1-1  By:  Carriker                                          S.B. No. 690
    1-2        (In the Senate - Filed March 8, 1993; March 9, 1993, read
    1-3  first time and referred to Committee on Health and Human Services;
    1-4  April 29, 1993, reported adversely, with favorable Committee
    1-5  Substitute by the following vote:  Yeas 6, Nays 0; April 29, 1993,
    1-6  sent to printer.)
    1-7                            COMMITTEE VOTE
    1-8                          Yea     Nay      PNV      Absent 
    1-9        Zaffirini          x                               
   1-10        Ellis              x                               
   1-11        Madla                                              
   1-12        Moncrief           x                               
   1-13        Nelson             x                               
   1-14        Patterson          x                               
   1-15        Shelley            x                               
   1-16        Truan                                              
   1-17        Wentworth                                          
   1-18  COMMITTEE SUBSTITUTE FOR S.B. No. 690                    By:  Madla
   1-19                         A BILL TO BE ENTITLED
   1-20                                AN ACT
   1-21  relating to the regulation of the practice of physical therapy and
   1-22  occupational therapy, including the creation of the Executive
   1-23  Council of Physical Therapy and Occupational Therapy Examiners and
   1-24  the continuation and modification of the Texas Board of Physical
   1-25  Therapy Examiners and The Texas Advisory Board of Occupational
   1-26  Therapy.
   1-27        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
   1-28                              ARTICLE 1.
   1-29                 EXECUTIVE COUNCIL OF PHYSICAL THERAPY
   1-30                  AND OCCUPATIONAL THERAPY EXAMINERS
   1-31        SECTION 1.01.  Chapter 6D, Title 71, Revised Statutes, is
   1-32  amended by adding Article 4512e-1 to read as follows:
   1-33        Art. 4512e-1.  EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND
   1-34  OCCUPATIONAL THERAPY EXAMINERS
   1-35        Sec. 1.  DEFINITIONS.  In this article:
   1-36              (1)  "Executive council" means the Executive Council of
   1-37  Physical Therapy and Occupational Therapy Examiners.
   1-38              (2)  "Occupational therapy board" means the Texas Board
   1-39  of Occupational Therapy Examiners.
   1-40              (3)  "Physical therapy board" means the Texas Board of
   1-41  Physical Therapy Examiners.
   1-42        Sec. 2.  EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND
   1-43  OCCUPATIONAL THERAPY EXAMINERS.  (a)  The Executive Council of
   1-44  Physical Therapy and Occupational Therapy Examiners consists of:
   1-45              (1)  an occupational therapist member of the
   1-46  occupational therapy board;
   1-47              (2)  a public member of the occupational therapy board;
   1-48              (3)  a physical therapist member of the physical
   1-49  therapy board;
   1-50              (4)  a public member of the physical therapy board; and
   1-51              (5)  a public member appointed by the governor.
   1-52        (b)  The members of the executive council who serve also as
   1-53  members of the occupational therapy board or the physical therapy
   1-54  board are appointed to the executive council by the board on which
   1-55  they serve.  The occupational therapy board and the physical
   1-56  therapy board may also designate an alternate to attend any
   1-57  executive council meeting the appointed member cannot attend.  The
   1-58  alternate has the same powers and duties and is subject to the same
   1-59  qualifications as the appointed member.
   1-60        (c)  The member appointed by the governor is the presiding
   1-61  officer of the executive council.
   1-62        (d)  Appointments to the executive council shall be made
   1-63  without regard to the race, color, disability, sex, religion, age,
   1-64  or national origin of the appointees.
   1-65        Sec. 3.  MEETINGS; COMPENSATION; QUORUM.  (a)  The executive
   1-66  council shall hold at least two regular meetings each year.
   1-67  Additional meetings may be held on the call of the presiding
   1-68  officer or at the written request of three members of the executive
    2-1  council.
    2-2        (b)  The presiding officer of the executive council is
    2-3  entitled to a per diem as set by the General Appropriations Act for
    2-4  each day that the presiding officer engages in the business of the
    2-5  executive council.  Other members of the executive council may not
    2-6  receive compensation for service on the council.  A member may not
    2-7  receive any reimbursement for travel expenses, including expenses
    2-8  for meals and lodging, other than transportation expenses as
    2-9  provided by the General Appropriations Act.
   2-10        (c)  A quorum of the executive council exists if both
   2-11  therapist members and one public member are present.
   2-12        Sec. 4.  TERMS.  (a)  A member of the executive council is
   2-13  appointed for a two-year term, with a member's term expiring on
   2-14  February 1 of each odd-numbered year.
   2-15        (b)  A member appointed to fill a vacancy shall hold office
   2-16  for the remainder of that term.
   2-17        Sec. 5.  PUBLIC MEMBERSHIP RESTRICTION.  A person is not
   2-18  eligible for appointment by the governor as a public member of the
   2-19  executive council if the person or the person's spouse:
   2-20              (1)  is registered, certified, or licensed by an
   2-21  occupational regulatory agency in the field of health care;
   2-22              (2)  is employed by or participates in the management
   2-23  of a business entity or other organization regulated by the
   2-24  executive council, the occupational therapy board, or the physical
   2-25  therapy board or receiving funds from the executive council, the
   2-26  occupational therapy board, or the physical therapy board;
   2-27              (3)  owns or controls, directly or indirectly, more
   2-28  than 10 percent interest in a business entity or other organization
   2-29  regulated by the executive council, the occupational therapy board,
   2-30  or the physical therapy board or receiving funds from the executive
   2-31  council, the occupational therapy board, or the physical therapy
   2-32  board; or
   2-33              (4)  uses or receives a substantial amount of tangible
   2-34  goods, services, or funds from the executive council, the
   2-35  occupational therapy board, or the physical therapy board, other
   2-36  than compensation or reimbursement authorized by law for executive
   2-37  council, occupational therapy board, or physical therapy board
   2-38  membership, attendance, or expenses.
   2-39        Sec. 6.  CONFLICT OF INTEREST RESTRICTIONS.  (a)  An officer,
   2-40  employee, or paid consultant of a Texas trade association in the
   2-41  field of health care may not be a member or employee of the
   2-42  executive council who is exempt from the state's position
   2-43  classification plan or is compensated at or above the amount
   2-44  prescribed by the General Appropriations Act for step 1, salary
   2-45  group 17, of the position classification salary schedule.
   2-46        (b)  A person who is the spouse of an officer, manager, or
   2-47  paid consultant of a Texas trade association in the field of health
   2-48  care may not be a member of the executive council and may not be an
   2-49  employee of the executive council who is exempt from the state's
   2-50  position classification plan or is compensated at or above the
   2-51  amount prescribed by the General Appropriations Act for step 1,
   2-52  salary group 17, of the position classification salary schedule.
   2-53        (c)  For the purposes of this section, a Texas trade
   2-54  association is a nonprofit, cooperative, and voluntarily joined
   2-55  association of business or professional competitors in this state
   2-56  designed to assist its members and its industry or profession in
   2-57  dealing with mutual business or professional problems and in
   2-58  promoting their common interest.
   2-59        Sec. 7.  EFFECT OF LOBBYING ACTIVITY.  A person may not serve
   2-60  as a member of the executive council or act as the general counsel
   2-61  to the executive council if the person is required to register as a
   2-62  lobbyist under Chapter 305, Government Code, and its subsequent
   2-63  amendments, because of the person's activities for compensation on
   2-64  behalf of a profession related to the operation of the executive
   2-65  council, the occupational therapy board, or the physical therapy
   2-66  board.
   2-67        Sec. 8.  GROUNDS FOR REMOVAL FROM EXECUTIVE COUNCIL.  (a)  It
   2-68  is a ground for removal from the executive council if a member:
   2-69              (1)  does not have at the time of appointment the
   2-70  qualifications required by Section 2 of this article;
    3-1              (2)  does not maintain during service on the executive
    3-2  council the qualifications required by Section 2 of this article;
    3-3              (3)  violates a prohibition established by Section 6 or
    3-4  7 of this article;
    3-5              (4)  cannot discharge the member's duties for a
    3-6  substantial part of the term for which the member is appointed
    3-7  because of illness or disability; or
    3-8              (5)  is absent from more than half of the regularly
    3-9  scheduled executive council meetings that the member is eligible to
   3-10  attend during a calendar year unless the absence is excused by
   3-11  majority vote of the executive council.
   3-12        (b)  The validity of an action of the executive council is
   3-13  not affected by the fact that it is taken when a ground for removal
   3-14  of an executive council member exists.
   3-15        (c)  If the director has knowledge that a potential ground
   3-16  for removal exists, the director shall notify the presiding officer
   3-17  of the executive council of the ground.  The presiding officer
   3-18  shall then notify the authority that appointed the member that a
   3-19  potential ground for removal exists.
   3-20        Sec. 9.  STAFF.  (a)  The executive council shall employ a
   3-21  director and administrative and clerical employees as necessary to
   3-22  carry out the functions of the executive council, the occupational
   3-23  therapy board, and the physical therapy board.
   3-24        (b)  The executive council shall develop and implement
   3-25  policies that clearly define the respective responsibilities of the
   3-26  executive council and the staff of the executive council.
   3-27        (c)  The director shall employ a coordinator of occupational
   3-28  therapy programs and a coordinator of physical therapy programs to
   3-29  carry out the respective boards' functions.  The coordinators may
   3-30  request the executive council to assign additional employees to
   3-31  carry out the coordinators' duties.
   3-32        Sec. 10.  REGULATORY STATUTES ADMINISTERED.  Except as
   3-33  otherwise provided by this article, the executive council shall
   3-34  administer and enforce:
   3-35              (1)  the physical therapy law, Chapter 836, Acts of the
   3-36  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
   3-37  Texas Civil Statutes), and its subsequent amendments; and
   3-38              (2)  the Occupational Therapy Practice Act (Article
   3-39  8851, Vernon's Texas Civil Statutes) and its subsequent amendments.
   3-40        Sec. 11.  ADMINISTRATIVE FUNCTIONS OF EXECUTIVE COUNCIL.
   3-41  (a)  The executive council shall perform the following functions
   3-42  for the administration of each regulatory statute administered:
   3-43              (1)  data processing functions; and
   3-44              (2)  the administration of records relating to payroll,
   3-45  personnel files, vacation and other leave records, employee
   3-46  insurance and other benefits records, and employee applications.
   3-47        (b)  Administrative functions relating to the issuance and
   3-48  renewal of licenses, including administration of written
   3-49  examinations and collection of fees, are the responsibility of the
   3-50  executive council.  The executive council's responsibilities
   3-51  include the ministerial functions of preparing and delivering
   3-52  licenses, obtaining material and information in connection with the
   3-53  renewal of a license, and receiving and forwarding complaints to
   3-54  the appropriate board.  The executive council may not exercise any
   3-55  discretionary authority with respect to the original review of an
   3-56  applicant's qualifications for licensure or the subsequent review
   3-57  of the person's qualifications.  The administration of practical
   3-58  examinations and other examinations requiring skill or expertise in
   3-59  a particular area on the part of the person administering the
   3-60  examination is the responsibility of the appropriate board.  The
   3-61  selection of standardized national or generally accepted
   3-62  examinations for a profession or the design of individual
   3-63  examinations is the responsibility of the appropriate board.
   3-64        (c)  Rules concerning the qualifications, licensing,
   3-65  regulation, or practice of a profession shall be adopted by the
   3-66  appropriate board except as otherwise provided.
   3-67        (d)  The executive council shall:
   3-68              (1)  develop and prepare a budget for the executive
   3-69  council, the occupational therapy board, and the physical therapy
   3-70  board; and
    4-1              (2)  manage all physical property used by the executive
    4-2  council, the occupational therapy board, or the physical therapy
    4-3  board.
    4-4        (e)  The executive council shall set all fees for a license
    4-5  issued or service performed by a board represented on the executive
    4-6  council.
    4-7        Sec. 12.  REVIEW FUNCTIONS OF EXECUTIVE COUNCIL.  (a)  The
    4-8  executive council shall examine and evaluate the operations of the
    4-9  boards represented on the executive council.  The examination shall
   4-10  be conducted on an ongoing basis.
   4-11        (b)  The executive council may structure the examination in a
   4-12  manner that the executive council considers appropriate to produce
   4-13  an efficient and thorough review.
   4-14        Sec. 13.  REPORT AND RECOMMENDATIONS.  The executive council
   4-15  shall prepare a report of its activities and shall file the report
   4-16  with the presiding officer of each house of the legislature, the
   4-17  governor, and the Legislative Budget Board.  The executive council
   4-18  shall file the report before January 1 of each odd-numbered year.
   4-19        Sec. 14.  COOPERATION.  Each board represented on the
   4-20  executive council shall cooperate with the examination conducted by
   4-21  the executive council under this article.
   4-22        Sec. 15.  REVIEW OF RULES.  (a)  Before submitting a rule for
   4-23  publication in the Texas Register, each board represented on the
   4-24  executive council shall forward the proposed rule to the executive
   4-25  council for review.
   4-26        (b)  The executive council may review the rule and shall
   4-27  approve the rule for submission for publication unless the rule
   4-28  exceeds the rule-making authority of the board.
   4-29        (c)  If the executive council fails to approve a rule, it
   4-30  shall return the rule to the board with an explanation of the
   4-31  reasons for the denial.
   4-32        Sec. 16.  EXPENDITURES; AUDIT.  (a)  The executive council
   4-33  may authorize, from funds appropriated to it, all necessary
   4-34  disbursements to carry out:
   4-35              (1)  this article;
   4-36              (2)  the physical therapy law, Chapter 836, Acts of the
   4-37  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
   4-38  Texas Civil Statutes), and its subsequent amendments; and
   4-39              (3)  the Occupational Therapy Practice Act  (Article
   4-40  8851, Vernon's Texas Civil Statutes) and its subsequent amendments.
   4-41        (b)  The financial transactions of the executive council are
   4-42  subject to audit by the state auditor in accordance with Chapter
   4-43  321, Government Code, and its subsequent amendments.
   4-44        Sec. 17.  ANNUAL FINANCIAL REPORT.  The executive council
   4-45  shall file annually with the governor and the presiding officer of
   4-46  each house of the legislature a complete and detailed written
   4-47  report accounting for all funds received and disbursed by the
   4-48  executive council during the preceding fiscal year.  The annual
   4-49  report must be in the form and reported in the time provided by the
   4-50  General Appropriations Act.
   4-51        Sec. 18.  PERSONNEL POLICIES.  (a)  The director or the
   4-52  director's designee shall develop an intraagency career ladder
   4-53  program.  The program shall require intraagency posting of all
   4-54  non-entry-level positions concurrently with any public posting.
   4-55        (b)  The director or the director's designee shall develop a
   4-56  system of annual performance evaluations based on measurable job
   4-57  tasks.  All merit pay for executive council employees must be based
   4-58  on the system established under this subsection.
