By McCall                                             H.B. No. 2085
         76R819 JRD-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the continuation and functions of the Texas Board and
 1-3     Department of Health, including the operation of certain boards and
 1-4     councils administratively attached to the department; providing
 1-5     administrative penalties.
 1-6           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-7       ARTICLE 1.  GENERAL OPERATIONS AND ADMINISTRATION OF THE TEXAS
 1-8                       BOARD AND DEPARTMENT OF HEALTH
 1-9           SECTION 1.01.  Section 2003.021, Government Code, is amended
1-10     by adding Subsection (e) to read as follows:
1-11           (e)  The office shall conduct all hearings in contested cases
1-12     under Chapter 2001 that are before the commissioner of health or
1-13     the Texas Board or Department of  Health.
1-14           SECTION 1.02.  Section 11.003, Health and Safety Code, is
1-15     amended to read as follows:
1-16           Sec. 11.003.  Sunset Provision.  The Texas Board of Health
1-17     and the Texas Department of Health are subject to Chapter 325,
1-18     Government Code (Texas Sunset Act).  Unless continued in existence
1-19     as provided by that chapter, the board and the department are
1-20     abolished and this chapter expires September 1, 2011 [1999].
1-21           SECTION 1.03.  Chapter 11, Health and Safety Code, is amended
1-22     by adding Section 11.0045 to read as follows:
1-23           Sec. 11.0045.  COMPREHENSIVE STRATEGIC AND OPERATIONAL PLAN.
1-24     (a)  The board shall develop, publish, and to the extent allowed by
 2-1     law implement a comprehensive strategic and operational plan.
 2-2           (b)  The board shall publish the plan not later than
 2-3     September 1 of each even-numbered year.  The board shall at a
 2-4     minimum:
 2-5                 (1)  make the plan available on its generally
 2-6     accessible Internet site;
 2-7                 (2)  make printed copies of the plan available on
 2-8     request to members of the public; and
 2-9                 (3)  send printed copies of the plan to the governor,
2-10     lieutenant governor, speaker of the house of representatives,
2-11     Legislative Budget Board, and the committees of the senate and the
2-12     house of representatives that have oversight responsibilities
2-13     regarding the board and the department.
2-14           (c)  The plan at a minimum must include:
2-15                 (1)  a statement of the aim and purpose of each of the
2-16     department's missions, including:
2-17                       (A)  the prevention of disease;
2-18                       (B)  the promotion of health;
2-19                       (C)  indigent health care;
2-20                       (D)  acute care services for which the department
2-21     is responsible;
2-22                       (E)  health care facility regulation for which
2-23     the department is responsible;
2-24                       (F)  the licensing of health professions for
2-25     which the department is responsible; and
2-26                       (G)  all other health-related services for which
2-27     the department is responsible under law;
 3-1                 (2)  an analysis regarding how each of the department's
 3-2     missions relate to other department missions;
 3-3                 (3)  a detailed analysis of how to integrate or
 3-4     continue to integrate department programs with other department
 3-5     programs, including the integration of information gathering and
 3-6     information management within and across programs, for the purpose
 3-7     of minimizing duplication of effort, increasing administrative
 3-8     efficiency, simplifying access to department programs, and more
 3-9     efficiently meeting the health needs of this state;
3-10                 (4)  a detailed proposal to integrate or continue to
3-11     integrate department programs with other department programs during
3-12     the two-year period covered by the plan, to the extent allowed by
3-13     law and in accordance with the department's analysis;
3-14                 (5)  a determination regarding whether it is necessary
3-15     to collect each type of information that the department collects,
3-16     and for each type of information that it is necessary for the
3-17     department to collect, whether the department is efficiently and
3-18     effectively collecting, analyzing, and disseminating the
3-19     information;
3-20                 (6)  an assessment of services provided by the
3-21     department that evaluates the need for the department to provide
3-22     those services in the future;
3-23                 (7)  a method for soliciting the advice and opinions of
3-24     local health departments, of recipients and providers of services
3-25     that are related to the department's missions, and of advocates for
3-26     recipients or providers for the purpose of identifying and
3-27     assessing:
 4-1                       (A)  the health-related needs of the state;
 4-2                       (B)  ways in which the department's programs and
 4-3     information services can be better integrated and coordinated; and
 4-4                       (C)  factors that the department should consider
 4-5     before adopting rules that affect recipients or providers of
 4-6     services that are related to the department's missions;
 4-7                 (8)  a comprehensive inventory of health-related
 4-8     information resources that meet department criteria for usefulness
 4-9     and applicability to local health departments, to recipients or
4-10     providers of services that are related to the department's
4-11     missions, and to nonprofit entities, private businesses, and
4-12     community groups with missions that are related to health;
4-13                 (9)  a statement regarding the ways in which the
4-14     department will coordinate or attempt to coordinate with federal,
4-15     state, local, and private programs that provide services similar to
4-16     the services provided by the department;
4-17                 (10)  a list of other plans that the department is
4-18     required to prepare under state law and a recommendation regarding
4-19     which plans are obsolete or duplicate other required department
4-20     plans; and
4-21                 (11)  an assessment of the extent to which previous
4-22     plans prepared by the department under this section have
4-23     effectively helped the department to identify and achieve its
4-24     objectives, to improve its operations, or to guide persons who need
4-25     to identify department services, identify department requirements,
4-26     or communicate effectively with department personnel.
4-27           SECTION 1.04.  Chapter 11, Health and Safety Code, is amended
 5-1     by adding Section 11.0055 to read as follows:
 5-2           Sec. 11.0055.  REQUIRED BOARD MEMBER TRAINING.  (a)  A person
 5-3     who is appointed to and qualifies for office as a member of the
 5-4     board may not vote, deliberate, or be counted as a member in
 5-5     attendance at a meeting of the board until the person completes a
 5-6     training program that complies with this section.
 5-7           (b)  The training program must provide the person with
 5-8     information regarding:
 5-9                 (1)  the legislation that created the department and
5-10     the board;
5-11                 (2)  the programs operated by the department;
5-12                 (3)  the role and functions of the department;
5-13                 (4)  the rules of the department with an emphasis on
5-14     the rules that relate to disciplinary and investigatory authority;
5-15                 (5)  the current budget for the department;
5-16                 (6)  the results of the most recent formal audit of the
5-17     department;
5-18                 (7)  the requirements of:
5-19                       (A)  the open meetings law, Chapter 551,
5-20     Government Code;
5-21                       (B)  the public information law, Chapter 552,
5-22     Government Code;
5-23                       (C)  the administrative procedure law, Chapter
5-24     2001, Government Code; and
5-25                       (D)  other laws relating to public officials,
5-26     including conflict-of-interest laws; and
5-27                 (8)  any applicable ethics policies adopted by the
 6-1     department or the Texas Ethics Commission.
 6-2           (c)  A person appointed to the board is entitled to
 6-3     reimbursement, as provided by the General Appropriations Act, for
 6-4     the travel expenses incurred in attending the training program
 6-5     regardless of whether the attendance at the program occurs before
 6-6     or after the person qualifies for office.
 6-7           SECTION 1.05.  Section 11.006(a), Health and Safety Code, is
 6-8     amended to read as follows:
 6-9           (a)  A person is not eligible for appointment as a public
6-10     member of the board if the person or the person's spouse:
6-11                 (1)  is employed by or participates in the management
6-12     of a business entity or other organization regulated by the
6-13     department or receiving funds from the department;
6-14                 (2)  is registered, certified, or licensed by the
6-15     department or by a regulatory board or other agency that is under
6-16     the jurisdiction of the department or administratively attached to
6-17     the department;
6-18                 (3)  owns, controls, or has, directly or indirectly,
6-19     more than a 10 percent interest in a business entity or other
6-20     organization regulated by the department or receiving funds from
6-21     the department; or
6-22                 (4) [(3)]  uses or receives a substantial amount of
6-23     tangible goods, services, or funds from the department other than
6-24     compensation or reimbursement authorized by law for board
6-25     membership, attendance, or expenses.
6-26           SECTION 1.06.  SECTION 11.009(c), Health and Safety Code, is
6-27     amended to read as follows:
 7-1           (c)  If the commissioner has knowledge that a potential
 7-2     ground for removal exists, the commissioner shall notify the
 7-3     chairman of the board of the ground.  The chairman shall then
 7-4     notify the governor and the attorney general that a potential
 7-5     ground for removal exists.  If the potential ground for removal
 7-6     involves the chairman, the commissioner shall notify the next
 7-7     highest ranking officer of the board, who shall then notify the
 7-8     governor and the attorney general that a potential ground for
 7-9     removal exists.
7-10           SECTION 1.07.  Section 11.018(d), Health and Safety Code, is
7-11     amended to read as follows:
7-12           (d)  The department shall keep an information file about each
7-13     complaint filed with the department relating to[:]
7-14                 [(1)]  a license holder or entity regulated by the
7-15     department[;] or
7-16                 [(2)]  a service delivered by the department.  The file
7-17     must include:
7-18                 (1)  the name of the person who filed the complaint;
7-19                 (2)  the date the complaint is received by the
7-20     department;
7-21                 (3)  the subject matter of the complaint;
7-22                 (4)  the name of each person contacted in relation to
7-23     the complaint;
7-24                 (5)  a summary of the results of the review or
7-25     investigation of the complaint; and
7-26                 (6)  an explanation of the reason the file was closed,
7-27     if the department closed the file without taking action other than
 8-1     to investigate the complaint.
 8-2           SECTION 1.08.  Subchapter A, Chapter 12, Health and Safety
 8-3     Code, is amended by adding Section 12.004 to read as follows:
 8-4           Sec. 12.004.  DEVELOPMENT OF PROPOSED RULES.  (a)  This
 8-5     section applies to the process by which the department develops
 8-6     proposed rules for the board's consideration before the proposed
 8-7     rules are published in the Texas Register and before the board,
 8-8     commissioner, or department comply with the rulemaking requirements
 8-9     of the administrative procedure law, Chapter 2001, Government Code.
8-10     This section does not affect the duty of the board, commissioner,
8-11     or department to comply with the rulemaking requirements of that
8-12     law.
8-13           (b)  The board shall require the department to establish a
8-14     checklist of methods that, to the extent appropriate, the
8-15     department will follow to obtain early in the rule development
8-16     process the advice and opinions of the public and of persons who
8-17     will be most affected by a proposed rule.  The checklist must
8-18     include methods for identifying persons who will be most affected
8-19     and for soliciting at a minimum the advice and opinions of affected
8-20     local health departments, of recipients and providers of affected
8-21     services, and of advocates for affected recipients or providers.
8-22           (c)  The checklist may include negotiated rulemaking,
8-23     informal conferences, advisory committees, and any other
8-24     appropriate method.
8-25           (d)  A rule adopted by the board may not be challenged on the
8-26     grounds that the board, commissioner, or department did not comply
8-27     with this section. If the department was unable to solicit a
 9-1     significant amount of advice and opinion from the public or from
 9-2     affected persons early in the rule development process, the
 9-3     department shall state in writing to the board the reasons why the
 9-4     department was unable to do so.
 9-5           SECTION 1.09.  Subchapter B, Chapter 12, Health and Safety
 9-6     Code, is amended by adding Section 12.0115 to read as follows:
 9-7           Sec. 12.0115.  INTEGRATION OF HEALTH CARE DELIVERY PROGRAMS.
 9-8     (a)  In this section, "health care delivery programs" includes the
 9-9     department's primary health care services program, its program to
9-10     improve maternal and infant health, its services for chronically
9-11     ill and disabled children, any aspects of health care delivery
9-12     under the state Medicaid program assigned to the department by law
9-13     or by the Health and Human Services Commission, and the part of any
9-14     other department program concerned with the department's
9-15     responsibility for the delivery of health care services.
9-16           (b)  The department shall integrate the functions of its
9-17     different health care delivery programs to the maximum extent
9-18     possible, including integrating the functions of health care
9-19     delivery programs that are part of the state Medicaid program with
9-20     functions of health care delivery programs that are not part of the
9-21     state Medicaid program.
9-22           (c)  At a minimum, the department's integration of the
9-23     functions of its different health care delivery programs must
9-24     include the integration within and across the programs of:
9-25                 (1)  the development of health care policy;
9-26                 (2)  the delivery of health care services, to the
9-27     extent  appropriate for the recipients of the health care services;
 10-1    and
 10-2                (3)  to the extent possible, the administration of
 10-3    contracts with providers of health care services, particularly
 10-4    providers who concurrently provide health care services under more
 10-5    than one contract or program with the department.
 10-6          (d)  One of the primary goals of the department in
 10-7    integrating the delivery of health care services for the benefit of
 10-8    recipients shall be providing for continuity of care for
 10-9    individuals and families, accomplished to the extent possible by
10-10    providing an individual or family with a medical home that serves
10-11    as the primary initial health care provider.
10-12          (e)  One of the primary goals of the department in
10-13    integrating the administration of its contracts with providers of
10-14    health care services shall be designing an integrated contract
10-15    administration system that reduces the administrative and paperwork
10-16    burden on providers while still providing the department with the
10-17    information it needs to effectively administer the contracts.  The
10-18    department's integration of contract administration must include:
10-19                (1)  the integration of the initial procurement process
10-20    within and across programs, at least in part by efficiently
10-21    combining requests for bids or proposals within or across programs
10-22    to the extent it reduces the administrative burden for providers;
10-23                (2)  the establishment of uniform contract terms,
10-24    including:
10-25                      (A)  contract terms that require information from
10-26    providers, or that prescribe performance standards for providers,
10-27    that could be made uniform within or across programs while
 11-1    remaining effective as contract terms; and
 11-2                      (B)  the establishment of a procedure under which
 11-3    a contractor or a person responding to a request for bids or
 11-4    proposals may supply the department with requested information
 11-5    whenever possible by referencing current and correct information
 11-6    previously supplied to and on file with the department;
 11-7                (3)  the integration of contract monitoring,
 11-8    particularly with regard to monitoring providers that deliver
 11-9    health services for the department under more than one contract or
11-10    under more than one department program; and
11-11                (4)  the integration of reimbursement methods:
11-12                      (A)  particularly for a provider that delivers
11-13    health services for the department under more than one contract or
11-14    under more than one department program; and
11-15                      (B)  including the application across programs of
11-16    the most effective and efficient reimbursement technologies or
11-17    methods that are available to the department under any of its
11-18    programs.
11-19          (f)  The department shall examine the extent to which the
11-20    department could integrate all or part of its health care delivery
11-21    programs into a single managed care delivery system using one or
11-22    more managed care providers.
11-23          (g)  If a federal requirement that the federal government may
11-24    waive restricts the department's integration efforts under this
11-25    section, the department may seek a waiver of the requirement from
11-26    the federal government. If the waiver affects a program for which
11-27    another state agency is designated the single state agency for
 12-1    federal purposes, the department shall request the single state
 12-2    agency to seek the waiver.
 12-3          (h)  The department may not integrate health care delivery
 12-4    programs under this section in a way that affects the single state
 12-5    agency status of another state agency for federal purposes without
 12-6    obtaining the approval of the Health and Human Services Commission
 12-7    and any necessary federal approval.
 12-8          SECTION 1.10.  Subchapter B, Chapter 12, Health and Safety
 12-9    Code, is amended by adding Sections 12.0123 and 12.0124 to read as
12-10    follows:
12-11          Sec. 12.0123.  ANNUAL EXTERNAL AUDIT OF MEDICAID FISCAL
12-12    AGENT.  (a)  In this section, "fiscal agent" means an entity that
12-13    is not another state health and human services agency that, under a
12-14    contract and on behalf of the department or the department's
12-15    successor in function, performs one or more administrative services
12-16    such as claims processing, utilization review, or payment of claims
12-17    as the department's fiscal intermediary.
12-18          (b)  The department shall contract with an independent
12-19    auditor to perform annual independent external financial and
12-20    performance audits of any fiscal agent used by the department in
12-21    its operation of a part of the state Medicaid program.
12-22          (c)  If another state agency succeeds to the department's
12-23    operation of the part of the state Medicaid program for which the
12-24    department used a fiscal agent, the successor agency shall comply
12-25    with the requirement to contract with an independent auditor to
12-26    perform the external financial and performance audits of any fiscal
12-27    agent.
 13-1          Sec. 12.0124.  ELECTRONIC FUNDS TRANSFER REQUIREMENT FOR
 13-2    MEDICAID FISCAL INTERMEDIARY.  A fiscal intermediary who makes
 13-3    payments to service providers on behalf of the department or the
 13-4    department's successor in function in relation to the  department's
 13-5    operation of a part of the state Medicaid program shall make the
 13-6    payments using electronic funds transfer.
 13-7          SECTION 1.11.  Subchapter B, Chapter 12, Health and Safety
 13-8    Code, is amended by adding Sections 12.0145 and 12.0146 to read as
 13-9    follows:
13-10          Sec. 12.0145.  INFORMATION ABOUT ENFORCEMENT ACTIONS.  (a)
13-11    The department shall publish and provide information in accordance
13-12    with this section  regarding each final enforcement action taken by
13-13    the department, commissioner, or board against a person or facility
13-14    regulated by the department in which any kind of sanction is
13-15    imposed, including:
13-16                (1)  the imposition of a reprimand, a period of
13-17    probation, a monetary penalty, or a condition on a person's
13-18    continued practice or a facility's continued operation; and
13-19                (2)  the refusal to renew or the suspension, probation,
13-20    or revocation of a license or other form of permission to engage in
13-21    an activity.
13-22          (b)  Except to the extent that the information is
13-23    specifically made confidential under other law, the department
13-24    shall publish and provide the name, including any trade name, of
13-25    the person or facility against which an enforcement action was
13-26    taken, the violation that the person or facility was found to have
13-27    committed, and the sanction imposed.  The department shall publish
 14-1    and provide the information in a way that does not serve to
 14-2    identify a complainant.
 14-3          (c)  The department shall publish the information on its
 14-4    generally accessible Internet site. The department also shall
 14-5    provide the information by establishing a system under which
 14-6    members of the public can call toll-free numbers to obtain the
 14-7    information efficiently and with a minimum of delay.  The
 14-8    department shall appropriately publicize the toll-free numbers.
 14-9          (d)  The department shall publish and provide the information
14-10    promptly after the sanction has been imposed or, when applicable,
14-11    promptly after the period during which the sanction is imposed has
14-12    begun.  The department by rule shall establish the length of time
14-13    during which the required information will be published and
14-14    provided under this section based on the department's determination
14-15    regarding the types of services provided by regulated entities and
14-16    the length of time for which information about a category of
14-17    enforcement actions is useful to a member of the public.
14-18          (e)  The department shall publish and provide the information
14-19    using clear language that can be readily understood by a person
14-20    with a high school education.
14-21          (f)  If another law specifically requires that particular
14-22    information subject to this section shall be published in another
14-23    manner, the department shall comply with this section and with the
14-24    other law.
14-25          (g)  A determination that the department is not required to
14-26    publish and provide information under this section does not affect
14-27    a determination regarding whether the information is subject to
 15-1    required disclosure under the open records law, Chapter 552,
 15-2    Government Code.  The department's determination regarding the
 15-3    length of the period during which information should continue to be
 15-4    published and provided under this section does not affect a
 15-5    determination regarding the period for which the information must
 15-6    be preserved under Chapter 441, Government Code, or under another
 15-7    law.
 15-8          Sec. 12.0146.  TRENDS IN ENFORCEMENT.  The department shall
 15-9    publish annually an analysis of its enforcement actions taken under
15-10    state law with regard to each profession, industry, or type of
15-11    facility regulated by the department. The analysis for each
15-12    regulatory area must show at a minimum the year-to-year trends in
15-13    the number and types of enforcement actions taken by the department
15-14    in its regulation of the profession, industry, or type of facility.
15-15          SECTION 1.12.  Section 466.001(a), Health and Safety Code, is
15-16    amended to read as follows:
15-17          (a)  It is the intent of the legislature that the department
15-18    [and the commission] exercise its [their respective] administrative
15-19    powers and regulatory authority to ensure the proper use of
15-20    approved narcotic drugs in the treatment of narcotic dependent
15-21    persons.
15-22          SECTION 1.13.  Section 466.002, Health and Safety Code, is
15-23    amended to read as follows:
15-24          Sec. 466.002.  DEFINITIONS.  In this chapter:
15-25                (1)  "Approved narcotic drug" means a drug approved by
15-26    the United States Food and Drug Administration for maintenance or
15-27    detoxification of a person physiologically addicted to the opiate
 16-1    class of drugs.
 16-2                (2)  "Authorized agent" means an employee of the
 16-3    department who is designated by the commissioner to enforce this
 16-4    chapter.
 16-5                (3)  "Board" means the Texas Board of Health.
 16-6                (4)  ["Commission" means the Texas Commission on
 16-7    Alcohol and Drug Abuse.]
 16-8                [(5)]  "Commissioner" means the commissioner of health.
 16-9                (5) [(6)]  "Department" means the Texas Department of
16-10    Health.
16-11                (6) [(7)]  "Facility" includes a medical office, an
16-12    outpatient clinic, a general or special hospital, a community
16-13    mental health center, and any other location in which a structured
16-14    narcotic dependency program is conducted.
16-15                (7) [(8)]  "Narcotic drug" has the meaning assigned by
16-16    Chapter 481 (Texas Controlled Substances Act).
16-17          SECTION 1.14.  Section 466.004(a), Health and Safety Code, is
16-18    amended to read as follows:
16-19          (a)  The board shall adopt and the department shall
16-20    administer and enforce rules to ensure the proper use of approved
16-21    narcotic drugs in the treatment of narcotic drug-dependent persons,
16-22    including rules that:
16-23                (1)  require an applicant or a permit holder to make
16-24    annual, periodic, and special reports that the department
16-25    determines are necessary;
16-26                (2)  require an applicant or permit holder to keep
16-27    records that the department determines are necessary;
 17-1                (3)  provide for investigations that the department
 17-2    determines are necessary; and
 17-3                (4)  provide for the coordination of the approval of
 17-4    narcotic drug treatment programs by the United States Food and Drug
 17-5    Administration and the United States Drug Enforcement
 17-6    Administration[; and]
 17-7                [(5)  provide for cooperation with the commission in
 17-8    the licensing of narcotic drug treatment programs as required by
 17-9    Subchapter A, Chapter 464].
17-10          SECTION 1.15.  Section 466.022, Health and Safety Code, is
17-11    amended to read as follows:
17-12          Sec. 466.022.  LIMITATION ON PRESCRIPTION, ORDER, OR
17-13    ADMINISTRATION OF NARCOTIC DRUG.  A physician may not prescribe,
17-14    order, or administer a narcotic drug for the purpose of treating
17-15    drug dependency unless the physician prescribes, orders, or
17-16    administers an approved narcotic drug for the maintenance or
17-17    detoxification of drug-dependent persons as part of a program
17-18    permitted by the department [and the commission].
17-19          SECTION 1.16.  Section 466.005, Health and Safety Code, is
17-20    repealed.
17-21          SECTION 1.17.  Section 503.008, Health and Safety Code, is
17-22    repealed.
17-23          SECTION 1.18.  The Texas Department of Health shall publish
17-24    the first comprehensive strategic and operational plan required
17-25    under Section 11.0045, Health and Safety Code, as added by this
17-26    Act, not later than September 1, 2000.
17-27          SECTION 1.19.  The Texas Department of Health shall
 18-1    comprehensively study the impact that the state's Medicaid managed
 18-2    care program has had on each of the populations served by the
 18-3    department and on all health care providers, clinics, and
 18-4    hospitals.  The department shall report its findings to the
 18-5    presiding officer of each house of the legislature and of each
 18-6    legislative committee that has oversight responsibility for the
 18-7    department not later than November 1, 2000.
 18-8          SECTION 1.20.  (a)  As soon as possible after the effective
 18-9    date of this Act and to the extent allowed under federal law, the
18-10    Texas Department of Health shall implement a pilot project that, on
18-11    a scale appropriate for a pilot project, integrates all appropriate
18-12    functions of the department's health care delivery programs in
18-13    accordance with Section 12.0115, Health and Safety Code, as added
18-14    by this Act, including integrating the functions of health care
18-15    delivery programs that are part of the state Medicaid program with
18-16    functions of health care delivery programs that are not part of the
18-17    state Medicaid program.
18-18          (b)  The pilot project must be initiated not later than
18-19    September 1, 2000. The pilot project terminates September 1, 2001,
18-20    but the department may continue successful elements of the project
18-21    after that date as part of the department's general duty to
18-22    integrate its health care delivery programs under Section 12.0115,
18-23    Health and Safety Code, as added by this Act.
18-24          (c)  The department shall make an interim report regarding
18-25    its problems and progress in implementing the pilot project not
18-26    later than September 1, 2000, as part of the initial comprehensive
18-27    strategic and operational plan required under Section 11.0045,
 19-1    Health and Safety Code, as added by this Act. The department shall
 19-2    fully evaluate the successes and problems of the completed pilot
 19-3    project as part of the comprehensive strategic and operational plan
 19-4    that the department is required to publish not later than September
 19-5    1, 2002.
