By Madla                                         S.B. No. 361

      75R7862 BEM-D                           

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to the continuation and functions of the Texas State Board

 1-3     of Acupuncture Examiners.

 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-5           SECTION 1.  Section 6.04, Medical Practice Act (Article

 1-6     4495b, Vernon's Texas Civil Statutes), is amended by amending

 1-7     Subsections (b), (d), (g), and (h) and adding Subsections (i)-(l)

 1-8     to read as follows:

 1-9           (b)  A person [The following persons] may not serve on the

1-10     acupuncture board if the[:]

1-11                 [(1)  a] person [who] is required to register as a

1-12     lobbyist under Chapter 305, Government Code, because of the

1-13     person's activities for compensation on behalf of a profession

1-14     related to the operation of the medical board or acupuncture board

1-15     [and its subsequent amendments; and]

1-16                 [(2)  a person who is currently employed by or serving

1-17     as president, vice-president, secretary, or treasurer of a

1-18     statewide or national organization incorporated for the purpose of

1-19     representing a health care profession in this state or the United

1-20     States].

1-21           (d)  The governor shall designate a member of the acupuncture

1-22     board as the presiding officer of the acupuncture board to serve in

1-23     that capacity at the pleasure of the governor [from the members of

1-24     the acupuncture board].

 2-1           (g)  A person is not eligible for appointment as a public

 2-2     member of the acupuncture board if the person or the person's

 2-3     spouse:

 2-4                 (1)  is registered, certified, or licensed by an

 2-5     occupational regulatory agency in the field of health care;

 2-6                 (2)  is employed by or participates in the management

 2-7     of a business entity or other organization regulated by the medical

 2-8     board or receiving funds from the medical board or acupuncture

 2-9     board;

2-10                 (3)  owns or controls, directly or indirectly, more

2-11     than a 10 percent interest in a business entity or other

2-12     organization regulated by the medical board or acupuncture board or

2-13     receiving funds from the medical board; or

2-14                 (4)  uses or receives a substantial amount of tangible

2-15     goods, services, or funds from the  medical board or acupuncture

2-16     board, other than compensation or reimbursement authorized by law

2-17     for the acupuncture board membership, attendance, or expenses.

2-18           (h)  An officer, employee, or paid consultant of a Texas

2-19     trade association in the field of health care may not be a member

2-20     of the acupuncture board or an employee of the medical board who is

2-21     exempt from the state's position classification plan or is

2-22     compensated at or above the amount prescribed by the General

2-23     Appropriations Act for step 1, salary group 17, of the position

2-24     classification salary schedule.

2-25           (i)  A person who is the spouse of an officer, manager, or

2-26     paid consultant of a Texas trade association in the field of health

2-27     care may not be a member of the acupuncture board and may not be an

 3-1     employee of the medical board who is exempt from the state's

 3-2     position classification plan or is compensated at or above the

 3-3     amount prescribed by the General Appropriations Act for step 1,

 3-4     salary group 17, of the position classification salary schedule.

 3-5           (j)  For the purposes of this section, a Texas trade

 3-6     association is a nonprofit, cooperative, and voluntarily joined

 3-7     association of business or professional competitors in this state

 3-8     designed to assist its members and its industry or profession in

 3-9     dealing with mutual business or professional problems and in

3-10     promoting their common interest [The acupuncture board is subject

3-11     to the open meetings law, the open records law, and the

3-12     Administrative Procedure Act and any subsequent amendments].

3-13           (k)  Appointments to the acupuncture board shall be made

3-14     without regard to the race,  color, disability, sex, religion, age,

3-15     or national origin of the appointees.

3-16           (l) [(h)]  The acupuncture board is subject to Chapter 325,

3-17     Government Code (Texas  Sunset Act).  Unless continued in existence

3-18     as provided by that chapter, the board is abolished and this

3-19     subchapter expires September 1, 2005 [1997].

3-20           SECTION 2.  Subchapter F, Medical Practice Act (Article

3-21     4495b, Vernon's Texas Civil Statutes), is amended by adding

3-22     Sections 6.041 and 6.042 to read as follows:

3-23           Sec. 6.041.  GROUNDS FOR REMOVAL FROM ACUPUNCTURE BOARD.

