By:  Parker                                           S.B. No. 1425
                                 A BILL TO BE ENTITLED
                                        AN ACT
    1-1  relating to the regulation of marriage and family therapists and to
    1-2  the continuation and operation of the Texas State Board of
    1-3  Examiners of Marriage and Family Therapists; providing penalties.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Subsections (a) and (b), Section 3, Licensed
    1-6  Marriage and Family Therapist Act (Article 4512c-1, Vernon's Texas
    1-7  Civil Statutes), are amended to read as follows:
    1-8        (a)  The Texas State Board of Examiners of Marriage and
    1-9  Family Therapists is <an advisory body to the Texas Board of
   1-10  Health.  The board is> composed of nine members appointed by the
   1-11  governor with the advice and consent of the senate.  Four members
   1-12  must be members of the public.  Five members must be persons
   1-13  eligible for a license under this Act, one of whom must be a
   1-14  professional educator in marriage and family therapy.  These
   1-15  members must have engaged in the practice or education of marriage
   1-16  and family therapy for at least five years or have 5,000 hours of
   1-17  clinical experience in the practice of marriage and family therapy.
   1-18  In making the appointments of the five members eligible for a
   1-19  license under this Act, the governor shall consider recommendations
   1-20  made by recognized professional associations of marriage and family
   1-21  therapists in this state.
   1-22        (b)  Appointments to the board shall be made without regard
   1-23  to the race, color, disability <handicap>, sex, religion, age, or
   1-24  national origin of the appointee.
    2-1        SECTION 2.  Section 4, Licensed Marriage and Family Therapist
    2-2  Act (Article 4512c-1, Vernon's Texas Civil Statutes), is amended to
    2-3  read as follows:
    2-4        Sec. 4.  Sunset provision.  <(a)>  The Texas State Board of
    2-5  Examiners of Marriage and Family Therapists is subject to Chapter
    2-6  325, Government Code (Texas Sunset Act).  Unless continued in
    2-7  existence as provided by that chapter, the board is abolished and
    2-8  this Act expires September 1, 2005 <1993>.
    2-9        <(b)  The board shall cooperate with the Sunset Advisory
   2-10  Commission in the commission's review of those agencies that
   2-11  license or regulate mental health professionals and will be
   2-12  reviewed for the Regular Session of the 73rd Legislature in 1993.
   2-13  The board shall assist the Sunset Advisory Commission in
   2-14  determining the extent to which the agencies that license or
   2-15  regulate mental health professionals should be combined into a
   2-16  single agency.>
   2-17        SECTION 3.  Section 6, Licensed Marriage and Family Therapist
   2-18  Act (Article 4512c-1, Vernon's Texas Civil Statutes), is amended to
   2-19  read as follows:
   2-20        Sec. 6.  OFFICERS.  The board shall elect a chair and
   2-21  vice-chair from its members at the meeting of the board held
   2-22  closest to August 31 of each year.  The chair and vice-chair shall
   2-23  serve as provided by board rules.
   2-24        SECTION 4.  Section 9, Licensed Marriage and Family Therapist
   2-25  Act (Article 4512c-1, Vernon's Texas Civil Statutes), is amended to
   2-26  read as follows:
   2-27        Sec. 9.  Restrictions on appointment, membership, and
    3-1  employment.   (a)  A member of the board or an employee of the
    3-2  department who performs functions for the board may not<:>
    3-3              <(1)  be an officer, employee, or paid consultant of a
    3-4  trade association in the field of marriage and family therapy or a
    3-5  related mental health field;>
    3-6              <(2)  be related within the second degree by affinity
    3-7  or within the third degree by consanguinity to a person who is an
    3-8  officer, employee, or paid consultant of a trade association in the
    3-9  field of marriage and family therapy or a related mental health
   3-10  field; or>
   3-11              <(3)>  communicate directly or indirectly with a party
   3-12  or the party's representative to a proceeding pending before the
   3-13  board if the member or employee is assigned to make a decision, a
   3-14  finding of fact, or a conclusion of law in the proceeding, unless
   3-15  notice and an opportunity to participate are given to each party to
   3-16  the proceeding.
   3-17        (b)  An officer, employee, or paid consultant of a Texas
   3-18  trade association in the field of health care may not be a member
   3-19  or employee of the board who is exempt from the state's position
   3-20  classification plan or is compensated at or above the amount
   3-21  prescribed by the General Appropriations Act for step 1, salary
   3-22  group 17, of the position classification salary schedule.
   3-23        (c)  A person who is the spouse of an officer, manager, or
   3-24  paid consultant of a Texas trade association in the field of health
   3-25  care may not be a board member and may not be an employee of the
   3-26  board who is exempt from the state's position classification plan
   3-27  or is compensated at or above the amount prescribed by the General
    4-1  Appropriations Act for step 1, salary group 17, of the position
    4-2  classification salary schedule.
    4-3        (d)  For the purposes of this section, a Texas trade
    4-4  association is a nonprofit, cooperative, and voluntarily joined
    4-5  association of business or professional competitors in this state
    4-6  designed to assist its members and its industry or profession in
    4-7  dealing with mutual business or professional problems and in
    4-8  promoting their common interest.
