By: Armbrister S.B. No. 1703 A BILL TO BE ENTITLED AN ACT 1-1 relating to the licensing and regulation of the practice of art 1-2 therapy. 1-3 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-4 SECTION 1. SHORT TITLE. This Act may be cited as the 1-5 Licensed Professional Art Therapist Act. 1-6 SECTION 1A. POLICY STATEMENT. It is the policy of this 1-7 state that the activities of a person who provides services to the 1-8 public as a licensed art therapist and uses the title Professional 1-9 Licensed Art Therapist, should be regulated to protect the health, 1-10 safety, and welfare of the public. 1-11 SECTION 2. DEFINITIONS. In this Act: 1-12 (1) "Board" means the Texas State Board of Examiners 1-13 of Licensed Art Therapists. 1-14 (2) "Department" means the Texas Department of Health. 1-15 (3) "Applicant" means an individual who seeks a 1-16 license under this Act. 1-17 (4) "Graduate semester hour" means a semester hour or 1-18 the quarter hour equivalent as defined by regional accrediting 1-19 educational associations when applied only to domestic training 1-20 programs. 1-21 (5) "Licensee" means an individual who has a valid 1-22 license issued under this Act. 1-23 (6) "Licensed professional art therapist" means a 2-1 person who has the authority to engage in the autonomous practice 2-2 of art therapy and who represents himself or herself to the public 2-3 by any title or description of services incorporating the words 2-4 "Licensed Professional Art Therapist," who offers to render 2-5 professional art therapy services to individuals, couples, 2-6 families, groups, organizations, corporations, institutions, 2-7 government agencies, or the general public for compensation, 2-8 implying that he or she is licensed and trained, experienced, or 2-9 expert in art therapy, and who holds valid license issued under 2-10 this Act to engage in the practice of art therapy. 2-11 (7) "Practice of art therapy" means the rendering to 2-12 individuals, families, or groups of services that use art media as 2-13 a means of expression and communication to promote perceptive, 2-14 intuitive, affective, and expressive experiences that alleviate 2-15 distress, reduce physical, emotional, behavioral, and social 2-16 impairment and lead to growth or reintegration of one's 2-17 personality. Art therapy services include diagnostic evaluation, 2-18 development of patient treatment plans, goals and objectives, case 2-19 management services, therapeutic treatment and referral, but does 2-20 not include the use of projective techniques in the assessment of 2-21 personality. 2-22 (8) "Art therapy services" means those acts and 2-23 behaviors coming within the meaning of the practice of art therapy. 2-24 (9) "referral" which means evaluating and identifying 2-25 needs of a client to determine the advisability of referral to 3-1 other specialists, informing the client of such judgment, and 3-2 communicating as requested or deemed appropriate to such referral 3-3 sources. 3-4 SECTION 3. EXEMPTIONS. (a) Except as provided by 3-5 Subsection (b) of this section, this Act does not apply to: 3-6 (1) the activities and services of or use of an 3-7 official title by a person employed as an art therapist by a 3-8 federal, state, county or municipal agency or public or private 3-9 educational institution, if the person is performing art therapy or 3-10 art therapy-related activities, within the scope of his employment; 3-11 (2) the activities and services of a student, intern, 3-12 or trainee in art therapy pursuing a course of study in art therapy 3-13 in a regionally or nationally accredited institution of higher 3-14 education or training institution, if these activities and services 3-15 constitute a part of the supervised course of study and the person 3-16 is designated an "art therapy intern"; 3-17 (3) the activities and services of a nonresident 3-18 rendered not more than 30 days during any year, if the person is 3-19 authorized to perform the activities and services under the law of 3-20 the state or country of his residence; 3-21 (4) the activities and services of members of other 3-22 professions licensed or certified by the state, such as physicians, 3-23 registered nurses, psychologists, certified social workers, 3-24 licensed professional counselors, licensed marriage and family 3-25 therapists, licensed occupational therapists, licensed chemical 4-1 dependency counselors, licensed optometrists in the evaluation and 4-2 remediation of learning or behavioral disabilities associated with 4-3 or caused by a defective or abnormal condition of vision, Christian 4-4 Science practitioners who are recognized by the Church of Christ 4-5 Scientist as registered and published in the Christian Science 4-6 Journal, or other recognized religious practitioners performing 4-7 their respective services consistent with the law of the state, 4-8 their training and any code of ethics of their professions, if they 4-9 do not represent themselves by any title or description in the 4-10 manner prescribed by Section 2 of this Act; 4-11 (5) the activities, services, titles, and descriptions 4-12 of persons licensed to practice law; 4-13 (6) the activities, services, titles, and descriptions 4-14 of persons employed as professionals or who are volunteers in the 4-15 practice of art therapy, for public and private nonprofit 4-16 organizations or charities who are accountable to the persons' 4-17 sponsoring organization and do not use the title or hold themselves 4-18 out to be licensed art therapists; 4-19 (7) persons supervised by a physician and recognized 4-20 as physician assistants by the Texas State Board of Medical 4-21 Examiners, if the persons act strictly within their scope of 4-22 practice and do not use the titles covered by Section 15(b)(3) of 4-23 this Act; or 4-24 (8) persons owning, operating, or employed by a 4-25 certified career counseling service regulated under Chapter 222, 5-1 Acts of the 70th legislature, Regular Session, 1987 (Article 5-2 5221a-8, Vernon's Texas Civil Statutes), 5-3 (b) A person otherwise exempt under this section who elects 5-4 to obtain a license under this Act is subject to this Act to the 5-5 same extent as any other licensee. 