By:  Carriker                                          S.B. No. 690
                                 A BILL TO BE ENTITLED
                                        AN ACT
    1-1  relating to the regulation of the practice of physical therapy and
    1-2  occupational therapy, including the creation of the Executive
    1-3  Council of Physical Therapy and Occupational Therapy Examiners and
    1-4  the continuation and modification of the Texas Board of Physical
    1-5  Therapy Examiners and The Texas Advisory Board of Occupational
    1-6  Therapy.
    1-7        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-8                              ARTICLE 1.
    1-9                 EXECUTIVE COUNCIL OF PHYSICAL THERAPY
   1-10                  AND OCCUPATIONAL THERAPY EXAMINERS
   1-11        SECTION 1.01.  Chapter 6D, Title 71, Revised Statutes, is
   1-12  amended by adding Article 4512e-1 to read as follows:
   1-13        Art. 4512e-1.  EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND
   1-14  OCCUPATIONAL THERAPY EXAMINERS
   1-15        Sec. 1.  DEFINITIONS.  In this article:
   1-16              (1)  "Executive council" means the Executive Council of
   1-17  Physical Therapy and Occupational Therapy Examiners.
   1-18              (2)  "Occupational therapy board" means the Texas Board
   1-19  of Occupational Therapy Examiners.
   1-20              (3)  "Physical therapy board" means the Texas Board of
   1-21  Physical Therapy Examiners.
   1-22        Sec. 2.  EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND
   1-23  OCCUPATIONAL THERAPY EXAMINERS.  (a)  The Executive Council of
   1-24  Physical Therapy and Occupational Therapy Examiners consists of:
    2-1              (1)  an occupational therapist member of the
    2-2  occupational therapy board;
    2-3              (2)  a public member of the occupational therapy board;
    2-4              (3)  a physical therapist member of the physical
    2-5  therapy board;
    2-6              (4)  a public member of the physical therapy board; and
    2-7              (5)  a public member appointed by the governor.
    2-8        (b)  The members of the executive council who serve also as
    2-9  members of the occupational therapy board or the physical therapy
   2-10  board are appointed to the executive council by the board on which
   2-11  they serve.  The occupational therapy board and the physical
   2-12  therapy board may also designate an alternate to attend any
   2-13  executive council meeting the appointed member cannot attend.  The
   2-14  alternate has the same powers and duties and is subject to the same
   2-15  qualifications as the appointed member.
   2-16        (c)  The member appointed by the governor is the presiding
   2-17  officer of the executive council.
   2-18        (d)  Appointments to the executive council shall be made
   2-19  without regard to the race, color, disability, sex, religion, age,
   2-20  or national origin of the appointees.
   2-21        Sec. 3.  MEETINGS; COMPENSATION; QUORUM.  (a)  The executive
   2-22  council shall hold at least two regular meetings each year.
   2-23  Additional meetings may be held on the call of the presiding
   2-24  officer or at the written request of three members of the executive
   2-25  council.
   2-26        (b)  The presiding officer of the executive council is
   2-27  entitled to a per diem as set by the General Appropriations Act for
    3-1  each day that the presiding officer engages in the business of the
    3-2  executive council.  Other members of the executive council may not
    3-3  receive compensation for service on the council.  A member may not
    3-4  receive any reimbursement for travel expenses, including expenses
    3-5  for meals and lodging, other than transportation expenses as
    3-6  provided by the General Appropriations Act.
    3-7        (c)  A quorum of the executive council exists if both
    3-8  therapist members and one public member are present.
    3-9        Sec. 4.  TERMS.  (a)  A member of the executive council is
   3-10  appointed for a two-year term, with a member's term expiring on
   3-11  February 1 of each odd-numbered year.
   3-12        (b)  A member appointed to fill a vacancy shall hold office
   3-13  for the remainder of that term.
   3-14        Sec. 5.  PUBLIC MEMBERSHIP RESTRICTION.  A person is not
   3-15  eligible for appointment by the governor as a public member of the
   3-16  executive council if the person or the person's spouse:
   3-17              (1)  is registered, certified, or licensed by an
   3-18  occupational regulatory agency in the field of health care;
   3-19              (2)  is employed by or participates in the management
   3-20  of a business entity or other organization regulated by the
   3-21  executive council, the occupational therapy board, or the physical
   3-22  therapy board or receiving funds from the executive council, the
   3-23  occupational therapy board, or the physical therapy board;
   3-24              (3)  owns or controls, directly or indirectly, more
   3-25  than a 10 percent interest in a business entity or other
   3-26  organization regulated by the executive council, the occupational
   3-27  therapy board, or the physical therapy board or receiving funds
    4-1  from the executive council, the occupational therapy board, or the
    4-2  physical therapy board; or
    4-3              (4)  uses or receives a substantial amount of tangible
    4-4  goods, services, or funds from the executive council, the
    4-5  occupational therapy board, or the physical therapy board, other
    4-6  than compensation or reimbursement authorized by law for executive
    4-7  council, occupational therapy board, or physical therapy board
    4-8  membership, attendance, or expenses.
    4-9        Sec. 6.  CONFLICT OF INTEREST RESTRICTIONS.  (a)  An officer,
   4-10  employee, or paid consultant of a Texas trade association in the
   4-11  field of health care may not be a member or employee of the
   4-12  executive council who is exempt from the state's position
   4-13  classification plan or is compensated at or above the amount
   4-14  prescribed by the General Appropriations Act for step 1, salary
   4-15  group 17, of the position classification salary schedule.
   4-16        (b)  A person who is the spouse of an officer, manager, or
   4-17  paid consultant of a Texas trade association in the field of health
   4-18  care may not be a member of the executive council and may not be an
   4-19  employee of the executive council who is exempt from the state's
   4-20  position classification plan or is compensated at or above the
   4-21  amount prescribed by the General Appropriations Act for step 1,
   4-22  salary group 17, of the position classification salary schedule.
   4-23        (c)  For the purposes of this section, a Texas trade
   4-24  association is a nonprofit, cooperative, and voluntarily joined
   4-25  association of business or professional competitors in this state
   4-26  designed to assist its members and its industry or profession in
   4-27  dealing with mutual business or professional problems and in
    5-1  promoting their common interest.
    5-2        Sec. 7.  EFFECT OF LOBBYING ACTIVITY.  A person may not serve
    5-3  as a member of the executive council or act as the general counsel
    5-4  to the executive council if the person is required to register as a
    5-5  lobbyist under Chapter 305, Government Code, and its subsequent
    5-6  amendments, because of the person's activities for compensation on
    5-7  behalf of a profession related to the operation of the executive
    5-8  council, the occupational therapy board, or the physical therapy
    5-9  board.
   5-10        Sec. 8.  GROUNDS FOR REMOVAL FROM EXECUTIVE COUNCIL.  (a)  It
   5-11  is a ground for removal from the executive council if a member:
   5-12              (1)  does not have at the time of appointment the
   5-13  qualifications required by Section 2 of this article;
   5-14              (2)  does not maintain during service on the executive
   5-15  council the qualifications required by Section 2 of this article;
   5-16              (3)  violates a prohibition established by Section 6 or
   5-17  7 of this article;
   5-18              (4)  cannot discharge the member's duties for a
   5-19  substantial part of the term for which the member is appointed
   5-20  because of illness or disability; or
   5-21              (5)  is absent from more than half of the regularly
   5-22  scheduled executive council meetings that the member is eligible to
   5-23  attend during a calendar year unless the absence is excused by
   5-24  majority vote of the executive council.
   5-25        (b)  The validity of an action of the executive council is
   5-26  not affected by the fact that it is taken when a ground for removal
   5-27  of an executive council member exists.
    6-1        (c)  If the director has knowledge that a potential ground
    6-2  for removal exists, the director shall notify the presiding officer
    6-3  of the executive council of the ground.  The presiding officer
    6-4  shall then notify the authority that appointed the member that a
    6-5  potential ground for removal exists.
    6-6        Sec. 9.  STAFF.  (a)  The executive council shall employ a
    6-7  director and administrative and clerical employees as necessary to
    6-8  carry out the functions of the executive council, the occupational
    6-9  therapy board, and the physical therapy board.
   6-10        (b)  The executive council shall develop and implement
   6-11  policies that clearly define the respective responsibilities of the
   6-12  executive council and the staff of the executive council.
   6-13        (c)  The director shall employ a coordinator of occupational
   6-14  therapy programs and a coordinator of physical therapy programs to
   6-15  carry out the respective boards' functions.  The coordinators may
   6-16  request the executive council to assign additional employees to
   6-17  carry out the coordinators' duties.
   6-18        Sec. 10.  REGULATORY STATUTES ADMINISTERED.  Except as
   6-19  otherwise provided by this article, the executive council shall
   6-20  administer and enforce:
   6-21              (1)  the physical therapy law, Chapter 836, Acts of the
   6-22  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
   6-23  Texas Civil Statutes), and its subsequent amendments; and
   6-24              (2)  the Occupational Therapy Practice Act (Article
   6-25  8851, Vernon's Texas Civil Statutes) and its subsequent amendments.
   6-26        Sec. 11.  ADMINISTRATIVE FUNCTIONS OF EXECUTIVE COUNCIL.
   6-27  (a)  The executive council shall perform the following functions
    7-1  for the administration of each regulatory statute administered:
    7-2              (1)  data processing functions; and
    7-3              (2)  the administration of records relating to payroll,
    7-4  personnel files, vacation and other leave records, employee
    7-5  insurance and other benefits records, and employee applications.
    7-6        (b)  Administrative functions relating to the issuance and
    7-7  renewal of licenses, including administration of written
    7-8  examinations and collection of fees, are the responsibility of the
    7-9  executive council.  The executive council's responsibilities
   7-10  include the ministerial functions of preparing and delivering
   7-11  licenses, obtaining material and information in connection with the
   7-12  renewal of a license, and receiving and forwarding complaints to
   7-13  the appropriate board.  The executive council may not exercise any
   7-14  discretionary authority with respect to the original review of an
   7-15  applicant's qualifications for licensure or the subsequent review
   7-16  of the person's qualifications.  The administration of practical
   7-17  examinations and other examinations requiring skill or expertise in
   7-18  a particular area on the part of the person administering the
   7-19  examination is the responsibility of the appropriate board.  The
   7-20  selection of standardized national or generally accepted
   7-21  examinations for a profession or the design of individual
   7-22  examinations is the responsibility of the appropriate board.
   7-23        (c)  Rules concerning the qualifications, licensing,
   7-24  regulation, or practice of a profession shall be adopted by the
   7-25  appropriate board except as otherwise provided.
   7-26        (d)  The executive council shall:
   7-27              (1)  develop and prepare a budget for the executive
    8-1  council, the occupational therapy board, and the physical therapy
    8-2  board; and
    8-3              (2)  manage all physical property used by the executive
    8-4  council, the occupational therapy board, or the physical therapy
    8-5  board.
    8-6        (e)  The executive council shall set all fees for a license
    8-7  issued or service performed by a board represented on the executive
    8-8  council.
    8-9        Sec. 12.  REVIEW FUNCTIONS OF EXECUTIVE COUNCIL.  (a)  The
   8-10  executive council shall examine and evaluate the operations of the
   8-11  boards represented on the executive council.  The examination shall
   8-12  be conducted on an ongoing basis.
   8-13        (b)  The executive council may structure the examination in a
   8-14  manner that the executive council considers appropriate to produce
   8-15  an efficient and thorough review.
   8-16        Sec. 13.  REPORT AND RECOMMENDATIONS.  The executive council
   8-17  shall prepare a report of its activities and shall file the report
   8-18  with the presiding officer of each house of the legislature, the
   8-19  governor, and the Legislative Budget Board.  The executive council
   8-20  shall file the report before January 1 of each odd-numbered year.
   8-21        Sec. 14.  COOPERATION.  Each board represented on the
   8-22  executive council shall cooperate with the examination conducted by
   8-23  the executive council under this article.
   8-24        Sec. 15.  REVIEW OF RULES.  (a)  Before submitting a rule for
   8-25  publication in the Texas Register, each board represented on the
   8-26  executive council shall forward the proposed rule to the executive
   8-27  council for review.
    9-1        (b)  The executive council may review the rule and shall
    9-2  approve the rule for submission for publication unless the rule
    9-3  exceeds the rule-making authority of the board.
    9-4        (c)  If the executive council fails to approve a rule, it
    9-5  shall return the rule to the board with an explanation of the
    9-6  reasons for the denial.
    9-7        Sec. 16.  EXPENDITURES; AUDIT.  (a)  The executive council
    9-8  may authorize, from funds appropriated to it, all necessary
    9-9  disbursements to carry out:
   9-10              (1)  this article;
   9-11              (2)  the physical therapy law, Chapter 836, Acts of the
   9-12  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
   9-13  Texas Civil Statutes), and its subsequent amendments; and
   9-14              (3)  the Occupational Therapy Practice Act  (Article
   9-15  8851, Vernon's Texas Civil Statutes) and its subsequent amendments.
   9-16        (b)  The financial transactions of the executive council are
   9-17  subject to audit by the state auditor in accordance with Chapter
   9-18  321, Government Code, and its subsequent amendments.
   9-19        Sec. 17.  ANNUAL FINANCIAL REPORT.  The executive council
   9-20  shall file annually with the governor and the presiding officer of
   9-21  each house of the legislature a complete and detailed written
   9-22  report accounting for all funds received and disbursed by the
   9-23  executive council during the preceding fiscal year.  The annual
   9-24  report must be in the form and reported in the time provided by the
   9-25  General Appropriations Act.
   9-26        Sec. 18.  PERSONNEL POLICIES.  (a)  The director or the
   9-27  director's designee shall develop an intraagency career ladder
   10-1  program.  The program shall require intraagency posting of all
   10-2  non-entry-level positions concurrently with any public posting.
   10-3        (b)  The director or the director's designee shall develop a
   10-4  system of annual performance evaluations based on measurable job
   10-5  tasks.  All merit pay for executive council employees must be based
   10-6  on the system established under this subsection.
   10-7        Sec. 19.  EQUAL EMPLOYMENT OPPORTUNITY POLICIES.  (a)  The
   10-8  director or the director's designee shall prepare and maintain a
   10-9  written policy statement to ensure implementation of a program of
  10-10  equal employment opportunity under which all personnel transactions
  10-11  are made without regard to race, color, disability, sex, religion,
  10-12  age, or national origin.  The policy statement must include:
  10-13              (1)  personnel policies, including policies relating to
  10-14  recruitment, evaluation, selection, application, training, and
  10-15  promotion of personnel that are in compliance with the Commission
  10-16  on Human Rights Act (Article 5221k, Vernon's Texas Civil Statutes)
  10-17  and its subsequent amendments;
  10-18              (2)  a comprehensive analysis of the executive council
  10-19  work force that meets federal and state guidelines;
  10-20              (3)  procedures by which a determination can be made of
  10-21  significant underutilization in the executive council work force of
  10-22  all persons for whom federal or state guidelines encourage a more
  10-23  equitable balance; and
  10-24              (4)  reasonable methods to appropriately address those
  10-25  areas of underutilization.
