0001|                            HOUSE BILL 788
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0002|     43rd legislature - STATE OF NEW MEXICO - first session, 1997
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0003|                            INTRODUCED BY
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0004|                           NICK L. SALAZAR
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0005|     
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0006|                                   
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0007|     
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0008|                                   
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0009|     
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0010|                                AN ACT
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0011|     RELATING TO HEALTH PROVIDERS; AMENDING THE PHYSICIAN ASSISTANT
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0012|     ACT AND THE OSTEOPATHIC PHYSICIANS' ASSISTANTS ACT TO PROVIDE
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0013|     FOR LICENSURE.
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0014|     
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0015|     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
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0016|          Section 1.  Section 61-6-7 NMSA 1978 (being Laws 1973,
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0017|     Chapter 361, Section 3, as amended by Laws 1994, Chapter 57,
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0018|     Section 13 and also by Laws 1994, Chapter 80, Section 2) is
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0019|     amended to read:
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0020|          "61-6-7.  SHORT TITLE [REGISTRATION] LICENSURE AS A
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0021|     PHYSICIAN ASSISTANT--SCOPE OF PRACTICE [ANNUAL] BIENNIAL 
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0022|     REGISTRATION OF [EMPLOYMENT--EMPLOYMENT] SUPERVISION--
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0023|     CHANGE--FEES.--
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0024|               A.  Sections 61-6-7 through 61-6-10 NMSA 1978 may be
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0025|     cited as the "Physician Assistant Act".
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0001|               B.  The board may [register] license qualified
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0002|     persons as physician assistants.  No person shall perform,
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0003|     attempt to perform or hold himself out as a physician assistant
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0004|     without first applying for and obtaining [registration with]
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0005|     a license from the board and without [annually]
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0006|     biennially registering his [employment and] supervising
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0007|     licensed physician in accordance with board regulations.
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0008|     Physician assistants who are registered under the Physician
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0009|     Assistant Act as of June 31, 1997 shall be considered to be
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0010|     licensed until the expiration of that registration.
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0011|               C.  Physician assistants may prescribe, administer
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0012|     and distribute dangerous drugs other than controlled substances
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0013|     in Schedule I of the Controlled Substances Act pursuant to
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0014|     regulations adopted by the [New Mexico] board [of medical
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    examiners] after consultation with the board of pharmacy,
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0016|     provided that the prescribing, administering and distributing
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0017|     are done under the direction of a supervising licensed
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0018|     physician and within the parameters of a board-approved
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0019|     formulary and guidelines established under Paragraph (3) of
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0020|     Subsection A of Section 61-6-9 NMSA 1978.  The distribution
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0021|     process shall comply with state laws concerning prescription
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0022|     packaging, labeling and record keeping requirements.  Physician
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0023|     assistants shall not otherwise dispense dangerous drugs or
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0024|     controlled substances.
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0025|               D.  A physician assistant shall perform only those
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0001|     acts and duties assigned him by a supervising licensed
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0002|     physician that are within the scope of practice of the
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0003|     supervising licensed physician.
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0004|               E.  An applicant for [registration] licensure as
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0005|     a physician assistant shall complete application forms [as]
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0006|     supplied by the board and shall pay a [registration]
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0007|     licensing fee as provided in Section 61-6-19 NMSA 1978.  Upon
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0008|     being [registered] licensed by the board, the applicant
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0009|     shall have his name and address and other pertinent information
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0010|     enrolled by the board on a roster of physician assistants.
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0011|               F.  Each [registered] physician assistant shall
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0012|     [annually] biennially submit proof of completion of
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0013|     continuing education as required by the board and shall
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0014|     [annually] biennially renew his [registration, supervising
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    licensed physician and place of employment] license and
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0016|     registration of supervision with the board.  Upon any change
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0017|     in [employment or] supervising [licensed] physician between
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0018|     [annual] biennial registrations, each physician assistant
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0019|     shall reregister his [employment and] supervising
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0020|     [licensed] physician and shall pay any additional
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0021|     registration of supervision fees as provided in Section 61-6-
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0022|     19 NMSA 1978.  All applications for [registration] licensure
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0023|     or registration of supervision shall include the applicant's
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0024|     name, current address, the name and office address of [both
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    his employer and] the supervising licensed physician and other
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0001|     additional information as the board deems necessary.  Upon any
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0002|     change [of employment or change] of supervising licensed
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0003|     physician, prior registration of supervision shall
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0004|     automatically become void or inactive.
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0005|               G.  Each [annual] biennial renewal of
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0006|     registration of [employment] supervision shall be
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0007|     accompanied by a fee as provided in Section 61-6-19 NMSA 1978."