   4-59        Sec. 19.  EQUAL EMPLOYMENT OPPORTUNITY POLICIES.  (a)  The
   4-60  director or the director's designee shall prepare and maintain a
   4-61  written policy statement to ensure implementation of a program of
   4-62  equal employment opportunity under which all personnel transactions
   4-63  are made without regard to race, color, disability, sex, religion,
   4-64  age, or national origin.  The policy statement must include:
   4-65              (1)  personnel policies, including policies relating to
   4-66  recruitment, evaluation, selection, application, training, and
   4-67  promotion of personnel that are in compliance with the Commission
   4-68  on Human Rights Act (Article 5221k, Vernon's Texas Civil Statutes)
   4-69  and its subsequent amendments;
   4-70              (2)  a comprehensive analysis of the executive council
    5-1  work force that meets federal and state guidelines;
    5-2              (3)  procedures by which a determination can be made of
    5-3  significant underutilization in the executive council work force of
    5-4  all persons for whom federal or state guidelines encourage a more
    5-5  equitable balance; and
    5-6              (4)  reasonable methods to appropriately address those
    5-7  areas of underutilization.
    5-8        (b)  A policy statement prepared under Subsection (a) of this
    5-9  section must cover an annual period, be updated annually, be
   5-10  reviewed by the Commission on Human Rights for compliance with
   5-11  Subsection (a)(1) of this section, and be filed with the governor's
   5-12  office.
   5-13        (c)  The governor's office shall deliver a biennial report to
   5-14  the legislature based on the information received under Subsection
   5-15  (b)  of this section.  The report may be made separately or as part
   5-16  of other biennial reports to the legislature.
   5-17        Sec. 20.  PUBLIC INTEREST INFORMATION.  (a)  The executive
   5-18  council shall prepare information of public interest describing the
   5-19  functions of the executive council and the procedures by which
   5-20  complaints are filed with and resolved by the executive council,
   5-21  the occupational therapy board, or the physical therapy board.  The
   5-22  executive council shall make the information available to the
   5-23  public and appropriate state agencies.
   5-24        (b)  The executive council by rule shall establish methods by
   5-25  which consumers and service recipients are notified of the name,
   5-26  mailing address, and telephone number of the executive council for
   5-27  the purpose of directing complaints to the executive council.  The
   5-28  executive council may provide for that notification:
   5-29              (1)  on each registration form, application, or written
   5-30  contract for services of an individual or entity regulated by the
   5-31  executive council, the occupational therapy board, or the physical
   5-32  therapy board;
   5-33              (2)  on a sign prominently displayed in the place of
   5-34  business of each individual or entity regulated by the executive
   5-35  council, the occupational therapy board, or the physical therapy
   5-36  board; or
   5-37              (3)  in a bill for service provided by an individual or
   5-38  entity regulated by the executive council, the occupational therapy
   5-39  board, or the physical therapy board.
   5-40        (c)  The executive council shall list along with its regular
   5-41  telephone number the toll-free telephone number that may be called
   5-42  to present a complaint about a health professional if the toll-free
   5-43  number is established under other state law.
   5-44        Sec. 21.  PUBLIC PARTICIPATION IN EXECUTIVE COUNCIL HEARINGS.
   5-45  The executive council shall develop and implement policies that
   5-46  provide the public with a reasonable opportunity to appear before
   5-47  the executive council and to speak on any issue under the
   5-48  jurisdiction of the executive council.
   5-49        Sec. 22.  PROGRAM ACCESSIBILITY.  The executive council shall
   5-50  prepare and maintain a written plan that describes how a person who
   5-51  does not speak English can be provided reasonable access to the
   5-52  executive council's programs.  The executive council shall also
   5-53  comply with federal and state laws for program and facility
   5-54  accessibility.
   5-55        Sec. 23.  TRAINING; STANDARDS OF CONDUCT INFORMATION.  Each
   5-56  executive council member shall comply with the executive council
   5-57  member training requirements established by any other state agency
   5-58  that is given authority to establish the requirements for the
   5-59  executive council.
   5-60        Sec. 24.  OPEN MEETINGS AND ADMINISTRATIVE PROCEDURE.  The
   5-61  executive council is subject to:
   5-62              (1)  the open meetings law, Chapter 271, Acts of the
   5-63  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
   5-64  Texas Civil Statutes), and its subsequent amendments; and
   5-65              (2)  the Administrative Procedure and Texas Register
   5-66  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
   5-67  subsequent amendments.
   5-68        Sec. 25.  SUNSET PROVISION.  The Executive Council of
   5-69  Physical Therapy and Occupational Therapy Examiners is subject to
   5-70  Chapter 325, Government Code (Texas Sunset Act), and its subsequent
    6-1  amendments.  Unless continued in existence as provided by that
    6-2  chapter, the executive council is abolished and the following laws
    6-3  expire September 1, 2005:
    6-4              (1)  this article;
    6-5              (2)  the physical therapy law, Chapter 836, Acts of the
    6-6  62nd Legislature, Regular Session, 1971 (Article 4512e, Vernon's
    6-7  Texas Civil Statutes), and its subsequent amendments; and
    6-8              (3)  the Occupational Therapy Practice Act (Article
    6-9  8851, Vernon's Texas Civil Statutes) and its subsequent amendments.
   6-10             ARTICLE 2.  THE PRACTICE OF PHYSICAL THERAPY
   6-11        SECTION 2.01.  Section 1, Chapter 836, Acts of the 62nd
   6-12  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   6-13  Civil Statutes), is amended to read as follows:
   6-14        Sec. 1.  Definitions.  In this Act:
   6-15              (1)  "Physical therapy" means a form of health care
   6-16  that prevents, identifies, corrects, and alleviates acute or
   6-17  prolonged movement dysfunction or pain of anatomic or physiologic
   6-18  origin.  Physical therapy includes the testing and measurement of
   6-19  the function of the musculoskeletal, neurological, pulmonary, and
   6-20  cardiovascular systems and rehabilitative treatment concerned with
   6-21  the restoration of function and prevention of disability caused by
   6-22  illness, injury, or birth defect.  Physical therapy includes
   6-23  treatment, consultative, educational, and advisory services for the
   6-24  purpose of reducing the incidence and severity of disability and
   6-25  pain to enable, train, or retrain an individual to perform the
   6-26  independent skills and activities of daily living <the examination,
   6-27  treatment, or instruction of human beings to detect, assess,
   6-28  prevent, correct, and alleviate physical disability and pain from
   6-29  injury, disease, disorders, or physical deformities and includes
   6-30  the administration and evaluation of tests and measurements of
   6-31  bodily functions and structures in aid of diagnosis or treatment;
   6-32  the planning, administration, evaluation, and modification of
   6-33  treatment and instruction, including the use of physical measures,
   6-34  activities, and devices for preventive and therapeutic purposes on
   6-35  the basis of approved test findings and the provision of
   6-36  consultative, educational, and advisory services for the purpose of
   6-37  reducing the incidence and severity of physical disability and
   6-38  pain>.  Physical therapy also includes <shall also include> the
   6-39  delegation of selective forms of treatment to supportive personnel
   6-40  with retention by a physical therapist <assumption> of the
   6-41  responsibilities for the care of the patient and continuing
   6-42  direction and supervision of the supportive personnel.  The use of
   6-43  roentgen rays and radium for diagnostic and therapeutic purposes,
   6-44  and the use of electricity for surgical purposes, including
   6-45  cauterization, are not authorized under the term "physical therapy"
   6-46  as used herein, and a license issued hereunder shall not authorize
   6-47  the diagnosis of diseases or the practice of medicine as defined by
   6-48  law.
   6-49              (2)  "Physical therapist" <or "physiotherapist"> means
   6-50  a person who practices physical therapy and is licensed by the
   6-51  Texas Board of Physical Therapy Examiners.  "Hydrotherapist,"
   6-52  "physiotherapist," <"massage therapist,"> "mechano-therapist,"
   6-53  "functional therapist," "physical therapy practitioner," "physical
   6-54  therapist specialist," "physical therapy specialist,"
   6-55  "physiotherapy practitioner," "physical therapy technician,"
   6-56  "kinesiotherapist," "physical rehabilitation specialist," and
   6-57  "myofunctional therapist" are equivalent terms; any derivation of
   6-58  the above terms or any reference to any one of them in this Act
   6-59  includes the others.
   6-60              (3)  "Physical therapist assistant" means a person
   6-61  licensed by the Texas Board of Physical Therapy Examiners who
   6-62  assists and is supervised by <works under the supervision of> a
   6-63  licensed physical therapist <and assists a physical therapist> in
   6-64  the practice of physical therapy and whose activities require an
   6-65  understanding of physical therapy <but do not require a
   6-66  professional education equivalent for licensing as a physical
   6-67  therapist>.
   6-68              (4)  "Physical therapy aide" or "physical therapy
   6-69  technician" means a person who aids in the practice of physical
   6-70  therapy under the on-site supervision of a physical therapist or a
    7-1  physical therapist assistant and whose activities require
    7-2  on-the-job training <and on-site supervision by the physical
    7-3  therapist or a physical therapist assistant>.
    7-4              (5)  "Board" means the Texas Board of Physical Therapy
    7-5  Examiners.
    7-6              (6)  "Discipline" means the revocation or suspension of
    7-7  a license, the placing on probation of a licensee, <whose license
    7-8  has been suspended, or> the reprimand of a licensee, the levying of
    7-9  fines, or other actions imposed on the licensee or other person for
   7-10  a violation of <in accordance with> this Act and rules adopted by
   7-11  the board.
   7-12              (7)  "Practice of physical therapy" means:
   7-13                    (A)  performing, offering to perform, or
   7-14  attempting to perform health care that prevents, identifies,
   7-15  corrects, and alleviates acute or prolonged movement dysfunction or
   7-16  pain of anatomic or physiologic origin, the proper application of
   7-17  which requires education, training, and experience in physical
   7-18  therapy; or
   7-19                    (B)  publicly professing to be or holding oneself
   7-20  out to be a physical therapist or as providing physical therapy.
   7-21              (8)  "Physical therapy facility" is a physical site,
   7-22  such as a building, office, or portable facility, where the
   7-23  practice of physical therapy takes place.  A physical therapy
   7-24  facility must be under the direction of a physical therapist
   7-25  licensed by the board and meet any additional requirements as may
   7-26  be established by the board.
   7-27              (9)  "Accredited program" means a physical therapy
   7-28  educational program that is currently accredited by the Commission
   7-29  on Accreditation in Physical Therapy Education and is associated
   7-30  with an institution of higher education.
   7-31              (10)  "Person" means an individual, a partnership, an
   7-32  association of individuals, or a corporation.
   7-33        SECTION 2.02.  Section 2, Chapter 836, Acts of the 62nd
   7-34  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   7-35  Civil Statutes), is amended to read as follows:
   7-36        Sec. 2.  Creation of Board.  (a)  There is created a Texas
   7-37  Board of Physical Therapy Examiners.  The board's purpose is to
   7-38  regulate the practice of physical therapy in this state to
   7-39  safeguard the health and welfare of the public.  The board shall
   7-40  consist of nine members appointed by the governor with the advice
   7-41  and consent of the senate for staggered terms of six years<, with
   7-42  three members' terms expiring on January 31 of each odd-numbered
   7-43  year>.  Six members must be licensed physical therapists and three
   7-44  members must be members of the general public.  Two of the physical
   7-45  therapist members' terms and one of the public members' terms end
   7-46  on January 31 of each odd-numbered year.  <A person is not eligible
   7-47  for appointment as a public member if the person or the person's
   7-48  spouse:>
   7-49              <(1)  is licensed by an occupational regulatory agency
   7-50  in the field of health care;>
   7-51              <(2)  is employed by or participates in the management
   7-52  of a business entity or other organization that provides
   7-53  health-care services or that sells, manufacturers, or distributes
   7-54  health-care supplies or equipment; or>
   7-55              <(3)  owns, controls, or has, directly or indirectly,
   7-56  any interest in a business entity or other organization that
   7-57  provides health-care services or that sells, manufactures, or
   7-58  distributes health-care supplies or equipment.>
   7-59        (b)  A vacancy on the board shall be filled by appointment by
   7-60  the governor with the advice and consent of the senate for the
   7-61  remainder of the term.
   7-62        (c)  Appointments to the board shall be made without regard
   7-63  to the race, creed, sex, religion, disability, age, or national
   7-64  origin of the appointees.
   7-65        (d)  <The board may appoint an executive director at an
   7-66  annual salary as determined by legislative appropriation.>
   7-67        <(e)  The executive director shall administer this Act and
   7-68  carry out the instructions of the board, including the employment
   7-69  of investigators and other staff as required to implement the
   7-70  purpose of this Act.  The executive director or his designee shall
    8-1  develop an intraagency career ladder program, one part of which
    8-2  shall be the intraagency posting of all nonentry level positions
    8-3  for at least 10 days before any public posting.  The executive
    8-4  director or his designee shall develop a system of annual
    8-5  performance evaluations based on measurable job tasks.  All merit
    8-6  pay authorized by the executive director must be based on the
    8-7  system established under this subsection.>
    8-8        <(f)>  A member of the board is not liable to civil action
    8-9  for any act performed in good faith in the execution of the
   8-10  member's <his> duties in this capacity.
   8-11        <(g)  The Texas Board of Physical Therapy Examiners is
   8-12  subject to Chapter 325, Government Code (Texas Sunset Act).  Unless
   8-13  continued in existence as provided by that chapter, the board is
   8-14  abolished September 1, 1993.>
   8-15        <(h)  A member or employee of the board may not be an
   8-16  officer, employee, or paid consultant of a trade association in the
   8-17  health-care industry.  A member or employee of the board may not be
   8-18  related within the second degree by affinity or consanguinity, as
   8-19  determined under Article 5996h, Revised Statutes, to a person who
   8-20  is an officer, employee, or paid consultant of a trade association
   8-21  in the regulated industry.  A person who is required to register as
   8-22  a lobbyist under Chapter 305, Government Code, may not serve as a
   8-23  member of the board or act as the general counsel to the board.>
   8-24        <(i)  It is a ground for removal from the board if a member:>
   8-25              <(1)  does not have at the time of appointment the
   8-26  qualifications required by this section for appointment to the
   8-27  board;>
   8-28              <(2)  does not maintain during the service on the board
   8-29  the qualifications required by this section for appointment to the
   8-30  board;>
   8-31              <(3)  violates a prohibition prescribed by Subsection
   8-32  (h) of this section; or>
   8-33              <(4)  fails to attend at least half of the regularly
   8-34  scheduled board meetings held in a calendar year, excluding
   8-35  meetings held while the person was not a board member.>
   8-36        <(j)  The validity of an action of the board is not affected
   8-37  by the fact that it was taken when a ground for removal of a member
   8-38  of the board existed.>
   8-39        SECTION 2.03.  Section 3, Chapter 836, Acts of the 62nd
   8-40  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
   8-41  Civil Statutes), is amended to read as follows:
   8-42        Sec. 3.  Examinations <Powers and Duties of Board>.  (a)  The
   8-43  board shall examine applicants for licenses at least once each year
   8-44  at such reasonable places and times as shall be designated by the
   8-45  board in its discretion.
