1-1  By:  Armbrister                                        S.B. No. 564
    1-2        (In the Senate - Filed March 2, 1993; March 3, 1993, read
    1-3  first time and referred to Committee on Health and Human Services;
    1-4  April 13, 1993, reported favorably by the following vote:  Yeas 9,
    1-5  Nays 0; April 13, 1993, sent to printer.)
    1-6                            COMMITTEE VOTE
    1-7                          Yea     Nay      PNV      Absent 
    1-8        Zaffirini          x                               
    1-9        Ellis              x                               
   1-10        Madla              x                               
   1-11        Moncrief           x                               
   1-12        Nelson             x                               
   1-13        Patterson          x                               
   1-14        Shelley            x                               
   1-15        Truan              x                               
   1-16        Wentworth          x                               
   1-17                         A BILL TO BE ENTITLED
   1-18                                AN ACT
   1-19  relating to the licensing of wholesale device distributors under
   1-20  the Texas Food, Drug, and Cosmetic Act; providing civil and
   1-21  administrative penalties.
   1-22        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
   1-23        SECTION 1.  Section 431.021, Health and Safety Code, is
   1-24  amended to read as follows:
   1-25        Sec. 431.021.  Prohibited Acts.  The following acts and the
   1-26  causing of the following acts within this state are unlawful and
   1-27  prohibited:
   1-28              (a)  the introduction or delivery for introduction into
   1-29  commerce of any food, drug, device, or cosmetic that is adulterated
   1-30  or misbranded;
   1-31              (b)  the adulteration or misbranding of any food, drug,
   1-32  device, or cosmetic in commerce;
   1-33              (c)  the receipt in commerce of any food, drug, device,
   1-34  or cosmetic that is adulterated or misbranded, and the delivery or
   1-35  proffered delivery thereof for pay or otherwise;
   1-36              (d)  the distribution in commerce of a consumer
   1-37  commodity, if such commodity is contained in a package, or if there
   1-38  is affixed to that commodity a label that does not conform to the
   1-39  provisions of this chapter and of rules adopted under the authority
   1-40  of this chapter; provided, however, that this prohibition shall not
   1-41  apply to persons engaged in business as wholesale or retail
   1-42  distributors of consumer commodities except to the extent that such
   1-43  persons:
   1-44                    (1)  are engaged in the packaging or labeling of
   1-45  such commodities; or
   1-46                    (2)  prescribe or specify by any means the manner
   1-47  in which such commodities are packaged or labeled;
   1-48              (e)  the introduction or delivery for introduction into
   1-49  commerce of any article in violation of Section 431.084, 431.114,
   1-50  or 431.115;
   1-51              (f)  the dissemination of any false advertisement;
   1-52              (g)  the refusal to permit entry or inspection, or to
   1-53  permit the taking of a sample or to permit access to or copying of
   1-54  any record as authorized by Sections 431.042-431.044; or the
   1-55  failure to establish or maintain any record or make any report
   1-56  required under Section 512(j), (l), or (m) of the federal Act, or
   1-57  the refusal to permit access to or verification or copying of any
   1-58  such required record;
   1-59              (h)  the manufacture within this state of any food,
   1-60  drug, device, or cosmetic that is adulterated or misbranded;
   1-61              (i)  the giving of a guaranty or undertaking referred
   1-62  to in Section 431.059, which guaranty or undertaking is false,
   1-63  except by a person who relied on a guaranty or undertaking to the
   1-64  same effect signed by, and containing the name and address of the
   1-65  person residing in this state from whom the person received in good
   1-66  faith the food, drug, device, or cosmetic; or the giving of a
   1-67  guaranty or undertaking referred to in Section 431.059, which
   1-68  guaranty or undertaking is false;
    2-1              (j)  the removal or disposal of a detained or embargoed
    2-2  article in violation of Section 431.048;
    2-3              (k)  the alteration, mutilation, destruction,
    2-4  obliteration, or removal of the whole or any part of the labeling
    2-5  of, or the doing of any other act with respect to a food, drug,
    2-6  device, or cosmetic, if such act is done while such article is held
    2-7  for sale after shipment in commerce and results in such article