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0008|          Section 2.  A new section of the Physician Assistant Act,
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0009|     Section 61-6-7.2 NMSA 1978, is enacted to read:
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0010|          "61-6-7.2.  [NEW MATERIAL]  INACTIVE LICENSE.--
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0011|               A.  A physician assistant who notifies the board in
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0012|     writing on forms prescribed by the board may elect to place his
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0013|     license on an inactive status.  A physician assistant with an
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0014|     inactive license shall be excused from payment of renewal fees
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0015|     and shall not practice as a physician assistant.
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0016|               B.  A physician assistant who engages in practice
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0017|     while his license is lapsed or on inactive status is practicing
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0018|     without a license, and this is grounds for discipline pursuant
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0019|     to the Physician Assistant Act.
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0020|               C.  A physician assistant requesting restoration
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0021|     from inactive status shall pay the current renewal fee and
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0022|     fulfill the requirement for renewal pursuant to the Physician
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0023|     Assistant Act."
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0024|          Section 3.  A new section of the Physician Assistant Act,
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0025|     Section 61-6-7.3 NMSA 1978, is enacted to read:
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0001|          "61-6-7.3.  [NEW MATERIAL]  EXEMPTION FROM LICENSURE.--
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0002|               A.  A physician assistant student enrolled in a
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0003|     physician assistant or surgeon assistant educational program
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0004|     accredited by the committee on allied health education and
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0005|     accreditation or by its successor shall be exempt from
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0006|     licensure while functioning as a physician assistant student.
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0007|               B.  A physician assistant employed by the federal
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0008|     government while performing duties incident to that employment
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0009|     is not required to be licensed as a physician assistant
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0010|     pursuant to the Physician Assistant Act."
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0011|          Section 4.  Section 61-6-8 NMSA 1978 (being Laws 1973,
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0012|     Chapter 361, Section 4, as amended) is amended to read:
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0013|          "61-6-8.  DENIAL, SUSPENSION OR REVOCATION.--In accordance
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0014|     with the procedures contained in the Uniform Licensing Act, the
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0015|     board may deny, revoke or suspend any [registration]
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0016|     license to practice as a physician assistant or may place on
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0017|     probation, enter stipulation, censure, reprimand or fine any
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0018|     person [registered] licensed as a physician assistant for:
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0019|               A.  procuring, aiding or abetting a criminal
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0020|     abortion;
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0021|               B.  soliciting patients for any practitioner of the
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0022|     healing arts;
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0023|               C.  soliciting or receiving any form of compensation
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0024|     from any person other than the physician assistant's registered
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0025|     employer for performing as a physician assistant;
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0001|               D.  willfully or negligently divulging a
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0002|     professional confidence or discussing a patient's condition or
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0003|     a physician's diagnosis without the express permission of the
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0004|     physician and patient;
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0005|               E.  conviction for any offense punishable by
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0006|     incarceration in a state penitentiary or federal prison.  A
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0007|     copy of the record of conviction, certified by the clerk of the
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0008|     court entering the conviction, is conclusive evidence;
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0009|               F.  the habitual or excessive use of intoxicants or
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0010|     drugs;
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0011|               G.  fraud or misrepresentation in applying for or
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0012|     procuring [registration] a license to perform as a
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0013|     physician assistant in this state or in applying for or
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0014|     procuring [an annual registration] a registration of
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0015|     supervision;
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0016|               H.  impersonating another person [registered]
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0017|     licensed as a physician assistant or allowing any person to
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0018|     use the physician assistant's [certificate of qualification or
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    registration] license or registration of supervision;
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0020|               I.  aiding or abetting the practice of medicine by a
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0021|     person not licensed by the board;
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0022|               J.  gross negligence in the performance of duties,
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0023|     tasks or functions assigned by a licensed physician;
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0024|               K.  manifest incapacity or incompetence to perform
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0025|     as a physician assistant;
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0001|               L.  conduct resulting in the suspension or
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0002|     revocation by another state of a registration, license or
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0003|     certification to perform as a physician assistant, based upon
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0004|     acts by the physician assistant similar to acts constituting
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0005|     grounds for suspension or revocation in New Mexico.  A
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0006|     certified copy of the record of the suspension or revocation of
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0007|     the state imposing the penalty is conclusive evidence thereof;
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0008|               M.  conduct unbecoming in a person [registered]
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0009|     licensed as a physician assistant or detrimental to the best
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0010|     interests of the public;
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0011|               N.  conduct outside the scope of duties assigned by
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0012|     the supervising physician;
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0013|               O.  repeated similar negligent acts; or
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0014|               P.  injudicious prescribing, administering or
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0015|     distributing of drugs."