  10-26        (b)  A policy statement prepared under Subsection (a) of this
  10-27  section must cover an annual period, be updated annually, be
   11-1  reviewed by the Commission on Human Rights for compliance with
   11-2  Subsection (a)(1) of this section, and be filed with the governor's
   11-3  office.
   11-4        (c)  The governor's office shall deliver a biennial report to
   11-5  the legislature based on the information received under Subsection
   11-6  (b)  of this section.  The report may be made separately or as part
   11-7  of other biennial reports to the legislature.
   11-8        Sec. 20.  PUBLIC INTEREST INFORMATION.  (a)  The executive
   11-9  council shall prepare information of public interest describing the
  11-10  functions of the executive council and the procedures by which
  11-11  complaints are filed with and resolved by the executive council,
  11-12  the occupational therapy board, or the physical therapy board.  The
  11-13  executive council shall make the information available to the
  11-14  public and appropriate state agencies.
  11-15        (b)  The executive council by rule shall establish methods by
  11-16  which consumers and service recipients are notified of the name,
  11-17  mailing address, and telephone number of the executive council for
  11-18  the purpose of directing complaints to the executive council.  The
  11-19  executive council may provide for that notification:
  11-20              (1)  on each registration form, application, or written
  11-21  contract for services of an individual or entity regulated by the
  11-22  executive council, the occupational therapy board, or the physical
  11-23  therapy board;
  11-24              (2)  on a sign prominently displayed in the place of
  11-25  business of each individual or entity regulated by the executive
  11-26  council, the occupational therapy board, or the physical therapy
  11-27  board; or
   12-1              (3)  in a bill for service provided by an individual or
   12-2  entity regulated by the executive council, the occupational therapy
   12-3  board, or the physical therapy board.
   12-4        (c)  The executive council shall list along with its regular
   12-5  telephone number the toll-free telephone number that may be called
   12-6  to present a complaint about a health professional if the toll-free
   12-7  number is established under other state law.
   12-8        Sec. 21.  PUBLIC PARTICIPATION IN EXECUTIVE COUNCIL HEARINGS.
   12-9  The executive council shall develop and implement policies that
  12-10  provide the public with a reasonable opportunity to appear before
  12-11  the executive council and to speak on any issue under the
  12-12  jurisdiction of the executive council.
  12-13        Sec. 22.  PROGRAM ACCESSIBILITY.  The executive council shall
  12-14  prepare and maintain a written plan that describes how a person who
  12-15  does not speak English can be provided reasonable access to the
  12-16  executive council's programs.  The executive council shall also
  12-17  comply with federal and state laws for program and facility
  12-18  accessibility.
  12-19        Sec. 23.  TRAINING; STANDARDS OF CONDUCT INFORMATION.  Each
  12-20  executive council member shall comply with the executive council
  12-21  member training requirements established by any other state agency
  12-22  that is given authority to establish the requirements for the
  12-23  executive council.
  12-24        Sec. 24.  OPEN MEETINGS AND ADMINISTRATIVE PROCEDURE.  The
  12-25  executive council is subject to:
  12-26              (1)  the open meetings law, Chapter 271, Acts of the
  12-27  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
   13-1  Texas Civil Statutes), and its subsequent amendments; and
   13-2              (2)  the Administrative Procedure and Texas Register
   13-3  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
   13-4  subsequent amendments.
   13-5        Sec. 25.  SUNSET PROVISION.  The Executive Council of
   13-6  Physical Therapy and Occupational Therapy Examiners is subject to
   13-7  Chapter 325, Government Code (Texas Sunset Act), and its subsequent
   13-8  amendments.  Unless continued in existence as provided by that
   13-9  chapter, the executive council is abolished and the following laws
  13-10  expire September 1, 2005:
  13-11              (1)  this article;
  13-12              (2)  the physical therapy law, Chapter 836, Acts of the
  13-13  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
  13-14  Texas Civil Statutes), and its subsequent amendments; and
  13-15              (3)  the Occupational Therapy Practice Act (Article
  13-16  8851, Vernon's Texas Civil Statutes) and its subsequent amendments.
  13-17             ARTICLE 2.  THE PRACTICE OF PHYSICAL THERAPY
  13-18        SECTION 2.01.  Section 1, Chapter 836, Acts of the 62nd
  13-19  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  13-20  Civil Statutes), is amended to read as follows:
  13-21        Sec. 1.  Definitions.  In this Act:
  13-22              (1)  "Physical therapy" means a form of health care
  13-23  that prevents, identifies, corrects, and alleviates acute or
  13-24  prolonged movement dysfunction or pain of anatomic or physiologic
  13-25  origin.  Physical therapy includes the testing and measurement of
  13-26  the function of the musculoskeletal, neurological, pulmonary, and
  13-27  cardiovascular systems and rehabilitative treatment concerned with
   14-1  the restoration of function and prevention of disability caused by
   14-2  illness, injury, or birth defect.  Physical therapy includes
   14-3  treatment, consultative, educational, and advisory services for the
   14-4  purpose of reducing the incidence and severity of disability and
   14-5  pain to enable, train, or retrain an individual to perform the
   14-6  independent skills and activities of daily living <the examination,
   14-7  treatment, or instruction of human beings to detect, assess,
   14-8  prevent, correct, and alleviate physical disability and pain from
   14-9  injury, disease, disorders, or physical deformities and includes
  14-10  the administration and evaluation of tests and measurements of
  14-11  bodily functions and structures in aid of diagnosis or treatment;
  14-12  the planning, administration, evaluation, and modification of
  14-13  treatment and instruction, including the use of physical measures,
  14-14  activities, and devices for preventive and therapeutic purposes on
  14-15  the basis of approved test findings and the provision of
  14-16  consultative, educational, and advisory services for the purpose of
  14-17  reducing the incidence and severity of physical disability and
  14-18  pain>.  Physical therapy also includes <shall also include> the
  14-19  delegation of selective forms of treatment to supportive personnel
  14-20  with retention by a physical therapist <assumption> of the
  14-21  responsibilities for the care of the patient and continuing
  14-22  direction and supervision of the supportive personnel.  The use of
  14-23  roentgen rays and radium for diagnostic and therapeutic purposes,
  14-24  and the use of electricity for surgical purposes, including
  14-25  cauterization, are not authorized under the term "physical therapy"
  14-26  as used herein, and a license issued hereunder shall not authorize
  14-27  the diagnosis of diseases or the practice of medicine as defined by
   15-1  law.
   15-2              (2)  "Physical therapist" <or "physiotherapist"> means
   15-3  a person who practices physical therapy and is licensed by the
   15-4  Texas Board of Physical Therapy Examiners.  "Hydrotherapist,"
   15-5  "physiotherapist," <"massage therapist,"> "mechano-therapist,"
   15-6  "functional therapist," "physical therapy practitioner," "physical
   15-7  therapist specialist," "physical therapy specialist,"
   15-8  "physiotherapy practitioner," "kinesiotherapist," "physical
   15-9  rehabilitation specialist," <"physical therapy technician,"> and
  15-10  "myofunctional therapist" are equivalent terms; any derivation of
  15-11  the above terms or any reference to any one of them in this Act
  15-12  includes the others.
  15-13              (3)  "Physical therapist assistant" means a person
  15-14  licensed by the Texas Board of Physical Therapy Examiners who
  15-15  assists and is supervised by <works under the supervision of> a
  15-16  licensed physical therapist <and assists a physical therapist> in
  15-17  the practice of physical therapy and whose activities require an
  15-18  understanding of physical therapy <but do not require a
  15-19  professional education equivalent for licensing as a physical
  15-20  therapist>.
  15-21              (4)  "Physical therapy aide" or "physical therapy
  15-22  technician" means a person who aids in the practice of physical
  15-23  therapy under the on-site supervision of a physical therapist or a
  15-24  physical therapist assistant and whose activities require
  15-25  on-the-job training <and on-site supervision by the physical
  15-26  therapist or a physical therapist assistant>.
  15-27              (5)  "Board" means the Texas Board of Physical Therapy
   16-1  Examiners.
   16-2              (6)  "Discipline" means the revocation or suspension of
   16-3  a license, the placing on probation of a licensee, <whose license
   16-4  has been suspended, or> the reprimand of a licensee, the levying of
   16-5  fines, or other actions imposed on the licensee or other person for
   16-6  a violation of <in accordance with> this Act and rules adopted by
   16-7  the board.
   16-8              (7)  "Practice of physical therapy" means:
   16-9                    (A)  performing, offering to perform, or
  16-10  attempting to perform health care that prevents, identifies,
  16-11  corrects, and alleviates acute or prolonged movement dysfunction or
  16-12  pain of anatomic or physiologic origin, the proper application of
  16-13  which requires education, training, and experience in physical
  16-14  therapy; or
  16-15                    (B)  publicly professing to be or holding oneself
  16-16  out to be a physical therapist or as providing physical therapy.
  16-17              (8)  "Physical therapy facility" is a physical site,
  16-18  such as a building, office, or portable facility, where the
  16-19  practice of physical therapy takes place.  A physical therapy
  16-20  facility must be under the direction of a physical therapist
  16-21  licensed by the board and meet any additional requirements as may
  16-22  be established by the board.
  16-23              (9)  "Accredited program" means a physical therapy
  16-24  educational program that is currently accredited by the Commission
  16-25  on Accreditation in Physical Therapy Education and is associated
  16-26  with an institution of higher education.
  16-27              (10)  "Person" means an individual, a partnership, an
   17-1  association of individuals, or a corporation.
   17-2        SECTION 2.02.  Section 2, Chapter 836, Acts of the 62nd
   17-3  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   17-4  Civil Statutes), is amended to read as follows:
   17-5        Sec. 2.  Creation of Board.  (a)  There is created a Texas
   17-6  Board of Physical Therapy Examiners.  The board's purpose is to
   17-7  regulate the practice of physical therapy in this state to
   17-8  safeguard the health and welfare of the public.  The board shall
   17-9  consist of nine members appointed by the governor with the advice
  17-10  and consent of the senate for staggered terms of six years<, with
  17-11  three members' terms expiring on January 31 of each odd-numbered
  17-12  year>.  Six members must be licensed physical therapists and three
  17-13  members must be members of the general public.  Two of the physical
  17-14  therapist members' terms and one of the public members' terms end
  17-15  on January 31 of each odd-numbered year.  <A person is not eligible
  17-16  for appointment as a public member if the person or the person's
  17-17  spouse:>
  17-18              <(1)  is licensed by an occupational regulatory agency
  17-19  in the field of health care;>
  17-20              <(2)  is employed by or participates in the management
  17-21  of a business entity or other organization that provides
  17-22  health-care services or that sells, manufacturers, or distributes
  17-23  health-care supplies or equipment; or>
  17-24              <(3)  owns, controls, or has, directly or indirectly,
  17-25  any interest in a business entity or other organization that
  17-26  provides health-care services or that sells, manufactures, or
  17-27  distributes health-care supplies or equipment.>
   18-1        (b)  A vacancy on the board shall be filled by appointment by
   18-2  the governor with the advice and consent of the senate for the
   18-3  remainder of the term.
   18-4        (c)  Appointments to the board shall be made without regard
   18-5  to the race, creed, sex, religion, disability, age, or national
   18-6  origin of the appointees.
   18-7        (d)  <The board may appoint an executive director at an
   18-8  annual salary as determined by legislative appropriation.>
   18-9        <(e)  The executive director shall administer this Act and
  18-10  carry out the instructions of the board, including the employment
  18-11  of investigators and other staff as required to implement the
  18-12  purpose of this Act.  The executive director or his designee shall
  18-13  develop an intraagency career ladder program, one part of which
  18-14  shall be the intraagency posting of all nonentry level positions
  18-15  for at least 10 days before any public posting.  The executive
  18-16  director or his designee shall develop a system of annual
  18-17  performance evaluations based on measurable job tasks.  All merit
  18-18  pay authorized by the executive director must be based on the
  18-19  system established under this subsection.>
  18-20        <(f)>  A member of the board is not liable to civil action
  18-21  for any act performed in good faith in the execution of the
  18-22  member's <his> duties in this capacity.
  18-23        <(g)  The Texas Board of Physical Therapy Examiners is
  18-24  subject to Chapter 325, Government Code (Texas Sunset Act).  Unless
  18-25  continued in existence as provided by that chapter, the board is
  18-26  abolished September 1, 1993.>
  18-27        <(h)  A member or employee of the board may not be an
   19-1  officer, employee, or paid consultant of a trade association in the
   19-2  health-care industry.  A member or employee of the board may not be
   19-3  related within the second degree by affinity or consanguinity, as
   19-4  determined under Article 5996h, Revised Statutes, to a person who
   19-5  is an officer, employee, or paid consultant of a trade association
   19-6  in the regulated industry.  A person who is required to register as
   19-7  a lobbyist under Chapter 305, Government Code, may not serve as a
   19-8  member of the board or act as the general counsel to the board.>
   19-9        <(i)  It is a ground for removal from the board if a member:>
  19-10              <(1)  does not have at the time of appointment the
  19-11  qualifications required by this section for appointment to the
  19-12  board;>
  19-13              <(2)  does not maintain during the service on the board
  19-14  the qualifications required by this section for appointment to the
  19-15  board;>
  19-16              <(3)  violates a prohibition prescribed by Subsection
  19-17  (h) of this section; or>
  19-18              <(4)  fails to attend at least half of the regularly
  19-19  scheduled board meetings held in a calendar year, excluding
  19-20  meetings held while the person was not a board member.>
  19-21        <(j)  The validity of an action of the board is not affected
  19-22  by the fact that it was taken when a ground for removal of a member
  19-23  of the board existed.>
  19-24        SECTION 2.03.  Section 3, Chapter 836, Acts of the 62nd
  19-25  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  19-26  Civil Statutes), is amended to read as follows:
  19-27        Sec. 3.  Examinations <Powers and Duties of Board>.  (a)  The
   20-1  board shall examine applicants for licenses at least once each year
   20-2  at such reasonable places and times as shall be designated by the
   20-3  board in its discretion.
   20-4        (b)  <The board may employ additional employees to aid in
   20-5  administering examinations.>
   20-6        <(c)>  The examination shall cover those subjects generally
   20-7  taught by accredited programs and may include the content areas of
   20-8  clinical decision-making and evaluation, treatment program planning
   20-9  and implementation, administration, education, consultation, and
  20-10  research in physical therapy <embrace the following subjects:
  20-11  anatomy; pathology; physiology; psychology; physics;
  20-12  electrotherapy; radiation therapy; hydrotherapy; massage therapy;
  20-13  exercises; physical therapy as applied to medicine; neurology;
  20-14  orthopedics; psychiatry; and procedures in the practice of physical
  20-15  therapy>.
