South Carolina General Assembly
116th Session, 2005-2006

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Indicates Matter Stricken
Indicates New Matter

R356, S910

STATUS INFORMATION

General Bill
Sponsors: Senators Knotts, Peeler and Ford
Document Path: l:\council\bills\nbd\11650ac05.doc

Introduced in the Senate on June 1, 2005
Introduced in the House on April 27, 2006
Last Amended on April 25, 2006
Passed by the General Assembly on May 26, 2006
Governor's Action: June 6, 2006, Vetoed
Legislative veto action(s): Veto sustained

Summary: Nurses required to wear identification badge

HISTORY OF LEGISLATIVE ACTIONS

     Date      Body   Action Description with journal page number
-------------------------------------------------------------------------------
    6/1/2005  Senate  Introduced and read first time SJ-6
    6/1/2005  Senate  Referred to Committee on Medical Affairs SJ-6
   4/20/2006  Senate  Committee report: Favorable with amendment Medical 
                        Affairs SJ-5
   4/21/2006          Scrivener's error corrected
   4/25/2006  Senate  Amended SJ-48
   4/25/2006  Senate  Read second time SJ-48
   4/26/2006          Scrivener's error corrected
   4/26/2006  Senate  Read third time and sent to House SJ-31
   4/27/2006  House   Introduced and read first time HJ-4
   4/27/2006  House   Referred to Committee on Medical, Military, Public and 
                        Municipal Affairs HJ-5
   5/17/2006  House   Committee report: Favorable Medical, Military, Public 
                        and Municipal Affairs HJ-9
   5/24/2006  House   Requests for debate-Rep(s). GM Smith, White, Rutherford, 
                        Weeks, Thompson, MA Pitts, and Skelton HJ-61
   5/25/2006  House   Read second time HJ-69
   5/25/2006  House   Roll call Yeas-96  Nays-0 HJ-69
   5/25/2006  House   Unanimous consent for third reading on next legislative 
                        day HJ-69
   5/26/2006  House   Read third time and enrolled HJ-4
   5/31/2006          Ratified R 356
    6/6/2006          Vetoed by Governor
   6/14/2006  Senate  Veto overridden by originating body Yeas-45  Nays-0 SJ-89
   6/14/2006  House   Veto sustained Yeas-31  Nays-60 HJ-166
   6/14/2006  House   Reconsider vote whereby sustained HJ-218
   6/14/2006  House   Veto sustained Yeas-59  Nays-44 HJ-218

View the latest legislative information at the LPITS web site

VERSIONS OF THIS BILL

6/1/2005
4/20/2006
4/21/2006
4/25/2006
4/26/2006
5/17/2006

(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

NOTE: THIS COPY IS A TEMPORARY VERSION. THIS DOCUMENT WILL REMAIN IN THIS VERSION UNTIL PUBLISHED IN THE ADVANCE SHEETS TO THE ACTS AND JOINT RESOLUTIONS. WHEN THIS DOCUMENT IS PUBLISHED IN THE ADVANCE SHEET, THIS NOTE WILL BE REMOVED.

(R356, S910)