3-24     (a)  It is a ground for removal from the acupuncture board if a

3-25     member:

3-26                 (1)  does not have at the time of appointment the

3-27     qualifications required by Sections 6.04(a) and (g) of this Act;

 4-1                 (2)  does not maintain during service on the

 4-2     acupuncture board  the qualifications required by Sections 6.04(a)

 4-3     and (g) of this Act;

 4-4                 (3)  violates a prohibition established by Section

 4-5     6.04(b), (h), or (i) of this Act;

 4-6                 (4)  cannot because of illness or disability discharge

 4-7     the member's duties for a substantial part of the term for which

 4-8     the member is appointed; or

 4-9                 (5)  is absent from more than half of the regularly

4-10     scheduled acupuncture board meetings that the member is eligible to

4-11     attend during a calendar year unless the absence is excused by

4-12     majority vote of the acupuncture board.

4-13           (b)  The validity of an action of the acupuncture board is

4-14     not affected by the fact that it is taken when a ground for removal

4-15     of an acupuncture board member exists.

4-16           (c)  If the executive director of the medical board has

4-17     knowledge that a potential ground for removal of a member of the

4-18     acupuncture board exists, the executive director shall notify the

4-19     presiding officer of the acupuncture board of the potential ground.

4-20     The presiding officer shall then notify the governor and the

4-21     attorney general that a potential ground for removal exists.  If

4-22     the potential ground for removal involves the presiding officer,

4-23     the executive director of the medical board shall notify the next

4-24     highest officer of the acupuncture board, who shall notify the

4-25     governor and the attorney general that a potential ground for

4-26     removal exists.

4-27           (d)  The executive director of the medical board or the

 5-1     executive director's designee shall provide to members of the

 5-2     acupuncture board, as often as necessary, information regarding

 5-3     their qualification for office under this subchapter and their

 5-4     responsibilities under applicable laws relating to standards of

 5-5     conduct for state officers.

 5-6           Sec. 6.042.  BOARD MEMBER TRAINING.  (a)  Before a member of

 5-7     the acupuncture board may assume the member's duties and before the

 5-8     member may be  confirmed by the senate, the member must complete at

 5-9     least one course of the training program established under this

5-10     section.

5-11           (b)  A training program established under this section shall

5-12     provide information to the member regarding:

5-13                 (1)  the enabling legislation that created the

5-14     acupuncture board;

5-15                 (2)  the programs operated by the acupuncture board;

5-16                 (3)  the role and functions of the acupuncture board;

5-17                 (4)  the rules of the acupuncture board with an

5-18     emphasis on the rules that relate to disciplinary and investigatory

5-19     authority;

5-20                 (5)  the current budget for the acupuncture board;

5-21                 (6)  the results of the most recent formal audit of the

5-22     acupuncture board;

5-23                 (7)  the requirements of the:

5-24                       (A)  open meetings law, Chapter 551, Government

5-25     Code;

5-26                       (B)  open records law, Chapter 552, Government

5-27     Code; and

 6-1                       (C)  administrative procedure law, Chapter 2001,

 6-2     Government Code;

 6-3                 (8)  the requirements of the conflict of interest laws

 6-4     and other laws relating to public officials; and

 6-5                 (9)  any applicable ethics policies adopted by the

 6-6     medical board or the Texas Ethics Commission.

 6-7           SECTION 3.  Section 6.05, Medical Practice Act (Article

 6-8     4495b, Vernon's Texas Civil Statutes), is amended to read as

 6-9     follows:

6-10           Sec. 6.05.  POWERS AND DUTIES OF ACUPUNCTURE BOARD.

6-11     (a)  Subject to the advice and approval of the medical board, the

6-12     acupuncture board shall:

6-13                 (1)  establish qualifications for an acupuncturist to

6-14     practice in this state;

6-15                 (2)  establish minimum educational and training

6-16     requirements necessary for the acupuncture board to recommend that

6-17     the medical board issue a license to practice acupuncture;

6-18                 (3)  administer an examination that is validated by

6-19     independent testing professionals for a license to practice

6-20     acupuncture;

6-21                 (4)  develop requirements for licensure by endorsement

6-22     of other states;

6-23                 (5)  prescribe the application form for a license to

6-24     practice acupuncture;

6-25                 (6)  make recommendations on applications for licenses

6-26     to practice acupuncture;

