By:  Counts                                           H.B. No. 1883
       73R4149 CAG-D
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the regulation of the practice of physical therapy and
    1-3  occupational therapy and to the creation of a new state board to
    1-4  replace the Texas Board of Physical Therapy Examiners and The Texas
    1-5  Advisory Board of Occupational Therapy.
    1-6        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-7                              ARTICLE 1.
    1-8                    STATE BOARD OF PHYSICAL THERAPY
    1-9                  AND OCCUPATIONAL THERAPY EXAMINERS
   1-10        SECTION 1.01.  Chapter 6D, Title 71, Revised Statutes, is
   1-11  amended by adding Article 4512e-1 to read as follows:
   1-12        Art. 4512e-1.  STATE BOARD OF PHYSICAL THERAPY AND
   1-13  OCCUPATIONAL THERAPY EXAMINERS
   1-14        Sec. 1.  STATE BOARD OF PHYSICAL THERAPY AND OCCUPATIONAL
   1-15  THERAPY EXAMINERS.  (a)  The State Board of Physical Therapy and
   1-16  Occupational Therapy Examiners consists of:
   1-17              (1)  three members licensed as physical therapists;
   1-18              (2)  three members licensed as occupational therapists;
   1-19  and
   1-20              (3)  three members who represent the public.
   1-21        (b)  Members of the board are appointed by the governor with
   1-22  the advice and consent of the senate.  The governor shall designate
   1-23  the presiding officer of the board from among the board members.
   1-24        (c)  Appointments to the board shall be made without regard
    2-1  to the race, color, disability, sex, religion, age, or national
    2-2  origin of the appointees.
    2-3        Sec. 2.  OFFICERS; MEETINGS; COMPENSATION.  (a)  The board
    2-4  shall hold at least two regular meetings each year at which time an
    2-5  examination for a license under a law administered by the board
    2-6  shall be offered.  Additional meetings may be held on the call of
    2-7  the presiding officer or at the written request of three members of
    2-8  the board.
    2-9        (b)  A member of the board is entitled to a per diem as set
   2-10  by the General Appropriations Act for each day that the member
   2-11  engages in the business of the board.  A member may not receive any
   2-12  compensation for travel expenses, including expenses for meals and
   2-13  lodging, other than transportation expenses as provided by the
   2-14  General Appropriations Act.
   2-15        Sec. 3.  TERMS.  (a)  Members of the board are appointed for
   2-16  staggered six-year terms, with three members' terms expiring on
   2-17  February 1 of each odd-numbered year.
   2-18        (b)  A member appointed to fill a vacancy shall hold office
   2-19  for the remainder of that term.
   2-20        Sec. 4.  PUBLIC MEMBERSHIP RESTRICTION.  A person is not
   2-21  eligible for appointment as a public member of the board if the
   2-22  person or the person's spouse:
   2-23              (1)  is registered, certified, or licensed by an
   2-24  occupational regulatory agency in the field of health care;
   2-25              (2)  is employed by or participates in the management
   2-26  of a business entity or other organization regulated by the board
   2-27  or receiving funds from the board;
    3-1              (3)  owns or controls, directly or indirectly, more
    3-2  than 10 percent interest in a business entity or other organization
    3-3  regulated by the board or receiving funds from the board; or
    3-4              (4)  uses or receives a substantial amount of tangible
    3-5  goods, services, or funds from the board, other than compensation
    3-6  or reimbursement authorized by law for board membership,
    3-7  attendance, or expenses.
    3-8        Sec. 5.  CONFLICT OF INTEREST RESTRICTIONS.  (a)  An officer,
    3-9  employee, or paid consultant of a Texas trade association in the
   3-10  field of health care may not be a member or employee of the board
   3-11  who is exempt from the state's position classification plan or is
   3-12  compensated at or above the amount prescribed by the General
   3-13  Appropriations Act for step 1, salary group 17, of the position
   3-14  classification salary schedule.
   3-15        (b)  A person who is the spouse of an officer, manager, or
   3-16  paid consultant of a Texas trade association in the field of health
   3-17  care may not be a board member and may not be an employee of the
   3-18  board who is exempt from the state's position classification plan
   3-19  or is compensated at or above the amount prescribed by the General
   3-20  Appropriations Act for step 1, salary group 17, of the position
   3-21  classification salary schedule.
   3-22        (c)  For the purposes of this section, a Texas trade
   3-23  association is a nonprofit, cooperative, and voluntarily joined
   3-24  association of business or professional competitors in this state
   3-25  designed to assist its members and its industry or profession in
   3-26  dealing with mutual business or professional problems and in
   3-27  promoting their common interest.
    4-1        Sec. 6.  EFFECT OF LOBBYING ACTIVITY.  A person may not serve
    4-2  as a member of the board or act as the general counsel to the board
    4-3  if the person is required to register as a lobbyist under Chapter
    4-4  305, Government Code, and its subsequent amendments, because of the
    4-5  person's activities for compensation on behalf of a profession
    4-6  related to the operation of the board.
    4-7        Sec. 7.  GROUNDS FOR REMOVAL FROM BOARD.  (a)  It is a ground
    4-8  for removal from the board if a member:
    4-9              (1)  does not have at the time of appointment the
   4-10  qualifications required by Section 1 of this article;
   4-11              (2)  does not maintain during service on the board the
   4-12  qualifications required by Section 1 of this article;
   4-13              (3)  violates a prohibition established by Section 4,
   4-14  5, or 6 of this article;
   4-15              (4)  cannot discharge the member's term for a
   4-16  substantial part of the term for which the member is appointed
   4-17  because of illness or disability; or
   4-18              (5)  is absent from more than half of the regularly
   4-19  scheduled board meetings that the member is eligible to attend
   4-20  during a calendar year unless the absence is excused by majority
   4-21  vote of the board.
   4-22        (b)  The validity of an action of the board is not affected
   4-23  by the fact that it is taken when a ground for removal of a board
   4-24  member exists.
   4-25        (c)  If the director has knowledge that a potential ground
   4-26  for removal exists, the director shall notify the presiding officer
   4-27  of the board of the ground.  The presiding officer shall then
    5-1  notify the governor that a potential ground for removal exists.
    5-2        Sec. 8.  STAFF.  (a)  The board shall employ a director and
    5-3  administrative and clerical employees as necessary to carry out the
    5-4  board's functions.
    5-5        (b)  The board shall develop and implement policies that
    5-6  clearly define the respective responsibilities of the board and the
    5-7  staff of the board.
    5-8        Sec. 9.  REGULATORY STATUTES ADMINISTERED.  The board shall
    5-9  administer and enforce:
   5-10              (1)  the physical therapy law, Chapter 836, Acts of the
   5-11  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
   5-12  Texas Civil Statutes), and its subsequent amendments; and
   5-13              (2)  the Occupational Therapy Title Act (Article 8851,
   5-14  Vernon's Texas Civil Statutes), and its subsequent amendments.
   5-15        Sec. 10.  SEPARATE LICENSES.  (a)  The board shall issue
   5-16  separate licenses for a physical therapist and occupational
   5-17  therapist.
   5-18        (b)  The board may issue more than one type of license to a
   5-19  person under a law regulated by the board if the person is
   5-20  qualified to hold each of the licenses issued.  The board shall
   5-21  adopt rules relating to the issuance of multiple licenses to a
   5-22  person under laws administered by the board.
   5-23        Sec. 11.  RULES.  (a)  The board may only adopt rules
   5-24  proposed to the board by a rules subcommittee established under
   5-25  Section 12 of this article.  This provision controls
   5-26  notwithstanding any conflicting provision of the physical therapy
   5-27  law, Chapter 836, Acts of the 62nd Legislature, Regular Session,
    6-1  1971 (Article 4512e, Vernon's Texas Civil Statutes), or the
    6-2  Occupational Therapy Title Act (Article 8851, Vernon's Texas Civil
    6-3  Statutes).
    6-4        (b)  If the board does not approve a rule proposed by a rules
    6-5  subcommittee, the board shall indicate to the subcommittee the
    6-6  reasons that the board did not approve the rule and return the rule
    6-7  to the subcommittee for further development.
    6-8        Sec. 12.  RULES SUBCOMMITTEES.  (a)  Two rules subcommittees,
    6-9  each consisting of three members of the board, are established as
   6-10  follows:
   6-11              (1)  a rules subcommittee relating to the practice of
   6-12  physical therapy consisting of two board members who are physical
   6-13  therapists and one member who represents the public; and
   6-14              (2)  a rules subcommittee relating to the practice of
   6-15  occupational therapy consisting of two board members who are
   6-16  occupational therapists and one member who represents the public.
   6-17        (b)  A member of the board may not serve on more than one
   6-18  rules subcommittee.
   6-19        (c)  The presiding officer of the board shall designate the
   6-20  licensed physical or occupational therapists and public members of
   6-21  each rules subcommittee.