  20-16        (c)  Not later than the 30th day <(d)  The board shall revoke
  20-17  or suspend a license, place on probation a licensee whose license
  20-18  has been suspended, or reprimand a licensee for a violation of this
  20-19  Act or a rule adopted by the board.>
  20-20        <(e)  The board may adopt rules consistent with this Act to
  20-21  carry out its duties in administering this Act.>
  20-22        <(f)  Within 30 days> after the date a licensing examination
  20-23  is administered under this Act, the board shall notify each
  20-24  examinee of the results of the examination.  However, if an
  20-25  examination is graded or reviewed by a national testing service,
  20-26  the board shall notify each examinee of the results of the
  20-27  examination not later than the 14th day <within two weeks> after
   21-1  the date the board receives the results from the testing service.
   21-2  If the notice of the examination results graded or reviewed by a
   21-3  national testing service will be delayed for more than 90 days
   21-4  after the examination date, the board shall notify each examinee of
   21-5  the reason for the delay before the 90th day.
   21-6        (d)  The board by rule may establish procedures for the
   21-7  administration of the examination, including the conditions under
   21-8  which and the number of times an applicant may retake an
   21-9  examination.
  21-10        (e)  The board shall have the written portion of the
  21-11  examination, if any, validated by an independent testing entity.
  21-12        (f)  If requested in writing by a person who fails a
  21-13  licensing examination administered under this Act, the board shall
  21-14  furnish the person with an analysis of the person's performance on
  21-15  the examination.
  21-16        <(g)  The board shall maintain an information file about each
  21-17  complaint filed with the board relating to a licensee.  If a
  21-18  written complaint is filed with the board relating to a licensee,
  21-19  the board, at least as frequently as quarterly and until final
  21-20  disposition of the complaint, shall notify the parties to the
  21-21  complaint of the status of the complaint unless the notice would
  21-22  jeopardize an undercover investigation.>
  21-23        <(h)  The board shall prepare information of consumer
  21-24  interest describing the regulatory functions of the board and the
  21-25  board's procedures by which consumer complaints are filed with and
  21-26  resolved by the board.  The board shall also prepare information
  21-27  relating to and reporting any previous disciplinary action by the
   22-1  board against a physical therapist licensed in this state, the date
   22-2  of the action, and the current status of the action.  The board
   22-3  shall make the information available to the general public and
   22-4  appropriate state agencies.  The board shall establish a toll-free
   22-5  telephone number to make the information immediately available to
   22-6  any caller during regular business hours.>
   22-7        <(i)  Each written contract for services in this state of a
   22-8  licensed physical therapist shall contain the name, mailing
   22-9  address, and telephone number of the board.>
  22-10        <(j)  The board is subject to the open meetings law, Chapter
  22-11  271, Acts of the 60th Legislature, Regular Session, 1967, as
  22-12  amended (Article 6252-17, Vernon's Texas Civil Statutes), and the
  22-13  Administrative Procedure and Texas Register Act, as amended
  22-14  (Article 6252-13a, Vernon's Texas Civil Statutes).>
  22-15        <(k)  The board may recognize, prepare, or implement
  22-16  continuing education programs for licensees.  Participation in the
  22-17  programs is mandatory.  The board shall adopt rules relating to its
  22-18  continuing education requirements, including rules relating to the
  22-19  approval of continuing education courses and prescribing the number
  22-20  of continuing education hours each licensee must complete to retain
  22-21  eligibility for renewal of the license.>
  22-22        <(l)  If the appropriate standing committees of both houses
  22-23  of the legislature acting under Subsection (g), Section 5,
  22-24  Administrative Procedure and Texas Register Act, as amended
  22-25  (Article 6252-13a, Vernon's Texas Civil Statutes), transmit to the
  22-26  board statements opposing adoption of a rule under that section,
  22-27  the rule may not take effect, or if the rule has already taken
   23-1  effect, the rule is repealed effective on the date the board
   23-2  receives the committee's statements.>
   23-3        SECTION 2.04.  Chapter 836, Acts of the 62nd Legislature,
   23-4  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
   23-5  Statutes), is amended by adding Sections 2A through 2M to read as
   23-6  follows:
   23-7        Sec. 2A.  COMPENSATION.  A member of the board is entitled to
   23-8  a per diem as set by the General Appropriations Act for each day
   23-9  that the member engages in the business of the board.  A member may
  23-10  not receive any reimbursement for travel expenses, including
  23-11  expenses for meals and lodging, other than transportation expenses
  23-12  as provided by the General Appropriations Act.
  23-13        Sec. 2B.  PUBLIC MEMBERSHIP RESTRICTION.  A person is not
  23-14  eligible for appointment as a public member of the board if the
  23-15  person or the person's spouse:
  23-16              (1)  is registered, certified, or licensed by an
  23-17  occupational regulatory agency in the field of health care;
  23-18              (2)  is employed by or participates in the management
  23-19  of a business entity or other organization regulated by the
  23-20  executive council or the board or receiving funds from the
  23-21  executive council or the board;
  23-22              (3)  owns or controls, directly or indirectly, more
  23-23  than a 10 percent interest in a business entity or other
  23-24  organization regulated by the executive council or the board or
  23-25  receiving funds from the executive council or the board; or
  23-26              (4)  uses or receives a substantial amount of tangible
  23-27  goods, services, or funds from the executive council or the board,
   24-1  other than compensation or reimbursement authorized by law for
   24-2  executive council or board membership, attendance, or expenses.
   24-3        Sec. 2C.  CONFLICT OF INTEREST RESTRICTIONS.  (a)  An
   24-4  officer, employee, or paid consultant of a Texas trade association
   24-5  in the field of health care may not be a board member.
   24-6        (b)  A person who is the spouse of an officer, manager, or
   24-7  paid consultant of a Texas trade association in the field of health
   24-8  care may not be a board member.
   24-9        (c)  For the purposes of this section, a Texas trade
  24-10  association is a nonprofit, cooperative, and voluntarily joined
  24-11  association of business or professional competitors in this state
  24-12  designed to assist its members and its industry or profession in
  24-13  dealing with mutual business or professional problems and in
  24-14  promoting their common interest.
  24-15        Sec. 2D.  EFFECT OF LOBBYING ACTIVITY.  A person may not
  24-16  serve as a board member if the person is required to register as a
  24-17  lobbyist under Chapter 305, Government Code, and its subsequent
  24-18  amendments, because of the person's activities for compensation on
  24-19  behalf of a profession related to the operation of the board.
  24-20        Sec. 2E.  GROUNDS FOR REMOVAL FROM BOARD.  (a)  It is a
  24-21  ground for removal from the board if a member:
  24-22              (1)  does not have at the time of appointment the
  24-23  qualifications required by Section 2(a) of this Act;
  24-24              (2)  does not maintain during service on the board the
  24-25  qualifications required by Section 2(a) of this Act;
  24-26              (3)  violates a prohibition established by Section 2C
  24-27  or 2D of this Act;
   25-1              (4)  cannot discharge the member's duties for a
   25-2  substantial part of the term for which the member is appointed
   25-3  because of illness or disability; or
   25-4              (5)  is absent from more than half of the regularly
   25-5  scheduled board meetings that the member is eligible to attend
   25-6  during a calendar year unless the absence is excused by majority
   25-7  vote of the board.
   25-8        (b)  The validity of an action of the board is not affected
   25-9  by the fact that it is taken when a ground for removal of a board
  25-10  member exists.
  25-11        (c)  If the coordinator of physical therapy programs has
  25-12  knowledge that a potential ground for removal exists, the
  25-13  coordinator shall notify the presiding officer of the board of the
  25-14  ground.  The presiding officer shall then notify the governor that
  25-15  a potential ground for removal exists.
  25-16        Sec. 2F.  STAFF.  (a)  The board may request the executive
  25-17  council to assign administrative and clerical employees as
  25-18  necessary to carry out the board's functions.
  25-19        (b)  The board shall develop and implement policies that
  25-20  clearly define the respective responsibilities of the board and the
  25-21  staff of the executive council.
  25-22        Sec. 2G.  REGULATORY STATUTES ADMINISTERED.  Except as
  25-23  provided by other statutes, the board shall administer and enforce
  25-24  this Act.
  25-25        Sec. 2H.  PUBLIC INTEREST INFORMATION.  The board shall
  25-26  prepare information of public interest describing the functions of
  25-27  the board and the board's procedures by which complaints are filed
   26-1  with and resolved by the board.  The board shall make the
   26-2  information available to the public and appropriate state agencies.
   26-3        Sec. 2I.  PUBLIC PARTICIPATION IN BOARD HEARINGS.  The board
   26-4  shall develop and implement policies that provide the public with a
   26-5  reasonable opportunity to appear before the board and to speak on
   26-6  any issue under the jurisdiction of the board.
   26-7        Sec. 2J.  PROGRAM ACCESSIBILITY.  The board shall prepare and
   26-8  maintain a written plan that describes how a person who does not
   26-9  speak English can be provided reasonable access to the board's
  26-10  programs.  The board shall also comply with federal and state laws
  26-11  for program and facility accessibility.
  26-12        Sec. 2K.  TRAINING AND GUIDELINES FOR MEMBERS OF THE BOARD.
  26-13  (a)  The board shall establish a training program for the members
  26-14  of the board.
  26-15        (b)  Before a member of the board may assume the member's
  26-16  duties, the member must complete at least one course of the
  26-17  training program established under this section, and before the
  26-18  member may be confirmed by the senate, the member must pass an
  26-19  examination given in conjunction with the attorney general on
  26-20  subjects described by Subsections (c)(7), (8), and (9) of this
  26-21  section.
  26-22        (c)  A training program established under this section shall
  26-23  provide information to a participant regarding:
  26-24              (1)  the enabling legislation that created the board to
  26-25  which the member is appointed;
  26-26              (2)  the programs operated by the agency;
  26-27              (3)  the role and functions of the agency;
   27-1              (4)  the rules of the agency with an emphasis on the
   27-2  rules that relate to disciplinary and investigatory authority;
   27-3              (5)  the current budget for the agency;
   27-4              (6)  the results of the most recent formal audit of the
   27-5  agency;
   27-6              (7)  the requirements of the:
   27-7                    (A)  open meetings law, Chapter 271, Acts of the
   27-8  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
   27-9  Texas Civil Statutes), and its subsequent amendments;
  27-10                    (B)  open records law, Chapter 424, Acts of the
  27-11  63rd Legislature, Regular Session, 1973 (Article 6252-17a, Vernon's
  27-12  Texas Civil Statutes), and its subsequent amendments; and
  27-13                    (C)  Administrative Procedure and Texas Register
  27-14  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
  27-15  subsequent amendments;
  27-16              (8)  the requirements of the conflict of interest laws
  27-17  and other laws relating to public officials; and
  27-18              (9)  any applicable ethics policies adopted by that
  27-19  state agency or the Texas Ethics Commission.
  27-20        (d)  In developing the training requirements provided for in
  27-21  this section, the board shall consult with the governor's office,
  27-22  the attorney general's office, and the Texas Ethics Commission.
  27-23        (e)  In the event that another state agency or entity is
  27-24  given the authority to establish the training requirements, the
  27-25  board shall allow that training in lieu of developing its own
  27-26  program.
  27-27        Sec. 2L.  OPEN MEETINGS AND ADMINISTRATIVE PROCEDURE.  The
   28-1  board is subject to:
   28-2              (1)  the open meetings law, Chapter 271, Acts of the
   28-3  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
   28-4  Texas Civil Statutes), and its subsequent amendments; and
   28-5              (2)  the Administrative Procedure and Texas Register
   28-6  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
   28-7  subsequent amendments.
   28-8        Sec. 2M.  SUNSET PROVISION.  The Texas Board of Physical
   28-9  Therapy Examiners is subject to Chapter 325, Government Code (Texas
  28-10  Sunset Act), and its subsequent amendments.  Unless continued in
  28-11  existence as provided by that chapter, the board is abolished and
  28-12  this Act expires September 1, 2005.
  28-13        SECTION 2.05.  Subsections (a) and (b), Section 4, Chapter
  28-14  836, Acts of the 62nd Legislature, Regular Session, 1971 (Article
  28-15  4512e, Vernon's Texas Civil Statutes), are amended to read as
  28-16  follows:
  28-17        (a)  The members of the board shall, on appointment, elect
  28-18  from their number a presiding officer <chairman>, secretary, and
  28-19  other officers required for the conduct of business.  Special
  28-20  meetings of the board shall be called by the presiding officer
  28-21  <chairman> and secretary, acting jointly, or on the written request
  28-22  of any two members.  The board may adopt bylaws and rules necessary
  28-23  to govern its proceedings and to implement the purposes of this
  28-24  Act.
  28-25        (b)  The secretary shall keep a record of each meeting of the
  28-26  board and maintain a register containing the names of all physical
  28-27  therapists licensed under this Act, which shall be at all times
   29-1  open to public inspection.  On March 1 of each year, the
   29-2  coordinator of physical therapy programs <executive director> shall
   29-3  transmit an official copy of the list of the licensees to the
   29-4  executive council and the secretary of state for permanent record,
   29-5  a certified copy of which shall be admissible as evidence in any
   29-6  court of this state.
   29-7        SECTION 2.06.  Section 6, Chapter 836, Acts of the 62nd
   29-8  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   29-9  Civil Statutes), is amended to read as follows:
  29-10        Sec. 6.  Exemptions.  (a)  This Act does not restrict <apply
  29-11  to:>
  29-12              <(1)>  a licensee of another state agency from
  29-13  performing health-care services within the scope of the applicable
  29-14  licensing act if:
  29-15              (1)  the licensee does not represent to others that the
  29-16  licensee is a physical therapist and does not use the term
  29-17  "physical therapy," "physical therapist," "physiotherapy,"
  29-18  "physiotherapist," "licensed physical therapist," "registered
  29-19  physical therapist," or assistant thereto, or the letters "PT,"
  29-20  "PhT," "LPT," or "RPT" or any derivative of those terms in
  29-21  connection with the licensee's name or practice; and
  29-22              (2)  the licensee practices strictly in conformity with
  29-23  applicable laws and regulations relating to the licensure and
  29-24  observes all prohibitions of Section 7 of this Act.<, an
  29-25  occupational therapist who confines his practice to occupational
  29-26  therapy, a certified corrective therapist who confines his practice
  29-27  to corrective therapy, and a speech pathologist or an audiologist
   30-1  who confines his practice to the treatment of communication
   30-2  disorders;>
   30-3        (b)  This Act does not apply to:
   30-4              (1) <(2)>  a physical therapy aide;
   30-5              (2) <(3)>  a physical therapy student or physical
   30-6  therapist <therapy> assistant student participating in an
   30-7  accredited physical therapy or physical therapist assistant
   30-8  educational program if the student is <curriculum and> under the
   30-9  supervision of a licensee under this Act; or a student
  30-10  participating in <of> an accredited allied health science program
  30-11  leading to licensure by another state agency if the student is
  30-12  <curriculum> under the supervision of properly licensed, certified,
  30-13  or registered personnel;
  30-14              (3) <(4)>  a physical therapist doing special projects
  30-15  in patient care while working toward an advanced degree from an
  30-16  accredited college or university; or
  30-17              (4) <(5)>  a physical therapist who does not live in
  30-18  this state and is licensed by the appropriate authorities who comes
  30-19  into this state to attend educational activities.  The duration of
  30-20  this exemption shall be no more than six months.
