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Committee recommends folding homebound administrative rule into IHBF policy, expands eligible medical certifiers
Summary
Staff proposed deleting administrative rule IHBFR and incorporating its language into IHBF (Homebound Instruction) policy; the draft also expands the list of authorized medical certifiers to include physician assistants and APRNs to match changes in state law.
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Policy staff asked the committee to approve moving previously separate administrative-rule language into board policy for IHBF (Homebound Instruction) and to update language listing medical certifiers to include physician assistants and advanced practice registered nurses (APRNs).
"We are recommending that [IHBFR] will be deleted and that that language be incorporated into the policy," Speaker 3 said, explaining the rule's content has already been integrated into the policy draft. Staff noted the draft adds language in bullet 0.2 to expand "physician" to include "physician's assistant or APRN," which staff said aligns with a change in law that occurred several years ago.
Staff told the committee the district has, in practice, approved homebound forms signed by physician assistants and APRNs, and that the policy update is meant to align the written policy with existing practice. They also said a district committee developed a revised medical homebound process a few years ago, that the committee has been functioning and that staff plan more staff training this year to clarify expectations for medical homebound services.
A board member asked whether the committee needed to retain a separate administrative rule; staff responded the consolidated policy provides sufficient detail and that retaining the separate rule is optional but unnecessary if the policy text is comprehensive.
No formal vote or final adoption was recorded in the transcript; staff asked for committee feedback and indicated they will bring revised language back to the committee.