6-27                 (7)  develop and implement policies that provide the

 7-1     public with a reasonable opportunity to appear before the

 7-2     acupuncture board and to speak on any issue under the jurisdiction

 7-3     of the acupuncture board [establish a procedure for reporting and

 7-4     processing complaints relating to the practice of acupuncture under

 7-5     this article];

 7-6                 (8)  establish the requirements for a tutorial program

 7-7     for students who have completed at least 48 semester hours of

 7-8     college;  [and]

 7-9                 (9)  develop and implement policies that clearly

7-10     separate the policy-making responsibilities of the acupuncture

7-11     board and the management responsibilities of the executive director

7-12     and the staff of the medical board; and

7-13                 (10)  recommend additional rules as are necessary for

7-14     the administration and enforcement of this subchapter.

7-15           (b)  The acupuncture board shall comply with federal and

7-16     state laws related to program and facility accessibility.  The

7-17     executive director of the medical board shall prepare and maintain

7-18     a written plan that describes how a person who does not speak

7-19     English can be provided reasonable access to the acupuncture

7-20     board's programs and services.

7-21           (c)  Notwithstanding Subsection (a) of this section, the

7-22     acupuncture board has no independent rulemaking authority.

7-23           SECTION 4.  Subchapter F, Medical Practice Act (Article

7-24     4495b, Vernon's Texas Civil Statutes), is amended by adding

7-25     Sections 6.051, 6.071, 6.075, and 6.085 to read as follows:

7-26           Sec. 6.051.  PUBLIC INTEREST INFORMATION; COMPLAINTS.

7-27     (a)  The acupuncture board shall prepare information of public

 8-1     interest describing the functions of the acupuncture board and the

 8-2     procedures by which complaints are filed with and resolved by the

 8-3     acupuncture board.  The acupuncture board shall make the

 8-4     information available to the public and appropriate state agencies.

 8-5           (b)  The acupuncture board by rule shall establish methods by

 8-6     which consumers and service recipients are notified of the name,

 8-7     mailing address, and telephone number of the acupuncture board for

 8-8     the purpose of directing complaints under this subchapter to the

 8-9     acupuncture board.  The acupuncture board may provide for that

8-10     notification:

8-11                 (1)  on each registration form, application, or written

8-12     contract for services of an individual or entity regulated under

8-13     this subchapter;

8-14                 (2)  on a sign prominently displayed in the place of

8-15     business of each individual or entity regulated under this

8-16     subchapter; or

8-17                 (3)  in a bill for service provided by an individual or

8-18     entity regulated under this subchapter.

8-19           (c)  The acupuncture board shall keep a file about each

8-20     written complaint filed with the acupuncture board under this

8-21     subchapter that the acupuncture board has authority to resolve.

8-22     The acupuncture board shall provide to the person filing the

8-23     complaint and the persons or entities complained about the

8-24     acupuncture board's policies and procedures pertaining to complaint

8-25     investigation and resolution.  The acupuncture board, at least

8-26     quarterly and until final disposition of the complaint, shall

8-27     notify the person filing the complaint and the persons or entities

 9-1     complained about of the status of the complaint unless the notice

 9-2     would jeopardize an investigation.

 9-3           (d)  The acupuncture board shall keep information about each

 9-4     complaint filed with the acupuncture board under this subchapter.

 9-5     The information shall include:

 9-6                 (1)  the date the complaint is received;

 9-7                 (2)  the name of the complainant;

 9-8                 (3)  the subject matter of the complaint;

 9-9                 (4)  a record of all persons contacted in relation to

9-10     the complaint;

9-11                 (5)  a summary of the results of the review or

9-12     investigation of the complaint; and

9-13                 (6)  for complaints for which the acupuncture board

9-14     took no action, an explanation of the reason the complaint was

9-15     closed without action.

9-16           Sec. 6.071.  EXAMINATION RESULTS.  (a)  Not later than the

9-17     30th day after the date on which a licensing examination is

9-18     administered under this subchapter the acupuncture board shall

9-19     notify each examinee of the results of the examination.  However,

9-20     if an examination is graded or reviewed by a national testing

9-21     service, the acupuncture board shall notify examinees of the

9-22     results of the examination not later than the 14th day after the

9-23     date on which the acupuncture board receives the results from the

9-24     testing service.  If the notice of examination results graded or

9-25     reviewed by a national testing service will be delayed for longer

9-26     than 90 days after the examination date, the acupuncture board

9-27     shall notify the examinee of the reason for the delay before the

 10-1    90th day.  The acupuncture board may require a testing service to

 10-2    notify examinees of the results of an examination.