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0016|          Section 5.  A new section of the Physician Assistant Act,
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0017|     Section 61-6-8.1 NMSA 1978, is enacted to read:
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0018|          "61-6-8.1.  [NEW MATERIAL]  PHYSICIAN ASSISTANT ADVISORY
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0019|     COMMITTEE.--
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0020|               A.  The "physician assistant advisory committee" is
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0021|     created.  The advisory committee shall review and make
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0022|     recommendations to the board on all matters relating to
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0023|     physician assistants.
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0024|               B.  The physician assistant advisory committee shall
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0025|     be composed of four members appointed by the board to two-year
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0001|     staggered terms.  The board shall initially appoint two members
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0002|     whose terms shall end on July 1, 1998 and two members whose
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0003|     terms shall end on July 1, 1999.  One member shall be a
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0004|     licensed physician with experience supervising a physician
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0005|     assistant, and the other three, one of whom shall serve as
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0006|     chairman, shall be physician assistants nominated to the board
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0007|     by the board of directors of the New Mexico academy of
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0008|     physician assistants.  The chairman of the physician assistant
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0009|     advisory committee shall be a nonvoting advisor to the board."
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0010|          Section 6.  Section 61-6-9 NMSA 1978 (being Laws 1973,
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0011|     Chapter 361, Section 5, as amended) is amended to read:
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0012|          "61-6-9.  PHYSICIAN ASSISTANTS--RULES AND REGULATIONS.--
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0013|               A.  The board may adopt and enforce reasonable rules
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0014|     and regulations:
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0015|                    (1)  for setting qualifications of education,
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0016|     skill and experience for [registration] licensure of a
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0017|     person as a physician assistant and providing forms and
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0018|     procedures for [obtaining certificates of registration and for
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    annual] biennial licensure and registration of [employment,
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    supervising] supervision by a licensed physician [and place
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    of employment];
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0022|                    (2)  for examining and evaluating applicants
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0023|     for [registration] licensure as a physician assistant as to
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0024|     their skill, knowledge and experience in the field of medical
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0025|     care; 
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0001|                    (3)  for establishing when and for how long
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0002|     physician assistants are permitted to prescribe, administer and
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0003|     distribute dangerous drugs other than controlled substances in
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0004|     Schedule I of the Controlled Substances Act pursuant to
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0005|     regulations adopted by the board after consultation with the
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0006|     board of pharmacy;
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0007|                    (4)  for allowing a supervising licensed
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0008|     physician to temporarily delegate his supervisory
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0009|     responsibilities for a physician assistant to another licensed
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0010|     physician;
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0011|                    (5)  for allowing a physician assistant to
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0012|     temporarily serve under the supervision of a licensed physician
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0013|     other than the supervising licensed physician of record; and
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0014|                    (6)  for the purpose of carrying out all other
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0015|     provisions of the Physician Assistant Act.
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0016|               B.  The board shall not adopt any rule or regulation
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0017|     allowing a physician assistant to measure the powers, range or
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0018|     accommodative status of human vision; diagnose vision problems;
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0019|     prescribe lenses, prisms, vision training or contact lenses; or
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0020|     fit contact lenses.  This restriction does not preclude vision
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0021|     screening.  The board shall not adopt any rule or regulation
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0022|     allowing a physician assistant to perform treatment of the
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0023|     human foot outside the physician assistant's scope of
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0024|     practice."
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0025|          Section 7.  Section 61-6-10 NMSA 1978 (being Laws 1973,
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0001|     Chapter 361, Section 6, as amended) is amended to read:
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0002|          "61-6-10.  SUPERVISING PHYSICIAN--RESPONSIBILITY.--
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0003|               A.  As a condition of [registration and annual]
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0004|     biennial licensure and renewal of registration of
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0005|     supervision, all physician assistants practicing in New Mexico
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0006|     shall inform the board of the physician under whose supervision
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0007|     they will practice.  All supervising physicians shall be
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0008|     licensed under the Medical Practice Act and shall be approved
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0009|     by the board.
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0010|               B.  Every physician [using] supervising [or
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    employing a registered] a licensed physician assistant shall
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0012|     be individually responsible and liable for the performance of
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0013|     the acts and omissions delegated to the physician assistant. 
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0014|     Nothing in this section shall be construed to relieve the
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0015|     physician assistant of any responsibility and liability for any
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0016|     of his own acts and omissions.
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0017|               C.  No physician may have under his supervision more
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0018|     than two [currently registered] physician assistants; except,
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0019|     where a physician is working in a health facility providing
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0020|     health service to the public primarily on a free or reduced fee
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0021|     basis, [which] that is funded in whole or in part out of
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0022|     public funds or the funds of private charitable institutions,
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0023|     the board may authorize a greater number upon a finding that
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0024|     the program provides adequate supervision of the physician
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0025|     assistants.