5-6 SECTION 4. NATURE AND COMPOSITION OF THE BOARD. (a) the 5-7 Texas State Board of Examiners of Licensed Professional Art 5-8 Therapists is created. 5-9 (b) The board is composed of three members appointed by the 5-10 governor with the advice and consent of the senate. 5-11 (c) Two members of the board must be licensed professional 5-12 art therapists. The governor shall appoint one citizen from the 5-13 general public. 5-14 (d) Members hold office for staggered terms of six years, 5-15 with one member's term expiring February 1 of each odd-numbered 5-16 year. In making an appointment, the governor shall specify which 5-17 member each new appointee succeeds. Before entering on the duties 5-18 of office, each member of the board shall take the constitutional 5-19 oath of office and file it with the secretary of state. 5-20 (e) An officer, employee, or paid consultant of a Texas 5-21 trade association in the field of health care may not be a member 5-22 or employee of the department that carries out the functions of the 5-23 board who is exempt from the state's position classification plan 5-24 or is compensated at or above the amount prescribed by the General 5-25 Appropriations Act for step 1, salary group 17, of the position 6-1 classification salary schedule. A person who is the spouse of an 6-2 officer, manager, or paid consultant of a Texas trade association 6-3 in the field of health care may not be a board member and may not 6-4 be an employee of the board who is exempt from the state's position 6-5 classification plan or is compensated at or above the amount 6-6 prescribed by the General Appropriations Act for step 1, salary 6-7 group 17, of the position classification salary schedule. 6-8 (f) For the purposes of this section, a Texas trade 6-9 association is a nonprofit, cooperative, and voluntarily joined 6-10 association of business or professional competitors in this state 6-11 designed to assist its members and its industry or profession in 6-12 dealing with mutual business or professional problems and in 6-13 promoting their common interest. 6-14 (g) A person may not serve as a member of the board or act 6-15 as the general counsel to the board if the person is required to 6-16 register as a lobbyist under Chapter 305, Government Code, because 6-17 of the person's activities for compensation on behalf of a 6-18 profession related to the operation of the board. 6-19 SECTION 5. BOARD MEMBER QUALIFICATIONS. (a) To be 6-20 qualified for appointment as a professional member of this board, a 6-21 person must: 6-22 (1) be a citizen of the United States and a resident 6-23 of this state for the 30 months immediately preceding appointment; 6-24 (2) have engaged in the field of art therapy for at 6-25 least 24 months or 2,000 hours; 7-1 (3) be licensed under this Act; and 7-2 (4) be appointed in accordance with Section 4 of this 7-3 Act. 7-4 (b) To be qualified for appointment as a member who is a 7-5 representative of the general public, a person must: 7-6 (1) be a citizen of the United States and a resident 7-7 of this state for the 30 months immediately preceding appointment; 7-8 (2) be at least 21 years old; and 7-9 (3) meet the requirements of Subsection (e) of this 7-10 section. 7-11 (c) It is a ground for removal from the board if a member: 7-12 (1) does not have at the time of appointment the 7-13 qualifications required by subsection (a) or (b) of this section, 7-14 as appropriate, for appointment to the board; 7-15 (2) does not maintain during the service on the board 7-16 the qualifications required by Subsection (a) or (b) of this 7-17 section, as appropriate, for appointment to the board; 7-18 (3) violates a prohibition established by Subsection 7-19 (e) of this section if the member is a public member of subsection 7-20 (e) of Section 4 of this Act; 7-21 (4) cannot discharge the member's duties for a 7-22 substantial part of the term for which the member is appointed 7-23 because of illness or disability; or 7-24 (5) is absent for more than half of the regularly 7-25 scheduled board meetings that a member is eligible to attend during 8-1 a calendar year unless the absence is excused by majority vote of 8-2 the board. 8-3 (d) The validity of an action of the board is not affected 8-4 by the fact that it was taken when a ground for removal of a member 8-5 of the board existed. 8-6 (e) A person is not eligible for appointment as a public 8-7 member of the board if the person or the person's spouse: 8-8 (1) is registered, certified or licensed by an 8-9 occupational regulatory agency in the field of health care; 8-10 (2) is employed by or participates in the management 8-11 of a business entity or other organization receiving funds from the 8-12 board; 8-13 (3) owns or controls, directly or indirectly, more 8-14 than 10 percent interest in a business entity or other organization 8-15 receiving funds from the board; or 8-16 (4) uses or receives a substantial amount of funds 8-17 from the board, other than compensation or reimbursement authorized 8-18 by law for board membership, attendance, or expenses. 