   8-46        (b)  <The board may employ additional employees to aid in
   8-47  administering examinations.>
   8-48        <(c)>  The examination shall cover those subjects generally
   8-49  taught by accredited programs and may include the content areas of
   8-50  clinical decision-making and evaluation, treatment program planning
   8-51  and implementation, administration, education, consultation, and
   8-52  research in physical therapy <embrace the following subjects:
   8-53  anatomy; pathology; physiology; psychology; physics;
   8-54  electrotherapy; radiation therapy; hydrotherapy; massage therapy;
   8-55  exercises; physical therapy as applied to medicine; neurology;
   8-56  orthopedics; psychiatry; and procedures in the practice of physical
   8-57  therapy>.
   8-58        (c)  Not later than the 30th day <(d)  The board shall revoke
   8-59  or suspend a license, place on probation a licensee whose license
   8-60  has been suspended, or reprimand a licensee for a violation of this
   8-61  Act or a rule adopted by the board.>
   8-62        <(e)  The board may adopt rules consistent with this Act to
   8-63  carry out its duties in administering this Act.>
   8-64        <(f)  Within 30 days> after the date a licensing examination
   8-65  is administered under this Act, the board shall notify each
   8-66  examinee of the results of the examination.  However, if an
   8-67  examination is graded or reviewed by a national testing service,
   8-68  the board shall notify each examinee of the results of the
   8-69  examination not later than the 14th day <within two weeks> after
   8-70  the date the board receives the results from the testing service.
    9-1  If the notice of the examination results graded or reviewed by a
    9-2  national testing service will be delayed for more than 90 days
    9-3  after the examination date, the board shall notify each examinee of
    9-4  the reason for the delay before the 90th day.
    9-5        (d)  The board by rule may establish procedures for the
    9-6  administration of the examination, including the conditions under
    9-7  which and the number of times an applicant may retake an
    9-8  examination.
    9-9        (e)  The board shall have the written portion of the
   9-10  examination, if any, validated by an independent testing entity.
   9-11        (f)  If requested in writing by a person who fails a
   9-12  licensing examination administered under this Act, the board shall
   9-13  furnish the person with an analysis of the person's performance on
   9-14  the examination.
   9-15        <(g)  The board shall maintain an information file about each
   9-16  complaint filed with the board relating to a licensee.  If a
   9-17  written complaint is filed with the board relating to a licensee,
   9-18  the board, at least as frequently as quarterly and until final
   9-19  disposition of the complaint, shall notify the parties to the
   9-20  complaint of the status of the complaint unless the notice would
   9-21  jeopardize an undercover investigation.>
   9-22        <(h)  The board shall prepare information of consumer
   9-23  interest describing the regulatory functions of the board and the
   9-24  board's procedures by which consumer complaints are filed with and
   9-25  resolved by the board.  The board shall also prepare information
   9-26  relating to and reporting any previous disciplinary action by the
   9-27  board against a physical therapist licensed in this state, the date
   9-28  of the action, and the current status of the action.  The board
   9-29  shall make the information available to the general public and
   9-30  appropriate state agencies.  The board shall establish a toll-free
   9-31  telephone number to make the information immediately available to
   9-32  any caller during regular business hours.>
   9-33        <(i)  Each written contract for services in this state of a
   9-34  licensed physical therapist shall contain the name, mailing
   9-35  address, and telephone number of the board.>
   9-36        <(j)  The board is subject to the open meetings law, Chapter
   9-37  271, Acts of the 60th Legislature, Regular Session, 1967, as
   9-38  amended (Article 6252-17, Vernon's Texas Civil Statutes), and the
   9-39  Administrative Procedure and Texas Register Act, as amended
   9-40  (Article 6252-13a, Vernon's Texas Civil Statutes).>
   9-41        <(k)  The board may recognize, prepare, or implement
   9-42  continuing education programs for licensees.  Participation in the
   9-43  programs is mandatory.  The board shall adopt rules relating to its
   9-44  continuing education requirements, including rules relating to the
   9-45  approval of continuing education courses and prescribing the number
   9-46  of continuing education hours each licensee must complete to retain
   9-47  eligibility for renewal of the license.>
   9-48        <(l)  If the appropriate standing committees of both houses
   9-49  of the legislature acting under Subsection (g), Section 5,
   9-50  Administrative Procedure and Texas Register Act, as amended
   9-51  (Article 6252-13a, Vernon's Texas Civil Statutes), transmit to the
   9-52  board statements opposing adoption of a rule under that section,
   9-53  the rule may not take effect, or if the rule has already taken
   9-54  effect, the rule is repealed effective on the date the board
   9-55  receives the committee's statements.>
   9-56        SECTION 2.04.  Chapter 836, Acts of the 62nd Legislature,
   9-57  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
   9-58  Statutes), is amended by adding Sections 2A through 2M to read as
   9-59  follows:
   9-60        Sec. 2A.  COMPENSATION.  A member of the board is entitled to
   9-61  a per diem as set by the General Appropriations Act for each day
   9-62  that the member engages in the business of the board.  A member may
   9-63  not receive any reimbursement for travel expenses, including
   9-64  expenses for meals and lodging, other than transportation expenses
   9-65  as provided by the General Appropriations Act.
   9-66        Sec. 2B.  PUBLIC MEMBERSHIP RESTRICTION.  A person is not
   9-67  eligible for appointment as a public member of the board if the
   9-68  person or the person's spouse:
   9-69              (1)  is registered, certified, or licensed by an
   9-70  occupational regulatory agency in the field of health care;
   10-1              (2)  is employed by or participates in the management
   10-2  of a business entity or other organization regulated by the
   10-3  executive council or the board or receiving funds from the
   10-4  executive council or the board;
   10-5              (3)  owns or controls, directly or indirectly, more
   10-6  than a 10 percent interest in a business entity or other
   10-7  organization regulated by the executive council or the board or
   10-8  receiving funds from the executive council or the board; or
   10-9              (4)  uses or receives a substantial amount of tangible
  10-10  goods, services, or funds from the executive council or the board,
  10-11  other than compensation or reimbursement authorized by law for
  10-12  executive council or board membership, attendance, or expenses.
  10-13        Sec. 2C.  CONFLICT OF INTEREST RESTRICTIONS.  (a)  An
  10-14  officer, employee, or paid consultant of a Texas trade association
  10-15  in the field of health care may not be a board member.
  10-16        (b)  A person who is the spouse of an officer, manager, or
  10-17  paid consultant of a Texas trade association in the field of health
  10-18  care may not be a board member.
  10-19        (c)  For the purposes of this section, a Texas trade
  10-20  association is a nonprofit, cooperative, and voluntarily joined
  10-21  association of business or professional competitors in this state
  10-22  designed to assist its members and its industry or profession in
  10-23  dealing with mutual business or professional problems and in
  10-24  promoting their common interest.
  10-25        Sec. 2D.  EFFECT OF LOBBYING ACTIVITY.  A person may not
  10-26  serve as a board member if the person is required to register as a
  10-27  lobbyist under Chapter 305, Government Code, and its subsequent
  10-28  amendments, because of the person's activities for compensation on
  10-29  behalf of a profession related to the operation of the board.
  10-30        Sec. 2E.  GROUNDS FOR REMOVAL FROM BOARD.  (a)  It is a
  10-31  ground for removal from the board if a member:
  10-32              (1)  does not have at the time of appointment the
  10-33  qualifications required by Section 2(a) of this Act;
  10-34              (2)  does not maintain during service on the board the
  10-35  qualifications required by Section 2(a) of this Act;
  10-36              (3)  violates a prohibition established by Section 2C
  10-37  or 2D of this Act;
  10-38              (4)  cannot discharge the member's duties for a
  10-39  substantial part of the term for which the member is appointed
  10-40  because of illness or disability; or
  10-41              (5)  is absent from more than half of the regularly
  10-42  scheduled board meetings that the member is eligible to attend
  10-43  during a calendar year unless the absence is excused by majority
  10-44  vote of the board.
  10-45        (b)  The validity of an action of the board is not affected
  10-46  by the fact that it is taken when a ground for removal of a board
  10-47  member exists.
  10-48        (c)  If the coordinator of physical therapy programs has
  10-49  knowledge that a potential ground for removal exists, the
  10-50  coordinator shall notify the presiding officer of the board of the
  10-51  ground.  The presiding officer shall then notify the governor that
  10-52  a potential ground for removal exists.
  10-53        Sec. 2F.  STAFF.  (a)  The board may request the executive
  10-54  council to assign administrative and clerical employees as
  10-55  necessary to carry out the board's functions.
  10-56        (b)  The board shall develop and implement policies that
  10-57  clearly define the respective responsibilities of the board and the
  10-58  staff of the executive council.
  10-59        Sec. 2G.  REGULATORY STATUTES ADMINISTERED.  Except as
  10-60  provided by other statutes, the board shall administer and enforce
  10-61  this Act.
  10-62        Sec. 2H.  PUBLIC INTEREST INFORMATION.  The board shall
  10-63  prepare information of public interest describing the functions of
  10-64  the board and the board's procedures by which complaints are filed
  10-65  with and resolved by the board.  The board shall make the
  10-66  information available to the public and appropriate state agencies.
  10-67        Sec. 2I.  PUBLIC PARTICIPATION IN BOARD HEARINGS.  The board
  10-68  shall develop and implement policies that provide the public with a
  10-69  reasonable opportunity to appear before the board and to speak on
  10-70  any issue under the jurisdiction of the board.
   11-1        Sec. 2J.  PROGRAM ACCESSIBILITY.  The board shall prepare and
   11-2  maintain a written plan that describes how a person who does not
   11-3  speak English can be provided reasonable access to the board's
   11-4  programs.  The board shall also comply with federal and state laws
   11-5  for program and facility accessibility.
   11-6        Sec. 2K.  TRAINING; STANDARDS OF CONDUCT INFORMATION.
   11-7  (a)  Each board member shall comply with the board member training
   11-8  requirements established by any other state agency that is given
   11-9  authority to establish the requirements for the board.
  11-10        (b)  The board shall provide to its members, as often as
  11-11  necessary, information regarding their qualifications for office
  11-12  under this Act and their responsibilities under applicable laws
  11-13  relating to standards of conduct for state officers.
  11-14        Sec. 2L.  OPEN MEETINGS AND ADMINISTRATIVE PROCEDURE.  The
  11-15  board is subject to:
  11-16              (1)  the open meetings law, Chapter 271, Acts of the
  11-17  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
  11-18  Texas Civil Statutes), and its subsequent amendments; and
  11-19              (2)  the Administrative Procedure and Texas Register
  11-20  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
  11-21  subsequent amendments.
  11-22        Sec. 2M.  SUNSET PROVISION.  The Texas Board of Physical
  11-23  Therapy Examiners is subject to Chapter 325, Government Code (Texas
  11-24  Sunset Act), and its subsequent amendments.  Unless continued in
  11-25  existence as provided by that chapter, the board is abolished and
  11-26  this Act expires September 1, 2005.
  11-27        SECTION 2.05.  Subsections (a) and (b), Section 4, Chapter
  11-28  836, Acts of the 62nd Legislature, Regular Session, 1971 (Article
  11-29  4512e, Vernon's Texas Civil Statutes), are amended to read as
  11-30  follows:
  11-31        (a)  The members of the board shall, on appointment, elect
  11-32  from their number a presiding officer <chairman>, secretary, and
  11-33  other officers required for the conduct of business.  Special
  11-34  meetings of the board shall be called by the presiding officer
  11-35  <chairman> and secretary, acting jointly, or on the written request
  11-36  of any two members.  The board may adopt bylaws and rules necessary
  11-37  to govern its proceedings and to implement the purposes of this
  11-38  Act.
  11-39        (b)  The secretary shall keep a record of each meeting of the
  11-40  board and maintain a register containing the names of all physical
  11-41  therapists licensed under this Act, which shall be at all times
  11-42  open to public inspection.  On March 1 of each year, the
  11-43  coordinator of physical therapy programs <executive director> shall
  11-44  transmit an official copy of the list of the licensees to the
  11-45  executive council and the secretary of state for permanent record,
  11-46  a certified copy of which shall be admissible as evidence in any
  11-47  court of this state.
  11-48        SECTION 2.06.  Section 6, Chapter 836, Acts of the 62nd
  11-49  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  11-50  Civil Statutes), is amended to read as follows:
  11-51        Sec. 6.  Exemptions.  (a)  This Act does not restrict <apply
  11-52  to:>
  11-53              <(1)>  a licensee of another state agency from
  11-54  performing health-care services within the scope of the applicable
  11-55  licensing act if:
  11-56              (1)  the licensee does not represent to others that the
  11-57  licensee is a physical therapist and does not use the term
  11-58  "physical therapy," "physical therapist," "physiotherapy,"
  11-59  "physiotherapist," "licensed physical therapist," "registered
  11-60  physical therapist," or assistant thereto, or the letters "PT,"
  11-61  "PhT," "LPT," or "RPT" or any derivative of those terms in
  11-62  connection with the licensee's name or practice; and
  11-63              (2)  the licensee practices strictly in conformity with
  11-64  applicable laws and regulations relating to the licensure and
  11-65  observes all prohibitions of Section 7 of this Act.<, an
  11-66  occupational therapist who confines his practice to occupational
  11-67  therapy, a certified corrective therapist who confines his practice
  11-68  to corrective therapy, and a speech pathologist or an audiologist
  11-69  who confines his practice to the treatment of communication
  11-70  disorders;>
   12-1        (b)  This Act does not apply to:
   12-2              (1) <(2)>  a physical therapy aide;
   12-3              (2) <(3)>  a physical therapy student or physical
   12-4  therapist <therapy> assistant student participating in an
   12-5  accredited physical therapy or physical therapist assistant
   12-6  educational program if the student is <curriculum and> under the
   12-7  supervision of a licensee under this Act; or a student
   12-8  participating in <of> an accredited allied health science program
   12-9  leading to licensure by another state agency if the student is
  12-10  <curriculum> under the supervision of properly licensed, certified,
  12-11  or registered personnel;
  12-12              (3) <(4)>  a physical therapist doing special projects
  12-13  in patient care while working toward an advanced degree from an
  12-14  accredited college or university; or
  12-15              (4) <(5)>  a physical therapist who does not live in
  12-16  this state and is licensed by the appropriate authorities who comes
  12-17  into this state to attend educational activities.  The duration of
  12-18  this exemption shall be no more than six months.