 19-6          (d)  In addition to reporting on the problems and successes
 19-7    of the pilot project, the department shall evaluate generally the
 19-8    duties imposed on the department under Section 12.0115, Health and
 19-9    Safety Code, as added by this Act. The department shall report not
19-10    later than September 1, 2002, as part of the second comprehensive
19-11    strategic and operational plan, on the benefits and problems that
19-12    the department foresees in fully implementing Section 12.0115. The
19-13    second comprehensive report shall:
19-14                (1)  state the ways in which the department intends to
19-15    integrate its programs;
19-16                (2)  demonstrate why it is expected that the
19-17    department's approach will best promote the goals of program
19-18    integration, with regard to expected benefits to recipients and
19-19    providers of health services and with regard to administrative
19-20    savings expected to be realized by government and by providers of
19-21    health services;
19-22                (3)  address the extent to which the department has
19-23    implemented or plans to implement a uniform contracting process
19-24    that incorporates processes and principles identified by the
19-25    department's contract leverage team in its July 1996 Contracting
19-26    Guide for Client Services, and state the expected savings and
19-27    efficiencies that have resulted or should result from
 20-1    implementation;
 20-2                (4)  state the ways in which the department's plan to
 20-3    integrate the functions of its health care delivery programs
 20-4    includes a plan to coordinate contract performance monitoring,
 20-5    combine claims processing, and improve the process by which
 20-6    providers are reimbursed; and
 20-7                (5)  recommend any changes to state law that are needed
 20-8    to remove impediments to an integrated health care delivery system.
 20-9          SECTION 1.21.  (a)  The Texas Department of Health, with the
20-10    assistance of the state auditor, shall conduct a comprehensive
20-11    evaluation of the department's regulatory functions.  The
20-12    evaluation must include an examination and analysis of the
20-13    effectiveness of the department's:
20-14                (1)  rules that affect or support its regulatory
20-15    practices;
20-16                (2)  inspection efforts, including its scheduling of
20-17    inspections;
20-18                (3)  investigative practices, including investigations
20-19    conducted in response to a complaint;
20-20                (4)  use of sanctions;
20-21                (5)  enforcement actions in relation to the time it
20-22    takes to initiate and complete an enforcement action and in
20-23    relation to the role of the department's office of general counsel;
20-24    and
20-25                (6)  efforts to ensure compliance with applicable laws
20-26    and rules.
20-27          (b)  The department shall report the results of the
 21-1    evaluation, including the identification of any problem areas and
 21-2    any recommended solutions to the problems that require management
 21-3    actions or statutory changes, to the legislature and to the Texas
 21-4    Board of Health not later than November 1, 2000.
 21-5          SECTION 1.22.  (a)  The change in law made by this Act to
 21-6    Chapter 2003.021, Government Code, transferring the responsibility
 21-7    to conduct hearings in matters that are contested cases under
 21-8    Chapter 2001, Government Code, from the commissioner of health and
 21-9    the Texas Board or Department of Health to the State Office of
21-10    Administrative Hearings, applies only to a contested case in which
21-11    notice of the hearing is given under Sections 2001.051 and
21-12    2001.052, Government Code, on or after the effective date of this
21-13    Act.  The commissioner of health or the Texas Board or Department
21-14    of Health, as appropriate, shall conduct the hearing in a contested
21-15    case for which the notice of hearing is given before the effective
21-16    date of this Act.
21-17          (b)  This Act does not transfer from the commissioner of
21-18    health or the Texas Board or Department of Health, as appropriate,
21-19    the responsibility to conduct a fair hearing that is required under
21-20    federal law unless the fair hearing is considered to be a contested
21-21    case under Chapter 2001, Government Code.
21-22          (c)  This Act does not require the commissioner of health or
21-23    the Texas Board or Department of Health to transfer personnel to
21-24    the State Office of Administrative Hearings.
21-25          SECTION 1.23.  The changes in law made by this Act in the
21-26    prohibitions applying to members of the Texas Board of Health do
21-27    not affect the entitlement of a member serving on the board
 22-1    immediately before September 1, 1999, to continue to serve and
 22-2    function as a member of the board for the remainder of the member's
 22-3    term.  The changes in law apply only to a member appointed on or
 22-4    after September 1, 1999.
 22-5          ARTICLE 2.  AMBULATORY SURGICAL CENTERS; ADMINISTRATIVE
 22-6                                 PENALTIES
 22-7          SECTION 2.01.  Chapter 243, Health and Safety Code, is
 22-8    amended by adding Sections 243.015 and 243.016 to read as follows:
 22-9          Sec. 243.015.  IMPOSITION OF ADMINISTRATIVE PENALTY.  (a)
22-10    The department may impose an administrative  penalty on a person
22-11    licensed under this chapter who violates this chapter or a rule or
22-12    order adopted under this chapter.  A penalty collected under this
22-13    section or Section 243.016 shall be deposited in the state treasury
22-14    in the general revenue fund.
22-15          (b)  A proceeding to impose the penalty is considered to be a
22-16    contested case under Chapter 2001, Government Code.
22-17          (c)  The amount of the penalty may not exceed $1,000 for each
22-18    violation, and each day a violation continues or occurs is a
22-19    separate violation for purposes of imposing a penalty.
22-20          (d)  The amount shall be based on:
22-21                (1)  the seriousness of the violation, including the
22-22    nature, circumstances, extent, and gravity of the violation;
22-23                (2)  the threat to health or safety caused by the
22-24    violation;
22-25                (3)  the history of previous violations;
22-26                (4)  the amount necessary to deter a future violation;
22-27                (5)  whether the violator demonstrated good faith,
 23-1    including when applicable whether the violator made good faith
 23-2    efforts to correct the violation; and
 23-3                (6)  any other matter that justice may require.
 23-4          (e)  If the department initially determines that a violation
 23-5    occurred, the department shall issue a report stating:
 23-6                (1)  the facts on which the determination is based; and
 23-7                (2)  the department's recommendation on the imposition
 23-8    of the penalty, including a recommendation on the amount of the
 23-9    penalty.
23-10          (f)  Within 14 days after the date the report under
23-11    Subsection (e) is issued, the commissioner of health shall give
23-12    written notice of the report by certified mail to the person.
23-13          (g)  The notice under Subsection (f) must:
23-14                (1)  include a brief summary of the alleged violation;
23-15                (2)  state the amount of the recommended penalty; and
23-16                (3)  inform the person of the person's right to a
23-17    hearing on the occurrence of the violation, the amount of the
23-18    penalty, or both.
23-19          (h)  Within 20 days after the date the person receives the
23-20    notice under Subsection (f), the person in writing may:
23-21                (1)  accept the determination and recommended penalty
23-22    of the department; or
23-23                (2)  make a request for a hearing on the occurrence of
23-24    the violation, the amount of the penalty, or both.
23-25          (i)  If the person accepts the determination and recommended
23-26    penalty of the department, the commissioner of health by order
23-27    shall approve the determination and impose the recommended penalty.
 24-1          (j)  If the person requests a hearing or fails to respond in
 24-2    a timely manner to the notice, the commissioner of health shall
 24-3    refer the matter to the State Office of Administrative Hearings,
 24-4    which shall promptly set a hearing date and give written notice of
 24-5    the time and place of the hearing to the person. An administrative
 24-6    law judge of the State Office of Administrative Hearings shall
 24-7    conduct the hearing.
 24-8          (k)  The administrative law judge shall make findings of fact
 24-9    and conclusions of law and promptly issue to the commissioner of
24-10    health a proposal for a decision about the occurrence of the
24-11    violation and the amount of a proposed penalty.
24-12          (l)  Based on the findings of fact, conclusions of law, and
24-13    proposal for a decision, the commissioner of health by order may:
24-14                (1)  find that a violation occurred and impose a
24-15    penalty; or
24-16                (2)  find that a violation did not occur.
24-17          (m)  The notice of the commissioner's order under Subsection
24-18    (l) that is sent to the person in accordance with Chapter 2001,
24-19    Government Code, must include a statement of the right of the
24-20    person to judicial review of the order.
24-21          Sec. 243.016.  PAYMENT AND COLLECTION OF ADMINISTRATIVE
24-22    PENALTY; JUDICIAL REVIEW.  (a)  Within 30 days after the date an
24-23    order of the commissioner of health under Section 243.015(l) that
24-24    imposes an administrative penalty becomes final, the person shall:
24-25                (1)  pay the penalty; or
24-26                (2)  file a petition for judicial review of the
24-27    commissioner's order contesting the occurrence of the violation,
 25-1    the amount of the penalty, or both.
 25-2          (b)  Within the 30-day period prescribed by Subsection (a), a
 25-3    person who files a petition for judicial review may:
 25-4                (1)  stay enforcement of the penalty by:
 25-5                      (A)  paying the penalty to the court for
 25-6    placement in an escrow account; or
 25-7                      (B)  giving the court a supersedeas bond approved
 25-8    by the court that:
 25-9                            (i)  is for the amount of the penalty; and
25-10                            (ii)  is effective until all judicial
25-11    review of the commissioner's order is final; or
25-12                (2)  request the court to stay enforcement of the
25-13    penalty by:
25-14                      (A)  filing with the court a sworn affidavit of
25-15    the person stating that the person is financially unable to pay the
25-16    penalty and is financially unable to give the supersedeas bond; and
25-17                      (B)  sending a copy of the affidavit to the
25-18    commissioner of health by certified mail.
25-19          (c)  If the commissioner of health receives a copy of an
25-20    affidavit under Subsection (b)(2), the commissioner  may file with
25-21    the court, within five days after the date the copy is received, a
25-22    contest to the affidavit.  The court shall hold a hearing on the
25-23    facts alleged in the affidavit as soon as practicable and shall
25-24    stay the enforcement of the penalty on finding that the alleged
25-25    facts are true.  The person who files an affidavit has the burden
25-26    of proving that the person is financially unable to pay the penalty
25-27    or to give a supersedeas bond.
 26-1          (d)  If the person does not pay the penalty and the
 26-2    enforcement of the penalty is not stayed, the penalty may be
 26-3    collected. The attorney general may sue to collect the penalty.
 26-4          (e)  If the court sustains the finding that a violation
 26-5    occurred, the court may uphold or reduce the amount of the penalty
 26-6    and order the person to pay the full or reduced amount of the
 26-7    penalty.
 26-8          (f)  If the court does not sustain the finding that a
 26-9    violation occurred, the court shall order that a penalty is not
26-10    owed.
26-11          (g)  If the person paid the penalty and if the amount of the
26-12    penalty is reduced or the penalty is not upheld by the court, the
26-13    court shall order, when the court's judgment becomes final, that
26-14    the appropriate amount plus accrued interest be remitted to the
26-15    person within 30 days after the date that the judgment of the court
26-16    becomes final. The interest accrues at the rate charged on loans to
26-17    depository institutions by the New York Federal Reserve Bank. The
26-18    interest shall be paid for the period beginning on the date the
26-19    penalty is paid and ending on the date the penalty is remitted.
26-20          (h)  If the person gave a supersedeas bond and the penalty is
26-21    not upheld by the court, the court shall order, when the court's
26-22    judgment becomes final, the release of the bond. If the person gave
26-23    a supersedeas bond and the amount of the penalty is reduced, the
26-24    court shall order the release of the bond after the person pays the
26-25    reduced amount.
26-26           ARTICLE 3. BIRTHING CENTERS; ADMINISTRATIVE PENALTIES
26-27          SECTION 3.01.  Chapter 244, Health and Safety Code, is
 27-1    amended by adding Sections 244.015 and 244.016 to read as follows:
 27-2          Sec. 244.015.  IMPOSITION OF ADMINISTRATIVE PENALTY.  (a)
 27-3    The department may impose an administrative penalty on a person
 27-4    licensed under this chapter who violates this chapter or a rule or
 27-5    order adopted under this chapter.  A penalty collected under this
 27-6    section or Section 244.016 shall be deposited in the state treasury
 27-7    in the general revenue fund.
 27-8          (b)  A proceeding to impose the penalty is considered to be a
 27-9    contested case under Chapter 2001, Government Code.
27-10          (c)  The amount of the penalty may not exceed $1,000 for each
27-11    violation, and each day a violation continues or occurs is a
27-12    separate violation for purposes of imposing a penalty.
27-13          (d)  The amount shall be based on:
27-14                (1)  the seriousness of the violation, including the
27-15    nature, circumstances, extent, and gravity of the violation;
27-16                (2)  the threat to health or safety caused by the
27-17    violation;
27-18                (3)  the history of previous violations;
27-19                (4)  the amount necessary to deter a future violation;
27-20                (5)  whether the violator demonstrated good faith,
27-21    including when applicable whether the violator made good faith
27-22    efforts to correct the violation; and
27-23                (6)  any other matter that justice may require.
27-24          (e)  If the department initially determines that a violation
27-25    occurred, the department shall issue a report stating:
27-26                (1)  the facts on which the determination is based; and
27-27                (2)  the department's recommendation on the imposition
 28-1    of the penalty, including a recommendation on the amount of the
 28-2    penalty.
 28-3          (f)  Within 14 days after the date the report under
 28-4    Subsection (e) is issued, the commissioner of health shall give
 28-5    written notice of the report by certified mail to the person.
 28-6          (g)  The notice under Subsection (f) must:
 28-7                (1)  include a brief summary of the alleged violation;
 28-8                (2)  state the amount of the recommended penalty; and
 28-9                (3)  inform the person of the person's right to a
28-10    hearing on the occurrence of the violation, the amount of the
28-11    penalty, or both.
28-12          (h)  Within 20 days after the date the person receives the
28-13    notice under Subsection (f), the person in writing may:
28-14                (1)  accept the determination and recommended penalty
28-15    of the department; or
28-16                (2)  make a request for a hearing on the occurrence of
28-17    the violation, the amount of the penalty, or both.
28-18          (i)  If the person accepts the determination and recommended
28-19    penalty of the department, the commissioner of health by order
28-20    shall approve the determination and impose the recommended penalty.
28-21          (j)  If the person requests a hearing or fails to respond in
28-22    a timely manner to the notice, the commissioner of health shall
28-23    refer the matter to the State Office of Administrative Hearings,
28-24    which shall promptly set a hearing date and give written notice of
28-25    the time and place of the hearing to the person. An administrative
28-26    law judge of the State Office of Administrative Hearings shall
28-27    conduct the hearing.
 29-1          (k)  The administrative law judge shall make findings of fact
 29-2    and conclusions of law and promptly issue to the commissioner of
 29-3    health a proposal for a decision about the occurrence of the
 29-4    violation and the amount of a proposed penalty.
 29-5          (l)  Based on the findings of fact, conclusions of law, and
 29-6    proposal for a decision, the commissioner of health by order may:
 29-7                (1)  find that a violation occurred and impose a
 29-8    penalty; or
 29-9                (2)  find that a violation did not occur.
29-10          (m)  The notice of the commissioner's order under Subsection
29-11    (l) that is sent to the person in accordance with Chapter 2001,
29-12    Government Code, must include a statement of the right of the
29-13    person to judicial review of the order.
29-14          Sec. 244.016.  PAYMENT AND COLLECTION OF ADMINISTRATIVE
29-15    PENALTY; JUDICIAL REVIEW.  (a)  Within 30 days after the date an
29-16    order of the commissioner of health under Section 244.015(l) that
29-17    imposes an administrative penalty becomes final, the person shall:
29-18                (1)  pay the penalty; or
29-19                (2)  file a petition for judicial review of the
29-20    commissioner's order contesting the occurrence of the violation,
29-21    the amount of the penalty, or both.
29-22          (b)  Within the 30-day period prescribed by Subsection (a), a
29-23    person who files a petition for judicial review may:
29-24                (1)  stay enforcement of the penalty by:
29-25                      (A)  paying the penalty to the court for
29-26    placement in an escrow account; or
29-27                      (B)  giving the court a supersedeas bond approved
 30-1    by the court that:
 30-2                            (i)  is for the amount of the penalty; and
 30-3                            (ii)  is effective until all judicial
 30-4    review of the commissioner's order is final; or
 30-5                (2)  request the court to stay enforcement of the
 30-6    penalty by:
 30-7                      (A)  filing with the court a sworn affidavit of
 30-8    the person stating that the person is financially unable to pay the
 30-9    penalty and is financially unable to give the supersedeas bond; and
30-10                      (B)  sending a copy of the affidavit to the
30-11    commissioner of health by certified mail.
30-12          (c)  If the commissioner of health receives a copy of an
30-13    affidavit under Subsection (b)(2), the commissioner  may file with
30-14    the court, within five days after the date the copy is received, a
30-15    contest to the affidavit.  The court shall hold a hearing on the
30-16    facts alleged in the affidavit as soon as practicable and shall
30-17    stay the enforcement of the penalty on finding that the alleged
30-18    facts are true.  The person who files an affidavit has the burden
30-19    of proving that the person is financially unable to pay the penalty
30-20    or to give a supersedeas bond.
30-21          (d)  If the person does not pay the penalty and the
30-22    enforcement of the penalty is not stayed, the penalty may be
30-23    collected. The attorney general may sue to collect the penalty.
30-24          (e)  If the court sustains the finding that a violation
30-25    occurred, the court may uphold or reduce the amount of the penalty
30-26    and order the person to pay the full or reduced amount of the
30-27    penalty.
 31-1          (f)  If the court does not sustain the finding that a
 31-2    violation occurred, the court shall order that a penalty is not
 31-3    owed.
 31-4          (g)  If the person paid the penalty and if the amount of the
 31-5    penalty is reduced or the penalty is not upheld by the court, the
 31-6    court shall order, when the court's judgment becomes final, that
 31-7    the appropriate amount plus accrued interest be remitted to the
 31-8    person within 30 days after the date that the judgment of the court
 31-9    becomes final. The interest accrues at the rate charged on loans to
31-10    depository institutions by the New York Federal Reserve Bank. The
31-11    interest shall be paid for the period beginning on the date the
31-12    penalty is paid and ending on the date the penalty is remitted.
31-13          (h)  If the person gave a supersedeas bond and the penalty is
31-14    not upheld by the court, the court shall order, when the court's
31-15    judgment becomes final, the release of the bond. If the person gave
31-16    a supersedeas bond and the amount of the penalty is reduced, the
31-17    court shall order the release of the bond after the person pays the
31-18    reduced amount.
31-19       ARTICLE 4.  SPECIAL CARE FACILITIES; ADMINISTRATIVE PENALTIES
31-20          SECTION 4.01.  Chapter 248, Health and Safety Code, is
31-21    amended by adding Subchapter D to read as follows:
31-22                   SUBCHAPTER D.  ADMINISTRATIVE PENALTY
31-23          Sec. 248.101.  IMPOSITION OF PENALTY.  (a)  The department of
31-24    health may impose an administrative penalty on a person licensed
31-25    under this chapter who violates this chapter or a rule or order
31-26    adopted under this chapter.
31-27          (b)  A penalty collected under this subchapter shall be
 32-1    deposited in the state treasury in the general revenue fund.
 32-2          Sec. 248.102.  AMOUNT OF PENALTY.  (a)  The amount of the
 32-3    penalty may not exceed $1,000 for each violation, and each day a
 32-4    violation continues or occurs is a separate violation for purposes
 32-5    of imposing a penalty.
 32-6          (b)  The amount shall be based on:
 32-7                (1)  the seriousness of the violation, including the
 32-8    nature, circumstances, extent, and gravity of the violation;
 32-9                (2)  the threat to health or safety caused by the
32-10    violation;
32-11                (3)  the history of previous violations;
32-12                (4)  the amount necessary to deter a future violation;
32-13                (5)  whether the violator demonstrated good faith,
32-14    including when applicable whether the violator made good faith
32-15    efforts to correct the violation; and
32-16                (6)  any other matter that justice may require.
32-17          Sec. 248.103.  REPORT AND NOTICE OF VIOLATION AND PENALTY.
32-18    (a)  If the department initially determines that a violation
32-19    occurred, the department shall issue a report stating:
32-20                (1)  the facts on which the determination is based; and
32-21                (2)  the department's recommendation on the imposition
32-22    of the penalty, including a recommendation on the amount of the
32-23    penalty.
32-24          (b)  Within 14 days after the date the report is issued, the
32-25    commissioner of health shall give written notice of the report by
32-26    certified mail to the person.
32-27          (c)  The notice must:
 33-1                (1)  include a brief summary of the alleged violation;
 33-2                (2)  state the amount of the recommended penalty; and
 33-3                (3)  inform the person of the person's right to a
 33-4    hearing on the occurrence of the violation, the amount of the
 33-5    penalty, or both.
 33-6          Sec. 248.104.  PENALTY TO BE PAID OR HEARING REQUESTED.  (a)
 33-7    Within 20 days after the date the person receives the notice sent
 33-8    under Section 248.103, the person in writing may:
 33-9                (1)  accept the determination and recommended penalty
33-10    of the department; or
33-11                (2)  make a request for a hearing on the occurrence of
33-12    the violation, the amount of the penalty, or both.
33-13          (b)  If the person accepts the determination and recommended
33-14    penalty of the department, the commissioner of health by order
33-15    shall approve the determination and impose the recommended penalty.
33-16          Sec. 248.105.  HEARING.  (a)  If the person requests a
33-17    hearing or fails to respond in a timely manner to the notice sent
33-18    under Section 248.103, the commissioner of health shall refer the
33-19    matter to the State Office of Administrative Hearings, which shall
33-20    promptly set a hearing date and give written notice of the time and
33-21    place of the hearing to the person. An administrative law judge of
33-22    the State Office of Administrative Hearings shall conduct the
33-23    hearing.
33-24          (b)  The administrative law judge shall make findings of fact
33-25    and conclusions of law and promptly issue to the commissioner of
33-26    health a proposal for a decision about the occurrence of the
33-27    violation and the amount of a proposed penalty.
 34-1          Sec. 248.106.  DECISION BY COMMISSIONER.  (a)  Based on the
 34-2    findings of fact, conclusions of law, and proposal for a decision,
 34-3    the commissioner of health by order may:
 34-4                (1)  find that a violation occurred and impose a
 34-5    penalty; or
 34-6                (2)  find that a violation did not occur.
 34-7          (b)  The notice of the commissioner's order under Subsection
 34-8    (a) that is sent to the person in accordance with Chapter 2001,
 34-9    Government Code, must include a statement of the right of the
34-10    person to judicial review of the order.
34-11          Sec. 248.107.  OPTIONS FOLLOWING DECISION: PAY OR APPEAL.
34-12    Within 30 days after the date the order of the commissioner of
34-13    health under Section 248.106 that imposes an administrative penalty
34-14    becomes final, the person shall:
34-15                (1)  pay the penalty; or
34-16                (2)  file a petition for judicial review of the
34-17    commissioner's order contesting the occurrence of the violation,
34-18    the amount of the penalty, or both.
34-19          Sec. 248.108.  STAY OF ENFORCEMENT OF PENALTY.  (a)  Within
34-20    the 30-day period prescribed by Section 248.107, a person who files
34-21    a petition for judicial review may:
34-22                (1)  stay enforcement of the penalty by:
34-23                      (A)  paying the penalty to the court for
34-24    placement in an escrow account; or
34-25                      (B)  giving the court a supersedeas bond approved
34-26    by the court that:
34-27                            (i)  is for the amount of the penalty; and
 35-1                            (ii)  is effective until all judicial
 35-2    review of the commissioner's order is final; or
 35-3                (2)  request the court to stay enforcement of the
 35-4    penalty by:
 35-5                      (A)  filing with the court a sworn affidavit of
 35-6    the person stating that the person is financially unable to pay the
 35-7    penalty and is financially unable to give the supersedeas bond; and
 35-8                      (B)  sending a copy of the affidavit to the
 35-9    commissioner of health by certified mail.
35-10          (b)  If the commissioner of health receives a copy of an
35-11    affidavit under Subsection (a)(2), the commissioner may file with
35-12    the court, within five days after the date the copy is received, a
35-13    contest to the affidavit.  The court shall hold a hearing on the
35-14    facts alleged in the affidavit as soon as practicable and shall
35-15    stay the enforcement of the penalty on finding that the alleged
35-16    facts are true.  The person who files an affidavit has the burden
35-17    of proving that the person is financially unable to pay the penalty
35-18    or to give a supersedeas bond.
35-19          Sec. 248.109.  COLLECTION OF PENALTY.  (a)  If the person
35-20    does not pay the penalty and the enforcement of the penalty is not
35-21    stayed, the penalty may be collected.
35-22          (b)  The attorney general may sue to collect the penalty.
35-23          Sec. 248.110.  DECISION BY COURT.  (a)  If the court sustains
35-24    the finding that a violation occurred, the court may uphold or
35-25    reduce the amount of the penalty and order the person to pay the
35-26    full or reduced amount of the penalty.
35-27          (b)  If the court does not sustain the finding that a
 36-1    violation occurred, the court shall order that a penalty is not
 36-2    owed.
 36-3          Sec. 248.111.  REMITTANCE OF PENALTY AND INTEREST.  (a)  If
 36-4    the person paid the penalty and if the amount of the penalty is
 36-5    reduced or the penalty is not upheld by the court, the court shall
 36-6    order, when the court's judgment becomes final, that the
 36-7    appropriate amount plus accrued interest be remitted to the person
 36-8    within 30 days after the date that the judgment of the court
 36-9    becomes final.
