Revision: March 6, 2024, 3:38 p.m.
Rep. Grote, Rock. 24
Rep. Weber, Ches. 5
March 1, 2024
2024-0908h
05/06
Amendment to HB 1585
Amend the title of the bill by replacing it with the following:
AN ACT relative to the position of certified assisted living medication aide.
Amend the bill by replacing all after the enacting clause with the following:
1 New Paragraph; Nurse Practice Act; Definition of Administrator Added. Amend RSA 326-B:2 by inserting after paragraph I-a the following new paragraph:
I-b. "Administrator” means the licensee or individual appointed by the licensee of the facility to be responsible for all aspects of the daily operation of the licensed premise.
2 New Paragraphs; Nurse Practice Act; Definitions Added. Amend RSA 326-B:2 by inserting after paragraph II the following new paragraphs:
II-a. “Certified assisted living medication aide” or “CALMA” means an individual who is certified by the office of professional licensure and certification to administer specific classes of and routes of medication, as described in rule, in a residential setting as defined in RSA 151:9, VII(a)(1) and RSA 151:9, VII(a)(2) under the direction of the facility administrator with access to clinical consultation 24 hours a day.
II-b. “Clinical consultant” means an APRN, RN, LPN, PA, or physician available electronically or in person 24 hours a day to provide clinical consultation.
3 New Section; Nurse Practice Act; Scope of Practice; Certified Assisted Living Medication Aide. Amend RSA 326-B by inserting after section 14 the following new section:
326-B:14-a Scope of Practice; Certified Assisted Living Medication Aide.
I. A certified assisted living medication aide (CALMA) shall practice under the supervision of the administrator of the licensed facility and have access to clinical consultation 24 hours a day appropriate for the setting in accordance with regulations established pursuant to RSA 326-B:4, I.
II. A CALMA is responsible for competency in the CALMA education program curriculum approved by the board.
III. A CALMA is authorized to administer medication if:
(a) The individual holds a currently valid certificate of completion from a board-approved CALMA education program; and
(b) The persons served are in a residential setting as defined in RSA 151:9, VII(a)(1) and (2).
IV. After successful completion of the CALMA education program, a CALMA shall be able to:
(a) Apply knowledge and techniques in the practice of medication administration;
(b) Communicate effectively with the administrator and other health care professionals concerning the administration of medication;
(c) Maintain safe and effective methods of medication administration; and
(d) Maintain records as directed by the administrator of the facility.
V. Any expansion of the scope of practice shall be adopted by legislation in accordance with RSA 332-G:6.
4 New Section; Nurse Practice Act; Certified Assisted Living Medication Aide. Amend RSA 326-B by inserting after section 27 the following new section:
326-B:27-a Certified Assisted Living Medication Aide (CALMA).
I. Applicants for an initial certification for CALMA shall:
(a) Have participated in and completed a board-approved CALMA education program which offers a minimum of 40 hours of classroom and clinical setting education as defined by the board.
(b) Have passed an examination approved by the board.
(c) Have paid the certification fee.
(d) Be an employee of a residential care facility or supported residential care facility.
(e) Be at least 18 years of age.
II. Certification shall be renewed as required by RSA 310:8.
5 New Paragraph; Nurse Practice Act; Continuing Education; CALMA. Amend RSA 326-B:31 by inserting after paragraph III the following new paragraph:
IV. A CALMA shall complete 8 hours of continuing education relative to medication administration in programs approved by the board every 2 years.
6 Effective Date. This act shall take effect 60 days after its passage.
2024-0908h
AMENDED ANALYSIS
This bill defines the position of certified assisted living medication aide (CALMA) under the nurse practice act, provides for certification as a CALMA through the office of professional licensure and certification, and authorizes a CALMA to administer medication to individuals in specified residential settings.