Uniform Credentialing Act Flashcards
Define purpose of Legislature
The Legislature recognizes the need for regulation of persons and businesses providing health and health-related services and environmental services. It is the intent of the Legislature to provide for such regulation through the Uniform Credentialing Act.
Purposes of the Uniform Credentialing Act (2 items)
(1) to protect the public health, safety, and welfare by -
(a)providing for the credentialing of persons and businesses that provide health and health-related services and environmental services which are made subject to the act
(b) the development, establishment, and enforcement of standards for such services
(2) to provide for the efficient, adequate, and safe practice of such persons and businesses
Define active addiction
current physical or psychological dependence on alcohol or a substance, which dependence develops following the use of alcohol or a substance on a periodic or continuing basis.
Define alcohol or substance abuse
a maladaptive pattern of alcohol or substance use leading to clinically significant impairment or distress as manifested by one or more of the following occurring at any time during the same twelve-month period:
(1) Recurrent alcohol or substance use resulting in a failure to fulfill major role obligations at work, school, or home;
(2) Recurrent alcohol or substance use in situations in which it is physically hazardous;
(3) Recurrent legal problems related to alcohol or substance use; or
(4) Continued alcohol or substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the alcohol or substance use.
Define dependence
a maladaptive pattern of alcohol or substance use, leading to clinically significant impairment or distress, as manifested by three or more of the following occurring at any time in the same twelve-month period:
(1) Tolerance as defined by either of the following:
(a) A need for markedly increased amounts of alcohol or the substance to achieve intoxication or desired effect;
(b) A markedly diminished effect with continued use of the same amount of alcohol or the substance;
(2) Withdrawal as manifested by either of the following:
(a) The characteristic withdrawal syndrome for alcohol or the substance as referred to in the Diagnostic and Statistical Manual of Mental Disorders — Fourth Edition, published by the American Psychiatric Association; or
(b) Alcohol or the same substance or a closely related substance is taken to relieve or avoid withdrawal symptoms;
(3) Alcohol or the substance is often taken in larger amounts or over a longer period than was intended;
(4) A persistent desire or unsuccessful efforts to cut down or control alcohol or substance use;
(5) A great deal of time is spent in activities necessary to obtain alcohol or the substance, to use alcohol or the substance, or to recover from the effects of use of alcohol or the substance;
(6) Important social, occupational, or recreational activities are given up or reduced because of alcohol or substance use; or
(7) Alcohol or substance use continues despite knowledge of having had a persistent or recurrent physical or psychological problem that was likely to have been caused or exacerbated by alcohol or the substance.
Credential holder’s advertisement; contents; credential; availability; identity of profession or business.
(1) Any credential holder’s advertisement for health care services shall identify the type of credential(s) held by the credential holder pursuant to the definitions, titles, and abbreviations authorized under the practice act applicable to his or her credential(s) or the examination designations required for a credential under the practice act applicable to his or her credential(s). The advertisement shall not include deceptive or misleading information and shall not include any affirmative communication or representation that misstates, falsely describes, or falsely represents the skills, training, expertise, education, board certification, or credential(s) of the credential holder.
(2) Every person credentialed under the Uniform Credentialing Act shall make his or her current credential available upon request. The department, with the recommendation of the appropriate board, if any, shall determine how a consumer will be able to identify a credential holder. The method of identification shall be clear and easily accessed and used by the consumer. All signs, announcements, stationery, and advertisements of persons credentialed under the act shall identify the profession or business for which the credential is held.
Credentials are required under which practices?
(a) Acupuncture;
(b) Advanced practice nursing; (APN)
(c) Alcohol and drug counseling;
(d) Asbestos abatement, inspection, project design, and training;
(e) Athletic training;
(f) Audiology;
(g) Speech-language pathology; (SLP)
(h) Beginning one year after September 2, 2023, behavior analysis;
(i) Body art;
(j) Chiropractic;
(k) Cosmetology;
(l) Dentistry;
(m) Dental hygiene;
(n) Electrology;
(o) Emergency medical services; (EMS)
(p) Esthetics;
(q) Funeral directing and embalming;
(r) Genetic counseling;
(s) Hearing instrument dispensing and fitting;
(t) Lead-based paint abatement, inspection, project design, and training;
(u) Licensed practical nurse-certif(v) Massage therapy;
(w) Medical nutrition therapy;
(x) Medical radiography;
(y) Medicine and surgery;
(z) Mental health practice;
(aa) Nail technology;
(bb) Nursing;
(cc) Nursing home administration;
(dd) Occupational therapy; (OT)
(ee) Optometry;
(ff) Osteopathy;
(gg) Perfusion;
(hh) Pharmacy;
(ii) Physical therapy; (PT)
(jj) Podiatry;
(kk) Psychology;
(ll) Radon detection, measurement, and mitigation;
(mm) Respiratory care;
(nn) Surgical assisting; and
(oo) Veterinary medicine and surgery.