36-10          (b)  The interest accrues at the rate charged on loans to
36-11    depository institutions by the New York Federal Reserve Bank.
36-12          (c)  The interest shall be paid for the period beginning on
36-13    the date the penalty is paid and ending on the date the penalty is
36-14    remitted.
36-15          Sec. 248.112.  RELEASE OF BOND.  (a)  If the person gave a
36-16    supersedeas bond and the penalty is not upheld by the court, the
36-17    court shall order, when the court's judgment becomes final, the
36-18    release of the bond.
36-19          (b)  If the person gave a supersedeas bond and the amount of
36-20    the penalty is reduced, the court shall order the release of the
36-21    bond after the person pays the reduced amount.
36-22          Sec. 248.113.  ADMINISTRATIVE PROCEDURE.  A proceeding to
36-23    impose the penalty is considered to be a contested case under
36-24    Chapter 2001, Government Code.
36-25       ARTICLE 5. ABUSABLE GLUES AND AEROSOL PAINTS; ADMINISTRATIVE
36-26                                 PENALTIES
36-27          SECTION 5.01.  Chapter 485, Health and Safety Code, is
 37-1    amended by adding Subchapter D to read as follows:
 37-2                   SUBCHAPTER D.  ADMINISTRATIVE PENALTY
 37-3          Sec. 485.101.  IMPOSITION OF PENALTY.  (a)  The department
 37-4    may impose an administrative penalty on a person who sells abusable
 37-5    glue or aerosol paint at retail who violates this chapter or a rule
 37-6    or order adopted under this chapter.
 37-7          (b)  A penalty collected under this subchapter shall be
 37-8    deposited in the state treasury in the general revenue fund.
 37-9          Sec. 485.102.  AMOUNT OF PENALTY.  (a)  The amount of the
37-10    penalty may not exceed $1,000 for each violation and each day a
37-11    violation continues or occurs is a separate violation for purposes
37-12    of imposing a penalty.
37-13          (b)  The amount shall be based on:
37-14                (1)  the seriousness of the violation, including the
37-15    nature, circumstances, extent, and gravity of the violation;
37-16                (2)  the threat to health or safety caused by the
37-17    violation;
37-18                (3)  the history of previous violations;
37-19                (4)  the amount necessary to deter a future violation;
37-20                (5)  whether the violator demonstrated good faith,
37-21    including when applicable whether the violator made good faith
37-22    efforts to correct the violation; and
37-23                (6)  any other matter that justice may require.
37-24          Sec. 485.103.  REPORT AND NOTICE OF VIOLATION AND PENALTY.
37-25    (a)  If the department initially determines that a violation
37-26    occurred, the department shall issue a report stating:
37-27                (1)  the facts on which the determination is based; and
 38-1                (2)  the department's recommendation on the imposition
 38-2    of the penalty, including a recommendation on the amount of the
 38-3    penalty.
 38-4          (b)  Within 14 days after the date the report is issued, the
 38-5    commissioner shall give written notice of the report by certified
 38-6    mail to the person.
 38-7          (c)  The notice must:
 38-8                (1)  include a brief summary of the alleged violation;
 38-9                (2)  state the amount of the recommended penalty; and
38-10                (3)  inform the person of the person's right to a
38-11    hearing on the occurrence of the violation, the amount of the
38-12    penalty, or both.
38-13          Sec. 485.104.  PENALTY TO BE PAID OR HEARING REQUESTED.  (a)
38-14    Within 20 days after the date the person receives the notice sent
38-15    under Section 485.103, the person in writing may:
38-16                (1)  accept the determination and recommended penalty
38-17    of the department; or
38-18                (2)  make a request for a hearing on the occurrence of
38-19    the violation, the amount of the penalty, or both.
38-20          (b)  If the person accepts the determination and recommended
38-21    penalty of the department, the commissioner by order shall approve
38-22    the determination and impose the recommended penalty.
38-23          Sec. 485.105.  HEARING.  (a)  If the person requests a
38-24    hearing or fails to respond in a timely manner to the notice sent
38-25    under Section 485.103, the commissioner shall refer the matter to
38-26    the State Office of Administrative Hearings, which shall promptly
38-27    set a hearing date and give written notice of the time and place of
 39-1    the hearing to the person. An administrative law judge of the State
 39-2    Office of Administrative Hearings shall conduct the hearing.
 39-3          (b)  The administrative law judge shall make findings of fact
 39-4    and conclusions of law and promptly issue to the commissioner a
 39-5    proposal for a decision about the occurrence of the violation and
 39-6    the amount of a proposed penalty.
 39-7          Sec. 485.106.  DECISION BY COMMISSIONER.  (a)  Based on the
 39-8    findings of fact, conclusions of law, and proposal for a decision,
 39-9    the commissioner by order may:
39-10                (1)  find that a violation occurred and impose a
39-11    penalty; or
39-12                (2)  find that a violation did not occur.
39-13          (b)  The notice of the commissioner's order under Subsection
39-14    (a) that is sent to the  person in accordance with Chapter 2001,
39-15    Government Code, must include a statement of the right of the
39-16    person to judicial review of the order.
39-17          Sec. 485.107.  OPTIONS FOLLOWING DECISION: PAY OR APPEAL.
39-18    Within 30 days after the date the order of the commissioner under
39-19    Section 485.106 that imposes an administrative penalty becomes
39-20    final, the person shall:
39-21                (1)  pay the penalty; or
39-22                (2)  file a petition for judicial review of the
39-23    commissioner's order contesting the occurrence of the violation,
39-24    the amount of the penalty, or both.
39-25          Sec. 485.108.  STAY OF ENFORCEMENT OF PENALTY.  (a)  Within
39-26    the 30-day period prescribed by Section 485.107, a person who files
39-27    a petition for judicial review may:
 40-1                (1)  stay enforcement of the penalty by:
 40-2                      (A)  paying the penalty to the court for
 40-3    placement in an escrow account; or
 40-4                      (B)  giving the court a supersedeas bond approved
 40-5    by the court that:
 40-6                            (i)  is for the amount of the penalty; and
 40-7                            (ii)  is effective until all judicial
 40-8    review of the commissioner's order is final; or
 40-9                (2)  request the court to stay enforcement of the
40-10    penalty by:
40-11                      (A)  filing with the court a sworn affidavit of
40-12    the person stating that the person is financially unable to pay the
40-13    penalty and is financially unable to give the supersedeas bond; and
40-14                      (B)  sending a copy of the affidavit to the
40-15    commissioner by certified mail.
40-16          (b)  If the commissioner receives a copy of an affidavit
40-17    under Subsection (a)(2), the commissioner may file with the court,
40-18    within five days after the date the copy is received, a contest to
40-19    the affidavit.  The court shall hold a hearing on the facts alleged
40-20    in the affidavit as soon as practicable and shall stay the
40-21    enforcement of the penalty on finding that the alleged facts are
40-22    true.  The person who files an affidavit has the burden of proving
40-23    that the person is financially unable to pay the penalty or to give
40-24    a supersedeas bond.
40-25          Sec. 485.109.  COLLECTION OF PENALTY.  (a)  If the person
40-26    does not pay the penalty and the enforcement of the penalty is not
40-27    stayed, the penalty may be collected.
 41-1          (b)  The attorney general may sue to collect the penalty.
 41-2          Sec. 485.110.  DECISION BY COURT.  (a)  If the court sustains
 41-3    the finding that a violation occurred, the court may uphold or
 41-4    reduce the amount of the penalty and order the person to pay the
 41-5    full or reduced amount of the penalty.
 41-6          (b)  If the court does not sustain the finding that a
 41-7    violation occurred, the court shall order that a penalty is not
 41-8    owed.
 41-9          Sec. 485.111.  REMITTANCE OF PENALTY AND INTEREST.  (a)  If
41-10    the person paid the penalty and if the amount of the penalty is
41-11    reduced or the penalty is not upheld by the court, the court shall
41-12    order, when the court's judgment becomes final, that the
41-13    appropriate amount plus accrued interest be remitted to the person
41-14    within 30 days after the date that the judgment of the court
41-15    becomes final.
41-16          (b)  The interest accrues at the rate charged on loans to
41-17    depository institutions by the New York Federal Reserve Bank.
41-18          (c)  The interest shall be paid for the period beginning on
41-19    the date the penalty is paid and ending on the date the penalty is
41-20    remitted.
41-21          Sec. 485.112.  RELEASE OF BOND.  (a)  If the person gave a
41-22    supersedeas bond and the penalty is not upheld by the court, the
41-23    court shall order, when the court's judgment becomes final, the
41-24    release of the bond.
41-25          (b)  If the person gave a supersedeas bond and the amount of
41-26    the penalty is reduced, the court shall order the release of the
41-27    bond after the person pays the reduced amount.
 42-1          Sec. 485.113.  ADMINISTRATIVE PROCEDURE.  A proceeding to
 42-2    impose the penalty is considered to be a contested case under
 42-3    Chapter 2001, Government Code.
 42-4          ARTICLE 6. HAZARDOUS SUBSTANCES; ADMINISTRATIVE PENALTY
 42-5          SECTION 6.01.  Chapter 501, Health and Safety Code, is
 42-6    amended by adding Subchapter D to read as follows:
 42-7                   SUBCHAPTER D.  ADMINISTRATIVE PENALTY
 42-8          Sec. 501.101.  IMPOSITION OF PENALTY.  (a)  The department
 42-9    may impose an administrative penalty on a person:
42-10                (1)  who manufactures or repacks a hazardous substance
42-11    that is distributed in this state or who distributes a hazardous
42-12    substance in this state; and
42-13                (2)  who violates this chapter or a rule or order
42-14    adopted under this chapter.
42-15          (b)  A penalty collected under this subchapter shall be
42-16    deposited in the state treasury in the general revenue fund.
42-17          Sec. 501.102.  AMOUNT OF PENALTY.  (a)  The amount of the
42-18    penalty may not exceed $1,000 for each violation, and each day a
42-19    violation continues or occurs is a separate violation for purposes
42-20    of imposing a penalty.
42-21          (b)  The amount shall be based on:
42-22                (1)  the seriousness of the violation, including the
42-23    nature, circumstances, extent, and gravity of the violation;
42-24                (2)  the threat to health or safety caused by the
42-25    violation;
42-26                (3)  the history of previous violations;
42-27                (4)  the amount necessary to deter a future violation;
 43-1                (5)  whether the violator demonstrated good faith,
 43-2    including when applicable whether the violator made good faith
 43-3    efforts to correct the violation; and
 43-4                (6)  any other matter that justice may require.
 43-5          Sec. 501.103.  REPORT AND NOTICE OF VIOLATION AND PENALTY.
 43-6    (a)  If the department initially determines that a violation
 43-7    occurred, the department shall issue a report stating:
 43-8                (1)  the facts on which the determination is based; and
 43-9                (2)  the department's recommendation on the imposition
43-10    of the penalty, including a recommendation on the amount of the
43-11    penalty.
43-12          (b)  Within 14 days after the date the report is issued, the
43-13    commissioner of health shall give written notice of the report by
43-14    certified mail to the person.
43-15          (c)  The notice must:
43-16                (1)  include a brief summary of the alleged violation;
43-17                (2)  state the amount of the recommended penalty; and
43-18                (3)  inform the person of the person's right to a
43-19    hearing on the occurrence of the violation, the amount of the
43-20    penalty, or both.
43-21          Sec. 501.104.  PENALTY TO BE PAID OR HEARING REQUESTED.  (a)
43-22    Within 20 days after the date the person receives the notice sent
43-23    under Section 501.103, the person in writing may:
43-24                (1)  accept the determination and recommended penalty
43-25    of the department; or
43-26                (2)  make a request for a hearing on the occurrence of
43-27    the violation, the amount of the penalty, or both.
 44-1          (b)  If the person accepts the determination and recommended
 44-2    penalty of the department, the commissioner of health by order
 44-3    shall approve the determination and impose the recommended penalty.
 44-4          Sec. 501.105.  HEARING.  (a)  If the person requests a
 44-5    hearing or fails to respond in a timely manner to the notice sent
 44-6    under Section 501.103, the commissioner of health shall refer the
 44-7    matter to the State Office of Administrative Hearings, which shall
 44-8    promptly set a hearing date and give written notice of the time and
 44-9    place of the hearing to the person. An administrative law judge of
44-10    the State Office of Administrative Hearings shall conduct the
44-11    hearing.
44-12          (b)  The administrative law judge shall make findings of fact
44-13    and conclusions of law and promptly issue to the commissioner of
44-14    health a proposal for a decision about the occurrence of the
44-15    violation and the amount of a proposed penalty.
44-16          Sec. 501.106.  DECISION BY COMMISSIONER.  (a)  Based on the
44-17    findings of fact, conclusions of law, and proposal for a decision,
44-18    the commissioner of health by order may:
44-19                (1)  find that a violation occurred and impose a
44-20    penalty; or
44-21                (2)  find that a violation did not occur.
44-22          (b)  The notice of the commissioner's order under Subsection
44-23    (a)  that is sent to the person in accordance with Chapter 2001,
44-24    Government Code, must include a statement of the right of the
44-25    person to judicial review of the order.
44-26          Sec. 501.107.  OPTIONS FOLLOWING DECISION: PAY OR APPEAL.
44-27    Within 30 days after the date an order of the commissioner of
 45-1    health under Section 501.106 that imposes an administrative penalty
 45-2    becomes final, the person shall:
 45-3                (1)  pay the penalty; or
 45-4                (2)  file a petition for judicial review of the
 45-5    commissioner's order contesting the occurrence of the violation,
 45-6    the amount of the penalty, or both.
 45-7          Sec. 501.108.  STAY OF ENFORCEMENT OF PENALTY.  (a)  Within
 45-8    the 30-day period prescribed by Section 501.107, a person who files
 45-9    a petition for judicial review may:
45-10                (1)  stay enforcement of the penalty by:
45-11                      (A)  paying the penalty to the court for
45-12    placement in an escrow account; or
45-13                      (B)  giving the court a supersedeas bond approved
45-14    by the court that:
45-15                            (i)  is for the amount of the penalty; and
45-16                            (ii)  is effective until all judicial
45-17    review of the commissioner's order is final; or
45-18                (2)  request the court to stay enforcement of the
45-19    penalty by:
45-20                      (A)  filing with the court a sworn affidavit of
45-21    the person stating that the person is financially unable to pay the
45-22    penalty and is financially unable to give the supersedeas bond; and
45-23                      (B)  giving a copy of the affidavit to the
45-24    commissioner of health by certified mail.
45-25          (b)  If the commissioner of health receives a copy of an
45-26    affidavit under Subsection (a)(2), the commissioner may file with
45-27    the court, within five days after the date the copy is received, a
 46-1    contest to the affidavit.  The court shall hold a hearing on the
 46-2    facts alleged in the affidavit as soon as practicable and shall
 46-3    stay the enforcement of the penalty on finding that the alleged
 46-4    facts are true.  The person who files an affidavit has the burden
 46-5    of proving that the person is financially unable to pay the penalty
 46-6    or to give a supersedeas bond.
 46-7          Sec. 501.109.  COLLECTION OF PENALTY.  (a)  If the person
 46-8    does not pay the penalty and the enforcement of the penalty is not
 46-9    stayed, the penalty may be collected.
46-10          (b)  The attorney general may sue to collect the penalty.
46-11          Sec. 501.110.  DECISION BY COURT.  (a)  If the court sustains
46-12    the finding that a violation occurred, the court may uphold or
46-13    reduce the amount of the penalty and order the person to pay the
46-14    full or reduced amount of the penalty.
46-15          (b)  If the court does not sustain the finding that a
46-16    violation occurred, the court shall order that a penalty is not
46-17    owed.
46-18          Sec. 501.111.  REMITTANCE OF PENALTY AND INTEREST.  (a)  If
46-19    the person paid the penalty and if the amount of the penalty is
46-20    reduced or the penalty is not upheld by the court, the court shall
46-21    order, when the court's judgment becomes final, that the
46-22    appropriate amount plus accrued interest be remitted to the person
46-23    within 30 days after the date that the judgment of the court
46-24    becomes final.
46-25          (b)  The interest accrues at the rate charged on loans to
46-26    depository institutions by the New York Federal Reserve Bank.
46-27          (c)  The interest shall be paid for the period beginning on
 47-1    the date the penalty is paid and ending on the date the penalty is
 47-2    remitted.
 47-3          Sec. 501.112.  RELEASE OF BOND.  (a)  If the person gave a
 47-4    supersedeas bond and the penalty is not upheld by the court, the
 47-5    court shall order, when the court's judgment becomes final, the
 47-6    release of the bond.
 47-7          (b)  If the person gave a supersedeas bond and the amount of
 47-8    the penalty is reduced, the court shall order the release of the
 47-9    bond after the person pays the reduced amount.
47-10          Sec. 501.113.  ADMINISTRATIVE PROCEDURE.  A proceeding to
47-11    impose the penalty is considered to be a contested case under
47-12    Chapter 2001, Government Code.
47-13      ARTICLE 7.  STANDARD SUNSET REVIEW PROVISIONS APPLICABLE TO THE
47-14                         RADIATION ADVISORY BOARD
47-15          SECTION 7.01.  Section 401.015, Health and Safety Code, is
47-16    amended by adding Subsections (d), (e), and (f) to read as follows:
47-17          (d)  In this subsection, "Texas trade association" means a
47-18    cooperative and voluntarily joined association of business or
47-19    professional competitors in this state designed to assist its
47-20    members and its industry or profession in dealing with mutual
47-21    business or professional problems and in promoting their common
47-22    interest. A person may not be a member of the advisory board if:
47-23                (1)  the person is an officer, employee, or paid
47-24    consultant of a Texas trade association in the field of
47-25    radiography; or
47-26                (2)  the person's spouse is an officer, manager, or
47-27    paid consultant of a Texas trade association in the field of
 48-1    radiography.
 48-2          (e)  A person may not be a member of the advisory board or
 48-3    act as the general counsel to the advisory board if the person is
 48-4    required to register as a lobbyist under Chapter 305, Government
 48-5    Code, because of the person's activities for compensation on behalf
 48-6    of a profession related to the operation of the advisory board.
 48-7          (f)  Appointments to the advisory board shall be made without
 48-8    regard to the race, color, disability, sex, religion, age, or
 48-9    national origin of the appointees.
48-10          SECTION 7.02.  Subchapter B, Chapter 401, Health and Safety
48-11    Code, is amended by adding Sections 401.0151 through 401.0153 to
48-12    read as follows:
48-13          Sec. 401.0151.  TRAINING FOR ADVISORY BOARD MEMBERS.  (a)  A
48-14    person who is appointed to and qualifies for office as a member of
48-15    the advisory board may not vote, deliberate, or be counted as a
48-16    member in attendance at a meeting of the advisory board until the
48-17    person completes a training program that complies with this
48-18    section.
48-19          (b)  The training program must provide the person with
48-20    information regarding:
48-21                (1)  the legislation that created the advisory board;
48-22                (2)  the role and functions of the advisory board;
48-23                (3)  the rules of the advisory board and applicable
48-24    rules of the department with an emphasis on the rules that relate
48-25    to disciplinary and investigatory authority;
48-26                (4)  the requirements of:
48-27                      (A)  the open meetings law, Chapter 551,
 49-1    Government Code;
 49-2                      (B)  the public information law, Chapter 552,
 49-3    Government Code;
 49-4                      (C)  the administrative procedure law, Chapter
 49-5    2001, Government Code; and
 49-6                      (D)  other laws relating to public officials,
 49-7    including conflict-of-interest laws; and
 49-8                (5)  any applicable ethics policies adopted by the
 49-9    advisory board or the Texas Ethics Commission.
49-10          (c)  A person appointed to the advisory board is entitled to
49-11    reimbursement, as provided by the General Appropriations Act, for
49-12    the travel expenses incurred in attending the training program
49-13    regardless of whether the attendance at the program occurs before
49-14    or after the person qualifies for office.
49-15          Sec. 401.0152.  INFORMATION ABOUT STANDARDS OF CONDUCT.  The
49-16    commissioner or the commissioner's designee shall provide to
49-17    members of the advisory board, as often as necessary, information
49-18    regarding the requirements for office under this subchapter,
49-19    including information regarding a person's responsibilities under
49-20    applicable laws relating to standards of conduct for state
49-21    officers.
49-22          Sec. 401.0153.  GROUNDS FOR REMOVAL.  (a)  It is a ground for
49-23    removal from the advisory board that a member:
49-24                (1)  does not have at the time of taking office the
49-25    qualifications required by Section 401.015(a);
49-26                (2)  does not maintain during service on the advisory
49-27    board the qualifications required by Section 401.015(a);
 50-1                (3)  is ineligible for membership under Section
 50-2    401.015(c), (d), or (e);
 50-3                (4)  cannot, because of illness or disability,
 50-4    discharge the member's duties for a substantial part of the
 50-5    member's term; or
 50-6                (5)  is absent from more than half of the regularly
 50-7    scheduled advisory board meetings that the member is eligible to
 50-8    attend during a calendar year without an excuse approved by  a
 50-9    majority vote of the advisory board.
50-10          (b)  The validity of an action of the advisory board is not
50-11    affected by the fact that it is taken when a ground for removal of
50-12    an advisory board member exists.
50-13          (c)  If the commissioner has knowledge that a potential
50-14    ground for removal exists, the commissioner shall notify the
50-15    advisory board chairman  of the potential ground.  The advisory
50-16    board chairman shall then notify the governor and the attorney
50-17    general that a potential ground for removal exists.  If the
50-18    potential ground for removal involves the advisory board chairman,
50-19    the commissioner shall notify the next highest ranking officer of
50-20    the advisory board, who shall then notify the governor and the
50-21    attorney general that a potential ground for removal exists.
50-22          SECTION 7.03.  Section 401.016, Health and Safety Code, is
50-23    amended to read as follows:
50-24          Sec. 401.016.  OFFICERS.  (a)  The governor shall designate a
50-25    member of the advisory board as the advisory board chairman to
50-26    serve in that capacity at the will of the governor.
50-27          (b)  The advisory board shall elect from its members a
 51-1    [chairman,] vice-chairman[,] and secretary.
 51-2          SECTION 7.04.  Subchapter B, Chapter 401, Health and Safety
 51-3    Code, is amended by adding Section 401.0181 to read as follows:
 51-4          Sec. 401.0181.  PUBLIC TESTIMONY.  The advisory board shall
 51-5    develop and implement policies that provide the public with a
 51-6    reasonable opportunity to appear before the advisory board and to
 51-7    speak on any issue under the jurisdiction of the advisory board.
 51-8          SECTION 7.05.  The changes in law made by this Act in the
 51-9    prohibitions applying to members of the radiation advisory board do
51-10    not affect the entitlement of a member serving on the board
51-11    immediately before September 1, 1999, to continue to serve and
51-12    function as a member of the board for the remainder of the member's
51-13    term.  The changes in law apply only to a member appointed on or
51-14    after September 1, 1999.  The changes in law made by this Act do
51-15    not prohibit a person who is a member of the board immediately
51-16    before September 1, 1999, from being reappointed to the board if
51-17    the person is eligible to serve as a member under Chapter 401,
51-18    Health and Safety Code, as amended by this Act.
51-19      ARTICLE 8.  STANDARD SUNSET REVIEW PROVISIONS APPLICABLE TO THE
51-20                      COUNCIL ON ALZHEIMER'S DISEASE
51-21          SECTION 8.01.  Section 101.002, Health and Safety Code, is
51-22    amended by amending Subsection (c) and adding Subsection (d) to
51-23    read as follows:
51-24          (c)  The governor shall designate a member [members] of the
51-25    council who is not [shall annually elect a chairman from the
51-26    council, except that] an agency representative as the chairman of
51-27    the council to serve in that capacity at the will of the governor
 52-1    [may not serve as the chairman].
 52-2          (d)  Appointments to the council shall be made without regard
 52-3    to the race, color, disability, sex, religion, age, or national
 52-4    origin of the appointees.
 52-5          SECTION 8.02.  Chapter 101, Health and Safety Code, is
 52-6    amended by adding Sections 101.0021 through 101.0023 to read as
 52-7    follows:
 52-8          Sec. 101.0021.  CONFLICT OF INTEREST.  (a)  In this section,
 52-9    "Texas trade association" means a cooperative and voluntarily
52-10    joined association of business or professional competitors in this
52-11    state designed to assist its members and its industry or profession
52-12    in dealing with mutual business or professional problems and in
52-13    promoting their common interest.
52-14          (b)  A person may not be a member of the council if:
52-15                (1)  the person is an officer, employee, or paid
52-16    consultant of a Texas trade association in the field of medicine;
52-17    or
52-18                (2)  the person's spouse is an officer, manager, or
52-19    paid consultant of a Texas trade association in the field of
52-20    medicine.
52-21          (c)  A person may not be a member of the council if the
52-22    person is required to register as a lobbyist under Chapter 305,
52-23    Government Code, because of the person's activities for
52-24    compensation on behalf of a profession related to the operation of
52-25    the council.
