By Brown                                        S.B. No. 1349

      75R8085 JMM-F                           

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to the regulation of the practice of physical therapy;

 1-3     providing administrative penalties.

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

 1-5           SECTION 1.  Section 2A, Chapter 836, Acts of the 62nd

 1-6     Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas

 1-7     Civil Statutes), is amended to read as follows:

 1-8           Sec. 2A.  COMPENSATION.  A member of the board is entitled to

 1-9     a per diem as set by the General Appropriations Act for each day

1-10     that the member engages in the business of the board.  A member may

1-11     [not] receive [any] reimbursement for [travel expenses, including

1-12     expenses for] meals, [and] lodging, and [other than] transportation

1-13     expenses as provided by the General Appropriations Act.

1-14           SECTION 2.  Chapter 836, Acts of the 62nd Legislature,

1-15     Regular Session, 1971 (Article 4512e, Vernon's Texas Civil

1-16     Statutes), is amended by adding Section 18A to read as follows:

1-17           Sec. 18A.  ADMINISTRATIVE PENALTY.  (a)  The board may impose

1-18     an administrative penalty against a person licensed or  regulated

1-19     under this Act or a facility registered under this Act that

1-20     violates this Act or a rule or order adopted under this Act.

1-21           (b)  The penalty for a violation may be in an amount not to

1-22     exceed $200.  Each day a violation continues or occurs is a

1-23     separate violation for purposes of imposing a penalty.

1-24           (c)  The amount of the penalty shall be based on:

 2-1                 (1)  the seriousness of the violation, including the

 2-2     nature, circumstances, extent, and gravity of any prohibited acts,

 2-3     and the hazard or potential hazard created to the health, safety,

 2-4     or economic welfare of the public;

 2-5                 (2)  the history of previous violations;

 2-6                 (3)  the amount necessary to deter future violations;

 2-7                 (4)  efforts to correct the violation; and

 2-8                 (5)  any other matter that justice may require.

 2-9           (d)  The board shall adopt rules that establish procedures

2-10     for assessing an administrative penalty and that provide for notice

2-11     and a hearing for a license holder or facility administrator that

2-12     may be subject to a penalty under this section.

2-13           (e)  All proceedings under this section are subject to

2-14     Chapter 2001, Government Code.

2-15           SECTION 3.  Section 19(a)(1), Chapter 836, Acts of the 62nd

2-16     Legislature, Regular Session, 1971 (Article 4512e, Vernon's Texas

2-17     Civil Statutes), is amended to read as follows:

2-18           (a)(1)  A license may be denied, or after hearing, suspended

2-19     or revoked, or a licensee otherwise disciplined if the applicant or

2-20     licensee has:

2-21                       (A)  provided physical therapy treatment to a

2-22     person, except as provided by Subdivision (2) of this subsection,

2-23     without the referral from a physician licensed to practice medicine

2-24     by a state Board of Medical Examiners, or by a dentist licensed by

2-25     a state Board of Dental Examiners, or a doctor licensed to practice

2-26     chiropractic by a state Board of Chiropractic Examiners or a

2-27     podiatrist licensed by a state Board of Podiatric Medical

 3-1     Examiners, or by any other qualified, licensed health-care

 3-2     professional who within the scope of the professional licensure is

 3-3     authorized to refer for health care services.  The professional

 3-4     taking an action under this subdivision is a referring

 3-5     practitioner;

 3-6                       (B)  in the case of a physical therapist

 3-7     assistant, treated a person other than under the direction of a

 3-8     licensed physical therapist;

 3-9                       (C)  used drugs or intoxicating liquors to an

3-10     extent that affects the licensee's or applicant's professional

3-11     competence;

3-12                       (D)  been convicted of a felony in this state or

3-13     in any other state, territory, or nation;  conviction as used in

3-14     this subdivision includes a finding or verdict of guilty, an

3-15     admission of guilt, or a plea of nolo contendere;

3-16                       (E)  obtained or attempted to obtain a license by

3-17     fraud or deception;

3-18                       (F)  been grossly negligent in the practice of

3-19     physical therapy or in acting as a physical therapist assistant;

3-20                       (G)  been adjudged mentally incompetent by a

3-21     court of competent jurisdiction;

3-22                       (H)  practiced physical therapy in a manner

3-23     detrimental to the public health and welfare; or

3-24                       (I)  had the licensee's or applicant's license to

3-25     practice physical therapy revoked or suspended or had other

3-26     disciplinary action taken against the licensee or applicant or had

3-27     the licensee's or applicant's application for a license refused,

 4-1     revoked, or suspended by the proper licensing authority of another

 4-2     state, territory, or nation.

 4-3           SECTION 4.  Chapter 836, Acts of the 62nd Legislature,

 4-4     Regular Session, 1971 (Article 4512e, Vernon's Texas Civil

 4-5     Statutes), is amended by adding Section 20B to read as follows:

 4-6           Sec. 20B.  EMERGENCY SUSPENSION.  (a)  The board may

 4-7     temporarily suspend a license issued under this Act on an emergency

 4-8     basis if the board determines from the evidence or information

 4-9     presented to the board that the continued practice by the license

4-10     holder constitutes a continuing or imminent threat to the public

4-11     health or welfare.

4-12           (b)  A temporary suspension under this section requires a

4-13     two-thirds vote by the board.

4-14           (c)  A license temporarily suspended under this section may

4-15     be suspended without notice or a hearing if, at the time the

4-16     suspension is ordered, a hearing on whether to institute

4-17     disciplinary proceedings against the license holder is scheduled to

4-18     be held not later than the 14th day after the date of the temporary

4-19     suspension.  A second hearing on the suspended license shall be

4-20     held not later than the 60th day after the date the temporary

4-21     suspension was ordered.  If the second hearing is not held within

4-22     the required time, the suspended license is automatically

4-23     reinstated.

4-24           (d)  The board shall adopt rules that establish procedures

4-25     and standards for the temporary suspension of a license under this

4-26     section.

4-27           SECTION 5.  This Act takes effect September 1, 1997.

 5-1           SECTION 6.  The importance of this legislation and the

 5-2     crowded condition of the calendars in both houses create an

 5-3     emergency and an imperative public necessity that the

 5-4     constitutional rule requiring bills to be read on three several

 5-5     days in each house be suspended, and this rule is hereby suspended.