8-19 (f) If the executive secretary has knowledge that a 8-20 potential ground for removal exists, the executive secretary shall 8-21 notify the governor and the attorney general that a potential 8-22 ground for removal exists. 8-23 SECTION 6. BOARD RESPONSIBILITIES. (a) the governor shall 8-24 designate one member of the board as the chairman of the board to 8-25 serve in that capacity at the pleasure of the governor. The board 9-1 shall elect a vice-chairman who shall hold office according to the 9-2 rules adopted by the board. 9-3 (b) The board shall hold not more than two regular meetings 9-4 each year as provided by rules adopted by the board. The board may 9-5 hold additional emergency meetings at the call of the chairman. 9-6 Two members constitute a quorum. 9-7 (c) The board may delegate functions and activities required 9-8 by this Act to individuals and committees on a permanent or 9-9 temporary basis if a quorum of the board agrees to the delegation 9-10 and if the delegates clearly possess the professional and personal 9-11 qualifications to act as delegates of the board. 9-12 (d) the board shall investigate and dispose of complaints as 9-13 provided by Section 14B of this Act. 9-14 (e) The board shall: 9-15 (1) determine the qualifications and fitness of 9-16 applicants for licenses, renewal of licenses, and provisional 9-17 licenses; 9-18 (2) adopt and revise rules not inconsistent with the 9-19 law of this state that are necessary to administer this Act. 9-20 However, the board may not adopt rules restricting competitive 9-21 bidding or advertising by licensees except to prohibit false, 9-22 misleading, or deceptive practices. The board may not include in 9-23 its rules to prohibit false, misleading, or deceptive practices by 9-24 licensees a rule that: 9-25 (A) restricts a licensee's use of any medium for 10-1 advertising; 10-2 (B) restricts a licensee's personal appearance 10-3 or the use of the person's personal voice in an advertisement; 10-4 (C) relates to the size or duration of an 10-5 advertisement by a licensee; or 10-6 (D) restricts a licensee's advertisement under a 10-7 trade name; 10-8 (3) adopt and publish a code of ethics and adopt an 10-9 official seal; 10-10 (4) examine for, deny, approve, issue, revoke, suspend 10-11 on an emergency basis, place on probation, and renew the license of 10-12 art therapist applicants and licensees under this Act; 10-13 (5) establish a mandatory continuing education program 10-14 for licensees; 10-15 (6) conduct hearings on the rules adopted under this 10-16 Act, notify the appropriate prosecuting attorney of an alleged 10-17 offense committed under this Act, and seek an injunction for a 10-18 violation of this Act; 10-19 (7) set fees for the board's services in amounts that 10-20 are sufficient to meet the expenses of administering this Act; 10-21 (8) request and receive the assistance of state 10-22 educational institutions or other state agencies; 10-23 (9) prepare and disseminate consumer information, 10-24 including describing the regulatory functions of the board and 10-25 describing the board's procedures by which consumer complaints are 11-1 filed with and resolved by the board. The board shall make the 11-2 information available to the general public and appropriate state 11-3 agencies; and 11-4 (10) by rule adopt a list of authorized counseling 11-5 methods or practices that a licensee may undertake or perform. 11-6 (f) The board by rule shall adopt reasonable and necessary 11-7 fees so that the fees, in aggregate, produce sufficient revenue to 11-8 cover the costs of administering this Act. 11-9 SECTION 6A. PUBLIC COMPLAINTS; TOLL-FREE TELEPHONE SERVICE. 11-10 (a) The board by rule shall establish methods by which consumers 11-11 and service recipients are notified of the name, mailing address, 11-12 and telephone number of the board for the purpose of directing 11-13 complaints to the board. The board may provide for that 11-14 notification: 11-15 (1) on each registration form, application, or written 11-16 contract for services of an individual or entity regulated under 11-17 this Act; 11-18 (2) on a sign prominently displayed in the place of 11-19 business of each individual or entity regulated under this Act; or 11-20 (3) in a bill for service provided by an individual or 11-21 entity regulated under this Act. 11-22 (b) The board shall list along with its regular telephone 11-23 number the toll-free telephone number at the Department that may be 11-24 called to present a complaint about a health professional if the 11-25 toll-free number is established under other state law. 12-1 SECTION 6B. PUBLIC PARTICIPATION IN BOARD HEARINGS. The 12-2 board shall develop and implement policies that provide the public 12-3 with a reasonable opportunity to appear before the board and to 12-4 speak on any issue under the jurisdiction of the board. 12-5 SECTION 6C. PROGRAM ACCESSIBILITY. The board shall prepare 12-6 and maintain a written plan that describes how a person who does 12-7 not speak English can be provided reasonable access to the board's 12-8 programs. The board shall also comply with federal and state laws 12-9 for program and facility accessibility. 12-10 SECTION 6D. 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 (c) The board shall develop and implement policies that 12-20 clearly define the respective responsibilities of the board and the 12-21 staff of the board. 