    2-8  being adulterated or misbranded;
    2-9              (l)(1)  forging, counterfeiting, simulating, or falsely
   2-10  representing, or without proper authority using any mark, stamp,
   2-11  tag, label, or other identification device authorized or required
   2-12  by rules adopted under this chapter or the regulations promulgated
   2-13  under the provisions of the federal Act;
   2-14                    (2)  making, selling, disposing of, or keeping in
   2-15  possession, control, or custody, or concealing any punch, die,
   2-16  plate, stone, or other thing designed to print, imprint, or
   2-17  reproduce the trademark, trade name, or other identifying mark,
   2-18  imprint, or device of another or any likeness of any of the
   2-19  foregoing on any drug or container or labeling thereof so as to
   2-20  render such drug a counterfeit drug;
   2-21                    (3)  the doing of any act that causes a drug to
   2-22  be a counterfeit drug, or the sale or dispensing, or the holding
   2-23  for sale or dispensing, of a counterfeit drug;
   2-24              (m)  the using by any person to the person's own
   2-25  advantage, or revealing, other than to the commissioner, an
   2-26  authorized agent, a health authority or to the courts when relevant
   2-27  in any judicial proceeding under this chapter, of any information
   2-28  acquired under the authority of this chapter concerning any method
   2-29  or process that as a trade secret is entitled to protection;
   2-30              (n)  the using, on the labeling of any drug or device
   2-31  or in any advertising relating to such drug or device, of any
   2-32  representation or suggestion that approval of an application with
   2-33  respect to such drug or device is in effect under Section 431.114
   2-34  or Section 505, 515, or 520(g) of the federal Act, as the case may
   2-35  be, or that such drug or device complies with the provisions of
   2-36  such sections;
   2-37              (o)  the using, in labeling, advertising or other sales
   2-38  promotion of any reference to any report or analysis furnished in
   2-39  compliance with Sections 431.042-431.044 or Section 704 of the
   2-40  federal Act;
   2-41              (p)  in the case of a prescription drug distributed or
   2-42  offered for sale in this state, the failure of the manufacturer,
   2-43  packer, or distributor of the drug to maintain for transmittal, or
   2-44  to transmit, to any practitioner licensed by applicable law to
   2-45  administer such drug who makes written request for information as
   2-46  to such drug, true and correct copies of all printed matter that is
   2-47  required to be included in any package in which that drug is
   2-48  distributed or sold, or such other printed matter as is approved
   2-49  under the federal Act.  Nothing in this subsection shall be
   2-50  construed to exempt any person from any labeling requirement
   2-51  imposed by or under other provisions of this chapter;
   2-52              (q)(1)  placing or causing to be placed on any drug or
   2-53  device or container of any drug or device, with intent to defraud,
   2-54  the trade name or other identifying mark, or imprint of another or
   2-55  any likeness of any of the foregoing;
   2-56                    (2)  selling, dispensing, disposing of or causing
   2-57  to be sold, dispensed, or disposed of, or concealing or keeping in
   2-58  possession, control, or custody, with intent to sell, dispense, or
   2-59  dispose of, any drug, device, or any container of any drug or
   2-60  device, with knowledge that the trade name or other identifying
   2-61  mark or imprint of another or any likeness of any of the foregoing
   2-62  has been placed thereon in a manner prohibited by Subdivision (1)
   2-63  of this subsection; or
   2-64                    (3)  making, selling, disposing of, causing to be
   2-65  made, sold, or disposed of, keeping in possession, control, or
   2-66  custody, or concealing with intent to defraud any punch, die,
   2-67  plate, stone, or other thing designed to print, imprint, or
   2-68  reproduce the trademark, trade name, or other identifying mark,
   2-69  imprint, or device of another or any likeness of any of the
   2-70  foregoing on any drug or container or labeling of any drug or
    3-1  container so as to render such drug a counterfeit drug;
    3-2              (r)  dispensing or causing to be dispensed a different
    3-3  drug in place of the drug ordered or prescribed without the express
    3-4  permission in each case of the person ordering or prescribing;
    3-5              (s)  the failure to register in accordance with Section
    3-6  510 of the federal Act, the failure to provide any information
    3-7  required by Section 510(j) or (k) of the federal Act, or the
