Summary of COVID-19 Regulatory Updates Between August 19 - 25 Can't see this email? View online.

August 26, 2020

Welcome to the Verisys Weekly Newsletter highlighting the COVID-19 regulatory updates between August 19 - 25, 2020.  

Verisys' Compliance Team gathers information from a variety of state and federal sources and updates our COVID-19 Resource Page daily with those updates. We have compiled the most recent updates from the past week in this email to assist your organization in serving patients during the pandemic and maintaining compliance as you bring additional providers on board to serve on the frontlines.

FEDERAL  
 
Health and Human Services: 08/19/2020: Authorizes state-licensed pharmacists (and pharmacy interns acting under their supervision to administer vaccines, if the pharmacy intern is licensed or registered by his or her state board of pharmacy) to order and administer vaccines to individuals ages 3 through 18 years under certain requirements. Source: News Release
 
1135 waivers: The following state(s) submitted an additional 1135 waiver request to CMS. The approved waivers have been published by the Centers for Medicare and Medicaid Services. Unless otherwise stated, all waivers are retroactively effective March 1, 2020.  
 
Alaska (approved 08/19/2020)  
• Temporarily designates a clinic practitioner’s location as part of the clinic facility so that clinic services may be provided via telehealth when neither the patient nor practitioner is physically onsite at the clinic.  
 
California (approved 08/19/2020)  
• Temporarily designates a clinic practitioner’s location as part of the clinic facility so that clinic services may be provided via telehealth when neither the patient nor practitioner is physically onsite at the clinic.  
 
Connecticut (approved 08/21/2020)  
• Temporarily designates a clinic practitioner’s location as part of the clinic facility so that clinic services may be provided via telehealth when neither the patient nor practitioner is physically onsite at the clinic.  
• Face-to-face encounter does not need to be completed before the start of services and may occur.  
 
New York (approved 08/19/2020)  
• Temporarily designates a clinic practitioner’s location as part of the clinic facility so that clinic services may be provided via telehealth when neither the patient nor practitioner is physically onsite at the clinic.  
 
Oregon (approved 08/20/2020)  
• The annual review of the service plan that exceeds the 12-month authorization period will remain in place and services will continue until the annual review can occur.  
 

STATE BOARD REGULATIONS
 
Board of Pharmacy  
 
Iowa  
08/24/2020: All existing waivers have been extended until 09/20/2020:  
• Pharmacists may engage in therapeutic drug product substitution pursuant to Board guidance.  
• A pharmacist whose license has been inactive or expired for no more than 5 years may continue to engage in the practice of pharmacy with the inactive or lapsed license.  
• The continuing education requirement is suspended as a condition of license renewal when such requirements cannot be satisfied due to the disaster emergency.  
• Licensees or registrants whose license or registration expires during this emergency period may continue to practice after the license or registration has expired if they are unable to renew the license or registration.  
• The requirement of clinical, practical, or internship experience as a condition of obtaining pharmacist licensure is suspended.  
• Suspension of administrative rules which require a pharmacist licensure candidate to complete all examination components within one year from the date the candidate passed the initial component.  
• Technician Trainees whose registration expires between March 18, 2020 and August 31, 2020 and who are unable to sit for the national technician certification exam are authorized to continue practicing as a technician trainee until such time as the trainee is able to take the national certification exam.  
• Temporary suspension of administrative rules which require the completion of a criminal history background check prior to licensure.  
• Temporary suspension of administrative rules which prohibit a pharmacist who is licensed in another state from engaging in the practice of pharmacy in Iowa prior to obtaining an Iowa pharmacist license due to requirements which are not able to be satisfied due to this disaster emergency.  
• Temporary suspension of administrative rules which require the completion of the background check and required examinations prior to issuance of an emergency pharmacist license to a recently graduated pharmacist-intern.  
Source: Proclamation of Disaster Emergency  
 
Kansas  
08/20/2020: KS BoP has issued additional requirements in response to HHS expanding the PREP Act.  
 
