BILL ANALYSIS S.B. 929 By: Barientos (Combs) May 2, 1995 Committee Report (Amended) BACKGROUND The Texas State Board of Podiatry Examiners, in a proactive effort to operate with greater efficiency and fiscal responsibility, needs to do the following: 1) remove or update antiquated and limiting language in its statute and, 2) bring its statutory language in line with that now in common usage by other medical regulatory boards in Texas and with podiatric medical regulatory and licensing agencies around the United States. PURPOSE S.B. 929 would allow the Texas State Board of Podiatry Examiners to: 1) move the time frame in which it collects its licensing fees to conform with the state's fiscal year, 2) update statutory definitions and its agency name to conform with common usage, and 3) remove or update language contained in its statute that is antiquated or so limiting as to negatively affect the agency's daily operations and its efficiency. RULEMAKING AUTHORITY It is the committee's opinion that this bill does not expressly grant any additional rulemaking authority to a state officer, institution, department, or agency. SECTION BY SECTION ANALYSIS SECTION 1. Amends Article 4567(b)(1), Revised Statutes, and adds Subdivisions (3) and (4), as follows: (1) Renames Texas State Board of Podiatry Examiners to Texas State Board of Podiatric Medical Examiners (the Board). (3) Defines "podiatrist." (4) Defines "podiatry." SECTION 2. Amends 4567b, Revised Statutes, to reflect the Board's name change. SECTION 3. Amends Article 4568, Revised Statutes, as follows: (a) Amends language to reflect name change of the Board. (g) Reflects name change of Board, requires the Board to elect officers biennially at its first regular scheduled meeting instead of in January and deletes the requirement that a bond be filed with the Secretary of State. (h) Makes conforming change to reflect Board's new name. (j) Replaces a reference to the Administrative Procedure and Texas Register Act with a reference to the Government Code; gives only the Board, and not individual members or committees, the authority to request or compel by subpoena the production of any evidence relevant to the investigation of an alleged violation of this chapter. Adds a provision authorizing the Board, if a person fails to comply with the subpoena, to file suit to enforce the subpoena in court. The added language also requires the court to order compliance with the subpoena, if it determines that good cause exists, and it makes failure to obey the order punishable as contempt. Makes conforming and nonsubstantive wording changes. SECTION 4. Amends Article 4568b, Revised Statutes, to reflect the Board's name change. SECTION 5. Amends Article 4569, Revised Statutes, as follows: (a) Makes conforming name change. (c) Removes the statement that examination be in the English language, and adds the stipulation that all applicants who possess the qualifications required for an examination shall be issued a license by the Board to practice podiatry in Texas. Changes the passing score to one determined by the Board using accepted criterion-referenced methods instead of levels prescribed by the chapter. (d) Adds "pharmacology" and deletes "materia medica" from the subjects required for examination, and stipulates that an applicant will be examined on the subjects "as related" to ailments of the human foot instead of subjects "limited in their scope" to ailments of the human foot. (f) Requires all applicants to pay the examination fee to the Board, rather than to the secretary-treasurer of the Board. (i) Requires the Board, rather than the secretary-treasurer of the Board, to notify each examinee of the results of the examination. SECTION 6. Amends Subsection (b), Article 4569a, Revised Statutes, to make conforming name changes. SECTION 7. Amends Subsections (a), (c), (d) and (e), Article 4570, Revised Statutes, as follows: (a), (c) and (d) Amended to make conforming name changes. (e) Grants any applicant who is refused admittance to examination the right to try the issue in the District Court in Travis County, instead of the county in which the applicant resides or in which any Board member resides. SECTION 8. Amends Sections 1(a) and (b), Article 4571, Revised Statutes, as follows: (a) Makes conforming name change. (b) Makes conforming name change and requires the Board, on or before October 1, rather than August 1, to notify all Texas licensed podiatrists that the annual license renewal fee is due on the following November 1, rather than September 1. SECTION 9. Amends Sections 4 and 5, Article 4571, Revised Statutes, to make conforming changes by deleting reference to the secretary-treasurer of the Board and changing the name of the Board. SECTION 10. Amends Section 6(a), Article 4571, Revised Statutes, to delete active duty with the United States Maritime Service of the State Militia from the circumstances under which a lapsed license can be renewed without fee or examination. SECTION 