    3-8  failure to provide a notice required by Section 510(j)(2) of the
    3-9  federal Act;
   3-10              (t)(1)  the failure or refusal to:
   3-11                          (A)  comply with any requirement prescribed
   3-12  under Section 518 or 520(g) of the federal Act; or
   3-13                          (B)  furnish any notification or other
   3-14  material or information required by or under Section 519 or 520(g)
   3-15  of the federal Act;
   3-16                    (2)  with respect to any device, the submission
   3-17  of any report that is required by or under this chapter that is
   3-18  false or misleading in any material respect;
   3-19              (u)  the movement of a device in violation of an order
   3-20  under Section 304(g) of the federal Act or the removal or
   3-21  alteration of any mark or label required by the order to identify
   3-22  the device as detained;
   3-23              (v)  the failure to provide the notice required by
   3-24  Section 412(b) or 412(c), the failure to make the reports required
   3-25  by Section 412(d)(1)(B), or the failure to meet the requirements
   3-26  prescribed under Section 412(d)(2) of the federal Act;
   3-27              (w)  the acceptance by a person of an unused
   3-28  prescription or drug, in whole or in part, for the purpose of
   3-29  resale, after the prescription or drug has been originally
   3-30  dispensed, or sold;
   3-31              (x)  engaging in the wholesale distribution of drugs or
   3-32  devices in this state without filing a licensing statement with the
   3-33  commissioner as required by Section 431.202 or having a license as
   3-34  required by Section 431.272, as applicable;
   3-35              (y)  engaging in the manufacture of food in this state
   3-36  without first registering with the department as required by
   3-37  Section 431.222; or
   3-38              (z)  unless approved by the United States Food and Drug
   3-39  Administration pursuant to the federal Act, the sale, delivery,
   3-40  holding, or offering for sale of a self-testing kit designed to
   3-41  indicate whether a person has a human immunodeficiency virus
   3-42  infection, acquired immune deficiency syndrome, or a related
   3-43  disorder or condition.
   3-44        SECTION 2.  Section 431.111, Health and Safety Code, is
   3-45  amended to read as follows:
   3-46        Sec. 431.111.  Adulterated Drug or Device.  A drug or device
   3-47  shall be deemed to be adulterated:
   3-48              (a)(1)  if it consists in whole or in part of any
   3-49  filthy, putrid, or decomposed substance; or
   3-50                    (2)(A)  if it has been prepared, packed, or held
   3-51  under insanitary conditions whereby it may have been contaminated
   3-52  with filth, or whereby it may have been rendered injurious to
   3-53  health; or
   3-54                          (B)  if it is a drug and the methods used
   3-55  in, or the facilities or controls used for, its manufacture,
   3-56  processing, packing, or holding do not conform to or are not
   3-57  operated or administered in conformity with current good
   3-58  manufacturing practice to assure that such drug meets the
   3-59  requirements of this chapter as to safety and has the identity and
   3-60  strength, and meets the quality and purity characteristics, which
   3-61  it purports or is represented to possess; or
   3-62                    (3)  if its container is composed, in whole or in
   3-63  part, of any poisonous or deleterious substance which may render
   3-64  the contents injurious to health; or
   3-65                    (4)  if it:
   3-66                          (A)  bears or contains, for purposes of
   3-67  coloring only, a color additive that is unsafe under Section
   3-68  431.161(a); or
   3-69                          (B)  is a color additive, the intended use
   3-70  of which in or on drugs or devices is for purposes of coloring
    4-1  only, and is unsafe under Section 431.161(a); or
    4-2                    (5)  if it is a new animal drug that is unsafe
    4-3  under Section 512 of the federal Act;
    4-4              (b)  if it purports to be or is represented as a drug,
    4-5  the name of which is recognized in an official compendium, and its
    4-6  strength differs from, or its quality or purity falls below, the
    4-7  standards set forth in such compendium.  Such determination as to
    4-8  strength, quality or purity shall be made in accordance with the
    4-9  tests or methods of assay set forth in such compendium, or in the
   4-10  absence of or inadequacy of such tests or methods of assay, those
   4-11  prescribed under the authority of the federal Act.  No drug defined
   4-12  in an official compendium shall be deemed to be adulterated under