    4-9        (e)  A person is not eligible for appointment as a public
   4-10  member of the board if the person or the person's spouse:
   4-11              (1)  is registered, certified, or licensed by an
   4-12  occupational regulatory agency in the field of health care;
   4-13              (2)  is employed by or participates in the management
   4-14  of a business entity or other organization regulated by the board
   4-15  or receiving funds from the board;
   4-16              (3)  owns or controls, directly or indirectly, more
   4-17  than a 10 percent interest in a business entity or other
   4-18  organization regulated by the board or receiving funds from the
   4-19  board; or
   4-20              (4)  uses or receives a substantial amount of tangible
   4-21  goods, services, or funds from the board, other than compensation
   4-22  or reimbursement authorized by law for board membership,
   4-23  attendance, or expenses.
   4-24        (f)  <A public member of the board or the spouse of a public
   4-25  member may not have been or be related to a person within the
   4-26  second degree by affinity or the third degree by consanguinity who
   4-27  has, except as a consumer, a financial interest in the field of
    5-1  marriage and family therapy or a related mental health field.>
    5-2        <(c)>  A person may not serve as a member of the board or act
    5-3  as general counsel to the board if the person is required to
    5-4  register as a lobbyist under Chapter 305, Government Code, because
    5-5  of the person's activities for compensation on behalf of a
    5-6  profession related to the operation of the board.
    5-7        SECTION 5.  Section 11, Licensed Marriage and Family
    5-8  Therapist Act (Article 4512c-1, Vernon's Texas Civil Statutes), is
    5-9  amended by amending Subsections (b) and (c) and adding Subsections
   5-10  (d) through (h) to read as follows:
   5-11        (b)  The board shall keep an information file about each
   5-12  complaint filed with the board.  The board's information file shall
   5-13  be kept current and contain a record for each complaint of:
   5-14              (1)  all persons contacted in relation to the
   5-15  complaint;
   5-16              (2)  a summary of findings made at each step of the
   5-17  complaint process;
   5-18              (3)  an explanation of the legal basis and reason for a
   5-19  complaint that is dismissed; and
   5-20              (4)  other relevant information <that the board has
   5-21  authority to resolve>.
   5-22        (c)  If a written complaint is filed with the board that the
   5-23  board has authority to resolve, the board, at least quarterly and
   5-24  until final disposition of the complaint, shall notify the parties
   5-25  to the complaint of the status of the complaint unless notice would
   5-26  jeopardize an undercover investigation.
   5-27        (d)  The board by rule shall adopt a form to standardize
    6-1  information concerning complaints made to the board.  The board by
    6-2  rule shall prescribe information to be provided to a person when
    6-3  the person files a complaint with the board.
    6-4        (e)  The board shall provide reasonable assistance to a
    6-5  person who wishes to file a complaint with the board.
    6-6        (f) <(c)>  The board shall develop and implement policies
    6-7  that provide the public with a reasonable opportunity to appear
    6-8  before the board and to speak on any issue under the jurisdiction
    6-9  of the board.
   6-10        (g)  The board by rule shall establish methods by which
   6-11  consumers and service recipients are notified of the name, mailing
   6-12  address, and telephone number of the board for the purpose of
   6-13  directing complaints to the board.  The board may provide for that
   6-14  notification:
   6-15              (1)  on each registration form, application, or written
   6-16  contract for services of an individual or entity regulated by the
   6-17  board;
   6-18              (2)  on a sign prominently displayed in the place of
   6-19  business of each individual or entity regulated by the board; or
   6-20              (3)  in a bill for service provided by an individual or
   6-21  entity regulated by the board.
   6-22        (h)  The board shall list along with its regular telephone
   6-23  number the toll-free telephone number that may be called to present
   6-24  a complaint about a health professional if the toll-free number is
   6-25  established under other state law.
   6-26        SECTION 6.  The Licensed Marriage and Family Therapist Act
   6-27  (Article 4512c-1, Vernon's Texas Civil Statutes) is amended by
    7-1  adding Sections 11A, 11B, and 11C to read as follows:
    7-2        Sec. 11A.  COMPLAINT INVESTIGATION AND DISPOSITION.  (a)  The
    7-3  board shall adopt rules concerning the investigation of a complaint
    7-4  filed with the board.  The rules adopted under this subsection
    7-5  shall:
    7-6              (1)  distinguish between categories of complaints;
    7-7              (2)  ensure that complaints are not dismissed without
    7-8  appropriate consideration;
    7-9              (3)  require that the board be advised of a complaint
   7-10  that is dismissed and that a letter be sent to the person who filed
   7-11  the complaint explaining the action taken on the dismissed
   7-12  complaint;
   7-13              (4)  ensure that the person who filed the complaint has
   7-14  an opportunity to explain the allegations made in the complaint;
   7-15  and
   7-16              (5)  prescribe guidelines concerning the categories of
   7-17  complaints that require the use of a private investigator and the
   7-18  procedures for the board to obtain the services of a private
   7-19  investigator.