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0001|               D.  The board shall establish rules and regulations
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0002|     regarding the supervision of physician assistants by
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0003|     physicians, but no rule or regulation shall prohibit a
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0004|     physician assistant from providing services physically
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0005|     separated from the supervising physician."
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0006|          Section 8.  Section 61-6-19 NMSA 1978 (being Laws 1989,
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0007|     Chapter 269, Section 15, as amended) is amended to read:
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0008|          "61-6-19.  FEES.--
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0009|               A.  The board shall impose the following fees:
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0010|                    (1)  an application fee not to exceed four
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0011|     hundred dollars ($400) for licensure by endorsement as provided
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0012|     in Section 61-6-13 NMSA 1978;
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0013|                    (2)  an application fee not to exceed four
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0014|     hundred dollars ($400) for licensure by examination as provided
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0015|     in Section 61-6-11 NMSA 1978;
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0016|                    (3)  an examination fee equal to the cost of
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0017|     purchasing the examination plus an administration fee not to
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0018|     exceed fifty percent of that cost;
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0019|                    (4)  a triennial renewal fee not to exceed four
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0020|     hundred fifty dollars ($450);
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0021|                    (5)  a late fee not to exceed one hundred fifty
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0022|     dollars ($150) for applicants who fail to renew their
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0023|     [license] licenses within forty-five days of the required
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0024|     renewal date;
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0025|                    (6)  a late fee not to exceed two hundred
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0001|     dollars ($200) for applicants who fail to renew their licenses
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0002|     within ninety days of the required renewal date;
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0003|                    (7)  a reinstatement fee not to exceed the
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0004|     current application fee for reinstatement of a revoked,
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0005|     suspended or inactive license;
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0006|                    (8)  a reasonable administrative fee for
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0007|     verification and duplication of license or registration and
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0008|     copying of records;
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0009|                    (9)  a reasonable publication fee for the
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0010|     purchase of a publication containing the names of all
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0011|     practitioners licensed under the Medical Practice Act;
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0012|                    (10)  an impaired physician fee not to exceed
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0013|     one hundred fifty dollars ($150) for a three-year period;
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0014|                    (11)  an interim license fee not to exceed one
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0015|     hundred dollars ($100);
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0016|                    (12)  a temporary license fee not to exceed one
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0017|     hundred dollars ($100);
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0018|                    (13)  a postgraduate training license fee not
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0019|     to exceed fifty dollars ($50.00) annually; 
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0020|                    (14) an application fee not to exceed one
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0021|     hundred fifty dollars ($150) for physician assistants applying
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0022|     for initial [registration] licensure; and
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0023|                    (15)  a [registration] license fee not to
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0024|     exceed [seventy-five dollars ($75.00)] one hundred fifty
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0025|     dollars ($150) for physician assistants [annually
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    reregistering their certificate of registration] biennial
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0002|     licensing and registration of supervising physician [and
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    place of employment].
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0004|               B.  All fees are nonrefundable and shall be used by
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0005|     the board to carry out its duties efficiently."
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0006|          Section 9.  Section 61-10A-4 NMSA 1978 (being Laws 1979,
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0007|     Chapter 26, Section 4, as amended by Laws 1994, Chapter 57,
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0008|     Section 15 and also by Laws 1994, Chapter 80, Section 13) is
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0009|     amended to read: 
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0010|          "61-10A-4. [CERTIFICATION] LICENSURE AS OSTEOPATHIC
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0011|     [PHYSICIAN'S] PHYSICIAN ASSISTANT--SCOPE OF AUTHORITY--
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0012|     ANNUAL REGISTRATION OF EMPLOYMENT--EMPLOYMENT CHANGE.--
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0013|               A.  No person shall perform or attempt to perform as
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0014|     an osteopathic [physician's] physician assistant without
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0015|     first applying for and obtaining a [certificate of
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    qualification] license from the board as an osteopathic
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0017|     [physician's] physician assistant and having his
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0018|     [employment] supervision registered in accordance with
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0019|     board regulations.  Osteopathic physician assistants who are
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0020|     certified under the Osteopathic Physicians' Assistants Act as
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0021|     of June 30, 1997 shall be considered to be licensed until the
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0022|     expiration of that certification. 
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0023|               B.  Osteopathic [physician's] physician
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0024|     assistants may prescribe, administer and distribute dangerous
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0025|     drugs other than controlled substances in Schedule I of the
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0001|     Controlled Substances Act pursuant to regulations adopted by
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0002|     the [New Mexico] board [of osteopathic medical examiners]
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0003|     after consultation with the board of pharmacy, provided that
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0004|     the prescribing, administering and distributing are done under
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0005|     the direction of a supervising osteopathic physician and within
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0006|     the parameters of a board-approved formulary and guidelines
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0007|     established under Paragraph (3) of Subsection A of Section
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0008|     61-10A-6 NMSA 1978.  The distribution process shall comply with
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0009|     state laws concerning prescription packaging, labeling and
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0010|     record keeping requirements.  Osteopathic [physician's]
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0011|     physician assistants shall not otherwise dispense dangerous
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0012|     drugs or controlled substances. 