 10-3          (b)  If requested in writing by a person who fails a

 10-4    licensing examination administered under this subchapter, the

 10-5    acupuncture board shall furnish the person with an analysis of the

 10-6    person's performance on the examination if an analysis is available

 10-7    from the national testing service.

 10-8          Sec. 6.075.  TEMPORARY LICENSE.  (a)  The acupuncture board

 10-9    may issue a temporary license to an applicant who:

10-10                (1)  is licensed in good standing as an acupuncturist

10-11    for at least two years in another state, the District of Columbia,

10-12    or a territory of the United States that has licensing requirements

10-13    that are substantially equivalent to the requirements of this

10-14    subchapter;

10-15                (2)  submits an application on a form prescribed by the

10-16    acupuncture board;

10-17                (3)  has passed a national or other examination

10-18    recognized by the acupuncture board relating to the practice of

10-19    acupuncture; and

10-20                (4)  pays the appropriate fee prescribed by the medical

10-21    board.

10-22          (b)  A temporary license is valid for 100 days from the date

10-23    issued and may be extended only for another 30 days after the date

10-24    the initial temporary license expires.

10-25          Sec. 6.085.  ADVERTISING.  (a)  The medical board may not

10-26    adopt rules under this subchapter restricting competitive bidding

10-27    or advertising by a license holder except to prohibit false,

 11-1    misleading, or deceptive practices.

 11-2          (b)  In its rules to prohibit false, misleading, or deceptive

 11-3    practices, the medical board may not include a rule that:

 11-4                (1)  restricts the use of any medium for advertising;

 11-5                (2)  restricts the use of a license holder's personal

 11-6    appearance or voice in an advertisement;

 11-7                (3)  relates to the size or duration of an

 11-8    advertisement by the license holder; or

 11-9                (4)  restricts the license holder's advertisement under

11-10    a trade name.

11-11          SECTION 5.  Section 6.09, Medical Practice Act (Article

11-12    4495b, Vernon's Texas Civil Statutes), is amended by adding

11-13    Subsections (c) and (d) to read as follows:

11-14          (c)  All money paid to the medical board under this

11-15    subchapter is subject to Subchapter F, Chapter 404, Government

11-16    Code.

11-17          (d)  The medical board shall prepare annually a complete and

11-18    detailed written report accounting for all funds received and

11-19    disbursed by the medical board under this subchapter during the

11-20    preceding fiscal year.  The annual report must meet the reporting

11-21    requirements applicable to financial reporting provided in the

11-22    General Appropriations Act.

11-23          SECTION 6.  Section 6.10, Medical Practice Act (Article

11-24    4495b, Vernon's Texas Civil Statutes), is amended to read as

11-25    follows:

11-26          Sec. 6.10.  ISSUANCE AND RENEWAL OF LICENSE.  (a)  After

11-27    consulting the acupuncture board, the medical board shall issue a

 12-1    license to practice acupuncture in this state to a person who meets

 12-2    the requirements of this subchapter and the rules adopted under

 12-3    this subchapter.

 12-4          (b)  The medical board may waive any prerequisite to

 12-5    obtaining a license for an applicant after reviewing the

 12-6    applicant's credentials and determining that the applicant holds a

 12-7    valid license from another state that has license requirements

 12-8    substantially equivalent to those of this state.

 12-9          (c)  The medical board shall by rule provide for the annual

12-10    renewal of a license to practice acupuncture.

12-11          (d)  A person who is otherwise eligible to renew a license

12-12    may renew an unexpired license by paying the required renewal fee

12-13    to the medical board before the expiration date of the license.  A

12-14    person whose license has expired may not engage in activities that

12-15    require a license until the license has been renewed under the

12-16    provisions of this section.

12-17          (e)  If the person's license has been expired for 90 days or

12-18    less, the person may renew the license by paying to the medical

12-19    board one and one-half times the required renewal fee.

12-20          (f)  If the person's license has been expired for longer than

12-21    90 days but less than one year, the person may renew the license by

12-22    paying to the medical board two times the required renewal fee.