52-26          Sec. 101.0022.  GROUNDS FOR REMOVAL.  (a)  It is a ground for
52-27    removal from the council that a member:
 53-1                (1)  does not have at the time of taking office the
 53-2    qualifications required by Section 101.002(a);
 53-3                (2)  does not maintain during service on the council
 53-4    the qualifications required by Section 101.002(a);
 53-5                (3)  is ineligible for membership under Section
 53-6    101.0021;
 53-7                (4)  cannot, because of illness or disability,
 53-8    discharge the member's duties for a substantial part of the
 53-9    member's term; or
53-10                (5)  is absent from more than half of the regularly
53-11    scheduled council meetings that the member is eligible to attend
53-12    during a calendar year without an excuse approved by  a majority
53-13    vote of the council.
53-14          (b)  The validity of an action of the council is not affected
53-15    by the fact that it is taken when a ground for removal of a council
53-16    member exists.
53-17          (c)  If the commissioner has knowledge that a potential
53-18    ground for removal exists, the commissioner shall notify the
53-19    chairman of the council of the potential ground.  The chairman
53-20    shall then notify the governor and the attorney general that a
53-21    potential ground for removal exists.  If the potential ground for
53-22    removal involves the chairman, the commissioner shall notify the
53-23    next highest ranking officer of the council, who shall then notify
53-24    the governor and the attorney general that a potential ground for
53-25    removal exists.
53-26          Sec. 101.0023.  TRAINING.  (a)  A person who is appointed to
53-27    and qualifies for office as a member of the council may not vote,
 54-1    deliberate, or be counted as a member in attendance at a meeting of
 54-2    the council until the person completes a training program that
 54-3    complies with this section.
 54-4          (b)  The training program must provide the person with
 54-5    information regarding:
 54-6                (1)  the legislation that created the council;
 54-7                (2)  the programs operated by the council;
 54-8                (3)  the role and functions of the council;
 54-9                (4)  the rules of the council;
54-10                (5)  the current budget for the council;
54-11                (6)  the results of the most recent formal audit of the
54-12    council;
54-13                (7)  the requirements of:
54-14                      (A)  the open meetings law, Chapter 551,
54-15    Government Code;
54-16                      (B)  the public information law, Chapter 552,
54-17    Government Code;
54-18                      (C)  the administrative procedure law, Chapter
54-19    2001, Government Code; and
54-20                      (D)  other laws relating to public officials,
54-21    including conflict-of-interest laws; and
54-22                (8)  any applicable ethics policies adopted by the
54-23    council or the Texas Ethics Commission.
54-24          (c)  A person appointed to the council is entitled to
54-25    reimbursement, as provided by the General Appropriations Act, for
54-26    the travel expenses incurred in attending the training program
54-27    regardless of whether the attendance at the program occurs before
 55-1    or after the person qualifies for office.
 55-2          SECTION 8.03.  Chapter 101, Health and Safety Code, is
 55-3    amended by adding Section 101.0065 to read as follows:
 55-4          Sec. 101.0065.  PUBLIC TESTIMONY.  The council shall develop
 55-5    and implement policies that provide the public with a reasonable
 55-6    opportunity to appear before the council and to speak on any issue
 55-7    under the jurisdiction of the council.
 55-8          SECTION 8.04.  Chapter 101, Health and Safety Code, is
 55-9    amended by adding Section 101.0075 to read as follows:
55-10          Sec. 101.0075.  DIVISION OF POLICY AND MANAGEMENT
55-11    RESPONSIBILITIES.  The council shall develop and implement policies
55-12    that clearly separate the policymaking responsibilities of the
55-13    council and the management responsibilities of the commissioner and
55-14    the staff of the department.
55-15          SECTION 8.05.  Chapter 101, Health and Safety Code, is
55-16    amended by adding Section 101.0081 to read as follows:
55-17          Sec. 101.0081.  INFORMATION ABOUT STANDARDS OF CONDUCT.  The
55-18    commissioner or the commissioner's designee shall provide to
55-19    members of the council, as often as necessary, information
55-20    regarding the requirements for office under this chapter, including
55-21    information regarding a person's responsibilities under applicable
55-22    laws relating to standards of conduct for state officers.
55-23          SECTION 8.06.  The changes in law made by this Act in the
55-24    prohibitions applying to members of the Texas Council on
55-25    Alzheimer's Disease and Related Disorders do not affect the
55-26    entitlement of a member serving on the council immediately before
55-27    September 1, 1999, to continue to serve and function as a member of
 56-1    the council for the remainder of the member's term.  The changes in
 56-2    law apply only to a member appointed on or after September 1, 1999.
 56-3    The changes in law made by this Act do not prohibit a person who is
 56-4    a member of the council immediately before September 1, 1999, from
 56-5    being reappointed to the council if the person is eligible to serve
 56-6    as a member under Chapter 101, Health and Safety Code, as amended
 56-7    by this Act.
 56-8          ARTICLE 9. STANDARD SUNSET REVIEW PROVISIONS APPLICABLE
 56-9               TO THE STATEWIDE HEALTH COORDINATING COUNCIL
56-10          SECTION 9.01.  Section 104.011, Health and Safety Code, is
56-11    amended by adding Subsections (c) and (d) to read as follows:
56-12          (c)  The governor shall designate a member of the council as
56-13    the presiding officer of the council to serve in that capacity at
56-14    the will of the governor.
56-15          (d)  Appointments to the council shall be made without regard
56-16    to the race, color, disability, sex, religion, age, or national
56-17    origin of the appointees.
56-18          SECTION 9.02.  Subchapter B, Chapter 104, Health and Safety
56-19    Code, is amended by adding Sections 104.0111 through 104.0113 to
56-20    read as follows:
56-21          Sec. 104.0111.  CONFLICT OF INTEREST.  (a)  In this section,
56-22    "Texas trade association" means a cooperative and voluntarily
56-23    joined association of business or professional competitors in this
56-24    state designed to assist its members and its industry or profession
56-25    in dealing with mutual business or professional problems and in
56-26    promoting their common interest.
56-27          (b)  A person may not be a member of the statewide health
 57-1    coordinating council if:
 57-2                (1)  the person is an officer, employee, or paid
 57-3    consultant of a Texas trade association in the field of medicine;
 57-4    or
 57-5                (2)  the person's spouse is an officer, manager, or
 57-6    paid consultant of a Texas trade association in the field of
 57-7    medicine.
 57-8          (c)  A person may not be a member of the council if the
 57-9    person is required to register as a lobbyist under Chapter 305,
57-10    Government Code, because of the person's activities for
57-11    compensation on behalf of a profession related to the operation of
57-12    the council.
57-13          Sec. 104.0112.  GROUNDS FOR REMOVAL.  (a)  It is a ground for
57-14    removal from the statewide health coordinating council that a
57-15    member:
57-16                (1)  does not have at the time of taking office the
57-17    qualifications required by Section 104.011(a);
57-18                (2)  does not maintain during service on the council
57-19    the qualifications required by Section 104.011(a);
57-20                (3)  is ineligible for membership under Section
57-21    104.0111;
57-22                (4)  cannot, because of illness or disability,
57-23    discharge the member's duties for a substantial part of the
57-24    member's term; or
57-25                (5)  is absent from more than half of the regularly
57-26    scheduled council meetings that the member is eligible to attend
57-27    during a calendar year without an excuse approved by  a majority
 58-1    vote of the council.
 58-2          (b)  The validity of an action of the council is not affected
 58-3    by the fact that it is taken when a ground for removal of a council
 58-4    member exists.
 58-5          (c)  If the commissioner has knowledge that a potential
 58-6    ground for removal exists, the commissioner shall notify the
 58-7    presiding officer of the council of the potential ground.  The
 58-8    presiding officer shall then notify the governor and the attorney
 58-9    general that a potential ground for removal exists.  If the
58-10    potential ground for removal involves the presiding officer, the
58-11    commissioner shall notify the next highest ranking officer of the
58-12    council, who shall then notify the governor and the attorney
58-13    general that a potential ground for removal exists.
58-14          Sec. 104.0113.  TRAINING.  (a)  A person who is appointed to
58-15    and qualifies for office as a member of the statewide health
58-16    coordinating council may not vote, deliberate, or be counted as a
58-17    member in attendance at a meeting of the council until the person
58-18    completes a training program that complies with this section.
58-19          (b)  The training program must provide the person with
58-20    information regarding:
58-21                (1)  the legislation that created the council;
58-22                (2)  the programs operated by the council;
58-23                (3)  the role and functions of the council;
58-24                (4)  the rules of the council;
58-25                (5)  the current budget for the council;
58-26                (6)  the results of the most recent formal audit of the
58-27    council;
 59-1                (7)  the requirements of:
 59-2                      (A)  the open meetings law, Chapter 551,
 59-3    Government Code;
 59-4                      (B)  the public information law, Chapter 552,
 59-5    Government Code;
 59-6                      (C)  the administrative procedure law, Chapter
 59-7    2001, Government Code; and
 59-8                      (D)  other laws relating to public officials,
 59-9    including conflict-of-interest laws; and
59-10                (8)  any applicable ethics policies adopted by the
59-11    council or the Texas Ethics Commission.
59-12          (c)  A person appointed to the council is entitled to
59-13    reimbursement, as provided by the General Appropriations Act, for
59-14    the travel expenses incurred in attending the training program
59-15    regardless of whether the attendance at the program occurs before
59-16    or after the person qualifies for office.
59-17          SECTION 9.03.  Subchapter B, Chapter 104, Health and Safety
59-18    Code, is amended by adding Sections 104.0141 and 104.0142 to read
59-19    as follows:
59-20          Sec. 104.0141.  DIVISION OF POLICY AND MANAGEMENT
59-21    RESPONSIBILITIES.  The statewide health coordinating council shall
59-22    develop and implement policies that clearly separate the
59-23    policymaking responsibilities of the council and the management
59-24    responsibilities of the commissioner and the staff of the
59-25    department.
59-26          Sec. 104.0142.  INFORMATION ABOUT STANDARDS OF CONDUCT.  The
59-27    commissioner or the commissioner's designee shall provide to
 60-1    members of the statewide health coordinating council, as often as
 60-2    necessary, information regarding the requirements for office under
 60-3    this chapter, including information regarding a person's
 60-4    responsibilities under applicable laws relating to standards of
 60-5    conduct for state officers.
 60-6          SECTION 9.04.  Subchapter B, Chapter 104, Health and Safety
 60-7    Code, is amended by adding Section 104.016 to read as follows:
 60-8          Sec. 104.016.  PUBLIC TESTIMONY.  The statewide health
 60-9    coordinating council shall develop and implement policies that
60-10    provide the public with a reasonable opportunity to appear before
60-11    the council and to speak on any issue under the jurisdiction of the
60-12    council.
60-13          SECTION 9.05.  The changes in law made by this Act in the
60-14    prohibitions applying to members of the statewide health
60-15    coordinating council do not affect the entitlement of a member
60-16    serving on the council immediately before September 1, 1999, to
60-17    continue to serve and function as a member of the council for the
60-18    remainder of the member's term.  The changes in law apply only to a
60-19    member appointed on or after September 1, 1999. The changes in law
60-20    made by this Act do not prohibit a person who is a member of the
60-21    council immediately before September 1, 1999, from being
60-22    reappointed to the council if the person is eligible to serve as a
60-23    member under Chapter 104, Health and Safety Code, as amended by
60-24    this Act.
60-25         ARTICLE 10. STANDARD SUNSET REVIEW PROVISIONS APPLICABLE
60-26                       TO THE TEXAS DIABETES COUNCIL
60-27          SECTION 10.01.  Section 103.002(d), Health and Safety Code,
 61-1    is amended to read as follows:
 61-2          (d)  Appointments to the council shall be made without regard
 61-3    to the race, color, disability, creed, sex, religion, age, or
 61-4    national origin of the appointees.
 61-5          SECTION 10.02.  Section 103.006, Health and Safety Code, is
 61-6    amended to read as follows:
 61-7          Sec. 103.006.  CHAIRMAN.  The governor shall designate a
 61-8    member of the council as the [Council members shall annually elect
 61-9    one citizen member to serve as] chairman of the council to serve in
61-10    that capacity at the will of the governor.
61-11          SECTION 10.03.  Chapter 103, Health and Safety Code, is
61-12    amended by adding Sections 103.0024 and 103.0025 to read as
61-13    follows:
61-14          Sec. 103.0024.  TRAINING.  (a)  A person who is appointed to
61-15    and qualifies for office as a member of the council may not vote,
61-16    deliberate, or be counted as a member in attendance at a meeting of
61-17    the council until the person completes a training program that
61-18    complies with this section.
61-19          (b)  The training program must provide the person with
61-20    information regarding:
61-21                (1)  the legislation that created the council;
61-22                (2)  the programs operated by the council;
61-23                (3)  the role and functions of the council;
61-24                (4)  the rules of the council;
61-25                (5)  the current budget for the council;
61-26                (6)  the results of the most recent formal audit of the
61-27    council;
 62-1                (7)  the requirements of:
 62-2                      (A)  the open meetings law, Chapter 551,
 62-3    Government Code;
 62-4                      (B)  the public information law, Chapter 552,
 62-5    Government Code;
 62-6                      (C)  the administrative procedure law, Chapter
 62-7    2001, Government Code; and
 62-8                      (D)  other laws relating to public officials,
 62-9    including conflict-of-interest laws; and
62-10                (8)  any applicable ethics policies adopted by the
62-11    council or the Texas Ethics Commission.
62-12          (c)  A person appointed to the council is entitled to
62-13    reimbursement, as provided by the General Appropriations Act, for
62-14    the travel expenses incurred in attending the training program
62-15    regardless of whether the attendance at the program occurs before
62-16    or after the person qualifies for office.
62-17          Sec. 103.0025.  INFORMATION ABOUT STANDARDS OF CONDUCT.  The
62-18    commissioner or the commissioner's designee shall provide to
62-19    members of the council, as often as necessary, information
62-20    regarding the requirements for office under this chapter, including
62-21    information regarding a person's responsibilities under applicable
62-22    laws relating to standards of conduct for state officers.
62-23          SECTION 10.04.  Chapter 103, Health and Safety Code, is
62-24    amended by adding Section 103.0105 to read as follows:
62-25          Sec. 103.0105.  DIVISION OF POLICY AND MANAGEMENT
62-26    RESPONSIBILITIES.  The council shall develop and implement policies
62-27    that clearly separate the policymaking responsibilities of the
 63-1    council and the management responsibilities of the commissioner and
 63-2    the staff of the department.
 63-3          SECTION 10.05.  The changes in law made by this Act in the
 63-4    prohibitions applying to members of the Texas Diabetes Council do
 63-5    not affect the entitlement of a member serving on the council
 63-6    immediately before September 1, 1999, to continue to serve and
 63-7    function as a member of the council for the remainder of the
 63-8    member's term.  The changes in law apply only to a member appointed
 63-9    on or after September 1, 1999.
63-10         ARTICLE 11. STANDARD SUNSET REVIEW PROVISIONS APPLICABLE
63-11                TO THE ADVISORY BOARD OF ATHLETIC TRAINERS
63-12          SECTION 11.01.  Section 2, Chapter 498, Acts of the 62nd
63-13    Legislature, Regular Session, 1971 (Article 4512d, Vernon's Texas
63-14    Civil Statutes), is amended by amending Subsections (a) and (b) and
63-15    adding Subsection (e) to read as follows:
63-16          (a)  The Advisory Board of Athletic Trainers, composed of six
63-17    members, is created.  The board is created as a part of the State
63-18    Department of Health and shall perform its duties as a board within
63-19    the State Department of Health. To qualify as a member, a person
63-20    must be a citizen of the United States and a resident of Texas for
63-21    five years immediately preceding appointment. Four members
63-22    [Members] must be licensed athletic trainers.  Two members must be
63-23    representatives of the general public.  A person may not be a
63-24    public member of the board if the person or the person's spouse:
63-25                (1)  is registered, certified, or licensed by a
63-26    regulatory agency in the field of athletic training;
63-27                (2)  is employed by or participates in the management
 64-1    of a business entity or other organization regulated by or
 64-2    receiving money from the board;
 64-3                (3)  owns or controls, directly or indirectly, more
 64-4    than a 10 percent interest in a business entity or other
 64-5    organization regulated by or receiving money from the board; or
 64-6                (4)  uses or receives a substantial amount of tangible
 64-7    goods, services, or money from the board other than compensation or
 64-8    reimbursement authorized by law for board membership, attendance,
 64-9    or expenses.
64-10          (b)  The members of the board shall be appointed by the
64-11    governor with the advice and consent of the Senate.  Members
64-12    [Except for the initial appointees, members] hold office for terms
64-13    of six years.  The terms of two members expire on January 31 of
64-14    each odd-numbered year [years].
64-15          (e)  Appointments to the board shall be made without regard
64-16    to the race, color, disability, sex, religion, age, or national
64-17    origin of the appointees.
64-18          SECTION 11.02.  Chapter 498, Acts of the 62nd Legislature,
64-19    Regular Session, 1971 (Article 4512d, Vernon's Texas Civil
64-20    Statutes), is amended by adding Sections 2B, 2C, 2D, 2E, and 2F to
64-21    read as follows:
64-22          Sec. 2B.  CONFLICT OF INTEREST.  (a)  In this section, "Texas
64-23    trade association" means a cooperative and voluntarily joined
64-24    association of business or professional competitors in this state
64-25    designed to assist its members and its industry or profession in
64-26    dealing with mutual business or professional problems and in
64-27    promoting their common interest.
 65-1          (b)  A person may not be a member of the board if:
 65-2                (1)  the person is an officer, employee, or paid
 65-3    consultant of a Texas trade association in the field of athletic
 65-4    training; or
 65-5                (2)  the person's spouse is an officer, manager, or
 65-6    paid consultant of a Texas trade association in the field of
 65-7    athletic training.
 65-8          (c)  A person may not be a member of the board if the person
 65-9    is required to register as a lobbyist under Chapter 305, Government
65-10    Code, because of the person's activities for compensation on behalf
65-11    of a profession related to the operation of the board.
65-12          Sec. 2C.  GROUNDS FOR REMOVAL.  (a)  It is a ground for
65-13    removal from the board that a member:
65-14                (1)  does not have at the time of taking office the
65-15    qualifications required by Subsection (a) of Section 2 of this Act;
65-16                (2)  does not maintain during service on the board the
65-17    qualifications required by Subsection (a)  of Section 2 of this
65-18    Act;
65-19                (3)  is ineligible for membership under Section 2B of
65-20    this Act;
65-21                (4)  cannot, because of illness or disability,
65-22    discharge the member's duties for a substantial part of the
65-23    member's term; or
65-24                (5)  is absent from more than half of the regularly
65-25    scheduled board meetings that the member is eligible to attend
65-26    during a calendar year  without an excuse approved by  a majority
65-27    vote of the board.
 66-1          (b)  The validity of an action of the board is not affected
 66-2    by the fact that it is taken when a ground for removal of a board
 66-3    member exists.
 66-4          (c)  If the commissioner of health has knowledge that a
 66-5    potential ground for removal exists, the commissioner shall notify
 66-6    the chairman of the board of the potential ground.  The chairman
 66-7    shall then notify the governor and the attorney general that a
 66-8    potential ground for removal exists.  If the potential ground for
 66-9    removal involves the chairman, the commissioner shall notify the
66-10    next highest ranking officer of the board, who shall then notify
66-11    the governor and the attorney general that a potential ground for
66-12    removal exists.
66-13          Sec. 2D.  TRAINING.  (a)  A person who is appointed to and
66-14    qualifies for office as a member of the board may not vote,
66-15    deliberate, or be counted as a member in attendance at a meeting of
66-16    the board until the person completes a training program that
66-17    complies with this section.
66-18          (b)  The training program must provide the person with
66-19    information regarding:
66-20                (1)  the legislation that created the board;
66-21                (2)  the programs operated by the board;
66-22                (3)  the role and functions of the board;
66-23                (4)  the rules of the board with an emphasis on the
66-24    rules that relate to disciplinary and investigatory authority;
66-25                (5)  the current budget for the board;
66-26                (6)  the results of the most recent formal audit of the
66-27    board;
 67-1                (7)  the requirements of:
 67-2                      (A)  the open meetings law, Chapter 551,
 67-3    Government Code;
 67-4                      (B)  the public information law, Chapter 552,
 67-5    Government Code;
 67-6                      (C)  the administrative procedure law, Chapter
 67-7    2001, Government Code; and
 67-8                      (D)  other laws relating to public officials,
 67-9    including conflict-of-interest laws; and
67-10                (8)  any applicable ethics policies adopted by the
67-11    board or the Texas Ethics Commission.
67-12          (c)  A person appointed to the board is entitled to
67-13    reimbursement, as provided by the General Appropriations Act, for
67-14    the travel expenses incurred in attending the training program
67-15    regardless of whether the attendance at the program occurs before
67-16    or after the person qualifies for office.
67-17          Sec. 2E.  INFORMATION ABOUT STANDARDS OF CONDUCT.  The
67-18    commissioner of health or the commissioner's designee shall provide
67-19    to members of the board, as often as necessary, information
67-20    regarding the requirements for office under this Act, including
67-21    information regarding a person's responsibilities under applicable
67-22    laws relating to standards of conduct for state officers.
67-23          Sec. 2F.  DIVISION OF POLICY AND MANAGEMENT RESPONSIBILITIES.
67-24    The board shall develop and implement policies that clearly
67-25    separate the policymaking responsibilities of the board and the
67-26    management responsibilities of the commissioner of health and the
67-27    staff of the Texas Department of Health.
 68-1          SECTION 11.03.  Section 3, Chapter 498, Acts of the 62nd
 68-2    Legislature, Regular Session, 1971 (Article 4512d, Vernon's Texas
 68-3    Civil Statutes), is amended by amending Subsection (a) and adding
 68-4    Subsection (d) to read as follows:
 68-5          (a)  The governor shall designate a member of the board as
 68-6    the chairman of the board to serve in that capacity at the will of
 68-7    the governor.  The board shall elect from its members for a term of
 68-8    one year[,] a [chairman,] vice chairman[,] and secretary-treasurer,
 68-9    and may appoint such committees as it considers necessary to carry
68-10    out its duties.
68-11          (d)  The board shall develop and implement policies that
68-12    provide the public with a reasonable opportunity to appear before
68-13    the board and to speak on any issue under the jurisdiction of the
68-14    board.
68-15          SECTION 11.04.  Chapter 498, Acts of the 62nd Legislature,
68-16    Regular Session, 1971 (Article 4512d, Vernon's Texas Civil
68-17    Statutes), is amended by adding Section 4A to read as follows:
68-18          Sec. 4A.  COMPLAINTS.  (a)  The board shall maintain a file
68-19    on each written complaint filed with the board.  The file must
68-20    include:
68-21                (1)  the name of the person who filed the complaint;
68-22                (2)  the date the complaint is received by the board;
68-23                (3)  the subject matter of the complaint;
68-24                (4)  the name of each person contacted in relation to
68-25    the complaint;
68-26                (5)  a summary of the results of the review or
68-27    investigation of the complaint; and
 69-1                (6)  an explanation of the reason the file was closed,
 69-2    if the board closed the file without taking action other than to
 69-3    investigate the complaint.
 69-4          (b)  The board shall provide to the person filing the
 69-5    complaint and to each person who is a subject of the complaint a
 69-6    copy of the board's policies and procedures relating to complaint
 69-7    investigation and resolution.
 69-8          (c)  The board, at least quarterly until final disposition of
 69-9    the complaint, shall notify the person filing the complaint and
69-10    each person who is a subject of the complaint of the status of the
69-11    investigation unless the notice would jeopardize an undercover
69-12    investigation.
69-13          SECTION 11.05.  Section 5, Chapter 498, Acts of the 62nd
69-14    Legislature, Regular Session, 1971 (Article 4512d, Vernon's Texas
69-15    Civil Statutes), is amended by amending  Subsection (c) and adding
69-16    Subsection (j) to read as follows:
69-17          (c)  The board shall [establish guidelines, which may include
69-18    requirements for continuing education, for athletic trainers in the
69-19    state and] prepare and conduct an examination for applicants for a
69-20    license.
69-21          (j)  The board shall recognize, prepare, or administer
69-22    continuing education programs for its license holders.  A license
69-23    holder must participate in the programs to the extent required by
69-24    the board to keep the person's license.
69-25          SECTION 11.06.  Chapter 498, Acts of the 62nd Legislature,
69-26    Regular Session, 1971 (Article 4512d, Vernon's Texas Civil
69-27    Statutes), is amended by adding Section 5A to read as follows:
 70-1          Sec. 5A.  RULES REGARDING ADVERTISING OR COMPETITIVE BIDDING.
 70-2    (a)  The board may not adopt rules restricting advertising or
 70-3    competitive bidding  by a license holder except to prohibit false,
 70-4    misleading, or deceptive practices.
 70-5          (b)  In its rules to prohibit false, misleading, or deceptive
 70-6    practices, the board may not include a rule that:
 70-7                (1)  restricts the use of any medium for advertising;
 70-8                (2)  restricts the use of a license holder's personal
 70-9    appearance or voice in an advertisement;
70-10                (3)  relates to the size or duration of an
70-11    advertisement by the license holder; or
70-12                (4)  restricts the license holder's advertisement under
70-13    a trade name.