  12-19        SECTION 2.07.  Section 7, Chapter 836, Acts of the 62nd
  12-20  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  12-21  Civil Statutes), is amended to read as follows:
  12-22        Sec. 7.  Prohibited Acts.  (a)  A person may not practice
  12-23  physical therapy, offer to practice physical therapy, or in any way
  12-24  hold the person out as being able to practice physical therapy,
  12-25  including practice as a physical therapist or physical therapist
  12-26  assistant, unless the individual holds a valid license issued by
  12-27  the board <A person may not practice or represent himself as able
  12-28  to practice physical therapy, or act or represent himself as being
  12-29  a physical therapist unless he is licensed> under this Act.
  12-30        (b)  <A person may not act or represent himself as being a
  12-31  physical therapist assistant unless he is licensed under this Act.>
  12-32        <(c)>  It is unlawful for any person or for any business, its
  12-33  employees, or other agents or representatives to use in connection
  12-34  with its name or business activity the words "physical therapy,"
  12-35  "physical therapist," "physiotherapy," "physiotherapist," "licensed
  12-36  physical therapist," "registered physical therapist," or "physical
  12-37  therapist assistant," <assistant thereto,> or the letters "PT,"
  12-38  "PhT," "LPT," "RPT," or "PTA" <or "RPT"> or any other words,
  12-39  letters, abbreviations, or insignia indicating or implying orally
  12-40  or in writing, in print or by sign, or in any other way, directly
  12-41  or by implication, that physical therapy is provided or supplied,
  12-42  or to extend or provide physical therapy services unless the
  12-43  services are provided by a physical therapist licensed under this
  12-44  Act.
  12-45        (c)  It is a violation of this Act to advertise the ability
  12-46  to provide physical therapy unless the individual providing the
  12-47  physical therapy is licensed under this Act.
  12-48        (d)  It is a violation of this Act for an individual licensed
  12-49  by the board to violate the provisions of Section 161.091, Health
  12-50  and Safety Code.
  12-51        (e)  A violation of any provision of this section will
  12-52  subject the violator to the penalties of Section 18 of this Act.
  12-53        SECTION 2.08.  Section 8, Chapter 836, Acts of the 62nd
  12-54  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  12-55  Civil Statutes), is amended by amending Subsection (a) and adding
  12-56  Subsection (c) to read as follows:
  12-57        (a)  An applicant for a license as a physical therapist must
  12-58  file a written application, on a form provided by the board,
  12-59  accompanied by an examination fee prescribed by the board, which is
  12-60  refundable if the applicant does not take the examination, and an
  12-61  application fee prescribed by the board, which is not refundable.
  12-62  The applicant must present evidence satisfactory to the board that
  12-63  the applicant <he> has completed an accredited program or
  12-64  equivalent program <curriculum> in physical therapy education.
  12-65  "Equivalent program" means that the applicant shall provide
  12-66  official documentation from a board-approved educational
  12-67  credentials review agency, certifying completion of a program
  12-68  equivalent to a Commission on Accreditation of Physical Therapy
  12-69  Education accredited program and completion of <that has provided
  12-70  adequate instruction in the basic sciences, clinical sciences, and
   13-1  physical therapy theory and procedures as determined by the board
   13-2  and has completed> a minimum of 60 academic semester credits or the
   13-3  equivalent from an accredited institution of higher learning <a
   13-4  recognized college in which semester hour credits are acceptable
   13-5  for transfer to The University of Texas, including courses in
   13-6  biological, social, and physical science>.
   13-7        (c)  The applicant must meet all other requirements and
   13-8  qualifications set forth by the board.
   13-9        SECTION 2.09.  Section 9, Chapter 836, Acts of the 62nd
  13-10  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  13-11  Civil Statutes), is amended by amending Subsection (a) and adding
  13-12  Subsections (c) and (d) to read as follows:
  13-13        (a)  An applicant for a physical therapist assistant license
  13-14  must file a written application with the board, on a form provided
  13-15  by the board, accompanied by an examination fee prescribed by the
  13-16  board, which is refundable if the applicant does not take the
  13-17  examination, and an application fee prescribed by the board, which
  13-18  is not refundable.  The applicant must present evidence
  13-19  satisfactory to the board that the applicant <he> has completed an
  13-20  accredited physical therapist assistant program or an accredited
  13-21  physical therapy program, including courses in the anatomical,
  13-22  biological, and physical sciences, and clinical procedures as
  13-23  prescribed and approved by the board.
  13-24        (c)  The applicant must meet all other requirements and
  13-25  qualifications established by the board.
  13-26        (d)  The board may grant licensure as a physical therapist
  13-27  assistant to an individual who has not completed an accredited
  13-28  program for physical therapist assistants if the individual meets
  13-29  all requirements of Section 8 of this Act and has had no
  13-30  disciplinary action in any other state or nation.
  13-31        SECTION 2.10.  Section 10, Chapter 836, Acts of the 62nd
  13-32  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  13-33  Civil Statutes), is amended to read as follows:
  13-34        Sec. 10.  PROVISIONAL LICENSE <BY ENDORSEMENT>.  (a)  The
  13-35  board may grant a provisional license to an applicant who presents
  13-36  proof of current licensure in another state, including the District
  13-37  of Columbia, or territory of the United States that maintains
  13-38  professional standards considered by the board to be equivalent to
  13-39  those set forth in this Act.  An applicant for a provisional
  13-40  license under this section must:
  13-41              (1)  be licensed in good standing as a physical
  13-42  therapist or physical therapist assistant in another state, the
  13-43  District of Columbia, or a territory of the United States that has
  13-44  licensing requirements that are substantially equivalent to the
  13-45  requirements of this Act;
  13-46              (2)  have passed a national or other examination
  13-47  recognized by the board relating to the practice of physical
  13-48  therapy; and
  13-49              (3)  be sponsored by a person licensed by the board
  13-50  under this Act with whom the provisional licensee may practice
  13-51  under this section.
  13-52        (b)  An applicant for a provisional license may be excused
  13-53  from the requirement of Subsection (a)(3) of this section if the
  13-54  board determines that compliance with that subsection constitutes a
  13-55  hardship to the applicant.
  13-56        (c)  A provisional license is valid until the date the board
  13-57  approves or denies the provisional licensee's application for a
  13-58  license.  The board shall issue a license under this Act to the
  13-59  holder of a provisional license under this section if:
  13-60              (1)  the provisional licensee passes a jurisprudence
  13-61  examination, if required;
  13-62              (2)  the board verifies that the provisional licensee
  13-63  has the academic and experience requirements for a license under
  13-64  this Act; and
  13-65              (3)  the provisional licensee satisfies any other
  13-66  license requirements under this Act.
  13-67        (d)  The board must complete the processing of a provisional
  13-68  licensee's application for a license not later than the 180th day
  13-69  after the date the provisional license is issued.  The board may
  13-70  extend the 180-day limit if the results on an examination have not
   14-1  been received by the board  <A person who is licensed or otherwise
   14-2  registered as a physical therapist or as a physical therapist
   14-3  assistant by another state, the District of Columbia, or a
   14-4  commonwealth or territory of the United States whose requirements
   14-5  for licensing or registration were at the date of licensing or
   14-6  registration substantially equal to the requirements prescribed by
   14-7  this Act may receive a physical therapist license without
   14-8  examination on submission of an application on a form prescribed by
   14-9  the board and payment of an endorsement license fee prescribed by
  14-10  the board>.
  14-11        SECTION 2.11.  Chapter 836, Acts of the 62nd Legislature,
  14-12  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
  14-13  Statutes), is amended by adding Section 10A to read as follows:
  14-14        Sec. 10A.  FOREIGN-TRAINED APPLICANTS.  Foreign-trained
  14-15  physical therapists or physical therapist assistants shall satisfy
  14-16  the examination requirements of Section 8 or 9 of this Act.  The
  14-17  board shall require foreign-trained applicants to furnish proof of
  14-18  good moral character and completion of requirements substantially
  14-19  equal to those contained in Section 8 or 9 of this Act before
  14-20  taking the examination.
  14-21        SECTION 2.12.  Section 11, Chapter 836, Acts of the 62nd
  14-22  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  14-23  Civil Statutes), is amended to read as follows:
  14-24        Sec. 11.  Temporary License; INACTIVE STATUS.  (a)  The board
  14-25  by rule may provide for the issuance of a temporary license.  A
  14-26  holder of a temporary license shall practice under the supervision
  14-27  of a licensed physical therapist.  Rules adopted under this
  14-28  subsection shall include a time limit for a licensee to remain on
  14-29  temporary status.
  14-30        (b)  The board by rule may provide for a person who holds a
  14-31  license under this Act to be placed on inactive status.  Rules
  14-32  adopted under this subsection shall include a time limit for a
  14-33  licensee to remain on inactive status <shall issue a temporary
  14-34  license without examination to a physical therapist or physical
  14-35  therapist assistant who meets the qualifications prescribed by
  14-36  Sections 8 and 9 of this Act on submission of a written application
  14-37  on a form prescribed by the board, proof that the applicant is in
  14-38  this state on a temporary basis to assist in a case of medical
  14-39  emergency or to engage in a special physical therapy project, and
  14-40  payment of a fee prescribed by the board for a physical therapist
  14-41  temporary license or a physical therapist assistant temporary
  14-42  license.  This license expires one year from the date of issuance.>
  14-43        <(b)  The board shall issue a temporary license to a person
  14-44  who has applied for a license, meets the qualifications prescribed
  14-45  by Sections 8 and 9 of this Act, and has paid a fee prescribed by
  14-46  the board for a physical therapist temporary license or a physical
  14-47  therapist assistant temporary license.  This license expires on
  14-48  completion of scoring of the next administered examination whether
  14-49  the applicant passes the examination or not.  Issuance of a
  14-50  temporary license following failure of part or all of the
  14-51  examination shall be according to rules adopted by the board>.
  14-52        SECTION  2.13.  Section 12, Chapter 836, Acts of the 62nd
  14-53  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  14-54  Civil Statutes), is amended to read as follows:
  14-55        Sec. 12.  Title.    (a)  A licensed physical therapist may
  14-56  use the title "Physical Therapist."   No other person may be so
  14-57  designated or permitted to use the term "Physical Therapist."  The
  14-58  license as a physical therapist does not authorize the use of <the
  14-59  prefix "Dr.," the word "Doctor," or> any <suffix or> affix
  14-60  indicating or implying that the licensed person is a physician.
  14-61        (b)  A licensed physical therapist assistant may use the
  14-62  title "Physical Therapist Assistant."  No other person may be so
  14-63  designated or permitted to use the term "Physical Therapist
  14-64  Assistant."  The license as a physical therapist assistant does not
  14-65  authorize the use of <the prefix "Dr.," the word "Doctor," or> any
  14-66  <suffix or> affix indicating or implying that the licensed person
  14-67  is a physician.
  14-68        SECTION 2.14.  Section 15, Chapter 836, Acts of the 62nd
  14-69  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  14-70  Civil Statutes), is amended to read as follows:
   15-1        Sec. 15.  Renewal of License.  (a)  A license issued under
   15-2  this Act<, except a temporary license,> expires two years after
   15-3  <one year from> the date of issuance.
   15-4        (b)  A person may renew an <his> unexpired license by paying
   15-5  to <filing a renewal application with> the executive council
   15-6  <board> before the expiration date of the license<, accompanied by>
   15-7  the required renewal fee<.  The renewal application must include
   15-8  evidence satisfactory to the board that the licensee has fulfilled
   15-9  the continuing education requirements imposed under Subsection (k)
  15-10  of Section 3 of this Act>.
  15-11        (c)  If a person's license has been expired for 90 days or
  15-12  less, the person may renew the license by paying to the executive
  15-13  council the required renewal fee and a fee that is one-half of the
  15-14  examination fee for the license.
  15-15        (d)  If a person's license has been expired for more than 90
  15-16  days but less than one year, the person may renew the license by
  15-17  paying to the executive council all unpaid renewal fees and a fee
  15-18  that is equal to the examination fee for the license.
  15-19        (e)  If a person's license has been expired for one year or
  15-20  more, the person may not renew the license.  The person may obtain
  15-21  a new license by submitting to reexamination and complying with the
  15-22  requirements and procedures for obtaining an original license.
  15-23  However, the board may renew without examination an expired license
  15-24  of a person who was licensed in this state, moved to another state,
  15-25  and is currently licensed and has been in practice in the other
  15-26  state for the two years preceding application.  The person must pay
  15-27  to the executive council a fee that is equal to the examination fee
  15-28  for the license.
  15-29        (f)  At least 30 days before the expiration of a person's
  15-30  license, the executive council shall send written notice of the
  15-31  impending license expiration to the person at the licensee's last
  15-32  known address according to the records of the executive council.
  15-33        <(c)  If a person's license has been expired for not more
  15-34  than 90 days, the person may renew the license by paying to the
  15-35  board the required renewal fee and a fee that is one-half of the
  15-36  examination fee for the license.>
  15-37        <(d)  If a person's license has been expired for more than 90
  15-38  days but less than two years, the person may renew the license by
  15-39  paying to the board all unpaid renewal fees and a fee that is equal
  15-40  to the examination fee for the license.>
  15-41        <(e)  If a person's license has been expired for two years or
  15-42  more, the person may not renew the license.  The person may obtain
  15-43  a new license by submitting to reexamination and complying with the
  15-44  requirements and procedures for obtaining an original license.>
  15-45        <(f)  The board shall notify each licensee in writing of the
  15-46  licensee's impending license expiration at least 30 days before the
  15-47  expiration date and shall attempt to obtain from the licensee a
  15-48  signed statement confirming receipt of the notice.>
  15-49        SECTION 2.15.  Section 16, Chapter 836, Acts of the 62nd
  15-50  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  15-51  Civil Statutes), is amended to read as follows:
  15-52        Sec. 16.  Alternative Expiration Date System.  <(a)>  The
  15-53  board may adopt a system under which licenses expire on various
  15-54  dates during the year.
  15-55        <(b)>  For the year in which the license expiration date is
  15-56  changed, license fees payable on the date of issuance shall be
  15-57  prorated on a monthly basis so that each licensee shall pay <pays>
  15-58  only that portion of the license fee that is allocable to the
  15-59  number of months during which the license is valid.
  15-60        <(c)>  On renewal of the license on the new expiration date,
  15-61  the total license renewal fee is payable.
  15-62        SECTION 2.16.  Chapter 836, Acts of the 62nd Legislature,
  15-63  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
  15-64  Statutes), is amended by adding Section 16A to read as follows:
  15-65        Sec. 16A.  MANDATORY CONTINUING EDUCATION.  (a)  The board by
  15-66  rule shall adopt requirements for mandatory continuing education
  15-67  for licensees under this Act in subjects pertaining to the practice
  15-68  of physical therapy.  The board by rule shall establish a minimum
  15-69  number of hours of continuing education required to renew a
  15-70  license.  The board may assess the continuing education needs of
   16-1  licensees and may require licensees to attend continuing education
   16-2  courses specified by the board.  The board by rule shall develop a
   16-3  process to evaluate and approve continuing education courses.