  30-21        SECTION 2.07.  Section 7, Chapter 836, Acts of the 62nd
  30-22  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  30-23  Civil Statutes), is amended to read as follows:
  30-24        Sec. 7.  Prohibited Acts.  (a)  A person may not practice
  30-25  physical therapy, offer to practice physical therapy, or in any way
  30-26  hold the person out as being able to practice physical therapy,
  30-27  including practice as a physical therapist or physical therapist
   31-1  assistant, unless the individual holds a valid license issued by
   31-2  the board <A person may not practice or represent himself as able
   31-3  to practice physical therapy, or act or represent himself as being
   31-4  a physical therapist unless he is licensed> under this Act.
   31-5        (b)  <A person may not act or represent himself as being a
   31-6  physical therapist assistant unless he is licensed under this Act.>
   31-7        <(c)>  It is unlawful for any person or for any business, its
   31-8  employees, or other agents or representatives to use in connection
   31-9  with its name or business activity the words "physical therapy,"
  31-10  "physical therapist," "physiotherapy," "physiotherapist," "licensed
  31-11  physical therapist," "registered physical therapist," or "physical
  31-12  therapist assistant," <assistant thereto,> or the letters "PT,"
  31-13  "PhT," "LPT," "RPT," or "PTA" <or "RPT"> or any other words,
  31-14  letters, abbreviations, or insignia indicating or implying orally
  31-15  or in writing, in print or by sign, or in any other way, directly
  31-16  or by implication, that physical therapy is provided or supplied,
  31-17  or to extend or provide physical therapy services unless the
  31-18  services are provided by a physical therapist licensed under this
  31-19  Act.
  31-20        (c)  It is a violation of this Act to advertise the ability
  31-21  to provide physical therapy unless the individual providing the
  31-22  physical therapy is licensed under this Act.
  31-23        (d)  It is a violation of this Act for an individual licensed
  31-24  by the board to violate the provisions of Section 161.091, Health
  31-25  and Safety Code.
  31-26        (e)  A violation of any provision of this section will
  31-27  subject the violator to the penalties of Section 18 of this Act.
   32-1        SECTION 2.08.  Section 8, Chapter 836, Acts of the 62nd
   32-2  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   32-3  Civil Statutes), is amended by amending Subsection (a) and adding
   32-4  Subsection (c) to read as follows:
   32-5        (a)  An applicant for a license as a physical therapist must
   32-6  file a written application, on a form provided by the board,
   32-7  accompanied by an examination fee prescribed by the board, which is
   32-8  refundable if the applicant does not take the examination, and an
   32-9  application fee prescribed by the board, which is not refundable.
  32-10  The applicant must present evidence satisfactory to the board that
  32-11  the applicant <he> has completed an accredited program or
  32-12  equivalent program <curriculum> in physical therapy education.
  32-13  "Equivalent program" means that the applicant shall provide
  32-14  official documentation from a board-approved educational
  32-15  credentials review agency, certifying completion of a program
  32-16  equivalent to a Commission on Accreditation of Physical Therapy
  32-17  Education accredited program and completion of <that has provided
  32-18  adequate instruction in the basic sciences, clinical sciences, and
  32-19  physical therapy theory and procedures as determined by the board
  32-20  and has completed> a minimum of 60 academic semester credits or the
  32-21  equivalent from an accredited institution of higher learning <a
  32-22  recognized college in which semester hour credits are acceptable
  32-23  for transfer to The University of Texas, including courses in
  32-24  biological, social, and physical science>.
  32-25        (c)  The applicant must meet all other requirements and
  32-26  qualifications set forth by the board.
  32-27        SECTION 2.09.  Section 9, Chapter 836, Acts of the 62nd
   33-1  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   33-2  Civil Statutes), is amended by amending Subsection (a) and adding
   33-3  Subsections (c) and (d) to read as follows:
   33-4        (a)  An applicant for a physical therapist assistant license
   33-5  must file a written application with the board, on a form provided
   33-6  by the board, accompanied by an examination fee prescribed by the
   33-7  board, which is refundable if the applicant does not take the
   33-8  examination, and an application fee prescribed by the board, which
   33-9  is not refundable.  The applicant must present evidence
  33-10  satisfactory to the board that the applicant <he> has completed an
  33-11  accredited physical therapist assistant program or an accredited
  33-12  physical therapy program, including courses in the anatomical,
  33-13  biological, and physical sciences, and clinical procedures as
  33-14  prescribed and approved by the board.
  33-15        (c)  The applicant must meet all other requirements and
  33-16  qualifications established by the board.
  33-17        (d)  The board may grant licensure as a physical therapist
  33-18  assistant to an individual who has not completed an accredited
  33-19  program for physical therapist assistants if the individual meets
  33-20  all requirements of Section 8 of this Act and has had no
  33-21  disciplinary action in any other state or nation.
  33-22        SECTION 2.10.  Section 10, Chapter 836, Acts of the 62nd
  33-23  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  33-24  Civil Statutes), is amended to read as follows:
  33-25        Sec. 10.  PROVISIONAL LICENSE <BY ENDORSEMENT>.  (a)  The
  33-26  board may grant a provisional license to an applicant who presents
  33-27  proof of current licensure in another state, the District of
   34-1  Columbia, or territory of the United States that maintains
   34-2  professional standards considered by the board to be equivalent to
   34-3  those set forth in this Act.  An applicant for a provisional
   34-4  license under this section must:
   34-5              (1)  be licensed in good standing as a physical
   34-6  therapist or physical therapist assistant in another state, the
   34-7  District of Columbia, or a territory of the United States that has
   34-8  licensing requirements that are substantially equivalent to the
   34-9  requirements of this Act;
  34-10              (2)  have passed a national or other examination
  34-11  recognized by the board relating to the practice of physical
  34-12  therapy; and
  34-13              (3)  be sponsored by a person licensed by the board
  34-14  under this Act with whom the provisional licensee may practice
  34-15  under this section.
  34-16        (b)  An applicant for a provisional license may be excused
  34-17  from the requirement of Subsection (a)(3) of this section if the
  34-18  board determines that compliance with that subsection constitutes a
  34-19  hardship to the applicant.
  34-20        (c)  A provisional license is valid until the date the board
  34-21  approves or denies the provisional licensee's application for a
  34-22  license.  The board shall issue a license under this Act to the
  34-23  holder of a provisional license under this section if:
  34-24              (1)  the provisional licensee passes a jurisprudence
  34-25  examination, if required;
  34-26              (2)  the board verifies that the provisional licensee
  34-27  has the academic and experience requirements for a license under
   35-1  this Act; and
   35-2              (3)  the provisional licensee satisfies any other
   35-3  license requirements under this Act.
   35-4        (d)  The board must complete the processing of a provisional
   35-5  licensee's application for a license not later than the 180th day
   35-6  after the date the provisional license is issued.  The board may
   35-7  extend the 180-day limit if the results on an examination have not
   35-8  been received by the board  <A person who is licensed or otherwise
   35-9  registered as a physical therapist or as a physical therapist
  35-10  assistant by another state, the District of Columbia, or a
  35-11  commonwealth or territory of the United States whose requirements
  35-12  for licensing or registration were at the date of licensing or
  35-13  registration substantially equal to the requirements prescribed by
  35-14  this Act may receive a physical therapist license without
  35-15  examination on submission of an application on a form prescribed by
  35-16  the board and payment of an endorsement license fee prescribed by
  35-17  the board>.
  35-18        SECTION 2.11.  Chapter 836, Acts of the 62nd Legislature,
  35-19  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
  35-20  Statutes), is amended by adding Section 10A to read as follows:
  35-21        Sec. 10A.  FOREIGN-TRAINED APPLICANTS.  Foreign-trained
  35-22  physical therapists or physical therapist assistants shall satisfy
  35-23  the examination requirements of Section 8 or 9 of this Act.  The
  35-24  board shall require foreign-trained applicants to furnish proof of
  35-25  good moral character and completion of requirements substantially
  35-26  equal to those contained in Section 8 or 9 of this Act before
  35-27  taking the examination.
   36-1        SECTION 2.12.  Section 11, Chapter 836, Acts of the 62nd
   36-2  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   36-3  Civil Statutes), is amended to read as follows:
   36-4        Sec. 11.  Temporary License; INACTIVE STATUS.  (a)  The board
   36-5  by rule may provide for the issuance of a temporary license.  A
   36-6  holder of a temporary license shall practice under the supervision
   36-7  of a licensed physical therapist.  Rules adopted under this
   36-8  subsection shall include a time limit for a licensee to remain on
   36-9  temporary status.
  36-10        (b)  The board by rule may provide for a person who holds a
  36-11  license under this Act to be placed on inactive status.  Rules
  36-12  adopted under this subsection shall include a time limit for a
  36-13  licensee to remain on inactive status <shall issue a temporary
  36-14  license without examination to a physical therapist or physical
  36-15  therapist assistant who meets the qualifications prescribed by
  36-16  Sections 8 and 9 of this Act on submission of a written application
  36-17  on a form prescribed by the board, proof that the applicant is in
  36-18  this state on a temporary basis to assist in a case of medical
  36-19  emergency or to engage in a special physical therapy project, and
  36-20  payment of a fee prescribed by the board for a physical therapist
  36-21  temporary license or a physical therapist assistant temporary
  36-22  license.  This license expires one year from the date of issuance.>
  36-23        <(b)  The board shall issue a temporary license to a person
  36-24  who has applied for a license, meets the qualifications prescribed
  36-25  by Sections 8 and 9 of this Act, and has paid a fee prescribed by
  36-26  the board for a physical therapist temporary license or a physical
  36-27  therapist assistant temporary license.  This license expires on
   37-1  completion of scoring of the next administered examination whether
   37-2  the applicant passes the examination or not.  Issuance of a
   37-3  temporary license following failure of part or all of the
   37-4  examination shall be according to rules adopted by the board>.
   37-5        SECTION  2.13.  Section 12, Chapter 836, Acts of the 62nd
   37-6  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   37-7  Civil Statutes), is amended to read as follows:
   37-8        Sec. 12.  Title.    (a)  A licensed physical therapist may
   37-9  use the title "Physical Therapist."   No other person may be so
  37-10  designated or permitted to use the term "Physical Therapist."  The
  37-11  license as a physical therapist does not authorize the use of <the
  37-12  prefix "Dr.," the word "Doctor," or> any <suffix or> affix
  37-13  indicating or implying that the licensed person is a physician.
  37-14        (b)  A licensed physical therapist assistant may use the
  37-15  title "Physical Therapist Assistant."  No other person may be so
  37-16  designated or permitted to use the term "Physical Therapist
  37-17  Assistant."  The license as a physical therapist assistant does not
  37-18  authorize the use of <the prefix "Dr.," the word "Doctor," or> any
  37-19  <suffix or> affix indicating or implying that the licensed person
  37-20  is a physician.
  37-21        SECTION 2.14.  Section 15, Chapter 836, Acts of the 62nd
  37-22  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  37-23  Civil Statutes), is amended to read as follows:
  37-24        Sec. 15.  Renewal of License.  (a)  A license issued under
  37-25  this Act<, except a temporary license,> expires two years after
  37-26  <one year from> the date of issuance.
  37-27        (b)  A person may renew an <his> unexpired license by paying
   38-1  to <filing a renewal application with> the executive council
   38-2  <board> before the expiration date of the license<, accompanied by>
   38-3  the required renewal fee<.  The renewal application must include
   38-4  evidence satisfactory to the board that the licensee has fulfilled
   38-5  the continuing education requirements imposed under Subsection (k)
   38-6  of Section 3 of this Act>.
   38-7        (c)  If a person's license has been expired for 90 days or
   38-8  less, the person may renew the license by paying to the executive
   38-9  council the required renewal fee and a fee that is one-half of the
  38-10  examination fee for the license.
  38-11        (d)  If a person's license has been expired for more than 90
  38-12  days but less than one year, the person may renew the license by
  38-13  paying to the executive council all unpaid renewal fees and a fee
  38-14  that is equal to the examination fee for the license.
  38-15        (e)  If a person's license has been expired for one year or
  38-16  more, the person may not renew the license.  The person may obtain
  38-17  a new license by submitting to reexamination and complying with the
  38-18  requirements and procedures for obtaining an original license.
  38-19  However, the board may renew without examination an expired license
  38-20  of a person who was licensed in this state, moved to another state,
  38-21  and is currently licensed and has been in practice in the other
  38-22  state for the two years preceding application.  The person must pay
  38-23  to the executive council a fee that is equal to the examination fee
  38-24  for the license.
  38-25        (f)  At least 30 days before the expiration of a person's
  38-26  license, the executive council shall send written notice of the
  38-27  impending license expiration to the person at the licensee's last
   39-1  known address according to the records of the executive council.
   39-2        <(c)  If a person's license has been expired for not more
   39-3  than 90 days, the person may renew the license by paying to the
   39-4  board the required renewal fee and a fee that is one-half of the
   39-5  examination fee for the license.>
   39-6        <(d)  If a person's license has been expired for more than 90
   39-7  days but less than two years, the person may renew the license by
   39-8  paying to the board all unpaid renewal fees and a fee that is equal
   39-9  to the examination fee for the license.>
  39-10        <(e)  If a person's license has been expired for two years or
  39-11  more, the person may not renew the license.  The person may obtain
  39-12  a new license by submitting to reexamination and complying with the
  39-13  requirements and procedures for obtaining an original license.>
  39-14        <(f)  The board shall notify each licensee in writing of the
  39-15  licensee's impending license expiration at least 30 days before the
  39-16  expiration date and shall attempt to obtain from the licensee a
  39-17  signed statement confirming receipt of the notice.>
  39-18        SECTION 2.15.  Section 16, Chapter 836, Acts of the 62nd
  39-19  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  39-20  Civil Statutes), is amended to read as follows:
  39-21        Sec. 16.  Alternative Expiration Date System.  <(a)>  The
  39-22  board may adopt a system under which licenses expire on various
  39-23  dates during the year.
  39-24        <(b)>  For the year in which the license expiration date is
  39-25  changed, license fees payable on the date of issuance shall be
  39-26  prorated on a monthly basis so that each licensee shall pay <pays>
  39-27  only that portion of the license fee that is allocable to the
   40-1  number of months during which the license is valid.