   7-20        (b)  The board shall dispose of all complaints in a timely
   7-21  manner.  The board shall establish a schedule for conducting each
   7-22  phase of a complaint that is under the control of the board not
   7-23  later than the 30th day after the date the complaint is received by
   7-24  the board.  The schedule shall be kept in the information file for
   7-25  the complaint and all parties shall be notified of the projected
   7-26  time requirements for pursuing the complaint.  A change in the
   7-27  schedule must be noted in the complaint information file and all
    8-1  parties to the complaint must be notified not later than the
    8-2  seventh day after the date the change is made.
    8-3        (c)  The executive director of the board shall notify the
    8-4  board of a complaint that extends beyond the time prescribed by the
    8-5  board for resolving the complaint so that the board may take
    8-6  necessary action on the complaint.
    8-7        Sec. 11B.  INFORMAL PROCEEDINGS.  (a)  The board by rule
    8-8  shall adopt procedures governing:
    8-9              (1)  informal disposition of a contested case under
   8-10  Section 13(e), Administrative Procedure and Texas Register Act
   8-11  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
   8-12  subsequent amendments; and
   8-13              (2)  informal proceedings held in compliance with
   8-14  Section 18(c), Administrative Procedure and Texas Register Act
   8-15  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
   8-16  subsequent amendments.
   8-17        (b)  Rules adopted under this section must provide the
   8-18  complainant and the license holder an opportunity to be heard and
   8-19  must require the presence of an attorney to advise the board or
   8-20  board's employees.  The attorney must be a member of the board's
   8-21  legal staff if the board has a legal staff.  If the board does not
   8-22  have a legal staff, the attorney must be an employee of the office
   8-23  of the attorney general.
   8-24        Sec. 11C.  MONITORING OF LICENSE HOLDER.  The board by rule
   8-25  shall develop a system for monitoring license holders' compliance
   8-26  with the requirements of this Act.  Rules adopted under this
   8-27  section shall include procedures for monitoring a license holder
    9-1  who is ordered by the board to perform certain acts to ascertain
    9-2  that the license holder performs the required acts and to identify
    9-3  and monitor license holders who represent a risk to the public.
    9-4        SECTION 7.  Subsections (a), (b), and (c), Section 12,
    9-5  Licensed Marriage and Family Therapist Act (Article 4512c-1,
    9-6  Vernon's Texas Civil Statutes), are amended to read as follows:
    9-7        (a)  The board <of health> shall by rule establish reasonable
    9-8  and necessary <set> fees so that the fees, in the aggregate,
    9-9  produce sufficient revenue to cover the cost of administering <for
   9-10  licenses, license renewals, examinations, and all other
   9-11  administrative expenses under> this Act.
   9-12        (b)  The fees set by the board may be adjusted so that the
   9-13  total fees collected are sufficient to meet the expenses of
   9-14  administering this Act.  The board may not set a fee for an amount
   9-15  less than the amount of that fee on September 1, 1993  <The board
   9-16  of health shall set the fees in amounts that are reasonable and
   9-17  necessary to cover administrative costs>.
   9-18        (c)  The marriage and family therapists licensing account is
   9-19  created in the General Revenue Fund and may be used only by the
   9-20  board <of health> and the department in the administration of this
   9-21  Act.  All money paid to <Fees received by> the board <of health>
   9-22  under this Act shall be deposited in the General Revenue Fund to
   9-23  the credit of the account.
   9-24        SECTION 8.  Subsection (c), Section 13, Licensed Marriage and
   9-25  Family Therapist Act (Article 4512c-1, Vernon's Texas Civil
   9-26  Statutes), is amended to read as follows:
   9-27        (c)  The <Based on rules adopted by the board of health, the>
   10-1  board shall determine the qualifications and fitness of applicants
   10-2  for licenses under this Act.
   10-3        SECTION 9.  Section 14, Licensed Marriage and Family
   10-4  Therapist Act (Article 4512c-1, Vernon's Texas Civil Statutes), is
   10-5  amended by adding Subsection (d) to read as follows:
   10-6        (d)  The board shall develop and implement policies that
   10-7  clearly define the respective responsibilities of the board and the
   10-8  staff of the board.
   10-9        SECTION 10.  The Licensed Marriage and Family Therapist Act
  10-10  (Article 4512c-1, Vernon's Texas Civil Statutes) is amended by
  10-11  adding Section 14A to read as follows:
  10-12        Sec. 14A.  PERSONNEL POLICIES.  (a)  The executive director
  10-13  or the executive director's designee shall develop an intraagency
  10-14  career ladder program.  The program shall require intraagency
  10-15  posting of all non-entry-level positions concurrently with any
  10-16  public posting.
  10-17        (b)  The executive director or the executive director's
  10-18  designee shall develop a system of annual performance evaluations
  10-19  based on measurable job tasks.  All merit pay for board employees
  10-20  must be based on the system established under this subsection.