70-14          SECTION 11.07.  Section 11, Chapter 498, Acts of the 62nd
70-15    Legislature, Regular Session, 1971 (Article 4512d, Vernon's Texas
70-16    Civil Statutes), is amended by amending Subsections (b)-(e) to read
70-17    as follows:
70-18          (b)  A person who is otherwise eligible to renew a license
70-19    may renew an unexpired license by paying to the board before the
70-20    expiration date of the license the required renewal fee.  A person
70-21    whose license has expired may not engage in activities that require
70-22    a license until the license has been renewed.
70-23          (c)  If a person's license has been expired for not longer
70-24    than 90 days, the person may renew the license by paying to the
70-25    board a renewal fee that is 1-1/2 times the normally required
70-26    renewal fee [and a fee that is one-half of the examination fee for
70-27    the license].
 71-1          (d)  If a person's license has been expired for longer than
 71-2    90 days but less than one year [two years], the person may renew
 71-3    the license by paying to the board [all unpaid renewal fees and] a
 71-4    renewal fee that is equal to two times the normally required
 71-5    renewal [the examination] fee for the license.
 71-6          (e)  If a person's license has been expired for one year [two
 71-7    years] or longer, the person may not renew the license.  The person
 71-8    may obtain a new license by submitting to reexamination and
 71-9    complying with the requirements and procedures for obtaining an
71-10    original license.  However, the board may renew without
71-11    reexamination an expired license of a person who was licensed in
71-12    Texas, moved to another state, and is currently licensed and has
71-13    been in practice in the other state for the two years preceding the
71-14    date of application.  The person must pay to the board a fee that
71-15    is equal to two times the normally required renewal [the
71-16    examination] fee for the license.
71-17          SECTION 11.08.  Section 12, Chapter 498, Acts of the 62nd
71-18    Legislature, Regular Session, 1971 (Article 4512d, Vernon's Texas
71-19    Civil Statutes), is amended to read as follows:
71-20          Sec. 12.  GROUNDS FOR DENIAL, SUSPENSION, OR REVOCATION OF
71-21    LICENSE.  (a)  The board may refuse to issue a license to an
71-22    applicant and shall reprimand a licensee or [may] suspend, [or]
71-23    revoke, or refuse to renew the license of any licensee if he has:
71-24                (1)  been convicted of a felony or misdemeanor
71-25    involving moral turpitude, the record of conviction being
71-26    conclusive evidence of conviction; [or]
71-27                (2)  secured [secure] the license by fraud or deceit;
 72-1    or
 72-2                (3)  violated or conspired to violate the provisions of
 72-3    this Act or rules and regulations issued pursuant to this Act.
 72-4          (b)  The board may place on probation a person whose license
 72-5    is suspended.  If a suspension is probated, the board may require
 72-6    the person:
 72-7                (1)  to report regularly to the board on matters that
 72-8    are the basis of the probation;
 72-9                (2)  to limit practice to the areas prescribed by the
72-10    board; or
72-11                (3)  to continue or review professional education until
72-12    the person attains a degree of skill satisfactory to the board in
72-13    those areas that are the basis of the probation.
72-14          SECTION 11.09.  Chapter 498, Acts of the 62nd Legislature,
72-15    Regular Session, 1971 (Article 4512d, Vernon's Texas Civil
72-16    Statutes), is amended by adding Sections 15A and 15B to read as
72-17    follows:
72-18          Sec. 15A.  IMPOSITION OF ADMINISTRATIVE PENALTY.  (a)  The
72-19    board may impose an administrative penalty on a person licensed
72-20    under this Act who violates this Act or a rule or order adopted
72-21    under this Act. A penalty collected under this section or Section
72-22    15B of this Act shall be deposited in the state treasury in the
72-23    general revenue fund.
72-24          (b)  A proceeding to impose the penalty is considered to be a
72-25    contested case under Chapter 2001, Government Code.
72-26          (c)  The amount of the penalty may not exceed $500 for each
72-27    violation, and each day a violation continues or occurs is a
 73-1    separate violation  for purposes of imposing a penalty.
 73-2          (d)  The amount shall be based on:
 73-3                (1)  the seriousness of the violation, including the
 73-4    nature, circumstances, extent, and gravity of the violation;
 73-5                (2)  the threat to health or safety caused by the
 73-6    violation;
 73-7                (3)  the history of previous violations;
 73-8                (4)  the amount necessary to deter a future violation;
 73-9                (5)  whether the violator demonstrated good faith,
73-10    including when applicable whether the violator made good faith
73-11    efforts to correct the violation; and
73-12                (6)  any other matter that justice may require.
73-13          (e)  If the executive secretary determines that a violation
73-14    occurred, the executive secretary may issue to the board a report
73-15    stating:
73-16                (1)  the facts on which the determination is based; and
73-17                (2)  the executive secretary's recommendation on the
73-18    imposition of the penalty, including a recommendation on the amount
73-19    of the penalty.
73-20          (f)  Within 14 days after the date the report is issued, the
73-21    executive secretary shall give written notice of the report by
73-22    certified mail to the person.
73-23          (g)  The notice under Subsection (f) of this section must:
73-24                (1)  include a brief summary of the alleged violation;
73-25                (2)  state the amount of the recommended penalty; and
73-26                (3)  inform the person of the person's right to a
73-27    hearing on the occurrence of the violation, the amount of the
 74-1    penalty, or both.
 74-2          (h)  Within 20 days after the date the person receives the
 74-3    notice under Subsection (f) of this section, the person in writing
 74-4    may:
 74-5                (1)  accept the determination and recommended penalty
 74-6    of the executive secretary; or
 74-7                (2)  make a request for a hearing on the occurrence of
 74-8    the violation, the amount of the penalty, or both.
 74-9          (i)  If the person accepts the determination and recommended
74-10    penalty of the executive secretary, the board by order shall
74-11    approve the determination and impose the recommended penalty.
74-12          (j)  If the person requests a hearing or fails to respond in
74-13    a timely manner to the notice, the board shall refer the matter to
74-14    the State Office of Administrative Hearings, which shall promptly
74-15    set a hearing date and give written notice of the time and place of
74-16    the hearing to the person. An administrative law judge of the State
74-17    Office of Administrative Hearings shall conduct the hearing.
74-18          (k)  The administrative law judge shall make findings of fact
74-19    and conclusions of law and promptly issue to the board a proposal
74-20    for a decision about the occurrence of the violation and the amount
74-21    of a proposed penalty.
74-22          (l)  Based on the findings of fact, conclusions of law, and
74-23    proposal for a decision, the board by order may:
74-24                (1)  find that a violation occurred and impose a
74-25    penalty; or
74-26                (2)  find that a violation did not occur.
74-27          (m)  The notice of the board's order under Subsection (l) of
 75-1    this section that is sent to the person in accordance with Chapter
 75-2    2001, Government Code, must include a statement of the right of the
 75-3    person to judicial review of the order.
 75-4          Sec. 15B.  PAYMENT AND COLLECTION OF ADMINISTRATIVE PENALTY;
 75-5    JUDICIAL REVIEW.  (a)  Within 30 days after the date an order of
 75-6    the board under Subsection (l) of Section 15A of this Act that
 75-7    imposes an administrative penalty becomes  final, the person shall:
 75-8                (1)  pay the penalty; or
 75-9                (2)  file a petition for judicial review of the board's
75-10    order contesting the occurrence of the violation, the amount of the
75-11    penalty, or both.
75-12          (b)  Within the 30-day period prescribed by Subsection (a) of
75-13    this section, a person who files a petition for judicial review
75-14    may:
75-15                (1)  stay enforcement of the penalty by:
75-16                      (A)  paying the penalty to the court for
75-17    placement in an escrow account; or
75-18                      (B)  giving the court a supersedeas bond approved
75-19    by the court that:
75-20                            (i)  is for the amount of the penalty; and
75-21                            (ii)  is effective until all judicial
75-22    review of the board's order is final; or
75-23                (2)  request the court to stay enforcement of the
75-24    penalty by:
75-25                      (A)  filing with the court a sworn affidavit of
75-26    the person stating that the person is financially unable to pay the
75-27    penalty and is financially unable to give the supersedeas bond; and
 76-1                      (B)  sending a copy of the affidavit to the board
 76-2    by certified mail.
 76-3          (c)  If the board receives a copy of an affidavit under
 76-4    Subsection (b)(2) of this section, the board may file with the
 76-5    court, within five days after the date the copy is received, a
 76-6    contest to the affidavit.  The court shall hold a hearing on the
 76-7    facts alleged in the affidavit as soon as practicable and shall
 76-8    stay the enforcement of the penalty on finding that the alleged
 76-9    facts are true.  The person who files an affidavit has the burden
76-10    of proving that the person is financially unable to pay the penalty
76-11    or to give a supersedeas bond.
76-12          (d)  If the person does not pay the penalty and the
76-13    enforcement of the penalty is not stayed, the penalty may be
76-14    collected.  The attorney general may sue to collect the penalty.
76-15          (e)  If the court sustains the finding that a violation
76-16    occurred, the court may uphold or reduce the amount of the penalty
76-17    and order the person to pay the full or reduced amount of the
76-18    penalty.
76-19          (f)  If the court does not sustain the finding that a
76-20    violation occurred, the court shall order that a penalty is not
76-21    owed.
76-22          (g)  If the person paid the penalty and if the amount of the
76-23    penalty is reduced or the penalty is not upheld by the court, the
76-24    court shall order, when the court's judgment becomes final, that
76-25    the appropriate amount plus accrued interest be remitted to the
76-26    person within 30 days after the date that the judgment of the court
76-27    becomes final.  The interest accrues at the rate charged on loans
 77-1    to depository institutions by the New York Federal Reserve Bank.
 77-2    The interest shall be paid for the period beginning on the date the
 77-3    penalty is paid and ending on the date the penalty is remitted.
 77-4          (h)  If the person gave a supersedeas bond and the penalty is
 77-5    not upheld by the court, the court shall order, when the court's
 77-6    judgment becomes final, the release of the bond. If the person gave
 77-7    a supersedeas bond and the amount of the penalty is reduced, the
 77-8    court shall order the release of the bond after the person pays the
 77-9    reduced amount.
77-10          SECTION 11.10.  (a)  The changes in law made by this Act in
77-11    the qualifications and the prohibitions applying to members of the
77-12    Advisory Board of Athletic Trainers do not affect the entitlement
77-13    of a member serving on the board immediately before September 1,
77-14    1999, to continue to serve and function as a member of the board
77-15    for the remainder of the member's term.  The changes in law apply
77-16    only to a member appointed on or after September 1, 1999.  The
77-17    changes in law made by this Act do not prohibit a person who is a
77-18    member of the board immediately before September 1, 1999, from
77-19    being reappointed to the board if the person has the qualifications
77-20    required for a member under Chapter 498, Acts of the 62nd
77-21    Legislature, Regular Session, 1971 (Article 4512d, Vernon's Texas
77-22    Civil Statutes), as amended by this Act.
77-23          (b)  On the expiration of the terms of the members of the
77-24    Advisory Board of Athletic Trainers scheduled to expire January 31,
77-25    2001, the governor shall appoint one athletic trainer member and
77-26    one public member to the board for terms expiring January 31, 2007,
77-27    in accordance with Section 2, Chapter 498, Acts of the 62nd
 78-1    Legislature, Regular Session, 1971 (Article 4512d, Vernon's Texas
 78-2    Civil Statutes), as amended by this Act. On the expiration of the
 78-3    terms of the members of the board  scheduled to expire January 31,
 78-4    2003, the governor shall appoint one athletic trainer member and
 78-5    one public member to the board for terms expiring January 31, 2009,
 78-6    in accordance with Section 2, Chapter 498, Acts of the 62nd
 78-7    Legislature, Regular Session, 1971 (Article 4512d, Vernon's Texas
 78-8    Civil Statutes), as amended by this Act.  If a vacancy occurs in a
 78-9    position scheduled to expire January 31, 2001, the governor shall
78-10    appoint a public member to serve the remainder of the term if an
78-11    athletic trainer member remains in the other position scheduled to
78-12    expire on that date.  If a vacancy occurs in a position scheduled
78-13    to expire January 31, 2003, the governor shall appoint a public
78-14    member to serve the remainder of the term if an athletic trainer
78-15    member remains in the other position scheduled to expire on that
78-16    date.
78-17          SECTION 11.11.  The change in law made by this Act to
78-18    Subsections (d) and (e), Section 11, Chapter 498, Acts of the 62nd
78-19    Legislature, Regular Session, 1971 (Article 4512d, Vernon's Texas
78-20    Civil Statutes), applies only to the renewal of an expired license
78-21    on or after September 1, 2000.  An expired license may be renewed
78-22    before that date in accordance with Subsections (d) and (e) of
78-23    Section 11 as they existed immediately before the effective date of
78-24    this Act, and the prior law is continued in effect for this limited
78-25    purpose.
78-26     ARTICLE 12.  STANDARD SUNSET REVIEW PROVISIONS APPLICABLE TO THE
78-27               REGULATION OF RESPIRATORY CARE PRACTITIONERS
 79-1          SECTION 12.01.  Chapter 829, Acts of the 69th Legislature,
 79-2    Regular Session, 1985 (Article 4512l, Vernon's Texas Civil
 79-3    Statutes), is amended by adding Sections 3A and 3B to read as
 79-4    follows:
 79-5          Sec. 3A.  NOTIFICATION OF EXAMINATION RESULTS.  (a)  Not
 79-6    later than the 30th day after the date a person takes a
 79-7    certification examination under this Act, the department shall
 79-8    notify the person of the results of the examination.
 79-9          (b)  If the examination is graded or reviewed by a testing
79-10    service:
79-11                (1)  the department shall notify the person of the
79-12    results of the examination not later than the 14th day after the
79-13    date the department receives the results from the testing service;
79-14    and
79-15                (2)  if notice of the examination results will be
79-16    delayed for longer than 90 days after the examination date, the
79-17    department shall notify the person of the reason for the delay
79-18    before the 90th day.
79-19          (c)  The department may require a testing service to notify a
79-20    person of the results of the person's examination.
79-21          (d)  If requested in writing by a person who fails a
79-22    certification examination administered under this Act, the
79-23    department shall furnish the person with an analysis of the
79-24    person's performance on the examination.
79-25          Sec. 3B.  RULES REGARDING ADVERTISING OR COMPETITIVE BIDDING.
79-26    (a)  The board of health may not adopt rules restricting
79-27    advertising or competitive bidding by a temporary permit or
 80-1    certificate holder except to prohibit false, misleading, or
 80-2    deceptive practices.
 80-3          (b)  In its rules to prohibit false, misleading, or deceptive
 80-4    practices, the board of health may not include a rule that:
 80-5                (1)  restricts the use of any medium for advertising;
 80-6                (2)  restricts the use of a temporary permit or
 80-7    certificate holder's personal appearance or voice in an
 80-8    advertisement;
 80-9                (3)  relates to the size or duration of an
80-10    advertisement by the temporary permit or certificate holder; or
80-11                (4)  restricts the temporary permit or certificate
80-12    holder's advertisement under a trade name.
80-13          SECTION 12.02.  Section 7, Chapter 829, Acts of the 69th
80-14    Legislature, Regular Session, 1985 (Article 4512l, Vernon's Texas
80-15    Civil Statutes), is amended to read as follows:
80-16          Sec. 7.  RENEWAL OF CERTIFICATE.  (a)  Except as otherwise
80-17    provided by this section, a certificate shall be renewed annually
80-18    or biennially as determined by the board of health.  The department
80-19    shall mail a notice of renewal not later than the 30th day before
80-20    the expiration of the certificate to each person who holds a valid
80-21    certificate at the person's last known address.  The certificate
80-22    holder shall complete the notice of renewal and shall return it to
80-23    the department with the renewal fee on or before the date of
80-24    expiration.  A person whose temporary permit or certificate has
80-25    expired may not engage in activities that require a temporary
80-26    permit or certificate until the temporary permit or certificate has
80-27    been renewed.
 81-1          (b)  On receipt of the completed notice of renewal and
 81-2    payment of the renewal fee, the department shall issue to the
 81-3    certificate holder a certificate for the current renewal period.
 81-4    The renewal is valid for the period stated on the renewal
 81-5    certificate.  The board of health shall establish uniform
 81-6    continuing education requirements for the renewal of the
 81-7    certificate of not less than six nor more than 12 continuing
 81-8    education hours per renewal period.  The board of health may adopt
 81-9    rules relating to the attainment of the continuing education
81-10    requirements in hardship situations.
81-11          (c)  A person whose certificate has been expired for 90 days
81-12    or less may renew the certificate by paying to the department a
81-13    renewal fee that is equal to 1-1/2 times the normally required
81-14    renewal fee.
81-15          (d)  A person whose certificate has been expired for more
81-16    than 90 days but less than one year may renew the certificate by
81-17    paying to the department a renewal fee that is equal to two times
81-18    the normally required renewal fee.
81-19          (e)  A person whose certificate has been expired for one year
81-20    or more may not renew the certificate.  The person may obtain a new
81-21    certificate by complying with the requirements and procedures,
81-22    including the examination requirements, for obtaining an original
81-23    certificate.
81-24          (f)  A person who was certified in this state, moved to
81-25    another state, and is currently certified and has been in practice
81-26    in the other state for the two years preceding the date of
81-27    application may obtain a new certificate without reexamination.
 82-1    The person must pay to the department a fee that is equal to two
 82-2    times the normally required renewal fee for the certificate.
 82-3          (g)  [A certificate holder who fails to renew the certificate
 82-4    on or before the expiration date may reinstate the certificate
 82-5    within the time set by the board of health on payment of the
 82-6    renewal fee and a reinstatement fee.]
 82-7          [(d)]  A respiratory care practitioner who does not engage in
 82-8    the practice of respiratory care during a subsequent renewal period
 82-9    and who notifies the department of the inactivity is not required
82-10    to pay the renewal fee as long as that practitioner remains
82-11    inactive.  If the practitioner desires to resume the practice of
82-12    respiratory care, the practitioner must notify the department and
82-13    must satisfy the requirements of the board of health in addition to
82-14    remitting the renewal fee for the current renewal period and the
82-15    reinstatement fee.
82-16          SECTION 12.03.  Chapter 829, Acts of the 69th Legislature,
82-17    Regular Session, 1985 (Article 4512l, Vernon's Texas Civil
82-18    Statutes), is amended by adding Section 7A to read as follows:
82-19          Sec. 7A.  STAGGERED RENEWAL DATES.  The board of health by
82-20    rule may adopt a system under which certificates expire on various
82-21    dates during the year.  For the year in which the certificate
82-22    expiration date is changed, the department shall prorate
82-23    certificate fees on a monthly basis so that each certificate holder
82-24    pays only that portion of the certificate fee that is allocable to
82-25    the number of months during which the certificate is valid. On
82-26    renewal of the certificate on the new expiration date, the total
82-27    certificate renewal fee is payable.
 83-1     ARTICLE 13.  STANDARD SUNSET REVIEW PROVISIONS APPLICABLE TO THE
 83-2                   REGISTRATION OF DISPENSING OPTICIANS
 83-3          SECTION 13.01.  Subsection (b), Section 5, Opticians'
 83-4    Registry Act (Article 4551-1, Vernon's Texas Civil Statutes), is
 83-5    amended to read as follows:
 83-6          (b)  The board may not adopt substantive rules relating to
 83-7    this Act other than substantive rules described by Subsection (a)
 83-8    of this section, Subsection (b) of Section 9 of this Act, and
 83-9    Section 5A of this Act.
83-10          SECTION 13.02.  The Opticians' Registry Act (Article 4551-1,
83-11    Vernon's Texas Civil Statutes) is amended by adding Section 5A to
83-12    read as follows:
83-13          Sec. 5A.  RULES REGARDING ADVERTISING OR COMPETITIVE BIDDING.
83-14    (a)  The board may not adopt rules restricting advertising or
83-15    competitive bidding  by a registrant except to prohibit false,
83-16    misleading, or deceptive practices.
83-17          (b)  In its rules to prohibit false, misleading, or deceptive
83-18    practices, the board may not include a rule that:
83-19                (1)  restricts the use of any medium for advertising;
83-20                (2)  restricts the use of a registrant's personal
83-21    appearance or voice in an advertisement;
83-22                (3)  relates to the size or duration of an
83-23    advertisement by the registrant; or
83-24                (4)  restricts the registrant's advertisement under a
83-25    trade name.
83-26          SECTION 13.03.  Section 7, Opticians' Registry Act (Article
83-27    4551-1, Vernon's Texas Civil Statutes), is amended by adding
 84-1    Subsections (c)-(f) to read as follows:
 84-2          (c)  Not later than the 30th day after the date a person
 84-3    takes a qualifying examination under this Act, the department
 84-4    shall notify the person of the results of the examination.
 84-5          (d)  If the examination is graded or reviewed by a testing
 84-6    service:
 84-7                (1)  the department shall notify the person of the
 84-8    results of the examination not later than the 14th day after the
 84-9    date the department receives the results from the testing service;
84-10    and
84-11                (2)  if notice of the examination results will be
84-12    delayed for longer than 90 days after the examination date, the
84-13    department shall notify the person of the reason for the delay
84-14    before the 90th day.
84-15          (e)  The department may require a testing service to notify a
84-16    person of the results of the person's examination.
84-17          (f)  If requested in writing by a person who fails a
84-18    qualifying examination administered under this Act, the department
84-19    shall furnish the person with an analysis of the person's
84-20    performance on the examination.
84-21          SECTION 13.04.  Section 9, Opticians' Registry Act (Article
84-22    4551-1, Vernon's Texas Civil Statutes), is amended to read as
84-23    follows:
84-24          Sec. 9.  RENEWAL OF REGISTRATION.  (a)  A certificate of
84-25    registration issued under this Act is valid for one year from the
84-26    date of issuance.  To renew the registration, the registrant must
84-27    submit an application for renewal in the manner prescribed by the
 85-1    board.
 85-2          (b)  The application must be accompanied by [a renewal fee
 85-3    and] evidence that the applicant has successfully completed the
 85-4    continuing education courses required by board rule.  The board
 85-5    shall recognize, prepare, or administer continuing education
 85-6    programs for its registrants. A registrant must participate in the
 85-7    programs to the extent required by the board to keep the person's
 85-8    certificate of registration.  The board may not require more than
 85-9    10 classroom hours of continuing education courses per year.
85-10          (c) [(b)]  The department shall adopt a system under which
85-11    registrations expire and are renewed on various dates of the year.
85-12          (d)  A person who is otherwise eligible to renew a
85-13    certificate of registration may renew an unexpired certificate by
85-14    paying the required renewal fee to the department before the
85-15    expiration date of the certificate.  A person whose certificate of
85-16    registration has expired may not make a representation for which a
85-17    certificate of registration is required under Section 4 of this Act
85-18    until the certificate has been renewed.
85-19          (e)  A person whose certificate of registration has been
85-20    expired for 90 days or less may renew the certificate by paying to
85-21    the department a renewal fee that is equal to 1-1/2 times the
85-22    normally required renewal fee.
85-23          (f)  A person whose certificate of registration has been
85-24    expired for more than 90 days but less than one year may renew the
85-25    certificate by paying to the department a renewal fee that is equal
85-26    to two times the normally required renewal fee.
85-27          (g)  A person whose certificate of registration has been
 86-1    expired for one year or more may not renew the certificate.  The
 86-2    person may obtain a new certificate of registration by complying
 86-3    with the requirements and procedures, including the examination
 86-4    requirements, for an original certificate.
 86-5          (h)  A person who was registered in this state, moved to
 86-6    another state, and is currently licensed or registered and has been
 86-7    in practice in the other state for the two years preceding the date
 86-8    of application may obtain a new certificate of registration without
 86-9    reexamination.  The person must pay to the department a fee that is
86-10    equal to two times the normally required renewal fee for the
86-11    certificate.
86-12          (i)  Not later than the 30th day before the date a person's
86-13    certificate of registration is scheduled to expire, the department
86-14    shall send written notice of the impending expiration to the person
86-15    at the person's last known address according to the records of the
86-16    department.
86-17          [(c)  A person registered under this Act who does not renew
86-18    the registration by the expiration date may renew the registration
86-19    not later than the 180th day after the expiration date by paying a
86-20    late registration fee as prescribed by the board.]
86-21          [(d)  The registration of a person who fails to meet the
86-22    renewal requirements under this section is void until the person
86-23    submits a new application, pays the appropriate fees, and meets the
86-24    current requirements for registration.]
86-25          SECTION 13.05.  Section 12, Opticians' Registry Act (Article
86-26    4551-1, Vernon's Texas Civil Statutes), is amended to read as
86-27    follows:
 87-1          Sec. 12.  DENIAL, SUSPENSION, REVOCATION, AND PROBATION.  (a)
 87-2    The department shall [may] refuse to issue a certificate of
 87-3    registration to an applicant, suspend or revoke a certificate of
 87-4    registration, or reprimand [place on probation] an individual who
 87-5    is registered under this Act if the individual:
 87-6                (1)  obtains a certificate by means of fraud,
 87-7    misrepresentation, or concealment of material facts;
 87-8                (2)  sells, barters, or offers to sell or barter a
 87-9    certificate of registration;
87-10                (3)  violates a lawful rule adopted by the board;
87-11                (4)  violates Section 4 of this Act; or
87-12                (5)  practices medicine or optometry without a license.