   6-22        (d)  A rules subcommittee shall develop and recommend to the
   6-23  board for approval rules that regulate the profession to which the
   6-24  subcommittee relates.  A rules subcommittee periodically shall
   6-25  review board rules relating to the profession to which the
   6-26  subcommittee relates and shall recommend changes in those rules to
   6-27  the board.  The authority of a rules subcommittee is not affected
    7-1  by Section 5(f), Administrative Procedure and Texas Register Act
    7-2  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
    7-3  subsequent amendments.
    7-4        Sec. 13.  EXPENDITURES; AUDIT.  (a)  The board may authorize,
    7-5  from funds appropriated to it, all necessary disbursements to carry
    7-6  out:
    7-7              (1)  this article;
    7-8              (2)  the physical therapy law, Chapter 836, Acts of the
    7-9  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
   7-10  Texas Civil Statutes), and its subsequent amendments; and
   7-11              (3)  the Occupational Therapy Title Act  (Article 8851,
   7-12  Vernon's Texas Civil Statutes) and its subsequent amendments.
   7-13        (b)  The financial transactions of the board are subject to
   7-14  audit by the state auditor in accordance with Chapter 321,
   7-15  Government Code, and its subsequent amendments.
   7-16        Sec. 14.  ANNUAL FINANCIAL REPORT.  The board shall file
   7-17  annually with the governor and the presiding officer of each house
   7-18  of the legislature a complete and detailed written report
   7-19  accounting for all funds received and disbursed by the board during
   7-20  the preceding fiscal year.  The annual report must be in the form
   7-21  and reported in the time provided by the General Appropriations
   7-22  Act.
   7-23        Sec. 15.  PERSONNEL POLICIES.  (a)  The director or the
   7-24  director's designee shall develop an intra-agency career ladder
   7-25  program.  The program shall require intra-agency posting of all
   7-26  nonentry level positions concurrently with any public posting.
   7-27        (b)  The director or the director's designee shall develop a
    8-1  system of annual performance evaluations based on measurable job
    8-2  tasks.  All merit pay for board employees must be based on the
    8-3  system established under this subsection.
    8-4        Sec. 16.  EQUAL EMPLOYMENT OPPORTUNITY POLICIES.  (a)  The
    8-5  director or the director's designee shall prepare and maintain a
    8-6  written policy statement to assure implementation of a program of
    8-7  equal employment opportunity under which all personnel transactions
    8-8  are made without regard to race, color, disability, sex, religion,
    8-9  age, or national origin.  The policy statement must include:
   8-10              (1)  personnel policies, including policies relating to
   8-11  recruitment, evaluation, selection, application, training, and
   8-12  promotion of personnel that are in compliance with the Commission
   8-13  on Human Rights Act (Article 5221k, Vernon's Texas Civil Statutes),
   8-14  and its subsequent amendments;
   8-15              (2)  a comprehensive analysis of the board work force
   8-16  that meets federal and state guidelines;
   8-17              (3)  procedures by which a determination can be made of
   8-18  significant underuse in the board work force of all persons for
   8-19  whom federal or state guidelines encourage a more equitable
   8-20  balance; and
   8-21              (4)  reasonable methods to appropriately address those
   8-22  areas of underuse.
   8-23        (b)  A policy statement prepared under Subsection (a) of this
   8-24  section must cover an annual period, be updated annually, be
   8-25  reviewed by the Commission on Human Rights for compliance with
   8-26  Subsection (a)(1) of this section, and be filed with the governor's
   8-27  office.
    9-1        (c)  The governor's office shall deliver a biennial report to
    9-2  the legislature based on the information received under Subsection
    9-3  (b)  of this section.  The report may be made separately or as part
    9-4  of other biennial reports to the legislature.
    9-5        Sec. 17.  PUBLIC INTEREST INFORMATION.  (a)  The board shall
    9-6  prepare information of public interest describing the functions of
    9-7  the board and the board's procedures by which complaints are filed
    9-8  with and resolved by the board.  The board shall make the
    9-9  information available to the public and appropriate state agencies.
   9-10        (b)  The board by rule shall establish methods by which
   9-11  consumers and service recipients are notified of the name, mailing
   9-12  address, and telephone number of the board for the purpose of
   9-13  directing complaints to the board.  The board may provide for that
   9-14  notification:
   9-15              (1)  on each registration form, application, or written
   9-16  contract for services of an individual or entity regulated by the
   9-17  board;
   9-18              (2)  on a sign prominently displayed in the place of
   9-19  business of each individual or entity regulated by the board; or
   9-20              (3)  in a bill for service provided by an individual or
   9-21  entity regulated by the board.
   9-22        (c)  The board shall list along with its regular telephone
   9-23  number the toll-free telephone number that may be called to present
   9-24  a complaint about a health professional if the toll-free number is
   9-25  established under other state law.
   9-26        Sec. 18.  PUBLIC PARTICIPATION IN BOARD HEARINGS.  The board
   9-27  shall develop and implement policies that provide the public with a
   10-1  reasonable opportunity to appear before the board and to speak on
   10-2  any issue under the jurisdiction of the board.
   10-3        Sec. 19.  PROGRAM ACCESSIBILITY.  The board shall prepare and
   10-4  maintain a written plan that describes how a person who does not
   10-5  speak English can be provided reasonable access to the board's
   10-6  programs.  The board shall also comply with federal and state laws
   10-7  for program and facility accessibility.
   10-8        Sec. 20.  TRAINING; STANDARDS OF CONDUCT INFORMATION.  (a)
   10-9  Each board member shall comply with the board member training
  10-10  requirements established by any other state agency that is given
  10-11  authority to establish the requirements for the board.
  10-12        (b)  The board shall provide to its members and employees, as
  10-13  often as necessary, information regarding their qualifications for
  10-14  office or employment under this article and their responsibilities
  10-15  under applicable laws relating to standards of conduct for state
  10-16  officers or employees.
  10-17        Sec. 21.  OPEN MEETINGS AND ADMINISTRATIVE PROCEDURE.  The
  10-18  board is subject to:
  10-19              (1)  the open meetings law, Chapter 271, Acts of the
  10-20  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
  10-21  Texas Civil Statutes), and its subsequent amendments; and
  10-22              (2)  the Administrative Procedure and Texas Register
  10-23  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
  10-24  subsequent amendments.
  10-25        Sec. 22.  SUNSET PROVISION.  The State Board of Physical
  10-26  Therapy and Occupational Therapy Examiners is subject to Chapter
  10-27  325, Government Code (Texas Sunset Act), and its subsequent
   11-1  amendments.  Unless continued in existence as provided by that
   11-2  chapter, the board is abolished and the following laws expire
   11-3  September 1, 2005:
   11-4              (1)  this article;
   11-5              (2)  the physical therapy law, Chapter 836, Acts of the
   11-6  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
   11-7  Texas Civil Statutes), and its subsequent amendments; and
   11-8              (3)  the Occupational Therapy Title Act (Article 8851,
   11-9  Vernon's Texas Civil Statutes) and its subsequent amendments.
  11-10             ARTICLE 2.  THE PRACTICE OF PHYSICAL THERAPY
  11-11        SECTION 2.01.  Section 1(5), Chapter 836, Acts of the 62nd
  11-12  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  11-13  Civil Statutes), is amended to read as follows:
  11-14              (5)  "Board" means the State <Texas> Board of Physical
  11-15  Therapy and Occupational Therapy Examiners.
  11-16        SECTION 2.02.  Section 3, Chapter 836, Acts of the 62nd
  11-17  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  11-18  Civil Statutes), is amended to read as follows:
  11-19        Sec. 3.  Examinations <Powers and Duties of Board>.  (a)  The
  11-20  board shall examine applicants for licenses at least once each year
  11-21  at such reasonable places and times as shall be designated by the
  11-22  board in its discretion.
  11-23        (b)  <The board may employ additional employees to aid in
  11-24  administering examinations.>
  11-25        <(c)>  The examination shall embrace the following subjects:
  11-26  anatomy; pathology; physiology; psychology; physics;
  11-27  electrotherapy; radiation therapy; hydrotherapy; massage therapy;
   12-1  exercises; physical therapy as applied to medicine; neurology;
   12-2  orthopedics; psychiatry; and procedures in the practice of physical
   12-3  therapy.
   12-4        <(d)  The board shall revoke or suspend a license, place on
   12-5  probation a licensee whose license has been suspended, or reprimand
   12-6  a licensee for a violation of this Act or a rule adopted by the
   12-7  board.>
   12-8        <(e)  The board may adopt rules consistent with this Act to
   12-9  carry out its duties in administering this Act.>
  12-10        (c)  Not later than the 30th day <(f)  Within 30 days> after
  12-11  the date a licensing examination is administered under this Act,
  12-12  the board shall notify each examinee of the results of the
  12-13  examination.  However, if an examination is graded or reviewed by a
  12-14  national testing service, the board shall notify each examinee of
  12-15  the results of the examination not later than the 14th day <within
  12-16  two weeks> after the date the board receives the results from the
  12-17  testing service.  If the notice of the examination results graded
  12-18  or reviewed by a national testing service will be delayed for more
  12-19  than 90 days after the examination date, the board shall notify
  12-20  each examinee of the reason for the delay before the 90th day.