  10-21        SECTION 11.  The Licensed Marriage and Family Therapist Act
  10-22  (Article 4512c-1, Vernon's Texas Civil Statutes) is amended by
  10-23  adding Section 14B to read as follows:
  10-24        Sec. 14B.  EQUAL EMPLOYMENT OPPORTUNITY POLICIES.  (a)  The
  10-25  executive director or the executive director's designee shall
  10-26  prepare and maintain a written policy statement to ensure
  10-27  implementation of a program of equal employment opportunity under
   11-1  which all personnel transactions are made without regard to race,
   11-2  color, disability, sex, religion, age, or national origin.  The
   11-3  policy statement must include:
   11-4              (1)  personnel policies, including policies relating to
   11-5  recruitment, evaluation, selection, application, training, and
   11-6  promotion of personnel that are in compliance with the Commission
   11-7  on Human Rights Act (Article 5221k, Vernon's Texas Civil Statutes)
   11-8  and its subsequent amendments;
   11-9              (2)  a comprehensive analysis of the board work force
  11-10  that meets federal and state guidelines;
  11-11              (3)  procedures by which a determination can be made of
  11-12  significant underutilization in the board work force of all persons
  11-13  for whom federal or state guidelines encourage a more equitable
  11-14  balance; and
  11-15              (4)  reasonable methods to appropriately address those
  11-16  areas of underutilization.
  11-17        (b)  A policy statement prepared under Subsection (a) of this
  11-18  section must cover an annual period, be updated annually, be
  11-19  reviewed by the Commission on Human Rights for compliance with
  11-20  Subsection (a)(1) of this section, and be filed with the governor's
  11-21  office.
  11-22        (c)  The governor's office shall deliver a biennial report to
  11-23  the legislature based on the information received under Subsection
  11-24  (b) of this section.  The report may be made separately or as part
  11-25  of other biennial reports to the legislature.
  11-26        SECTION 12.  The Licensed Marriage and Family Therapist Act
  11-27  (Article 4512c-1, Vernon's Texas Civil Statutes) is amended by
   12-1  adding Section 14C to read as follows:
   12-2        Sec. 14C.  PROGRAM ACCESSIBILITY.  The board shall prepare
   12-3  and maintain a written plan that describes how a person who does
   12-4  not speak English can be provided reasonable access to the board's
   12-5  programs.  The board shall also comply with federal and state laws
   12-6  for program and facility accessibility.
   12-7        SECTION 13.  The Licensed Marriage and Family Therapist Act
   12-8  (Article 4512c-1, Vernon's Texas Civil Statutes) is amended by
   12-9  adding Sections 14D and 14E to read as follows:
  12-10        Sec. 14D.  TRAINING; STANDARDS OF CONDUCT INFORMATION.
  12-11  (a)  Each board member shall comply with the board member training
  12-12  requirements established by any other state agency that is given
  12-13  authority to establish the requirements for the board.
  12-14        (b)  The board shall provide to its members and employees, as
  12-15  often as necessary, information regarding their qualifications for
  12-16  office or employment under this Act and their responsibilities
  12-17  under applicable laws relating to standards of conduct for state
  12-18  officers or employees.
  12-19        Sec. 14E.  TRAINING AND GUIDELINES FOR MEMBERS OF THE BOARD.
  12-20  (a)  The board shall establish a training program for the members
  12-21  of the board.
  12-22        (b)  Before a member of the board may assume the member's
  12-23  duties, the member must complete at least one course of the
  12-24  training program established under this section, and before the
  12-25  member may be confirmed by the senate, the member must pass an
  12-26  examination given in conjunction with the attorney general on
  12-27  subjects described by Subdivisions (7), (8), and (9) of Subsection
   13-1  (c) of this section.
   13-2        (c)  A training program established under this section shall
   13-3  provide information to a participant regarding:
   13-4              (1)  the enabling legislation that created the board to
   13-5  which the member is appointed;
   13-6              (2)  the programs operated by the board;
   13-7              (3)  the role and functions of the board;
   13-8              (4)  the rules of the board with an emphasis on the
   13-9  rules that relate to disciplinary and investigatory authority;
  13-10              (5)  the current budget for the board;
  13-11              (6)  the results of the most recent formal audit of the
  13-12  board;
  13-13              (7)  the requirements of the:
  13-14                    (A)  open meetings law, Chapter 271, Acts of the
  13-15  60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's
  13-16  Texas Civil Statutes), and its subsequent amendments;
  13-17                    (B)  open records law, Chapter 424, Acts of the
  13-18  63rd Legislature, Regular Session, 1973 (Article 6252-17a, Vernon's
  13-19  Texas Civil Statutes), and its subsequent amendments; and
  13-20                    (C)  Administrative Procedure and Texas Register
  13-21  Act (Article 6252-13a, Vernon's Texas Civil Statutes) and its
  13-22  subsequent amendments;
  13-23              (8)  the requirements of the conflict of interest laws
  13-24  and other laws relating to public officials; and
  13-25              (9)  any applicable ethics policies adopted by the
  13-26  board or the Texas Ethics Commission.
  13-27        (d)  In developing the training requirements provided for in
   14-1  this section, the board shall consult with the governor's office,
   14-2  the attorney general's office, and the Texas Ethics Commission.
   14-3        (e)  In the event that another state agency or entity is
   14-4  given the authority to establish the training requirements, the
   14-5  board shall allow that training in lieu of developing its own
   14-6  program.
