State flag Iowa Scope of Practice Policy: State Profile

Education Required for Addiction Counselor Credentialing

Iowa credentials three types of addiction counselors. A Certified Alcohol and Drug Counselor can attain the credential in two ways. The education track requires the individual complete specific relevant education classes and 1,000 hours of experience. The experience track requires a high school diploma, 150 hours of relevant training and 3,000 hours of experience.

An International Alcohol and Drug Counselor requires a high school degree, 270 hours of training and 6,000 hours of work experience. A higher-level degree can substitute the number of hours (i.e. a person with a bachelor’s degree needs 4,000 hours). An International Advanced Alcohol and Drug Counselors requires a master’s degree, 180 hours of relevant education and supervised experience in ten domains. Iowa Admin. Code §641—156.3(2) and Iowa Board of Certification

Licensed Professional Counselor Ability to Diagnose

Licensed mental health counselors may provide services involving assessment, referral, consultation, and the application of counseling, human development, principles, learning theory, group dynamics, and the etiology of maladjustment and dysfunctional behavior to individuals, families and groups. Diagnostic ability is not outlined in statute. Iowa Code §154D.1(6)

Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 36 NPs in Iowa have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or experience an NP may obtain a federal waiver to dispense buprenorphine-containing products. Iowa Admin. Code r. 655-7.1

Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 4 PAs in Iowa have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in Iowa may prescribe Schedule III-V controlled substances as delegated by a supervising physician. With proper training or appropriate experience a PA in Iowa can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Iowa Admin. Code r. 645-327.1(1)(s)

Peer Support Specialist Certification or Credentialing Authority

There are currently no statutory or regulatory standards for the certification of mental health peer support specialists and peer recovery specialists. The standards and requirements for the certification of mental health peer support specialists and peer recovery specialists are developed and administered by third-party, nonprofit certification providers.

Practice Authority

NPs have full independent practice authority. An NP means a nurse with current licensure as a registered nurse in Iowa or who is licensed in another state and recognized for licensure in this state pursuant to the nurse licensure compact, and is also registered in Iowa to practice in an advanced role. The ARNP is prepared for an advanced role by virtue of additional knowledge and skills gained through a formal advanced practice education program of nursing in a specialty area approved by the board. In the advanced role, the nurse practices nursing assessment, intervention and management within the boundaries of the nurse-client relationship. Advanced nursing practice occurs in a variety of settings, within an interdisciplinary health care team, which provide for consultation, collaborative management, or referral. 655 IAC §7.1(152)

Prescriptive Authority

NPs may prescribe drugs, devices and medical gases and are authorized to prescribe controlled substances after they register with the U.S. Drug Enforcement Administration and the Iowa Board of Pharmacy. 655 IAC §7.1(152)

Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. A primary care provider means any of the following who provide primary care and meet certification standards: a physician who is a family or general practitioner, a pediatrician, an internist, an obstetrician or a gynecologist; an advanced registered nurse practitioner; a physician assistant; or a chiropractor. Iowa Code Ann. §135.157(9)

Dental Hygienists with Direct Access

Public health supervision of dental hygienists may occur in a public health setting and requires the dentist and dental hygienist to enter into a written supervision agreement. A dental hygienist under public health supervision may provide services without an initial patient examination by the dentist and for certain procedures, the dentist is not required to provide future treatment. Iowa Code Title IV §153.15.

Dental Therapists

Statute does not identify dental therapists as an oral health provider.

Practice of Teledentistry

Iowa does not explicitly allow for the practice of teledentistry.

Supervision Requirements

The law outlines the exact means of responsible supervision. Requirements include types of supervision, amount of and purpose of face-to-face meetings with the PA, among others. Direct supervision is not required, but the supervising physician must be easily available in person or via telecommunication for consultation. 653 IAC §21.4(1)

Prescriptive Authority for Physician Assistants

A PA may prescribe drugs, medical devices and Schedules III-V controlled substances if delegated by the supervising physician. A PA may not prescribe Schedule II controlled substances that are listed as depressants in law. 645 IAC §327.1(1)(s)

Scope of Practice Determination

The law outlines the duties that may be performed by the PA. The delegated medical services must be within the scope of practice of the supervising physician and the PA. 653 IAC §21.4(2)(f), 645 IAC §327.1(1)

Iowa SOP Legislation

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