H. B. 2524


(By Delegates Facemyer, Jenkins,
Capito and Beach)


[Introduced March 13, 1997; referred to the
Committee on Government Organization.]


A BILL to amend and reenact section four, article three, chapter thirty of the code of West Virginia, one thousand nine hundred thirty-one, as amended, relating to expanding the definition of "practice of podiatry" by including the ankle; and restricting surgical procedures on ankles by podiatrists only upon being granted privileges to do so by a hospital's medical staff credentialing committee.

Be it enacted by the Legislature of West Virginia:
That section four, article three, chapter thirty of the code of West Virginia, one thousand nine hundred thirty-one, as amended, be amended and reenacted to read as follows:
ARTICLE 3. WEST VIRGINIA MEDICAL PRACTICE ACT.

§30-3-4. Definitions.

As used in this article:
(1) "Board" means the West Virginia board of medicine established in section five of this article. Whenever any other provision of this code refers to the "medical licensing board of West Virginia", such the reference shall be construed to mean and refer to the "West Virginia board of medicine" as created and established in this article.
(2) "Medical peer review committee" means a committee of, or appointed by, a state or local professional medical society, or a committee of, or appointed by, a medical staff of a licensed hospital, long-term care facility or other health care facility, or any health care peer review organization as defined in section one, article three-c of this chapter, or any other organization of professionals in this state formed pursuant to state or federal law and authorized to evaluate medical and health care services.
(3) "Practice of medicine and surgery" means the diagnosis or treatment of, or operation or prescription for, any human disease, pain, injury, deformity or other physical or mental condition.
(4) "Practice of podiatry" means the examination, diagnosis, treatment, prevention and care of conditions and functions of the human foot and ankle by medical, surgical and other scientific knowledge and methods; with surgical treatment of the ankle authorized only when a podiatrist has been granted privileges to perform ankle surgery by a hospital's medical staff credentialing committee based on the training and experience of the podiatrist; and medical and surgical treatment of warts and other dermatological lesions of the hand which similarly occur in the foot. When a podiatrist uses other than local anesthesia, in surgical treatment of the foot, such the anesthesia must be administered by, or under the direction of, an anesthesiologist or certified nurse anesthetist authorized under the state of West Virginia to administer anesthesia. A medical evaluation shall be made by a physician of every patient prior to the administration of other than local anesthesia.
(5) "State director of health" means the state director of health or his or her designee, which designee shall act as secretary of the board and shall carry out any and all responsibilities assigned in this article to the secretary of the board.

NOTE: The purpose of this bill is to expand the definition of podiatry to include the ankle and to restrict within the definition surgical procedures to the ankle "only when a podiatrist has been granted privileges to perform ankle surgery by a hospital's medical staff credentialing committee based on the training and experience of the podiatrist.

Strike-throughs indicate language that would be stricken from the present law, and underscoring indicates new language that would be added.