74R9266 CAG-F
          By Wilson                                             H.B. No. 1519
          Substitute the following for H.B. No. 1519:
          By Goolsby                                        C.S.H.B. No. 1519
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the licensing and regulation of licensed
    1-3  hypnotherapists.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Article 9100, Revised Statutes, is amended by
    1-6  adding Section 20 to read as follows:
    1-7        Sec. 20.  RESTRICTIONS ON CERTAIN COMMISSION, COMMISSIONER,
    1-8  AND DEPARTMENT POWERS.  Except as provided in Article 9105, Revised
    1-9  Statutes, the commission, commissioner, and department may not
   1-10  exercise any of the general powers and duties or rulemaking
   1-11  authority assigned by this article  to the commission,
   1-12  commissioner, or department with regard to the  hypnotherapy
   1-13  advisory council.
   1-14        SECTION 2.  Title 132A, Revised Statutes, is amended by
   1-15  adding Article 9105 to read as follows:
   1-16        Art. 9105.  LICENSED HYPNOTHERAPISTS
   1-17        Sec. 1.  DEFINITIONS.  In this article:
   1-18              (1)  "Biofeedback equipment" means monitoring devices
   1-19  used by a hypnotherapist to determine biological information and to
   1-20  interpret changes that occur in a person's muscles, brain waves,
   1-21  heart rate, temperature, and blood pressure.
   1-22              (2)  "Clinical hypnotherapy" means a professional
   1-23  relationship between a licensed hypnotherapist and a person in
   1-24  which a licensed hypnotherapist provides assistance to the person
    2-1  in a matter related to a mental health condition diagnosed by a
    2-2  licensed mental health professional who has specifically referred
    2-3  the person to the licensed hypnotherapist by a written referral.
    2-4  The term does not apply to a specific mental health diagnosis made
    2-5  by a licensed hypnotherapist.
    2-6              (3)  "Department" means the Texas Department of
    2-7  Licensing and Regulation.
    2-8              (4)  "General hypnotherapy"  means a professional
    2-9  relationship between a licensed hypnotherapist and a person in
   2-10  which the licensed hypnotherapist provides assistance to a person
   2-11  in a matter related to the recreational, vocational, stress
   2-12  management, or self-improvement goals of the person.
   2-13              (5)  "Hypnotherapy" means the induction of a hypnotic
   2-14  state in a person to increase motivation or alter behavioral
   2-15  patterns and includes:
   2-16                    (A)  the instruction of a person in self-hypnosis
   2-17  conditioning; and
   2-18                    (B)  the use of hypnotic techniques for the
   2-19  recreational, vocational, or self-improvement goals of a person,
   2-20  including:
   2-21                          (i)  smoking cessation;
   2-22                          (ii)  weight control;
   2-23                          (iii)  surgery preparation;
   2-24                          (iv)  pregnancy and childbirth;
   2-25                          (v)  memory improvement;
   2-26                          (vi)  self-esteem;
   2-27                          (vii)  control of bed-wetting;
    3-1                          (viii)  control of nail biting;
    3-2                          (ix)  control of stuttering;
    3-3                          (x)  control of fears and phobias;
    3-4                          (xi)  self-confidence;
    3-5                          (xii)  lost items;
    3-6                          (xiii)  sports performance enhancement;
    3-7                          (xiv)  test and study performance; and
    3-8                          (xv)  self-hypnosis.
    3-9              (6)  "Independent practice" means the provision of a
   3-10  service, without supervision, in hypnotherapy by a licensed
   3-11  hypnotherapist authorized to practice in that area.
   3-12              (7)  "Licensed hypnotherapist" means a person licensed
   3-13  under this article.
   3-14              (8)  "Medical hypnotherapy" means a professional
   3-15  relationship between  a licensed hypnotherapist and a person in
   3-16  which a licensed hypnotherapist provides assistance to the person
   3-17  in a matter related to a medical condition diagnosed by a doctor,
   3-18  dentist, or chiropractor licensed in this state and who has
   3-19  specifically referred the person to the licensed hypnotherapist in
   3-20  writing or by prescription. The term does not apply to the making
   3-21  of a specific diagnosis.
