82R9323 JAM-F
 
  By: Zedler H.B. No. 2455
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the licensing and regulation of the practice of
  integrative medicine; providing penalties.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle C, Title 3, Occupations Code, is
  amended by adding Chapter 207 to read as follows:
  CHAPTER 207. INTEGRATIVE MEDICINE
  SUBCHAPTER A. GENERAL PROVISIONS
         Sec. 207.001.  SHORT TITLE. This chapter may be cited as the
  Licensed Integrative Medicine Practitioner Act.
         Sec. 207.002.  DEFINITIONS. In this chapter:
               (1)  "Board" means the Texas Board of Integrative
  Medicine.
               (2)  "Integrative medicine" means a medical system of
  diagnosing, treating, or correcting real or imagined human
  diseases, injuries, ailments, infirmities and deformities of a
  physical or mental origin and includes acupuncture, chelation
  therapy, homeopathy, minor surgery, and nonsurgical methods, the
  use of devices, physical, electrical, hygienic, and sanitary
  measures, and all forms of physical agents and modalities,
  neuromuscular integration, nutrition, orthomolecular therapy, and
  pharmaceutical medicine.
         Sec. 207.003.  APPLICABILITY; EXEMPTIONS.  This chapter does
  not apply to a physician licensed to practice medicine in this state
  unless the physician is a licensed integrative medicine
  practitioner.
         Sec. 207.004.  APPLICATION OF SUNSET ACT. The Texas Board of
  Integrative Medicine is subject to Chapter 325, Government Code
  (Texas Sunset Act).  Unless continued in existence as provided by
  that chapter, the board is abolished and this chapter expires
  September 1, 2023.
  [Sections 207.005-207.050 reserved for expansion]
  SUBCHAPTER B. TEXAS BOARD OF INTEGRATIVE MEDICINE
         Sec. 207.051.  BOARD; MEMBERSHIP. The Texas Board of
  Integrative Medicine consists of nine members appointed by the
  governor with the advice and consent of the senate as follows:
               (1)  six members who are physicians and who practice
  integrative medicine; and
               (2)  three members who represent the public and are not
  licensed or trained in a health care profession.
         Sec. 207.052.  PUBLIC MEMBER ELIGIBILITY. A person is not
  eligible for appointment as a public member of the board if the
  person or the person's spouse:
               (1)  is registered, certified, or licensed by an
  occupational regulatory agency in the field of health care;
               (2)  is employed by or participates in the management
  of a business entity or other organization regulated by the board or
  receiving funds from the board;
               (3)  owns or controls, directly or indirectly, more
  than a 10 percent interest in a business entity or other
  organization regulated by the board or receiving funds from the
  board; or
               (4)  uses or receives a substantial amount of tangible
  goods, services, or money from the board, other than compensation
  or reimbursement authorized by law for board membership,
  attendance, or expenses.
         Sec. 207.053.  MEMBERSHIP AND EMPLOYEE RESTRICTIONS. (a)
  In this section, "Texas trade association" means a cooperative and
  voluntarily joined association of business or professional
  competitors in this state designed to assist its members and its
  industry or profession in dealing with mutual business or
  professional problems and in promoting their common interest.
         (b)  A person may not be a member of the board employed in a
  "bona fide executive, administrative, or professional capacity,"
  as that phrase is used for purposes of establishing an exemption to
  the overtime provisions of the federal Fair Labor Standards Act of
  1938 (29 U.S.C. Section 201 et seq.) if:
               (1)  the person is an officer, employee, manager, or
  paid consultant of a Texas trade association in the field of health
  care; or
               (2)  the person's spouse is an officer, board member,
  employee, or paid consultant of a Texas trade association in the
  field of health care.
         (c)  A person may not be a member of the board if the person
  is required to register as a lobbyist under Chapter 305, Government
  Code, because of the person's activities for compensation on behalf
  of a profession related to the operation of the board.
         Sec. 207.054.  MEMBERSHIP REQUIREMENTS. Each member of the
  board must be a citizen of the United States and a resident of this
  state. Each physician member of the board must be licensed to
  practice medicine in this state.
         Sec. 207.055.  TERMS; VACANCIES. (a) Members of the board
  serve staggered six-year terms.  The terms of three members expire
  on January 31 of each odd-numbered year.
         (b)  If a vacancy occurs during a member's term, the governor
  shall appoint a new member to serve the unexpired term.
