Author: Nadine Piazza

SB 1080 Part 4 – Injections

Hello AMAAZ Members!

The fourth part of SB 1080 includes the use of injections. Various injections have been a part of TCM since 1941 and commercially available since 1954 in China. Since then, many advancements have been made. Other states currently have injections in their scope including Florida, New Mexico, Colorado, Utah, and Washington.

Other states are taking notice of Arizona producing a big win for our profession with the passage of SB 1080. We can all take credit for moving our profession forward here in Arizona and showing national leadership.

As we move forward to enable Licensed Acupuncturists to do more for our patients here in Arizona, I’d like to report to everyone that we are getting a vast hurray from fellow LAcs all across the country.

Here are a few comments we have received so far.

From Arizona, “Congratulations, Lloyd. So happy for you. Thank you as well as Shannon and Senator Nancy Barto for getting this 22-year wait-a-thon to finally materialize as All GOOD things come to those who wait.”

From New Mexico, “CongratulationsDr. Wright! Great work on the legislative achievement.”

From California, Congratulations and thank you!”

From Florida, “Wow, congratulations!”

We believe adding more tools to our existing toolbox of skills can only benefit our patients and our respective practices here in Arizona.

The new scope of practice will be an entirely voluntary upgrade to the individual practice and practitioner. It will be up to the individual practitioner to acquire the necessary knowledge and skills to apply this technology to the benefit of their patients. Educational standards for the use of injections will be recommended. We will be convening a special AMAAZ committee to review each of these states and make recommendations to the State of Arizona Board of Acupuncture Examiners based on our findings.

We hope this series is helping you to understand how our scope has changed since SB 1080 was signed by Governor Ducey on March 22, 2022. Please keep in mind that this is our opinion based on our understanding of the law. The State of Arizona Board of Acupuncture Examiners (Acupuncture Board) will be processing all these changes through the Rules process. There will be ample opportunity for public comment during this process.

Sincerely,

Dr. Lloyd Wright, DACM, LAc, DNBAO

President, AMAAZ

www.AMAAZ.org


To read:

SB 1080: acupuncture; scope of practice; assistants Sponsor: Senator Barto, LD 15 Committee on Health & Human Services

Click Here: H.SB1080_021522_HHS.pdf (azleg.gov)

SB 1080 Part 3 – Herbal Therapies And Fingerprint Process

Hello AMAAZ Members!

We hope this series is helping you understand how our scope has changed since SB 1080 was signed by Governor Ducey on March 22, 2022. Please keep in mind that this is our opinion based on our understanding of the law. The State of Arizona Board of Acupuncture Examiners (Acupuncture Board) will be processing all these changes through the Rules process. There will be ample opportunity for public comment during this process.

In this post, we discuss the third part of SB 1080, which defines the use of herbal therapies. The term “prescribed” is consistent with the practice of medicine and confirms our ability to prescribe herbs. This term would include Chinese herbs. The right to prescribe protects our ability to use herbs in our practice and is a requirement for some malpractice companies to cover herb utilization in the clinic. There may be a time when natural substances, such as herbs, become restricted from public use. The law protects our right to use herbs for our patients.

Many of us have more than sufficient education in herbal medicines, and we don’t anticipate any additional educational recommendations in this area.

All professional boards in Arizona are now required to update the fingerprint process. You now MUST possess a valid fingerprint card from DPS. We suggest you begin obtaining a valid fingerprint card from DPS to comply with the upcoming new requirements. Please read the information below.

This is setting the groundwork for us to eventually move towards our profession being recognized as primary care providers within Arizona.

Sincerely,

Dr. Lloyd Wright, DACM, LAc, DNBAO

President, AMAAZ

www.AMAAZ.org


Section 16:

USING AND PRESCRIBING HERBAL THERAPIES COMMENSURATE WITH THE 17 ACUPUNCTURIST’S EDUCATION AND TRAINING.

Fingerprint Clearance Card Requirements

9. Deletes the requirement that an applicant seeking an acupuncture license or acupuncture detoxification specialist certification must submit a full set of fingerprints to the Board for obtaining a state and federal criminal records check. (Sec. 2-3)

10. Directs an applicant for initial or renewal of an acupuncture license or acupuncture detoxification specialist certificate to possess a valid fingerprint clearance card beginning January 1, 2023. (Sec. 2-3)

11. Modifies the definition of agency relating to the Board of Fingerprinting and Fingerprinting Division in the DPS to include the Board. (Sec. 5, 6)

12. Includes acupuncture licensees and acupuncture detoxification specialists certificate holders in the definition of person as it relates to the Board of Fingerprinting and Fingerprinting Division in the Department of Public Safety (DPS). (Sec. 5-6)

To read:

SB 1080: acupuncture; scope of practice; assistants Sponsor: Senator Barto, LD 15 Committee on Health & Human Services

Click Here: H.SB1080_021522_HHS.pdf (azleg.gov)

SB 1080 Part 2 – Use Of Imaging And Labs

Hello AMAAZ Members!

