Committee authorizes adoptable rule for naturopathic prescriptive formulary with amendments after safety debates
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Summary
The committee reviewed LD 22‑42, a late‑filed major substantive rule adopting a broad formulary for naturopathic doctors and requirements for IV therapies. After robust debate on peptides, IV therapy, antineoplastics, training and malpractice notice, the committee voted 'ought to pass as amended' (9–1).
The Health Coverage, Insurance and Financial Services Committee voted to report LD 22‑42 as 'ought to pass as amended,' authorizing the Board of Complementary Health Care Providers' late‑filed major substantive rule on naturopathic doctors' prescriptive authority to move forward with specified changes.
Staff summarized the rule: it incorporates the 2025 American Hospital Formulary Service (AHFS) pharmacologic classification by reference for allowable noncontrolled legend drugs consistent with statute; it lists explicit exclusions (controlled substances, most psychotherapeutics except lithium, general anesthetics, many antineoplastics) and sets training and certification thresholds for IV therapies (history/exam, BLS, an 8‑hour chelation course for chelation therapy, 16‑hour course for IV ozone therapy). Staff also noted the legislature's statutory limits bar NDs from prescribing controlled substances.
Representative Sally Clucci proposed a suite of amendments and expressed safety concerns: she urged that prescribing of compounded peptides be limited to FDA‑approved products, that intrauterine device/implant insertion be allowed only with specified certification, that antineoplastic agents be excluded unless practitioners have documented specialized training/certification, and that patients be informed about malpractice insurance coverage. Clucci stated policymakers must "first and foremost, protect patient safety."
Other members said the board and stakeholders followed a lengthy rulemaking process; supporters argued the rule reflects the statute and the board's careful work. Representative Bob Foley thanked the sponsor and the board for responsiveness: "I really wanna thank the sponsor of this bill for working hard on this bill because you did it."
After discussion, Representative Josh Morris moved 'ought to pass as amended.' The clerk read a roll call; the chair reported 9 affirmative, 1 negative. The committee recorded the recommendation that the resolve be reported as 'ought to pass as amended' with the specified changes the committee requested.
What’s next: Staff will incorporate the committee's specified changes into the resolve language and the board may proceed consistent with the legislative instructions; any statutory changes suggested by members would need to be pursued in a future legislative vehicle.