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0013|               C.  An osteopathic [physician's] physician
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0014|     assistant shall perform only those acts and duties assigned him
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0015|     by a supervising osteopathic physician that are within the
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0016|     scope of practice of the supervising osteopathic physician.
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0017|               D.  An applicant for a [certificate of
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    qualification] license as an osteopathic [physician's]
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0019|     physician assistant shall complete such application forms as
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0020|     supplied by the board and pay a fee as provided in Section [6-
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    10A-4.1] 61-10A-4.1 NMSA 1978.  Upon [being certified]
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0022|     licensing by the board, the applicant shall have his name and
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0023|     address and other pertinent information enrolled by the board
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0024|     on a roster of osteopathic [physician's] physician
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0025|     assistants.
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0001|               E.  Each [certified] osteopathic [physician's]
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0002|     physician assistant shall [annually] biennially submit
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0003|     proof of completion of continuing education as required by the
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0004|     board and register [his employment with the board, stating]
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0005|     his name and current address, the name and office address of
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0006|     [both his employer and] the supervising osteopathic physician
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0007|     and such additional information as the board deems necessary. 
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0008|     Upon any change of [employment] supervision as an
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0009|     osteopathic [physician's] physician assistant, [such
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    registration] the registration of supervision shall
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0011|     automatically be void.  Each [annual] biennial registration
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0012|     or registration of new [employment] supervision shall be
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0013|     accompanied by a fee as provided in Section 61-10A-4.1 NMSA
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0014|     1978."
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0015|          Section 10.  Section 61-10A-4.1 NMSA 1978 (being Laws
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0016|     1989, Chapter 9, Section 8) is amended to read:
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0017|          "61-10A-4.1.  FEES.--Applicants shall pay the following
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0018|     fees:
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0019|               A.  an initial [certification] license fee of
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0020|     not to exceed one hundred fifty dollars ($150);
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0021|               B. [an annual registration of certification] a
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0022|     biennial license fee of not to exceed [fifty dollars
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    ($50.00)] one hundred dollars ($100);
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0024|               C.  a late fee not to exceed twenty-five dollars
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0025|     ($25.00) for applicants who fail to register their
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0001|     [certificates] licenses on or before July 1 of each year;
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0002|     and
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0003|               D.  a registration of new [employment]
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0004|     supervision fee [in an amount equal to the annual] equal
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0005|     to one-half the biennial renewal fee."
    |
0006|          Section 11.  A new Section 61-10A-4.2 NMSA 1978 is enacted
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0007|     to read:
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0008|          "61-10A-4.2.  [NEW MATERIAL]  INACTIVE LICENSE.--
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0009|               A.  An osteopathic physician assistant who notifies
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0010|     the board in writing on forms prescribed by the board may elect
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0011|     to place his license on an inactive status.  An osteopathic
    |
0012|     physician assistant with an inactive license shall be excused
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0013|     from payment of renewal fees and shall not practice as an
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0014|     osteopathic physician assistant.
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0015|               B.  An osteopathic physician assistant who engages
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0016|     in practice while his license is lapsed or on inactive status
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0017|     is practicing without a license and is subject to discipline
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0018|     pursuant to the Osteopathic Physicians' Assistants Act.
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0019|               C.  An osteopathic physician assistant requesting
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0020|     restoration from inactive status shall pay the current renewal
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0021|     fee and fulfill the requirement for renewal pursuant to the
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0022|     Osteopathic Physicians' Assistants Act."
    |
0023|          Section 12.  A new Section 61-10A-4.3 NMSA 1978 is enacted
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0024|     to read:
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0025|          "61-10A-4.3.  [NEW MATERIAL]  EXEMPTION FROM LICENSURE.-
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0001|     -
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0002|               A.  An osteopathic physician assistant student
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0003|     enrolled in a physician assistant, osteopathic physician
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0004|     assistant or surgeon assistant educational program accredited
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0005|     by the committee on allied health education and accreditation
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0006|     or by its successor shall be exempt from licensure while
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0007|     functioning as an osteopathic physician assistant student.