   14-7        SECTION 14.  Subsections (a) and (d), Section 19, Licensed
   14-8  Marriage and Family Therapist Act (Article 4512c-1, Vernon's Texas
   14-9  Civil Statutes), are amended to read as follows:
  14-10        (a)  Unless exempted from the examination requirement under
  14-11  Section 30 of this Act or by a determination of the board based on
  14-12  the applicant's education and professional experience, each
  14-13  applicant for a license under this Act must pass an examination
  14-14  prescribed by the board.  The board shall have the written portion
  14-15  of the examination, if any, validated by an independent testing
  14-16  professional <and approved by the commissioner of health>.  The
  14-17  examination may be composed of:
  14-18              (1)  a written examination;
  14-19              (2)  a field examination, through questionnaires
  14-20  answered by the applicant's instructors, employers, supervisors, or
  14-21  other persons who are competent in the judgment of the board to
  14-22  assess the applicant's professional ability, and that may include
  14-23  written case studies and taped interviews;
  14-24              (3)  an oral examination; or
  14-25              (4)  any combination of those examinations.
  14-26        (d)  Unless the examination is graded or reviewed by a
  14-27  national testing service, the board shall notify each examinee of
   15-1  the results of the examination not later than the 30th day after
   15-2  the day on which a licensing examination is administered under this
   15-3  Act <30 days after the examination date>.  However, if  <If> the
   15-4  examination is <so> graded or reviewed by a national testing
   15-5  service, the board shall notify each examinee of the results not
   15-6  later than the 14th day <15 days> after the date on which the board
   15-7  receives the results from the national testing service.  If the
   15-8  notice of examination results graded or reviewed by a national
   15-9  testing service will be delayed for more than 90 days after the
  15-10  examination date, the board shall notify each examinee of the
  15-11  reason for the delay before <not later than> the 90th day <after
  15-12  the examination date>.
  15-13        SECTION 15.  Section 20, Licensed Marriage and Family
  15-14  Therapist Act (Article 4512c-1, Vernon's Texas Civil Statutes), is
  15-15  amended by adding Subsection (c) to read as follows:
  15-16        (c)  The board by rule may provide for the issuance of a
  15-17  temporary license.  Rules adopted under this subsection shall
  15-18  include a time limit for a temporary license.
  15-19        SECTION 16.  Section 21, Licensed Marriage and Family
  15-20  Therapist Act (Article 4512c-1, Vernon's Texas Civil Statutes), is
  15-21  amended to read as follows:
  15-22        Sec. 21.  License renewal.  (a)  A license issued under this
  15-23  Act is subject to annual renewal.  The board shall adopt a system
  15-24  under which licenses expire on various dates during the year.
  15-25        (b)  A license holder may renew an unexpired license by
  15-26  paying to the board <the renewal fee> before the expiration date of
  15-27  the license the required renewal fee.
   16-1        (c)  If a person's license has been expired for <less than>
   16-2  90 days or less, the person may renew the license by paying to the
   16-3  board the required renewal fee and a fee that is one-half of the
   16-4  examination fee for the license <the unpaid renewal fees plus a
   16-5  late renewal fee in an amount determined by the board>.
   16-6        (d)  If a person's license has been expired for longer than
   16-7  90 days but less than one year, the person may renew the license by
   16-8  paying to the board all unpaid renewal fees and a fee that is equal
   16-9  to the examination fee for the license.
  16-10        (e)  If the person's license has been expired for one year or
  16-11  longer <90 days or more>, the person may not renew the license.
  16-12  The person may obtain a new license by submitting to reexamination
  16-13  and complying with the requirements and procedures for obtaining an
  16-14  original license.  However, the board may renew without
  16-15  reexamination an expired license of a person who was licensed in
  16-16  this state, moved to another state, and is currently licensed and
  16-17  has been in practice in the other state for the two years preceding
  16-18  application.  The person must pay to the board a fee that is equal
  16-19  to the examination fee for the license.
  16-20        (f) <(e)>  The board shall notify each license holder in
  16-21  writing of the pending license expiration not later than the 30th
  16-22  day before the date on which the license expires.
  16-23        (g) <(f)>  The board shall establish a mandatory <may prepare
  16-24  or approve> continuing education program <programs> for license
  16-25  holders <and may require each license holder to participate in an
  16-26  approved continuing education program in order to renew a license
  16-27  issued under this Act>.
   17-1        (h)  The board by rule shall establish a minimum number of
   17-2  hours of continuing education required to renew a license under
   17-3  this Act.  The board may assess the continuing education needs of
   17-4  license holders and may require license holders to attend
   17-5  continuing education courses specified by the board.  The board by
   17-6  rule shall develop a process to evaluate and approve continuing
   17-7  education courses.
   17-8        (i)  The board shall identify the key factors for the
   17-9  competent performance by a license holder of the license holder's
  17-10  professional duties.  The board shall implement a procedure to
  17-11  assess a license holder's participation in continuing education
  17-12  programs.
  17-13        SECTION 17.  Section 22, Licensed Marriage and Family
  17-14  Therapist Act (Article 4512c-1, Vernon's Texas Civil Statutes), is
  17-15  amended to read as follows:
  17-16        Sec. 22.  PROVISIONAL LICENSE BY ENDORSEMENT <RECIPROCITY>.