AN ACT TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING SECTION 40-33-39 SO AS TO REQUIRE NURSES TO WEAR AN IDENTIFICATION BADGE; TO AMEND SECTION 40-33-32, RELATING TO NURSING LICENSURE REQUIREMENTS, SO AS TO REVISE THE TYPE OF DOCUMENT THAT MUST BE SUBMITTED FOR PROOF OF IDENTITY AND AGE; TO AMEND SECTION 40-33-34, RELATING TO THE SCOPE OF PRACTICE AUTHORIZED FOR VARIOUS LEVELS OF NURSING AND REQUIREMENTS FOR CERTAIN SPECIFIED ACTS OF NURSING, SO AS TO CLARIFY INFORMATION THAT MUST BE PROVIDED BY NURSES WITH PRESCRIPTIVE AUTHORITY WHEN WRITING PRESCRIPTIONS; TO AMEND SECTION 40-33-35, RELATING TO LICENSURE REQUIREMENTS FOR OUT-OF-STATE NURSES, SO AS TO REVISE THE TYPE OF DOCUMENT THAT MUST BE SUBMITTED FOR PROOF OF IDENTITY AND AGE, TO PROVIDE FOR LICENSURE OF SUCH NURSES WHO WERE PREVIOUSLY AUTHORIZED TO PRACTICE NURSING, AND TO CLARIFY WHAT REQUIREMENTS MUST BE MET BY SUCH NURSES TO BE LICENSED AS AN ADVANCED PRACTICE REGISTERED NURSE; TO AMEND SECTION 40-33-36, RELATING TO THE ISSUANCE OF NURSING LICENSES, INCLUDING REQUIREMENTS FOR TEMPORARY AND LIMITED LICENSES, SO AS TO ALSO APPLY THESE REQUIREMENTS TO TEMPORARY AND LIMITED LICENSES FOR ADVANCED PRACTICE REGISTERED NURSES; AND TO AMEND SECTION 40-33-40, AS AMENDED, RELATING TO REQUIREMENTS FOR DEMONSTRATING COMPETENCY FOR INITIAL AND RENEWAL LICENSURE, SO AS TO CLARIFY CERTAIN REQUIREMENTS AND TO APPLY CERTAIN OF THESE REQUIREMENTS TO INDIVIDUALS SEEKING REINSTATEMENT OF A LAPSED OR INACTIVE STATUS OR LICENSURE OF A PERSON WHO IS AUTHORIZED TO PRACTICE OUT-OF-STATE.

Be it enacted by the General Assembly of the State of South Carolina:

Identification badges

SECTION    1.    Chapter 33, Title 40 of the 1976 Code is amended by adding:

"Section 40-33-39.    A licensed nurse must clearly identify himself or herself as officially licensed by the board. A licensed nurse shall wear a clearly legible identification badge or other adornment at least one inch by three inches in size bearing the nurse's name and title as officially licensed."

Documentation of identity and age

SECTION    2.    Section 40-33-32(B)(4) of the 1976 Code, as added by Act 225 of 2004, is amended to read:

"(4)    submits satisfactory proof of identity and age demonstrating that the applicant is eighteen years of age or older;"

Prescribing numbers required

SECTION    3.    Section 40-33-34(F)(1)(d) of the 1976 Code, as added by Act 225 of 2004, is amended to read:

"(d)    must be signed by the NP, CNM, or CNS with the prescriber's identification number assigned by the board and all prescribing numbers required by law. The prescription form must include the name, address, and phone number of the NP, CNM, or CNS and physician and must comply with the provisions of Section 39-24-40. A prescription must designate a specific number of refills and may not include a nonspecific refill indication;"

Licensure of nurses authorized to practice in other jurisdictions

SECTION    4.    Section 40-33-35 of the 1976 Code, as added by Act 225 of 2004, is amended to read:

"Section 40-33-35.    An applicant for a license who currently holds or has held an authorization to practice nursing in another state or jurisdiction in this country or territory or dependency of the United States may be licensed by the board by endorsement, without examination, if the applicant:

(1)    submits a completed application on a form provided by the board;

(2)    submits one 2" x 2" photograph signed and dated;

(3)    submits the appropriate application fee;

(4)    submits satisfactory proof of identity and age demonstrating that the applicant is eighteen years of age or older;

(5)    submits a copy of the applicant's social security card or permanent resident card; a resident alien who does not have a social security number must have an alien identification number;

(6)    has not committed any acts that are grounds for disciplinary action;

(7)    has completed all requirements for graduation from a nursing education program approved by the state or jurisdiction in this country or territory or dependency of the United States in which the program is located, as evidenced by a graduation transcript or other proof of education satisfactorily demonstrating graduation as determined by the board. The applicant's education must be equivalent to that required in this State at the time of the applicant's initial licensure in the other jurisdiction. An applicant shall comply with these educational requirements for basic RN licensure and satisfy the requirements of Section 40-33-34 to practice as an APRN.

(8)    submits verification of current or prior authorization to practice as a nurse in another state or jurisdiction or territory or dependency of the United States and that a license:

(a)    has been issued on the basis of passing the State Board Test Pool Examination before 1983 or the appropriate National Council Licensure Examination;

(b)    was not issued on the basis of passing the State Board Test Pool Examination before 1983 or the appropriate National Council Licensure Examination, in which case the applicant shall demonstrate not fewer than three years of successful practice as a licensed nurse in another state or jurisdiction in this country without disciplinary action that resulted in restriction of practice, including probation;

(9)    evidence of continued competency as provided in this chapter;

(10)    whose native language is not English, submits evidence of passing the Test of English as First Language (TOEFL), Test of Written English (TWE), and Test of Spoken English (TSE) offered by the TOEFL/TSE Services or another service approved by the board."

