New Colorado law grants ODs right to perform laser, injection procedures
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Legislation has passed in Colorado that expands the scope of practice of optometrists in the state to include certain injections and laser procedures, chalazion removal and corneal cross-linking.
Colorado Gov. Jared Polis signed HB 22-1233 into law June 7, 2022, making Colorado the 10th state to allow optometrists to perform laser procedures, according to the American Optometric Association.
The legislation now allows the practice of optometry to include eyelid injections; use of local anesthetic; removal and biopsy of certain eyelid lesions; chalazion removal; repair of certain eyelid lacerations; corneal cross-linking; laser capsulotomy; laser peripheral iridotomy; and laser trabeculoplasty.
It also requires that optometrists who perform laser procedures or treat ocular adnexa must demonstrate competency and complete specific education and exam requirements.
Karen Moldovan, government relations director for the Colorado Optometric Association (COA), told Healio that the privileges go into effect Aug. 10, unless a petition is filed. She noted that the state board of optometry also must conduct a public rulemaking process to implement the rules.
According to Moldovan, the COA met considerable resistance in its attempts to get the legislation passed. The American Academy of Pediatrics, Colorado Medical Society, Colorado Society of Eye Physicians & Surgeons and the American Society of Plastic Surgeons voiced formal opposition.
“It is unfortunate that those opposing the bill perpetuated unfounded scare tactics and inaccurate information regarding the procedures, patient safety, legislative intent and optometrists’ clinical education and training,” Moldovan said, explaining that the opposition hired lobbyists, testified at every hearing, communicated with legislators and bought statewide radio ads.
The COA was able to overcome these messages by stressing the safety precedent set by other states, proactive education and explanation of in-office procedures, Moldovan said.
“We used a robust, well-trained statewide advocacy network, strong bipartisan bill sponsors and an extremely dedicated legislative committee attending and testifying at all hearings,” she said.
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Colorado HB 22-1233. https://leg.colorado.gov/sites/default/files/2022a_1233_signed.pdf.
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