12-22 SECTION 6E. TRAINING AND GUIDELINES FOR MEMBERS OF THE 12-23 BOARD. (a) The board shall establish a training program for the 12-24 members of the board. 12-25 (b) Before a member of a board may assume the member's 13-1 duties and before the member may be confirmed by the senate, the 13-2 member must complete at least one course of the training program 13-3 established under this section. 13-4 (c) A training program established under this section shall 13-5 provide information to a participant regarding: 13-6 (1) the enabling legislation that created the board; 13-7 (2) the programs operated by the board; 13-8 (3) the role and functions of the board; 13-9 (4) the rules of the board with an emphasis on the 13-10 rules that relate to disciplinary and investigatory authority; 13-11 (5) the current budget for the board; 13-12 (6) the results of the most recent formal audit of the 13-13 board; 13-14 (7) the requirements of the: 13-15 (A) open meetings law, Chapter 271, Acts of the 13-16 60th Legislature, Regular Session, 1967 (Article 6252-17, Vernon's 13-17 Texas Civil Statutes), and its subsequent amendments; 13-18 (B) open records law, Chapter 424, Acts of the 13-19 63rd Legislature, Regular Session, 1973 (Article 6252-17a, Vernon's 13-20 Texas Civil Statutes), and its subsequent amendments; and 13-21 (C) Administrative Procedure and Texas Register 13-22 Act (Article 6252-13a, Vernon's Texas Civil Statutes), and its 13-23 subsequent amendments; 13-24 (8) the requirements of the conflict of interest laws 13-25 and other laws relating to public officials; and 14-1 (9) any applicable ethics policies adopted by the 14-2 board of the Texas Ethics Commission. 14-3 (d) In developing the training requirements provided for in 14-4 this section, the board shall consult with the governor's office, 14-5 the attorney general's office, and the Texas Ethics Commission. 14-6 (e) In the event that another state agency or entity is 14-7 given the authority to establish the training requirements, the 14-8 board shall allow that training in lieu of developing its own 14-9 program. 14-10 SECTION 7. REIMBURSEMENT OF BOARD EXPENSES. A member of the 14-11 board is not entitled to compensation for the member's Service on 14-12 the board. A member of the board is entitled to reimbursement for 14-13 actual travel expenses incurred in attending a meeting of the board 14-14 as provided by the General Appropriations Act. 14-15 SECTION 8. BOARD PERSONNEL. (a) The executive secretary 14-16 must be an employee of the department. The Commissioner of Health, 14-17 with the advice and consent of the board, shall designate an 14-18 employee to serve as executive secretary of the board. The 14-19 executive secretary shall be the administrator of professional art 14-20 therapist licensing activities for the board. In addition to his 14-21 other duties prescribed by this Act and by the department, the 14-22 executive secretary shall: 14-23 (1) keep full and accurate minutes of the transactions 14-24 and proceedings of the board; 14-25 (2) be the custodian of the files and records of the 15-1 board; 15-2 (3) prepare and recommend to the board plans and 15-3 procedures necessary to implement the purposes and objectives of 15-4 this Act, including rules and proposals on administrative 15-5 procedures not inconsistent with this Act; 15-6 (4) exercise general supervision over persons employed 15-7 by the department in the administration of this Act; 15-8 (5) be responsible for the investigation of complaints 15-9 and for the presentation of formal complaints; 15-10 (6) attend all meetings of the board, but the 15-11 executive secretary is not entitled to vote at board meetings; and 15-12 (7) handle or arrange for the handling of the 15-13 correspondence of the board, make or arrange for necessary 15-14 inspections and investigations, and obtain, assemble, or prepare 15-15 the reports and information that the board may direct or authorize. 15-16 (b) The board shall develop and implement policies that 15-17 clearly define the respective responsibilities of the board and the 15-18 staff of the board. 15-19 (c) The basic personnel and necessary facilities that are 15-20 required to administer this Act shall be the personnel and 15-21 facilities of the department acting as the agents of the board. 15-22 The department may secure by agreement services that it considers 15-23 necessary and provide for the compensation for these services and 15-24 may employ and compensate, within appropriations available, the 15-25 professional consultants, technical assistants, and employees on a 16-1 full- or part-time basis necessary to administer this Act. 16-2 SECTION 9. ART THERAPIST QUALIFICATIONS. (a) A person is a 16-3 qualified art therapist applicant if the person: 16-4 (1) is at least 21 years old; 16-5 (2) has submitted an application as required by the 16-6 board, accompanied by the fee set by the board; the board may 16-7 require that the statements on the application be made under oath; 16-8 (3) has demonstrated professional competency by 16-9 satisfactorily passing an examination as prescribed by the board; 16-10 (4) holds either: 16-11 (A) a master's or doctoral degree in art therapy 16-12 that includes 600 hours of supervised internship experience from an 16-13 accredited institution except that on or after September 1, 1996, 16-14 applicants must have 700 hours of supervised internship experience 16-15 from an accredited institution; 16-16 (B) a master's degree in a counseling