By:  Moncrief                                          S.B. No. 662

                                A BILL TO BE ENTITLED

                                       AN ACT

 1-1     relating to the unauthorized practice of chiropractic; providing

 1-2     civil and administrative penalties and injunctive relief.

 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-4           SECTION 1.  Chapter 94, Acts of the 51st Legislature, Regular

 1-5     Session, 1949 (Article 4512b, Vernon's Texas Civil Statutes), is

 1-6     amended by adding Section 5b to read as follows:

 1-7           Sec. 5b.  (a)  Any person who owns, maintains, or operates

 1-8     any office or place of business where the person employs, directs,

 1-9     supervises, or otherwise controls, under any kind of contract

1-10     whatsoever, any other person for the purpose of practicing

1-11     chiropractic as defined in this Act is deemed to be practicing

1-12     chiropractic, is required to be duly licensed to practice

1-13     chiropractic under this Act, and is subject to all of the

1-14     provisions of this chapter, even though the person so employed,

1-15     directed, supervised, or otherwise controlled is duly licensed to

1-16     practice chiropractic under this Act.

1-17           (b)  A violation of this section constitutes the unauthorized

1-18     practice of chiropractic.

1-19           (c)  The Board may institute suit in any district court of

1-20     the county in which a violation of this section is alleged to have

1-21     occurred to require compliance by injunctive procedures and to

1-22     recover a civil penalty not to exceed $1,000 for each day that a

1-23     violation of this section is found to have occurred, plus costs of

 2-1     court and reasonable attorney's fees.  Civil penalties recovered

 2-2     shall be deposited in the general revenue fund.  Attorney's fees

 2-3     and court costs shall be appropriated to the attorney general or

 2-4     the Board, as appropriate.

 2-5           (d)  Nothing in this section shall be construed to prevent a

 2-6     managed care organization, a professional association formed

 2-7     pursuant to the Texas Professional Association Act (Article 1528f,

 2-8     Vernon's Texas Civil Statutes), or the spouse of a deceased

 2-9     chiropractor who inherits a chiropractic facility from employing a

2-10     licensed chiropractor, provided that such entity or person shall

2-11     not directly or indirectly control or attempt to control or

2-12     otherwise influence the professional judgment of a licensed

2-13     chiropractor with regard to the diagnosis or treatment of a

2-14     patient.  In addition, nothing in this section shall be construed

2-15     to prevent a licensed chiropractor from working for such an entity

2-16     or person, provided that such entity or person shall not directly

2-17     or indirectly control or attempt to control or otherwise influence

2-18     the professional judgment of a licensed chiropractor with regard to

2-19     the diagnosis or treatment of a patient.

2-20           (e)  Nothing in this section shall be construed to prevent

2-21     the administrator or executor of the estate of a deceased

2-22     chiropractor or a person legally authorized to act for a mentally

2-23     incompetent chiropractor from employing a licensed chiropractor to

2-24     carry on the practice of the deceased or mentally incompetent

2-25     chiropractor for a reasonable period of time, as determined by the

 3-1     Board, or otherwise concluding the affairs of the practice,

 3-2     including the sale of any remaining assets.  In addition, nothing

 3-3     in this section shall be construed to prevent a licensed

 3-4     chiropractor from working for such person for the period of time

 3-5     during the administration of the estate or the period of

 3-6     incapacity.

 3-7           (f)  A nonlicensed person who owns, maintains, or operates a

 3-8     chiropractic facility in this state on September 1, 1997, and whose

 3-9     chiropractic facility is licensed pursuant to this Act on the

3-10     effective date of this section shall not be required to be licensed

3-11     to practice chiropractic under this Act, but shall not be permitted

3-12     to own, maintain, or operate any additional chiropractic facilities

3-13     after September 1, 1997; provided, however, that nothing in this

3-14     section shall be construed to prevent the relocation of an existing

3-15     chiropractic facility.

3-16           SECTION 2.  Section 12a, Chapter 94, Acts of the 51st

3-17     Legislature, Regular Session, 1949 (Article 4512b, Vernon's Texas

3-18     Civil Statutes), is amended to read as follows:

3-19           Sec. 12a.  (a)  The Board shall adopt rules for the licensing

3-20     and regulation of owners or operators of chiropractic facilities as

3-21     necessary to protect the public health, safety, and welfare.  A

3-22     rule adopted by the Board under this section must:

3-23                 (1)  specify the licensing requirements for a

3-24     chiropractic facility;

3-25                 (2)  set out the structure of the facility licensing

 4-1     program; and

 4-2                 (3)  provide that the Board shall issue one facility

 4-3     license to an owner of a chiropractic facility for each

 4-4     chiropractic facility location [without regard to the number of

 4-5     chiropractic facilities] owned by the owner.

 4-6           (b)  The Board shall conduct compliance visits of

 4-7     chiropractic facilities as necessary to protect the public health,

 4-8     safety, and welfare.

 4-9           (c)  The penalty provisions in Sections 14a and 14e of this

4-10     Act shall apply to the owners of chiropractic facilities licensed

4-11     under this section.

4-12           SECTION 3.  If any provision of this Act or the application

4-13     of this Act to any person is held to be invalid, that invalidity

4-14     does not affect other provisions or applications of this Act that

4-15     can be given effect without the invalid provision or application,

4-16     and for that purpose the provisions of this Act are declared to be

4-17     severable.

4-18           SECTION 4.  This Act takes effect September 1, 1997.

4-19           SECTION 5.  The importance of this legislation and the

4-20     crowded condition of the calendars in both houses create an

4-21     emergency and an imperative public necessity that the

4-22     constitutional rule requiring bills to be read on three several

4-23     days in each house be suspended, and this rule is hereby suspended.