   3-22              (9)  "National organization" means an association
   3-23  recognized by the hypnotherapy advisory council that provides
   3-24  training and continuing professional education in an area of
   3-25  hypnotherapy.
   3-26              (10)  "Practice of hypnotherapy" means the provision of
   3-27  hypnotherapy to a person or group of persons, including a family or
    4-1  an organization, and includes:
    4-2                    (A)  the consultation with a person to determine
    4-3  the person's suitability for hypnotherapy;
    4-4                    (B)  an explanation of the nature of
    4-5  hypnotherapy;
    4-6                    (C)  preparation of a person for participation in
    4-7  hypnotherapy;
    4-8                    (D)  the conduct of a therapy session using
    4-9  methods and techniques in accordance with goals determined by the
   4-10  person and the licensed hypnotherapist;
   4-11                    (E)  a discussion with a person regarding the
   4-12  process and results of hypnotherapy; and
   4-13                    (F)  the use of biofeedback equipment in
   4-14  accordance with goals determined by the person and the licensed
   4-15  hypnotherapist.
   4-16              (11)  "Qualified supervisor" means a person who:
   4-17                    (A)  is a licensed hypnotherapist approved by the
   4-18  hypnotherapy advisory council;
   4-19                    (B)  has completed the minimum number of hours,
   4-20  but not less than 350 hours, of approved hypnotherapy training
   4-21  required by the hypnotherapy advisory council;
   4-22                    (C)  has completed an approved 15-hour qualified
   4-23  supervisor training course;
   4-24                    (D)  may conduct an independent practice in a
   4-25  field of hypnotherapy; and
   4-26                    (E)  may supervise the training of a person in a
   4-27  field of hypnotherapy.
    5-1        Sec. 2.  APPLICATION FOR REGISTRATION.  (a)  An application
    5-2  for a license issued under this article shall contain:
    5-3              (1)  the name of the applicant; and
    5-4              (2)  any other information required by the hypnotherapy
    5-5  advisory council.
    5-6        (b)  The application for a license shall contain any fee
    5-7  required by the hypnotherapy advisory council.
    5-8        Sec. 3.  QUALIFICATIONS FOR LICENSE.  A person is qualified
    5-9  for a license if the person:
   5-10              (1)  is 18 years of age or older;
   5-11              (2)  has completed the requirements of the area of
   5-12  hypnotherapy in which the person is to be registered; and
   5-13              (3)  has completed any other requirements established
   5-14  by the hypnotherapy advisory council.
   5-15        Sec. 4.  HYPNOTHERAPY REGISTRATION.  A person seeking
   5-16  registration to practice in hypnotherapy shall:
   5-17              (1)  complete the minimum number of hours, but not less
   5-18  than 125 hours, of personal instruction required by the
   5-19  hypnotherapy advisory council in hypnosis or hypnotherapy from a
   5-20  national organization;
   5-21              (2)  complete a 12-week internship that consists of not
   5-22  less than 50 hours and not more than 100 hours, including not less
   5-23  than 25 hours of supervised hypnotherapy sessions with a qualified
   5-24  supervisor; and
   5-25              (3)  hold a registration issued by a national
   5-26  organization.
   5-27        Sec. 5.  LICENSE; TERMS; RENEWAL.  (a)  The department shall
    6-1  issue a license to an applicant who satisfies the requirements for
    6-2  registration established by the hypnotherapy advisory council in a
    6-3  registration area and any other requirements necessary for
    6-4  licensing.
    6-5        (b)  The license shall contain the name of the person and the
    6-6  area of practice in which the person is registered.
    6-7        (c)  A license is valid for one year.
    6-8        (d)  An application for a renewal of a license shall include
    6-9  evidence that the applicant has completed any continuing education
   6-10  requirement.