related 16-17 field and has a minimum of 21 semester hours of sequential course 16-18 work in the history, theory, and practice of art therapy and has 16-19 completed 600 hours of supervised internship experience from an 16-20 accredited institution except that on or after September 1, 1996, 16-21 applicants must complete 700 hours of supervised internship 16-22 experience from an accredited institution; 16-23 (5) has completed 1,000 client contact hours of 16-24 postgraduate experience under supervision of a psychiatrist, 16-25 psychologist, social worker, licensed professional counselor, or 17-1 nationally registered art therapist, beyond the requirements in 17-2 Subdivision (4)(A) of this subsection; except that on or after 17-3 September 1, 1996, applicants must complete 1,000 client contact 17-4 hours of postgraduate experience under supervision of a licensed 17-5 art therapist beyond the requirements in Subdivision (4)(A) of this 17-6 subsection; or 2,000 client contact hours of postgraduate 17-7 experience under supervision of a psychiatrist, psychologist, 17-8 social worker, licensed professional counselor, or nationally 17-9 registered art therapist beyond the requirements in Subdivision 17-10 (4)(B) of this subsection, except that on or after September 1, 17-11 1998, applicants must complete 2,000 client contact hours of 17-12 postgraduate experience under supervision of a licensed art 17-13 therapist beyond the requirements in Subdivision (4)(B) of this 17-14 subsection; 17-15 (A) The board may approve on a case-by-case 17-16 basis applicants who have a master's degree or a doctoral degree 17-17 from nonaccredited institutions. 17-18 SECTION 10. APPLICATION REVIEW. After investigation of the 17-19 application and other evidence submitted, the board shall, no later 17-20 than the 30th day before the examination date, notify each 17-21 applicant that the application and evidence submitted are 17-22 satisfactory and accepted or unsatisfactory and rejected. If 17-23 rejected, the notice shall state the reasons for the rejection. 17-24 SECTION 11. ART THERAPIST EXAMINATION. (a) An applicant 17-25 who has met the requirements for licensure shall be scheduled for 18-1 the next appropriate examination following the approval of the 18-2 application. 18-3 (b) The board shall establish by rule the examination 18-4 application deadline and the requirements for re-examination if the 18-5 applicant has failed the examination. 18-6 (c) The examination shall cover subjects appropriate to the 18-7 scope of practice as a professional art therapist. For the 18-8 biennium ending August 31, 1997, the board shall adopt the national 18-9 Certification Examination in Art Therapy of the Art Therapy 18-10 Credentials Board as the examination required under this section. 18-11 (d) The board shall provide for the grading of the 18-12 examination and recommend to the chairman action to be taken. To 18-13 ensure impartiality, written examination documents shall be 18-14 identified by number, and no paper may be marked with the name of 18-15 an applicant but shall be anonymously graded. If the board 18-16 subsequently adopts its own examination, the board shall have the 18-17 written portion of the examination, if any, validated under the 18-18 direction of a testing professional. In the event an applicant 18-19 fails to receive a passing grade on the entire examination, he may 18-20 reapply and shall be allowed to take a subsequent examination. An 18-21 applicant who has failed two successive examinations may not 18-22 reapply until two years have elapsed from the date of the last 18-23 examination or he has satisfactorily completed nine graduate 18-24 semester hours in the applicant's weakest portion of the 18-25 examination. 19-1 (e) Not later than the 30th day after the day a licensing 19-2 examination is administered under this Act, the board shall notify 19-3 each examinee of the results of the examination. However, if an 19-4 examination is graded or reviewed by a national testing service, 19-5 the board shall notify each examinee of the results of examination 19-6 not later than the 14th day after the day the board receives the 19-7 results from the testing service. If the notice of the examination 19-8 results graded or reviewed by the national testing service will be 19-9 delayed for more than 90 days after the examination date, the board 19-10 shall notify the examinee of the reason for the delay before the 19-11 90th day. 19-12 (f) If requested in writing by a person who fails the 19-13 examination for a license, the board shall furnish to the person an 19-14 analysis of the person's performance on the examination. 19-15 SECTION 12. LICENSES AND RENEWAL OF LICENSES. (a) A 19-16 license certificate issued by the board is the property of the 19-17 board and must be surrendered on demand. 19-18 (b) The licensee shall display the license certificate in an 19-19 appropriate and public manner. 19-20 (c) The licensee shall inform the board of his current 19-21 address at all times. 19-22 (d) Each year the board shall prepare a registry of licensed 19-23 professional art therapists. The registry shall be made available 19-24 to the licensees, other state agencies, and the general public on 19-25 request. 20-1 (e) The license may be renewed annually if the licensee is 20-2 not in violation of this Act at the time of application for renewal 20-3 and if the applicant fulfills current requirements of continuing 20-4 education as established by the board. 