12-23          (g)  If the person's license has been expired for one year or

12-24    longer, the person may not renew the license.  The person may

12-25    obtain a new license by submitting to reexamination and complying

12-26    with the requirements and procedures for obtaining an original

12-27    license.

 13-1          (h)  If the person was licensed in this state, moved to

 13-2    another state, and is currently licensed and has been in practice

 13-3    in the other state for the two years preceding application, the

 13-4    person may renew an expired license without reexamination.  The

 13-5    person must pay to the medical board a fee that is equal to two

 13-6    times the required renewal fee for the license.

 13-7          (i)  At least 30 days before the expiration of a person's

 13-8    license, the medical board shall send written notice of the

 13-9    impending license expiration to the person at the license holder's

13-10    last known address according to the records of the medical board.

13-11          (j)  The medical board by rule may adopt a system under which

13-12    licenses expire on various dates during the year.  For the year in

13-13    which the license expiration date is changed, license fees shall be

13-14    prorated on a monthly basis so that each license holder pays only

13-15    that portion of the license fee that is allocable to the number of

13-16    months during which the license is valid.  On renewal of the

13-17    license on the new expiration date, the total license renewal fee

13-18    is payable.

13-19          SECTION 7.  Subchapter F, Medical Practice Act (Article

13-20    4495b, Vernon's Texas Civil Statutes), is amended by adding Section

13-21    6.101 to read as follows:

13-22          Sec. 6.101.  LICENSE HOLDER INFORMATION.  (a)  Each license

13-23    holder shall file with the board:

13-24                (1)  the license holder's mailing address;

13-25                (2)  the address of the license holder's residence;

13-26                (3)  the mailing address of each of the license

13-27    holder's offices; and

 14-1                (4)  the address for the location of each of the

 14-2    license holder's offices if that address is different from the

 14-3    office's mailing address.

 14-4          (b)  A license holder shall:

 14-5                (1)  notify the acupuncture board of a change of the

 14-6    license holder's residence or business address; and

 14-7                (2)  provide the acupuncture board with the license

 14-8    holder's new address not later than the 30th day after the date the

 14-9    address change occurs.

14-10          SECTION 8.  Section 6.11, Medical Practice Act (Article

14-11    4495b, Vernon's Texas Civil Statutes), is amended, and Subsections

14-12    (b)-(g) of that section are redesignated as Section 6.115, to read

14-13    as follows:

14-14          Sec. 6.11.  DENIAL OF LICENSE; DISCIPLINE OF LICENSE HOLDER.

14-15    (a)  A license to practice acupuncture may be denied or, after

14-16    notice and hearing, suspended, probated, or revoked if the

14-17    applicant for a license or the holder of a license:

14-18                (1)  uses drugs or intoxicating liquors to an extent

14-19    that affects the person's professional competence;

14-20                (2)  obtains or attempts to obtain a license by fraud

14-21    or deception;

14-22                (3)  has been [is] adjudged mentally incompetent by a

14-23    court of competent jurisdiction or has a mental or physical

14-24    condition that  renders the person unable to perform safely as an

14-25    acupuncturist;

14-26                (4)  has practiced [practices] acupuncture in a manner

14-27    detrimental to the public health and welfare;

 15-1                (5)  violates this subchapter or a rule adopted under

 15-2    this subchapter;

 15-3                (6)  has been [is] convicted of a felony or a crime

 15-4    involving moral turpitude; [or]

 15-5                (7)  holds the person [himself] out as a physician or

 15-6    surgeon or any combination or derivative of those terms unless the

 15-7    person is also licensed by the medical board as a physician or

 15-8    surgeon;

 15-9                (8)  fraudulently or deceptively uses a license;

15-10                (9)  has acted in an unprofessional or dishonorable

15-11    manner that is likely to deceive, defraud, or injure a member of

15-12    the public;

15-13                (10)  has committed an act in violation of state law if

15-14    the act is connected with the person's practice as an

15-15    acupuncturist; or

15-16                (11)  has had the person's license suspended, revoked,

15-17    or restricted, has had other disciplinary action taken by another

15-18    state regarding the person's practice as an acupuncturist, or has

15-19    had disciplinary action taken against the person by the uniformed

15-20    services of the United States based on acts by the license holder

15-21    similar to acts described in this section.