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0008|               B.  An osteopathic physician assistant employed by
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0009|     the federal government while performing duties incident to that
    |
0010|     employment is not required to be licensed as an osteopathic
    |
0011|     physician assistant pursuant to the Osteopathic Physicians'
    |
0012|     Assistants Act."
    |
0013|          Section 13.  Section 61-10A-6 NMSA 1978 (being Laws 1979,
    |
0014|     Chapter 26, Section 6, as amended by Laws 1994, Chapter 57,
    |
0015|     Section 16 and also by Laws 1994, Chapter 80, Section 14) is
    |
0016|     amended to read:
    |
0017|            "61-10A-6.  RULES AND REGULATIONS.--
    |
0018|               A.  The board may adopt and enforce reasonable rules
    |
0019|     and regulations:
    |
0020|                    (1)  for setting qualifications of education,
    |
0021|     skill and experience for [certification] licensure of a
    |
0022|     person as an osteopathic [physician's] physician assistant
    |
0023|     and providing forms and procedures for [certificates of
    |
    qualification] licensure and for [annual] biennial
    |
0025|     registration of [employment] supervision;
    |
0001|                    (2)  for examining and evaluating applicants
    |
0002|     for [certificates of qualification] licensure as an
    |
0003|     osteopathic [physician's] physician assistant as to their
    |
0004|     skill, knowledge and experience in the field of medical care;
    |
0005|                    (3)  for establishing when and for how long an
    |
0006|     osteopathic [physician's] physician assistant is permitted
    |
0007|     to prescribe, administer and distribute dangerous drugs other
    |
0008|     than controlled substances in Schedule I of the Controlled
    |
0009|     Substances Act pursuant to regulations adopted by the [New
    |
    Mexico] board [of osteopathic medical examiners] after
    |
0011|     consultation with the board of pharmacy;
    |
0012|                    (4)  for allowing a supervising osteopathic
    |
0013|     physician to temporarily delegate his supervisory
    |
0014|     responsibilities for an osteopathic [physician's] physician
    |
0015|     assistant to another osteopathic physician;
    |
0016|                    (5)  for allowing an osteopathic
    |
0017|     [physician's] physician assistant to temporarily serve
    |
0018|     under the supervision of an osteopathic physician other than
    |
0019|     the supervising osteopathic physician of record; and
    |
0020|                    (6)  for the purpose of carrying out all other
    |
0021|     provisions of the Osteopathic Physicians' Assistants Act.
    |
0022|               B.  The board shall not adopt any rule or regulation
    |
0023|     allowing an osteopathic [physician's] physician assistant
    |
0024|     to dispense dangerous drugs; to measure the powers, range or
    |
0025|     accommodative status of human vision; diagnose vision problems;
    |
0001|     prescribe lenses, prisms, vision training or contact lenses; or
    |
0002|     fit contact lenses.  This section shall not preclude vision
    |
0003|     screening.
    |
0004|               C.  The board shall establish rules and regulations
    |
0005|     regarding the supervision of osteopathic physician assistants
    |
0006|     by osteopathic physicians, but no rule or regulation shall
    |
0007|     prohibit an osteopathic physician assistant from providing
    |
0008|     services physically separated from the supervising licensed
    |
0009|     osteopathic physician."
    |
0010|          Section 14.  EFFECTIVE DATE.--The effective date of the
    |
0011|     provisions of this act is July 1, 1997.
    |
0012|                                                         State of New Mexico
    |
0013|                      House of Representatives
    |
0014|   
    |
0015|                      FORTY-THIRD LEGISLATURE
    |
0016|                        FIRST SESSION, 1997
    |
0017|   
    |
0018|   
    |
0019|                                               February 25, 1997
    |
0020|   
    |
0021|   
    |
0022|   Mr. Speaker:
    |
0023|   
    |
0024|        Your CONSUMER AND PUBLIC AFFAIRS COMMITTEE, to
    |
0025|   whom has been referred
    |
0001|   
    |
0002|                        HOUSE BILL 788
    |
0003|   
    |
0004|   has had it under consideration and reports same with
    |
0005|   recommendation that it DO PASS, amended as follows:
    |
0006|   
    |
0007|        1.  On page 1, between lines 15 and 16, insert the following
    |
0008|   new section:
    |
0009|   
    |
0010|        "Section 1.  Section 61-6-6 NMSA 1978 (being Laws 1973,
    |
0011|   Chapter 361, Section 1, as amended) is amended to read:
    |
0012|        "61-6-6.  DEFINITIONS.--As used in Chapter 61, Article 6
    |
0013|   NMSA 1978:
    |
0014|   
    |
0015|             A.  "acting in good faith" means acting without malice
    |
0016|   as the primary motive or without knowledge or belief that one is
    |
0017|   in error in taking a particular action;
    |
0018|   
    |
0019|             B.  "board" means the New Mexico board of medical
    |
0020|   examiners;
    |
0021|   