11. Amends Article 4573, Revised Statutes, by amending Subsections (g) and (h) and adding Subsections (j)-(n), as follows: (g) Makes conforming name change. (h) and (i) Re-letter existing Subsections. (j) Makes privileged, confidential, and not subject to any legal method of compelling release, investigative information that is possessed, received or gathered by the Board that relates to a license holder or application, or a criminal investigation or proceeding. (k) Sets forth guidelines for the Board to provide a license holder, who is a subject of a formal complaint, or the license holders' attorney, with access to information in the Board's possession, and outlines limitations on release of information. (l) Authorizes investigative information possessed by the Board that relates to a disciplinary action regarding a license holder to be disclosed to a licensing agency or peer review committee under certain circumstances. (m) Requires the Board to report to the appropriate law enforcement agency any information obtained during an investigation which is indicative of a possible crime, and to cooperate and assist the agency by providing relevant information, which is to be kept confidential. (n) Requires the Board to provide information to a health care entity, upon request, concerning a complaint filed against a license holder that was resolved and the basis of or status of an ongoing investigation. SECTION 12. Amends Sections 1(a) and (c), Article 4573b, Revised Statutes, to make conforming name changes. SECTION 13. Amends Sections 2-5, Article 4573b, Revised Statutes, to make conforming name changes. SECTION 14. Amends Section 4, Article 4573f, Revised Statutes, to make conforming name changes. SECTION 15. Amends Section 5(b), Article 4573f, Revised Statutes, to make conforming name changes. SECTION 16. Amends Sections 7(a) and (c), Article 4573f, Revised Statutes, to make conforming name changes. SECTION 17. Amends Section 8, Article 4573f, Revised Statutes, to make conforming name changes. SECTION 18. Amends Section 6, Chapter 96, Acts of the 60th Legislature, Regular Session, 1967 (Article 4575a, V.T.C.S.), to make conforming changes. SECTION 19. Amends Article 60.061(a), Code of Criminal Procedure, to make conforming changes. SECTION 20. Amends Section 241.003(10), Health and Safety Code, to make conforming changes. SECTION 21. Amends Section 401.064(f), Health and Safety Code, to make conforming changes. SECTION 22. Amends Section 481.076(a), Health and Safety Code, to make conforming changes. SECTION 23. Amends Section 483.001(12), Health and Safety Code, to make conforming changes. SECTION 24. Amends Section 2(B), Chapter 397, Acts of the 54th Legislature, Regular Session, 1955 (Article 3.70-2, Vernon's Texas Insurance Code), to make conforming changes. SECTION 25. Amends Article 21.52A, Insurance Code, to make conforming changes. SECTION 26. Amends Section 19(a)(1), Chapter 836, Acts of the 62nd Legislature, Regular Session, 1971 (Article 4512e, V.T.C.S.), to make conforming changes. SECTION 27. Amends Section 2.08(a), Medical Radiologic Technologist Certification Act (Article 4512m, V.T.C.S.), to make conforming changes. SECTION 28. Amends Section 1(b), Article 4512p, Revised Statutes, to make conforming changes. SECTION 29. Amends Section 5, Article 4518, Revised Statutes, to make conforming changes. SECTION 30. Amends Section 3, Healing Art Identification Act (Article 4590e, V.T.C.S.), to make conforming changes. SECTION 31. Repeals Section 1, Chapter 96, Acts of the 60th Legislature, Regular Session, 1967 (Article 4567a, V.T.C.S.), which defines podiatry and related terms. SECTION 32. Effective date: September 1, 1995. States that provisions of Subjection (j), Article 4568, Revised Statutes, as amended by this Act, and Subsections (j)-(n), Article 4573, Revised Statutes, as added by this Act, apply only to a proceeding commenced by the Texas State Board of Podiatric Medical Examiners on or after the effective date of this Act. A proceeding commenced before the effective date is governed by law in effect at the time, and the former law is continued in effect for that purpose. SECTION 33. Emergency clause. EXPLANATION OF AMENDMENT Committee Amendment #1 withdraws language proposed in the engrossed bill which stipulates that the term "podiatrist," as defined in this Act, includes a "podiatric physician." The amendment also removes the addition of the title "podiatric physician" as one of the identifications a person licensed by the Texas State Board of Podiatric Medical Examiners shall use, as proposed in the bill as engrossed. SUMMARY OF COMMITTEE ACTION S.B. 929 was considered by the Public Health Committee in a public hearing on May 2, 1995. The committee considered one amendment to the bill. The amendment was adopted without objection. The bill was reported favorably as amended, with the recommendation that it do pass and be printed, by a record vote of 6 ayes, 0 nays, 0 PNV, and 3 absent.