         Sec. 207.056.  OFFICERS; MEETINGS. (a) The board shall hold
  an open annual meeting and elect a presiding officer and secretary
  from among its members.
         (b)  The board may hold additional meetings as necessary
  provided that notice of each meeting is given to each member not
  less than 10 days before the date of the meeting.
         Sec. 207.057.  APPLICABILITY OF OTHER LAW.  (a)  Chapter
  2110, Government Code, does not apply to the board.
         (b)  Except as otherwise provided by this chapter, the board
  is subject to Chapters 551 and 2001, Government Code.
         Sec. 207.058.  GROUNDS FOR REMOVAL. (a) It is a ground for
  removal from the board that a member:
               (1)  does not have at the time of taking office the
  qualifications required by Sections 207.051, 207.052, and 207.054;
               (2)  does not maintain during service on the board the
  qualifications required by Sections 207.051, 207.052, and 207.054;
               (3)  is ineligible for membership under Section
  207.053;
               (4)  cannot, because of illness or disability,
  discharge the member's duties for a substantial part of the member's
  term; or
               (5)  is absent from more than half of the regularly
  scheduled board meetings that the member is eligible to attend
  during a calendar year without an excuse approved by a majority vote
  of the board.
         (b)  The validity of an action of the board is not affected by
  the fact that it is taken when a ground for removal of a board member
  exists.
         (c)  If the executive director of the board has knowledge
  that a potential ground for removal of a board member exists, the
  executive director shall notify the presiding officer of the board
  of the potential ground. The presiding officer shall then notify
  the governor and the attorney general that a potential ground for
  removal exists. If the potential ground for removal involves the
  presiding officer, the executive director shall notify the next
  highest officer of the board, who shall notify the governor and the
  attorney general that a potential ground for removal exists.
         Sec. 207.059.  TRAINING. (a) A person who is appointed to
  and qualifies for office as a member of the board may not vote,
  deliberate, or be counted as a member in attendance at a meeting of
  the board until the person completes a training program that
  complies with this section.
         (b)  The training program must provide the person with
  information regarding:
               (1)  this chapter;
               (2)  the requirements of laws relating to open
  meetings, public information, administrative procedure, and
  conflict of interest; and
               (3)  any applicable ethics policies adopted by the
  board or the Texas Ethics Commission.
         (c)  A person appointed to the board is entitled to
  reimbursement, as provided by the General Appropriations Act, for
  travel expenses incurred in attending the training program
  regardless of whether the attendance at the program occurs before
  or after the person qualifies for office.
         Sec. 207.060.  COMPENSATION; REIMBURSEMENT. A board member
  may not receive compensation for service on the board but is
  entitled to receive reimbursement under the General Appropriations
  Act for transportation and related expenses incurred while
  conducting board business.
  [Sections 207.061-207.100 reserved for expansion]
  SUBCHAPTER C. EXECUTIVE DIRECTOR AND PERSONNEL
         Sec. 207.101.  EXECUTIVE DIRECTOR; DUTIES REGARDING MONEY.
  (a) The board may employ an executive director to conduct the
  affairs of the board under the board's direction. The executive
  director shall receive a salary in an amount determined by the
  board.
         (b)  The executive director shall receive and account for any
  money derived, including any fee collected, under this chapter.
         Sec. 207.102.  PERSONNEL. (a) The board shall employ
  clerical or other assistants as necessary to perform the board's
  work.
         (b)  A salary paid under this section may not exceed the
  salary paid for similar work in other departments.
         Sec. 207.103.  CAREER LADDER PROGRAM; PERFORMANCE
  EVALUATIONS. (a) The executive director or the executive
  director's designee shall develop an intra-agency career ladder
  program. The program must require intra-agency posting of each
  nonentry level position with the board at least 10 days before the
  date of any public posting.
         (b)  The executive director or the executive director's
  designee shall develop a system of annual performance evaluations
  of the board's employees based on measurable job tasks. All merit
  pay authorized by the executive director must be based on the system
  established under this subsection.
         Sec. 207.104.  DIVISION OF RESPONSIBILITIES. The board
  shall develop and implement policies that clearly separate the
  policy-making responsibilities of the board and the management
  responsibilities of the executive director and the staff of the
  board.
         Sec. 207.105.  QUALIFICATIONS AND STANDARDS OF CONDUCT
  INFORMATION. The executive director or the executive director's
  designee shall provide to members of the board and to board
  employees, as often as necessary, information regarding the
  requirements for office or employment under this chapter, including
  information regarding a person's responsibilities under applicable
  laws relating to standards of conduct for state officers or
  employees.