   4-13  this paragraph because it differs from the standards of strength,
   4-14  quality, or purity therefor set forth in such compendium, if its
   4-15  difference in strength, quality, or purity from such standards is
   4-16  plainly stated on its label.  Whenever a drug is recognized in the
   4-17  United States Pharmacopoeia National Formulary, it shall be subject
   4-18  to the requirements of the United States Pharmacopoeia National
   4-19  Formulary;
   4-20              (c)  if it is not subject to the provision of Paragraph
   4-21  (b) and its strength differs from, or its purity or quality falls
   4-22  below, that which it purports or is represented to possess;
   4-23              (d)  if it is a drug and any substance has been:
   4-24                    (1)  mixed or packed therewith so as to reduce
   4-25  its quality or strength; or
   4-26                    (2)  substituted wholly or in part therefor;
   4-27              (e)  if it is, or purports to be or is represented as,
   4-28  a device that is subject to a performance standard established
   4-29  under Section 514 of the federal Act, unless the device is in all
   4-30  respects in conformity with the standard;
   4-31              (f)(1)  if it is a class III device:
   4-32                          (A)(i)  that is required by a regulation
   4-33  adopted under Section 515(b) of the federal Act to have an approval
   4-34  under that section of an application for premarket approval and
   4-35  that is not exempt from Section 515 as provided by Section 520(g)
   4-36  of the federal Act; and
   4-37                                (ii)(I)  for which an application for
   4-38  premarket approval or a notice of completion of a product
   4-39  development protocol was not filed with the United States Food and
   4-40  Drug Administration by the 90th day after the date of adoption of
   4-41  the regulation; or
   4-42                                      (II)  for which that
   4-43  application was filed and approval was denied or withdrawn, for
   4-44  which that notice was filed and was declared incomplete, or for
   4-45  which approval of the device under the protocol was withdrawn;
   4-46                          (B)  that was classified under Section
   4-47  513(f) of the federal Act into class III, which under Section
   4-48  515(a) of the federal Act is required to have in effect an approved
   4-49  application for premarket approval, that is not exempt from Section
   4-50  515 as provided by Section 520(g) of the federal Act, and that does
   4-51  not have the application in effect; or
   4-52                          (C)  that was classified under Section
   4-53  520(l) of the federal Act into class III, which under that section
   4-54  is required to have in effect an approved application under Section
   4-55  515 of the federal Act, and that does not have the application in
   4-56  effect, except that:
   4-57                    (2)(A)  in the case of a device classified under
   4-58  Section 513(f) of the federal Act into class III and intended
   4-59  solely for investigational use, Subdivision (1)(B) does not apply
   4-60  to the device during the period ending on the 90th day after the
   4-61  date of adoption of the regulations prescribing the procedures and
   4-62  conditions required by Section 520(g)(2) of the federal Act; and
   4-63                          (B)  in the case of a device subject to a
   4-64  regulation adopted under Section 515(b) of the federal Act,
   4-65  Subdivision (1) does not apply to the device during the period
   4-66  ending on whichever of the following dates occurs later:
   4-67                                (i)  the last day of the 30-day
   4-68  calendar month beginning after the month in which the
   4-69  classification of the device into class III became effective under
   4-70  Section 513 of the federal Act; or
    5-1                                (ii)  the 90th day after the date of
    5-2  adoption of the regulation;
    5-3              (g)  if it is a banned device;
    5-4              (h) <(g)>  if it is a device and the methods used in,
    5-5  or the facilities or controls used for its manufacture, packing,
    5-6  storage, or installations are not in conformity with applicable
    5-7  requirements under Section 520(f)(1) of the federal Act or an
    5-8  applicable condition as prescribed by an order under Section
    5-9  520(f)(2) of the federal Act; or
   5-10              (i) <(h)>  if it is a device for which an exemption has
   5-11  been granted under Section 520(g) of the federal Act for
   5-12  investigational use and the person who was granted the exemption or
   5-13  any investigator who uses the device under the exemption fails to
   5-14  comply with a requirement prescribed by or under that section.