87-13          (b)  The board may place on probation a person whose
87-14    registration is suspended.  If the suspension is probated, the
87-15    board may require the person:
87-16                (1)  to report regularly to the department on matters
87-17    that are the basis of the probation;
87-18                (2)  to limit practice to the areas prescribed by the
87-19    board; or
87-20                (3)  to continue or review professional education until
87-21    the person attains a degree of skill satisfactory to the board in
87-22    those areas that are the basis of the probation.
87-23          (c)  A person whose application of registration is denied,
87-24    whose registration is suspended[,] or revoked, or who is
87-25    reprimanded is entitled to a hearing before the department if the
87-26    person submits a written request for a hearing to the department.
87-27    A hearing is governed by department rules for a contested hearing
 88-1    and by Chapter 2001, Government Code [the Administrative Procedure
 88-2    and Texas Register Act (Article 6252-13a, Vernon's Texas Civil
 88-3    Statutes)].
 88-4     ARTICLE 14.  STANDARD SUNSET REVIEW PROVISIONS APPLICABLE TO THE
 88-5             REGULATION OF MEDICAL RADIOLOGICAL TECHNOLOGISTS
 88-6          SECTION 14.01.  Section 2.05(d), Medical Radiologic
 88-7    Technologist Certification Act (Article 4512m, Vernon's Texas Civil
 88-8    Statutes), is amended to read as follows:
 88-9          (d)  The Texas Board of Health:
88-10                (1)  may establish guidelines;
88-11                (2)  shall prepare, recognize, or administer [, which
88-12    may include requirements for] continuing education programs for
88-13    medical radiologic technologists in which a medical radiologic
88-14    technologist must participate, to the extent required by the board,
88-15    to keep the person's certificate;[,] and
88-16                (3)  [the Texas Board of Health] may prepare and
88-17    conduct an examination for applicants for a certificate.
88-18          SECTION 14.02.  The Medical Radiologic Technologist
88-19    Certification Act (Article 4512m, Vernon's Texas Civil Statutes) is
88-20    amended by adding Section 2.055 to read as follows:
88-21          Sec. 2.055.  RULES REGARDING ADVERTISING OR COMPETITIVE
88-22    BIDDING.  (a)  The Texas Board of Health may not adopt rules
88-23    restricting advertising or competitive bidding by a medical
88-24    radiologic technologist except to prohibit false, misleading, or
88-25    deceptive practices.
88-26          (b)  In its rules to prohibit false, misleading, or deceptive
88-27    practices, the board may not include a rule that:
 89-1                (1)  restricts the use of any medium for advertising;
 89-2                (2)  restricts the use of a medical radiologic
 89-3    technologist's personal appearance or voice in an advertisement;
 89-4                (3)  relates to the size or duration of an
 89-5    advertisement by the medical radiologic technologist; or
 89-6                (4)  restricts the medical radiologic technologist's
 89-7    advertisement under a trade name.
 89-8          SECTION 14.03.  The Medical Radiologic Technologist
 89-9    Certification Act (Article 4512m, Vernon's Texas Civil Statutes) is
89-10    amended by adding Section 2.075 to read as follows:
89-11          Sec. 2.075.  PROVISIONAL CERTIFICATES.  (a)  The Texas Board
89-12    of Health may issue a provisional certificate to an applicant
89-13    currently licensed or certified in another jurisdiction who seeks
89-14    certification in this state and who:
89-15                (1)  has been licensed or certified in good standing as
89-16    a medical radiologic technologist for at least two years in another
89-17    jurisdiction, including a foreign country, that has licensing or
89-18    certification requirements substantially equivalent to the
89-19    requirements of this Act;
89-20                (2)  has  passed  a  national  or other  examination
89-21    recognized by the board relating to the practice of radiologic
89-22    technology; and
89-23                (3)  is sponsored by a medical radiologic technologist
89-24    certified by the board under this Act with whom the provisional
89-25    certificate holder will practice during the time the person holds a
89-26    provisional certificate.
89-27          (b)  The board may waive the requirement of Subsection (a)(3)
 90-1    for an applicant if the board determines that compliance with that
 90-2    subsection would be a hardship to the applicant.
 90-3          (c)  A provisional certificate is valid until the date the
 90-4    board approves or denies the provisional certificate holder's
 90-5    application for a certificate.  The board shall issue a certificate
 90-6    under this Act to the provisional certificate holder if:
 90-7                (1)  the provisional certificate holder is eligible to
 90-8    be certified  under Section 2.05(c) of this Act; or
 90-9                (2)  the provisional certificate holder passes the part
90-10    of the examination under Section 2.05(d) of this Act that relates
90-11    to the applicant's knowledge and understanding of the laws and
90-12    rules relating to the practice of radiologic technology in this
90-13    state and:
90-14                      (A)  the board verifies that the provisional
90-15    certificate holder meets the academic and experience requirements
90-16    for a certificate under this Act; and
90-17                      (B)  the provisional certificate holder satisfies
90-18    any other licensing requirements under this Act.
90-19          (d)  The board must approve or deny a provisional certificate
90-20    holder's application for a certificate not later than the 180th day
90-21    after the date the provisional certificate is issued.  The board
90-22    may extend the 180-day period if the results of an examination have
90-23    not been received by the board before the end of that period.
90-24          (e)  The board may establish a fee for provisional
90-25    certificates in an amount reasonable and necessary to cover the
90-26    cost of issuing the certificate.
90-27          SECTION 14.04.  Section 2.09, Medical Radiologic Technologist
 91-1    Certification Act (Article 4512m, Vernon's Texas Civil Statutes),
 91-2    is amended by amending Subsection (d) and adding Subsections
 91-3    (e)-(j) to read as follows:
 91-4          (d)  The Texas Board of Health may set fees for examination
 91-5    and[,] certificate issuance[, and certificate renewal].  The Texas
 91-6    Board of Health shall set the fees in amounts that are reasonable
 91-7    to cover the costs of administering this Act without the use of
 91-8    additional general revenue funds.
 91-9          (e)  A person who is otherwise eligible to renew a
91-10    certificate may renew an unexpired certificate  by paying the
91-11    required renewal fee to the department before the expiration date
91-12    of the certificate. A person whose certificate has expired may not
91-13    engage in activities that require a certificate until the
91-14    certificate has been renewed.
91-15          (f)  A person whose certificate  has been expired for 90 days
91-16    or less may renew the certificate  by paying to the department a
91-17    renewal fee that is equal to 1-1/2 times the normally required
91-18    renewal fee.
91-19          (g)  A person whose certificate has been expired for more
91-20    than 90 days but less than one year may renew the certificate by
91-21    paying to the department a renewal fee that is equal to two times
91-22    the normally required renewal fee.
91-23          (h)  A person whose certificate has been expired for one year
91-24    or more may not renew the certificate. The person may obtain a new
91-25    certificate  by complying with the requirements and procedures,
91-26    including the examination requirements, for an original
91-27    certificate.
 92-1          (i)  A person who held a certificate in this state, moved to
 92-2    another state, and currently holds a certificate or license and has
 92-3    been in practice in the other state for the two years preceding the
 92-4    date of application may obtain a new certificate without
 92-5    reexamination.  The person must pay to the department a fee that is
 92-6    equal to two times the normally required renewal fee for the
 92-7    certificate.
 92-8          (j)  Not later than the 30th day before the date a person's
 92-9    certificate is scheduled to expire, the department shall send
92-10    written notice of the impending expiration to the person at the
92-11    person's last known address according to the records of the
92-12    department.
92-13          SECTION 14.05.  The Medical Radiologic Technologist
92-14    Certification Act (Article 4512m, Vernon's Texas Civil Statutes) is
92-15    amended by adding Sections 2.091 and 2.092 to read as follows:
92-16          Sec. 2.091.  NOTIFICATION OF EXAMINATION RESULTS.  (a)  Not
92-17    later than the 30th day after the date a person takes an
92-18    examination for a certificate under this Act, the department shall
92-19    notify the person of the results of the examination.
92-20          (b)  If the examination is graded or reviewed by a testing
92-21    service:
92-22                (1)  the department shall notify the person of the
92-23    results of the examination not later than the 14th day after the
92-24    date the department receives the results from the testing service;
92-25    and
92-26                (2)  if notice of the examination results will be
92-27    delayed for longer than 90 days after the examination date, the
 93-1    department shall notify the person of the reason for the delay
 93-2    before the 90th day.
 93-3          (c)  The department may require a testing service to notify a
 93-4    person of the results of the person's examination.
 93-5          (d)  If requested in writing by a person who fails an
 93-6    examination for a certificate administered under this Act, the
 93-7    department shall furnish the person with an analysis of the
 93-8    person's performance on the examination.
 93-9          Sec. 2.092.  STAGGERED RENEWAL DATES.  The Texas Board of
93-10    Health by rule may adopt a system under which certificates expire
93-11    on various dates during the year.  For the year in which the
93-12    certificate expiration date is changed, the department shall
93-13    prorate certificate fees on a monthly basis so that each
93-14    certificate holder pays only that portion of the certificate fee
93-15    that is allocable to the number of months during which the
93-16    certificate is valid. On renewal of the certificate on the new
93-17    expiration date, the total certificate renewal fee is payable.
93-18       ARTICLE 15. ADMINISTRATIVE PENALTY AND STANDARD SUNSET REVIEW
93-19     PROVISIONS APPLICABLE TO THE BOARD OF LICENSURE FOR PROFESSIONAL
93-20                            MEDICAL PHYSICISTS
93-21          SECTION 15.01.  Section 5(d), Texas Medical Physics Practice
93-22    Act (Article 4512n, Vernon's Texas Civil Statutes), is amended to
93-23    read as follows:
93-24          (d)  Appointments to the board shall be made without regard
93-25    to the race, color, disability, creed, sex, religion, age, or
93-26    national origin of the appointee.
93-27          SECTION 15.02.  Section 7(d), Texas Medical Physics Practice
 94-1    Act (Article 4512n, Vernon's Texas Civil Statutes), is amended to
 94-2    read as follows:
 94-3          (d)  A [The] public member of the board must be a resident of
 94-4    this state for four years preceding appointment.  A person may not
 94-5    be a public member of the board if the person or the person's
 94-6    spouse:
 94-7                (1)  is registered, certified, or licensed by a
 94-8    regulatory agency in the field of medical physics;
 94-9                (2)  is employed by or participates in the management
94-10    of a business entity or other organization regulated by or
94-11    receiving money from the board;
94-12                (3)  owns or controls, directly or indirectly, more
94-13    than a 10 percent interest in a business entity or other
94-14    organization regulated by or receiving money from the board; or
94-15                (4)  uses or receives a substantial amount of tangible
94-16    goods, services, or money from the board other than compensation or
94-17    reimbursement authorized by law for board membership, attendance,
94-18    or expenses [and may not have a financial interest in any endeavor
94-19    related to the practice of medical physics].
94-20          SECTION 15.03.  The Texas Medical Physics Practice Act
94-21    (Article 4512n, Vernon's Texas Civil Statutes) is amended by adding
94-22    Sections 7A and 7B to read as follows:
94-23          Sec. 7A.  CONFLICT OF INTEREST.  (a)  In this section, "Texas
94-24    trade association" means a cooperative and voluntarily joined
94-25    association of business or professional competitors in this state
94-26    designed to assist its members and its industry or profession in
94-27    dealing with mutual business or professional problems and in
 95-1    promoting their common interest.
 95-2          (b)  A person may not be a member of the board if:
 95-3                (1)  the person is an officer, employee, or paid
 95-4    consultant of a Texas trade association in the field of medicine;
 95-5    or
 95-6                (2)  the person's spouse is an officer, manager, or
 95-7    paid consultant of a Texas trade association in the field of
 95-8    medicine.
 95-9          (c)  A person may not be a member of the board if the person
95-10    is required to register as a lobbyist under Chapter 305, Government
95-11    Code, because of the person's activities for compensation on behalf
95-12    of a profession related to the operation of the board.
95-13          Sec. 7B.  TRAINING.  (a)  A person who is appointed to and
95-14    qualifies for office as a member of the board may not vote,
95-15    deliberate, or be counted as a member in attendance at a meeting of
95-16    the board until the person completes a training program that
95-17    complies with this section.
95-18          (b)  The training program must provide the person with
95-19    information regarding:
95-20                (1)  the legislation that created the board;
95-21                (2)  the programs operated by the board;
95-22                (3)  the role and functions of the board;
95-23                (4)  the rules of the board with an emphasis on the
95-24    rules that relate to disciplinary and investigatory authority;
95-25                (5)  the current budget for the board;
95-26                (6)  the results of the most recent formal audit of the
95-27    board;
 96-1                (7)  the requirements of:
 96-2                      (A)  the open meetings law, Chapter 551,
 96-3    Government Code;
 96-4                      (B)  the public information law, Chapter 552,
 96-5    Government Code;
 96-6                      (C)  the administrative procedure law, Chapter
 96-7    2001, Government Code; and
 96-8                      (D)  other laws relating to public officials,
 96-9    including conflict-of-interest laws; and
96-10                (8)  any applicable ethics policies adopted by the
96-11    board or the Texas Ethics Commission.
96-12          (c)  A person appointed to the board is entitled to
96-13    reimbursement, as provided by the General Appropriations Act, for
96-14    the travel expenses incurred in attending the training program
96-15    regardless of whether the attendance at the program occurs before
96-16    or after the person qualifies for office.
96-17          SECTION 15.04.  Section 8, Texas Medical Physics Practice Act
96-18    (Article 4512n, Vernon's Texas Civil Statutes), is amended to read
96-19    as follows:
96-20          Sec. 8.  REMOVAL FROM OFFICE.  (a)  It is a ground for
96-21    removal from the board if a member:
96-22                (1)  does not have at the time of appointment the
96-23    qualifications required by Section 7 of this Act for appointment to
96-24    the board;
96-25                (2)  does not maintain during service on the board the
96-26    qualifications required by Section 7 of this Act for appointment to
96-27    the board;
 97-1                (3)  is ineligible for membership under Subsection (d)
 97-2    of Section 7 of this Act or Section 7A of this Act;
 97-3                (4)  cannot, because of illness or disability,
 97-4    discharge the member's duties for a substantial part of the
 97-5    member's term; or
 97-6                (5) [(3)]  fails to attend at least half of the
 97-7    regularly scheduled board meetings held in a calendar year,
 97-8    excluding meetings held while the person was not a board member,
 97-9    without an excuse approved by a majority of the board.
97-10          (b)  If a ground for removal of a member of the board exists,
97-11    the board's actions during the existence of the ground for removal
97-12    are not invalid for that reason.
97-13          (c)  If the commissioner of health has knowledge that a
97-14    potential ground for removal exists, the commissioner shall notify
97-15    the presiding officer of the board of the potential ground.  The
97-16    presiding officer shall then notify the governor and the attorney
97-17    general that a potential ground for removal exists.  If the
97-18    potential ground for removal involves the presiding officer, the
97-19    commissioner shall notify the next highest ranking officer of the
97-20    board, who shall then notify the governor and the attorney general
97-21    that a potential ground for removal exists.
97-22          SECTION 15.05.  Section 10, Texas Medical Physics Practice
97-23    Act (Article 4512n, Vernon's Texas Civil Statutes), is amended by
97-24    amending Subsection (a) and adding Subsection (c) to read as
97-25    follows:
97-26          (a)  The governor shall designate a member of the board as
97-27    the presiding officer of the board to serve in that capacity at the
 98-1    will of the governor.  At the first regularly scheduled meeting of
 98-2    each calendar year, the board shall elect from among its members [a
 98-3    presiding officer and] an assistant presiding officer.
 98-4          (c)  The board shall develop and implement policies that
 98-5    provide the public with a reasonable opportunity to appear before
 98-6    the board and to speak on any issue under the jurisdiction of the
 98-7    board.
 98-8          SECTION 15.06.  Section 11, Texas Medical Physics Practice
 98-9    Act (Article 4512n, Vernon's Texas Civil Statutes), is amended to
98-10    read as follows:
98-11          Sec. 11.  BOARD RESPONSIBILITIES.  (a)  The board shall:
98-12                (1)  adopt and revise, with the approval of the
98-13    department, rules that are reasonably necessary for the proper
98-14    performance of its duties under this Act;
98-15                (2)  determine the qualifications and fitness of
98-16    applicants for licenses, renewal of licenses, and reciprocal
98-17    licenses;
98-18                (3)  charge a fee for the processing and issuance or
98-19    renewal of a license under this Act in an amount necessary to cover
98-20    costs incurred by the board in administering this Act;
98-21                (4)  adopt and publish a code of ethics;
98-22                (5)  adopt an official seal;
98-23                (6)  conduct examinations for licensure under this Act;
98-24                (7)  issue, deny, renew, revoke, and suspend licenses
98-25    under this Act;
98-26                (8)  conduct hearings on complaints concerning
98-27    violations of this Act or rules adopted under this Act;
 99-1                (9)  prosecute or file suit to enjoin a violation of
 99-2    this Act or a rule adopted under this Act; and
 99-3                (10)  [maintain a file on each complaint filed with the
 99-4    board showing the status and final disposition of the complaint;
 99-5    and]
 99-6                [(11)]  prepare information of consumer interest
 99-7    describing the regulatory functions of the board and describing the
 99-8    procedures by which complaints are filed with and resolved by the
 99-9    board.
99-10          (b)  The board shall recognize, [may] prepare, or [and]
99-11    administer [an optional] continuing education programs [program]
99-12    for persons licensed by the board under this Act. A license holder
99-13    must participate in the programs to the extent required by the
99-14    board to keep the person's license.
99-15          (c)  The board shall develop and implement policies that
99-16    clearly separate the policymaking responsibilities of the board and
99-17    the management responsibilities of the commissioner of health, the
99-18    executive secretary, and the staff of the department.
99-19          SECTION 15.07.  The Texas Medical Physics Practice Act
99-20    (Article 4512n, Vernon's Texas Civil Statutes) is amended by adding
99-21    Sections 11A and 11B to read as follows:
99-22          Sec. 11A.  COMPLAINTS.  (a)  The board shall maintain a file
99-23    on each written complaint filed with the board.  The file must
99-24    include:
99-25                (1)  the name of the person who filed the complaint;
99-26                (2)  the date the complaint is received by the board;
99-27                (3)  the subject matter of the complaint;
 100-1               (4)  the name of each person contacted in relation to
 100-2   the complaint;
 100-3               (5)  a summary of the results of the review or
 100-4   investigation of the complaint; and
 100-5               (6)  an explanation of the reason the file was closed,
 100-6   if the board closed the file without taking action other than to
 100-7   investigate the complaint.
 100-8         (b)  The board shall provide to the person filing the
 100-9   complaint and to each person who is a subject of the complaint a
100-10   copy of the board's policies and procedures relating to complaint
100-11   investigation and resolution.
100-12         (c)  The board, at least quarterly until final disposition of
100-13   the complaint, shall notify the person filing the complaint and
100-14   each person who is a subject of the complaint of the status of the
100-15   investigation unless the notice would jeopardize an undercover
100-16   investigation.
100-17         Sec. 11B.  RULES REGARDING ADVERTISING OR COMPETITIVE
100-18   BIDDING.  (a)  The board may not adopt rules restricting
100-19   advertising or competitive bidding by a license holder except to
100-20   prohibit false, misleading, or deceptive practices.
100-21         (b)  In its rules to prohibit false, misleading, or deceptive
100-22   practices, the board may not include a rule that:
100-23               (1)  restricts the use of any medium for advertising;
100-24               (2)  restricts the use of a license holder's personal
100-25   appearance or voice in an advertisement;
100-26               (3)  relates to the size or duration of an
100-27   advertisement by the license holder; or
 101-1               (4)  restricts the license holder's advertisement under
 101-2   a trade name.
 101-3         SECTION 15.08.  Section 12, Texas Medical Physics Practice
 101-4   Act (Article 4512n, Vernon's Texas Civil Statutes), is amended by
 101-5   adding Subsection (c) to read as follows:
 101-6         (c)  The commissioner of health or the commissioner's
 101-7   designee shall provide to members of the board, as often as
 101-8   necessary, information regarding the requirements for office under
 101-9   this Act, including information regarding a person's
101-10   responsibilities under applicable laws relating to standards of
101-11   conduct for state officers.
101-12         SECTION 15.09.  Section 18, Texas Medical Physics Practice
101-13   Act (Article 4512n, Vernon's Texas Civil Statutes), is amended to
101-14   read as follows:
101-15         Sec. 18.  LICENSING BY ENDORSEMENT OR RECIPROCITY.  (a)  On
101-16   receipt of an application and fee in accordance with Section 14 of
101-17   this Act, the board may waive any prerequisite for obtaining
101-18   [issue] a license to practice medical physics in this state to a
101-19   person who:
101-20               (1)  holds a license to practice medical or
101-21   radiological physics in another state, territory, or jurisdiction
101-22   acceptable to the board that has requirements for the licensing of
101-23   medical or radiological physicists that are substantially the same
101-24   as the requirements of this Act; or
101-25               (2)  prior to September 1, 1994:
101-26                     (A)  is a resident of a state, territory, or
101-27   jurisdiction without a medical physics licensure and/or practice
 102-1   act;
 102-2                     (B)  meets all other requirements for licensure
 102-3   without examination in accordance with Section 19 of this Act; and
 102-4                     (C)  has demonstrated to the board's satisfaction
 102-5   a working knowledge of Texas rules pertaining to the license
 102-6   specialty requested.
 102-7         (b)  The board may waive any prerequisite for obtaining a
 102-8   license to practice medical physics in this state for an applicant
 102-9   who holds a license issued by another jurisdiction with which this
102-10   state has a reciprocity agreement. The board may make an agreement,
102-11   subject to the approval of the governor, with another state to
102-12   allow for licensing by reciprocity.
102-13         SECTION 15.10.  Section 21, Texas Medical Physics Practice
102-14   Act (Article 4512n, Vernon's Texas Civil Statutes), is amended to
102-15   read as follows:
102-16         Sec. 21.  DENIAL, SUSPENSION, OR REVOCATION OF LICENSE;
102-17   DISCIPLINARY ACTION.  (a)  The board shall [may] refuse to issue or
102-18   renew a license, suspend or revoke a license, or reprimand the
102-19   license holder[, or place a license holder on probation] for any of
102-20   the following:
102-21               (1)  obtaining or renewing a license by means of fraud,
102-22   misrepresentation, or concealment of material facts;
102-23               (2)  having once made application for or held a license
102-24   issued by the licensing authority of another state, territory, or
102-25   jurisdiction that was denied, suspended, or revoked by that
102-26   licensing authority;
102-27               (3)  engaging in unprofessional conduct that endangered
 103-1   or is likely to endanger the health, safety, or welfare of the
 103-2   public as defined by board rule;
 103-3               (4)  violating this Act, a lawful order or rule of the
 103-4   board, or the board's code of ethics; or
 103-5               (5)  being convicted of a felony or of a misdemeanor
 103-6   that involved moral turpitude or that directly relates to a
 103-7   person's duties and responsibilities as a licensed medical
 103-8   physicist.
 103-9         (b)  The board may place on probation a person whose license
103-10   is suspended.  If a license suspension is probated, the board may
103-11   require the person:
103-12               (1)  to report regularly to the department on matters
103-13   that are the basis of the probation;
103-14               (2)  to limit practice to the areas prescribed by the
103-15   board; or
103-16               (3)  to continue or review professional education until
103-17   the person attains a degree of skill satisfactory to the board in
103-18   those areas that are the basis of the probation.
103-19         (c)  Chapter 2001, Government Code, [The Administrative
103-20   Procedure and Texas Register Act (Article 6252-13a, Vernon's Texas
103-21   Civil Statutes)] and board rules for a contested hearing apply to
103-22   proceedings by the board under this section.
103-23         SECTION 15.11.  The Texas Medical Physics Practice Act
103-24   (Article 4512n, Vernon's Texas Civil Statutes) is amended by adding
103-25   Sections 23A and 23B to read as follows:
103-26         Sec. 23A.  IMPOSITION OF ADMINISTRATIVE PENALTY.  (a)  The
103-27   board may impose an administrative penalty on a person licensed
 104-1   under this Act who violates this Act or a rule or order adopted
 104-2   under this Act.  A penalty collected under this section or Section
 104-3   23B of this Act shall be deposited in the state treasury in the
 104-4   general revenue fund.
 104-5         (b)  A proceeding to impose the penalty is considered to be a
 104-6   contested case under Chapter 2001, Government Code.
 104-7         (c)  The amount of the penalty may not exceed $500 for each
 104-8   violation, and each day a violation continues or occurs is a
 104-9   separate violation for purposes of imposing a penalty.
104-10         (d)  The amount shall be based on:
104-11               (1)  the seriousness of the violation, including the
104-12   nature, circumstances, extent, and gravity of the violation;
104-13               (2)  the threat to health or safety caused by the
104-14   violation;
104-15               (3)  the history of previous violations;
104-16               (4)  the amount necessary to deter a future violation;
104-17               (5)  whether the violator demonstrated good faith,
104-18   including when applicable whether the violator made good faith
104-19   efforts to correct the violation; and
104-20               (6)  any other matter that justice may require.