  17-17  (a)  The board may grant a provisional license to a  <A> person who
  17-18  is licensed or otherwise registered as a marriage and family
  17-19  therapist by another state or other jurisdiction, whose
  17-20  requirements for licensing or registration were, on the date of the
  17-21  licensing or registration, substantially equal to those prescribed
  17-22  by this Act<, is entitled to a license without examination on
  17-23  submission of an application form and payment of an administrative
  17-24  fee>.  An applicant for a provisional license under this section
  17-25  must:
  17-26              (1)  be licensed in good standing as a marriage and
  17-27  family therapist in another state or jurisdiction that has
   18-1  licensing requirements that are substantially equivalent to the
   18-2  requirements of this Act;
   18-3              (2)  have passed a national or other examination
   18-4  recognized by the board relating to marriage and family therapy;
   18-5  and
   18-6              (3)  be sponsored by a person licensed by the board
   18-7  under this Act with whom the provisional license holder may
   18-8  practice under this section.
   18-9        (b)  An applicant for a provisional license may be excused
  18-10  from the requirement of Subsection (a)(3) of this section if the
  18-11  board determines that compliance with that subsection constitutes a
  18-12  hardship to the applicant.
  18-13        (c)  A provisional license is valid until the date the board
  18-14  approves or denies the provisional license holder's application for
  18-15  a license.  The board shall issue a license under this Act to the
  18-16  holder of a provisional license under this section if:
  18-17              (1)  the provisional license holder passes the
  18-18  examination required by Section 19 of this Act;
  18-19              (2)  the board verifies that the provisional license
  18-20  holder has the academic and experience requirements for a license
  18-21  under this Act; and
  18-22              (3)  the provisional license holder satisfies any other
  18-23  license requirements under this Act.
  18-24        (d)  The board must complete the processing of a provisional
  18-25  license holder's application for a license not later than the 180th
  18-26  day after the date the provisional license is issued.
  18-27        SECTION 18.  Section 25, Licensed Marriage and Family
   19-1  Therapist Act (Article 4512c-1, Vernon's Texas Civil Statutes), is
   19-2  amended to read as follows:
   19-3        Sec. 25.  DENIAL, SUSPENSION, OR REVOCATION OF LICENSE; CIVIL
   19-4  PENALTY.  (a)  The <After a hearing, the> board shall <may deny,>
   19-5  suspend<,> or revoke a license, place on probation a person whose
   19-6  license has been suspended, or reprimand <or otherwise discipline>
   19-7  a license holder if <the applicant for license or> the license
   19-8  holder has:
   19-9              (1)  been convicted of a felony or a misdemeanor
  19-10  involving moral turpitude;
  19-11              (2)  obtained or attempted to obtain registration by
  19-12  fraud or deception;
  19-13              (3)  used drugs or alcohol to an extent that affects
  19-14  professional competence;
  19-15              (4)  been grossly negligent in performing professional
  19-16  duties;
  19-17              (5)  been adjudicated mentally incompetent by a court
  19-18  of competent jurisdiction;
  19-19              (6)  practiced in a manner detrimental to the public
  19-20  health or welfare;
  19-21              (7)  advertised in a manner that tends to deceive or
  19-22  defraud the public;
  19-23              (8)  had a license or certification revoked by a
  19-24  licensing agency or by a certifying professional organization; or
  19-25              (9)  otherwise violated this Act or a rule or code of
  19-26  ethics adopted under this Act.
  19-27        (b)  A person who violates this Act or a rule or order
   20-1  adopted by the board under this Act is subject to a civil penalty
   20-2  of $1,000 for each day of violation.  At the request of the board
   20-3  or department, the attorney general shall bring an action to
   20-4  recover a civil penalty authorized under this subsection.
   20-5        (c)  If a license suspension is probated, the board may
   20-6  require the license holder to:
   20-7              (1)  report regularly to the board on matters that are
   20-8  the basis of the probation;
   20-9              (2)  limit practice to the areas prescribed by the
  20-10  board; or
  20-11              (3)  continue or review continuing professional
  20-12  education until the license holder attains a degree of skill
  20-13  satisfactory to the board in those areas that are the basis of the
  20-14  probation.
  20-15        (d)  A license holder is entitled to a hearing before the
  20-16  State Office of Administrative Hearings before a sanction is
  20-17  imposed under this section.
  20-18        (e)  The board by rule shall adopt a broad schedule of
  20-19  sanctions for violations under this Act.  The State Office of
  20-20  Administrative Hearings shall use the schedule for any sanction
  20-21  imposed as the result of a hearing conducted by that office.
  20-22        SECTION 19.  The Licensed Marriage and Family Therapist Act
  20-23  (Article 4512c-1, Vernon's Texas Civil Statutes) is amended by
  20-24  adding Section 25A to read as follows:
  20-25        Sec. 25A.  ADMINISTRATIVE PENALTY.  (a)  The commissioner of
  20-26  health may impose an administrative penalty against a person
  20-27  licensed or regulated under this Act who violates this Act or a
   21-1  rule or order adopted by the board under this Act.
   21-2        (b)  The penalty for a violation may be in an amount not to
   21-3  exceed $1,000.  Each day a violation continues or occurs is a
   21-4  separate violation for purposes of imposing a penalty.