   5-15        SECTION 3.  Chapter 431, Health and Safety Code, is amended
   5-16  by adding Subchapter L to read as follows:
   5-17             SUBCHAPTER L.  WHOLESALE DEVICE DISTRIBUTORS
   5-18        Sec. 431.271.  DEFINITIONS.  In this subchapter:
   5-19              (1)  "Importer" means any person who initially
   5-20  distributes a device imported into the United States.
   5-21              (2)  "Wholesale distribution" means distribution to a
   5-22  person other than a consumer or patient and includes distribution
   5-23  by a manufacturer, repacker, own label distributor, jobber,
   5-24  importer, or wholesaler.
   5-25              (3)  "Place of business" means each location at which a
   5-26  device for wholesale distribution is located.
   5-27        Sec. 431.272.  LICENSE REQUIRED; MINIMUM STANDARDS.
   5-28  (a)  Except as provided by Section 431.273, a person may not engage
   5-29  in the wholesale distribution of devices in this state unless the
   5-30  person has a license from the commissioner for each place of
   5-31  business.
   5-32        (b)  A wholesale distributor of devices in this state must
   5-33  comply with the minimum requirements specified in the federal Act
   5-34  and in this chapter.
   5-35        Sec. 431.273.  EXEMPTION FROM LICENSING.  (a)  A person is
   5-36  exempt from licensing under this subchapter if the person engages
   5-37  only in the following types of wholesale device distribution:
   5-38              (1)  intracompany sales; or
   5-39              (2)  the sale, purchase, or trade of a distressed or
   5-40  reconditioned device by a salvage broker or a salvage operator
   5-41  licensed under Chapter 432 (Texas Food, Drug, Device, and Cosmetic
   5-42  Salvage Act).
   5-43        (b)  An exemption from the licensing requirements under this
   5-44  section does not constitute an exemption from the other provisions
   5-45  of this chapter or the rules adopted by the board to administer and
   5-46  enforce this chapter.
   5-47        Sec. 431.274.  LICENSE APPLICATION.  (a)  A person applying
   5-48  for a license under this subchapter shall provide, at a minimum,
   5-49  the following information on a license application form furnished
   5-50  by the commissioner:
   5-51              (1)  the name under which the business is conducted;
   5-52              (2)  the address of each place of business that is
   5-53  licensed;
   5-54              (3)  the name and residence address of:
   5-55                    (A)  the proprietor, if the business is a
   5-56  proprietorship;
   5-57                    (B)  all partners, if the business is a
   5-58  partnership; or
   5-59                    (C)  all principals, if the business is an
   5-60  association;
   5-61              (4)  the date and place of incorporation if the
   5-62  business is a corporation;
   5-63              (5)  the names and residence addresses of the
   5-64  individuals in an administrative capacity showing:
   5-65                    (A)  the managing proprietor, if the business is
   5-66  a proprietorship;
   5-67                    (B)  the managing partner, if the business is a
   5-68  partnership;
   5-69                    (C)  the officers and directors, if the business
   5-70  is a corporation; or
    6-1                    (D)  the persons in a managerial capacity, if the
    6-2  business is an association; and
    6-3              (6)  the residence address of an individual in charge
    6-4  of each place of business.