We hope this series is helping you understand how our scope has changed since SB 1080 was signed by Governor Ducey on March 22, 2022. Please keep in mind that this is our opinion based on our understanding of the law. The State of Arizona Board of Acupuncture Examiners (Acupuncture Board) will be processing all these changes through the Rules process. There will be ample opportunity for public comment during this process.

Before we jump into the defined modalities, to be clear, we do not anticipate that anyone will need to change their current style or method of practice or need to obtain additional education to their existing practice.

There will not be any special certification issued by the Acupuncture Board. However, SB1080 does specify that an LAc must have adequate education to utilize any modality used in the clinic. Those levels of education will be detailed in the rules process as a recommendation and will be up to the practitioner to acquire or maintain.

The second part of Section 13 states the language authorizing the use of imaging and lab testing (see below). The use of labs and imaging are important to help us determine a diagnosis, referrals, and as an objective measurement of our patient’s progress. It also provides us with a more informed basis for communicating with other medical professionals, and more communication between professionals benefits our patients.

For many of us, additional education may be needed to optimize our ability to utilize the information provided by labs and imaging. Many CEU courses are currently available and many more will be forthcoming. We recommend working closely with a medical professional, MD, DO, DC, who can help with these objective assessments for those who do not wish to order labs or imaging studies.

The language below supports our use of physical and clinical examination which we learn in our patho-physiology courses and are part of our current intake. Additionally, we are now able to ORDER diagnostic imagining (e.g., X-rays, MRI, and CT scan) as well as clinical labs (e.g., CMP panel, Hormone panel, etc.).

This is setting the groundwork for us to eventually move towards our profession being recognized as primary care physicians within the state of Arizona.

Sincerely,

Dr. Lloyd Wright, DACM, LAc, DNBAO

President, AMAAZ

www.AMAAZ.org

“The Harmonious Family Brings Prosperity” Old Chinese Proverb

Under Section 13 “Miscellaneous” states:

c) Using decision support tools, including physical and clinical examinations; and

d) Ordering diagnostic imaging and clinical laboratory procedures to determine the nature of care or to form a basis for referral to other licensed health care professionals, or both. (Sec. 1)

To read:

SB 1080: acupuncture; scope of practice; assistants Sponsor: Senator Barto, LD 15 Committee on Health & Human Services

Click Here: H.SB1080_021522_HHS.pdf (azleg.gov)

SB 1080 Part 1 – Imagining, Labs & Diagnostic Exams

Old Chinese Proverb- “The Harmonious Family Brings Prosperity”

Hello AMAAZ Members!

This post begins one of five posts which will inform you of the most important added items in SB 1080. AMAAZ and our legal team has worked tenaciously on this bill over the last 12 months.

The first section is extremely important and defines what we do as medicine. The common misconception of the general public has been that we only practice a specific modality and do not practice medicine. We most certainly do, whether eastern, western, or both we do diagnose. Our medicine has been the predominate treatment for billions of people over the last 2,500 years. We are most certainly in the practice of medicine. Scroll down for our new definition in SB 1080.

This new definition provides the framework to allow the LAc to perform procedures that are more consistent with the practice of our medicine while utilizing modern medicine to measure our results thus, opening the door for us to use medical diagnostic tools, which will be discussed in Part 2 of the five-part series.

This is setting the groundwork for us to eventually move towards our profession being recognized as primary care physicians within the state of Arizona.

Sincerely,

Dr. Lloyd Wright, DACM, LAc, DNBAO

President, AMAAZ

www.AMAAZ.org


Under Section 13 “Miscellaneous” states:

13. Modifies the definition of acupuncture to mean a system of medicine based in traditional practices and informed by contemporary science…

To read SB 1080: acupuncture; scope of practice; assistants Sponsor: Senator Barto, LD 15 Committee on Health & Human Services

Click Here: H.SB1080_021522_HHS.pdf (azleg.gov)

Expanded Scope Signed 3/22/2022_SB1080

Governor Ducey signed SB 1080 “Acupuncture; scope of practice; assistants” into law on March 22, 2022, making it the first significant change and expansion of our acupuncture practice in over two decades. These changes allow the Arizona Licensed Acupuncturist to utilize the tools consistent with our medicine more fully, some of which are based on modern innovations, and some based on our traditional practice. All of these are now in place to help us to help our patients. LAc Announcement Letter Hard Copy