   21-5        (c)  The amount of the penalty shall be based on:
   21-6              (1)  the seriousness of the violation, including the
   21-7  nature, circumstances, extent, and gravity of any prohibited acts,
   21-8  and the hazard or potential hazard created to the health, safety,
   21-9  or economic welfare of the public;
  21-10              (2)  the economic harm to property or the environment
  21-11  caused by the violation;
  21-12              (3)  the history of previous violations;
  21-13              (4)  the amount necessary to deter future violations;
  21-14              (5)  efforts to correct the violation; and
  21-15              (6)  any other matter that justice may require.
  21-16        (d)  If the commissioner of health determines that a
  21-17  violation has occurred, the commissioner may issue to the board a
  21-18  report that states the facts on which the determination is based
  21-19  and the commissioner's recommendation on the imposition of a
  21-20  penalty, including a recommendation on the amount of the penalty.
  21-21        (e)  Within 14 days after the date the report is issued, the
  21-22  commissioner shall give written notice of the report to the person.
  21-23  The notice may be given by certified mail.  The notice must include
  21-24  a brief summary of the alleged violation and a statement of the
  21-25  amount of the recommended penalty and must inform the person that
  21-26  the person has a right to a hearing on the occurrence of the
  21-27  violation, the amount of the penalty, or both the occurrence of the
   22-1  violation and the amount of the penalty.
   22-2        (f)  Within 20 days after the date the person receives the
   22-3  notice, the person in writing may accept the determination and
   22-4  recommended penalty of the commissioner or may make a written
   22-5  request for a hearing on the occurrence of the violation, the
   22-6  amount of the penalty, or both the occurrence of the violation and
   22-7  the amount of the penalty.
   22-8        (g)  If the person accepts the determination and recommended
   22-9  penalty of the commissioner, the board by order shall approve the
  22-10  determination and impose the recommended penalty.
  22-11        (h)  If the person requests a hearing or fails to respond
  22-12  timely to the notice, the department shall set a hearing and give
  22-13  notice of the hearing to the person.  The hearing shall be held by
  22-14  a hearing examiner designated by the department.  The hearing
  22-15  examiner shall make findings of fact and conclusions of law and
  22-16  promptly issue to the board a proposal for a decision about the
  22-17  occurrence of the violation and the amount of a proposed penalty.
  22-18  Based on the findings of fact, conclusions of law, and proposal for
  22-19  a decision, the board by order may find that a violation has
  22-20  occurred and impose a penalty or may find that no violation
  22-21  occurred.
  22-22        (i)  The notice of the board's order given to the person
  22-23  under the Administrative Procedure and Texas Register Act (Article
  22-24  6252-13a, Vernon's Texas Civil Statutes) and its subsequent
  22-25  amendments must include a statement of the right of the person to
  22-26  judicial review of the order.
  22-27        (j)  Within 30 days after the date the board's order is final
   23-1  as provided by Section 16(c), Administrative Procedure and Texas
   23-2  Register Act (Article 6252-13a, Vernon's Texas Civil Statutes), and
   23-3  its subsequent amendments, the person shall:
   23-4              (1)  pay the amount of the penalty;
   23-5              (2)  pay the amount of the penalty and file a petition
   23-6  for judicial review contesting the occurrence of the violation, the
   23-7  amount of the penalty, or both the occurrence of the violation and
   23-8  the amount of the penalty; or
   23-9              (3)  without paying the amount of the penalty, file a
  23-10  petition for judicial review contesting the occurrence of the
  23-11  violation, the amount of the penalty, or both the occurrence of the
  23-12  violation and the amount of the penalty.
  23-13        (k)  Within the 30-day period, a person who acts under
  23-14  Subsection (j)(3) of this section may:
  23-15              (1)  stay enforcement of the penalty by:
  23-16                    (A)  paying the amount of the penalty to the
  23-17  court for placement in an escrow account; or
  23-18                    (B)  giving to the court a supersedeas bond that
  23-19  is approved by the court for the amount of the penalty and that is
  23-20  effective until all judicial review of the board's order is final;
  23-21  or
  23-22              (2)  request the court to stay enforcement of the
  23-23  penalty by:
  23-24                    (A)  filing with the court a sworn affidavit of
  23-25  the person stating that the person is financially unable to pay the
  23-26  amount of the penalty and is financially unable to give the
  23-27  supersedeas bond; and
   24-1                    (B)  giving a copy of the affidavit to the
   24-2  commissioner of health by certified mail.
   24-3        (l)  If the commissioner of health receives a copy of an
   24-4  affidavit under Subsection (k)(2) of this section, the commissioner
   24-5  may file with the court, within five days after the date the copy
   24-6  is received, a contest to the affidavit.  The court shall hold a
   24-7  hearing on the facts alleged in the affidavit as soon as
   24-8  practicable and shall stay the enforcement of the penalty on
   24-9  finding that the alleged facts are true.  The person who files an
  24-10  affidavit has the burden of proving that the person is financially
  24-11  unable to pay the amount of the penalty and to give a supersedeas
  24-12  bond.
  24-13        (m)  If the person does not pay the amount of the penalty and
  24-14  the enforcement of the penalty is not stayed, the commissioner of
  24-15  health may refer the matter to the attorney general for collection
  24-16  of the amount of the penalty.
  24-17        (n)  Judicial review of the order of the board:
  24-18              (1)  is instituted by filing a petition as provided by
  24-19  Section 19, Administrative Procedure and Texas Register Act
  24-20  (Article 6252-13a, Vernon's Texas Civil Statutes), and its
  24-21  subsequent amendments; and
  24-22              (2)  is under the substantial evidence rule.