   6-11        Sec. 6.  REGISTRY.  The department shall maintain a registry
   6-12  of all persons licensed to practice hypnotherapy.  The department
   6-13  shall provide a printed copy of the registry on the payment of a
   6-14  fee set by the hypnotherapy advisory council in an amount
   6-15  sufficient to cover the cost of printing and distribution.
   6-16        Sec. 7.  HYPNOTHERAPY ADVISORY COUNCIL.  (a)  The
   6-17  hypnotherapy advisory council consists of five members.  Four
   6-18  members who are hypnotherapists shall be appointed by the Texas
   6-19  Commission of Licensing and Regulation and one public member shall
   6-20  be appointed by the governor.  The hypnotherapist members of the
   6-21  hypnotherapy advisory council shall be licensed hypnotherapists in
   6-22  one or more areas of practice.  The members of the advisory council
   6-23  appointed by the commission shall be selected:
   6-24              (1)  from a list of persons recommended by the
   6-25  hypnotherapy community; and
   6-26              (2)  according to the years of hypnotherapy practice in
   6-27  the state and the extent of training of or service to
    7-1  hypnotherapists in the state.
    7-2        (b)  In making appointments, the Texas Commission of
    7-3  Licensing and Regulation shall attempt to reflect reasonably the
    7-4  different geographic areas of the state in the composition of the
    7-5  hypnotherapy advisory council.  The commission may not appoint more
    7-6  than three members from any one municipality.
    7-7        (c)  Members of the hypnotherapy advisory council serve
    7-8  staggered six-year terms.   A member may not serve more than two
    7-9  full terms.
   7-10        (d)  An appointment to fill a vacancy shall be for the
   7-11  remainder of the unexpired term. A member appointed to fill a
   7-12  vacancy may be reappointed for only one full term.
   7-13        (e)  A member of the hypnotherapy advisory council is not
   7-14  entitled to receive compensation.
   7-15        (f)  The hypnotherapy advisory council is not subject to
   7-16  Article 6252-33, Revised Statutes.
   7-17        (g)  The members of the hypnotherapy advisory council shall
   7-18  elect a presiding officer annually.
   7-19        (h)  A psychologist, psychologist associate, or licensed
   7-20  professional counselor may not be a member of the hypnotherapy
   7-21  advisory council.
   7-22        Sec. 8.  POWERS OF HYPNOTHERAPY ADVISORY COUNCIL.  (a)  The
   7-23  hypnotherapy advisory council shall exercise rulemaking authority
   7-24  regarding hypnotherapists in the following areas:
   7-25              (1)  processing license applications;
   7-26              (2)  prescribing the form and content of license
   7-27  applications and other forms necessary to administer this article;
    8-1              (3)  prescribing fees necessary to administer this
    8-2  article;
    8-3              (4)  monitoring records as necessary to administer this
    8-4  article; and
    8-5              (5)  adopting rules relating to the practice of
    8-6  hypnotherapy, including the:
    8-7                    (A)  approval and registration of qualified
    8-8  supervisors and training programs, including the approval of
    8-9  instructional videotapes, workbooks, interactive learning programs,
   8-10  and computerized review programs;
   8-11                    (B)  manner of renewal of a license;
   8-12                    (C)  approval of national organizations;
   8-13                    (D)  continuing education requirements for
   8-14  licensed hypnotherapists;
   8-15                    (E)  use of advertising, including consumer
   8-16  brochures; and
   8-17                    (F)  adoption of a code of conduct or ethics.
   8-18        (b)  The hypnotherapy advisory council shall provide
   8-19  consumers with information about licensed hypnotherapists and the
   8-20  practice of hypnotherapy.
   8-21        (c)  The department shall enforce the rules of the
   8-22  hypnotherapy advisory council and the cost of enforcement of the
   8-23  rules shall be used by the hypnotherapy advisory council in
   8-24  determining any fees for a license or renewal of a license issued
   8-25  under this article.
   8-26        (d)  A rule of the hypnotherapy advisory council shall be
   8-27  submitted to the license holders affected by the rule if the
    9-1  proposed rule:
    9-2              (1)  increases a fee more than two times the annual
    9-3  percentage increase in the cost of living determined by the United
    9-4  States Department of Labor since the date of the last fee increase;
    9-5  or
    9-6              (2)  imposes a higher educational or continuing
    9-7  education requirement for an applicant or license holder.