104-21         (e)  If the executive secretary determines that a violation
104-22   occurred, the executive secretary may issue to the board a report
104-23   stating:
104-24               (1)  the facts on which the determination is based; and
104-25               (2)  the executive secretary's recommendation on the
104-26   imposition of the penalty, including a recommendation on the amount
104-27   of the penalty.
 105-1         (f)  Within 14 days after the date the report is issued, the
 105-2   executive secretary shall give written notice of the report by
 105-3   certified mail to the person.
 105-4         (g)  The notice under Subsection (f) of this section must:
 105-5               (1)  include a brief summary of the alleged violation;
 105-6               (2)  state the amount of the recommended penalty; and
 105-7               (3)  inform the person of the person's right to a
 105-8   hearing on the occurrence of the violation, the amount of the
 105-9   penalty, or both.
105-10         (h)  Within 20 days after the date the person receives the
105-11   notice under Subsection (f) of this section, the person in writing
105-12   may:
105-13               (1)  accept the determination and recommended penalty
105-14   of the executive secretary; or
105-15               (2)  make a request for a hearing on the occurrence of
105-16   the violation, the amount of the penalty, or both.
105-17         (i)  If the person accepts the determination and recommended
105-18   penalty of the executive secretary, the board by order shall
105-19   approve the determination and impose the recommended penalty.
105-20         (j)  If the person requests a hearing or fails to respond in
105-21   a timely manner to the notice, the board shall refer the matter to
105-22   the State Office of Administrative Hearings, which shall promptly
105-23   set a hearing date and give written notice of the time and place of
105-24   the hearing to the person.  An administrative law judge of the
105-25   State Office of Administrative Hearings shall conduct the hearing.
105-26         (k)  The administrative law judge shall make findings of fact
105-27   and conclusions of law and promptly issue to the board a proposal
 106-1   for a decision about the occurrence of the violation and the amount
 106-2   of a proposed penalty.
 106-3         (l)  Based on the findings of fact, conclusions of law, and
 106-4   proposal for a decision, the board by order may:
 106-5               (1)  find that a violation occurred and impose a
 106-6   penalty; or
 106-7               (2)  find that a violation did not occur.
 106-8         (m)  The notice of the board's order under Subsection (l) of
 106-9   this section that is  sent to the person in accordance with Chapter
106-10   2001, Government Code, must include a statement of the right of the
106-11   person to judicial review of the order.
106-12         Sec. 23B.  PAYMENT AND COLLECTION OF ADMINISTRATIVE PENALTY;
106-13   JUDICIAL REVIEW.  (a)  Within 30 days after the date an order of
106-14   the board under Subsection (l) of Section 23A of this Act that
106-15   imposes an administrative penalty becomes final, the person shall:
106-16               (1)  pay the penalty; or
106-17               (2)  file a petition for judicial review of the board's
106-18   order contesting the occurrence of the violation, the amount of the
106-19   penalty, or both.
106-20         (b)  Within the 30-day period prescribed by Subsection (a) of
106-21   this section, a person who files a petition for judicial review
106-22   may:
106-23               (1)  stay enforcement of the penalty by:
106-24                     (A)  paying the penalty to the court for
106-25   placement in an escrow account; or
106-26                     (B)  giving the court a supersedeas bond approved
106-27   by the court that:
 107-1                           (i)  is for the amount of the penalty; and
 107-2                           (ii)  is effective until all judicial
 107-3   review of the board's order is final; or
 107-4               (2)  request the court to stay enforcement of the
 107-5   penalty by:
 107-6                     (A)  filing with the court a sworn affidavit of
 107-7   the person stating that the person is financially unable to pay the
 107-8   penalty and is financially unable to give the supersedeas bond; and
 107-9                     (B)  sending a copy of the affidavit to the board
107-10   by certified mail.
107-11         (c)  If the board receives a copy of an affidavit under
107-12   Subsection (b)(2) of this section, the board may file with the
107-13   court, within five days after the date the copy is received, a
107-14   contest to the affidavit.  The court shall hold a hearing on the
107-15   facts alleged in the affidavit as soon as practicable and shall
107-16   stay the enforcement of the penalty on finding that the alleged
107-17   facts are true.  The person who files an affidavit has the burden
107-18   of proving that the person is financially unable to pay the penalty
107-19   or to give a supersedeas bond.
107-20         (d)  If the person does not pay the penalty and the
107-21   enforcement of the penalty is not stayed, the penalty may be
107-22   collected.  The attorney general may sue to collect the penalty.
107-23         (e)  If the court sustains the finding that a violation
107-24   occurred, the court may uphold or reduce the amount of the penalty
107-25   and order the person to pay the full or reduced amount of the
107-26   penalty.
107-27         (f)  If the court does not sustain the finding that a
 108-1   violation occurred, the court shall order that a penalty is not
 108-2   owed.
 108-3         (g)  If the person paid the penalty and if the amount of the
 108-4   penalty is reduced or the penalty is not upheld by the court, the
 108-5   court shall order, when the court's judgment becomes final, that
 108-6   the appropriate amount plus accrued interest be remitted to the
 108-7   person within 30 days after the date that the judgment of the court
 108-8   becomes final. The interest accrues at the rate charged on loans to
 108-9   depository institutions by the New York Federal Reserve Bank. The
108-10   interest shall be paid for the period beginning on the date the
108-11   penalty is paid and ending on the date the penalty is remitted.
108-12         (h)  If the person gave a supersedeas bond and the penalty is
108-13   not upheld by the court, the court shall order, when the court's
108-14   judgment becomes final, the release of the bond. If the person gave
108-15   a supersedeas bond and the amount of the penalty is reduced, the
108-16   court shall order the release of the bond after the person pays the
108-17   reduced amount.
108-18         SECTION 15.12.  The Texas Medical Physics Practice Act
108-19   (Article 4512n, Vernon's Texas Civil Statutes) is amended by adding
108-20   Section 27 to read as follows:
108-21         Sec. 27.  PROVISIONAL LICENSES.  (a)  The board may issue a
108-22   provisional license to an applicant currently licensed or certified
108-23   in another jurisdiction who seeks a license in this state and who:
108-24               (1)  has been licensed or certified in good standing as
108-25   a practitioner of medical or radiologic physics for at least two
108-26   years in another jurisdiction, including a foreign country, that
108-27   has licensing or certification requirements substantially
 109-1   equivalent to the requirements of this Act;
 109-2               (2)  has passed a national or other examination
 109-3   recognized by the board relating to the practice of medical or
 109-4   radiologic physics; and
 109-5               (3)  is sponsored by a person licensed by the board
 109-6   under this Act with whom the provisional license holder will
 109-7   practice during the time the person holds a provisional license.
 109-8         (b)  The board may waive the requirement of Subsection (a)(3)
 109-9   for an applicant if the board determines that compliance with that
109-10   subsection would be a hardship to the applicant.
109-11         (c)  A provisional license is valid until the date the board
109-12   approves or denies the provisional license holder's application for
109-13   a license.  The board shall issue a license under this Act to the
109-14   provisional license holder if:
109-15               (1)  the provisional license holder is eligible to be
109-16   certified  under Section 18 of this Act; or
109-17               (2)  the provisional license holder passes the part of
109-18   the examination under Section 16 of this Act that relates to the
109-19   applicant's knowledge and understanding of the laws and rules
109-20   relating to the practice of medical physics in this state and:
109-21                     (A)  the board verifies that the provisional
109-22   license holder meets the academic and experience requirements for a
109-23   license under this Act; and
109-24                     (B)  the provisional license holder satisfies any
109-25   other licensing requirements under this Act.
109-26         (d)  The board must approve or deny a provisional license
109-27   holder's application for a license not later than the 180th day
 110-1   after the date the provisional license is issued. The board may
 110-2   extend the 180-day period if the results of an examination have not
 110-3   been received by the board before the end of that period.
 110-4         (e)  The board may establish a fee for provisional licenses
 110-5   in an amount reasonable and necessary to cover the cost of issuing
 110-6   the license.
 110-7         SECTION 15.13.  Subsection (e), Section 7, Texas Medical
 110-8   Physics Practice Act (Article 4512n, Vernon's Texas Civil
 110-9   Statutes), is repealed.
110-10         SECTION 15.14.  The changes in law made by this Act in the
110-11   prohibitions applying to members of the Texas Board of Licensure
110-12   for Professional Medical Physicists do not affect the entitlement
110-13   of a member serving on the board immediately before September 1,
110-14   1999, to continue to serve and function as a member of the board
110-15   for the remainder of the member's term.  The changes in law apply
110-16   only to a member appointed on or after September 1, 1999.
110-17       ARTICLE 16. STANDARD SUNSET REVIEW PROVISIONS APPLICABLE TO
110-18                  THE REGULATION OF MASSAGE THERAPISTS
110-19         SECTION 16.01.  Subsection (b), Section 2, Chapter 752, Acts
110-20   of the 69th Legislature, Regular Session, 1985 (Article 4512k,
110-21   Vernon's Texas Civil Statutes), is amended to read as follows:
110-22         (b)  An individual who registers as a massage therapist under
110-23   this Act must present evidence satisfactory to the board that the
110-24   person:
110-25               (1)  has satisfactorily completed massage therapy
110-26   studies in a 300 hour, supervised course of instruction provided by
110-27   a massage therapy instructor, by a massage school registered by the
 111-1   department, by a state approved educational institution, or by any
 111-2   combination of instructors or schools, in which 125 hours are
 111-3   dedicated to the study of Swedish massage therapy techniques taught
 111-4   by a massage therapy instructor, 50 hours to the study of anatomy,
 111-5   25 hours to the study of physiology, 15 hours to the study of
 111-6   hydrotherapy, 15 hours to the study of business practices and
 111-7   professional ethics standards, 20 hours to the study of health and
 111-8   hygiene, and 50 hours to an internship program; or
 111-9               (2)  [is registered as a massage therapist in another
111-10   state or country that has and maintains standards and requirements
111-11   of practice and licensing or registration that substantially
111-12   conform to those of this state, as determined by the department; or]
111-13               [(3)]  has practiced massage therapy as a profession
111-14   for not less than five years in another state or country that does
111-15   not have or maintain standards and requirements of practice and
111-16   licensing or registration that substantially conform to those of
111-17   this state, as determined by the department.
111-18         SECTION 16.02.  Chapter 752, Acts of the  69th Legislature,
111-19   Regular Session, 1985 (Article 4512k, Vernon's Texas Civil
111-20   Statutes), is amended by adding Sections 2C and 2D to read as
111-21   follows:
111-22         Sec. 2C.  APPLICANT REGISTERED IN ANOTHER JURISDICTION.
111-23   (a)  The board may waive any prerequisite to obtaining a
111-24   certificate of registration for an applicant for registration as a
111-25   massage therapist or massage therapy instructor after reviewing the
111-26   applicant's credentials and determining that the applicant holds a
111-27   license or certificate of registration issued by another
 112-1   jurisdiction that has licensing or registration requirements
 112-2   substantially equivalent to those of this state.
 112-3         (b)  The board may waive any prerequisite to obtaining a
 112-4   certificate of registration for an applicant for registration as a
 112-5   massage therapist or massage therapy instructor who holds a license
 112-6   or certificate of registration issued by another jurisdiction with
 112-7   which this state has a reciprocity agreement.  The board may make
 112-8   an agreement, subject to the approval of the governor, with another
 112-9   state to allow for registration by reciprocity.
112-10         Sec. 2D.  PROVISIONAL REGISTRATION.  (a)  The board may issue
112-11   a provisional certificate of registration to an applicant for
112-12   registration as a massage therapist or massage therapy instructor
112-13   currently licensed or registered in another jurisdiction who seeks
112-14   a certificate of registration in this state and who:
112-15               (1)  has been licensed or registered in good standing
112-16   as a massage therapist or massage therapy instructor, as
112-17   applicable, for at least two years in another jurisdiction,
112-18   including a foreign country, that has licensing or registration
112-19   requirements substantially equivalent to the requirements of this
112-20   Act;
112-21               (2)  has passed a national or other examination
112-22   recognized by the board relating to the practice of massage
112-23   therapy; and
112-24               (3)  is sponsored by a person registered by the board
112-25   under this Act with whom the provisional registrant will practice
112-26   during the time the person holds a provisional certificate of
112-27   registration.
 113-1         (b)  The board may waive the requirement of Subsection (a)(3)
 113-2   for an applicant if the board determines that compliance with that
 113-3   subsection would be a hardship to the applicant.
 113-4         (c)  A provisional certificate of registration is valid until
 113-5   the date the board approves or denies the provisional registrant's
 113-6   application for registration.  The board shall issue a certificate
 113-7   of registration under this Act to the provisional registrant if:
 113-8               (1)  the provisional registrant is eligible to be
 113-9   certified under Section 2C of this Act; or
113-10               (2)  the provisional registrant passes the part of the
113-11   examination under Section  7 of this Act that relates to the
113-12   applicant's knowledge and understanding of the laws and rules
113-13   relating to the practice of massage therapy in this state and:
113-14                     (A)  the board verifies that the provisional
113-15   registrant meets the academic and experience requirements for
113-16   registration under this Act; and
113-17                     (B)  the provisional registrant satisfies any
113-18   other registration requirements under this Act.
113-19         (d)  The board must approve or deny a provisional
113-20   registrant's application for a certificate of registration not
113-21   later than the 180th day after the date the provisional certificate
113-22   of registration is issued. The board may extend the 180-day period
113-23   if the results of an examination have not been received by the
113-24   board before the end of that period.
113-25         (e)  The board may establish a fee for provisional
113-26   certificates of registration in an amount reasonable and necessary
113-27   to cover the cost of issuing the certificate of registration.
 114-1         SECTION 16.03.  Chapter 752, Acts of the  69th Legislature,
 114-2   Regular Session, 1985 (Article 4512k, Vernon's Texas Civil
 114-3   Statutes), is amended by adding Sections 7E, 7F, and 7G to read as
 114-4   follows:
 114-5         Sec. 7E.  NOTIFICATION OF EXAMINATION RESULTS.  (a)  Not
 114-6   later than the 30th day after the date a person takes a
 114-7   registration examination under this Act, the department shall
 114-8   notify the person of the results of the examination.
 114-9         (b)  If the examination is graded or reviewed by a  testing
114-10   service:
114-11               (1)  the department shall notify the person of the
114-12   results of the examination not later than the 14th day after the
114-13   date the department receives the results from the testing service;
114-14   and
114-15               (2)  if notice of the examination results will be
114-16   delayed for longer than 90 days after the examination date, the
114-17   department shall notify the person of the reason for the delay
114-18   before the 90th day.
114-19         (c)  The department may require a testing service to notify a
114-20   person of the results of the person's examination.
114-21         (d)  If requested in writing by a person who fails a
114-22   registration examination administered under this Act, the
114-23   department shall furnish the person with an analysis of the
114-24   person's performance on the examination.
114-25         Sec. 7F.  RULES REGARDING ADVERTISING OR COMPETITIVE BIDDING
114-26   BY REGISTRANT.  (a)  The board may not adopt rules restricting
114-27   advertising or competitive bidding by a registrant except to
 115-1   prohibit false, misleading, or deceptive practices.
 115-2         (b)  In its rules to prohibit false, misleading, or deceptive
 115-3   practices, the board may not include a rule that:
 115-4               (1)  restricts the use of any medium for advertising;
 115-5               (2)  restricts the use of a registrant's personal
 115-6   appearance or voice in an advertisement;
 115-7               (3)  relates to the size or duration of an
 115-8   advertisement by the registrant; or
 115-9               (4)  restricts the registrant's advertisement under a
115-10   trade name.
115-11         Sec. 7G.  CONTINUING EDUCATION.  The board shall recognize,
115-12   prepare, or administer continuing education programs for its
115-13   registrants.  A registrant must participate in the programs to the
115-14   extent required by the board to keep the person's certificate of
115-15   registration.
115-16         SECTION 16.04.  Sections 11 and 12, Chapter 752, Acts of the
115-17   69th Legislature, Regular Session, 1985 (Article 4512k, Vernon's
115-18   Texas Civil Statutes), are amended to read as follows:
115-19         Sec. 11.  REGISTRATION, DENIAL, PROBATION, SUSPENSION, OR
115-20   REVOCATION.  (a)  The board [department] may refuse to issue a
115-21   registration certificate to an applicant and shall[, may] suspend,
115-22   [or] revoke, or refuse to renew a registration certificate, or
115-23   shall reprimand a registrant [may place a registered person,
115-24   including a massage school, massage therapy instructor, or massage
115-25   establishment, on probation] for any of the following causes:
115-26               (1)  obtaining a certificate by means of fraud,
115-27   misrepresentation, or concealment of material facts;
 116-1               (2)  selling, bartering, or offer to sell or barter a
 116-2   registration certificate;
 116-3               (3)  violating any rule adopted by the board;
 116-4               (4)  engaging in unprofessional conduct that has
 116-5   endangered or is likely to endanger the health, welfare, or safety
 116-6   of the public as defined by the rules established by the board;
 116-7               (5)  violating a regulation adopted by a political
 116-8   subdivision under Chapter 243, Local Government Code; or
 116-9               (6)  violating any provisions of this Act.
116-10         (b)  The board may place on probation a person, including a
116-11   massage school, massage therapy instructor, or massage
116-12   establishment, whose registration certificate is suspended.  If a
116-13   registration suspension is probated, the board may require the
116-14   person:
116-15               (1)  to report regularly to the department on matters
116-16   that are the basis of the probation;
116-17               (2)  to limit practice to the areas prescribed by the
116-18   board; or
116-19               (3)  to continue or review professional education until
116-20   the person attains a degree of skill satisfactory to the board in
116-21   those areas that are the basis of the probation.
116-22         (c)  An individual who has been convicted of, entered a plea
116-23   of nolo contendere or guilty to, or received deferred adjudication
116-24   to crimes or offenses involving prostitution or sexual offenses is
116-25   ineligible for registration as a massage therapist, massage therapy
116-26   instructor, massage school, or massage establishment. The
116-27   department shall revoke the registration of a person registered as
 117-1   a massage therapist or massage therapy instructor who is convicted
 117-2   of, enters a plea of nolo contendere or guilty to, or receives
 117-3   deferred adjudication to a crime or offense involving prostitution
 117-4   or other sexual offenses, or who the department determines has
 117-5   practiced or administered massage therapy at or for a sexually
 117-6   oriented business.  The department shall revoke the registration of
 117-7   a person registered as a massage school or massage establishment if
 117-8   the department determines that the school or establishment is a
 117-9   sexually oriented business, or that a crime or offense involving
117-10   prostitution or other sexual offenses and resulting in a
117-11   conviction, or to which a plea of nolo contendere or guilty was
117-12   entered or deferred adjudication was received, has occurred on the
117-13   premises of the school or establishment.
117-14         (d) [(c)]  A person whose application for registration is
117-15   denied, who has been reprimanded, or whose registration is
117-16   suspended or revoked is entitled to a hearing before the department
117-17   if the person submits a written request to the department.
117-18   Hearings are governed by department rules for a contested hearing
117-19   and by Chapter 2001, Government Code [the Administrative Procedure
117-20   and Texas Register Act (Article 6252-13a, Vernon's Texas Civil
117-21   Statutes)].
117-22         (e) [(d)]  A person convicted of a violation of this Act is
117-23   ineligible for registration as a massage therapist, massage therapy
117-24   instructor, massage school, or massage establishment for a period
117-25   of five years.
117-26         Sec. 12.  RENEWAL OF REGISTRATION.  (a)  Registration under
117-27   this Act is subject to periodic renewal and expires unless the
 118-1   registered person submits an application for renewal accompanied by
 118-2   the renewal fee prescribed by the department or by the late fee
 118-3   prescribed by this section.
 118-4         (b)  The department shall adopt a system under which
 118-5   registrations expire and are renewed on various dates of the year.
 118-6   Initial registration fees shall be prorated so that a registered
 118-7   person pays only for that part of the renewal period for which the
 118-8   registration is issued until the expiration date of the
 118-9   registration.
118-10         (c)  A person who is otherwise eligible to renew a
118-11   registration may renew an unexpired registration by paying the
118-12   required renewal fee to the department before the expiration date
118-13   of the registration. A person whose registration has expired may
118-14   not engage in activities that require registration until the
118-15   registration has been renewed.
118-16         (d)  A person whose  registration has been expired for 90
118-17   days or less may renew the registration  by paying to the
118-18   department a renewal fee that is equal to 1-1/2 times the normally
118-19   required renewal fee.
118-20         (e)  A person whose  registration has been expired for more
118-21   than 90 days but less than one year may renew the registration by
118-22   paying to the department a renewal fee that is equal to two times
118-23   the normally required renewal fee.
118-24         (f)  A person whose  registration has been expired for one
118-25   year or more may not renew the registration. The person may
118-26   register by complying with the requirements and procedures,
118-27   including the examination requirements, for originally registering.
 119-1         (g)  A person who was registered in this state, moved to
 119-2   another state, and is currently registered or licensed and has been
 119-3   in practice in the other state for the two years preceding the date
 119-4   of application may register without reexamination.  The person must
 119-5   pay to the department a fee that is equal to two times the normally
 119-6   required renewal fee for registration.
 119-7         (h)  Not later than the 30th day before the date a person's
 119-8   registration is scheduled to expire, the department shall send
 119-9   written notice of the impending expiration to the person at the
119-10   person's last known address according to the records of the
119-11   department. [A person registered under this Act who does not renew
119-12   registration by the expiration date may renew the registration not
119-13   later than the first anniversary of the expiration date by meeting
119-14   the requirements set forth in this section and paying a late
119-15   penalty fee.]
119-16         [(d)  The registration of a person who fails to meet the
119-17   renewal requirements of this section is void.  Such a person must
119-18   submit a new application, pay the appropriate fees, and meet the
119-19   current requirements for registration.]
119-20     ARTICLE 17. STANDARD SUNSET REVIEW PROVISIONS AND CERTAIN OTHER
119-21      PROVISIONS APPLICABLE TO STATE REGULATION INVOLVING EMERGENCY
119-22                            MEDICAL SERVICES
119-23         SECTION 17.01.  Subchapter A, Chapter 773, Health and Safety
119-24   Code, is amended by adding Section 773.012 to read as follows:
119-25         Sec. 773.012.  ADVISORY COUNCIL.  (a)  The governor shall
119-26   appoint an advisory council to advise the board regarding matters
119-27   related to the responsibilities of the board, commissioner, and
 120-1   department under this chapter.
 120-2         (b)  The advisory council is composed of the following 15
 120-3   members appointed by the governor:
 120-4               (1)  a board-certified emergency physician, appointed
 120-5   from a list of names recommended by a statewide professional
 120-6   association of emergency physicians;
 120-7               (2)  a licensed physician who is an emergency medical
 120-8   services medical director, appointed from a list of names
 120-9   recommended by a statewide professional association of emergency
120-10   medical services medical directors;
120-11               (3)  a fire chief for a municipality that provides
120-12   emergency medical services, appointed from a list of names
120-13   recommended by a statewide fire chiefs association;
120-14               (4)  an officer or employee of a private provider of
120-15   emergency medical services, appointed from a list of names
120-16   recommended by a statewide association of private providers of
120-17   emergency medical services;
120-18               (5)  a volunteer who provides emergency medical
120-19   services, appointed from a list of names recommended by a statewide
120-20   association of volunteers;
120-21               (6)  an educator in the field of emergency medical
120-22   services;
120-23               (7)  a member of an emergency medical services air
120-24   medical team or unit, appointed from a list of names recommended by
120-25   a statewide emergency medical services air medical association;
120-26               (8)  a representative of a fire department that
120-27   provides emergency medical services, appointed from a list of names
 121-1   recommended by a statewide association of firefighters;
 121-2               (9)  a representative of hospitals, appointed from a
 121-3   list of names recommended by a statewide association of hospitals;
 121-4               (10)  a representative of a county provider of
 121-5   emergency medical services; and
 121-6               (11)  five representatives of the general public who
 121-7   are not qualified to serve under another subdivision of this
 121-8   subsection.
 121-9         (c)  A person may not be a public member of the advisory
121-10   council  if the person or the person's spouse:
121-11               (1)  is registered, certified, or licensed by a
121-12   regulatory agency in the field of emergency medical services;
121-13               (2)  is employed by or participates in the management
121-14   of a business entity or other organization regulated by or
121-15   receiving money from the department;
121-16               (3)  owns or controls, directly or indirectly, more
121-17   than a 10 percent interest in a business entity or other
121-18   organization regulated by or receiving money from the department;
121-19   or
121-20               (4)  uses or receives a substantial amount of tangible
121-21   goods, services, or money from the department other than
121-22   reimbursement authorized by law for advisory council  membership,
121-23   attendance, or expenses.
121-24         (d)  In this subsection, "Texas trade association" means a
121-25   cooperative and voluntarily joined association of business or
121-26   professional competitors in this state designed to assist its
121-27   members and its industry or profession in dealing with mutual
 122-1   business or professional problems and in promoting their common
 122-2   interest.  A person may not be a member of the advisory council if:
 122-3               (1)  the person is an officer, employee, or paid
 122-4   consultant of a Texas trade association in the field of  emergency
 122-5   medical services; or
 122-6               (2)  the person's spouse is an officer, manager, or
 122-7   paid consultant of a Texas trade association in the field of
 122-8   emergency medical services.