(2) No individual shall hold himself or herself out as any of the following until such individual has obtained a credential under the Uniform Credentialing Act for that purpose:
(a) Registered environmental health specialist;
(b) Certified marriage and family therapist;
(c) Certified professional counselor;
(d) Certified art therapist;
(e) Social worker; or
(f) Dialysis patient care technician.
(3) No business shall operate for the provision of any of the following services unless such business has obtained a credential under the Uniform Credentialing Act:
(a) Body art;
(b) Cosmetology;
(c) Emergency medical services;
(d) Esthetics;
(e) Funeral directing and embalming;
(f) Massage therapy; or
(g) Nail technology.
Define military families
active duty service members in the armed services of the United States, military spouses, honorably discharged veterans of the armed services of the United States, spouses of such honorably discharged veterans, and unremarried surviving spouses of deceased service members of the armed services of the United States.
38-126. Rules and regulations; board and department; adopt.
To protect the health, safety, and welfare of the public and to insure to the greatest extent possible the efficient, adequate, and safe practice of health services, health-related services, and environmental services: (4 items)
(1)(a) The appropriate board may adopt rules and regulations to:
(i) Specify minimum standards required for a credential, including education, experience, and eligibility for taking the credentialing examination, specify methods to meet the minimum standards through military service as provided in section 38-1,141, and on or before December 15, 2017, specify standards and procedures for issuance of temporary credentials for military spouses as provided in section 38-129.01;
(ii) Designate credentialing examinations, specify the passing score on credentialing examinations, and specify standards, if any, for accepting examination results from other jurisdictions;
(iii) Set continuing competency requirements in conformance with section 38-145;
(iv) Set standards for waiver of continuing competency requirements in conformance with section 38-146;
(v) Set standards for courses of study; and
(vi) Specify acts in addition to those set out in section 38-179 that constitute unprofessional conduct; and
(b) The department shall promulgate and enforce such rules and regulations;
(2) For professions or businesses that do not have a board created by statute:
(a) The department may adopt, promulgate, and enforce such rules and regulations;
(b) The department shall carry out any statutory powers and duties of the board;
(3) The department, with the recommendation of the appropriate board, if any, may adopt, promulgate, and enforce rules and regulations for the respective profession, other than those specified in subdivision (1) of this section, to carry out the Uniform Credentialing Act;
(4) The department may adopt, promulgate, and enforce rules and regulations with general applicability to carry out the Uniform Credentialing Act.
What is the legislature’s intent when reviewing credentialed professions and businesses? (2 items)
(1) It is the intent of the Legislature that quality health care services and human services be provided to the public and basic standards be developed to protect the public health and safety and that professions be regulated by the state only when it is demonstrated that such regulation is in the best interests of the public.
(2) The department shall periodically review each credentialed profession and business to determine if continued credentialing is needed to protect the public.
Qualifications for issuing credentials (2 items)
(1) No individual shall be issued a credential under the Uniform Credentialing Act until he or she has furnished satisfactory evidence to the department that he or she is of good character and has attained the age of 19 years except as otherwise specifically provided by statute, rule, or regulation.
(2) A credential may only be issued to
(a) a citizen of the United States,
(b) an alien lawfully admitted into the United States who is eligible for a credential under the Uniform Credentialing Act,
(c) a nonimmigrant lawfully present in the United States who is eligible for a credential under the Uniform Credentialing Act, or
(d) a person who submits (i) an unexpired employment authorization document issued by the United States Department of Homeland Security, Form I-766, and (ii) documentation issued by the United States Department of Homeland Security, the United States Citizenship and Immigration Services, or any other federal agency, such as one of the types of Form I-797 used by the United States Citizenship and Immigration Services, demonstrating that such person is described i
Such credential shall be valid only for the period of time during which such person’s employment authorization document is valid
When is a criminal background check required? (6 items)
(1) An applicant for an initial license to practice as a RN, a LPN, a PT, a PTA, a psychologist, an advanced emergency medical technician, an emergency medical technician, an audiologist, a SLP, a licensed independent mental health practitioner, an OT, an COTA, a dietitian, a certified social worker, a certified master social worker, a licensed clinical social worker, a paramedic, a physician, an osteopathic physician, a physician or osteopathic physician who is an applicant for a temporary educational permit, a physician or osteopathic physician who is an applicant for a temporary visiting faculty permit, a PA, a dentist, an optometrist, a podiatrist, a veterinarian, an APRN, an advanced practice registered nurse-certified nurse midwife, or an advanced practice registered nurse-certified registered nurse anesthetist shall be subject to a criminal background check. Except as provided in subsection (4) of this section, such an applicant for an initial license shall submit a full set of fingerprints to the Nebraska State Patrol for a criminal history record information check. The applicant shall authorize release of the results of the national criminal history record information check by the FBI to the department. The applicant shall pay the actual cost of the fingerprinting and criminal background check.