   16-4        (b)  The board shall identify the key factors for the
   16-5  competent performance by a licensee of the licensee's professional
   16-6  duties.  The board shall adopt a procedure to assess a licensee's
   16-7  participation and performance in continuing education programs.
   16-8        SECTION 2.17.  Section 17, Chapter 836, Acts of the 62nd
   16-9  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  16-10  Civil Statutes), is amended to read as follows:
  16-11        Sec. 17.  Fees.  <(a)>  The board may recommend to the
  16-12  executive council <shall establish> reasonable and necessary fees
  16-13  for licenses issued or services performed under this Act so that
  16-14  the fees, in the aggregate, produce sufficient revenue to cover the
  16-15  cost of administering this Act.  The board may not recommend a fee
  16-16  to the executive council for an amount less than the amount of that
  16-17  fee on September 1, 1993.  <for the administration of this Act in
  16-18  amounts not to exceed:>
  16-19  <Examination>
  16-20    <1.  Physical Therapist>                                      <$100>
  16-21    <2.  Physical Therapist Assistant>                              <90>
  16-22  <Application>
  16-23    <1.  Physical Therapist>                                        <60>
  16-24    <2.  Physical Therapist Assistant>                              <60>
  16-25  <License Fee>
  16-26    <Endorsement>
  16-27      <1.  Physical Therapist>                                     <100>
  16-28      <2.  Physical Therapist Assistant>                            <90>
  16-29    <Temporary License>
  16-30      <1.  Physical Therapist>                                      <40>
  16-31      <2.  Physical Therapist Assistant>                            <30>
  16-32  <Renewal>
  16-33    <1.  Physical Therapist>                                        <75>
  16-34    <2.  Physical Therapist Assistant>                              <65>
  16-35  <Issuance Fee>
  16-36    <1.  Physical Therapist>                                        <65>
  16-37    <2.  Physical Therapist Assistant>                              <65>
  16-38  <Duplicate License>
  16-39    <1.  Physical Therapist>                                        <50>
  16-40    <2.  Physical Therapist Assistant>                              <50>
  16-41  <Transfer Fee>
  16-42    <1.  Physical Therapist>                                        <50>
  16-43    <2.  Physical Therapist Assistant>                              <50>
  16-44        <(b)  The board may not maintain unnecessary fund balances,
  16-45  and fee amounts shall be set in accordance with this requirement.>
  16-46        SECTION 2.18.  Section 19, Chapter 836, Acts of the 62nd
  16-47  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  16-48  Civil Statutes), is amended to read as follows:
  16-49        Sec. 19.  GROUNDS FOR DENIAL OF A LICENSE OR DISCIPLINE OF A
  16-50  LICENSEE<:  COMPETITIVE BIDDING AND ADVERTISING>.  (a)(1)  A
  16-51  license may be denied, or after hearing, suspended or revoked, or a
  16-52  licensee otherwise disciplined if the applicant or licensee has:
  16-53                    (A)  provided physical therapy <treatment> to a
  16-54  person, except as provided by Subdivision (2) of this subsection,
  16-55  without the referral from <of> a physician licensed to practice
  16-56  medicine by a state <the Texas State> Board of Medical Examiners,
  16-57  or by a dentist licensed by a state <the State> Board of Dental
  16-58  Examiners, or a doctor licensed to practice chiropractic by a state
  16-59  <the Texas> Board of Chiropractic Examiners or a podiatrist
  16-60  licensed by a state <the Texas State> Board of Podiatry Examiners,
  16-61  or by any other qualified, licensed health-care professional who
  16-62  within the scope of the professional licensure is authorized to
  16-63  refer for health care services.  The professional taking an action
  16-64  under this subdivision is a referring practitioner <personnel who
  16-65  are authorized to prescribe treatment of individuals>;
  16-66                    (B)  in the case of a physical therapist
  16-67  assistant, treated a person other than under the direction of a
  16-68  licensed physical therapist;
  16-69                    (C)  used drugs or intoxicating liquors to an
  16-70  extent that affects the licensee's or applicant's <his>
   17-1  professional competence;
   17-2                    (D)  been convicted of a felony in this state or
   17-3  in any other state, territory, or nation; conviction as used in
   17-4  this subdivision includes a finding or verdict of guilty, an
   17-5  admission of guilt, or a plea of nolo contendere;
   17-6                    (E)  obtained or attempted to obtain a license by
   17-7  fraud or deception;
   17-8                    (F)  been grossly negligent in the practice of
   17-9  physical therapy or in acting as a physical therapist assistant;
  17-10                    (G)  been adjudged mentally incompetent by a
  17-11  court of competent jurisdiction;
  17-12                    (H)  practiced physical therapy in a manner
  17-13  detrimental to the public health and welfare; or
  17-14                    (I)  had the licensee's or applicant's <his>
  17-15  license to practice physical therapy revoked or suspended or had
  17-16  other disciplinary action taken against the licensee or applicant
  17-17  <him> or had the licensee's or applicant's <his> application for a
  17-18  license refused, revoked, or suspended by the proper licensing
  17-19  authority of another state, territory, or nation.
  17-20              (2)  A licensed physical therapist may treat a patient
  17-21  for an injury or condition that was the subject of a prior referral
  17-22  if all of the following conditions are met:
  17-23                    (A)  the physical therapist, within five business
  17-24  days, notifies the referring licensed physician, dentist,
  17-25  chiropractor, podiatrist, or other referring practitioner <licensed
  17-26  health-care personnel> of the commencement of therapy;
  17-27                    (B)  for all episodes of physical therapy
  17-28  subsequent to that which was initiated by the referral, the
  17-29  physical therapist treats the patient for not more than 20
  17-30  treatment sessions or 30 consecutive calendar days, whichever
  17-31  occurs first, whereupon the physical therapist must confer with the
  17-32  referring practitioner <licensed physician, dentist, chiropractor,
  17-33  podiatrist, or other licensed health-care personnel> in order to
  17-34  continue the current episode of treatment; and
  17-35                    (C)  the physical therapist commences any episode
  17-36  of treatment provided pursuant to this subsection within one year
  17-37  of the referral by the licensed physician, dentist, chiropractor,
  17-38  podiatrist, or other licensed health-care personnel.
  17-39              (3)  No physical therapist may provide treatment
  17-40  pursuant to Subdivision (2) of this subsection without having been
  17-41  licensed to practice physical therapy for at least one year and
  17-42  without satisfying other requirements set by the board.
  17-43              (4)  A licensed physical therapist may provide physical
  17-44  assessments or instructions to an asymptomatic person without the
  17-45  referral of a referring practitioner <physician, dentist,
  17-46  chiropractor, podiatrist, or other licensed health-care personnel>.
  17-47              (5)  In emergency circumstances, including minor
  17-48  emergencies, a licensed physical therapist may provide assistance
  17-49  to a person to the best of the therapist's ability without the
  17-50  referral of a physician, dentist, chiropractor, podiatrist, or
  17-51  other licensed health-care personnel.  For the purposes of this
  17-52  subsection, "emergency circumstances" means instances where
  17-53  emergency medical care is called for.  "Emergency medical care"
  17-54  means bona fide emergency services provided after the sudden onset
  17-55  of a medical condition manifesting itself by acute symptoms of
  17-56  sufficient severity, including severe pain, such that the absence
  17-57  of immediate medical attention could reasonably be expected to
  17-58  result in:
  17-59                    (A)  placing the patient's health in serious
  17-60  jeopardy;
  17-61                    (B)  serious impairment to bodily functions; or
  17-62                    (C)  serious dysfunction of any bodily organ or
  17-63  part.
  17-64        (b)  The board may not adopt rules restricting competitive
  17-65  bidding or advertising by a person regulated by the board except to
  17-66  prohibit false, misleading, or deceptive practices by the person.
  17-67  The board may not include in its rules to prohibit false,
  17-68  misleading, or deceptive practices by a person regulated by the
  17-69  board a rule that:
  17-70              (1)  restricts the person's use of any medium for
   18-1  advertising;
   18-2              (2)  restricts the person's personal appearance or use
   18-3  of his voice in an advertisement;
   18-4              (3)  relates to the size or duration of an
   18-5  advertisement by the person; or
   18-6              (4)  restricts the person's advertisement under a trade
   18-7  name.
   18-8        SECTION 2.19.  Subsection (a), Section 20, Chapter 836, Acts
   18-9  of the 62nd Legislature, Regular Session, 1971 (Article 4512e,
  18-10  Vernon's Texas Civil Statutes), is amended to read as follows:
  18-11        (a)  A person whose application for a license is denied is
  18-12  entitled to a hearing before the State Office of Administrative
  18-13  Hearings <board> if the applicant <he> submits a written request
  18-14  for a hearing to the board.
  18-15        SECTION 2.20.  Chapter 836, Acts of the 62nd Legislature,
  18-16  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
  18-17  Statutes), is amended by adding Section 20A to read as follows:
  18-18        Sec. 20A.  REVOCATION, SUSPENSION, OR PROBATION OF LICENSE.
  18-19  (a)  The board shall revoke or suspend a license, place on
  18-20  probation a licensee whose license has been suspended, or reprimand
  18-21  a licensee for a violation of this Act or a rule adopted by the
  18-22  board.
  18-23        (b)  If a license suspension is probated, the board may
  18-24  require the licensee to:
  18-25              (1)  report regularly to the board on matters that are
  18-26  the basis of the probation;
  18-27              (2)  limit practice to the areas prescribed by the
  18-28  board; or
  18-29              (3)  continue or review continuing professional
  18-30  education until the licensee attains a degree of skill satisfactory
  18-31  to the board in those areas that are the basis of the probation.
  18-32        (c)  The schedule of sanctions adopted by the board by rule
  18-33  shall be used by the State Office of Administrative Hearings for
  18-34  any sanction imposed as the result of a hearing conducted by that
  18-35  office.
  18-36        SECTION 2.21.  Chapter 836, Acts of the 62nd Legislature,
  18-37  Regular Session, 1971 (Article 4512e, Vernon's Texas Civil
  18-38  Statutes), is amended by adding Sections 22 through 27 to read as
  18-39  follows:
  18-40        Sec. 22.  COMPLAINT PROCEDURE IN GENERAL.  (a)  The board
  18-41  shall keep an information file about each complaint filed with the
  18-42  executive council and referred to the board.  The board's
  18-43  information file shall be kept current and contain a record for
  18-44  each complaint of:
  18-45              (1)  all persons contacted in relation to the
  18-46  complaint;
  18-47              (2)  a summary of findings made at each step of the
  18-48  complaint process;
  18-49              (3)  an explanation of the legal basis and reason for a
  18-50  complaint that is dismissed; and
  18-51              (4)  other relevant information.
  18-52        (b)  If a written complaint is received by the board that the
  18-53  board has authority to resolve, the board, at least as frequently
  18-54  as quarterly and until final disposition of the complaint, shall
  18-55  notify the parties to the complaint of the status of the complaint
  18-56  unless the notice would jeopardize an undercover investigation.
  18-57        (c)  The board by rule shall adopt a form to standardize
  18-58  information concerning complaints made to the board.  The board by
  18-59  rule shall prescribe information to be provided to a person when
  18-60  the person files a complaint received by the board.
  18-61        (d)  The board shall provide reasonable assistance to a
  18-62  person who wishes to file a complaint.
  18-63        Sec. 23.  COMPLAINT INVESTIGATION AND DISPOSITION.  (a)  The
  18-64  board shall adopt rules concerning the investigation of a complaint
  18-65  received by the board.  The rules adopted under this subsection
  18-66  shall:
  18-67              (1)  distinguish between categories of complaints;
  18-68              (2)  ensure that complaints are not dismissed without
  18-69  appropriate consideration;
  18-70              (3)  require that the board be advised of a complaint
   19-1  that is dismissed and that a letter be sent to the person who filed
   19-2  the complaint explaining the action taken on the dismissed
   19-3  complaint;
   19-4              (4)  ensure that the person who filed the complaint has
   19-5  an opportunity to explain the allegations made in the complaint;
   19-6              (5)  prescribe guidelines concerning the categories of
   19-7  complaints that require the use of a private investigator and the
   19-8  procedures for the board to obtain the services of a private
   19-9  investigator; and
  19-10              (6)  require the board to advise the executive council
  19-11  of complaints disposed of.
  19-12        (b)  The board shall dispose of all complaints in a timely
  19-13  manner.  The board shall establish a schedule for conducting each
  19-14  phase of a complaint that is under the control of the board not
  19-15  later than the 30th day after the date the complaint is received by
  19-16  the board.  The schedule shall be kept in the information file for
  19-17  the complaint and all parties shall be notified of the projected
  19-18  time requirements for pursuing the complaint.  A change in the
  19-19  schedule must be noted in the complaint information file and all
  19-20  parties to the complaint must be notified not later than the
  19-21  seventh day after the date the change is made.
  19-22        (c)  The coordinator of the physical therapy programs shall
  19-23  notify the board of a complaint that extends beyond the time
  19-24  prescribed by the board for resolving the complaint so that the
  19-25  board may take necessary action on the complaint.
  19-26        Sec. 24.  INFORMAL PROCEEDINGS.  (a)  The board by rule shall
  19-27  adopt procedures governing:
  19-28              (1)  informal disposition of a contested case under
  19-29  Section 13(e), Administrative Procedure and Texas Register Act
  19-30  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  19-31  subsequent amendments; and
  19-32              (2)  informal proceedings held in compliance with
  19-33  Section 18(c), Administrative Procedure and Texas Register Act
  19-34  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  19-35  subsequent amendments.
  19-36        (b)  Rules adopted under this section must provide the
  19-37  complainant and the licensee an opportunity to be heard and must
  19-38  require the presence of a representative of the office of the
  19-39  attorney general or the board's legal counsel to advise the board
  19-40  or board's employees.
  19-41        Sec. 25.  MONITORING OF LICENSEE.  The board by rule shall
  19-42  develop a system for monitoring licensees' compliance with the
  19-43  requirements of this Act.  Rules adopted under this section shall
  19-44  include procedures for monitoring a licensee who is ordered by the
  19-45  board to perform certain acts to ascertain that the licensee
  19-46  performs the required acts and to identify and monitor licensees
  19-47  who represent a risk to the public.
  19-48        Sec. 26.  CERTAIN FUNCTIONS TRANSFERRED.  Certain functions
  19-49  relating to the administration of this Act are performed in
  19-50  accordance with Article 4512e-1, Revised Statutes.  To the extent
  19-51  of a conflict between this Act and Article 4512e-1, Revised
  19-52  Statutes, that article controls.
  19-53        Sec. 27.  REGISTRATION OF FACILITIES.  (a)  The board by rule
  19-54  shall adopt requirements for the registration and renewal of a
  19-55  registration of a facility in which the practice of physical
  19-56  therapy is conducted.
