1-1     By:  Cain                                              S.B. No. 310
 1-2           (In the Senate - Filed January 29, 1999; February 1, 1999,
 1-3     read first time and referred to Committee on Health Services;
 1-4     March 4, 1999, reported favorably by the following vote:  Yeas 5,
 1-5     Nays 0; March 4, 1999, sent to printer.)
 1-6                            A BILL TO BE ENTITLED
 1-7                                   AN ACT
 1-8     relating to the regulation of occupational therapists; providing
 1-9     for administrative penalties.
1-10           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-11           SECTION 1.  Subsections (a) and (b), Section 3, Occupational
1-12     Therapy Practice Act (Article 8851, Vernon's Texas Civil Statutes),
1-13     are amended to read as follows:
1-14           (a)  The [A] Texas Board of Occupational Therapy Examiners
1-15     shall consist of nine [six] members appointed by the governor with
1-16     the advice and consent of the senate for staggered terms of six
1-17     years.  Appointments to the board shall be made without regard to
1-18     the race, creed, sex, religion, or national origin of the
1-19     appointees.  Members of the board are appointed for staggered terms
1-20     of six years, with three [two] members' terms expiring on February
1-21     1 of each odd-numbered year.
1-22           (b)  Four [Three] members of the board must be occupational
1-23     therapists, be residents of this state, and have practiced
1-24     occupational therapy for at least three years immediately preceding
1-25     appointment.  Two members [One member] of the board must be [an]
1-26     occupational therapy assistants [assistant], be residents [a
1-27     resident] of this state, and have practiced as an occupational
1-28     therapy assistant for at least three years immediately preceding
1-29     appointment.  All six [four] of these members of the board must be
1-30     licensed under this Act, and the terms of two of the six end on
1-31     February 1 of each odd-numbered year.  Three [Two] members of the
1-32     board must be public members who are not occupational therapists,
1-33     and the term of one public member ends on February 1 of each
1-34     odd-numbered year.
1-35           SECTION 2.  Subsection (b), Section 3A, Occupational Therapy
1-36     Practice Act (Article 8851, Vernon's Texas Civil Statutes), is
1-37     amended to read as follows:
1-38           (b)  A member of the board is entitled to a per diem as set
1-39     by the General Appropriations Act for each day that the member
1-40     engages in the business of the board.  A member may also [not]
1-41     receive [any] reimbursement for [travel expenses, including
1-42     expenses for] meals, [and] lodging, and [other than] transportation
1-43     expenses as provided by the General Appropriations Act.
1-44           SECTION 3.  Section 5C, Occupational Therapy Practice Act
1-45     (Article 8851, Vernon's Texas Civil Statutes), is amended by adding
1-46     Subsections (d) and (e) to read as follows:
1-47           (d)  The board may request or compel by subpoena:
1-48                 (1)  the attendance of a witness for examination under
1-49     oath; and
1-50                 (2)  the production of records, documents, and other
1-51     evidence relevant to the investigation of an alleged violation of
1-52     this Act for inspection and copying.
1-53           (e)  If a person fails to comply with a subpoena issued under
1-54     this section, the board, acting through the attorney general, may
1-55     bring an action to enforce the subpoena in a district court in
1-56     Travis County or in a county in which a hearing conducted by the
1-57     board may be held.  If the court determines that good cause exists
1-58     for the subpoena, the court shall order compliance.  The court may
1-59     punish for contempt a person who does not obey the order.
1-60           SECTION 4.  Subsection (a), Section 18, Occupational Therapy
1-61     Practice Act (Article 8851, Vernon's Texas Civil Statutes), is
1-62     amended to read as follows:
1-63           (a)  On application, the board shall grant a provisional
1-64     license for the practice of occupational therapy.  An applicant for
 2-1     a provisional license under this section must:
 2-2                 (1)  be licensed in good standing as an occupational
 2-3     therapist or occupational therapy assistant in another state, the
 2-4     District of Columbia, or a territory of the United States that has
 2-5     licensing requirements that are substantially equivalent to the
 2-6     requirements of this Act; and
 2-7                 (2)  have passed a national or other examination
 2-8     recognized by the board relating to the practice of occupational
 2-9     therapy[; and]
2-10                 [(3)  be sponsored by a person licensed by the board
2-11     under this Act with whom the provisional licensee may practice
2-12     under this section].