         Sec. 207.106.  EQUAL EMPLOYMENT OPPORTUNITY POLICY; REPORT.
  (a) The executive director or the executive director's designee
  shall prepare and maintain a written policy statement that
  implements a program of equal employment opportunity to ensure that
  all personnel decisions are made without regard to race, color,
  disability, sex, religion, age, or national origin.
         (b)  The policy statement must include:
               (1)  personnel policies, including policies relating
  to recruitment, evaluation, selection, training, and promotion of
  personnel, that show the intent of the board to avoid the unlawful
  employment practices described by Chapter 21, Labor Code; and
               (2)  an analysis of the extent to which the composition
  of the board's personnel is in accordance with state and federal law
  and a description of reasonable methods to achieve compliance with
  state and federal law.
         (c)  The policy statement must:
               (1)  be updated annually;
               (2)  be reviewed by the civil rights division of the
  Texas Workforce Commission for compliance with Subsection (b)(1);
  and
               (3)  be filed with the governor.
  [Sections 207.107-207.150 reserved for expansion]
  SUBCHAPTER D. POWERS AND DUTIES OF BOARD
         Sec. 207.151.  GENERAL POWERS AND DUTIES OF BOARD. The board
  shall:
               (1)  establish qualifications for integrative medicine
  practitioners in this state;
               (2)  establish the examination requirements for
  issuance of a licensed integrative medicine practitioner license;
               (3)  establish minimum education and training
  requirements necessary for issuance of a licensed integrative
  medicine practitioner license;
               (4)  prescribe the application form for issuance of a
  licensed integrative medicine practitioner license;
               (5)  develop an approved program of mandatory
  continuing education for licensed integrative medicine
  practitioners and the manner in which attendance at all approved
  courses, clinics, forums, lectures, programs, or seminars is
  monitored and recorded;
               (6)  adopt rules that are reasonable and necessary for
  the performance of the board's duties under this chapter, as
  provided by Chapter 2001, Government Code, including rules to
  establish:
                     (A)  licensing and other fees;
                     (B)  license renewal dates; and
                     (C)  procedures for disciplinary actions;
               (7)  review and approve or reject each application for
  the issuance or renewal of a license;
               (8)  issue each license;
               (9)  deny, suspend, or revoke a license or otherwise
  discipline a license holder; and
               (10)  take any action necessary to carry out the
  functions and duties of the board under this chapter.
         Sec. 207.152.  RULES RESTRICTING ADVERTISING OR COMPETITIVE
  BIDDING. (a) The board by rule shall prescribe standards for
  compliance with Subchapter A, Chapter 2254, Government Code.
         (b)  Except as provided by Subsection (a), the board may not
  adopt rules restricting advertising or competitive bidding by a
  license holder except to prohibit false, misleading, or deceptive
  practices.
         (c)  In its rules to prohibit false, misleading, or deceptive
  practices, the board may not include a rule that:
               (1)  restricts the use of any medium for advertising;
               (2)  restricts the use of a license holder's personal
  appearance or voice in an advertisement;
               (3)  relates to the size or duration of an
  advertisement by the license holder; or
               (4)  restricts the license holder's advertisement under
  a trade name.
         Sec. 207.153.  STANDARDS OF CONDUCT AND ETHICS. The board
  may establish standards of conduct and ethics for license holders
  in keeping with the purposes and intent of this chapter and to
  ensure strict compliance with and enforcement of this chapter.
         Sec. 207.154.  CONTINUING EDUCATION PROGRAMS. The board
  shall recognize, prepare, or administer continuing education
  programs for its license holders. A license holder must
  participate in the programs to the extent required by the board to
  keep the person's license.
         Sec. 207.155.  RECORDS. (a) The board shall maintain a
  record of its proceedings.
         (b)  The board's records shall be available to the public at
  all times.
         (c)  The board's records are prima facie evidence of the
  proceedings of the board set forth in the records. A transcript of
  the records certified by the secretary of the board under seal is
  admissible in evidence with the same effect as if it were the
  original.
         Sec. 207.156.  CONFIDENTIALITY OF CERTAIN INFORMATION
  RELATED TO LICENSE APPLICATION. (a) A statement made by a person
  providing a reference for an applicant and other pertinent
  information compiled by or submitted to the board relating to an
  applicant for a license under this chapter is privileged and
  confidential.