  19-57        (b)  If one or more facilities are owned by an individual,
  19-58  partnership, corporation, or other entity, the board may require
  19-59  only one application for the registration of all facilities.
  19-60           ARTICLE 3.  THE PRACTICE OF OCCUPATIONAL THERAPY
  19-61        SECTION 3.01.  Section 1, Occupational Therapy Title Act
  19-62  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  19-63  as follows:
  19-64        Sec. 1.  SHORT TITLE.  This Act shall be known and may be
  19-65  cited as the "Occupational Therapy Practice <Title> Act."
  19-66        SECTION 3.02.  Section 2, Occupational Therapy Title Act
  19-67  (Article 8851, Vernon's Texas Civil Statutes), is amended by
  19-68  amending Subdivisions (4), (7), and (8) and adding Subdivision (9)
  19-69  to read as follows:
  19-70              (4)  "Board" means the Texas <Advisory> Board of
   20-1  Occupational Therapy Examiners.
   20-2              (7)  "Occupational therapy aide" or "occupational
   20-3  therapy orderly" means a person who aids in the practice of
   20-4  occupational therapy and whose activities require on-the-job
   20-5  training and on-site supervision by an occupational therapist or an
   20-6  occupational therapy assistant <"Commission" means the Texas
   20-7  Rehabilitation Commission>.
   20-8              (8)  "Executive council" means the Executive Council of
   20-9  Physical Therapy and Occupational Therapy Examiners <"Commissioner"
  20-10  means the commissioner of the Texas Rehabilitation Commission>.
  20-11              (9)  "Coordinator of occupational therapy programs"
  20-12  means the employee of the executive council employed under Section
  20-13  9, Article 4512e-1, Revised Statutes, and its subsequent
  20-14  amendments.
  20-15        SECTION 3.03.  Section 3, Occupational Therapy Title Act
  20-16  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  20-17  as follows:
  20-18        Sec. 3.  Creation of Board.  (a)  A Texas <Advisory> Board of
  20-19  Occupational Therapy Examiners <is hereby created.  The board is
  20-20  created as a part of the commission and shall perform its duties as
  20-21  a board with the commission.  The board> shall consist of six
  20-22  members appointed by the governor with the advice and consent of
  20-23  the senate for staggered terms of six years<, except for the first
  20-24  board appointed hereunder>.  Appointments to the board shall be
  20-25  made without regard to the race, creed, sex, religion, or national
  20-26  origin of the appointees.  Members of the board are appointed for
  20-27  staggered terms of six years, with two members' terms expiring on
  20-28  February 1 of each odd-numbered year.  <In making the initial
  20-29  appointments, the governor shall designate two members for terms
  20-30  expiring February 1, 1985, two members for terms expiring February
  20-31  1, 1987, and two members for terms expiring February 1, 1989.  The
  20-32  appointments shall be made within 30 days after this Act becomes
  20-33  effective.>
  20-34        (b)  Three members of the board must be occupational
  20-35  therapists, be residents of this state, and have practiced
  20-36  occupational therapy for at least three years immediately preceding
  20-37  appointment.  One member of the board must be an occupational
  20-38  therapy assistant, be a resident of this state, and have practiced
  20-39  as an occupational therapy assistant for at least three years
  20-40  immediately preceding appointment.  All four of these members of
  20-41  the board must be licensed under this Act<, except for the members
  20-42  of the first board appointed hereunder>.  Two members of the board
  20-43  must be public members <of the general public> who are not
  20-44  occupational therapists.
  20-45        (c)  <A member or employee of the board may not be an
  20-46  officer, employee, or paid consultant of a trade association in the
  20-47  field of occupational therapy.>
  20-48        <(d)  A member or employee of the board may not be related
  20-49  within the second degree by affinity or consanguinity, as
  20-50  determined under Article 5996h, Revised Statutes, to a person who
  20-51  is an officer, employee, or paid consultant of a trade association
  20-52  in the field of occupational therapy.>
  20-53        <(e)>  A vacancy on the board shall be filled by appointment
  20-54  by the governor with the advice and consent of the senate for the
  20-55  remainder of the term.
  20-56        (d) <(f)>  A member of the board is not liable to civil
  20-57  action for any act performed in good faith in the execution of his
  20-58  or her duties in this capacity.
  20-59        (e)  The members of the board shall, on appointment, elect
  20-60  from their number a presiding officer, a secretary, and other
  20-61  officers required for the conduct of business.
  20-62        (f)  The coordinator of occupational therapy programs shall
  20-63  keep a record of each meeting of the board and maintain a register
  20-64  containing the names of all persons licensed under this Act, which
  20-65  shall be at all times open to public inspection.  On March 1 of
  20-66  each year, the coordinator of occupational therapy programs shall
  20-67  transmit an official copy of the list of the licensees to the
  20-68  executive council and the secretary of state for permanent record,
  20-69  a certified copy of which shall be admissible as evidence in any
  20-70  court of this state.
   21-1        <(g)  The Texas Advisory Board of Occupational Therapy is
   21-2  subject to Chapter 325, Government Code (Texas Sunset Act).  Unless
   21-3  continued in existence as provided by that chapter, the board is
   21-4  abolished and this Act expires September 1, 1993.>
   21-5        SECTION 3.04.  The Occupational Therapy Title Act (Article
   21-6  8851, Vernon's Texas Civil Statutes) is amended by adding Sections
   21-7  3A through 3M to read as follows:
   21-8        Sec. 3A.  MEETINGS; COMPENSATION.  (a)  The board shall hold
   21-9  at least two regular meetings each year at which time an
  21-10  examination for a license under a law administered by the board
  21-11  shall be offered.  Additional meetings may be held on the call of
  21-12  the presiding officer or at the written request of three members of
  21-13  the board.
  21-14        (b)  A member of the board is entitled to a per diem as set
  21-15  by the General Appropriations Act for each day that the member
  21-16  engages in the business of the board.  A member may not receive any
  21-17  reimbursement for travel expenses, including expenses for meals and
  21-18  lodging, other than transportation expenses as provided by the
  21-19  General Appropriations Act.
  21-20        Sec. 3B.  PUBLIC MEMBERSHIP RESTRICTION.  A person is not
  21-21  eligible for appointment as a public member of the board if the
  21-22  person or the person's spouse:
  21-23              (1)  is registered, certified, or licensed by an
  21-24  occupational regulatory agency in the field of health care;
  21-25              (2)  is employed by or participates in the management
  21-26  of a business entity or other organization regulated by the
  21-27  executive council or the board or receiving funds from the
  21-28  executive council or the board;
  21-29              (3)  owns or controls, directly or indirectly, more
  21-30  than a 10 percent interest in a business entity or other
  21-31  organization regulated by the executive council or the board or
  21-32  receiving funds from the executive council or the board; or
  21-33              (4)  uses or receives a substantial amount of tangible
  21-34  goods, services, or funds from the executive council or the board,
  21-35  other than compensation or reimbursement authorized by law for
  21-36  executive council or board membership, attendance, or expenses.
  21-37        Sec. 3C.  CONFLICT OF INTEREST RESTRICTIONS.  (a)  An
  21-38  officer, employee, or paid consultant of a Texas trade association
  21-39  in the field of health care may not be a board member.
  21-40        (b)  A person who is the spouse of an officer, manager, or
  21-41  paid consultant of a Texas trade association in the field of health
  21-42  care may not be a board member.
  21-43        (c)  For the purposes of this section, a Texas trade
  21-44  association is a nonprofit, cooperative, and voluntarily joined
  21-45  association of business or professional competitors in this state
  21-46  designed to assist its members and its industry or profession in
  21-47  dealing with mutual business or professional problems and in
  21-48  promoting their common interest.
  21-49        Sec. 3D.  EFFECT OF LOBBYING ACTIVITY.  A person may not
  21-50  serve as a board member if the person is required to register as a
  21-51  lobbyist under Chapter 305, Government Code, and its subsequent
  21-52  amendments, because of the person's activities for compensation on
  21-53  behalf of a profession related to the operation of the executive
  21-54  council or the board.
  21-55        Sec. 3E.  GROUNDS FOR REMOVAL FROM BOARD.  (a)  It is a
  21-56  ground for removal from the board if a member:
  21-57              (1)  does not have at the time of appointment the
  21-58  qualifications required by Section 3 of this Act;
  21-59              (2)  does not maintain during service on the board the
  21-60  qualifications required by Section 3 of this Act;
  21-61              (3)  violates a prohibition established by Section 3C
  21-62  or 3D of this Act;
  21-63              (4)  cannot discharge the member's duties for a
  21-64  substantial part of the term for which the member is appointed
  21-65  because of illness or disability; or
  21-66              (5)  is absent from more than half of the regularly
  21-67  scheduled board meetings that the member is eligible to attend
  21-68  during a calendar year unless the absence is excused by majority
  21-69  vote of the board.
  21-70        (b)  The validity of an action of the board is not affected
   22-1  by the fact that it is taken when a ground for removal of a board
   22-2  member exists.
   22-3        (c)  If the coordinator of occupational therapy programs has
   22-4  knowledge that a potential ground for removal exists, the
   22-5  coordinator shall notify the presiding officer of the board of the
   22-6  ground.  The presiding officer shall then notify the governor that
   22-7  a potential ground for removal exists.
   22-8        Sec. 3F.  STAFF.  (a)  The board may request the executive
   22-9  council to assign administrative and clerical employees as
  22-10  necessary to carry out the board's functions.
  22-11        (b)  The board shall develop and implement policies that
  22-12  clearly define the respective responsibilities of the board and the
  22-13  staff of the executive council.
  22-14        Sec. 3G.  REGULATORY STATUTES ADMINISTERED.  Except as
  22-15  provided by other statutes, the board shall administer and enforce
  22-16  this Act.
  22-17        Sec. 3H.  PUBLIC INTEREST INFORMATION.  The board shall
  22-18  prepare information of public interest describing the functions of
  22-19  the board and the board's procedures by which complaints are filed
  22-20  with and resolved by the board.  The board shall make the
  22-21  information available to the public and appropriate state agencies.
  22-22        Sec. 3I.  PUBLIC PARTICIPATION IN BOARD HEARINGS.  The board
  22-23  shall develop and implement policies that provide the public with a
  22-24  reasonable opportunity to appear before the board and to speak on
  22-25  any issue under the jurisdiction of the board.
  22-26        Sec. 3J.  PROGRAM ACCESSIBILITY.  The board shall prepare and
  22-27  maintain a written plan that describes how a person who does not
  22-28  speak English can be provided reasonable access to the board's
  22-29  programs.  The board shall also comply with federal and state laws
  22-30  for program and facility accessibility.
  22-31        Sec. 3K.  TRAINING; STANDARDS OF CONDUCT INFORMATION.
  22-32  (a)  Each board member shall comply with the board member training
  22-33  requirements established by any other state agency that is given
  22-34  authority to establish the requirements for the board.
  22-35        (b)  The board shall provide to its members, as often as
  22-36  necessary, information regarding their qualifications for office
  22-37  under this Act and their responsibilities under applicable laws
  22-38  relating to standards of conduct for state officers.
  22-39        Sec. 3L.  OPEN MEETINGS AND ADMINISTRATIVE PROCEDURE.  The
  22-40  board is subject to:
  22-41              (1)  the open meetings law, Chapter 271, Acts of the
  22-42  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
  22-43  Texas Civil Statutes), and its subsequent amendments; and
  22-44              (2)  the Administrative Procedure and Texas Register
  22-45  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
  22-46  subsequent amendments.
  22-47        Sec. 3M.  SUNSET PROVISION.  The Texas Board of Occupational
  22-48  Therapy Examiners is subject to Chapter 325, Government Code (Texas
  22-49  Sunset Act), and its subsequent amendments.  Unless continued in
  22-50  existence as provided by that chapter, the board is abolished and
  22-51  this Act expires September 1, 2005.
  22-52        SECTION 3.05.  Section 5, Occupational Therapy Title Act
  22-53  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  22-54  as follows:
  22-55        Sec. 5.  Powers and Duties of the Board.  (a)  The board
  22-56  shall approve applicants for licenses at least once each year at
  22-57  such reasonable times and places as shall be designated by the
  22-58  board in its discretion.
  22-59        (b)  <The board may collect fees for licenses, license
  22-60  renewals, examinations, and all other administrative expenses.  If
  22-61  the General Appropriations Act does not set the amount of those
  22-62  fees, the board shall set the fees in amounts that will recover the
  22-63  amount appropriated for the operation of the board from the General
  22-64  Revenue Fund.>
  22-65        <(c)>  The board shall approve the examination as described
  22-66  in Subsection (b) of Section 17 of this Act.
  22-67        (c) <(d)>  The board shall adopt rules consistent with this
  22-68  Act to carry out its duties in administering this Act. <may
  22-69  investigate complaints; issue, suspend, deny, and revoke licenses;
  22-70  reprimand licensees and place them on probation; issue subpoenas;
   23-1  and hold hearings.  The board shall keep an information file about
   23-2  each complaint that is filed with the board relating to a licensee
   23-3  or an entity regulated by the board.  If a written complaint is
   23-4  filed with the board relating to a licensee or entity regulated by
   23-5  the board, the board shall notify the parties to the complaint of
   23-6  the status of the complaint unless the notice would jeopardize an
   23-7  undercover investigation.  The board shall notify the parties to
   23-8  the complaint at least as frequently as quarterly until the final
   23-9  disposition of the complaint.>
  23-10        <(e)  The board shall propose rules consistent with this Act
  23-11  to carry out its duties in administering this Act, shall submit
  23-12  said rules to the office of the Attorney General of Texas for
  23-13  review, and shall then adopt rules consistent with the advice of
  23-14  the attorney general.  In adopting its rules, the board shall
  23-15  consider any applicable policies and procedures of the commission.>
  23-16        <(f)  The commissioner with the advice of the board shall
  23-17  appoint an executive director to implement the purposes of this Act
  23-18  at a salary as determined by legislative appropriation.>
  23-19        <(g)  The executive director of the board or her/his designee
  23-20  shall develop an intraagency career ladder program, one part of
  23-21  which shall be the intraagency posting of all nonentry level
  23-22  positions for at least 10 days before any public posting.>
  23-23        <(h)  The executive director of the board or her/his designee
  23-24  shall develop a system of annual performance evaluation based on
  23-25  measurable job tasks.  All merit pay for board employees must be
  23-26  based on the system established under this section.>
  23-27        <(i)  The board shall contract for space, computer services,
  23-28  office materials, employees, and any other needed services,
  23-29  materials, or assistants deemed necessary.>
  23-30        <(j)  The board shall prepare information of consumer
  23-31  interest describing the regulatory functions of the board and the
  23-32  legal rights of consumers as provided in this Act.>
  23-33        <(k)  The board shall assist the proper legal authorities in
  23-34  the prosecution of all persons violating any provisions of this
  23-35  Act.>
  23-36        <(l)  The board shall prepare or approve continuing education
  23-37  programs for licensees and shall require each licensee to
  23-38  participate in an approved continuing education program in order to
  23-39  renew a license issued under this Act.>
  23-40        <(m)  The board shall develop and implement policies that
  23-41  clearly define the respective responsibilities of the governing
  23-42  body of the board and the staff of the board.>
  23-43        SECTION 3.06.  The Occupational Therapy Title Act (Article
  23-44  8851, Vernon's Texas Civil Statutes) is amended by adding Sections
  23-45  5A through 5E to read as follows:
  23-46        Sec. 5A.  MANDATORY CONTINUING EDUCATION.  (a)  The board by
  23-47  rule shall establish a minimum number of hours of continuing
  23-48  education required to renew a license under this Act.  The board
  23-49  may assess the continuing education needs of licensees and may
  23-50  require licensees to attend continuing education courses specified
  23-51  by the board.  The board by rule shall develop a process to
  23-52  evaluate and approve continuing education courses.
