Amendment No. 948

Senate Amendment to Assembly Bill No. 432 First Reprint (BDR 54-339)

Proposed by: Senator Amodei

Amendment Box: Conflicts with Amendment No. 923.

Resolves Conflicts with: N/A

Amends: Summary: Title: Preamble: Joint Sponsorship:

ASSEMBLY ACTION Initial and Date | SENATE ACTION Initial and Date

Adopted Lost | Adopted Lost

Concurred In Not | Concurred In Not

Receded Not | Receded Not

Amend sec. 3, page 1, line 13, by deleting "An" and inserting "1. An".

Amend sec. 3, page 1, after line 15, by inserting:

"2. An optometrist who has been issued a certificate to treat persons diagnosed with glaucoma pursuant to section 5 of this act shall refer a patient diagnosed with glaucoma to an ophthalmologist for treatment if any one of the following is applicable:

(a) The patient is under 16 years of age.

(b) The patient has been diagnosed with malignant glaucoma or neovascular glaucoma.

(c) The patient has been diagnosed with acute closed angle glaucoma. The provisions of this paragraph do not prohibit the optometrist from administering appropriate emergency treatment to the patient.

(d) The patient’s glaucoma is caused by diabetes, and, after joint consultation with a physician who is treating the diabetes and an ophthalmologist, the physician or ophthalmologist determines that the patient should be treated by an ophthalmologist. If an optometrist determines that a patient’s glaucoma is caused by diabetes, he shall consult with a physician and ophthalmologist in the manner provided in this paragraph.".

Amend the title of the bill, third line, after "glaucoma" by inserting:

", under certain circumstances,".