    |
0022|             C.  "licensed physician" means a medical doctor
    |
0023|   licensed under the Medical Practice Act to practice medicine in
    |
0024|   New Mexico; 
    |
0025|   
    |
0001|             D.  "medical college or school in good standing" means
    |
0002|   a board-approved medical college or school that has as high a
    |
0003|   standard 
    |
0004|   
    |
0005|   as that required by the association of American medical colleges
    |
0006|   and the council on medical education of the American medical
    |
0007|   association;
    |
0008|   
    |
0009|             E.  "medical student" means a student enrolled in a
    |
0010|   board-approved medical college or school in good standing;
    |
0011|   
    |
0012|             F.  "person" means an individual or any legal entity
    |
0013|   of any kind whatever;
    |
0014|   
    |
0015|             G.  "physician assistant" means a skilled person
    |
0016|   [registered] licensed by the board as being qualified by
    |
0017|   academic and practical training to provide patient services under
    |
0018|   the supervision and direction of the licensed physician who is
    |
0019|   responsible for the performance of that assistant;
    |
0020|   
    |
0021|             H.  "postgraduate year one" or "intern" means a first
    |
0022|   year postgraduate student upon whom a degree of doctor of
    |
0023|   medicine and surgery or equivalent degree has been conferred by a
    |
0024|   medical college or school in good standing [approved by the
    |
  board];
    |
0001|   
    |
0002|             I.  "postgraduate year two through eight" or
    |
0003|   "resident" means a graduate of a medical college or school in
    |
0004|   good standing [approved by the board] who is in training in a
    |
0005|   board-approved and accredited residency training program in a
    |
0006|   hospital or facility affiliated with an approved hospital and who
    |
0007|   has been appointed to the position of "resident" or "assistant
    |
0008|   resident" for the purpose of postgraduate medical training; 
    |
0009|   
    |
0010|             J.  "the practice of medicine" consists of:
    |
0011|   
    |
0012|                  (1)  advertising, holding out to the public or
    |
0013|   representing in any manner that one is authorized to practice
    |
0014|   medicine in this state;
    |
0015|   
    |
0016|                  (2)  offering or undertaking to administer,
    |
0017|   dispense or prescribe any drug or medicine for the use of any
    |
0018|   other person, except as authorized pursuant to a professional or
    |
0019|   occupational licensing statute set forth in Chapter 61 NMSA 1978;
    |
0020|   
    |
0021|                  (3)  offering or undertaking to give or
    |
0022|   administer, dispense or prescribe any drug or medicine for the
    |
0023|   use of any other person, except as directed by a licensed
    |
0024|   physician;
    |
0025|   
    |
0001|                  (4)  offering or undertaking to perform any
    |
0002|   operation or procedure upon any person;
    |
0003|   
    |
0004|                  (5)  offering or undertaking to diagnose, correct
    |
0005|   or treat in any manner or by any means, methods, devices or
    |
0006|   instrumentalities any disease, illness, pain, wound, fracture,
    |
0007|   infirmity, deformity, defect or abnormal physical or mental
    |
0008|   condition of any person;
    |
0009|   
    |
0010|                  (6)  offering medical peer review, utilization
    |
0011|   review or diagnostic service of any kind that directly influences
    |
0012|   patient care, except as authorized pursuant to a professional or
    |
0013|   occupational licensing statute set forth in Chapter 61 NMSA 1978;
    |
0014|   or
    |
0015|   
    |
0016|                  (7)  acting as the representative or agent of any
    |
0017|   person in doing any of the things listed in Paragraphs (1)
    |
0018|   through (6) of this subsection;
    |
0019|   
    |
0020|             K.  "sexual contact" means touching the primary
    |
0021|   genital area, groin, anus, buttocks or breast of a patient or
    |
0022|   allowing a patient to touch another's primary genital area,
    |
0023|   groin, anus, buttocks or breast in a manner that is commonly
    |
0024|   recognized as outside the scope of acceptable medical practice;
    |
0025|   
    |
0001|             L.  "sexual penetration" means sexual intercourse,
    |
0002|   cunnilingus, fellatio or anal intercourse, whether or not there
    |
0003|   is any emission, or introducing any object into the genital or
    |
0004|   anal openings of another in a manner that is commonly recognized
    |
0005|   as outside the scope of acceptable medical practice; and
    |
0006|   
    |
0007|             M.  "United States" means the fifty states, its
    |
0008|   territories and possessions and the District of Columbia."".
    |
0009|             
    |
0010|        2.  Renumber succeeding sections accordingly.
    |
0011|   
    |
0012|        3.  On page 5, lines 7 and 8, strike "pursuant to the
    |
0013|   Physician Assistant Act".
    |
0014|   
    |
0015|        4.  On page 8, line 3, strike "nominated to the board" and
    |
0016|   insert in lieu thereof "chosen".