   40-2        <(c)>  On renewal of the license on the new expiration date,
   40-3  the total license renewal fee is payable.
   40-4        SECTION 2.16.  Chapter 836, Acts of the 62nd Legislature,
   40-5  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
   40-6  Statutes), is amended by adding Section 16A to read as follows:
   40-7        Sec. 16A.  MANDATORY CONTINUING EDUCATION.  (a)  The board by
   40-8  rule shall adopt requirements for mandatory continuing education
   40-9  for licensees under this Act in subjects pertaining to the practice
  40-10  of physical therapy.  The board by rule shall establish a minimum
  40-11  number of hours of continuing education required to renew a
  40-12  license.  The board may assess the continuing education needs of
  40-13  licensees and may require licensees to attend continuing education
  40-14  courses specified by the board.  The board by rule shall develop a
  40-15  process to evaluate and approve continuing education courses.
  40-16        (b)  The board shall identify the key factors for the
  40-17  competent performance by a licensee of the licensee's professional
  40-18  duties.  The board shall adopt a procedure to assess a licensee's
  40-19  participation and performance in continuing education programs.
  40-20        SECTION 2.17.  Section 17, Chapter 836, Acts of the 62nd
  40-21  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  40-22  Civil Statutes), is amended to read as follows:
  40-23        Sec. 17.  Fees.  <(a)>  The board may recommend to the
  40-24  executive council <shall establish> reasonable and necessary fees
  40-25  for licenses issued or services performed under this Act so that
  40-26  the fees, in the aggregate, produce sufficient revenue to cover the
  40-27  cost of administering this Act.  The board may not recommend a fee
   41-1  to the executive council for an amount less than the amount of that
   41-2  fee on September 1, 1993.  <for the administration of this Act in
   41-3  amounts not to exceed:>
   41-4  <Examination>
   41-5    <1.  Physical Therapist>                                      <$100>
   41-6    <2.  Physical Therapist Assistant>                              <90>
   41-7  <Application>
   41-8    <1.  Physical Therapist>                                        <60>
   41-9    <2.  Physical Therapist Assistant>                              <60>
  41-10  <License Fee>
  41-11    <Endorsement>
  41-12      <1.  Physical Therapist>                                     <100>
  41-13      <2.  Physical Therapist Assistant>                            <90>
  41-14    <Temporary License>
  41-15      <1.  Physical Therapist>                                      <40>
  41-16      <2.  Physical Therapist Assistant>                            <30>
  41-17  <Renewal>
  41-18    <1.  Physical Therapist>                                        <75>
  41-19    <2.  Physical Therapist Assistant>                              <65>
  41-20  <Issuance Fee>
  41-21    <1.  Physical Therapist>                                        <65>
  41-22    <2.  Physical Therapist Assistant>                              <65>
  41-23  <Duplicate License>
  41-24    <1.  Physical Therapist>                                        <50>
  41-25    <2.  Physical Therapist Assistant>                              <50>
  41-26  <Transfer Fee>
  41-27    <1.  Physical Therapist>                                        <50>
   42-1    <2.  Physical Therapist Assistant>                              <50>
   42-2        <(b)  The board may not maintain unnecessary fund balances,
   42-3  and fee amounts shall be set in accordance with this requirement.>
   42-4        SECTION 2.18.  Section 19, Chapter 836, Acts of the 62nd
   42-5  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   42-6  Civil Statutes), is amended to read as follows:
   42-7        Sec. 19.  GROUNDS FOR DENIAL OF A LICENSE OR DISCIPLINE OF A
   42-8  LICENSEE<:  COMPETITIVE BIDDING AND ADVERTISING>.  (a)(1)  A
   42-9  license may be denied, or after hearing, suspended or revoked, or a
  42-10  licensee otherwise disciplined if the applicant or licensee has:
  42-11                    (A)  provided physical therapy <treatment> to a
  42-12  person, except as provided by Subdivision (2) of this subsection,
  42-13  without the referral from <of> a physician licensed to practice
  42-14  medicine by a state <the Texas State> Board of Medical Examiners,
  42-15  or by a dentist licensed by a state <the State> Board of Dental
  42-16  Examiners, or a doctor licensed to practice chiropractic by a state
  42-17  <the Texas> Board of Chiropractic Examiners or a podiatrist
  42-18  licensed by a state <the Texas State> Board of Podiatry Examiners,
  42-19  or by any other qualified, licensed health-care professional who
  42-20  within the scope of the professional licensure is authorized to
  42-21  refer for health care services.  The professional taking an action
  42-22  under this subdivision is a referring practitioner <personnel who
  42-23  are authorized to prescribe treatment of individuals>;
  42-24                    (B)  in the case of a physical therapist
  42-25  assistant, treated a person other than under the direction of a
  42-26  licensed physical therapist;
  42-27                    (C)  used drugs or intoxicating liquors to an
   43-1  extent that affects the licensee's or applicant's <his>
   43-2  professional competence;
   43-3                    (D)  been convicted of a felony in this state or
   43-4  in any other state, territory, or nation; conviction as used in
   43-5  this subdivision includes a finding or verdict of guilty, an
   43-6  admission of guilt, or a plea of nolo contendere;
   43-7                    (E)  obtained or attempted to obtain a license by
   43-8  fraud or deception;
   43-9                    (F)  been grossly negligent in the practice of
  43-10  physical therapy or in acting as a physical therapist assistant;
  43-11                    (G)  been adjudged mentally incompetent by a
  43-12  court of competent jurisdiction;
  43-13                    (H)  practiced physical therapy in a manner
  43-14  detrimental to the public health and welfare; or
  43-15                    (I)  had the licensee's or applicant's <his>
  43-16  license to practice physical therapy revoked or suspended or had
  43-17  other disciplinary action taken against the licensee or applicant
  43-18  <him> or had the licensee's or applicant's <his> application for a
  43-19  license refused, revoked, or suspended by the proper licensing
  43-20  authority of another state, territory, or nation.
  43-21              (2)  A licensed physical therapist may treat a patient
  43-22  for an injury or condition that was the subject of a prior referral
  43-23  if all of the following conditions are met:
  43-24                    (A)  the physical therapist, within five business
  43-25  days, notifies the referring licensed physician, dentist,
  43-26  chiropractor, podiatrist, or other referring practitioner <licensed
  43-27  health-care personnel> of the commencement of therapy;
   44-1                    (B)  for all episodes of physical therapy
   44-2  subsequent to that which was initiated by the referral, the
   44-3  physical therapist treats the patient for not more than 20
   44-4  treatment sessions or 30 consecutive calendar days, whichever
   44-5  occurs first, whereupon the physical therapist must confer with the
   44-6  referring practitioner <licensed physician, dentist, chiropractor,
   44-7  podiatrist, or other licensed health-care personnel> in order to
   44-8  continue the current episode of treatment; and
   44-9                    (C)  the physical therapist commences any episode
  44-10  of treatment provided pursuant to this subsection within one year
  44-11  of the referral by the referring practitioner <licensed physician,
  44-12  dentist, chiropractor, podiatrist, or other licensed health-care
  44-13  personnel>.
  44-14              (3)  No physical therapist may provide treatment
  44-15  pursuant to Subdivision (2) of this subsection without having been
  44-16  licensed to practice physical therapy for at least one year and
  44-17  without satisfying other requirements set by the board.
  44-18              (4)  A licensed physical therapist may provide physical
  44-19  assessments or instructions to an asymptomatic person without the
  44-20  referral of a referring practitioner <physician, dentist,
  44-21  chiropractor, podiatrist, or other licensed health-care personnel>.
  44-22              (5)  In emergency circumstances, including minor
  44-23  emergencies, a licensed physical therapist may provide assistance
  44-24  to a person to the best of the therapist's ability without the
  44-25  referral of a referring practitioner <physician, dentist,
  44-26  chiropractor, podiatrist, or other licensed health-care personnel>.
  44-27  For the purposes of this subsection, "emergency circumstances"
   45-1  means instances where emergency medical care is called for.
   45-2  "Emergency medical care" means bona fide emergency services
   45-3  provided after the sudden onset of a medical condition manifesting
   45-4  itself by acute symptoms of sufficient severity, including severe
   45-5  pain, such that the absence of immediate medical attention could
   45-6  reasonably be expected to result in:
   45-7                    (A)  placing the patient's health in serious
   45-8  jeopardy;
   45-9                    (B)  serious impairment to bodily functions; or
  45-10                    (C)  serious dysfunction of any bodily organ or
  45-11  part.
  45-12        (b)  The board may not adopt rules restricting competitive
  45-13  bidding or advertising by a person regulated by the board except to
  45-14  prohibit false, misleading, or deceptive practices by the person.
  45-15  The board may not include in its rules to prohibit false,
  45-16  misleading, or deceptive practices by a person regulated by the
  45-17  board a rule that:
  45-18              (1)  restricts the person's use of any medium for
  45-19  advertising;
  45-20              (2)  restricts the person's personal appearance or use
  45-21  of his voice in an advertisement;
  45-22              (3)  relates to the size or duration of an
  45-23  advertisement by the person; or
  45-24              (4)  restricts the person's advertisement under a trade
  45-25  name.
  45-26        SECTION 2.19.  Subsection (a), Section 20, Chapter 836, Acts
  45-27  of the 62nd Legislature, Regular Session, 1971 (Article 4512e,
   46-1  Vernon's Texas Civil Statutes), is amended to read as follows:
   46-2        (a)  A person whose application for a license is denied is
   46-3  entitled to a hearing before the State Office of Administrative
   46-4  Hearings <board> if the applicant <he> submits a written request
   46-5  for a hearing to the board.
   46-6        SECTION 2.20.  Chapter 836, Acts of the 62nd Legislature,
   46-7  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
   46-8  Statutes), is amended by adding Section 20A to read as follows:
   46-9        Sec. 20A.  REVOCATION, SUSPENSION, OR PROBATION OF LICENSE.
  46-10  (a)  The board shall revoke or suspend a license, place on
  46-11  probation a licensee whose license has been suspended, or reprimand
  46-12  a licensee for a violation of this Act or a rule adopted by the
  46-13  board.
  46-14        (b)  If a license suspension is probated, the board may
  46-15  require the licensee to:
  46-16              (1)  report regularly to the board on matters that are
  46-17  the basis of the probation;
  46-18              (2)  limit practice to the areas prescribed by the
  46-19  board; or
  46-20              (3)  continue or review continuing professional
  46-21  education until the licensee attains a degree of skill satisfactory
  46-22  to the board in those areas that are the basis of the probation.
  46-23        (c)  The schedule of sanctions adopted by the board by rule
  46-24  shall be used by the State Office of Administrative Hearings for
  46-25  any sanction imposed as the result of a hearing conducted by that
  46-26  office.
  46-27        SECTION 2.21.  Chapter 836, Acts of the 62nd Legislature,
   47-1  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
   47-2  Statutes), is amended by adding Sections 22 through 27 to read as
   47-3  follows:
   47-4        Sec. 22.  COMPLAINT PROCEDURE IN GENERAL.  (a)  The board
   47-5  shall keep an information file about each complaint filed with the
   47-6  executive council and referred to the board.  The board's
   47-7  information file shall be kept current and contain a record for
   47-8  each complaint of:
   47-9              (1)  all persons contacted in relation to the
  47-10  complaint;
  47-11              (2)  a summary of findings made at each step of the
  47-12  complaint process;
  47-13              (3)  an explanation of the legal basis and reason for a
  47-14  complaint that is dismissed; and
  47-15              (4)  other relevant information.
  47-16        (b)  If a written complaint is received by the board that the
  47-17  board has authority to resolve, the board, at least as frequently
  47-18  as quarterly and until final disposition of the complaint, shall
  47-19  notify the parties to the complaint of the status of the complaint
  47-20  unless the notice would jeopardize an undercover investigation.
  47-21        (c)  The board by rule shall adopt a form to standardize
  47-22  information concerning complaints made to the board.  The board by
  47-23  rule shall prescribe information to be provided to a person when
  47-24  the person files a complaint received by the board.
  47-25        (d)  The board shall provide reasonable assistance to a
  47-26  person who wishes to file a complaint.
  47-27        Sec. 23.  COMPLAINT INVESTIGATION AND DISPOSITION.  (a)  The
   48-1  board shall adopt rules concerning the investigation of a complaint
   48-2  received by the board.  The rules adopted under this subsection
   48-3  shall:
   48-4              (1)  distinguish between categories of complaints;
   48-5              (2)  ensure that complaints are not dismissed without
   48-6  appropriate consideration;
   48-7              (3)  require that the board be advised of a complaint
   48-8  that is dismissed and that a letter be sent to the person who filed
   48-9  the complaint explaining the action taken on the dismissed
  48-10  complaint;
  48-11              (4)  ensure that the person who filed the complaint has
  48-12  an opportunity to explain the allegations made in the complaint;
  48-13              (5)  prescribe guidelines concerning the categories of
  48-14  complaints that require the use of a private investigator and the
  48-15  procedures for the board to obtain the services of a private
  48-16  investigator; and
  48-17              (6)  require the board to advise the executive council
  48-18  of complaints disposed of.
  48-19        (b)  The board shall dispose of all complaints in a timely
  48-20  manner.  The board shall establish a schedule for conducting each
  48-21  phase of a complaint that is under the control of the board not
  48-22  later than the 30th day after the date the complaint is received by
  48-23  the board.  The schedule shall be kept in the information file for
  48-24  the complaint and all parties shall be notified of the projected
  48-25  time requirements for pursuing the complaint.  A change in the
  48-26  schedule must be noted in the complaint information file and all
  48-27  parties to the complaint must be notified not later than the
   49-1  seventh day after the date the change is made.
   49-2        (c)  The coordinator of the physical therapy programs shall
   49-3  notify the board of a complaint that extends beyond the time
   49-4  prescribed by the board for resolving the complaint so that the
   49-5  board may take necessary action on the complaint.
   49-6        Sec. 24.  INFORMAL PROCEEDINGS.  (a)  The board by rule shall
   49-7  adopt procedures governing:
   49-8              (1)  informal disposition of a contested case under
   49-9  Section 13(e), Administrative Procedure and Texas Register Act
  49-10  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  49-11  subsequent amendments; and
  49-12              (2)  informal proceedings held in compliance with
  49-13  Section 18(c), Administrative Procedure and Texas Register Act
  49-14  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  49-15  subsequent amendments.
  49-16        (b)  Rules adopted under this section must provide the
  49-17  complainant and the licensee an opportunity to be heard and must
  49-18  require the presence of a representative of the office of the
  49-19  attorney general or the board's legal counsel to advise the board
  49-20  or board's employees.
  49-21        Sec. 25.  MONITORING OF LICENSEE.  The board by rule shall
  49-22  develop a system for monitoring licensees' compliance with the
  49-23  requirements of this Act.  Rules adopted under this section shall
  49-24  include procedures for monitoring a licensee who is ordered by the
  49-25  board to perform certain acts to ascertain that the licensee
  49-26  performs the required acts and to identify and monitor licensees
  49-27  who represent a risk to the public.