• Comply with Kansas immunization recordkeeping and reporting requirements, including informing the patient’s primary-care provider, submitting to Kansas WebIZ, reporting adverse events, and complying with requirements whereby the person administering a vaccine must review the vaccine registry or other vaccination records prior to administering a vaccine. See K.S.A. 65-1635a.  
• Inform the patient and the patient’s adult caregivers of the importance of a well-child visit with a pediatrician or other licensed primary care provider and refer patients as appropriate.  
Source: COVID-19 Information Memo  
 
Board of Medicine  
 
Illinois  
08/21/2020: The following have been extended until 09/19/2020:  
 
• All insurance providers are required to cover telehealth services. (Executive Order 2020-09)  
• Certain hospital licensing regulations have been suspended for hospitals to make accommodations to ensure patient safety. (Executive Order 2020-26)  
Source: Executive Order 2020-52  
 
Iowa  
08/21/2020: The following have been extended until 09/20/2020:  
 
• A physician may practice medicine/telemedicine in Iowa without an Iowa medical license on a temporary basis to aid in the emergency, if a physician holds at least one active medical license in another United State jurisdiction, in good standing, without restrictions or conditions.  
• All rules which establish preconditions, limitations, or restrictions on the provision of telehealth or telemedicine services in Iowa are temporarily suspended.  
• All license renewal requirements and deadlines are temporarily suspended during the period of this health emergency. If a licensee had an active Iowa medical license on March 22, 2020, the expiration date will be automatically extended for the duration of this health emergency.  
• An individual who has graduated from an accredited medical school but has not obtained an initial Iowa medical license may seek an emergency medical license from the Board.  
• All requirements for in-person continuing medical education and all deadlines and other requirements for continuing medical education that are unable to be satisfied due to the health emergency, are temporarily suspended during the period of this health emergency.  
• If a medical school graduate would like to apply for an Emergency Medical License they should go to the Iowa Board of Medicine’s website and use the Resident license application and indicate that they are applying for an Emergency Medical License.  
• All criminal background checks required for initial licensure continue to be temporarily suspended during the period of this health emergency due to a temporary lack of fingerprinting services due to potential exposure to COVID-19. • All requirements for in-person notarizations for licensure and other purposes are temporarily suspended during the period of this health emergency due to potential exposure to COVID-19.  
• All requirements for in-person notarizations for licensure and other purposes are temporarily suspended during the period of this health emergency due to potential exposure to COVID-19.  
• A medical spa may reopen or remain open to provide medical aesthetic services, but only if the medical spa complies with the requirements for performing procedures that utilize personalized protective equipment (PPE).  
Source: Proclamation of Disaster Emergency  
 
Board of Nursing  
 
Illinois  
08/21/2020: The following have been extended until 09/19/2020:  
 
• Limiting conditional employment of certified nursing assistants to 3 months pending the results of a finger-print based criminal history record check is suspended. The Department of Public Health shall not permit a certified nursing assistant to continue conditional employment beyond 6 months without obtaining the results of a finger-print based criminal history record check. (Executive Order 2020-12)  
• The requirement in the Health Care Worker Background Check Act, 225 ILCS 46/33(e), and the accompanying regulations, that designated students, applicants, and employees must have their fingerprints collected electronically and transmitted to the Illinois Department of State Police within 10 working days is suspended, provided that the fingerprints are transmitted within 30 working days of enrollment in a CNA training program or the start of employment. (Executive Order 2020-22)  
• Certain hospital licensing regulations have been suspended for hospitals to make accommodations to ensure patient safety. (Executive Order 2020-26)  
Source: Executive Order 2020-52  
 
 
Disclaimer:  
This information has been gathered from a variety of sources. Although Verisys has made every effort to provide complete, accurate and up-to-date information, Verisys makes no warranties, express or implied, or representations as to the accuracy or reliability of this information. The information is fluid and evolving. Verisys assumes no liability or responsibility for any errors or omissions in the information contained in this resource.  
 
The information contained in this newsletter comprises all the information that we have found during those dates. It may not constitute a complete list of every regulation instituted by every board during the last week.

Stay well,  
The Verisys Team  
1-888-VERISYS (837-4797)
customerservice@verisys.com

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