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Senate adopts first substitute for S.B. 133 to expand certain podiatric procedures; senators question training and privileging
Summary
S.B. 133 would broaden podiatrists' scope of practice (procedures around the ankle and soft-tissue operations); supporters argued residency, privileging and hospital checks ensure competence, while some senators requested further amendments to address training and credentialing.
Senator Hinkins moved to uncircle first substitute S.B. 133, describing an expansion of podiatric practice that would allow certain procedures 'around the ankle' and broaden scope for newly trained practitioners. Floor questions focused on how far above the ankle surgeries would go and whether those performing the work would be appropriately trained and hospital-privileged.
"I don't think the surgery itself will be above the ankle ... actually the operation is just soft tissue ... around the ankle," Hinkins said in response to questions about surgical limits. He and others noted that podiatrists typically complete two- to three-year residencies and must obtain hospital privileges where anesthesiologists and surgical oversight exist before performing procedures.
Supporters urged the Senate to be business-friendly and to allow qualified practitioners to compete, while one senator noted he would continue working on amendments with orthopedic surgeons. The first substitute passed and will move to the House for consideration.
Next steps: Sponsor indicated additional amendments may be pursued in committee or the House; hospitals and credentialing bodies will retain authority over privileging.