(2) The Nebraska State Patrol is authorized to submit the fingerprints of such applicants to the FBI and to issue a report to the department that includes the criminal history record information concerning the applicant. The Nebraska State Patrol shall forward submitted fingerprints to the FBI for a national criminal history record information check. The Nebraska State Patrol shall issue a report to the department that includes the criminal history record information concerning the applicant.
(3) This section shall not apply to a dentist who is an applicant for a dental locum tenens under section 38-1122, to a physician or osteopathic physician who is an applicant for a physician locum tenens under section 38-2036, or to a veterinarian who is an applicant for a veterinarian locum tenens under section 38-3335.
(4) A physician or osteopathic physician who is an applicant for a temporary educational permit shall have 90 days from the issuance of the permit to comply with subsection (1) of this section and shall have such permit suspended after such ninety-day period if the criminal background check is not complete or revoked if the criminal background check reveals that the applicant was not qualified for the permit.
(5) The department and the Nebraska State Patrol may adopt and promulgate rules and regulations concerning costs associated with the fingerprinting and the national criminal history record information check.
(6) For purposes of interpretation by the FBI, the term department in this section means the Division of Public Health of the DHHS.
How to submit an application and fees for credentialing purposes
Any person desiring to take an examination for credentialing purposes shall make application to the department or to the organization specified by the department prior to examination on a form provided by the department or such organization. Such application shall be accompanied by the examination fee and such documents and affidavits as are necessary to show the eligibility of the candidate to take such examination. All applications shall be in accordance with the rules and regulations of the department or such organization. When a national or standardized examination is required, the department may direct the applicant to apply directly to the organization administering the examination to take the examination
Approved courses of study; approval required
The department shall maintain a list of approved courses of study for the professions which are regulated by the Uniform Credentialing Act. The appropriate board shall make recommendations relative thereto and shall approve the list for its profession. The department shall approve the list for a profession if there is no appropriate board.
No course of study shall be approved without the formal action of the department or the appropriate board. Any course of study whose graduates or students desire to take the Nebraska examination shall supply the department with the necessary
38-134. Examinations; oral or practical; approval of national or other examination.
(1) The oral or practical work portion of any examination for a credential under the Uniform Credentialing Act may be given by the members of the appropriate board, the department, or an organization approved by the appropriate board or the department if there is no board. The oral examination questions shall be limited to the practice of the profession.
(2) The appropriate board may approve any national or other examination to constitute part or all of the credentialing examination for any of the professions which are regulated by the Uniform Credentialing Act
Examinations: time and place
Examinations for credentialing shall be held on such dates and at such times and places as set by the department or the organization approved by the appropriate board or the department. Special examinations may be given at the expense of the applicant and administered by the department or the organization specified by the department.
Examinations: passing score and re-exams
(1) In the absence of any specific requirement or provision relating to any particular profession:
(a) The appropriate board may specify the passing score on credentialing examinations;
(b) An examinee who fails a credentialing examination may retake the entire examination or the part failed upon payment of the cost of retaking the examination; and
(c) The department shall withhold from the credentialing fee submitted by an examinee the cost of any national examination used when an examinee fails a credentialing examination and shall return to the examinee the remainder of the credentialing fee collected subject to section 38-156, except that:
(i) If a state-administered jurisprudence portion of the credentialing examination was failed, the examinee may retake that portion without charge; and
(ii) If any component of a national examination was failed, the examinee shall be charged the cost for retaking such examination.
(2) A person who desires to take an examination but does not wish to receive a credential may take such examination by meeting the examination eligibility requirements and paying the cost of the examination.
Examinations: records maintained and eligibility
(1) All questions, the answer key, and the examinees’ answers connected with any examination for credentialing shall be maintained by the department, national organization, or testing service for a period of two years from the date of administration of the examination.
(2) When national examinations are accepted for credentialing, the department shall obtain from the national organization or testing service documentation that the examination development and maintenance process meets generally accepted standards for test development and maintenance.
(3) The department, with the recommendation of the appropriate board, may:
(a) Specify credentialing examination application procedures;
(b) Provide for the review of procedures for the development of examinations;
(c) Provide for the administration of all or separate components of examinations; and
(d) Protect the security of the content of examination questions and answers.
(4) The appropriate board may specify eligibility for taking the credentialing examination. In determining such eligibility, the board shall consider the practices of other states but shall determine such eligibility standards based on the extent to which completion of a course of study prior to examination is necessary to assure that applicants for credentials meet minimum standards of proficiency and competency for the protection of the health and safety of the public.
