By:  Madla                                             S.B. No. 643
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the practice of acupuncture.
 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-4           SECTION 1.  Subdivisions (2) and (4), Section 205.001,
 1-5     Occupations Code, are amended to read as follows:
 1-6                 (2)  "Acupuncture" means:
 1-7                       (A)  the nonsurgical, nonincisive insertion of an
 1-8     acupuncture needle and the application of moxibustion to specific
 1-9     areas of the human body as a primary mode of therapy to treat and
1-10     mitigate a human condition, including evaluation and assessment of
1-11     the condition; and
1-12                       (B)  the administration of thermal or electrical
1-13     treatments or the recommendation of dietary guidelines, energy flow
1-14     exercise, or dietary or herbal supplements in conjunction with the
1-15     treatment described by Paragraph (A).
1-16                 (4)  "Acupuncturist" means a person who:
1-17                       (A)  practices acupuncture; and
1-18                       (B)  directly or indirectly charges a fee for the
1-19     performance of acupuncture services.
1-20           SECTION 2.  Section 205.302, Occupations Code, is amended to
1-21     read as follows:
1-22           Sec. 205.302.  AUTHORIZED PRACTICE WITHOUT REFERRAL.
1-23     (a)  After notice and public hearing, the medical board shall
1-24     determine by rule whether an acupuncturist may treat a patient for
1-25     alcoholism or chronic pain without a referral from a physician,
 2-1     dentist, or chiropractor.  The medical board shall make the
 2-2     determination based on clinical evidence and what the medical board
 2-3     determines to be in the best interest of affected patients.
 2-4           (b)  Notwithstanding Section 205.301, a license holder may,
 2-5     without a referral from a physician, dentist, or chiropractor,
 2-6     perform acupuncture on a person for:
 2-7                 (1)  smoking addiction;
 2-8                 (2)  weight loss; or
 2-9                 (3)  substance abuse, to the extent permitted by
2-10     medical board rule adopted with advice from the acupuncture board.
2-11           SECTION 3.  Subsection (b), Section 413.005, Labor Code, is
2-12     amended to read as follows:
2-13           (b)  The medical advisory committee is composed of members
2-14     appointed by the commission as follows:
2-15                 (1)  a representative of a public health care facility;
2-16                 (2)  a representative of a private health care
2-17     facility;
2-18                 (3)  a doctor of medicine;
2-19                 (4)  a doctor of osteopathic medicine;
2-20                 (5)  a chiropractor;
2-21                 (6)  a dentist;
2-22                 (7)  a physical therapist;
2-23                 (8)  a pharmacist;
2-24                 (9)  a podiatrist;
2-25                 (10)  an acupuncturist;
2-26                 (11)  an occupational therapist;
 3-1                 (12) [(11)]  a medical equipment supplier;
 3-2                 (13) [(12)]  a registered nurse;
 3-3                 (14) [(13)]  a representative of employers;
 3-4                 (15) [(14)]  a representative of employees;
 3-5                 (16) [(15)]  a representative of an insurance carrier;
 3-6     and
 3-7                 (17) [(16)]  two representatives of the general public.
 3-8           SECTION 4.  Subsection (t), Section 2, Texas Health
 3-9     Maintenance Organization Act (Article 20A.02, Vernon's Texas
3-10     Insurance Code), is amended to read as follows:
3-11           (t)  "Provider" means:
3-12                 (1)  any person other than a physician, including a
3-13     licensed doctor of chiropractic, registered nurse, pharmacist,
3-14     optometrist, registered optician, acupuncturist, pharmacy,
3-15     hospital, or other institution or organization or person that is
3-16     licensed or otherwise authorized to provide a health care service
3-17     in this state;
3-18                 (2)  a person who is wholly owned or controlled by a
3-19     provider or by a group of providers who are licensed to provide the
3-20     same health care service; or
3-21                 (3)  a person who is wholly owned or controlled by one
3-22     or more hospitals and physicians, including a physician-hospital
3-23     organization.
3-24           SECTION 5.  (a)  This Act takes effect September 1, 2001.
3-25           (b)  The Texas State Board of Medical Examiners shall adopt
3-26     rules as required by this Act not later than December 1, 2001.
 4-1                          COMMITTEE AMENDMENT NO. 1
 4-2           Amend S.B. 643 on page 3, line 26 by striking "[1]" and
 4-3     substituting "15."
 4-4                                                                    Gray