   50-1        Sec. 26.  CERTAIN FUNCTIONS TRANSFERRED.  Certain functions
   50-2  relating to the administration of this Act are performed in
   50-3  accordance with Article 4512e-1, Revised Statutes.  To the extent
   50-4  of a conflict between this Act and Article 4512e-1, Revised
   50-5  Statutes, that article controls.
   50-6        Sec. 27.  REGISTRATION OF FACILITIES.  (a)  The board by rule
   50-7  shall adopt requirements for the registration and renewal of a
   50-8  registration of a facility in which the practice of physical
   50-9  therapy is conducted.  A facility licensed under Subtitle B, Title
  50-10  4, Health and Safety Code, is exempt from the requirements for
  50-11  registration in this section.
  50-12        (b)  If one or more facilities are owned by an individual,
  50-13  partnership, corporation, or other entity, the board may require
  50-14  only one application for the registration of all facilities.
  50-15        (c)  In accordance with Section 6 of this Act, the rules
  50-16  adopted under this section shall not prohibit a licensed individual
  50-17  from practicing in a facility within the scope of such individual's
  50-18  licensure.
  50-19           ARTICLE 3.  THE PRACTICE OF OCCUPATIONAL THERAPY
  50-20        SECTION 3.01.  Section 1, Occupational Therapy Title Act
  50-21  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  50-22  as follows:
  50-23        Sec. 1.  SHORT TITLE.  This Act shall be known and may be
  50-24  cited as the "Occupational Therapy Practice <Title> Act."
  50-25        SECTION 3.02.  Section 2, Occupational Therapy Title Act
  50-26  (Article 8851, Vernon's Texas Civil Statutes), is amended by
  50-27  amending Subdivisions (4), (7), and (8) and adding Subdivision (9)
   51-1  to read as follows:
   51-2              (4)  "Board" means the Texas <Advisory> Board of
   51-3  Occupational Therapy Examiners.
   51-4              (7)  "Occupational therapy aide" or "occupational
   51-5  therapy orderly" means a person who aids in the practice of
   51-6  occupational therapy and whose activities require on-the-job
   51-7  training and on-site supervision by an occupational therapist or an
   51-8  occupational therapy assistant <"Commission" means the Texas
   51-9  Rehabilitation Commission>.
  51-10              (8)  "Executive council" means the Executive Council of
  51-11  Physical Therapy and Occupational Therapy Examiners <"Commissioner"
  51-12  means the commissioner of the Texas Rehabilitation Commission>.
  51-13              (9)  "Coordinator of occupational therapy programs"
  51-14  means the employee of the executive council employed under Section
  51-15  9, Article 4512e-1, Revised Statutes, and its subsequent
  51-16  amendments.
  51-17        SECTION 3.03.  Section 3, Occupational Therapy Title Act
  51-18  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  51-19  as follows:
  51-20        Sec. 3.  Creation of Board.  (a)  A Texas <Advisory> Board of
  51-21  Occupational Therapy Examiners <is hereby created.  The board is
  51-22  created as a part of the commission and shall perform its duties as
  51-23  a board with the commission.  The board> shall consist of six
  51-24  members appointed by the governor with the advice and consent of
  51-25  the senate for staggered terms of six years<, except for the first
  51-26  board appointed hereunder>.  Appointments to the board shall be
  51-27  made without regard to the race, creed, sex, religion, or national
   52-1  origin of the appointees.  Members of the board are appointed for
   52-2  staggered terms of six years, with two members' terms expiring on
   52-3  February 1 of each odd-numbered year.  <In making the initial
   52-4  appointments, the governor shall designate two members for terms
   52-5  expiring February 1, 1985, two members for terms expiring February
   52-6  1, 1987, and two members for terms expiring February 1, 1989.  The
   52-7  appointments shall be made within 30 days after this Act becomes
   52-8  effective.>
   52-9        (b)  Three members of the board must be occupational
  52-10  therapists, be residents of this state, and have practiced
  52-11  occupational therapy for at least three years immediately preceding
  52-12  appointment.  One member of the board must be an occupational
  52-13  therapy assistant, be a resident of this state, and have practiced
  52-14  as an occupational therapy assistant for at least three years
  52-15  immediately preceding appointment.  All four of these members of
  52-16  the board must be licensed under this Act<, except for the members
  52-17  of the first board appointed hereunder>.  Two members of the board
  52-18  must be public members <of the general public> who are not
  52-19  occupational therapists.
  52-20        (c)  <A member or employee of the board may not be an
  52-21  officer, employee, or paid consultant of a trade association in the
  52-22  field of occupational therapy.>
  52-23        <(d)  A member or employee of the board may not be related
  52-24  within the second degree by affinity or consanguinity, as
  52-25  determined under Article 5996h, Revised Statutes, to a person who
  52-26  is an officer, employee, or paid consultant of a trade association
  52-27  in the field of occupational therapy.>
   53-1        <(e)>  A vacancy on the board shall be filled by appointment
   53-2  by the governor with the advice and consent of the senate for the
   53-3  remainder of the term.
   53-4        (d) <(f)>  A member of the board is not liable to civil
   53-5  action for any act performed in good faith in the execution of his
   53-6  or her duties in this capacity.
   53-7        (e)  The members of the board shall, on appointment, elect
   53-8  from their number a presiding officer, a secretary, and other
   53-9  officers required for the conduct of business.
  53-10        (f)  The coordinator of occupational therapy programs shall
  53-11  keep a record of each meeting of the board and maintain a register
  53-12  containing the names of all persons licensed under this Act, which
  53-13  shall be at all times open to public inspection.  On March 1 of
  53-14  each year, the coordinator of occupational therapy programs shall
  53-15  transmit an official copy of the list of the licensees to the
  53-16  executive council and the secretary of state for permanent record,
  53-17  a certified copy of which shall be admissible as evidence in any
  53-18  court of this state.
  53-19        <(g)  The Texas Advisory Board of Occupational Therapy is
  53-20  subject to Chapter 325, Government Code (Texas Sunset Act).  Unless
  53-21  continued in existence as provided by that chapter, the board is
  53-22  abolished and this Act expires September 1, 1993.>
  53-23        SECTION 3.04.  The Occupational Therapy Title Act (Article
  53-24  8851, Vernon's Texas Civil Statutes) is amended by adding Sections
  53-25  3A through 3M to read as follows:
  53-26        Sec. 3A.  MEETINGS; COMPENSATION.  (a)  The board shall hold
  53-27  at least two regular meetings each year at which time an
   54-1  examination for a license under a law administered by the board
   54-2  shall be offered.  Additional meetings may be held on the call of
   54-3  the presiding officer or at the written request of three members of
   54-4  the board.
   54-5        (b)  A member of the board is entitled to a per diem as set
   54-6  by the General Appropriations Act for each day that the member
   54-7  engages in the business of the board.  A member may not receive any
   54-8  reimbursement for travel expenses, including expenses for meals and
   54-9  lodging, other than transportation expenses as provided by the
  54-10  General Appropriations Act.
  54-11        Sec. 3B.  PUBLIC MEMBERSHIP RESTRICTION.  A person is not
  54-12  eligible for appointment as a public member of the board if the
  54-13  person or the person's spouse:
  54-14              (1)  is registered, certified, or licensed by an
  54-15  occupational regulatory agency in the field of health care;
  54-16              (2)  is employed by or participates in the management
  54-17  of a business entity or other organization regulated by the
  54-18  executive council or the board or receiving funds from the
  54-19  executive council or the board;
  54-20              (3)  owns or controls, directly or indirectly, more
  54-21  than a 10 percent interest in a business entity or other
  54-22  organization regulated by the executive council or the board or
  54-23  receiving funds from the executive council or the board; or
  54-24              (4)  uses or receives a substantial amount of tangible
  54-25  goods, services, or funds from the executive council or the board,
  54-26  other than compensation or reimbursement authorized by law for
  54-27  executive council or board membership, attendance, or expenses.
   55-1        Sec. 3C.  CONFLICT OF INTEREST RESTRICTIONS.  (a)  An
   55-2  officer, employee, or paid consultant of a Texas trade association
   55-3  in the field of health care may not be a board member.
   55-4        (b)  A person who is the spouse of an officer, manager, or
   55-5  paid consultant of a Texas trade association in the field of health
   55-6  care may not be a board member.
   55-7        (c)  For the purposes of this section, a Texas trade
   55-8  association is a nonprofit, cooperative, and voluntarily joined
   55-9  association of business or professional competitors in this state
  55-10  designed to assist its members and its industry or profession in
  55-11  dealing with mutual business or professional problems and in
  55-12  promoting their common interest.
  55-13        Sec. 3D.  EFFECT OF LOBBYING ACTIVITY.  A person may not
  55-14  serve as a board member if the person is required to register as a
  55-15  lobbyist under Chapter 305, Government Code, and its subsequent
  55-16  amendments, because of the person's activities for compensation on
  55-17  behalf of a profession related to the operation of the executive
  55-18  council or the board.
  55-19        Sec. 3E.  GROUNDS FOR REMOVAL FROM BOARD.  (a)  It is a
  55-20  ground for removal from the board if a member:
  55-21              (1)  does not have at the time of appointment the
  55-22  qualifications required by Section 3 of this Act;
  55-23              (2)  does not maintain during service on the board the
  55-24  qualifications required by Section 3 of this Act;
  55-25              (3)  violates a prohibition established by Section 3C
  55-26  or 3D of this Act;
  55-27              (4)  cannot discharge the member's duties for a
   56-1  substantial part of the term for which the member is appointed
   56-2  because of illness or disability; or
   56-3              (5)  is absent from more than half of the regularly
   56-4  scheduled board meetings that the member is eligible to attend
   56-5  during a calendar year unless the absence is excused by majority
   56-6  vote of the board.
   56-7        (b)  The validity of an action of the board is not affected
   56-8  by the fact that it is taken when a ground for removal of a board
   56-9  member exists.
  56-10        (c)  If the coordinator of occupational therapy programs has
  56-11  knowledge that a potential ground for removal exists, the
  56-12  coordinator shall notify the presiding officer of the board of the
  56-13  ground.  The presiding officer shall then notify the governor that
  56-14  a potential ground for removal exists.
  56-15        Sec. 3F.  STAFF.  (a)  The board may request the executive
  56-16  council to assign administrative and clerical employees as
  56-17  necessary to carry out the board's functions.
  56-18        (b)  The board shall develop and implement policies that
  56-19  clearly define the respective responsibilities of the board and the
  56-20  staff of the executive council.
  56-21        Sec. 3G.  REGULATORY STATUTES ADMINISTERED.  Except as
  56-22  provided by other statutes, the board shall administer and enforce
  56-23  this Act.
  56-24        Sec. 3H.  PUBLIC INTEREST INFORMATION.  The board shall
  56-25  prepare information of public interest describing the functions of
  56-26  the board and the board's procedures by which complaints are filed
  56-27  with and resolved by the board.  The board shall make the
   57-1  information available to the public and appropriate state agencies.
   57-2        Sec. 3I.  PUBLIC PARTICIPATION IN BOARD HEARINGS.  The board
   57-3  shall develop and implement policies that provide the public with a
   57-4  reasonable opportunity to appear before the board and to speak on
   57-5  any issue under the jurisdiction of the board.
   57-6        Sec. 3J.  PROGRAM ACCESSIBILITY.  The board shall prepare and
   57-7  maintain a written plan that describes how a person who does not
   57-8  speak English can be provided reasonable access to the board's
   57-9  programs.  The board shall also comply with federal and state laws
  57-10  for program and facility accessibility.
  57-11        Sec. 3K.  TRAINING AND GUIDELINES FOR MEMBERS OF THE BOARD.
  57-12  (a)  The board shall establish a training program for the members
  57-13  of the board.
  57-14        (b)  Before a member of the board may assume the member's
  57-15  duties, the member must complete at least one course of the
  57-16  training program established under this section, and before the
  57-17  member may be confirmed by the senate, the member must pass an
  57-18  examination given in conjunction with the attorney general on
  57-19  subjects described by Subsections (c)(7), (8), and (9) of this
  57-20  section.
  57-21        (c)  A training program established under this section shall
  57-22  provide information to a participant regarding:
  57-23              (1)  the enabling legislation that created the board to
  57-24  which the member is appointed;
  57-25              (2)  the programs operated by the agency;
  57-26              (3)  the role and functions of the agency;
  57-27              (4)  the rules of the agency with an emphasis on the
   58-1  rules that relate to disciplinary and investigatory authority;
   58-2              (5)  the current budget for the agency;
   58-3              (6)  the results of the most recent formal audit of the
   58-4  agency;
   58-5              (7)  the requirements of the:
   58-6                    (A)  open meetings law, Chapter 271, Acts of the
   58-7  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
   58-8  Texas Civil Statutes), and its subsequent amendments;
   58-9                    (B)  open records law, Chapter 424, Acts of the
  58-10  63rd Legislature, Regular Session, 1973 (Article 6252-17a, Vernon's
  58-11  Texas Civil Statutes), and its subsequent amendments; and
  58-12                    (C)  Administrative Procedure and Texas Register
  58-13  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
  58-14  subsequent amendments;
  58-15              (8)  the requirements of the conflict of interest laws
  58-16  and other laws relating to public officials; and
  58-17              (9)  any applicable ethics policies adopted by that
  58-18  state agency or the Texas Ethics Commission.
  58-19        (d)  In developing the training requirements provided for in
  58-20  this section, the board shall consult with the governor's office,
  58-21  the attorney general's office, and the Texas Ethics Commission.
  58-22        (e)  In the event that another state agency or entity is
  58-23  given the authority to establish the training requirements, the
  58-24  board shall allow that training in lieu of developing its own
  58-25  program.
  58-26        Sec. 3L.  OPEN MEETINGS AND ADMINISTRATIVE PROCEDURE.  The
  58-27  board is subject to:
   59-1              (1)  the open meetings law, Chapter 271, Acts of the
   59-2  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
   59-3  Texas Civil Statutes), and its subsequent amendments; and
   59-4              (2)  the Administrative Procedure and Texas Register
   59-5  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
   59-6  subsequent amendments.
   59-7        Sec. 3M.  SUNSET PROVISION.  The Texas Board of Occupational
   59-8  Therapy Examiners is subject to Chapter 325, Government Code (Texas
   59-9  Sunset Act), and its subsequent amendments.  Unless continued in
  59-10  existence as provided by that chapter, the board is abolished and
  59-11  this Act expires September 1, 2005.
  59-12        SECTION 3.05.  Section 5, Occupational Therapy Title Act
  59-13  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  59-14  as follows:
  59-15        Sec. 5.  Powers and Duties of the Board.  (a)  The board
  59-16  shall approve applicants for licenses at least once each year at
  59-17  such reasonable times and places as shall be designated by the
  59-18  board in its discretion.