 122-9         (e)  A person may not be a member of the advisory council if
122-10   the person is required to register as a lobbyist under Chapter 305,
122-11   Government Code, because of the person's activities for
122-12   compensation on behalf of a profession related to the operation of
122-13   the department.
122-14         (f)  Members of the advisory council serve staggered six-year
122-15   terms with the terms of five members expiring January 1 of each
122-16   even-numbered year. A vacancy on the advisory council is filled in
122-17   the same manner as the original appointment for the unexpired term.
122-18         (g)  The governor shall appoint the presiding officer of the
122-19   advisory council.
122-20         (h)  A member of the advisory council serves without
122-21   compensation. Chapter 2110, Government Code, does not apply to the
122-22   size, composition, or duration of the advisory council.
122-23         (i)  The advisory council shall meet at least quarterly in
122-24   the city of Austin. The advisory council shall meet as provided by
122-25   procedural rules adopted by the advisory council or at the call of
122-26   the presiding officer. The advisory council may appoint committees
122-27   it considers necessary to perform its duties.
 123-1         (j)  The advisory council periodically shall review board
 123-2   rules relating to this chapter and may recommend changes in those
 123-3   rules to the board.  The board and the commissioner shall ensure
 123-4   that the advisory council is given adequate time and opportunity to
 123-5   review and comment on each rule proposed for adoption by the board
 123-6   under this chapter, including the amendment or repeal of an
 123-7   existing rule, but not including an emergency rule.
 123-8         SECTION 17.02.  Section 773.050, Health and Safety Code, is
 123-9   amended by amending Subsection (b) and adding Subsection (f) to
123-10   read as follows:
123-11         (b)  The board by rule shall establish minimum standards for:
123-12               (1)  staffing an advanced life-support emergency
123-13   medical services vehicle, a mobile intensive-care unit, or a
123-14   specialized emergency medical services vehicle;
123-15               (2)  emergency medical services personnel certification
123-16   and performance, including provisional certification,
123-17   certification, decertification, recertification, suspension,
123-18   emergency suspension, and probation;
123-19               (3)  the approval of courses and training programs, the
123-20   certification of program instructors, examiners, and course
123-21   coordinators for emergency medical services personnel training, and
123-22   the revocation and probation of an approval or certification;
123-23               (4)  [continuing education programs and] examinations
123-24   of emergency medical services personnel;
123-25               (5)  medical supervision of basic and advanced
123-26   life-support systems;
123-27               (6)  granting, suspending, and revoking a license for
 124-1   emergency medical services providers; and
 124-2               (7)  emergency medical services vehicles.
 124-3         (f)  The board shall recognize, prepare, or administer
 124-4   continuing education programs for certified personnel. A
 124-5   certificate holder must participate in the programs to the extent
 124-6   required by the board to remain certified.
 124-7         SECTION 17.03.  Subchapter C, Chapter 773, Health and Safety
 124-8   Code, is amended by adding Section 773.0505 to read as follows:
 124-9         Sec. 773.0505.  RULES REGARDING ADVERTISING OR COMPETITIVE
124-10   BIDDING.  (a)  The board may not adopt rules restricting
124-11   advertising or competitive bidding by a license or certificate
124-12   holder except to prohibit false, misleading, or deceptive
124-13   practices.
124-14         (b)  In its rules to prohibit false, misleading, or deceptive
124-15   practices, the board may not include a rule that:
124-16               (1)  restricts the use of any medium for advertising;
124-17               (2)  restricts the use of a license or certificate
124-18   holder's personal appearance or voice in an advertisement;
124-19               (3)  relates to the size or duration of an
124-20   advertisement by the license or certificate holder; or
124-21               (4)  restricts the license or certificate holder's
124-22   advertisement under a trade name.
124-23         SECTION 17.04.  Section 773.055, Health and Safety Code, is
124-24   amended by adding Subsections (g) and (h) to read as follows:
124-25         (g)  The board by rule may adopt a system under which
124-26   certificates expire on various dates during the year.  For the year
124-27   in which the certificate expiration date is changed, the department
 125-1   shall prorate certificate fees on a monthly basis so that each
 125-2   certificate holder pays only that portion of the certificate fee
 125-3   that is allocable to the number of months during which the
 125-4   certificate is valid. On renewal of the certificate on the new
 125-5   expiration date, the total certificate renewal fee is payable.
 125-6         (h)  The department shall ensure that the written
 125-7   examinations and any other tests that the department requires a
 125-8   person to take and pass to obtain or retain certification as
 125-9   emergency medical services personnel shall be administered during
125-10   the course of a year at various locations around the state so that
125-11   a person who resides in any part of the state will be able to take
125-12   the examinations or tests without having to travel a distance that
125-13   as a practical matter requires either travel by air or an overnight
125-14   stay.
125-15         SECTION 17.05.  Section 773.059, Health and Safety Code, is
125-16   amended to read as follows:
125-17         Sec. 773.059.  LATE RECERTIFICATION.  (a)  A person who is
125-18   otherwise eligible to renew a  certificate may renew an unexpired
125-19   certificate by paying the required renewal fee to the department
125-20   before the expiration date of the certificate. A person whose
125-21   certificate has expired may not engage in activities that require
125-22   certification until the certificate has been renewed.
125-23         (b)  A person whose  certificate has been expired for 90 days
125-24   or less may renew the certificate  by paying to the department a
125-25   renewal fee that is equal to 1-1/2 times the normally required
125-26   renewal fee.
125-27         (c)  A person whose  certificate has been expired for more
 126-1   than 90 days but less than one year may renew the certificate by
 126-2   paying to the department a renewal fee that is equal to two times
 126-3   the normally required renewal fee.
 126-4         (d)  A person whose certificate has been expired for one year
 126-5   or more may not renew the certificate.  The person may become
 126-6   certified by complying with the requirements and procedures,
 126-7   including the examination requirements, for an original
 126-8   certification.
 126-9         (e)  A person who was certified in this state, moved to
126-10   another state, and is currently certified or licensed and has been
126-11   in practice in the other state for the two years preceding the date
126-12   of application may become certified without reexamination.  The
126-13   person must pay to the department a fee that is equal to two times
126-14   the normally required renewal fee for certification.
126-15         (f)  Not later than the 30th day before the date a person's
126-16   certificate is scheduled to expire, the department shall send
126-17   written notice of the impending expiration to the person at the
126-18   person's last known address according to the records of the
126-19   department. [Except as provided by Subsection (b), a person
126-20   applying for recertification whose application is received after
126-21   the expiration date of the person's certificate must pay a late fee
126-22   of $25.]
126-23         (g) [(b)]  A person certified by the department who is
126-24   deployed in support of military, security, or other action by the
126-25   United Nations Security Council, a national emergency declared by
126-26   the president of the United States, or a declaration of war by the
126-27   United States Congress is eligible for recertification under
 127-1   Section 773.050 on the person's demobilization for one calendar
 127-2   year after the date of demobilization.
 127-3         SECTION 17.06.  Section 773.061, Health and Safety Code, is
 127-4   amended to read as follows:
 127-5         Sec. 773.061.  DISCIPLINARY ACTIONS.  (a)  For a violation of
 127-6   this chapter or a rule adopted under this chapter, the board shall
 127-7   revoke, suspend, or refuse to renew a license or certificate of or
 127-8   shall reprimand [department may]:
 127-9               (1)  [decertify, suspend, place on emergency
127-10   suspension, or place on probation] emergency medical services
127-11   personnel;
127-12               (2)  [revoke or place on probation course or training
127-13   program approval;]
127-14               [(3)  revoke, suspend, or place on probation the
127-15   certificate of] a program instructor, examiner, or course
127-16   coordinator; and
127-17               (3) [(4)  revoke, suspend, or place on probation] an
127-18   emergency medical services provider license holder.
127-19         (b)  For a violation of this chapter or a rule adopted under
127-20   this chapter, the board shall revoke, suspend, or refuse to renew
127-21   approval of a course or training program.
127-22         (c)  For a violation of this chapter or a rule adopted under
127-23   this chapter, the board may place on emergency suspension emergency
127-24   medical services personnel.
127-25         (d)  The board may place on probation a course or training
127-26   program or a person, including emergency medical services
127-27   personnel, an emergency medical services provider license holder,
 128-1   or a program instructor, examiner, or course coordinator, whose
 128-2   certificate, license, or approval is suspended.  If a suspension is
 128-3   probated, the board may require the person or the sponsor of a
 128-4   course or training program, as applicable:
 128-5               (1)  to report regularly to the department on matters
 128-6   that are the basis of the probation;
 128-7               (2)  to limit practice to the areas prescribed by the
 128-8   board; or
 128-9               (3)  to continue or review professional education until
128-10   the person attains a degree of skill satisfactory to the board in
128-11   those areas that are the basis of the probation.
128-12         (e)  Except as provided by Section 773.062, the procedures by
128-13   which the department takes action under this section and the
128-14   procedures by which that action is appealed are governed by the
128-15   procedures for a contested case hearing under Chapter 2001,
128-16   Government Code.
128-17         SECTION 17.07.  The Texas Board of Health shall abolish any
128-18   advisory body created by rule to perform the functions assigned to
128-19   the advisory council created by Section 773.012, Health and Safety
128-20   Code, as added by this Act.
128-21     ARTICLE 18. STANDARD SUNSET REVIEW PROVISIONS APPLICABLE TO THE
128-22            REGULATION OF CERTAIN ASBESTOS-RELATED ACTIVITIES
128-23         SECTION 18.01.  The Texas Asbestos Health Protection Act
128-24   (Article 4477-3a, Vernon's Texas Civil Statutes) is amended by
128-25   adding Section 5A to read as follows:
128-26         Sec. 5A.  PROVISIONAL LICENSE OR REGISTRATION.  (a)  The
128-27   department may provisionally license or register an applicant
 129-1   currently licensed or registered in another jurisdiction who seeks
 129-2   a license or registration in this state and who:
 129-3               (1)  has been licensed or registered in good standing
 129-4   to perform the relevant asbestos-related activity for at least two
 129-5   years in another jurisdiction, including a foreign country, that
 129-6   has licensing or registration requirements substantially equivalent
 129-7   to the requirements of this Act;
 129-8               (2)  has passed a national or other examination
 129-9   recognized by the department relating to the relevant
129-10   asbestos-related activity, if the department requires an
129-11   examination under Subsection (h) of Section 10 of this Act to
129-12   obtain the license or registration required to perform that
129-13   activity; and
129-14               (3)  is sponsored by a person licensed by the
129-15   department under this Act with whom the provisional license or
129-16   registration holder will practice during the time the person holds
129-17   a provisional license or registration.
129-18         (b)  The department may waive the requirement of Subsection
129-19   (a)(3) for an applicant if the department determines that
129-20   compliance with that subsection would be a hardship to the
129-21   applicant.
129-22         (c)  A provisional license or registration is valid until the
129-23   date the department approves or denies the provisional license or
129-24   registration holder's application for licensing or registration.
129-25   The department shall issue a license or registration under this Act
129-26   to the provisional license or registration holder if:
129-27               (1)  the provisional license or registration holder is
 130-1   eligible to be licensed or registered under Subsection (j) of
 130-2   Section 12 of this Act; or
 130-3               (2)  the provisional license or registration holder
 130-4   passes the part of the examination under Subsection (h) of Section
 130-5   10 of this Act that relates to the applicant's knowledge and
 130-6   understanding of the laws and rules relating to the performance of
 130-7   the relevant asbestos-related activity in this state, if the
 130-8   department requires an examination under Subsection (h) of Section
 130-9   10 of this Act to obtain the license or registration required to
130-10   perform that activity, and:
130-11                     (A)  the department verifies that the provisional
130-12   license or registration holder meets the relevant academic and
130-13   experience requirements for the requested license or registration
130-14   under this Act; and
130-15                     (B)  the provisional license or registration
130-16   holder  satisfies any other applicable licensing or registration
130-17   requirements under this Act.
130-18         (d)  The department must approve or deny a provisional
130-19   license or registration holder's application for a license or
130-20   registration not later than the 180th day after the date the
130-21   provisional license or registration is issued. The department may
130-22   extend the 180-day period if the results of an examination have not
130-23   been received by the department before the end of that period.
130-24         (e)  The department may establish a fee for a provisional
130-25   license or registration in an amount reasonable and necessary to
130-26   cover the cost of issuing the license or registration.
130-27         SECTION 18.02.  Section 6, Texas Asbestos Health Protection
 131-1   Act (Article 4477-3a, Vernon's Texas Civil Statutes), is amended by
 131-2   amending Subsections (a) and (f) and adding Subsections (g)-(k) to
 131-3   read as follows:
 131-4         (a)  A license issued under this Act expires on the first
 131-5   anniversary of its effective date, unless the license is renewed
 131-6   for a one-year term as provided by this section.  The department by
 131-7   rule may adopt a system under which licenses expire on various
 131-8   dates during the year.  For the year in which the license
 131-9   expiration date is changed, the department shall prorate license
131-10   fees on a monthly basis so that each license holder pays only that
131-11   portion of the license fee that is allocable to the number of
131-12   months during which the license is valid. On renewal of the license
131-13   on the new expiration date, the total license renewal fee is
131-14   payable.
131-15         (f)  A licensee may request a replacement license certificate
131-16   on completion of an appropriate application.  [The fee for
131-17   reissuance shall not exceed $50.]
131-18         (g)  A person whose license has expired may not engage in
131-19   activities that require a license until the license has been
131-20   renewed.
131-21         (h)  A person whose license has been expired for 90 days or
131-22   less may renew the license by paying to the department a renewal
131-23   fee that is equal to 1-1/2 times the normally required renewal fee.
131-24         (i)  A person whose license has been expired for more than 90
131-25   days but less than one year may renew the license by paying to the
131-26   department a renewal fee that is equal to two times the normally
131-27   required renewal fee.
 132-1         (j)  A person whose license has been expired for one year or
 132-2   more may not renew the license.  The person may obtain a new
 132-3   license by complying with the requirements and procedures,
 132-4   including the examination requirements, for obtaining an original
 132-5   license.
 132-6         (k)  A person who was licensed in this state, moved to
 132-7   another state, and is currently licensed and has been in practice
 132-8   in the other state for the two years preceding the date of
 132-9   application may obtain a new license without reexamination.  The
132-10   person must pay to the department a fee that is equal to two times
132-11   the normally required renewal fee for the license.
132-12         SECTION 18.03.  Section 8, Texas Asbestos Health Protection
132-13   Act (Article 4477-3a, Vernon's Texas Civil Statutes), is amended by
132-14   amending Subsection (a) and adding Subsection (g) to read as
132-15   follows:
132-16         (a)  After notice to the licensee and an opportunity for a
132-17   hearing, the department shall [may] reprimand the licensee or
132-18   modify, suspend, suspend on an emergency basis, or revoke a license
132-19   under this Act if an act or omission of the licensee meets the
132-20   criteria prescribed by the board under Subsection (c) of this
132-21   section.
132-22         (g)  The department may place on probation a person whose
132-23   license is suspended.  If a suspension is probated, the department
132-24   may require the person:
132-25               (1)  to report regularly to the department on matters
132-26   that are the basis of the probation;
132-27               (2)  to limit practice to the areas prescribed by the
 133-1   board; or
 133-2               (3)  to continue or review professional education until
 133-3   the person attains a degree of skill satisfactory to the board in
 133-4   those areas that are the basis of the probation.
 133-5         SECTION 18.04.  Section 9, Texas Asbestos Health Protection
 133-6   Act (Article 4477-3a, Vernon's Texas Civil Statutes), is amended by
 133-7   amending Subsections (b) and (h) and adding Subsection (j) to read
 133-8   as follows:
 133-9         (b)  An application for registration or renewal as an
133-10   asbestos worker must be made on a form provided by the department.
133-11   An application for registration [or reregistration] must be
133-12   accompanied by a nonrefundable fee set by the board in an amount
133-13   not to exceed $50.
133-14         (h)  After notice to the registrant and an opportunity for a
133-15   hearing in accordance with Section 11 of this Act, the department
133-16   shall [may] reprimand any registered worker or suspend, suspend on
133-17   an emergency basis, [or] revoke, or refuse to renew any
133-18   registration if the worker:
133-19               (1)  has fraudulently or deceptively assigned,
133-20   obtained, or attempted to assign or obtain a registration or
133-21   renewal; or
133-22               (2)  fails to comply with federal, state, or local
133-23   asbestos law or rule or with any order issued by the board or
133-24   department.
133-25         (j)  The department may place on probation a person whose
133-26   registration is suspended.  If a suspension is probated, the
133-27   department may require the person:
 134-1               (1)  to report regularly to the department on matters
 134-2   that are the basis of the probation;
 134-3               (2)  to limit practice to the areas prescribed by the
 134-4   board; or
 134-5               (3)  to continue or review professional education until
 134-6   the person attains a degree of skill satisfactory to the board in
 134-7   those areas that are the basis of the probation.
 134-8         SECTION 18.05.  The Texas Asbestos Health Protection Act
 134-9   (Article 4477-3a, Vernon's Texas Civil Statutes) is amended by
134-10   adding Section 10A to read as follows:
134-11         Sec. 10A.  NOTIFICATION OF EXAMINATION RESULTS.  (a)  Not
134-12   later than the 30th day after the date a person takes a licensing
134-13   or registration examination under this Act, the department shall
134-14   notify the person of the results of the examination.
134-15         (b)  If the examination is graded or reviewed by a  testing
134-16   service:
134-17               (1)  the department shall notify the person of the
134-18   results of the examination not later than the 14th day after the
134-19   date the department receives the results from the testing service;
134-20   and
134-21               (2)  if notice of the examination results will be
134-22   delayed for longer than 90 days after the examination date, the
134-23   department shall notify the person of the reason for the delay
134-24   before the 90th day.
134-25         (c)  The department may require a testing service to notify a
134-26   person of the results of the person's examination.
134-27         (d)  If requested in writing by a person who fails a
 135-1   licensing or registration examination administered under this Act,
 135-2   the department shall furnish the person with an analysis of the
 135-3   person's performance on the examination.
 135-4         SECTION 18.06.  The Texas Asbestos Health Protection Act
 135-5   (Article 4477-3a, Vernon's Texas Civil Statutes) is amended by
 135-6   adding Section 12A to read as follows:
 135-7         Sec. 12A.  RULES REGARDING ADVERTISING OR COMPETITIVE
 135-8   BIDDING.  (a)  The board may not adopt rules restricting
 135-9   advertising or competitive bidding by a license or registration
135-10   holder except to prohibit false, misleading, or deceptive
135-11   practices.
135-12         (b)  In its rules to prohibit false, misleading, or deceptive
135-13   practices, the board may not include a rule that:
135-14               (1)  restricts the use of any medium for advertising;
135-15               (2)  restricts the use of a license or registration
135-16   holder's personal appearance or voice in an advertisement;
135-17               (3)  relates to the size or duration of an
135-18   advertisement by the license or registration holder; or
135-19               (4)  restricts the license or registration holder's
135-20   advertisement under a trade name.
135-21     ARTICLE 19. STANDARD SUNSET REVIEW PROVISIONS APPLICABLE TO THE
135-22            REGULATION OF CERTAIN LEAD-BASED PAINT ACTIVITIES
135-23         SECTION 19.01.  Chapter 332, Acts of the 74th Legislature,
135-24   Regular Session, 1995 (Article 9029, Vernon's Texas Civil
135-25   Statutes), is amended by adding Sections 3A and 3B to read as
135-26   follows:
135-27         Sec. 3A.  NOTIFICATION OF EXAMINATION RESULTS.  (a)  Not
 136-1   later than the 30th day after the date a person takes any
 136-2   certification or accreditation examination under this Act, the
 136-3   department shall notify the person of the results of the
 136-4   examination.
 136-5         (b)  If an examination is graded or reviewed by a testing
 136-6   service:
 136-7               (1)  the department shall notify the person of the
 136-8   results of the examination not later than the 14th day after the
 136-9   date the department receives the results from the testing service;
136-10   and
136-11               (2)  if notice of the examination results will be
136-12   delayed for longer than 90 days after the examination date, the
136-13   department shall notify the person of the reason for the delay
136-14   before the 90th day.
136-15         (c)  The department may require a testing service to notify a
136-16   person of the results of the person's examination.
136-17         (d)  If requested in writing by a person who fails a
136-18   certification or accreditation examination administered under this
136-19   Act, the department shall furnish the person with an analysis of
136-20   the person's performance on the examination.
136-21         Sec. 3B.  RULES REGARDING ADVERTISING OR COMPETITIVE BIDDING.
136-22   (a)  The Texas Board of Health may not adopt rules restricting
136-23   advertising or competitive bidding by a certified or accredited
136-24   person except to prohibit false, misleading, or deceptive
136-25   practices.
136-26         (b)  In its rules to prohibit false, misleading, or deceptive
136-27   practices, the board may not include a rule that:
 137-1               (1)  restricts the use of any medium for advertising;
 137-2               (2)  restricts the use of a certified or accredited
 137-3   person's personal appearance or voice in an advertisement;
 137-4               (3)  relates to the size or duration of an
 137-5   advertisement by the certified or accredited person; or
 137-6               (4)  restricts the certified or accredited person's
 137-7   advertisement under a trade name.
 137-8         SECTION 19.02.  Chapter 332, Acts of the 74th Legislature,
 137-9   Regular Session, 1995 (Article 9029, Vernon's Texas Civil
137-10   Statutes), is amended by adding Sections 6A, 6B, and 6C to read as
137-11   follows:
137-12         Sec. 6A.  EXPIRATION DATES OF CERTIFICATION OR ACCREDITATION.
137-13   The Texas Board of Health by rule may adopt a system under which
137-14   certifications or accreditations expire on various dates during the
137-15   year.  For the year in which the expiration date is changed, the
137-16   department shall prorate certification or accreditation fees on a
137-17   monthly basis so that each certified or accredited person pays only
137-18   that portion of the certification or accreditation fee that is
137-19   allocable to the number of months during which the certification or
137-20   accreditation is valid. On renewal of the certification or
137-21   accreditation on the new expiration date, the total certification
137-22   or accreditation renewal fee is payable.
137-23         Sec. 6B.  RENEWAL OF CERTIFICATION OR ACCREDITATION.  (a)  A
137-24   person who is otherwise eligible to renew a  certification or
137-25   accreditation may renew an unexpired certification or accreditation
137-26   by paying the required renewal fee to the department before the
137-27   expiration date of the certification or accreditation. A person
 138-1   whose certification or accreditation has expired may not engage in
 138-2   activities that require certification or accreditation until the
 138-3   certification or accreditation has been renewed.
 138-4         (b)  A person whose  certification or accreditation has been
 138-5   expired for 90 days or less may renew the certification or
 138-6   accreditation  by paying to the department a renewal fee that is
 138-7   equal to 1-1/2 times the normally required renewal fee.
 138-8         (c)  A person whose  certification or accreditation has been
 138-9   expired for more than 90 days but less than one year may renew the
138-10   certification or accreditation by paying to the department a
138-11   renewal fee that is equal to two times the normally required
138-12   renewal fee.
138-13         (d)  A person whose  certification or accreditation has been
138-14   expired for one year or more may not renew the certification or
138-15   accreditation. The person may become recertified or reaccredited by
138-16   complying with the requirements and procedures, including any
138-17   examination requirements, for an original certification or
138-18   accreditation.
138-19         (e)  A person who was certified or accredited in this state,
138-20   moved to another state, and is currently certified or accredited
138-21   and has been in practice in the other state for the two years
138-22   preceding the date of application may become recertified or
138-23   reaccredited without reexamination.  The person must pay to the
138-24   department a fee that is equal to two times the normally required
138-25   renewal fee for certification or accreditation.
138-26         (f)  Not later than the 30th day before the date a person's
138-27   certification or accreditation is scheduled to expire, the
 139-1   department shall send written notice of the impending expiration to
 139-2   the person at the person's last known address according to the
 139-3   records of the department.
 139-4         Sec. 6C.  DISCIPLINARY ACTIONS.  (a)  The department shall
 139-5   revoke, suspend, or refuse to renew a certification or
 139-6   accreditation or shall reprimand a certified or accredited person
 139-7   for a violation of this Act or a rule of the board.
 139-8         (b)  The board may place on probation a person whose
 139-9   certification or accreditation is suspended. If a suspension is
139-10   probated, the board may require the person:
139-11               (1)  to report regularly to the department on matters
139-12   that are the basis of the probation;
139-13               (2)  to limit practice to the areas prescribed by the
139-14   board; or
139-15               (3)  to continue or review professional education until
139-16   the person attains a degree of skill satisfactory to the board in
139-17   those areas that are the basis of the probation.
139-18                 ARTICLE 20.  EFFECTIVE DATE; EMERGENCY
139-19         SECTION 20.01.  This Act takes effect September 1, 1999.
139-20         SECTION 20.02.  The importance of this legislation and the
139-21   crowded condition of the calendars in both houses create an
139-22   emergency and an imperative public necessity that the
139-23   constitutional rule requiring bills to be read on three several
139-24   days in each house be suspended, and this rule is hereby suspended.