  23-53        (b)  The board shall identify the key factors for the
  23-54  competent performance by a licensee of the licensee's professional
  23-55  duties.  The board shall adopt a procedure to assess a licensee's
  23-56  participation in continuing education programs.
  23-57        Sec. 5B.  COMPLAINT INFORMATION.  (a)  The board shall keep
  23-58  an information file about each complaint filed with the executive
  23-59  council and referred to the board.  The board's information file
  23-60  shall be kept current and contain a record for each complaint of:
  23-61              (1)  all persons contacted in relation to the
  23-62  complaint;
  23-63              (2)  a summary of findings made at each step of the
  23-64  complaint process;
  23-65              (3)  an explanation of the legal basis and reason for a
  23-66  complaint that is dismissed; and
  23-67              (4)  other relevant information.
  23-68        (b)  If a written complaint is received by the board that the
  23-69  board has authority to resolve, the board, at least as frequently
  23-70  as quarterly and until final disposition of the complaint, shall
   24-1  notify the parties to the complaint of the status of the complaint
   24-2  unless the notice would jeopardize an undercover investigation.
   24-3        (c)  The board by rule shall adopt a form to standardize
   24-4  information concerning complaints made to the board.  The board by
   24-5  rule shall prescribe information to be provided to a person when
   24-6  the person files a complaint received by the board.
   24-7        (d)  The board shall provide reasonable assistance to a
   24-8  person who wishes to file a complaint.
   24-9        Sec. 5C.  COMPLAINT INVESTIGATION AND DISPOSITION.  (a)  The
  24-10  board shall adopt rules concerning the investigation of a complaint
  24-11  received by the board.  The rules adopted under this subsection
  24-12  shall:
  24-13              (1)  distinguish between categories of complaints;
  24-14              (2)  ensure that complaints are not dismissed without
  24-15  appropriate consideration;
  24-16              (3)  require that the board be advised of a complaint
  24-17  that is dismissed and that a letter be sent to the person who filed
  24-18  the complaint explaining the action taken on the dismissed
  24-19  complaint;
  24-20              (4)  ensure that the person who filed the complaint has
  24-21  an opportunity to explain the allegations made in the complaint;
  24-22              (5)  prescribe guidelines concerning the categories of
  24-23  complaints that require the use of a private investigator and the
  24-24  procedures for the board to obtain the services of a private
  24-25  investigator; and
  24-26              (6)  require the board to advise the executive council
  24-27  of complaints disposed of.
  24-28        (b)  The board shall dispose of all complaints in a timely
  24-29  manner.  The board shall establish a timeline for conducting each
  24-30  phase of a complaint that is under the control of the board not
  24-31  later than the 30th day after the date the complaint is received by
  24-32  the board.  The timeline shall be kept in the information file for
  24-33  the complaint and all parties shall be notified of the projected
  24-34  time requirements for pursuing the complaint.  A change in the
  24-35  timeline must be noted in the complaint information file and all
  24-36  parties to the complaint must be notified not later than the
  24-37  seventh day after the date the change is made.
  24-38        (c)  The coordinator of occupational therapy programs of the
  24-39  board shall notify the board of a complaint that extends beyond the
  24-40  time prescribed by the board for resolving the complaint so that
  24-41  the board may take necessary action on the complaint.
  24-42        Sec. 5D.  INFORMAL PROCEEDINGS.  (a)  The board by rule shall
  24-43  adopt procedures governing:
  24-44              (1)  informal disposition of a contested case under
  24-45  Section 13(e), Administrative Procedure and Texas Register Act
  24-46  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  24-47  subsequent amendments; and
  24-48              (2)  informal proceedings held in compliance with
  24-49  Section 18(c), Administrative Procedure and Texas Register Act
  24-50  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  24-51  subsequent amendments.
  24-52        (b)  Rules adopted under this section must provide the
  24-53  complainant and the licensee an opportunity to be heard and must
  24-54  require the presence of a representative of the office of the
  24-55  attorney general or the board's legal counsel to advise the board
  24-56  or board's employees.
  24-57        Sec. 5E.  MONITORING OF LICENSEE.  The board by rule shall
  24-58  develop a system for monitoring licensees' compliance with the
  24-59  requirements of this Act.  Rules adopted under this section shall
  24-60  include procedures for monitoring a licensee who is ordered by the
  24-61  board to perform certain acts to ascertain that the licensee
  24-62  performs the required acts and to identify and monitor licensees
  24-63  who represent a risk to the public.
  24-64        SECTION 3.07.  Section 17, Occupational Therapy Title Act
  24-65  (Article 8851, Vernon's Texas Civil Statutes), is amended by
  24-66  amending Subsections (a), (b), and (e) and adding Subsection (f) to
  24-67  read as follows:
  24-68        (a)  Only a person satisfying the requirements of Section 16,
  24-69  except Subdivision (3) <Subsection (e)> of Section 16, may apply
  24-70  for examination in such a manner as the board shall prescribe.  The
   25-1  application shall be accompanied by the nonrefundable fee
   25-2  prescribed by the executive council <Subdivision (1) of Subsection
   25-3  (b) of Section 5 of this Act>.
   25-4        (b)  Each applicant for licensure shall be examined by
   25-5  written examination to test the applicant's <his or her> knowledge
   25-6  of the basic and clinical sciences relating to occupational
   25-7  therapy, occupational therapy techniques and methods, and such
   25-8  other subjects as the board may require to determine the
   25-9  applicant's fitness to practice.  The board shall approve an
  25-10  examination for occupational therapists and an examination for
  25-11  occupational therapy assistants and establish standards for
  25-12  acceptable performance.  The board shall have the written portion
  25-13  of an examination validated by an independent testing entity.
  25-14        (e)  In case of failure of any examination the applicant
  25-15  shall have the privilege of a second examination on payment of the
  25-16  prescribed fees.  In case of a second failure, the applicant shall
  25-17  be eligible for a third examination, but shall, in addition to the
  25-18  requirements for previous examinations, have to wait a specific
  25-19  period not to exceed one year before reexamination.  Further
  25-20  testing will be at the discretion of the board.  If requested in
  25-21  writing by a person who fails a licensing examination administered
  25-22  under this Act, the board shall furnish the person with an analysis
  25-23  of the person's performance on the examination.
  25-24        (f)  Not later than the 30th day after the date on which a
  25-25  licensing examination is administered under this Act, the board
  25-26  shall notify each examinee of the results of the examination.
  25-27  However, if an examination is graded or reviewed by a national
  25-28  testing service, the board shall notify examinees of the results of
  25-29  the examination not later than the 14th day after the date on which
  25-30  the board receives the results from the testing service.  If the
  25-31  notice of examination results graded or reviewed by a national
  25-32  testing service will be delayed for longer than 90 days after the
  25-33  examination date, the board shall notify the examinee of the reason
  25-34  for the delay before the 90th day.
  25-35        SECTION 3.08.  Section 18, Occupational Therapy Title Act
  25-36  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  25-37  as follows:
  25-38        Sec. 18.  PROVISIONAL LICENSES <LICENSE BY ENDORSEMENT>.
  25-39  (a)  On application, the board shall grant a provisional license
  25-40  for the practice of occupational therapy.  An applicant for a
  25-41  provisional license under this section must:
  25-42              (1)  be licensed in good standing as an occupational
  25-43  therapist or occupational therapy assistant in another state, the
  25-44  District of Columbia, or a territory of the United States that has
  25-45  licensing requirements that are substantially equivalent to the
  25-46  requirements of this Act;
  25-47              (2)  have passed a national or other examination
  25-48  recognized by the board relating to the practice of occupational
  25-49  therapy; and
  25-50              (3)  be sponsored by a person licensed by the board
  25-51  under this Act with whom the provisional licensee may practice
  25-52  under this section.
  25-53        (b)  An applicant for a provisional license may be excused
  25-54  from the requirement of Subsection (a)(3) of this section if the
  25-55  board determines that compliance with that subsection constitutes a
  25-56  hardship to the applicant.
  25-57        (c)  A provisional license is valid until the date the board
  25-58  approves or denies the provisional licensee's application for a
  25-59  license.  The board shall issue a license under this Act to the
  25-60  holder of a provisional license under this section if:
  25-61              (1)  the provisional licensee passes a jurisprudence
  25-62  examination, if required;
  25-63              (2)  the board verifies that the provisional licensee
  25-64  has the academic and experience requirements for a license under
  25-65  this Act; and
  25-66              (3)  the provisional licensee satisfies any other
  25-67  license requirements under this Act.
  25-68        (d)  The board must complete the processing of a provisional
  25-69  licensee's application for a license not later than the 180th day
  25-70  after the date the provisional license is issued.  The board may
   26-1  extend the 180-day limit if the results of an examination have not
   26-2  been received by the board  <A person who is licensed or otherwise
   26-3  registered as an occupational therapist or as an occupational
   26-4  therapy assistant by another state, the District of Columbia, or a
   26-5  commonwealth or territory of the United States whose requirements
   26-6  for licensing or registration were at the date of licensing or
   26-7  registration substantially equal to the requirements prescribed by
   26-8  this Act may receive an occupational therapist license without
   26-9  examination, on submission of an application on a form prescribed
  26-10  by the board and payment of an endorsement license fee prescribed
  26-11  by the board.>
  26-12        <(b)  The board may also waive examination requirements for a
  26-13  person who is certified by a national association approved by the
  26-14  board and who is currently practicing in a state that does not
  26-15  require a license or other form of registration>.
  26-16        SECTION 3.09.  Section 20, Occupational Therapy Title Act
  26-17  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  26-18  as follows:
  26-19        Sec. 20.  Foreign-Trained Applicants.  Foreign-trained
  26-20  occupational therapists and occupational therapy assistants shall
  26-21  satisfy the examination requirements of Subdivision (3) <Subsection
  26-22  (e)> of Section 16.  The board shall require foreign-trained
  26-23  applicants to furnish proof of good moral character and completion
  26-24  of educational and supervised field work requirements substantially
  26-25  equal to those contained in Section 16 before taking the
  26-26  examination.
  26-27        SECTION 3.10.  Section 22, Occupational Therapy Title Act
  26-28  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  26-29  as follows:
  26-30        Sec. 22.  Temporary License.  <(a)>  The board by rule may
  26-31  provide for the issuance of a temporary license.  Rules adopted
  26-32  under this section shall include a time limit for a licensee to
  26-33  remain on temporary status.  A holder of a temporary license shall
  26-34  practice under the supervision of an occupational therapist
  26-35  licensed by the board <may issue a temporary license without
  26-36  examination to a person who is a recent graduate of an institution
  26-37  of higher education in the United States if the person has applied
  26-38  for a license, has applied to take the licensing examination, and
  26-39  meets the requirements for license under Section 16 of this Act.  A
  26-40  person who holds a temporary license may practice only under the
  26-41  supervision of a person who holds a regular license.  A temporary
  26-42  license expires on notification of the results of the licensing
  26-43  examination.  Issuance of a temporary license following failure of
  26-44  part or all of the examination shall be according to rules adopted
  26-45  by the board.>
  26-46        <(b)  The board shall issue a temporary license to a person
  26-47  who has applied for endorsement of her/his license under the
  26-48  provisions of Section 18 of this Act.  On approval by the board of
  26-49  the application and payment of fees, the board shall issue a
  26-50  permanent license on the issuance of which the temporary license
  26-51  issued under this provision shall expire>.
  26-52        SECTION 3.11.  Section 24, Occupational Therapy Title Act
  26-53  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  26-54  as follows:
  26-55        Sec. 24.  Renewal of Unexpired License.  (a)  The board by
  26-56  rule may adopt a system under which licenses expire on various
  26-57  dates during the year.  For the year in which the license
  26-58  expiration date is changed, license fees shall be prorated on a
  26-59  monthly basis so that each licensee shall pay only that portion of
  26-60  the license fee that is allocable to the number of months during
  26-61  which the license is valid.  On renewal of the license on the new
  26-62  expiration date, the total license renewal fee is payable <A
  26-63  license issued under this Act, unless otherwise provided in this
  26-64  Act, expires on the licensee's birthday, except for licenses which
  26-65  would thereby expire before January 1, 1985, which licenses shall
  26-66  not expire until the licensee's first birthday after that date>.
  26-67        (b)  A person may renew an unexpired license by paying to the
  26-68  executive council before the expiration date of the license the
  26-69  required  <A renewal license shall be issued on submission of an
  26-70  application on a form prescribed by the board and payment of a>
   27-1  renewal fee <before the expiration date of the license>.
   27-2        SECTION 3.12.  Section 25, Occupational Therapy Title Act
   27-3  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
   27-4  as follows:
   27-5        Sec. 25.  Renewal of Expired License.  (a)  If a person's
   27-6  license has been expired for <not more than> 90 days or less, the
   27-7  person may renew the license by paying to the executive council
   27-8  <board> the required renewal fee plus a <late> fee in an amount
   27-9  that is one-half of the examination fee for the license <fee>.
  27-10        (b)  If a person's license has been expired for more than 90
  27-11  days but less than one year <two years>, the person may renew the
  27-12  license by paying to the executive council <board> all unpaid
  27-13  renewal fees and a <late> fee that is equal to the examination fee
  27-14  for the license <fee>.
  27-15        (c)  If a person's license has been expired for one year <two
  27-16  years> or more, the person may not renew the license.  The person
  27-17  may obtain a new license by <applying for a license,> submitting to
  27-18  reexamination<,> and complying with the requirements and procedures
  27-19  for obtaining an original license.  However, the board may renew
  27-20  without reexamination an expired license of a person who was
  27-21  licensed in this state, moved to another state, and has been in
  27-22  practice <legally practicing> in the other state for the two years
  27-23  preceding <the> application <for renewal>.  The person must <shall>
  27-24  pay to the executive council <board> a renewal fee that is equal to
  27-25  the examination fee for the license <fee>.