  59-19        (b)  <The board may collect fees for licenses, license
  59-20  renewals, examinations, and all other administrative expenses.  If
  59-21  the General Appropriations Act does not set the amount of those
  59-22  fees, the board shall set the fees in amounts that will recover the
  59-23  amount appropriated for the operation of the board from the General
  59-24  Revenue Fund.>
  59-25        <(c)>  The board shall approve the examination as described
  59-26  in Subsection (b) of Section 17 of this Act.
  59-27        (c) <(d)>  The board shall adopt rules consistent with this
   60-1  Act to carry out its duties in administering this Act. <may
   60-2  investigate complaints; issue, suspend, deny, and revoke licenses;
   60-3  reprimand licensees and place them on probation; issue subpoenas;
   60-4  and hold hearings.  The board shall keep an information file about
   60-5  each complaint that is filed with the board relating to a licensee
   60-6  or an entity regulated by the board.  If a written complaint is
   60-7  filed with the board relating to a licensee or entity regulated by
   60-8  the board, the board shall notify the parties to the complaint of
   60-9  the status of the complaint unless the notice would jeopardize an
  60-10  undercover investigation.  The board shall notify the parties to
  60-11  the complaint at least as frequently as quarterly until the final
  60-12  disposition of the complaint.>
  60-13        <(e)  The board shall propose rules consistent with this Act
  60-14  to carry out its duties in administering this Act, shall submit
  60-15  said rules to the office of the Attorney General of Texas for
  60-16  review, and shall then adopt rules consistent with the advice of
  60-17  the attorney general.  In adopting its rules, the board shall
  60-18  consider any applicable policies and procedures of the commission.>
  60-19        <(f)  The commissioner with the advice of the board shall
  60-20  appoint an executive director to implement the purposes of this Act
  60-21  at a salary as determined by legislative appropriation.>
  60-22        <(g)  The executive director of the board or her/his designee
  60-23  shall develop an intraagency career ladder program, one part of
  60-24  which shall be the intraagency posting of all nonentry level
  60-25  positions for at least 10 days before any public posting.>
  60-26        <(h)  The executive director of the board or her/his designee
  60-27  shall develop a system of annual performance evaluation based on
   61-1  measurable job tasks.  All merit pay for board employees must be
   61-2  based on the system established under this section.>
   61-3        <(i)  The board shall contract for space, computer services,
   61-4  office materials, employees, and any other needed services,
   61-5  materials, or assistants deemed necessary.>
   61-6        <(j)  The board shall prepare information of consumer
   61-7  interest describing the regulatory functions of the board and the
   61-8  legal rights of consumers as provided in this Act.>
   61-9        <(k)  The board shall assist the proper legal authorities in
  61-10  the prosecution of all persons violating any provisions of this
  61-11  Act.>
  61-12        <(l)  The board shall prepare or approve continuing education
  61-13  programs for licensees and shall require each licensee to
  61-14  participate in an approved continuing education program in order to
  61-15  renew a license issued under this Act.>
  61-16        <(m)  The board shall develop and implement policies that
  61-17  clearly define the respective responsibilities of the governing
  61-18  body of the board and the staff of the board.>
  61-19        SECTION 3.06.  The Occupational Therapy Title Act (Article
  61-20  8851, Vernon's Texas Civil Statutes) is amended by adding Sections
  61-21  5A through 5E to read as follows:
  61-22        Sec. 5A.  MANDATORY CONTINUING EDUCATION.  (a)  The board by
  61-23  rule shall establish a minimum number of hours of continuing
  61-24  education required to renew a license under this Act.  The board
  61-25  may assess the continuing education needs of licensees and may
  61-26  require licensees to attend continuing education courses specified
  61-27  by the board.  The board by rule shall develop a process to
   62-1  evaluate and approve continuing education courses.
   62-2        (b)  The board shall identify the key factors for the
   62-3  competent performance by a licensee of the licensee's professional
   62-4  duties.  The board shall adopt a procedure to assess a licensee's
   62-5  participation in continuing education programs.
   62-6        Sec. 5B.  COMPLAINT INFORMATION.  (a)  The board shall keep
   62-7  an information file about each complaint filed with the executive
   62-8  council and referred to the board.  The board's information file
   62-9  shall be kept current and contain a record for each complaint of:
  62-10              (1)  all persons contacted in relation to the
  62-11  complaint;
  62-12              (2)  a summary of findings made at each step of the
  62-13  complaint process;
  62-14              (3)  an explanation of the legal basis and reason for a
  62-15  complaint that is dismissed; and
  62-16              (4)  other relevant information.
  62-17        (b)  If a written complaint is received by the board that the
  62-18  board has authority to resolve, the board, at least as frequently
  62-19  as quarterly and until final disposition of the complaint, shall
  62-20  notify the parties to the complaint of the status of the complaint
  62-21  unless the notice would jeopardize an undercover investigation.
  62-22        (c)  The board by rule shall adopt a form to standardize
  62-23  information concerning complaints made to the board.  The board by
  62-24  rule shall prescribe information to be provided to a person when
  62-25  the person files a complaint received by the board.
  62-26        (d)  The board shall provide reasonable assistance to a
  62-27  person who wishes to file a complaint.
   63-1        Sec. 5C.  COMPLAINT INVESTIGATION AND DISPOSITION.  (a)  The
   63-2  board shall adopt rules concerning the investigation of a complaint
   63-3  received by the board.  The rules adopted under this subsection
   63-4  shall:
   63-5              (1)  distinguish between categories of complaints;
   63-6              (2)  ensure that complaints are not dismissed without
   63-7  appropriate consideration;
   63-8              (3)  require that the board be advised of a complaint
   63-9  that is dismissed and that a letter be sent to the person who filed
  63-10  the complaint explaining the action taken on the dismissed
  63-11  complaint;
  63-12              (4)  ensure that the person who filed the complaint has
  63-13  an opportunity to explain the allegations made in the complaint;
  63-14              (5)  prescribe guidelines concerning the categories of
  63-15  complaints that require the use of a private investigator and the
  63-16  procedures for the board to obtain the services of a private
  63-17  investigator; and
  63-18              (6)  require the board to advise the executive council
  63-19  of complaints disposed of.
  63-20        (b)  The board shall dispose of all complaints in a timely
  63-21  manner.  The board shall establish a timeline for conducting each
  63-22  phase of a complaint that is under the control of the board not
  63-23  later than the 30th day after the date the complaint is received by
  63-24  the board.  The timeline shall be kept in the information file for
  63-25  the complaint and all parties shall be notified of the projected
  63-26  time requirements for pursuing the complaint.  A change in the
  63-27  timeline must be noted in the complaint information file and all
   64-1  parties to the complaint must be notified not later than the
   64-2  seventh day after the date the change is made.
   64-3        (c)  The coordinator of occupational therapy programs of the
   64-4  board shall notify the board of a complaint that extends beyond the
   64-5  time prescribed by the board for resolving the complaint so that
   64-6  the board may take necessary action on the complaint.
   64-7        Sec. 5D.  INFORMAL PROCEEDINGS.  (a)  The board by rule shall
   64-8  adopt procedures governing:
   64-9              (1)  informal disposition of a contested case under
  64-10  Section 13(e), Administrative Procedure and Texas Register Act
  64-11  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  64-12  subsequent amendments; and
  64-13              (2)  informal proceedings held in compliance with
  64-14  Section 18(c), Administrative Procedure and Texas Register Act
  64-15  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  64-16  subsequent amendments.
  64-17        (b)  Rules adopted under this section must provide the
  64-18  complainant and the licensee an opportunity to be heard and must
  64-19  require the presence of a representative of the office of the
  64-20  attorney general or the board's legal counsel to advise the board
  64-21  or board's employees.
  64-22        Sec. 5E.  MONITORING OF LICENSEE.  The board by rule shall
  64-23  develop a system for monitoring licensees' compliance with the
  64-24  requirements of this Act.  Rules adopted under this section shall
  64-25  include procedures for monitoring a licensee who is ordered by the
  64-26  board to perform certain acts to ascertain that the licensee
  64-27  performs the required acts and to identify and monitor licensees
   65-1  who represent a risk to the public.
   65-2        SECTION 3.07.  Section 17, Occupational Therapy Title Act
   65-3  (Article 8851, Vernon's Texas Civil Statutes), is amended by
   65-4  amending Subsections (a), (b), and (e) and adding Subsection (f) to
   65-5  read as follows:
   65-6        (a)  Only a person satisfying the requirements of Section 16,
   65-7  except Subdivision (3) <Subsection (e)> of Section 16, may apply
   65-8  for examination in such a manner as the board shall prescribe.  The
   65-9  application shall be accompanied by the nonrefundable fee
  65-10  prescribed by the executive council <Subdivision (1) of Subsection
  65-11  (b) of Section 5 of this Act>.
  65-12        (b)  Each applicant for licensure shall be examined by
  65-13  written examination to test the applicant's <his or her> knowledge
  65-14  of the basic and clinical sciences relating to occupational
  65-15  therapy, occupational therapy techniques and methods, and such
  65-16  other subjects as the board may require to determine the
  65-17  applicant's fitness to practice.  The board shall approve an
  65-18  examination for occupational therapists and an examination for
  65-19  occupational therapy assistants and establish standards for
  65-20  acceptable performance.  The board shall have the written portion
  65-21  of an examination validated by an independent testing entity.
  65-22        (e)  In case of failure of any examination the applicant
  65-23  shall have the privilege of a second examination on payment of the
  65-24  prescribed fees.  In case of a second failure, the applicant shall
  65-25  be eligible for a third examination, but shall, in addition to the
  65-26  requirements for previous examinations, have to wait a specific
  65-27  period not to exceed one year before reexamination.  Further
   66-1  testing will be at the discretion of the board.  If requested in
   66-2  writing by a person who fails a licensing examination administered
   66-3  under this Act, the board shall furnish the person with an analysis
   66-4  of the person's performance on the examination.
   66-5        (f)  Not later than the 30th day after the date on which a
   66-6  licensing examination is administered under this Act, the board
   66-7  shall notify each examinee of the results of the examination.
   66-8  However, if an examination is graded or reviewed by a national
   66-9  testing service, the board shall notify examinees of the results of
  66-10  the examination not later than the 14th day after the date on which
  66-11  the board receives the results from the testing service.  If the
  66-12  notice of examination results graded or reviewed by a national
  66-13  testing service will be delayed for longer than 90 days after the
  66-14  examination date, the board shall notify the examinee of the reason
  66-15  for the delay before the 90th day.
  66-16        SECTION 3.08.  Section 18, Occupational Therapy Title Act
  66-17  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  66-18  as follows:
  66-19        Sec. 18.  PROVISIONAL LICENSES <LICENSE BY ENDORSEMENT>.
  66-20  (a)  On application, the board shall grant a provisional license
  66-21  for the practice of occupational therapy.  An applicant for a
  66-22  provisional license under this section must:
  66-23              (1)  be licensed in good standing as an occupational
  66-24  therapist or occupational therapy assistant in another state, the
  66-25  District of Columbia, or a territory of the United States that has
  66-26  licensing requirements that are substantially equivalent to the
  66-27  requirements of this Act;
   67-1              (2)  have passed a national or other examination
   67-2  recognized by the board relating to the practice of occupational
   67-3  therapy; and
   67-4              (3)  be sponsored by a person licensed by the board
   67-5  under this Act with whom the provisional licensee may practice
   67-6  under this section.
   67-7        (b)  An applicant for a provisional license may be excused
   67-8  from the requirement of Subsection (a)(3) of this section if the
   67-9  board determines that compliance with that subsection constitutes a
  67-10  hardship to the applicant.
  67-11        (c)  A provisional license is valid until the date the board
  67-12  approves or denies the provisional licensee's application for a
  67-13  license.  The board shall issue a license under this Act to the
  67-14  holder of a provisional license under this section if:
  67-15              (1)  the provisional licensee passes a jurisprudence
  67-16  examination, if required;
  67-17              (2)  the board verifies that the provisional licensee
  67-18  has the academic and experience requirements for a license under
  67-19  this Act; and
  67-20              (3)  the provisional licensee satisfies any other
  67-21  license requirements under this Act.
  67-22        (d)  The board must complete the processing of a provisional
  67-23  licensee's application for a license not later than the 180th day
  67-24  after the date the provisional license is issued.  The board may
  67-25  extend the 180-day limit if the results of an examination have not
  67-26  been received by the board  <A person who is licensed or otherwise
  67-27  registered as an occupational therapist or as an occupational
   68-1  therapy assistant by another state, the District of Columbia, or a
   68-2  commonwealth or territory of the United States whose requirements
   68-3  for licensing or registration were at the date of licensing or
   68-4  registration substantially equal to the requirements prescribed by
   68-5  this Act may receive an occupational therapist license without
   68-6  examination, on submission of an application on a form prescribed
   68-7  by the board and payment of an endorsement license fee prescribed
   68-8  by the board.>
   68-9        <(b)  The board may also waive examination requirements for a
  68-10  person who is certified by a national association approved by the
  68-11  board and who is currently practicing in a state that does not
  68-12  require a license or other form of registration>.
  68-13        SECTION 3.09.  Section 20, Occupational Therapy Title Act
  68-14  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  68-15  as follows:
  68-16        Sec. 20.  Foreign-Trained Applicants.  Foreign-trained
  68-17  occupational therapists and occupational therapy assistants shall
  68-18  satisfy the examination requirements of Subdivision (3) <Subsection
  68-19  (e)> of Section 16.  The board shall require foreign-trained
  68-20  applicants to furnish proof of good moral character and completion
  68-21  of educational and supervised field work requirements substantially
  68-22  equal to those contained in Section 16 before taking the
  68-23  examination.
  68-24        SECTION 3.10.  Section 22, Occupational Therapy Title Act
  68-25  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  68-26  as follows:
  68-27        Sec. 22.  Temporary License.  <(a)>  The board by rule may
   69-1  provide for the issuance of a temporary license.  Rules adopted
   69-2  under this section shall include a time limit for a licensee to
   69-3  remain on temporary status.  A holder of a temporary license shall
   69-4  practice under the supervision of an occupational therapist
   69-5  licensed by the board <may issue a temporary license without
   69-6  examination to a person who is a recent graduate of an institution
   69-7  of higher education in the United States if the person has applied
   69-8  for a license, has applied to take the licensing examination, and
   69-9  meets the requirements for license under Section 16 of this Act.  A
  69-10  person who holds a temporary license may practice only under the
  69-11  supervision of a person who holds a regular license.  A temporary
  69-12  license expires on notification of the results of the licensing
  69-13  examination.  Issuance of a temporary license following failure of
  69-14  part or all of the examination shall be according to rules adopted
  69-15  by the board.>
  69-16        <(b)  The board shall issue a temporary license to a person
  69-17  who has applied for endorsement of her/his license under the
  69-18  provisions of Section 18 of this Act.  On approval by the board of
  69-19  the application and payment of fees, the board shall issue a
  69-20  permanent license on the issuance of which the temporary license
  69-21  issued under this provision shall expire>.