  12-21        (d)  The board by rule may establish procedures for the
  12-22  administration of the examination, including the conditions under
  12-23  which and the number of times an applicant may retake an
  12-24  examination.
  12-25        (e)  The board shall have the written portion of the
  12-26  examination, if any, validated by an independent testing
  12-27  professional.
   13-1        (f)  If requested in writing by a person who fails a
   13-2  licensing examination administered under this Act, the board shall
   13-3  furnish the person with an analysis of the person's performance on
   13-4  the examination.
   13-5        <(g)  The board shall maintain an information file about each
   13-6  complaint filed with the board relating to a licensee.  If a
   13-7  written complaint is filed with the board relating to a licensee,
   13-8  the board, at least as frequently as quarterly and until final
   13-9  disposition of the complaint, shall notify the parties to the
  13-10  complaint of the status of the complaint unless the notice would
  13-11  jeopardize an undercover investigation.>
  13-12        <(h)  The board shall prepare information of consumer
  13-13  interest describing the regulatory functions of the board and the
  13-14  board's procedures by which consumer complaints are filed with and
  13-15  resolved by the board.  The board shall also prepare information
  13-16  relating to and reporting any previous disciplinary action by the
  13-17  board against a physical therapist licensed in this state, the date
  13-18  of the action, and the current status of the action.  The board
  13-19  shall make the information available to the general public and
  13-20  appropriate state agencies.   The board shall establish a toll-free
  13-21  telephone number to make the information immediately available to
  13-22  any caller during regular business hours.>
  13-23        <(i)  Each written contract for services in this state of a
  13-24  licensed physical therapist shall contain the name, mailing
  13-25  address, and telephone number of the board.>
  13-26        <(j)  The board is subject to the open meetings law, Chapter
  13-27  271, Acts of the 60th Legislature, Regular Session, 1967, as
   14-1  amended (Article 6252-17, Vernon's Texas Civil Statutes), and the
   14-2  Administrative Procedure and Texas Register Act, as amended
   14-3  (Article 6252-13a, Vernon's Texas Civil Statutes).>
   14-4        <(k)  The board may recognize, prepare, or implement
   14-5  continuing education programs for licensees.  Participation in the
   14-6  programs is mandatory.  The board shall adopt rules relating to its
   14-7  continuing education requirements, including rules relating to the
   14-8  approval of continuing education courses and prescribing the number
   14-9  of continuing education hours each licensee must complete to retain
  14-10  eligibility for renewal of the license.>
  14-11        <(l)  If the appropriate standing committees of both houses
  14-12  of the legislature acting under Subsection (g), Section 5,
  14-13  Administrative Procedure and Texas Register Act, as amended
  14-14  (Article 6252-13a, Vernon's Texas Civil Statutes), transmit to the
  14-15  board statements opposing adoption of a rule under that section,
  14-16  the rule may not take effect, or if the rule has already taken
  14-17  effect, the rule is repealed effective on the date the board
  14-18  receives the committee's statements.>
  14-19        SECTION 2.03.  Section 6, Chapter 836, Acts of the 62nd
  14-20  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  14-21  Civil Statutes), is amended to read as follows:
  14-22        Sec. 6.  Exemptions.  This Act does not apply to:
  14-23              (1)  a licensee of another state agency performing
  14-24  health-care services within the scope of the applicable licensing
  14-25  act if:
  14-26                    (A)  the licensee does not represent to others
  14-27  that the licensee is a physical therapist and does not use the term
   15-1  "physical therapy," "physical therapist," "physiotherapy,"
   15-2  "physiotherapist," "licensed physical therapist," "registered
   15-3  physical therapist," or assistant thereto, or the letters "PT,"
   15-4  "PhT," "LPT," or "RPT" or any derivative of those terms in
   15-5  connection with the licensee's name or practice; and
   15-6                    (B)  the licensee practices strictly in
   15-7  conformity with applicable laws and regulations relating to the
   15-8  licensure<, an occupational therapist who confines his practice to
   15-9  occupational therapy, a certified corrective therapist who confines
  15-10  his practice to corrective therapy, and a speech pathologist or an
  15-11  audiologist who confines his practice to the treatment of
  15-12  communication disorders>;
  15-13              (2)  a physical therapy aide;
  15-14              (3)  a physical therapy student or physical therapy
  15-15  assistant student in an accredited curriculum and under the
  15-16  supervision of a licensee under this Act; or a student of an
  15-17  accredited allied health science curriculum under the supervision
  15-18  of properly licensed, certified, or registered personnel;
  15-19              (4)  a physical therapist doing special projects in
  15-20  patient care while working toward an advanced degree from an
  15-21  accredited college or university; or
  15-22              (5)  a physical therapist who does not live in this
  15-23  state and is licensed by the appropriate authorities who comes into
  15-24  this state to attend educational activities.  The duration of this
  15-25  exemption shall be no more than six months.
  15-26        SECTION 2.04.  Section 9(a), Chapter 836, Acts of the 62nd
  15-27  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   16-1  Civil Statutes), is amended to read as follows:
   16-2        (a)  An applicant for a physical therapist assistant license
   16-3  must file a written application with the board, on a form provided
   16-4  by the board, accompanied by an examination fee prescribed by the
   16-5  board, which is refundable if the applicant does not take the
   16-6  examination, and an application fee prescribed by the board, which
   16-7  is not refundable.  The applicant must present evidence
   16-8  satisfactory to the board that the applicant <he> has completed an
   16-9  accredited physical therapist assistant program or an accredited
  16-10  physical therapy program, including courses in the anatomical,
  16-11  biological, and physical sciences, and clinical procedures as
  16-12  prescribed and approved by the board.
  16-13        SECTION 2.05.  Section 10, Chapter 836, Acts of the 62nd
  16-14  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  16-15  Civil Statutes), is amended to read as follows:
  16-16        Sec. 10.  PROVISIONAL LICENSE <LICENSE BY ENDORSEMENT>.
  16-17  (a)  The board may grant a provisional license to an applicant who
  16-18  presents proof of current licensure in another state, including the
  16-19  District of Columbia, or territory of the United States that
  16-20  maintains professional standards considered by the board to be
  16-21  equivalent to those set forth in this Act.  An applicant for a
  16-22  provisional license under this section must:
  16-23              (1)  be licensed in good standing as a physical
  16-24  therapist  in another state, the District of Columbia, or a
  16-25  territory of the United States that has licensing requirements that
  16-26  are substantially equivalent to the requirements of this Act;
  16-27              (2)  have passed a national or other examination
   17-1  recognized by the board relating to the practice of physical
   17-2  therapy; and
   17-3              (3)  be sponsored by a person licensed by the board
   17-4  under this Act with whom the provisional licensee may practice
   17-5  under this section.
   17-6        (b)  An applicant for a provisional license may be excused
   17-7  from the requirement of Subsection (a)(3) of this section if the
   17-8  board determines that compliance with that subsection constitutes a
   17-9  hardship to the applicant.
  17-10        (c)  A provisional license is valid until the date the board
  17-11  approves or denies the provisional licensee's application for a
  17-12  license.  The board shall issue a license under this Act to the
  17-13  holder of a provisional license under this section if:
  17-14              (1)  the provisional licensee passes the examination
  17-15  required by Section 8 or 9 of this Act;
  17-16              (2)  the board verifies that the provisional licensee
  17-17  has the academic and experience requirements for a license under
  17-18  this Act; and
  17-19              (3)  the provisional licensee satisfies any other
  17-20  license requirements under this Act.
  17-21        (d)  The board must complete the processing of a provisional
  17-22  licensee's application for a license not later than the 180th day
  17-23  after the date the provisional license is issued.  <A person who is
  17-24  licensed or otherwise registered as a physical therapist or as a
  17-25  physical therapist assistant by another state, the District of
  17-26  Columbia, or a commonwealth or territory of the United States whose
  17-27  requirements for licensing or registration were at the date of
   18-1  licensing or registration substantially equal to the requirements
   18-2  prescribed by this Act may receive a physical therapist license
   18-3  without examination on submission of an application on a form
   18-4  prescribed by the board and payment of an endorsement license fee
   18-5  prescribed by the board.>
   18-6        SECTION 2.06.  Chapter 836, Acts of the 62nd Legislature,
   18-7  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
   18-8  Statutes), is amended by adding Section 10A to read as follows:
   18-9        Sec. 10A.  FOREIGN-TRAINED APPLICANTS.  Foreign-trained
  18-10  physical therapists or physical therapy assistants shall satisfy
  18-11  the examination requirements of Section 8 or 9.  The board shall
  18-12  require foreign-trained applicants to furnish proof of good moral
  18-13  character and completion of requirements substantially equal to
  18-14  those contained in Section 8 or 9 before taking the examination.
