Scope of Practice

Question 1

What does “scope” mean?

Answer 1

• Area of which you can perform duties unhindered.

- Boundary.

Question 2

What is all health care scope of practice governed by?

Answer 2

Legislation

Question 3

Who are some limited-scope health care providers?

Answer 3

Optometry
Dentistry
Chiropractic

Question 4

Who is unlimited in their scope of field? Why?

Answer 4

Medical Doctors or Osteopathic Doctors. Their scope is written “as taught” so they can do practically anything.

Question 5

True or False:

Optometric scope of practice varies state to state.

Answer 5

True

Question 6

9 steps for a bill to become law

Answer 6

1) A bill is created
2) Committee action
3) Subcommittee Review
4) “Mark Up” - subcommittee makes changes
5) Committee action to report a bill
6) Voting by the full body
7) Referral to another chamber
8) Conference committee action
9) Final action

Question 7

When creating a bill, who can make the bill and who introduces the bill?

Answer 7

Anyone can draft the bill, but only members of the legislature can introduce the bill; usually 1 from each party (democrat and republican).

Question 8

When a bill is presented, who is referred to?

Answer 8

It is referred to a committee that deals with what the bill is intended for (health).
If the bill is not acted on, it is effectively “dead”.

Question 9

For optometry, if a bill is presented to the United States senate, what is the committee that deals with the new bill?

Answer 9

The Senate Committee of Health, Education, Labor, and Pensions (HELP)

Question 10

If the bill is presented to United States House of Representatives, where does the bill get referred to?

Answer 10

The Energy and Commerce Committee

Question 11

When the bill gets into the subcommittee review, who can speak about the bill?

Answer 11

Anyone can speak about the bill that wants to testify. It provides an opportunity for experts to express their views about the bill, whether they are for or against the bill.

Question 12

What happens to the bill when it reaches the Mark Up step?

Answer 12

The subcommittee may make changes and amendments prior to recommending the bill to the full committee. If a subcommittee votes not to report legislation to the full committee, the bill dies.

Question 13

What happens to the bill when the subcommittee reports the bill to the full committee?

Answer 13

The full committee takes a vote on its recommendation to the House or the Senate.
This procedure is called “Ordering a bill reported”

Question 14

When the bill reaches the house or senate, what happens?

Answer 14

There is a full-body vote on whether or not to pass the bill.

Question 14

When the bill reaches the house or senate, what happens?

Answer 14

There is a full-body vote on whether or not to pass the bill.

Question 15

When the house or senate passes a bill, what happens after that?

Answer 15

It is referred to the other chamber. It then follows the same route through committee and floor action. The other chamber may approve, reject, ignore, or change it.

Question 16

After passing on one chamber, if the other chamber significantly alters the bill, what happens next?

Answer 16

A conference committee is formed to reconcile the differences between the House and Senate versions. The committee is usually composed of senior members of the committee that originally considered the bill.

Question 17

What happens if the two chambers are unable to reach an agreement about a bill?

Answer 17

The bill/ legislation dies.

Question 18

What happens if the two chambers are able to reach an agreement about a bill?

Answer 18

A conference report is prepared describing the committee members’ recommendations for changes.

Question 19

After both the House and Senate have approved the bill in an identical form, what happens next?

Answer 19

It is the final action. the bill is sent to the President of the United States. If the President signs the legislation, it becomes law. If the President takes no action in 10 days while the legislature is in session, it automatically becomes law. If the President opposes the bill, he/she can veto. If the President takes no action for 10 days after legislature is adjourned, it is “pocket vetoed” and the legislation dies.

Question 20

If the president vetoes a bill, how can the bill still become law?

Answer 20

If both the Senate and the House pass the bill by a two-thirds majority, the President’s veto is overruled, and the bill becomes law.