    9-8        (e)  A rule proposed under Subsection (d) of this section may
    9-9  become effective if:
   9-10              (1)  a majority of the votes received favor the
   9-11  adoption of the rule; and
   9-12              (2)  40 percent or more of the eligible license holders
   9-13  voted for the adoption of the rule.
   9-14        Sec. 9.  FEES.  The hypnotherapy advisory council shall set
   9-15  fees for licensing and other activities in an amount necessary to
   9-16  cover the cost of administering the advisory council's and the
   9-17  department's duties under this article. Funds collected under this
   9-18  article shall be deposited in the hypnotherapy fund and the
   9-19  expenses of the advisory council and the department shall be paid
   9-20  from the fund.
   9-21        Sec. 10.  CONTINUING EDUCATION REQUIREMENTS.  A license
   9-22  holder in the area of hypnotherapy, as a condition for the renewal
   9-23  of the person's license, must complete 15 hours of continuing
   9-24  education in hypnosis or hypnotherapy approved by the hypnotherapy
   9-25  advisory council.
   9-26        Sec. 11.  DISCIPLINARY PROCEEDINGS.  (a)  The hypnotherapy
   9-27  advisory council may refuse to issue a license or may suspend or
   10-1  revoke a license if, after a hearing before the hypnotherapy
   10-2  advisory council, the hypnotherapy advisory council finds that the
   10-3  person applying for or holding the license has violated this
   10-4  article.  A disciplinary proceeding under this section shall be
   10-5  conducted under Chapter 2001, Government Code.
   10-6        (b)  The department may assess an administrative penalty in
   10-7  an amount not to exceed $1,000 for each day of a violation.
   10-8  Reimbursement of attorney's fees and administrative costs incurred
   10-9  in adjudicating an administrative penalty shall be assessed against
  10-10  the person required to pay the administrative penalty.  The fees
  10-11  received under this subsection shall be deposited into the
  10-12  hypnotherapy fund.
  10-13        Sec. 12.  DEPARTMENT AND ADVISORY COUNCIL RELATIONSHIP.  (a)
  10-14  The hypnotherapy advisory council is administratively attached to
  10-15  the department.  The department shall supply employees necessary to
  10-16  carry out the advisory council's duties.
  10-17        (b)  The department and the hypnotherapy advisory council
  10-18  shall enter into a contract for the provision of administrative
  10-19  services by the department to the advisory council.
  10-20        Sec. 13.  REGISTRATION REQUIRED; EXEMPTIONS.  (a)  A person
  10-21  may not perform hypnotherapy unless the person is licensed under
  10-22  this article.
  10-23        (b)  A person is not required to hold a license under this
  10-24  article to perform hypnotherapy if the person is licensed by
  10-25  another state agency as a health professional and performs a
  10-26  procedure in the course and scope of the profession for which the
  10-27  person holds the license.
   11-1        (c)  A person who is not a resident of this state and who
   11-2  does not have qualifications equivalent to or greater than the
   11-3  qualifications required for licensing by this article must be
   11-4  licensed before conducting an act constituting the practice of
   11-5  hypnotherapy.
   11-6        (d)  A person may not use the term "hypnotherapist" or
   11-7  "licensed hypnotherapist" in describing a service offered by the
   11-8  person unless the person is licensed under this article.
   11-9        (e)  The attorney general or a district attorney may, on the
  11-10  request of the department, bring an action to enjoin activity
  11-11  prohibited under this section.
  11-12        (f)  This Act does not apply to a recognized religious
  11-13  practitioner performing counseling consistent with the law of this
  11-14  state, the practitioner's training, and any code of ethics of the
  11-15  practitioner's profession, if the practitioner does not represent
  11-16  the practitioner by a title or description including the term
  11-17  hypnotherapist or licensed hypnotherapist.