15-22          (b)  A complaint, indictment, or conviction of a law

15-23    violation is not necessary for the enforcement of Subsection

15-24    (a)(10) of this section.  Proof of the commission of the act while

15-25    in practice as an acupuncturist or under the guise of practice as

15-26    an acupuncturist is sufficient for action by the medical board

15-27    under this section.

 16-1          (c)  A certified copy of the record of the state or uniformed

 16-2    services of the United States taking the action is conclusive

 16-3    evidence of the action under Subsection (a)(11) of this section.

 16-4          Sec. 6.115.  SCOPE OF PRACTICE.  (a) [(b)]  Except as

 16-5    provided by Subsection (b) [(c)] of this section, a license to

 16-6    practice  acupuncture shall be denied or, after notice and hearing,

 16-7    revoked if the holder of a license has performed acupuncture on a

 16-8    person who was not evaluated by a physician or dentist, as

 16-9    appropriate, for the condition being treated within six months

16-10    before the date acupuncture was performed.

16-11          (b) [(c)]  The holder of a license may perform acupuncture on

16-12    a person who was referred by a doctor licensed to practice

16-13    chiropractic by the Texas Board of Chiropractic Examiners if the

16-14    licensee commences the treatment within 30 days of the date of the

16-15    referral.  The licensee shall refer the person to a physician after

16-16    performing acupuncture 20 times or for 30 days, whichever occurs

16-17    first, if no substantial improvement occurs in the person's

16-18    condition for which the referral was made.

16-19          (c) [(d)]  The holder of a license must obtain reasonable

16-20    documentation that the evaluation required by Subsection (a) [(b)]

16-21    of this  section has taken place.  If the licensee is unable to

16-22    determine that an evaluation has taken place, the licensee must

16-23    obtain a written statement signed by the person on a form

16-24    prescribed by the acupuncture board that states that the person has

16-25    been evaluated by a physician within the prescribed time frame.

16-26    The form shall contain a clear statement that the person should be

16-27    evaluated by a physician for the condition being treated by the

 17-1    licensee.

 17-2          (d) [(e)]  The medical board with advice from the acupuncture

 17-3    board by rule may modify the requirement of the time frame or the

 17-4    scope of the evaluation under Subsection (a) [(b)] of this section.

 17-5          (e) [(f)]  The medical board with advice from the acupuncture

 17-6    board by rule may modify the requirement of the time frame for

 17-7    commencement of treatment after referral by a chiropractor or the

 17-8    number of treatments or days before referral to a physician is

 17-9    required under Subsection (b) [(c)] of this section.

17-10          (f) [(g)]  Notwithstanding Subsections (a) [(b)] and (b)

17-11    [(c)] of this section, an acupuncturist holding a current and valid

17-12    license may without a referral from a physician, dentist, or

17-13    chiropractor perform acupuncture on a person for smoking addiction,

17-14    weight loss, or, as established by the medical board with advice

17-15    from the acupuncture board by rule, substance abuse.

17-16          SECTION 9.  Subchapter F, Medical Practice Act (Article

17-17    4495b, Vernon's Texas Civil Statutes), is amended by adding

17-18    Sections 6.116 and 6.117 to read as follows:

17-19          Sec. 6.116.  ADDITIONAL DISCIPLINARY AUTHORITY.  In addition

17-20    to the authority under Section 6.11 of this Act, the acupuncture

17-21    board, on finding that an acupuncturist has committed an offense

17-22    described in Section 6.11 of this Act, may:

17-23                (1)  require the acupuncturist to submit to the care,

17-24    counseling, or treatment of a health care practitioner designated

17-25    by the acupuncture board;

17-26                (2)  stay enforcement of an order and place the

17-27    acupuncturist on probation with the acupuncture board retaining the

 18-1    right to vacate the probationary stay and enforce the original

 18-2    order for noncompliance with the terms of probation or impose any

 18-3    other remedial measure or sanction authorized by this section;

 18-4                (3)  restore or reissue a license or remove any

 18-5    disciplinary or corrective measure that the acupuncture board may

 18-6    have imposed;

 18-7                (4)  order the acupuncturist to perform public service;

 18-8                (5)  limit the acupuncturist's practice to the areas

 18-9    prescribed by the acupuncture board;

18-10                (6)  require an acupuncturist to report regularly to

18-11    the acupuncture board on matters that are the basis of the

18-12    probation; or

18-13                (7)  continue or review professional education until

18-14    the practitioner attains a degree of skill satisfactory to the

18-15    acupuncture board in those areas that are the basis of the

18-16    probation.