    6-5        (b)  The license application must be signed, verified, and
    6-6  completed in a manner described in the rules adopted by the board.
    6-7        (c)  A person applying for a license under this subchapter
    6-8  must pay a licensing fee for each place of business.
    6-9        Sec. 431.275.  EFFECT OF OPERATIONS IN OTHER JURISDICTIONS;
   6-10  REPORTS.  (a)  A person who engages in the wholesale distribution
   6-11  of devices outside this state may engage in wholesale distribution
   6-12  of devices in this state if the person holds a license issued by
   6-13  the commissioner.
   6-14        (b)  The commissioner may accept reports from authorities in
   6-15  other jurisdictions to determine the extent of compliance with this
   6-16  chapter.  On examination of those reports and the person's
   6-17  compliance history and current compliance record, the commissioner
   6-18  may issue a license to the person if the commissioner determines
   6-19  that the person is in compliance with this subchapter and the
   6-20  board's rules.
   6-21        (c)  The commissioner shall consider each licensing
   6-22  application filed by a person who wishes to engage in wholesale
   6-23  distribution of devices in this state on an individual basis.
   6-24        Sec. 431.276.  FEES.  (a)  The department shall collect fees
   6-25  for:
   6-26              (1)  a license that is filed or renewed;
   6-27              (2)  a license that is amended, including notification
   6-28  of a change of location of a licensed place of business required
   6-29  under Section 431.278, a change of the name of an association or
   6-30  corporation, or a change in the ownership of the licensee; and
   6-31              (3)  an inspection performed to enforce this subchapter
   6-32  and rules adopted under this subchapter.
   6-33        (b)  The board may charge annual fees.
   6-34        (c)  The board by rule shall set the fees in amounts that
   6-35  allow the department to recover at least 50 percent of the annual
   6-36  expenditures of state funds by the department in:
   6-37              (1)  reviewing and acting on a license or renewal
   6-38  license;
   6-39              (2)  amending a license;
   6-40              (3)  inspecting a licensed facility; and
   6-41              (4)  implementing and enforcing this subchapter,
   6-42  including a rule or order adopted or a license issued under this
   6-43  subchapter.
   6-44        (d)  At least half of the licensing fees collected shall be
   6-45  used to inspect an applicant or licensed place of business.
   6-46        (e)  Fees collected under this section shall be deposited to
   6-47  the credit of the food and drug registration fee account of the
   6-48  general revenue fund and may be appropriated to the department only
   6-49  to carry out this chapter.
   6-50        Sec. 431.277.  LICENSE EXPIRATION.  (a)  The board by rule
   6-51  may provide that licenses expire on different dates during the
   6-52  year.
   6-53        (b)  If the board changes a license expiration date, the
   6-54  board shall prorate the license fee payable on or before September
   6-55  1 so that the licensee is required to pay only that portion of the
   6-56  fee that is allocable to the number of months during which the
   6-57  license is valid.
   6-58        (c)  The total renewal license fee is payable when the
   6-59  license is renewed on the new expiration date.
   6-60        Sec. 431.278.  CHANGE OF LOCATION OF PLACE OF BUSINESS.
   6-61  (a)  Not fewer than 30 days in advance of the change, the licensee
   6-62  shall notify the commissioner or the commissioner's designee in
   6-63  writing of the licensee's intent to change the location of a
   6-64  licensed place of business.  The notice shall include the address
   6-65  of the new location and the name and residence address of the
   6-66  individual in charge of the business at the new location.
   6-67        (b)  Not later than the 10th day after the date of completion
   6-68  of the change of location, the licensee shall notify the
   6-69  commissioner or the commissioner's designee in writing to verify
   6-70  the change of location, the address of the new location, and the
    7-1  name and residence address of the individual in charge of the
    7-2  business at the new address.