  11-18        SECTION 3.  Section 2(c), Psychologists' Certification and
  11-19  Licensing Act (Article 4512c, Vernon's Texas Civil Statutes), is
  11-20  amended to read as follows:
  11-21        (c)  The term "psychological services," means acts or
  11-22  behaviors coming within the purview of the practice of psychology.
  11-23  The practice of psychology is an offering to the public or
  11-24  rendering to individuals or groups any service, including
  11-25  computerized procedures, that involves but is not restricted to the
  11-26  application of established principles, methods, and procedures of
  11-27  describing, explaining, and ameliorating behavior.  The practice of
   12-1  psychology addresses normal behavior and the evaluation,
   12-2  prevention, and remediation of psychological, emotional, mental,
   12-3  interpersonal, learning, and behavioral disorders of individuals
   12-4  and groups, as well as the psychological concomitants of medical
   12-5  problems, organizational structures, stress, and health.  The
   12-6  practice of psychology includes the use of projective techniques,
   12-7  neuropsychological testing, counseling, career counseling, and
   12-8  psychotherapy<, hypnosis for health care purposes, hypnotherapy,
   12-9  and biofeedback> and the evaluation and treatment by psychological
  12-10  techniques and procedures of mental or emotional disorders and
  12-11  disabilities.  The practice of psychology is based on a systematic
  12-12  body of knowledge and principles acquired in an organized program
  12-13  of graduate study and on the standards of ethics established by the
  12-14  profession.
  12-15        SECTION 4.  (a) This Act takes effect September 1, 1995.
  12-16        (b)  The Texas Department  of Licensing and Regulation shall
  12-17  issue a license to a person who submits an application and
  12-18  appropriate fee to the department before September 1, 1996, if:
  12-19              (1)  the person meets the educational requirements of
  12-20  Article 9105, Revised Statutes, as added by this Act;
  12-21              (2)  the person is a member of a national organization
  12-22  that:
  12-23                    (A)  is dedicated to providing training and
  12-24  continuing professional education in hypnotherapy; and
  12-25                    (B)  can document affiliated members residing in
  12-26  three or more states; and
  12-27              (3)  the person submits the application fee of $150.
   13-1        (c)  The Texas Department of Licensing and Regulation shall
   13-2  issue a license under Subsection (b) of this section even if an
   13-3  applicant has not completed an internship, personal instruction or
   13-4  training, or other supervision period.
   13-5        (d)  The hypnotherapy advisory council shall adopt rules
   13-6  under Article 9105, Revised Statutes, as added by this Act, not
   13-7  later than December 1, 1995.
   13-8        (e)  The Texas Commission of Licensing and Regulation shall
   13-9  appoint members of the hypnotherapy advisory council not later than
  13-10  September 15, 1995.  In making initial appointments to the advisory
  13-11  council, the Texas Commission of Licensing and Regulation shall
  13-12  appoint to the advisory council:
  13-13              (1)  two members to serve terms expiring September 15,
  13-14  1997;
  13-15              (2)  two members to serve terms expiring September 15,
  13-16  1999; and
  13-17              (3)  one member to serve a term expiring September 15,
  13-18  2001.
  13-19        (f)  The provisions of Section 8(d), Article 9105, Revised
  13-20  Statutes, as added by this Act, relating to the approval by license
  13-21  holders of certain rules do not apply to the initial rules adopted
  13-22  by the hypnotherapy advisory council.
  13-23        (g)  Section 4(2), Article 9105, Revised Statutes, as added
  13-24  by this Act, relating to the 12-week internship requirement, does
  13-25  not apply to a hypnotherapist who submits proof to the hypnotherapy
  13-26  advisory council that the person was practicing or teaching
  13-27  hypnotherapy in this state for not less than one year before the
   14-1  effective date of this Act.
   14-2        SECTION 5.  The importance of this legislation and the
   14-3  crowded condition of the calendars in both houses create an
   14-4  emergency and an imperative public necessity that the
   14-5  constitutional rule requiring bills to be read on three several
   14-6  days in each house be suspended, and this rule is hereby suspended.