  24-23        (o)  If the court sustains the occurrence of the violation,
  24-24  the court may uphold or reduce the amount of the penalty and order
  24-25  the person to pay the full or reduced amount of the penalty.  If
  24-26  the court does not sustain the occurrence of the violation, the
  24-27  court shall order that no penalty is owed.
   25-1        (p)  When the judgment of the court becomes final, the court
   25-2  shall proceed under this subsection.  If the person paid the amount
   25-3  of the penalty and if that amount is reduced or is not upheld by
   25-4  the court, the court shall order that the appropriate amount plus
   25-5  accrued interest be remitted to the person.  The rate of the
   25-6  interest is the rate charged on loans to depository institutions by
   25-7  the New York Federal Reserve Bank, and the interest shall be paid
   25-8  for the period beginning on the date the penalty was paid and
   25-9  ending on the date the penalty is remitted.  If the person gave a
  25-10  supersedeas bond and if the amount of the penalty is not upheld by
  25-11  the court, the court shall order the release of the bond.  If the
  25-12  person gave a supersedeas bond and if the amount of the penalty is
  25-13  reduced, the court shall order the release of the bond after the
  25-14  person pays the amount.
  25-15        (q)  A penalty collected under this section shall be remitted
  25-16  to the comptroller for deposit in the general revenue fund.
  25-17        (r)  All proceedings under this section are subject to the
  25-18  Administrative Procedure and Texas Register Act (Article 6252-13a,
  25-19  Vernon's Texas Civil Statutes) and its subsequent amendments.
  25-20        SECTION 20.  The Licensed Marriage and Family Therapist Act
  25-21  (Article 4512c-1, Vernon's Texas Civil Statutes) is amended by
  25-22  adding Section 27A to read as follows:
  25-23        Sec. 27A.  COMPETITIVE BIDDING; ADVERTISING.  (a)  The board
  25-24  may not adopt rules restricting competitive bidding or advertising
  25-25  by a person regulated by the board except to prohibit false,
  25-26  misleading, or deceptive practices by the person.
  25-27        (b)  The board may not include in its rules to prohibit
   26-1  false, misleading, or deceptive practices by a person regulated by
   26-2  the board a rule that:
   26-3              (1)  restricts the use of any medium for advertising;
   26-4              (2)  restricts the person's personal appearance or use
   26-5  of the person's voice in an advertisement;
   26-6              (3)  relates to the size or duration of an
   26-7  advertisement by the person; or
   26-8              (4)  restricts the person's advertisement under a trade
   26-9  name.
  26-10        SECTION 21.  Subdivision (2), Section 2, and Subsection (b),
  26-11  Section 13, Licensed Marriage and Family Therapist Act (Article
  26-12  4512c-1, Vernon's Texas Civil Statutes), are repealed.
  26-13        SECTION 22.  (a)  The changes in law made by this Act to the
  26-14  requirements for membership on the Texas State Board of Examiners
  26-15  of Marriage and Family Therapists apply only to an appointment made
  26-16  on or after the effective date of this Act and do not affect the
  26-17  entitlement of a member serving on the board immediately before the
  26-18  effective date of this Act to continue to hold office for the
  26-19  remainder of the term for which the person was appointed.
  26-20        (b)  The changes in law made by this Act relating to a civil
  26-21  or administrative penalty apply only to a violation of the Licensed
  26-22  Marriage and Family Therapist Act (Article 4512c-1, Vernon's Texas
  26-23  Civil Statutes) or a rule or order adopted by the Texas State Board
  26-24  of Examiners of Marriage and Family Therapists that occurs on or
  26-25  after the effective date of this Act.  A violation occurs on or
  26-26  after the effective date of this Act only if each element of the
  26-27  violation occurs on or after that date.  A violation that occurs
   27-1  before the effective date of this Act is governed by the law in
   27-2  effect on the date the violation occurred, and the former law is
   27-3  continued in effect for this purpose.
   27-4        SECTION 23.  On and after January 1, 1994, the State Office
   27-5  of Administrative Hearings shall assume responsibility for hearings
   27-6  held with respect to contested cases arising under the Licensed
   27-7  Marriage and Family Therapist Act (Article 4512c-1, Vernon's Texas
   27-8  Civil Statutes) and its subsequent amendments.  The Texas State
   27-9  Board of Examiners of Marriage and Family Therapists and the chief
  27-10  administrative law judge of the State Office of Administrative
  27-11  Hearings may agree to transfer contested cases pending before the
  27-12  board to the State Office of Administrative Hearings before January
  27-13  1, 1994.
  27-14        SECTION 24.  The Texas State Board of Examiners of Marriage
  27-15  and Family Therapists shall adopt rules required by this Act not
  27-16  later than December 31, 1993.
  27-17        SECTION 25.  This Act takes effect September 1, 1993.
  27-18        SECTION 26.  The importance of this legislation and the
  27-19  crowded condition of the calendars in both houses create an
  27-20  emergency and an imperative public necessity that the
  27-21  constitutional rule requiring bills to be read on three several
  27-22  days in each house be suspended, and this rule is hereby suspended.