  18-15        SECTION 2.07.  Section 11, Chapter 836, Acts of the 62nd
  18-16  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  18-17  Civil Statutes), is amended to read as follows:
  18-18        Sec. 11.  Temporary License; INACTIVE STATUS.  (a)  The board
  18-19  by rule may provide for the issuance of a temporary license.  A
  18-20  holder of a temporary license shall practice under the supervision
  18-21  of a licensed physical therapist.
  18-22        (b)  The board by rule may provide for a person who holds a
  18-23  license under this Act to be placed on inactive status.  Rules
  18-24  adopted under this section shall include a time limit for a
  18-25  licensee to remain on inactive status <shall issue a temporary
  18-26  license without examination to a physical therapist or physical
  18-27  therapist assistant who meets the qualifications prescribed by
   19-1  Sections 8 and 9 of this Act on submission of a written application
   19-2  on a form prescribed by the board, proof that the applicant is in
   19-3  this state on a temporary basis to assist in a case of medical
   19-4  emergency or to engage in a special physical therapy project, and
   19-5  payment of a fee prescribed by the board for a physical therapist
   19-6  temporary license or a physical therapist assistant temporary
   19-7  license.  This license expires one year from the date of issuance.>
   19-8        <(b)  The board shall issue a temporary license to a person
   19-9  who has applied for a license, meets the qualifications prescribed
  19-10  by Sections 8 and 9 of this Act, and has paid a fee prescribed by
  19-11  the board for a physical therapist temporary license or a physical
  19-12  therapist assistant temporary license.  This license expires on
  19-13  completion of scoring of the next administered examination whether
  19-14  the applicant passes the examination or not.  Issuance of a
  19-15  temporary license following failure of part or all of the
  19-16  examination shall be according to rules adopted by the board>.
  19-17        SECTION 2.08.  Section 14, Chapter 836, Acts of the 62nd
  19-18  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  19-19  Civil Statutes), is amended to read as follows:
  19-20        Sec. 14.  Display of License; LICENSE INFORMATION.  (a)  Each
  19-21  licensee under this Act shall display his license and renewal
  19-22  certificate in a conspicuous place in the principal office where he
  19-23  practices physical therapy.
  19-24        (b)  A written contract for services of a licensed physical
  19-25  therapist shall contain the name, mailing address, and telephone
  19-26  number of the board <There shall at all times be prominently
  19-27  displayed in the place of business of each licensee under this Act
   20-1  a sign containing the name, mailing address, and telephone number
   20-2  of the board and a statement informing consumers that complaints
   20-3  against licensees can be directed to the board>.
   20-4        SECTION 2.09.  Section 15, Chapter 836, Acts of the 62nd
   20-5  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   20-6  Civil Statutes), is amended to read as follows:
   20-7        Sec. 15.  Renewal of License.  (a)  A license issued under
   20-8  this Act<, except a temporary license,> expires two years after
   20-9  <one year from> the date of issuance.
  20-10        (b)  A person may renew an <his> unexpired license by paying
  20-11  to <filing a renewal application with> the board before the
  20-12  expiration date of the license<, accompanied by> the required
  20-13  renewal fee.  <The renewal application must include evidence
  20-14  satisfactory to the board that the licensee has fulfilled the
  20-15  continuing education requirements imposed under Subsection (k) of
  20-16  Section 3 of this Act.>
  20-17        (c)  If a person's license has been expired for 90 days or
  20-18  less, the person may renew the license by paying to the board the
  20-19  required renewal fee and a fee that is one-half of the examination
  20-20  fee for the license.
  20-21        (d)  If a person's license has been expired for more than 90
  20-22  days but less than one year, the person may renew the license by
  20-23  paying to the board all unpaid renewal fees and a fee that is equal
  20-24  to the examination fee for the license.
  20-25        (e)  If a person's license has been expired for one year or
  20-26  more, the person may not renew the license.  The person may obtain
  20-27  a new license by submitting to reexamination and complying with the
   21-1  requirements and procedures for obtaining an original license.
   21-2  However, the board may renew without examination an expired license
   21-3  of a person who was licensed in this state, moved to another state,
   21-4  and is currently licensed and has been in practice in the other
   21-5  state for the two years preceding application.  The person must pay
   21-6  to the board a fee that is equal to the examination fee for the
   21-7  license.
   21-8        (f)  At least 30 days before the expiration of a person's
   21-9  license, the board shall send written notice of the impending
  21-10  license expiration to the person at the licensee's last known
  21-11  address according to the records of the board.
  21-12        <(c)  If a person's license has been expired for not more
  21-13  than 90 days, the person may renew the license by paying to the
  21-14  board the required renewal fee and a fee that is one-half of the
  21-15  examination fee for the license.>
  21-16        <(d)  If a person's license has been expired for more than 90
  21-17  days but less than two years, the person may renew the license by
  21-18  paying to the board all unpaid renewal fees and a fee that is equal
  21-19  to the examination fee for the license.>
  21-20        <(e)  If a person's license has been expired for two years or
  21-21  more, the person may not renew the license.  The person may obtain
  21-22  a new license by submitting to reexamination and complying with the
  21-23  requirements and procedures for obtaining an original license.>
  21-24        <(f)  The board shall notify each licensee in writing of the
  21-25  licensee's impending license expiration at least 30 days before the
  21-26  expiration date and shall attempt to obtain from the licensee a
  21-27  signed statement confirming receipt of the notice.>
   22-1        SECTION 2.10.  Section 16, Chapter 836, Acts of the 62nd
   22-2  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   22-3  Civil Statutes), is amended to read as follows:
   22-4        Sec. 16.  Alternative Expiration Date System.  <(a)>  The
   22-5  board may adopt a system under which licenses expire on various
   22-6  dates during the year.
   22-7        <(b)>  For the year in which the license expiration date is
   22-8  changed, license fees payable on the date of issuance shall be
   22-9  prorated on a monthly basis so that each licensee shall pay <pays>
  22-10  only that portion of the license fee that is allocable to the
  22-11  number of months during which the license is valid.
  22-12        <(c)>  On renewal of the license on the new expiration date,
  22-13  the total license renewal fee is payable.
  22-14        SECTION 2.11.  Chapter 836, Acts of the 62nd Legislature,
  22-15  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
  22-16  Statutes), is amended by adding Section 16A to read as follows:
  22-17        Sec. 16A.  MANDATORY CONTINUING EDUCATION.  (a)  The board by
  22-18  rule shall adopt requirements for mandatory continuing education
  22-19  for licensees under this Act in subjects pertaining to the practice
  22-20  of physical therapy.  The board by rule shall establish a minimum
  22-21  number of hours of continuing education required to renew a
  22-22  license.  The board may assess the continuing education needs of
  22-23  licensees and may require licensees to attend continuing education
  22-24  courses specified by the board.  The board by rule shall develop a
  22-25  process to evaluate and approve continuing education courses.
  22-26        (b)  The board shall identify the key factors for the
  22-27  competent performance by a licensee of the licensee's professional
   23-1  duties.  The board shall adopt a procedure to assess a licensee's
   23-2  participation and performance in continuing education programs.
   23-3        SECTION 2.12.  Section 17, Chapter 836, Acts of the 62nd
   23-4  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   23-5  Civil Statutes), is amended to read as follows:
   23-6        Sec. 17.  Fees.  (a)  The board shall establish reasonable
   23-7  and necessary fees so that the fees, in the aggregate, produce
   23-8  sufficient revenue to cover the cost of administering this Act.
   23-9  The board may not set a fee for an amount less than the amount of
  23-10  that fee on September 1, 1993.  <for the administration of this Act
  23-11  in amounts not to exceed:>
  23-12  <Examination>
  23-13    <1.  Physical Therapist>                                      <$100>
  23-14    <2.  Physical Therapist Assistant>                              <90>
  23-15  <Application>
  23-16    <1.  Physical Therapist>                                        <60>
  23-17    <2.  Physical Therapist Assistant>                              <60>
  23-18  <License Fee>
  23-19    <Endorsement>
  23-20      <1.  Physical Therapist>                                     <100>
  23-21      <2.  Physical Therapist Assistant>                            <90>
  23-22    <Temporary License>
  23-23      <1.  Physical Therapist>                                      <40>
  23-24      <2.  Physical Therapist Assistant>                            <30>
  23-25  <Renewal>
  23-26    <1.  Physical Therapist>                                        <75>
  23-27    <2.  Physical Therapist Assistant>                              <65>
   24-1  <Issuance Fee>
   24-2    <1.  Physical Therapist>                                        <65>
   24-3    <2.  Physical Therapist Assistant>                              <65>
   24-4  <Duplicate License>
   24-5    <1.  Physical Therapist>                                        <50>
   24-6    <2.  Physical Therapist Assistant>                              <50>
   24-7  <Transfer Fee>
   24-8    <1.  Physical Therapist>                                        <50>
   24-9    <2.  Physical Therapist Assistant>                             <50>
  24-10        (b)  The board may not maintain unnecessary fund balances,
  24-11  and fee amounts shall be set in accordance with this requirement.