Temporary or limited licensure

SECTION    5.    Section 40-33-36(D) of the 1976 Code, as added by Act 225 of 2004, is amended to read:

"(D)(1)    The board may issue a temporary or limited license to practice nursing, in accordance with this subsection, or as may be provided for in regulation, to an applicant:

(a)    for licensure as an advanced practice registered nurse, a registered nurse, or as a licensed practical nurse, if the applicant's preliminary credentials have been approved and whose fee has been paid;

(b)    for licensure by endorsement as an advanced practice registered nurse, a registered nurse, or as a licensed practical nurse, for up to sixty days, unless further authorized by the administrator or designee, pending completion and approval of the application, if the applicant has filed an application, paid the fee, and has produced a valid license to practice in another jurisdiction.

(c)    while participating in a refresher course for up to ninety days, unless further authorized by the administrator or designee, when the applicant is seeking reinstatement of a lapsed or an inactive license or licensure by endorsement and must submit evidence of nursing competence before returning to nursing practice.

(2)    An applicant who has failed the licensing examination is not eligible for a temporary permit to practice nursing.

(3)    The board or department may immediately cancel a temporary permit or license that was issued based upon false, fraudulent, or misleading information provided by an applicant."

Demonstration of competency for initial and renewal of licensure

SECTION    6.    Section 40-33-40 of the 1976 Code, as amended by Act 225 of 2004, is further amended to read:

"Section 40-33-40.    (A)    Demonstration of competency for initial licensure requires documented evidence of the following:

(1)    graduation from an approved nursing education program; and

(2)    successful completion of the NCLEX appropriate to the area of licensure and appropriate credentials for advanced practice registered nursing licensure, if applicable.

(B)    Demonstration of competency for:

(1)    renewal of an active license biennially requires documented evidence of at least one of the following requirements during the licensure period:

(a)    completion of thirty contact hours from a continuing education provider recognized by the board;

(b)    maintenance of certification or re-certification by a national certifying body recognized by the board;

(c)    completion of an academic program of study in nursing or a related field recognized by the board; or

(d)    verification of competency and the number of hours practiced, as evidenced by employer certification on a form approved by the board.

(2)    reinstatement from lapsed or inactive status of five years or less requires documented evidence of at least one of the following within the preceding two years:

(a)    completion of thirty contact hours from a continuing education provider recognized by the board and successful completion of a course in legal aspects approved by the board;

(b)    maintenance of certification or re-certification by a national certifying body recognized by the board;

(c)    completion of an academic program of study in nursing or a related field recognized by the board;

(d)    verification of competency and the number of hours practiced, as evidenced by employer certification on a form approved by the board; or

(e)    successful completion of a refresher course approved by the board.

(3)    reinstatement from lapsed or inactive status of more than five years requires documented evidence of at least one of the following within the preceding two years:

(a)    successful completion of a refresher course approved by the board; or

(b)    successful completion of the NCLEX appropriate to the area of licensure.

(C)    Demonstration of competency for reinstatement from lapsed or inactive status or licensure of a person who holds a current authorization to practice in another state or jurisdiction in this country or territory or dependency of the United States requires documented evidence of at least one of the requirements in subsection (B) during the preceding two years.

(D)    Failure to comply with applicable continued competency requirements results in nonrenewal or denial of the application. A licensee shall maintain all documented evidence of compliance for at least four years. This documented evidence must be presented by the licensee within five business days of request by a representative of the department acting in its discretion or in accordance with a random audit of a sample of licensees. Failure to provide satisfactory documented evidence of compliance within the prescribed time results in the immediate temporary suspension or cancellation of the license pending compliance with all requirements for licensure and until order of the board."

Time effective

SECTION    7.    This act takes effect upon approval by the Governor.

Ratified the 31st day of May, 2006.

__________________________________________

President of the Senate

___________________________________________

Speaker of the House of Representatives

Approved the ____________ day of _____________________2006.

___________________________________________

Governor

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