    7-3        (c)  Notice is adequate if the licensee provides the intent
    7-4  and verification notices to the commissioner or the commissioner's
    7-5  designee by certified mail, return receipt requested, mailed to the
    7-6  central office of the department.
    7-7        Sec. 431.279.  REFUSAL TO LICENSE; SUSPENSION OR REVOCATION
    7-8  OF LICENSE.  (a)  The commissioner may refuse an application or may
    7-9  suspend or revoke a license if the applicant or licensee:
   7-10              (1)  has been convicted of a felony or misdemeanor that
   7-11  involves moral turpitude;
   7-12              (2)  is an association, partnership, or corporation and
   7-13  the managing officer has been convicted of a felony or misdemeanor
   7-14  that involves moral turpitude;
   7-15              (3)  has been convicted in a state or federal court of
   7-16  the illegal use, sale, or transportation of intoxicating liquors,
   7-17  narcotic drugs, barbiturates, amphetamines, desoxyephedrine, their
   7-18  compounds or derivatives, or any other dangerous or habit-forming
   7-19  drugs;
   7-20              (4)  is an association, partnership, or corporation and
   7-21  the managing officer has been convicted in a state or federal court
   7-22  of the illegal use, sale, or transportation of intoxicating
   7-23  liquors, narcotic drugs, barbiturates, amphetamines,
   7-24  desoxyephedrine, their compounds or derivatives, or any other
   7-25  dangerous or habit-forming drugs; or
   7-26              (5)  has not complied with this chapter or the board's
   7-27  rules implementing this chapter.
   7-28        (b)  The commissioner may refuse an application for a license
   7-29  or may suspend or revoke a license if the commissioner determines
   7-30  from evidence presented during a hearing that the applicant or
   7-31  licensee:
   7-32              (1)  has violated Section 431.021(l)(3), relating to
   7-33  the counterfeiting of a drug or the sale or holding for sale of a
   7-34  counterfeit drug;
   7-35              (2)  has violated Chapter 481 (Texas Controlled
   7-36  Substances Act) or 483 (Dangerous Drugs); or
   7-37              (3)  has violated the rules of the director of the
   7-38  Department of Public Safety, including being responsible for a
   7-39  significant discrepancy in the records that state law requires the
   7-40  applicant or licensee to maintain.
   7-41        (c)  The refusal to license an applicant or the suspension or
   7-42  revocation of a license by the commissioner and the appeal from
   7-43  that action are governed by the board's formal hearing procedures
   7-44  and the procedures for a contested case hearing under the
   7-45  Administrative Procedure and Texas Register Act (Article 6252-13a,
   7-46  Vernon's Texas Civil Statutes).
   7-47        SECTION 4.  This Act takes effect September 1, 1993.
   7-48        SECTION 5.  The importance of this legislation and the
   7-49  crowded condition of the calendars in both houses create an
   7-50  emergency and an imperative public necessity that the
   7-51  constitutional rule requiring bills to be read on three several
   7-52  days in each house be suspended, and this rule is hereby suspended.
   7-53                               * * * * *
   7-54                                                         Austin,
   7-55  Texas
   7-56                                                         April 13, 1993
   7-57  Hon. Bob Bullock
   7-58  President of the Senate
   7-59  Sir:
   7-60  We, your Committee on Health and Human Services to which was
   7-61  referred S.B. No. 564, have had the same under consideration, and I
   7-62  am instructed to report it back to the Senate with the
   7-63  recommendation that it do pass and be printed.
   7-64                                                         Zaffirini,
   7-65  Chair
   7-66                               * * * * *
   7-67                               WITNESSES
   7-68                                                  FOR   AGAINST  ON
   7-69  ___________________________________________________________________
   7-70  Name:  Dennis Baker                                            x
    8-1  Representing:  Tx Dept of Health
    8-2  City:  Austin
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