  24-12        SECTION 2.13.  Section 20(a), Chapter 836, Acts of the 62nd
  24-13  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  24-14  Civil Statutes), is amended to read as follows:
  24-15        (a)  A person whose application for a license is denied is
  24-16  entitled to a hearing before the State Office of Administrative
  24-17  Hearings <board> if the applicant <he> submits a written request
  24-18  for a hearing to the board.
  24-19        SECTION 2.14.  Chapter 836, Acts of the 62nd Legislature,
  24-20  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
  24-21  Statutes), is amended by adding Section 20A to read as follows:
  24-22        Sec. 20A.  REVOCATION, SUSPENSION, OR PROBATION OF LICENSE.
  24-23  (a)  The board shall revoke or suspend a license, place on
  24-24  probation a licensee whose license has been suspended, or reprimand
  24-25  a licensee for a violation of this Act or a rule adopted by the
  24-26  board.
  24-27        (b)  If a license suspension is probated, the board may
   25-1  require the licensee to:
   25-2              (1)  report regularly to the board on matters that are
   25-3  the basis of the probation;
   25-4              (2)  limit practice to the areas prescribed by the
   25-5  board; or
   25-6              (3)  continue or review continuing professional
   25-7  education until the licensee attains a degree of skill satisfactory
   25-8  to the board in those areas that are the basis of the probation.
   25-9        (c)  The schedule of sanctions adopted by the board by rule
  25-10  shall be used by the State Office of Administrative Hearings for
  25-11  any sanction imposed as the result of a hearing conducted by that
  25-12  office.
  25-13        SECTION 2.15.  Section 21, Chapter 836, Acts of the 62nd
  25-14  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  25-15  Civil Statutes), is amended to read as follows:
  25-16        Sec. 21.  Disposition of Funds.  <(a)>  Fees received by the
  25-17  board under this Act shall be deposited in the State Treasury to
  25-18  the credit of the General Revenue Fund.
  25-19        <(b)  The financial transactions of the board are subject to
  25-20  audit by the state auditor in accordance with Chapter 321,
  25-21  Government Code.>
  25-22        <(c)  On or before January 1 of each year, the board shall
  25-23  make in writing to the governor and the presiding officer of each
  25-24  house of the legislature a complete and detailed report accounting
  25-25  for all funds received and disbursed by the board during the
  25-26  preceding year.>
  25-27        SECTION 2.16.  Chapter 836, Acts of the 62nd Legislature,
   26-1  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
   26-2  Statutes), is amended by adding Sections 22-27 to read as follows:
   26-3        Sec. 22.  COMPLAINT PROCEDURE IN GENERAL.  (a)  The board
   26-4  shall keep an information file about each complaint filed with the
   26-5  board.  The board's information file shall be kept current and
   26-6  contain a record for each complaint of:
   26-7              (1)  all persons contacted in relation to the
   26-8  complaint;
   26-9              (2)  a summary of findings made at each step of the
  26-10  complaint process;
  26-11              (3)  an explanation of the legal basis and reason for a
  26-12  complaint that is dismissed; and
  26-13              (4)  other relevant information.
  26-14        (b)  If a written complaint is filed with the board that the
  26-15  board has authority to resolve, the board, at least as frequently
  26-16  as quarterly and until final disposition of the complaint, shall
  26-17  notify the parties to the complaint of the status of the complaint
  26-18  unless the notice would jeopardize an undercover investigation.
  26-19        (c)  The board by rule shall adopt a form to standardize
  26-20  information concerning complaints made to the board.  The board by
  26-21  rule shall prescribe information to be provided to a person when
  26-22  the person files a complaint with the board.
  26-23        (d)  The board shall provide reasonable assistance to a
  26-24  person who wishes to file a complaint with the board.
  26-25        Sec. 23.  COMPLAINT INVESTIGATION AND DISPOSITION.  (a)  The
  26-26  board shall adopt rules concerning the investigation of a complaint
  26-27  filed with the board.  The rules adopted under this subsection
   27-1  shall:
   27-2              (1)  distinguish between categories of complaints;
   27-3              (2)  ensure that complaints are not dismissed without
   27-4  appropriate consideration;
   27-5              (3)  require that the board be advised of a complaint
   27-6  that is dismissed and that a letter be sent to the person who filed
   27-7  the complaint explaining the action taken on the dismissed
   27-8  complaint;
   27-9              (4)  ensure that the person who filed the complaint has
  27-10  an opportunity to explain the allegations made in the complaint;
  27-11  and
  27-12              (5)  prescribe guidelines concerning the categories of
  27-13  complaints that require the use of a private investigator and the
  27-14  procedures for the board to obtain the services of a private
  27-15  investigator.
  27-16        (b)  The board shall dispose of all complaints in a timely
  27-17  manner.  The board shall establish a schedule for conducting each
  27-18  phase of a complaint that is under the control of the board not
  27-19  later than the 30th day after the date the complaint is received by
  27-20  the board.  The schedule shall be kept in the information file for
  27-21  the complaint and all parties shall be notified of the projected
  27-22  time requirements for pursuing the complaint.  A change in the
  27-23  schedule must be noted in the complaint information file and all
  27-24  parties to the complaint must be notified not later than the
  27-25  seventh day after the date the change is made.
  27-26        (c)  The director of the board shall notify the board of a
  27-27  complaint that extends beyond the time prescribed by the board for
   28-1  resolving the complaint so that the board may take necessary action
   28-2  on the complaint.
   28-3        Sec. 24.  INFORMAL PROCEEDINGS.  (a)  The board by rule shall
   28-4  adopt procedures governing:
   28-5              (1)  informal disposition of a contested case under
   28-6  Section 13(e), Administrative Procedure and Texas Register Act
   28-7  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
   28-8  subsequent amendments; and
   28-9              (2)  informal proceedings held in compliance with
  28-10  Section 18(c), Administrative Procedure and Texas Register Act
  28-11  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  28-12  subsequent amendments.
  28-13        (b)  Rules adopted under this section must provide the
  28-14  complainant and the licensee an opportunity to be heard and must
  28-15  require the presence of a representative of the office of the
  28-16  attorney general to advise the board or board's employees.
  28-17        Sec. 25.  MONITORING OF LICENSEE.  The board by rule shall
  28-18  develop a system for monitoring licensees' compliance with the
  28-19  requirements of this Act.  Rules adopted under this section shall
  28-20  include procedures for monitoring a licensee who is ordered by the
  28-21  board to perform certain acts to ascertain that the licensee
  28-22  performs the required acts and to identify and monitor licensees
  28-23  who represent a risk to the public.
  28-24        Sec. 26.  RESTRICTIONS ON RULES.  If the appropriate standing
  28-25  committees of both houses of the legislature acting under Section
  28-26  5(g), Administrative Procedure and Texas Register Act (Article
  28-27  6252-13a, Vernon's Texas Civil Statutes), and its subsequent
   29-1  amendments, transmit to the board statements opposing adoption of a
   29-2  rule under that section, the rule may not take effect, or if the
   29-3  rule has already taken effect, the rule is repealed effective on
   29-4  the date the board receives the committee's statements.
   29-5        Sec. 27.  REGISTRATION OF FACILITIES.  (a)  The board by rule
   29-6  shall adopt requirements for the registration and renewal of a
   29-7  registration of a facility in which the practice of physical
   29-8  therapy is conducted.
   29-9        (b)  If one or more facilities are owned by an individual,
  29-10  partnership, corporation, or other entity, the board may require
  29-11  only one application for the registration of all facilities.
  29-12        (c)  A holder of a license may practice only in a registered
  29-13  facility.
  29-14           ARTICLE 3.  THE PRACTICE OF OCCUPATIONAL THERAPY
  29-15        SECTION 3.01.  Section 2(4), Occupational Therapy Title Act
  29-16  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  29-17  as follows:
  29-18              (4)  "Board" means the State <Texas Advisory> Board of
  29-19  Physical Therapy and Occupational Therapy Examiners.
  29-20        SECTION 3.02.  Section 5, Occupational Therapy Title Act
  29-21  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  29-22  as follows:
  29-23        Sec. 5.  Powers and Duties of the Board.  (a)  The board
  29-24  shall approve applicants for licenses at least once each year at
  29-25  such reasonable times and places as shall be designated by the
  29-26  board in its discretion.