2-13           SECTION 5.  Section 29, Occupational Therapy Practice Act
2-14     (Article 8851, Vernon's Texas Civil Statutes), is amended by
2-15     amending the section heading to read as follows:
2-16           Sec. 29.  CRIMINAL PENALTY; CIVIL PENALTY; INJUNCTION
2-17     [PENALTIES].
2-18           SECTION 6.  The Occupational Therapy Practice Act (Article
2-19     8851, Vernon's Texas Civil Statutes) is amended by adding Section
2-20     29A to read as follows:
2-21           Sec. 29A.  ADMINISTRATIVE PENALTY.  (a)  The board may impose
2-22     an administrative penalty against a person licensed or registered
2-23     under this Act who violates this Act or a rule or order adopted
2-24     under this Act.
2-25           (b)  The penalty may not exceed $200, and each day a
2-26     violation continues or occurs is a separate violation for the
2-27     purpose of imposing a penalty.  The amount of the penalty shall be
2-28     based on:
2-29                 (1)  the seriousness of the violation, including the
2-30     nature, circumstances, extent, and gravity of any prohibited acts,
2-31     and the hazard or potential hazard created to the health, safety,
2-32     or economic welfare of the public;
2-33                 (2)  the history of previous violations;
2-34                 (3)  the amount necessary to deter a future violation;
2-35                 (4)  efforts to correct the violation; and
2-36                 (5)  any other matter that justice requires.
2-37           (c)  The person may stay enforcement during the time the
2-38     order is under judicial review if the person pays the penalty to
2-39     the court clerk or files a supersedeas bond with the court in the
2-40     amount of the penalty.  A person who cannot afford to pay the
2-41     penalty or file the bond may stay enforcement by filing an
2-42     affidavit like that required by the Texas Rules of Civil Procedure
2-43     for a party who cannot afford to file security for costs, except
2-44     that the board may contest the affidavit as provided by those
2-45     rules.
2-46           (d)  A proceeding to impose an administrative  penalty is
2-47     subject to Chapter 2001, Government Code.
2-48           SECTION 7.  The Occupational Therapy Practice Act (Article
2-49     8851, Vernon's Texas Civil Statutes) is amended by adding Section
2-50     30A, to read as follows:
2-51           Sec. 30A.  EMERGENCY SUSPENSION.  (a)  The board may
2-52     temporarily suspend a license issued under this Act on an emergency
2-53     basis if the board determines that the continued practice by the
2-54     license holder constitutes a continuing or imminent threat to the
2-55     public health or welfare.
2-56           (b)  A temporary suspension under this section requires a
2-57     two-thirds vote by the board.
2-58           (c)  A license temporarily suspended under this section may
2-59     be suspended without notice or hearing if, at the time the
2-60     suspension is ordered, a hearing on whether to institute a
2-61     disciplinary proceeding against the license holder is scheduled to
2-62     be held not later than the 14th day after the date of the temporary
2-63     suspension.  A second hearing on the suspended license must be held
2-64     not later than the 60th day after the date the temporary suspension
2-65     was ordered.  If the second hearing is not held within the required
2-66     time, the suspended license is automatically reinstated.
2-67           (d)  The board shall adopt rules that establish procedures
2-68     and standards for the temporary suspension of a license under this
2-69     section.
 3-1           SECTION 8.  In appointing three new members to the Texas
 3-2     Board of Occupational Therapy Examiners as required by Section 3,
 3-3     Occupational Therapy Practice Act (Article 8851, Vernon's Texas
 3-4     Civil Statutes), as amended by this Act, the governor shall
 3-5     appoint:
 3-6                 (1)  one person who is an occupational therapist for a
 3-7     term expiring on February 1, 2001;
 3-8                 (2)  one person who is a public member for a term
 3-9     expiring on February 1, 2003; and
3-10                 (3)  one person who is an occupational therapy
3-11     assistant for a term expiring on February 1, 2005.
3-12           SECTION 9.  (a)  This Act takes effect September 1, 1999.
3-13           (b)  Subsection (b), Section 3A, Occupational Therapy
3-14     Practice Act (Article 8851, Vernon's Texas Civil Statutes), as
3-15     amended by this Act, does not apply to a meal or lodging expense
3-16     incurred before the effective date of this Act.  That expense is
3-17     governed by the law in effect at the time the expense was incurred,
3-18     and the former law is continued in effect for that purpose.
3-19           SECTION 10.  The importance of this legislation and the
3-20     crowded condition of the calendars in both houses create an
3-21     emergency and an imperative public necessity that the
3-22     constitutional rule requiring bills to be read on three several
3-23     days in each house be suspended, and this rule is hereby suspended.
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