  27-26        (d)  At least 30 days  <Not later than the 30th day> before
  27-27  the expiration <date> of a person's license, the executive council
  27-28  <board> shall send written notice of the impending license
  27-29  expiration to the person at the person's last known address.
  27-30        SECTION 3.13.  Section 25A, Occupational Therapy Title Act
  27-31  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  27-32  as follows:
  27-33        Sec. 25A.  Inactive Status List.  The board by rule may
  27-34  provide for a person who holds a license under this Act to be
  27-35  placed on inactive status.  Rules adopted under this section shall
  27-36  include a time limit for a licensee to remain on inactive status
  27-37  <(a)  A person who holds a license under this Act and who is not
  27-38  actively engaged in the practice of occupational therapy may apply
  27-39  to the board in writing to be placed on an inactive status list
  27-40  maintained by the board.  The person must apply for inactive status
  27-41  before the expiration of the person's license.  A person on
  27-42  inactive status is not required to pay the annual renewal fee.>
  27-43        <(b)  A person on inactive status may not perform any
  27-44  activities regulated under this Act.>
  27-45        <(c)  If a person on inactive status desires to reenter
  27-46  active practice, the person shall notify the board in writing.  The
  27-47  board shall remove the person from the inactive status list on
  27-48  payment of an administrative fee and on compliance with educational
  27-49  or other requirements set by the board by rule>.
  27-50        SECTION 3.14.  Section 26, Occupational Therapy Title Act
  27-51  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  27-52  as follows:
  27-53        Sec. 26.  Title.  A licensed occupational therapist may use
  27-54  the title "Occupational Therapist Registered" and the initials
  27-55  "O.T.R."  No other person may be designated or permitted to use the
  27-56  terms "Occupational Therapist Registered" or "O.T.R."  A licensed
  27-57  occupational therapy assistant may use the title "Certified
  27-58  Occupational Therapy Assistant" and the initials "C.O.T.A."  No
  27-59  other person may be designated or permitted to use the terms
  27-60  "Certified Occupational Therapy Assistant" or "C.O.T.A."  Neither
  27-61  title authorizes the use of the prefix "Dr.," the word "Doctor," or
  27-62  any suffix or affix indicating or implying that the licensed person
  27-63  is a physician.
  27-64        SECTION 3.15.  Subsections (a), (b), and (c), Section 28,
  27-65  Occupational Therapy Title Act (Article 8851, Vernon's Texas Civil
  27-66  Statutes), are amended to read as follows:
  27-67        (a)  A person may not practice or represent himself or
  27-68  herself as able to practice occupational therapy or act as or
  27-69  represent himself or herself as being an occupational therapist
  27-70  unless he or she is licensed under this Act.
   28-1        (b)  A person may not act as or represent himself or herself
   28-2  as being an occupational therapy assistant unless he or she is
   28-3  licensed under this Act.
   28-4        (c)  It is unlawful for any person who is not licensed under
   28-5  this Act as an occupational therapist or an occupational therapy
   28-6  assistant or whose registration has been suspended or revoked to:
   28-7              (1)  use in connection with his or her practice or
   28-8  place of business the words "occupational therapy," "occupational
   28-9  therapist," "licensed occupational therapist," "occupational
  28-10  therapist registered," "occupational therapy assistant," "licensed
  28-11  occupational therapy assistant," "certified occupational therapy
  28-12  assistant," or the letters "O.T.," "O.T.R.," "L.O.T.," "O.T.R./L.,"
  28-13  "O.T.A.," "L.O.T.A.," or "C.O.T.A.," or any other words, letters,
  28-14  abbreviations, or insignia indicating or implying that he or she is
  28-15  an occupational therapist or an occupational therapy assistant;
  28-16              (2)  <or who> in any way, orally, in writing, in print,
  28-17  or by sign directly or by implication represent <represents>
  28-18  himself or herself as an occupational therapist or an occupational
  28-19  therapy assistant; or
  28-20              (3)  in any way, orally, in writing, in print, or by
  28-21  sign, or in any other way, directly or indirectly, represent that
  28-22  occupational therapy is provided or supplied, or extend or provide
  28-23  occupational therapy services unless the services are provided by
  28-24  an occupational therapist or an occupational therapy assistant
  28-25  licensed under this Act.
  28-26        SECTION 3.16.  Section 30, Occupational Therapy Title Act
  28-27  (Article 8851, Vernon's Texas Civil Statutes), is amended to read
  28-28  as follows:
  28-29        Sec. 30.  Denial, Suspension, or Revocation of a License;
  28-30  Discipline of a Licensee.  (a)  If the State Office of
  28-31  Administrative Hearings <board> proposes to deny a license, <or> to
  28-32  suspend or revoke a license, or to take other disciplinary action
  28-33  against a licensee the applicant or licensee is entitled to a
  28-34  hearing before the board <or before a hearing officer appointed by
  28-35  the board>.  All final decisions shall be made by the board.
  28-36        (b)  After a final decision by the board <hearing>, a license
  28-37  may be denied, suspended, or revoked or a licensee otherwise
  28-38  disciplined if the applicant or licensee has:
  28-39              (1)  used drugs or intoxicating liquors to an extent
  28-40  that affects his or her professional competence;
  28-41              (2)  been convicted of a crime, other than minor
  28-42  offenses defined as "minor misdemeanors," "violations," or
  28-43  "offenses," in any court if the acts for which he or she was
  28-44  convicted are found by the board to have a direct bearing on
  28-45  whether he or she should be entrusted to service the public in the
  28-46  capacity of an occupational therapist or occupational therapy
  28-47  assistant;
  28-48              (3)  obtained or attempted to obtain a license by fraud
  28-49  or deception;
  28-50              (4)  been grossly negligent in the practice of
  28-51  occupational therapy or in acting as an occupational therapy
  28-52  assistant;
  28-53              (5)  been adjudicated mentally incompetent by a court
  28-54  of competent jurisdiction;
  28-55              (6)  practiced occupational therapy in a manner
  28-56  detrimental to the public health and welfare;
  28-57              (7)  advertised in a manner that in any way tends to
  28-58  deceive or defraud the public; or
  28-59              (8)  had his or her license to practice occupational
  28-60  therapy revoked or suspended or had other disciplinary action taken
  28-61  against him or her or had his or her application for a license
  28-62  refused, revoked, or suspended by the proper licensing authority of
  28-63  another state, territory, or nation.
  28-64        SECTION 3.17.  Section 31, Occupational Therapy Title Act
  28-65  (Article 8851, Vernon's Texas Civil Statutes), is amended by
  28-66  amending Subsections (b) and (c) and adding Subsection (d) to read
  28-67  as follows:
  28-68        (b)  The board may deny or refuse to renew a license, may
  28-69  suspend or revoke a license, may reprimand a licensee, or may
  28-70  impose probationary conditions after a hearing by the State Office
   29-1  of Administrative Hearings as provided by Section 30 of this Act.
   29-2  If a license suspension is probated, the board may require the
   29-3  licensee to:
   29-4              (1)  report regularly to the board on matters that are
   29-5  the basis of the probation;
   29-6              (2)  limit practice to the areas prescribed by the
   29-7  board; or
   29-8              (3)  continue or review continuing professional
   29-9  education until the licensee attains a degree of skill satisfactory
  29-10  to the board in those areas that are the basis of the probation.
  29-11        (c)  The schedule of sanctions adopted by the board by rule
  29-12  shall be used by the State Office of Administrative Hearings for
  29-13  any sanction imposed as the result of a hearing conducted by that
  29-14  office <in the manner provided by the rules adopted by the board>.
  29-15        (d) <(c)>  On application, the board may reissue a license to
  29-16  a person whose license has been denied or who has been disciplined
  29-17  by the board, but the application may not be made before the 180th
  29-18  day after the date the order of denial or discipline became final,
  29-19  and the application must be made in the manner and form required by
  29-20  the board.
  29-21        SECTION 3.18.  The Occupational Therapy Title Act (Article
  29-22  8851, Vernon's Texas Civil Statutes) is amended by adding Sections
  29-23  31A through 31D to read as follows:
  29-24        Sec. 31A.  COMPETITIVE BIDDING; ADVERTISING.  (a)  The board
  29-25  may not adopt rules restricting competitive bidding or advertising
  29-26  by a person regulated by the board except to prohibit false,
  29-27  misleading, or deceptive practices by the person.
  29-28        (b)  The board may not include in its rules to prohibit
  29-29  false, misleading, or deceptive practices by a person regulated by
  29-30  the board a rule that:
  29-31              (1)  restricts the use of any medium for advertising;
  29-32              (2)  restricts the person's personal appearance or use
  29-33  of the person's voice in an advertisement;
  29-34              (3)  relates to the size or duration of an
  29-35  advertisement by the person; or
  29-36              (4)  restricts the person's advertisement under a trade
  29-37  name.
  29-38        Sec. 31B.  REGISTRATION OF FACILITIES.  (a)  The board by
  29-39  rule shall adopt requirements for the registration and renewal of a
  29-40  registration of a facility in which the practice of occupational
  29-41  therapy is conducted.  A facility licensed under Subtitle B, Title
  29-42  4, Health and Safety Code, is exempt from registration requirements
  29-43  under this section.
  29-44        (b)  If one or more facilities are owned by an individual,
  29-45  partnership, corporation, or other entity, the board may require
  29-46  only one application for the registration of all facilities.
  29-47        Sec. 31C.  FEES.  The board may recommend to the executive
  29-48  council the reasonable and necessary fees for licenses issued or
  29-49  services performed under this Act so that the fees, in the
  29-50  aggregate, produce sufficient revenue to cover the cost of
  29-51  administering this Act.  The board may not recommend a fee to the
  29-52  executive council for an amount less than the amount of that fee on
  29-53  September 1, 1993.
  29-54        Sec. 31D.  CERTAIN FUNCTIONS TRANSFERRED.  Certain functions
  29-55  relating to the administration of this Act are performed in
  29-56  accordance with Article 4512e-1, Revised Statutes.  To the extent
  29-57  of a conflict between this Act and Article 4512e-1, Revised
  29-58  Statutes, that article controls.
  29-59      ARTICLE 4.  TRANSITION; REPEALER; EFFECTIVE DATE; EMERGENCY
  29-60        SECTION 4.01.  (a)  As soon as possible after the effective
  29-61  date of this Act, the governor, the Texas Board of Physical Therapy
  29-62  Examiners, and the Texas Board of Occupational Therapy Examiners
  29-63  shall appoint the initial members of the Executive Council of
  29-64  Physical Therapy and Occupational Therapy Examiners in accordance
  29-65  with Article 4512e-1, Revised Statutes, as added by this Act.
  29-66        (b)  The obligations, rights, contracts, records and other
  29-67  property, and personnel of, and unspent money appropriated to or
  29-68  for, the Texas Board of Physical Therapy Examiners and the Texas
  29-69  Advisory Board of Occupational Therapy are transferred to the
  29-70  Executive Council of Physical Therapy and Occupational Therapy
   30-1  Examiners.
   30-2        (c)  The rules of the Texas Board of Physical Therapy
   30-3  Examiners and the Texas Advisory Board of Occupational Therapy are
   30-4  continued in effect as rules of the Executive Council of Physical
   30-5  Therapy and Occupational Therapy Examiners until superseded by rule
   30-6  of the new council.
   30-7        (d)  The licenses in effect that were issued by the Texas
   30-8  Board of Physical Therapy Examiners and the Texas Advisory Board of
   30-9  Occupational Therapy are continued in effect as licenses of the
  30-10  Executive Council of Physical Therapy and Occupational Therapy
  30-11  Examiners.
  30-12        SECTION 4.02.  The following laws are repealed:
  30-13              (1)  Section 5, Chapter 836, Acts of the 62nd
  30-14  Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas
  30-15  Civil Statutes); and
  30-16              (2)  Sections 4, 6 through 14, 19, and 21, Occupational
  30-17  Therapy Title Act (Article 8851, Vernon's Texas Civil Statutes).
  30-18        SECTION 4.03.  This Act takes effect September 1, 1993.
  30-19        SECTION 4.04.  The importance of this legislation and the
  30-20  crowded condition of the calendars in both houses create an
  30-21  emergency and an imperative public necessity that the
  30-22  constitutional rule requiring bills to be read on three several
  30-23  days in each house be suspended, and this rule is hereby suspended.
  30-24                               * * * * *
  30-25                                                         Austin,
  30-26  Texas
  30-27                                                         April 29, 1993
  30-28  Hon. Bob Bullock
  30-29  President of the Senate
  30-30  Sir:
  30-31  We, your Committee on Health and Human Services to which was
  30-32  referred S.B. No. 690, have had the same under consideration, and I
  30-33  am instructed to report it back to the Senate with the
  30-34  recommendation that it do not pass, but that the Committee
  30-35  Substitute adopted in lieu thereof do pass and be printed.
  30-36                                                         Zaffirini,
  30-37  Chair
  30-38                               * * * * *
  30-39                               WITNESSES
  30-40                                                  FOR   AGAINST  ON
  30-41  ___________________________________________________________________
  30-42  Name:  Joey Longley                                            x
  30-43  Representing:  Sunset Commission
  30-44  City:  Austin
  30-45  -------------------------------------------------------------------
  30-46  Name:  Ying Tang                                               x
  30-47  Representing:  Sunset Comm
  30-48  City:  Austin
  30-49  -------------------------------------------------------------------
  30-50  Name:  Sherry L. Lee                                           x
  30-51  Representing:  Tx St Bd of Physical Therapy
  30-52  City:  Austin
  30-53  -------------------------------------------------------------------
  30-54  Name:  Linda Vaclavic                                          x
  30-55  Representing:  Tx Adv Bd of Occupational
  30-56  City:  Austin
  30-57  -------------------------------------------------------------------
  30-58  Name:  Missy Donnell                             x
  30-59  Representing:  Tx Occupational Therapy Asso
  30-60  City:  Austin
  30-61  -------------------------------------------------------------------
  30-62  Name:  Travis Cox                                x
  30-63  Representing:  Tx St Bd of Physical Therapy
  30-64  City:  San Antonio
  30-65  -------------------------------------------------------------------
  30-66  Name:  Dr. Jane Noojin                                   x
  30-67  Representing:  Tx Chiropractic Asso
  30-68  City:  Houston
  30-69  -------------------------------------------------------------------
  30-70  Name:  J. P. Word                                        x
   31-1  Representing:  Tx Chiropractic Asso
   31-2  City:  Austin
   31-3  -------------------------------------------------------------------
   31-4                                                  FOR   AGAINST  ON
   31-5  ___________________________________________________________________
   31-6  Name:  Mary R. Dallong                           x
   31-7  Representing:  Tx Physical Therapy Asso
   31-8  City:  Spring
   31-9  -------------------------------------------------------------------