  29-27        (b)  The board shall establish reasonable and necessary fees
   30-1  so that the fees, in the aggregate, produce sufficient revenue to
   30-2  cover the cost of administering this Act.  The board may not set a
   30-3  fee for an amount less than the amount of that fee on September 1,
   30-4  1993 <may collect fees for licenses, license renewals,
   30-5  examinations, and all other administrative expenses.  If the
   30-6  General Appropriations Act does not set the amount of those fees,
   30-7  the board shall set the fees in amounts that will recover the
   30-8  amount appropriated for the operation of the board from the General
   30-9  Revenue Fund>.
  30-10        (c)  The board shall approve the examination as described in
  30-11  Subsection (b) of Section 17 of this Act.
  30-12        <(d)  The board may investigate complaints; issue, suspend,
  30-13  deny, and revoke licenses; reprimand licensees and place them on
  30-14  probation; issue subpoenas; and hold hearings.  The board shall
  30-15  keep an information file about each complaint that is filed with
  30-16  the board relating to a licensee or an entity regulated by the
  30-17  board.  If a written complaint is filed with the board relating to
  30-18  a licensee or entity regulated by the board, the board shall notify
  30-19  the parties to the complaint of the status of the complaint unless
  30-20  the notice would jeopardize an undercover investigation.  The board
  30-21  shall notify the parties to the complaint at least as frequently as
  30-22  quarterly until the final disposition of the complaint.>
  30-23        <(e)  The board shall propose rules consistent with this Act
  30-24  to carry out its duties in administering this Act, shall submit
  30-25  said rules to the office of the Attorney General of Texas for
  30-26  review, and shall then adopt rules consistent with the advice of
  30-27  the attorney general.  In adopting its rules, the board shall
   31-1  consider any applicable policies and procedures of the commission.>
   31-2        <(f)  The commissioner with the advice of the board shall
   31-3  appoint an executive director to implement the purposes of this Act
   31-4  at a salary as determined by legislative appropriation.>
   31-5        <(g)  The executive director of the board or her/his designee
   31-6  shall develop an intraagency career ladder program, one part of
   31-7  which shall be the intraagency posting of all nonentry level
   31-8  positions for at least 10 days before any public posting.>
   31-9        <(h)  The executive director of the board or her/his designee
  31-10  shall develop a system of annual performance evaluation based on
  31-11  measurable job tasks.  All merit pay for board employees must be
  31-12  based on the system established under this section.>
  31-13        <(i)  The board shall contract for space, computer services,
  31-14  office materials, employees, and any other needed services,
  31-15  materials, or assistants deemed necessary.>
  31-16        <(j)  The board shall prepare information of consumer
  31-17  interest describing the regulatory functions of the board and the
  31-18  legal rights of consumers as provided in this Act.>
  31-19        <(k)  The board shall assist the proper legal authorities in
  31-20  the prosecution of all persons violating any provisions of this
  31-21  Act.>
  31-22        <(l)  The board shall prepare or approve continuing education
  31-23  programs for licensees and shall require each licensee to
  31-24  participate in an approved continuing education program in order to
  31-25  renew a license issued under this Act.>
  31-26        <(m)  The board shall develop and implement policies that
  31-27  clearly define the respective responsibilities of the governing
   32-1  body of the board and the staff of the board.>
   32-2        SECTION 3.03.  The Occupational Therapy Title Act (Article
   32-3  8851, Vernon's Texas Civil Statutes) is amended by adding Sections
   32-4  5A, 5B, 5C, 5D, and 5E to read as follows:
   32-5        Sec. 5A.  MANDATORY CONTINUING EDUCATION.  (a)  The board by
   32-6  rule shall establish a minimum number of hours of continuing
   32-7  education required to renew a license under this Act.  The board
   32-8  may assess the continuing education needs of licensees and may
   32-9  require licensees to attend continuing education courses specified
  32-10  by the board.  The board by rule shall develop a process to
  32-11  evaluate and approve  continuing education courses.
  32-12        (b)  The board shall identify the key factors for the
  32-13  competent performance by a licensee of the licensee's professional
  32-14  duties.  The board shall adopt a procedure to assess a licensee's
  32-15  participation in continuing education programs.
  32-16        Sec. 5B.  COMPLAINT INFORMATION.  (a)  The board shall keep
  32-17  an information file about each complaint filed with the board.  The
  32-18  board's information file shall be kept current and contain a record
  32-19  for each complaint of:
  32-20              (1)  all persons contacted in relation to the
  32-21  complaint;
  32-22              (2)  a summary of findings made at each step of the
  32-23  complaint process;
  32-24              (3)  an explanation of the legal basis and reason for a
  32-25  complaint that is dismissed; and
  32-26              (4)  other relevant information.
  32-27        (b)  If a written complaint is filed with the board that the
   33-1  board has authority to resolve, the board, at least as frequently
   33-2  as quarterly and until final disposition of the complaint, shall
   33-3  notify the parties to the complaint of the status of the complaint
   33-4  unless the notice would jeopardize an undercover investigation.
   33-5        (c)  The board by rule shall adopt a form to standardize
   33-6  information concerning complaints made to the board.  The board by
   33-7  rule shall prescribe information to be provided to a person when
   33-8  the person files a complaint with the board.
   33-9        (d)  The board shall provide reasonable assistance to a
  33-10  person who wishes to file a complaint with the board.
  33-11        Sec. 5C.  COMPLAINT INVESTIGATION AND DISPOSITION.  (a)  The
  33-12  board shall adopt rules concerning the investigation of a complaint
  33-13  filed with the board.  The rules adopted under this subsection
  33-14  shall:
  33-15              (1)  distinguish between categories of complaints;
  33-16              (2)  ensure that complaints are not dismissed without
  33-17  appropriate consideration;
  33-18              (3)  require that the board be advised of a complaint
  33-19  that is dismissed and that a letter be sent to the person who filed
  33-20  the complaint explaining the action taken on the dismissed
  33-21  complaint;
  33-22              (4)  ensure that the person who filed the complaint has
  33-23  an opportunity to explain the allegations made in the complaint;
  33-24  and
  33-25              (5)  prescribe guidelines concerning the categories of
  33-26  complaints that require the use of a private investigator and the
  33-27  procedures for the board to obtain the services of a private
   34-1  investigator.
   34-2        (b)  The board shall dispose of all complaints in a timely
   34-3  manner.  The board shall establish a timeline for conducting each
   34-4  phase of a complaint that is under the control of the board not
   34-5  later than the 30th day after the date the complaint is received by
   34-6  the board.  The timeline shall be kept in the information file for
   34-7  the complaint and all parties shall be notified of the projected
   34-8  time requirements for pursuing the complaint.  A change in the
   34-9  timeline must be noted in the complaint information file and all
  34-10  parties to the complaint must be notified not later than the
  34-11  seventh day after the date the change is made.
  34-12        (c)  The director of the board shall notify the board of a
  34-13  complaint that extends beyond the time prescribed by the board for
  34-14  resolving the complaint so that the board may take necessary action
  34-15  on the complaint.
  34-16        Sec. 5D.  INFORMAL PROCEEDINGS.  (a)  The board by rule shall
  34-17  adopt procedures governing:
  34-18              (1)  informal disposition of a contested case under
  34-19  Section 13(e), Administrative Procedure and Texas Register Act
  34-20  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  34-21  subsequent amendments; and
  34-22              (2)  informal proceedings held in compliance with
  34-23  Section 18(c), Administrative Procedure and Texas Register Act
  34-24  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  34-25  subsequent amendments.
  34-26        (b)  Rules adopted under this section must provide the
  34-27  complainant and the licensee an opportunity to be heard and must
   35-1  require the presence of a representative of the office of the
   35-2  attorney general to advise the board or board's employees.
   35-3        Sec. 5E.  MONITORING OF LICENSEE.  The board by rule shall
   35-4  develop a system for monitoring licensees' compliance with the
   35-5  requirements of this Act.  Rules adopted under this section shall
   35-6  include procedures for monitoring a licensee who is ordered by the
   35-7  board to perform certain acts to ascertain that the licensee
   35-8  performs the required acts and to identify and monitor licensees
   35-9  who represent a risk to the public.
  35-10        SECTION 3.04.  Section 17, Occupational Therapy Title Act
  35-11  (Article 8851, Vernon's Texas Civil Statutes), is amended by
  35-12  amending Subsections (b) and (e) and adding Subsection (f) to read
  35-13  as follows:
  35-14        (b)  Each applicant for licensure shall be examined by
  35-15  written examination to test the applicant's <his or her> knowledge
  35-16  of the basic and clinical sciences relating to occupational
  35-17  therapy, occupational therapy techniques and methods, and such
  35-18  other subjects as the board may require to determine the
  35-19  applicant's fitness to practice.  The board shall approve an
  35-20  examination for occupational therapists and an examination for
  35-21  occupational therapy assistants and establish standards for
  35-22  acceptable performance.  The board shall have the written portion
  35-23  of an examination validated by an independent testing professional.