18-17          Sec. 6.117.  SUSPENSION, REVOCATION, OR NONRENEWAL OF

18-18    LICENSE.  If the medical board proposes to suspend, revoke, or

18-19    refuse to renew a person's license, the person is entitled to a

18-20    hearing conducted by the State Office of Administrative Hearings.

18-21    Proceedings for a disciplinary action are governed by the

18-22    administrative procedure law, Chapter 2001, Government Code.  Rules

18-23    of practice adopted by the medical board under Section 2001.004,

18-24    Government Code, applicable to the proceedings for a disciplinary

18-25    action may not conflict with rules adopted by the State Office of

18-26    Administrative Hearings.

18-27          SECTION 10.  Section 6.12(b), Medical Practice Act (Article

 19-1    4495b, Vernon's Texas Civil Statutes), is amended to read as

 19-2    follows:

 19-3          (b)  An offense under Subsection (a) of this section is a

 19-4    felony of the third degree [Class A misdemeanor].

 19-5          SECTION 11.  Subchapter F, Medical Practice Act (Article

 19-6    4495b, Vernon's Texas Civil Statutes), is amended by adding Section

 19-7    6.125 to read as follows:

 19-8          Sec. 6.125.  SUBPOENAS.  (a)  On behalf of the acupuncture

 19-9    board, the executive director of the medical board or the presiding

19-10    officer of the acupuncture board may issue a subpoena or subpoena

19-11    duces tecum for purposes of:

19-12                (1)  investigations or contested proceedings related

19-13    to:

19-14                      (A)  alleged misconduct by an acupuncturist; or

19-15                      (B)  an alleged violation of this Act or other

19-16    law related to practice as an acupuncturist or to the provision of

19-17    health care under the authority of this Act;

19-18                (2)  a determination whether to issue, suspend,

19-19    restrict, revoke, or cancel a license authorized by this

19-20    subchapter; and

19-21                (3)  a determination whether to deny or grant an

19-22    application for a license under this subchapter.

19-23          (b)  Failure to timely comply with a subpoena issued under

19-24    this section is a ground for:

19-25                (1)  disciplinary action by the acupuncture board or

19-26    any other licensing or regulatory agency with jurisdiction over the

19-27    individual or entity subject to the subpoena; and

 20-1                (2)  denial of a license application.

 20-2          SECTION 12.  (a)  The change made by this Act to Section

 20-3    6.12, Medical Practice Act (Article 4495b, Vernon's Texas Civil

 20-4    Statutes), applies only to an offense committed on or after the

 20-5    effective date of this Act.  For purposes of this section, an

 20-6    offense is committed before the effective date of this Act if any

 20-7    element of the offense occurs before that date.

 20-8          (b)  An offense committed before the effective date of this

 20-9    Act is governed by the law in effect when the offense was

20-10    committed, and the former law is continued in effect for that

20-11    purpose.

20-12          SECTION 13.  The changes in law made by this Act in the

20-13    qualifications of, and the prohibitions applying to, members of the

20-14    Texas State Board of Acupuncture Examiners do not affect the

20-15    entitlement of a member serving on the board immediately before

20-16    September 1, 1997, to continue to carry out the functions of the

20-17    board for the remainder of the member's term.  The changes in law

20-18    apply only to a member appointed on or after September 1, 1997.

20-19    This Act does not prohibit a person who is a member of the board on

20-20    September 1, 1997, from being reappointed to the board if the

20-21    person has the qualifications required for a member under

20-22    Subchapter F, Medical Practice Act (Article 4495b, Vernon's Texas

20-23    Civil Statutes), as amended by this Act.

20-24          SECTION 14.  This Act takes effect September 1, 1997, and

20-25    applies only to a license issued or renewed by the Texas State

20-26    Board of Medical Examiners under Subchapter F, Medical Practice Act

20-27    (Article 4495b, Vernon's Texas Civil Statutes), on or after that

 21-1    date.

 21-2          SECTION 15.  The importance of this legislation and the

 21-3    crowded condition of the calendars in both houses create an

 21-4    emergency and an imperative public necessity that the

 21-5    constitutional rule requiring bills to be read on three several

 21-6    days in each house be suspended, and this rule is hereby suspended.