Credentials regarding: expiration date, renewal, reinstatement, inactive status
(1) The credential to practice a profession shall be renewed biennially upon request of the credentialed person and upon documentation of continuing competency pursuant to sections 38-145 and 38-146. The renewals provided for in this section shall be accomplished in such manner and on such date as the department, with the recommendation of the appropriate board, may establish.
The request for renewal shall be accompanied by the renewal fee and include all information required by the department. Requests to renew licenses for licensed practical nurses, registered nurses, and advanced practice registered nurses shall include evidence that the licensee has registered with the electronic database utilized by the department for the purpose of providing the licensee with current license status and nursing workforce data collection. The renewal fee shall be paid not later than the date of the expiration of such credential, except that persons actively engaged in the military service of the United States, as defined in the Servicemembers Civil Relief Act, 50 U.S.C. App. 501 et seq., as the act existed on January 1, 2007, shall not be required to pay the renewal fee.
(2) At least 30 days before the expiration of a credential, the department shall notify each credentialed person at his or her last address of record. If a credentialed person fails to notify the department of his or her desire to have his or her credential placed on inactive status upon its expiration, fails to meet the requirements for renewal on or before the date of expiration of his or her credential, or otherwise fails to renew his or her credential, it shall expire. When a person’s credential expires, the right to represent himself or herself as a credentialed person and to practice the profession in which a credential is required shall terminate. Any credentialed person who fails to renew the credential by the expiration date and desires to resume practice of the profession shall apply to the department for reinstatement of the credential.
(3) When a person credentialed pursuant to the Uniform Credentialing Act desires to have his or her credential placed on inactive status, he or she shall notify the department of such desire in writing. The department shall notify the credentialed person in writing of the acceptance or denial of the request to allow the credential to be placed on inactive status. When the credential is placed on inactive status, the credentialed person shall not engage in the practice of such profession, but he or she may represent himself or herself as having an inactive credential. A credential may remain on inactive status for an indefinite period of time.
Credentials regarding; failure to pay fees or meet continuing competency requirement
(1) The credential of any person who fails, by the expiration date of such credential, to pay the required renewal fee or to submit documentation of continuing competency shall automatically expire without further notice or hearing.
(2) The department shall refuse to renew after notice and opportunity for hearing, the credential of any person who fails, by the expiration date of such credential, to meet the applicable continuing competency requirement for renewal.
(3) Subsections (1) and (2) of this section shall not apply when the credential holder has given notification to the department that or she desires to have his or her credential expire or be placed on inactive status upon expiration.
Contnuing competency requirements; board; duties
(1) The appropriate board shall establish continuing competency requirements for persons seeking renewal of a credential.
(2) The purposes of continuing competency requirements are to ensure
(a) the maintenance by a credential holder of knowledge and skills necessary to competently practice his or her profession,
(b) the utilization of new techniques based on scientific and clinical advances, and
(c) the promotion of research to assure expansive and comprehensive services to the public.
(3) Each board shall consult with the department and the appropriate professional academies, professional societies, and professional associations in the development of such requirements.
(4)(a) For a profession for which there are no continuing education requirements on December 31, 2002, the requirements may include, but not be limited to, any one or a combination of the continuing competency activities listed in subsection (5) of this section.
(b) For a profession for which there are continuing education requirements on December 31, 2002, continuing education is sufficient to meet continuing competency requirements. The requirements may also include, but not be limited to, any one or a combination of the continuing competency activities listed in subdivisions (5)(b) through (5)(p) of this section which a credential holder may select as an alternative to continuing education.
(5) Continuing competency activities may include, but not be limited to, any one or a combination of the following:
(a) Continuing education;
(b) Clinical privileging in an ambulatory surgical center or hospital as defined
(c) Board certification in a clinical specialty area;
(d) Professional certification;
(e) Self-assessment;
(f) Peer review or evaluation;
(g) Professional portfolio;
(h) Practical demonstration;
(i) Audit;
(j) Exit interviews with consumers;
(k) Outcome documentation;
(l) Testing;
(m) Refresher courses;
(n) Inservice training;
(o) Practice requirement; or
(p) Any other similar modalities.
(6) Beginning with the first license renewal period which begins on or after October 1, 2018, the continuing competency requirements for a nurse midwife, dentist, physician, physician assistant, nurse practitioner, podiatrist, and veterinarian who prescribes controlled substances shall include at least three hours of continuing education biennially regarding prescribing opiates as defined in section 28-401. The continuing education may include, but is not limited to, education regarding prescribing and administering opiates, the risks and indicators regarding development of addiction to opiates, and emergency opiate situations. One-half hour of the three hours of continuing education shall cover the prescription drug monitoring program