Bill > HB1952

This bill redefines the practice of optometry in Tennessee by expanding the scope of services optometrists can provide, including the examination, diagnosis, management, prevention, and treatment of eye conditions and diseases, with specific allowances for prescribing and administering pharmaceutical agents, performing certain primary eye care and surgical procedures, and utilizing diagnostic tests. It clarifies that optometrists can use orthoptics, adjust and fit lenses and eyeglasses, and supply or duplicate lenses and frames. The bill also permits optometrists to administer certain medications to counteract anaphylaxis and use specific emergency procedures, and to use local anesthetics for certain eyelid procedures, provided they meet specific certification requirements. Furthermore, it outlines specific laser-assisted procedures optometrists can perform, such as peripheral iridotomy and selective laser trabeculoplasty, requiring board certification for such use. Importantly, the bill explicitly excludes certain complex surgical procedures, like retina laser procedures, LASIK, corneal transplants, and cataract surgery, from the practice of optometry. It also establishes requirements for optometrists using local anesthetics, including CPR certification and having an automated external defibrillator (AED) present. Finally, it states that optometrists are held to the same standard of care as other physicians providing similar services, with provisions for rule promulgation and a delayed effective date for most purposes.