20-5 (f) The board by rule shall establish a minimum number of 20-6 hours of continuing education required to renew a license under 20-7 this Act. The board may assess the continuing education needs of 20-8 licenses and may require licensees to attend continuing education 20-9 courses specified by the board. The board by rule shall develop a 20-10 process to evaluate and approve continuing education courses. 20-11 (g) The board shall identify the key factors for the 20-12 competent performance by a licensee of the licensee's professional 20-13 duties. The board shall implement a procedure to assess a 20-14 licensee's participation in continuing education programs. 20-15 (h) Each person licensed under this Act is responsible for 20-16 renewing his license before the expiration date. 20-17 (i) The board shall adopt a system under which licenses 20-18 expire on various dates during the year. For the year in which the 20-19 initial license is issued, license fees payable on the date of 20-20 issuance shall be prorated on a monthly basis so that each licensee 20-21 shall pay only that portion of the license fee that is applicable 20-22 to the number of months during which the license is valid. On 20-23 renewal of the license, the total license fee is payable. 20-24 (j) A person may renew an unexpired license by paying to the 20-25 board before the expiration of the license the required renewal 21-1 fee. 21-2 (k) If a person's license has been expired for 90 days or 21-3 less, the person may renew the license by paying to the board the 21-4 required renewal fee and a fee that is one-half of the examination 21-5 fee for the license. 21-6 (l) If a person's license has been expired for 90 days but 21-7 less than one year because of the person's failure to pay the 21-8 renewal fee or failure to meet continuing education requirements, 21-9 the person may renew the license by paying to the board all unpaid 21-10 renewal fees and a fee that is equal to the examination fee for the 21-11 license and providing the board with proof of completing the 21-12 required continuing education. 21-13 (m) If a person's license has been expired for one year or 21-14 longer, the person may not renew the license. The person may 21-15 obtain a new license by complying with the requirements and 21-16 procedures for obtaining an original license. However, the board 21-17 may renew without reexamination an expired license of a person who 21-18 was licensed in this state, moved to another state, and is 21-19 currently licensed and has been in practice in the other state for 21-20 the two years preceding application. The person must pay to the 21-21 board a fee that is equal to the examination fee for the license. 21-22 (n) At least 30 days before the expiration of a person's 21-23 license, the board shall send written notice of the impending 21-24 license expiration to the person at the licensee's last known 21-25 address according to the records of the board. 22-1 (o) A licensee may request that the licensee's license be 22-2 declared inactive. The licensee then foregoes the licensing rights 22-3 granted under this Act but is relieved of renewal fees and penalty 22-4 fees. The license shall be declared active on the payment of a 22-5 license fee if the applicant is not in violation of this Act at the 22-6 time of application for reactivation of the license and if the 22-7 applicant fulfills current requirements applicable to all inactive 22-8 licensees as provided by the rules adopted by the board. 22-9 (p) The board by rule may provide for the issuance of a 22-10 temporary license. Rules adopted under this subsection shall 22-11 include a time limit for a temporary license. 22-12 (q) The board by rule may adopt a system under which a 22-13 temporary license may be issued to individuals who have met all of 22-14 the academic requirements for licensing and who have entered into a 22-15 supervisory agreement with a supervisor approved by the board. 22-16 (r) The board by rule may adopt a system for placing a 22-17 licensee on retirement status. 22-18 SECTION 13. LICENSE REQUIRED PENALTY. (a) Unless the 22-19 person is exempt under Section 3 of this Act, a person may not 22-20 engage on or after January 1, 1997 in the practice of art therapy 22-21 without a license issued under this Act. 22-22 (b) A person commits an offense if the person knowingly or 22-23 intentionally: 22-24 (1) engages in the practice of art therapy without 22-25 holding a license issued under this Act 23-1 (2) engages in the practice of art therapy after the 23-2 person's license under this Act has expired 23-3 (3) represents the person by the title "Licensed 23-4 Professional Art Therapist" without being licensed under this Act 23-5 or 23-6 (4) makes use of any title, words, letters, or 23-7 abbreviation that imply that the person is licensed under this Act 23-8 if the person is not licensed under this Act. 23-9 (c) An offense under Subsection (b) of this section is a 23-10 Class B misdemeanor. 23-11 SECTION 14. DISCIPLINARY ACTIONS. (a) The board shall 23-12 revoke, suspend, suspend on an emergency basis, or refuse to renew 23-13 the license of a licensee, place on probation a licensee whose 23-14 license has been suspended, or reprimand a licensee if the 23-15 licensee: 23-16 (1) has committed an act in violation of Section 23-17 21.14, Penal Code, or for which liability exists under Chapter 81, 23-18 Civil Practice and Remedies Code 23-19 (2) has violated this Act or a rule or code of ethics 23-20 adopted by the board 23-21 (3) is legally committed to an institution because of 23-22 mental incompetence from any cause or 23-23 (4) offers to pay or agrees to accept any 23-24 remuneration, directly or indirectly, to or from any person or 23-25 entity for securing or soliciting a patient or patronage. 