposed for that violation, the board may, through

19  the Attorney General, petition a Circuit Court to enjoin the person who is violating

20  KRS 311.691 from practicing genetic counseling in violation of the requirements of

21  KRS 311.690 to 311.700.

22 (38) Any person convicted of violating KRS 311.728 shall be guilty of a Class D felony.

23 (39) (a) A person who intentionally, knowingly, or recklessly violates KRS 311.7731

24  to 311.7739 is guilty of a Class D felony.

25  (b) No criminal penalty may be assessed against a pregnant patient upon whom a

26  drug-induced abortion is attempted, induced, or performed.

27  SECTION 16. A NEW SECTION OF KRS CHAPTER 158 IS CREATED TO

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1 READ AS FOLLOWS:

2 (1) (a) The Kentucky Department of Education, in coordination with the

3   Department for Public Health, the Kentucky Board of Licensed Diabetes

4   Educators, or any other entity the department deems appropriate, shall

5   develop Type 1 diabetes informational materials for the parents and

6   guardians of students. The informational materials shall include but not be

7   limited to a:

8   1. Description of Type 1 diabetes;

9   2. Description of the risk factors and warning signs associated with Type

10  1 diabetes;

11  3. Description of the need for screening for early detection of Type 1

12  diabetes using a blood autoantibody test; and

13  4. Recommendation for parents and guardians to immediately consult

14  with their child's primary care provider to develop an appropriate

15  treatment plan if they believe that their child displays warning signs

16  associated with Type 1 diabetes or has received positive early detection

17  screening results. Parents and guardians shall be advised that a

18  treatment plan may include consultation with, and examination by, a

19  specialty health care provider licensed to practice medicine or

20  osteopathy, including but not limited to an endocrinologist.

21  (b) The department shall make the informational materials required by this

22  subsection available to school districts at no cost on the department's

23  website.

24 (2) Each local board of education and public charter school board of directors shall

25  make the Type 1 diabetes informational materials developed in accordance with

26  subsection (1) of this section available on the school or school district website, in

27  the main front entrance of each school, and in each family resource and youth

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1  services center.

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Every fact on this page links to its source, starting with the official bill record.