  35-24        (e)  In case of failure of any examination the applicant
  35-25  shall have the privilege of a second examination on payment of the
  35-26  prescribed fees.  In case of a second failure, the applicant shall
  35-27  be eligible for a third examination, but shall, in addition to the
   36-1  requirements for previous examinations, have to wait a specific
   36-2  period not to exceed one year before reexamination.  Further
   36-3  testing will be at the discretion of the board.  If requested in
   36-4  writing by a person who fails a licensing examination administered
   36-5  under this Act, the board shall furnish the person with an analysis
   36-6  of the person's performance on the examination.
   36-7        (f)  Not later than the 30th day after the date on which a
   36-8  licensing examination is administered under this Act, the board
   36-9  shall notify each examinee of the results of the examination.
  36-10  However, if an examination is graded or reviewed by a national
  36-11  testing service, the board shall notify examinees of the results of
  36-12  the examination not later than the 14th day after the date on which
  36-13  the board receives the results from the testing service.  If the
  36-14  notice of examination results graded or reviewed by a national
  36-15  testing service will be delayed for longer than 90 days after the
  36-16  examination date, the board shall notify the examinee of the reason
  36-17  for the delay before the 90th day.
  36-18        SECTION 3.05.  Section 18, Occupational Therapy Title Act
  36-19  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  36-20  as follows:
  36-21        Sec. 18.  PROVISIONAL LICENSES  <LICENSE BY ENDORSEMENT>.
  36-22  (a)  On application, the board shall grant a provisional license
  36-23  for the practice of occupational therapy.  An applicant for a
  36-24  provisional license under this section must:
  36-25              (1)  be licensed in good standing as an occupational
  36-26  therapist in another state, the District of Columbia, or a
  36-27  territory of the United States that has licensing requirements that
   37-1  are substantially equivalent to the requirements of this Act;
   37-2              (2)  have passed a national or other examination
   37-3  recognized by the board relating to the practice of occupational
   37-4  therapy; and
   37-5              (3)  be sponsored by a person licensed by the board
   37-6  under this Act with whom the provisional licensee may practice
   37-7  under this section.
   37-8        (b)  An applicant for a provisional license may be excused
   37-9  from the requirement of Subsection (a)(3) of this section if the
  37-10  board determines that compliance with that subsection constitutes a
  37-11  hardship to the applicant.
  37-12        (c)  A provisional license is valid until the date the board
  37-13  approves or denies the provisional licensee's application for a
  37-14  license.  The board shall issue a license under this Act to the
  37-15  holder of a provisional license under this section if:
  37-16              (1)  the provisional licensee passes the examination
  37-17  required by Section 17 of this Act;
  37-18              (2)  the board verifies that the provisional licensee
  37-19  has the academic and experience requirements for a license under
  37-20  this Act; and
  37-21              (3)  the provisional licensee satisfies any other
  37-22  license requirements under this Act.
  37-23        (d)  The board must complete the processing of a provisional
  37-24  licensee's application for a license not later than the 180th day
  37-25  after the date the provisional license is issued  <A person who is
  37-26  licensed or otherwise registered as an occupational therapist or as
  37-27  an occupational therapy assistant by another state, the District of
   38-1  Columbia, or a commonwealth or territory of the United States whose
   38-2  requirements for licensing or registration were at the date of
   38-3  licensing or registration substantially equal to the requirements
   38-4  prescribed by this Act may receive an occupational therapist
   38-5  license without examination, on submission of an application on a
   38-6  form prescribed by the board and payment of an endorsement license
   38-7  fee prescribed by the board.>
   38-8        <(b)  The board may also waive examination requirements for a
   38-9  person who is certified by a national association approved by the
  38-10  board and who is currently practicing in a state that does not
  38-11  require a license or other form of registration>.
  38-12        SECTION 3.06.  Section 22, Occupational Therapy Title Act
  38-13  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  38-14  as follows:
  38-15        Sec. 22.  Temporary License.  <(a)>  The board by rule may
  38-16  provide for the issuance of a temporary license.  Rules adopted
  38-17  under this section shall include a time limit for a licensee to
  38-18  remain on temporary status <may issue a temporary license without
  38-19  examination to a person who is a recent graduate of an institution
  38-20  of higher education in the United States if the person has applied
  38-21  for a license, has applied to take the licensing examination, and
  38-22  meets the requirements for license under Section 16 of this Act.  A
  38-23  person who holds a temporary license may practice only under the
  38-24  supervision of a person who holds a regular license.  A temporary
  38-25  license expires on notification of the results of the licensing
  38-26  examination.  Issuance of a temporary license following failure of
  38-27  part or all of the examination shall be according to rules adopted
   39-1  by the board.>
   39-2        <(b)  The board shall issue a temporary license to a person
   39-3  who has applied for endorsement of her/his license under the
   39-4  provisions of Section 18 of this Act.  On approval by the board of
   39-5  the application and payment of fees, the board shall issue a
   39-6  permanent license on the issuance of which the temporary license
   39-7  issued under this provision shall expire>.
   39-8        SECTION 3.07.  Section 24, Occupational Therapy Title Act
   39-9  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  39-10  as follows:
  39-11        Sec. 24.  Renewal of Unexpired License.  (a)  The board by
  39-12  rule may adopt a system under which licenses expire on various
  39-13  dates during the year.  For the year in which the license
  39-14  expiration date is changed, license fees shall be prorated on a
  39-15  monthly basis so that each licensee shall pay only that portion of
  39-16  the license fee that is allocable to the number of months during
  39-17  which the license is valid.  On renewal of the license on the new
  39-18  expiration date, the total license renewal fee is payable <A
  39-19  license issued under this Act, unless otherwise provided in this
  39-20  Act, expires on the licensee's birthday, except for licenses which
  39-21  would thereby expire before January 1, 1985, which licenses shall
  39-22  not expire until the licensee's first birthday after that date>.
  39-23        (b)  A person may renew an unexpired license by paying to the
  39-24  board before the expiration date of the license the required  <A
  39-25  renewal license shall be issued on submission of an application on
  39-26  a form prescribed by the board and payment of a> renewal fee
  39-27  <before the expiration date of the license>.
   40-1        SECTION 3.08.  Section 25, Occupational Therapy Title Act
   40-2  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
   40-3  as follows:
   40-4        Sec. 25.  Renewal of Expired License.  (a)  If a person's
   40-5  license has been expired for <not more than> 90 days or less, the
   40-6  person may renew the license by paying to the board the required
   40-7  renewal fee plus a <late> fee in an amount that is one-half of the
   40-8  examination fee for the license <fee>.
   40-9        (b)  If a person's license has been expired for more than 90
  40-10  days but less than one year <two years>, the person may renew the
  40-11  license by paying to the board all unpaid renewal fees and a <late>
  40-12  fee that is equal to the examination fee for the license <fee>.
  40-13        (c)  If a person's license has been expired for one year <two
  40-14  years> or more, the person may not renew the license.  The person
  40-15  may obtain a new license by <applying for a license,> submitting to
  40-16  reexamination<,> and complying with the requirements and procedures
  40-17  for obtaining an original license.  However, the board may renew
  40-18  without reexamination an expired license of a person who was
  40-19  licensed in this state, moved to another state, and has been in
  40-20  practice <legally practicing> in the other state for the two years
  40-21  preceding <the> application <for renewal>.  The person must <shall>
  40-22  pay to the board a renewal fee that is equal to the examination fee
  40-23  for the license <fee>.
  40-24        (d)  At least 30 days  <Not later than the 30th day> before
  40-25  the expiration <date> of a person's license, the board shall send
  40-26  written notice of the impending license expiration to the person at
  40-27  the person's last known address.
   41-1        SECTION 3.09.  Section 25A, Occupational Therapy Title Act
   41-2  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
   41-3  as follows:
   41-4        Sec. 25A.  Inactive Status List.  The board by rule may
   41-5  provide for a person who holds a license under this Act to be
   41-6  placed on inactive status.  Rules adopted under this section shall
   41-7  include a time limit for a licensee to remain on inactive status
   41-8  <(a)  A person who holds a license under this Act and who is not
   41-9  actively engaged in the practice of occupational therapy may apply
  41-10  to the board in writing to be placed on an inactive status list
  41-11  maintained by the board.  The person must apply for inactive status
  41-12  before the expiration of the person's license.  A person on
  41-13  inactive status is not required to pay the annual renewal fee.>
  41-14        <(b)  A person on inactive status may not perform any
  41-15  activities regulated under this Act.>
  41-16        <(c)  If a person on inactive status desires to reenter
  41-17  active practice, the person shall notify the board in writing.  The
  41-18  board shall remove the person from the inactive status list on
  41-19  payment of an administrative fee and on compliance with educational
  41-20  or other requirements set by the board by rule>.