24-1 (b) If a licensee suspension is probated, the board may 24-2 require the licensee to: 24-3 (1) report regularly to the board on matters that are 24-4 the basis of the probation; 24-5 (2) limit practice to the areas prescribed by the 24-6 board; or 24-7 (3) continue or review continuing professional 24-8 education until the licensee attains a degree of skill satisfactory 24-9 to the board in those areas that are the basis of the probation. 24-10 (c) A licensee is entitled to a hearing conducted by the 24-11 State Office of Administrative Hearings before a sanction is 24-12 imposed under this section. 24-13 (d) The board by rule shall adopt a broad schedule of 24-14 sanctions for violations under this Act. The State Office of 24-15 Administrative Hearings shall use the schedule for any sanction 24-16 imposed as the result of a hearing conducted by that office. 24-17 (e) Proceedings for revocation or suspension of a license 24-18 and appeals from those proceedings are governed by the 24-19 Administrative Procedure and Texas Register Act, as amended 24-20 (Article 6252-13a, Vernon's Texas Civil Statutes). 24-21 SECTION 14A. TEMPORARY SUSPENSION OF LICENSE. If the 24-22 majority of the board or a committee of board members designated by 24-23 the board determines from the evidence or information presented to 24-24 it that a licensee, by continuation in practice, would constitute a 24-25 continuing and imminent threat to the public welfare, the board or 25-1 the three-member committee shall temporarily suspend the license of 25-2 the licensee. The license may be suspended under this section 25-3 without notice or hearing on the complaint, provided institution of 25-4 proceedings for a hearing before the State office of Administrative 25-5 Hearings is initiated simultaneously with the temporary suspension 25-6 and provided that a hearing is held as soon as can be accomplished 25-7 under this chapter and the Administrative Procedure and Texas 25-8 Register Act (Article 6252-13a, Vernon's Texas Civil Statutes) and 25-9 its subsequent amendments. The State Office of Administrative 25-10 Hearings shall hold a preliminary hearing not later than the 14th 25-11 day after the date of the temporary suspension to determine if 25-12 probable cause exists that a continuing and imminent threat to the 25-13 public welfare still exists. A final hearing on the matter shall 25-14 be held not later than the 61st day after the date of temporary 25-15 suspension. 25-16 SECTION 14B. COMPLAINT PROCEDURE IN GENERAL. (a) The board 25-17 shall keep an information file about each complaint filed with the 25-18 board. The board's information file shall be kept current and 25-19 contain a record for each complaint of: 25-20 (1) all persons contacted in relation to the complaint 25-21 (2) a summary of findings made at each step of the 25-22 complaint process 25-23 (3) an explanation of the legal basis and reason for a 25-24 complaint that is dismissed; and 25-25 (4) other relevant information. 26-1 (b) If a written complaint is filed with the board that the 26-2 board has authority to resolve, the board, at least as frequently 26-3 as quarterly and until final disposition of the complaint, shall 26-4 notify the parties to the complaint of the status of the complaint 26-5 unless the notice would jeopardize an undercover investigation. 26-6 (c) The board by rule shall adopt a form to standardize 26-7 information concerning complaints made to the board. The board by 26-8 rule shall prescribe information to be provided to a person who 26-9 wishes to file a complaint with the board. 26-10 (d) The board shall provide reasonable assistance to a 26-11 person who wishes to file a complaint with the board. 26-12 SECTION 14C. COMPLAINT INVESTIGATION AND DISPOSITION. 26-13 (a) The board shall adopt rules concerning the investigation of a 26-14 complaint filed with the board. The rules adopted under this 26-15 subsection shall: 26-16 (1) distinguish between categories of complaints; 26-17 (2) ensure that complaints are not dismissed without 26-18 appropriate consideration; 26-19 (3) require that the board be advised of a complaint 26-20 that is dismissed and that a letter be sent to the person who filed 26-21 the complaint explaining the action taken on the dismissed 26-22 complaint; 26-23 (4) ensure that the person who filed the complaint has 26-24 an opportunity to explain the allegations made in the complaint; 26-25 and 27-1 (5) prescribe guidelines concerning the categories of 27-2 complaints that require the use of a private investigator and the 27-3 procedures for the board to obtain the services of a private 27-4 investigator. 27-5 (b) The board shall dispose of all complaints in a timely 27-6 manner. The board shall establish a schedule for conducting each 27-7 phase of a complaint that is under the control of the board not 27-8 later than the 30th day after the date the complaint is received by 27-9 the board. The schedule shall be kept in the information file for 27-10 the complaint and all parties shall be notified of the projected 27-11 time requirements for pursuing the complaint. A change in the 27-12 schedule must be noted in the complaint information file and all 27-13 parties to the complaint must be notified not later than the 27-14 seventh day after the date the change is made. 27-15 (c) The executive secretary of the board shall notify the 27-16 board of a complaint that extends beyond the time prescribed by the 27-17 board for resolving the complaint. 