    |
0017|   
    |
0018|        5.  On page 8, line 3, after the second "board" insert "from
    |
0019|   a list provided by the board".
    |
0020|   
    |
0021|        6.  On page 8, line 4, after "assistants." insert "All
    |
0022|   physician assistants shall be eligible for inclusion on the
    |
0023|   list.".
    |
0024|   
    |
0025|        7.  On page 10, line 17, after the period insert a quotation
    |
0001|   mark.
    |
0002|   
    |
0003|        8.  On page 10, strike Subsection D in its entirety.
    |
0004|   
    |
0005|        9.  On page 18, line 13, after the period insert a quotation
    |
0006|   mark.
    |
0007|   
    |
0008|        10.  On page 18, strike Subsection C in its entirety.,
    |
0009|   
    |
0010|   and thence referred to the JUDICIARY COMMITTEE.
    |
0011|   
    |
0012|                                 Respectfully submitted,
    |
0013|   
    |
0014|   
    |
0015|   
    |
0016|                                                                 
    |
0017|   
    |
0018|                                                              Gary King, Chairman
    |
0019|   
    |
0020|   
    |
0021|   Adopted                          Not Adopted                     
    |
0022|    
    |
0023|             (Chief Clerk)                       (Chief Clerk)
    |
0024|   
    |
0025|                        Date             
    |
0001|   
    |
0002|   The roll call vote was 7  For 0  Against
    |
0003|   Yes:      7
    |
0004|             Excused:  Crook, Rios, Vigil
    |
0005|             Absent:   None
    |
0006|   
    |
0007|   
    |
0008|   .117537.1
    |
0009|   G:\BILLTEXT\BILLW_97\H0788                       State of New Mexico
    |
0010|                      House of Representatives
    |
0011|   
    |
0012|                      FORTY-THIRD LEGISLATURE
    |
0013|                        FIRST SESSION, 1997
    |
0014|   
    |
0015|   
    |
0016|                                                  March 10, 1997
    |
0017|   
    |
0018|   
    |
0019|   Mr. Speaker:
    |
0020|   
    |
0021|        Your JUDICIARY COMMITTEE, to whom has been referred
    |
0022|   
    |
0023|                  HOUSE BILL 788, as amended
    |
0024|                               
    |
0025|   has had it under consideration and reports same with
    |
0001|   recommendation that it DO PASS.
    |
0002|   
    |
0003|                                 Respectfully submitted,
    |
0004|   
    |
0005|   
    |
0006|   
    |
0007|                                                                 
    |
0008|   
    |
0009|                                                              Thomas P. Foy, Chairman
    |
0010|   
    |
0011|   
    |
0012|   Adopted                          Not Adopted                     
    |
0013|    
    |
0014|             (Chief Clerk)                       (Chief Clerk)
    |
0015|   
    |
0016|                        Date             
    |
0017|   
    |
0018|   The roll call vote was 11  For 0  Against
    |
0019|   Yes:      11
    |
0020|             Excused:  King, Rios
    |
0021|             Absent:   None
    |
0022|   
    |
0023|   
    |
0024|   G:\BILLTEXT\BILLW_97\H0788  
    |
0025|   
    |
0001|                      FORTY-THIRD LEGISLATURE
    |
0002|                        FIRST SESSION, 1997
    |
0003|   
    |
0004|   
    |
0005|                                                  March 17, 1997
    |
0006|   
    |
0007|   Mr. President:
    |
0008|   
    |
0009|       Your PUBLIC AFFAIRS COMMITTEE, to whom has been
    |
0010|   referred
    |
0011|   
    |
0012|                     HOUSE BILL 788, as amended
    |
0013|   
    |
0014|   has had it under consideration and reports same with
    |
0015|   recommendation that it DO PASS.
    |
0016|   
    |
0017|                                Respectfully submitted,
    |
0018|   
    |
0019|   
    |
0020|   
    |
0021|                                
    |
0022|   __________________________________
    |
0023|                                Shannon Robinson, Chairman 
    |
0024|   
    |
0025|   
    |
0001|   
    |
0002|   Adopted_______________________   Not
    |
0003|   Adopted_______________________
    |
0004|             (Chief Clerk)                          (Chief Clerk)
    |
0005|   
    |
0006|   
    |
0007|                     Date ________________________
    |
0008|   
    |
0009|   
    |
0010|   The roll call vote was  5  For  0  Against
    |
0011|           Yes:    5
    |
0012|           No:     0
    |
0013|                Excused:     Boitano, Ingle, Vernon, Rodarte, 
    |
0014|           Absent: 0
    |
0015|   
    |
0016|   
    |
0017|   H0788PA1
    |
0018|   
    |