  69-22        SECTION 3.11.  Section 24, Occupational Therapy Title Act
  69-23  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  69-24  as follows:
  69-25        Sec. 24.  Renewal of Unexpired License.  (a)  The board by
  69-26  rule may adopt a system under which licenses expire on various
  69-27  dates during the year.  For the year in which the license
   70-1  expiration date is changed, license fees shall be prorated on a
   70-2  monthly basis so that each licensee shall pay only that portion of
   70-3  the license fee that is allocable to the number of months during
   70-4  which the license is valid.  On renewal of the license on the new
   70-5  expiration date, the total license renewal fee is payable <A
   70-6  license issued under this Act, unless otherwise provided in this
   70-7  Act, expires on the licensee's birthday, except for licenses which
   70-8  would thereby expire before January 1, 1985, which licenses shall
   70-9  not expire until the licensee's first birthday after that date>.
  70-10        (b)  A person may renew an unexpired license by paying to the
  70-11  executive council before the expiration date of the license the
  70-12  required  <A renewal license shall be issued on submission of an
  70-13  application on a form prescribed by the board and payment of a>
  70-14  renewal fee <before the expiration date of the license>.
  70-15        SECTION 3.12.  Section 25, Occupational Therapy Title Act
  70-16  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  70-17  as follows:
  70-18        Sec. 25.  Renewal of Expired License.  (a)  If a person's
  70-19  license has been expired for <not more than> 90 days or less, the
  70-20  person may renew the license by paying to the executive council
  70-21  <board> the required renewal fee plus a <late> fee in an amount
  70-22  that is one-half of the examination fee for the license <fee>.
  70-23        (b)  If a person's license has been expired for more than 90
  70-24  days but less than one year <two years>, the person may renew the
  70-25  license by paying to the executive council <board> all unpaid
  70-26  renewal fees and a <late> fee that is equal to the examination fee
  70-27  for the license <fee>.
   71-1        (c)  If a person's license has been expired for one year <two
   71-2  years> or more, the person may not renew the license.  The person
   71-3  may obtain a new license by <applying for a license,> submitting to
   71-4  reexamination<,> and complying with the requirements and procedures
   71-5  for obtaining an original license.  However, the board may renew
   71-6  without reexamination an expired license of a person who was
   71-7  licensed in this state, moved to another state, and has been in
   71-8  practice <legally practicing> in the other state for the two years
   71-9  preceding <the> application <for renewal>.  The person must <shall>
  71-10  pay to the executive council <board> a renewal fee that is equal to
  71-11  the examination fee for the license <fee>.
  71-12        (d)  At least 30 days  <Not later than the 30th day> before
  71-13  the expiration <date> of a person's license, the executive council
  71-14  <board> shall send written notice of the impending license
  71-15  expiration to the person at the person's last known address.
  71-16        SECTION 3.13.  Section 25A, Occupational Therapy Title Act
  71-17  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  71-18  as follows:
  71-19        Sec. 25A.  Inactive Status List.  The board by rule may
  71-20  provide for a person who holds a license under this Act to be
  71-21  placed on inactive status.  Rules adopted under this section shall
  71-22  include a time limit for a licensee to remain on inactive status
  71-23  <(a)  A person who holds a license under this Act and who is not
  71-24  actively engaged in the practice of occupational therapy may apply
  71-25  to the board in writing to be placed on an inactive status list
  71-26  maintained by the board.  The person must apply for inactive status
  71-27  before the expiration of the person's license.  A person on
   72-1  inactive status is not required to pay the annual renewal fee.>
   72-2        <(b)  A person on inactive status may not perform any
   72-3  activities regulated under this Act.>
   72-4        <(c)  If a person on inactive status desires to reenter
   72-5  active practice, the person shall notify the board in writing.  The
   72-6  board shall remove the person from the inactive status list on
   72-7  payment of an administrative fee and on compliance with educational
   72-8  or other requirements set by the board by rule>.
   72-9        SECTION 3.14.  Section 26, Occupational Therapy Title Act
  72-10  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  72-11  as follows:
  72-12        Sec. 26.  Title.  A licensed occupational therapist may use
  72-13  the title "Occupational Therapist Registered" and the initials
  72-14  "O.T.R."  No other person may be designated or permitted to use the
  72-15  terms "Occupational Therapist Registered" or "O.T.R."  A licensed
  72-16  occupational therapy assistant may use the title "Certified
  72-17  Occupational Therapy Assistant" and the initials "C.O.T.A."  No
  72-18  other person may be designated or permitted to use the terms
  72-19  "Certified Occupational Therapy Assistant" or "C.O.T.A."  Neither
  72-20  title authorizes the use of the prefix "Dr.," the word "Doctor," or
  72-21  any suffix or affix indicating or implying that the licensed person
  72-22  is a physician.
  72-23        SECTION 3.15.  Subsections (a), (b), and (c), Section 28,
  72-24  Occupational Therapy Title Act (Article 8851, Vernon's Texas Civil
  72-25  Statutes), are amended to read as follows:
  72-26        (a)  A person may not practice or represent himself or
  72-27  herself as able to practice occupational therapy or act as or
   73-1  represent himself or herself as being an occupational therapist
   73-2  unless he or she is licensed under this Act.
   73-3        (b)  A person may not act as or represent himself or herself
   73-4  as being an occupational therapy assistant unless he or she is
   73-5  licensed under this Act.
   73-6        (c)  It is unlawful for any person who is not licensed under
   73-7  this Act as an occupational therapist or an occupational therapy
   73-8  assistant or whose registration has been suspended or revoked to:
   73-9              (1)  use in connection with his or her practice or
  73-10  place of business the words "occupational therapy," "occupational
  73-11  therapist," "licensed occupational therapist," "occupational
  73-12  therapist registered," "occupational therapy assistant," "licensed
  73-13  occupational therapy assistant," "certified occupational therapy
  73-14  assistant," or the letters "O.T.," "O.T.R.," "L.O.T.," "O.T.R./L.,"
  73-15  "O.T.A.," "L.O.T.A.," or "C.O.T.A.," or any other words, letters,
  73-16  abbreviations, or insignia indicating or implying that he or she is
  73-17  an occupational therapist or an occupational therapy assistant;
  73-18              (2)  <or who> in any way, orally, in writing, in print,
  73-19  or by sign directly or by implication represent <represents>
  73-20  himself or herself as an occupational therapist or an occupational
  73-21  therapy assistant; or
  73-22              (3)  in any way, orally, in writing, in print, or by
  73-23  sign, or in any other way, directly or indirectly, represent that
  73-24  occupational therapy is provided or supplied, or extend or provide
  73-25  occupational therapy services unless the services are provided by
  73-26  an occupational therapist or an occupational therapy assistant
  73-27  licensed under this Act.
   74-1        SECTION 3.16.  Section 30, Occupational Therapy Title Act
   74-2  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
   74-3  as follows:
   74-4        Sec. 30.  Denial, Suspension, or Revocation of a License;
   74-5  Discipline of a Licensee.  (a)  If the State Office of
   74-6  Administrative Hearings <board> proposes to deny a license, <or> to
   74-7  suspend or revoke a license, or to take other disciplinary action
   74-8  against a licensee the applicant or licensee is entitled to a
   74-9  hearing before the board <or before a hearing officer appointed by
  74-10  the board>.  All final decisions shall be made by the board.
  74-11        (b)  After a final decision by the board <hearing>, a license
  74-12  may be denied, suspended, or revoked or a licensee otherwise
  74-13  disciplined if the applicant or licensee has:
  74-14              (1)  used drugs or intoxicating liquors to an extent
  74-15  that affects his or her professional competence;
  74-16              (2)  been convicted of a crime, other than minor
  74-17  offenses defined as "minor misdemeanors," "violations," or
  74-18  "offenses," in any court if the acts for which he or she was
  74-19  convicted are found by the board to have a direct bearing on
  74-20  whether he or she should be entrusted to service the public in the
  74-21  capacity of an occupational therapist or occupational therapy
  74-22  assistant;
  74-23              (3)  obtained or attempted to obtain a license by fraud
  74-24  or deception;
  74-25              (4)  been grossly negligent in the practice of
  74-26  occupational therapy or in acting as an occupational therapy
  74-27  assistant;
   75-1              (5)  been adjudicated mentally incompetent by a court
   75-2  of competent jurisdiction;
   75-3              (6)  practiced occupational therapy in a manner
   75-4  detrimental to the public health and welfare;
   75-5              (7)  advertised in a manner that in any way tends to
   75-6  deceive or defraud the public; or
   75-7              (8)  had his or her license to practice occupational
   75-8  therapy revoked or suspended or had other disciplinary action taken
   75-9  against him or her or had his or her application for a license
  75-10  refused, revoked, or suspended by the proper licensing authority of
  75-11  another state, territory, or nation.
  75-12        SECTION 3.17.  Section 31, Occupational Therapy Title Act
  75-13  (Article 8851, Vernon's Texas Civil Statutes), is amended by
  75-14  amending Subsections (b) and (c) and adding Subsection (d) to read
  75-15  as follows:
  75-16        (b)  The board may deny or refuse to renew a license, may
  75-17  suspend or revoke a license, may reprimand a licensee, or may
  75-18  impose probationary conditions after a hearing by the State Office
  75-19  of Administrative Hearings as provided by Section 30 of this Act.
  75-20  If a license suspension is probated, the board may require the
  75-21  licensee to:
  75-22              (1)  report regularly to the board on matters that are
  75-23  the basis of the probation;
  75-24              (2)  limit practice to the areas prescribed by the
  75-25  board; or
  75-26              (3)  continue or review continuing professional
  75-27  education until the licensee attains a degree of skill satisfactory
   76-1  to the board in those areas that are the basis of the probation.
   76-2        (c)  The schedule of sanctions adopted by the board by rule
   76-3  shall be used by the State Office of Administrative Hearings for
   76-4  any sanction imposed as the result of a hearing conducted by that
   76-5  office <in the manner provided by the rules adopted by the board>.
   76-6        (d) <(c)>  On application, the board may reissue a license to
   76-7  a person whose license has been denied or who has been disciplined
   76-8  by the board, but the application may not be made before the 180th
   76-9  day after the date the order of denial or discipline became final,
  76-10  and the application must be made in the manner and form required by
  76-11  the board.
  76-12        SECTION 3.18.  The Occupational Therapy Title Act (Article
  76-13  8851, Vernon's Texas Civil Statutes) is amended by adding Sections
  76-14  31A through 31D to read as follows:
  76-15        Sec. 31A.  COMPETITIVE BIDDING; ADVERTISING.  (a)  The board
  76-16  may not adopt rules restricting competitive bidding or advertising
  76-17  by a person regulated by the board except to prohibit false,
  76-18  misleading, or deceptive practices by the person.
  76-19        (b)  The board may not include in its rules to prohibit
  76-20  false, misleading, or deceptive practices by a person regulated by
  76-21  the board a rule that:
  76-22              (1)  restricts the use of any medium for advertising;
  76-23              (2)  restricts the person's personal appearance or use
  76-24  of the person's voice in an advertisement;
  76-25              (3)  relates to the size or duration of an
  76-26  advertisement by the person; or
  76-27              (4)  restricts the person's advertisement under a trade
   77-1  name.
   77-2        Sec. 31B.  REGISTRATION OF FACILITIES.  (a)  The board by
   77-3  rule shall adopt requirements for the registration and renewal of a
   77-4  registration of a facility in which the practice of occupational
   77-5  therapy is conducted.  A facility licensed under Subtitle B, Title
   77-6  4, Health and Safety Code, is exempt from registration requirements
   77-7  under this section.
   77-8        (b)  If one or more facilities are owned by an individual,
   77-9  partnership, corporation, or other entity, the board may require
  77-10  only one application for the registration of all facilities.
  77-11        Sec. 31C.  FEES.  The board may recommend to the executive
  77-12  council the reasonable and necessary fees for licenses issued or
  77-13  services performed under this Act so that the fees, in the
  77-14  aggregate, produce sufficient revenue to cover the cost of
  77-15  administering this Act.  The board may not recommend a fee to the
  77-16  executive council for an amount less than the amount of that fee on
  77-17  September 1, 1993.
  77-18        Sec. 31D.  CERTAIN FUNCTIONS TRANSFERRED.  Certain functions
  77-19  relating to the administration of this Act are performed in
  77-20  accordance with Article 4512e-1, Revised Statutes.  To the extent
  77-21  of a conflict between this Act and Article 4512e-1, Revised
  77-22  Statutes, that article controls.
  77-23      ARTICLE 4.  TRANSITION; REPEALER; EFFECTIVE DATE; EMERGENCY
  77-24        SECTION 4.01.  (a)  As soon as possible after the effective
  77-25  date of this Act, the governor, the Texas Board of Physical Therapy
  77-26  Examiners, and the Texas Board of Occupational Therapy Examiners
  77-27  shall appoint the initial members of the Executive Council of
   78-1  Physical Therapy and Occupational Therapy Examiners in accordance
   78-2  with Article 4512e-1, Revised Statutes, as added by this Act.
   78-3        (b)  The obligations, rights, contracts, records and other
   78-4  property, and personnel of, and unspent money appropriated to or
   78-5  for, the Texas Board of Physical Therapy Examiners and the Texas
   78-6  Advisory Board of Occupational Therapy are transferred to the
   78-7  Executive Council of Physical Therapy and Occupational Therapy
   78-8  Examiners.
   78-9        (c)  The rules of the Texas Board of Physical Therapy
  78-10  Examiners and the Texas Advisory Board of Occupational Therapy are
  78-11  continued in effect as rules of the Executive Council of Physical
  78-12  Therapy and Occupational Therapy Examiners until superseded by rule
  78-13  of the new council.
  78-14        (d)  The licenses in effect that were issued by the Texas
  78-15  Board of Physical Therapy Examiners and the Texas Advisory Board of
  78-16  Occupational Therapy are continued in effect as licenses of the
  78-17  Executive Council of Physical Therapy and Occupational Therapy
  78-18  Examiners.
  78-19        SECTION 4.02.  The following laws are repealed:
  78-20              (1)  Section 5, Chapter 836, Acts of the 62nd
  78-21  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  78-22  Civil Statutes); and
  78-23              (2)  Sections 4, 6 through 14, 19, and 21, Occupational
  78-24  Therapy Title Act (Article 8851, Vernon's Texas Civil Statutes).
  78-25        SECTION 4.03.  This Act takes effect September 1, 1993.
  78-26        SECTION 4.04.  The importance of this legislation and the
  78-27  crowded condition of the calendars in both houses create an
   79-1  emergency and an imperative public necessity that the
   79-2  constitutional rule requiring bills to be read on three several
   79-3  days in each house be suspended, and this rule is hereby suspended.