27-18 SECTION 14D. INFORMAL PROCEEDINGS. (a) The board by rule 27-19 shall adopt procedures governing: 27-20 (1) informal disposition of a contested case under 27-21 Section 13(e), Administrative Procedure and Texas Register Act 27-22 (Article 6252-13a, Vernon's Texas Civil Statutes), and its 27-23 subsequent amendments; and 27-24 (2) informal proceedings held in compliance with 27-25 Section 18(c), Administrative Procedure and Texas Register Act 28-1 (Article 6252-13a, Vernon's Texas Civil Statutes), and its 28-2 subsequent amendments. 28-3 (b) Rules adopted under this section must provide the 28-4 complainant and the licensee an opportunity to be heard and must 28-5 require the presence of a representative of the department's legal 28-6 staff or the attorney general's office to advise the board or 28-7 board's employees. 28-8 SECTION 14E. MONITORING OF LICENSES. The board by rule 28-9 shall develop a system for monitoring licensees' compliance with 28-10 the requirements of this Act. Rules adopted under this section 28-11 shall include procedures for monitoring a licensee who is ordered 28-12 by the board to perform certain acts to ascertain that the licensee 28-13 performs the required acts and to identify and monitor licensees 28-14 who represent a risk to the public. 28-15 SECTION 15. POWER TO SUE. The board or the department may 28-16 institute a suit in its own name to enjoin the violation of this 28-17 Act. The suit is in addition to any other action, proceeding, or 28-18 remedy authorized by law. The board shall be represented by the 28-19 attorney general or the appropriate county or district attorney. 28-20 SECTION 16. ENDORSEMENT. (a) The board may grant, on 28-21 application and payment of fees, a provisional license to a person 28-22 who at the time of application holds a valid license or certificate 28-23 as an art therapist issued by another state or any political 28-24 territory or jurisdiction acceptable to the board. An applicant 28-25 for a provisional license under this section must: 29-1 (1) be licensed and in good standing as an art 29-2 therapist in another state, territory or jurisdiction that has 29-3 licensing requirements that are substantially equivalent to the 29-4 requirements of this Act; 29-5 (2) have passed a national or other examination 29-6 recognized by the board relating to counseling or art therapy; and 29-7 (3) be sponsored by a person licensed by the board 29-8 under this Act with whom the provisional licensee may practice 29-9 under this section. 29-10 (b) An applicant for a provisional license may be excused 29-11 from the requirement of Subsection (a)(3) of this section if the 29-12 board determines that compliance with that subsection constitutes a 29-13 hardship to the applicant. 29-14 (c) A provisional license is valid until the date the board 29-15 approves or denies the provision licensee's application for a 29-16 license. The board shall issue a license under this Act to the 29-17 holder of a provisional license under this section if: 29-18 (1) the provisional licensee passes the examination 29-19 required by Section 11 of this Act; 29-20 (2) the board verifies that the provisional licensee 29-21 has the academic and experience requirements for a license under 29-22 this Act; and 29-23 (3) the provisional licensee satisfies any other 29-24 license requirements under this Act. 29-25 (d) The board must complete the processing of a provisional 30-1 licensee's application for a license not later than the 180th day 30-2 after the date the provisional license is issued or at the time 30-3 licenses are issued following the successful completion of the 30-4 examination, whichever is later. 30-5 SECTION 17. REVENUE, RECEIPTS AND DISBURSEMENTS. (a) All 30-6 money paid to the department under this Act shall be deposited in 30-7 the State Treasury to the credit of a special fund to be known as 30-8 the professional art therapists licensing fund and may be used only 30-9 for the administration of this Act. 30-10 (b) The board by rule shall establish reasonable and 30-11 necessary fees so that the fees, in the aggregate, produce 30-12 sufficient revenue to meet the expenses of administering this Act 30-13 without accumulating unnecessary surpluses. 30-14 (c) The fees set by the board may be adjusted so that the 30-15 total fees collected are sufficient to meet the expenses of 30-16 administering this Act. The board shall establish a standard fee 30-17 applicable to all licenses. 30-18 SECTION 18. ANNUAL REPORT. Not later than the 90th day 30-19 after the last day of each state fiscal year, the board shall 30-20 submit to the governor, lieutenant governor, and speaker of the 30-21 house a report about the activities of the board during the 30-22 preceding fiscal year. 30-23 SECTION 19. SUNSET PROVISION. The Texas State Board of 30-24 Licensed Professional Art Therapists is subject to Chapter 325, 30-25 Government Code (Texas Sunset Act). Unless the board is continued 31-1 in existence as provided by that chapter, the board is abolished 31-2 September 1, 2005. 31-3 SECTION 20. EMERGENCY. The importance of this legislation 31-4 and the crowded condition of the calendars in both houses create an 31-5 emergency and an imperative public necessity that the 31-6 constitutional rule requiring bills to be read on three several 31-7 days in each house be suspended, and this rule is hereby suspended.