  41-21        SECTION 3.10.  Section 30, Occupational Therapy Title Act
  41-22  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  41-23  as follows:
  41-24        Sec. 30.  Denial, Suspension, or Revocation of a License;
  41-25  Discipline of a Licensee.  (a)  If the State Office of
  41-26  Administrative Hearings <board> proposes to deny a license, <or> to
  41-27  suspend or revoke a license, or to take other disciplinary action
   42-1  against a licensee the applicant or licensee is entitled to a
   42-2  hearing before the board <or before a hearing officer appointed by
   42-3  the board>.  All final decisions shall be made by the board.
   42-4        (b)  After a final decision by the board <hearing>, a license
   42-5  may be denied, suspended, or revoked or a licensee otherwise
   42-6  disciplined if the applicant or licensee has:
   42-7              (1)  used drugs or intoxicating liquors to an extent
   42-8  that affects his or her professional competence;
   42-9              (2)  been convicted of a crime, other than minor
  42-10  offenses defined as "minor misdemeanors," "violations," or
  42-11  "offenses," in any court if the acts for which he or she was
  42-12  convicted are found by the board to have a direct bearing on
  42-13  whether he or she should be entrusted to service the public in the
  42-14  capacity of an occupational therapist or occupational therapy
  42-15  assistant;
  42-16              (3)  obtained or attempted to obtain a license by fraud
  42-17  or deception;
  42-18              (4)  been grossly negligent in the practice of
  42-19  occupational therapy or in acting as an occupational therapy
  42-20  assistant;
  42-21              (5)  been adjudicated mentally incompetent by a court
  42-22  of competent jurisdiction;
  42-23              (6)  practiced occupational therapy in a manner
  42-24  detrimental to the public health and welfare;
  42-25              (7)  advertised in a manner that in any way tends to
  42-26  deceive or defraud the public; or
  42-27              (8)  had his or her license to practice occupational
   43-1  therapy revoked or suspended or had other disciplinary action taken
   43-2  against him or her or had his or her application for a license
   43-3  refused, revoked, or suspended by the proper licensing authority of
   43-4  another state, territory, or nation.
   43-5        SECTION 3.11.  Section 31, Occupational Therapy Title Act
   43-6  (Article 8851, Vernon's Texas Civil Statutes), is amended by
   43-7  amending Subsections (b) and (c) and adding Subsection (d) to read
   43-8  as follows:
   43-9        (b)  The board may deny or refuse to renew a license, may
  43-10  suspend or revoke a license, may reprimand a licensee, or may
  43-11  impose probationary conditions after a hearing by the State Office
  43-12  of Administrative Hearings as provided by Section 30 of this Act.
  43-13  If a license suspension is probated, the board may require the
  43-14  licensee to:
  43-15              (1)  report regularly to the board on matters that are
  43-16  the basis of the probation;
  43-17              (2)  limit practice to the areas prescribed by the
  43-18  board; or
  43-19              (3)  continue or review continuing professional
  43-20  education until the licensee attains a degree of skill satisfactory
  43-21  to the board in those areas that are the basis of the probation.
  43-22        (c)  The schedule of sanctions adopted by the board by rule
  43-23  shall be used by the State Office of Administrative Hearings for
  43-24  any sanction imposed as the result of a hearing conducted by that
  43-25  office <in the manner provided by the rules adopted by the board>.
  43-26        (d) <(c)>  On application, the board may reissue a license to
  43-27  a person whose license has been denied or who has been disciplined
   44-1  by the board, but the application may not be made before the 180th
   44-2  day after the date the order of denial or discipline became final,
   44-3  and the application must be made in the manner and form required by
   44-4  the board.
   44-5        SECTION 3.12.  The Occupational Therapy Title Act (Article
   44-6  8851, Vernon's Texas Civil Statutes) is amended by adding Section
   44-7  31A to read as follows:
   44-8        Sec. 31A.  COMPETITIVE BIDDING; ADVERTISING.  (a)  The board
   44-9  may not adopt rules restricting competitive bidding or advertising
  44-10  by a person regulated by the board except to prohibit false,
  44-11  misleading, or deceptive practices by the person.
  44-12        (b)  The board may not include in its rules to prohibit
  44-13  false, misleading, or deceptive practices by a person regulated by
  44-14  the board a rule that:
  44-15              (1)  restricts the use of any medium for advertising;
  44-16              (2)  restricts the person's personal appearance or use
  44-17  of the person's voice in an advertisement;
  44-18              (3)  relates to the size or duration of an
  44-19  advertisement by the person; or
  44-20              (4)  restricts the person's advertisement under a trade
  44-21  name.
  44-22      ARTICLE 4.  TRANSITION; REPEALER; EFFECTIVE DATE; EMERGENCY
  44-23        SECTION 4.01.  (a)  As soon as possible after the effective
  44-24  date of this Act, the governor shall appoint the initial members of
  44-25  the State Board of Physical Therapy and Occupational Therapy
  44-26  Examiners in accordance with Article 4512e-1, Revised Statutes, as
  44-27  added by this Act.  In making the initial appointments, the
   45-1  governor shall designate members to serve terms as follows:
   45-2              (1)  one member licensed as a physical therapist, one
   45-3  member licensed as an occupational therapist, and one public member
   45-4  serve for terms expiring February 1, 1995;
   45-5              (2)  one member licensed as a physical therapist, one
   45-6  member licensed as an occupational therapist, and one public member
   45-7  serve for terms expiring February 1, 1997; and
   45-8              (3)  one member licensed as a physical therapist, one
   45-9  member licensed as an occupational therapist, and one public member
  45-10  serve for terms expiring February 1, 1999.
  45-11        (b)  The State Board of Physical Therapy and Occupational
  45-12  Therapy Examiners may not take any action and is not created until
  45-13  the day after the date that the last appointee to the initial board
  45-14  takes office.  On the date of its creation, the board assumes its
  45-15  functions and:
  45-16              (1)  the Texas Board of Physical Therapy Examiners and
  45-17  the Texas Advisory Board of Occupational Therapy are abolished;
  45-18              (2)  the obligations, rights, contracts, records and
  45-19  other property, and personnel of, and unspent money appropriated to
  45-20  or for, the abolished boards are transferred to the State Board of
  45-21  Physical Therapy and Occupational Therapy Examiners;
  45-22              (3)  the rules of the abolished boards are continued in
  45-23  effect as rules of the State Board of Physical Therapy and
  45-24  Occupational Therapy Examiners until superseded by rule of the new
  45-25  board;
  45-26              (4)  the licenses in effect that were issued by the
  45-27  abolished boards are continued in effect as licenses of the State
   46-1  Board of Physical Therapy and Occupational Therapy Examiners;
   46-2              (5)  a complaint or investigation pending before an
   46-3  abolished board is transferred without change in status to the
   46-4  State Board of Physical Therapy and Occupational Therapy Examiners;
   46-5              (6)  a contested case pending before an abolished board
   46-6  is transferred to the State Office of Administrative Hearings, and
   46-7  actions taken in the proceeding are treated as if taken by the
   46-8  State Office of Administrative Hearings; and
   46-9              (7)  any reference in a law to the abolished boards
  46-10  means the State Board of Physical Therapy and Occupational Therapy
  46-11  Examiners.
  46-12        (c)  Regardless of the changes in law made by this Act, until
  46-13  the date that the Texas Board of Physical Therapy Examiners and the
  46-14  Texas Advisory Board of Occupational Therapy are abolished as
  46-15  provided by this section, the boards continue in existence and
  46-16  shall administer their functions under the law that governed the
  46-17  boards before the effective date of this Act, and the prior law is
  46-18  continued in effect for that purpose.
  46-19        (d)  The State Board of Physical Therapy and Occupational
  46-20  Therapy Examiners shall adopt rules under this Act not later than
  46-21  December 1, 1993.
  46-22        SECTION 4.02.  The following laws are repealed:
  46-23              (1)  Sections 2, 4, and 5, Chapter 836, Acts of the
  46-24  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
  46-25  Texas Civil Statutes); and
  46-26              (2)  Sections 2(7) and (8), 3, 4, 6-14, and 21,
  46-27  Occupational Therapy Title Act (Article 8851, Vernon's Texas Civil
   47-1  Statutes).
   47-2        SECTION 4.03.  This Act takes effect September 1, 1993.
   47-3        SECTION 4.04.  The importance of this legislation and the
   47-4  crowded condition of the calendars in both houses create an
   47-5  emergency and an imperative public necessity that the
   47-6  constitutional rule requiring bills to be read on three several
   47-7  days in each house be suspended, and this rule is hereby suspended.