         (b)  Information described by Subsection (a) may be used only
  by the board or its employees or agents who are directly involved in
  the application or licensing process. The information is not
  subject to discovery, subpoena, or other disclosure.
         Sec. 207.157.  SUBPOENA. (a) The board may request and, if
  necessary, compel by subpoena:
               (1)  the attendance of a witness for examination under
  oath; and
               (2)  the production for inspection or copying of
  records, documents, and other evidence relevant to the
  investigation of an alleged violation of this chapter.
         (b)  The board, acting through the attorney general, may
  bring an action to enforce a subpoena issued under Subsection (a)
  against a person who fails to comply with the subpoena.
         (c)  Venue for an action brought under Subsection (b) is in a
  district court in:
               (1)  Travis County; or
               (2)  the county in which the board may hold a hearing.
         (d)  The court shall order compliance with the subpoena if
  the court finds that good cause exists to issue the subpoena.
         Sec. 207.158.  TECHNOLOGY POLICY. The board shall develop
  and implement a policy requiring the executive director and board
  employees to research and propose appropriate technological
  solutions to improve the board's ability to perform its functions.
  The technological solutions must:
               (1)  ensure that the public is able to find information
  about the board on the Internet;
               (2)  ensure that persons who want to use the board's
  services are able to:
                     (A)  interact with the board through the Internet;
  and
                     (B)  access any service that can be provided
  effectively through the Internet; and
               (3)  be cost-effective and developed through the
  board's planning processes.
         Sec. 207.159.  NEGOTIATED RULEMAKING AND ALTERNATIVE
  DISPUTE RESOLUTION POLICY. (a) The board shall develop and
  implement a policy to encourage the use of:
               (1)  negotiated rulemaking procedures under Chapter
  2008, Government Code, for the adoption of board rules; and
               (2)  appropriate alternative dispute resolution
  procedures under Chapter 2009, Government Code, to assist in the
  resolution of internal and external disputes under the board's
  jurisdiction.
         (b)  The board's procedures relating to alternative dispute
  resolution must conform, to the extent possible, to any model
  guidelines issued by the State Office of Administrative Hearings
  for the use of alternative dispute resolution by state agencies.
         (c)  The board shall designate a trained person to:
               (1)  coordinate the implementation of the policy
  adopted under Subsection (a);
               (2)  serve as a resource for any training needed to
  implement the procedures for negotiated rulemaking or alternative
  dispute resolution; and
               (3)  collect data concerning the effectiveness of those
  procedures, as implemented by the board.
  [Sections 207.160-207.200 reserved for expansion]
  SUBCHAPTER E. PUBLIC INTEREST INFORMATION AND COMPLAINT PROCEDURES
         Sec. 207.201.  PUBLIC INTEREST INFORMATION. (a) The board
  shall prepare information of public interest describing the
  functions of the board and the procedures by which complaints are
  filed with and resolved by the board.
         (b)  The board shall make the information available to the
  public and appropriate state agencies.
         Sec. 207.202.  PUBLIC PARTICIPATION. (a) The board shall
  develop and implement policies that provide the public with a
  reasonable opportunity to appear before the board and to speak on
  any issue under the board's jurisdiction.
         (b)  The board shall prepare and maintain a written plan that
  describes how a person who does not speak English may be provided
  reasonable access to the board's programs.
         Sec. 207.203.  COMPLAINTS. (a) The board by rule shall
  establish methods by which consumers and service recipients are
  notified of the name, mailing address, and telephone number of the
  board for the purpose of directing complaints to the board. The
  board may provide for that notice:
               (1)  on each registration form, application, or written
  contract for services of a person regulated by the board; or
               (2)  on a sign prominently displayed in the place of
  business of each person regulated by the board.
         (b)  The board shall list with its regular telephone number
  any toll-free telephone number established under other state law
  that may be called to present a complaint about a health
  professional.
         Sec. 207.204.  RECORDS OF COMPLAINTS. (a) The board shall
  keep an information file about each complaint filed with the board.
  The board's information file must be kept current and contain a
  record for each complaint of:
               (1)  each person contacted in relation to the
  complaint;
               (2)  a summary of findings made at each step of the
  complaint process;
               (3)  an explanation of the legal basis and reason for a
  complaint that is dismissed;
               (4)  the schedule required under Section 207.205 and a
  notification of any change in the schedule; and
               (5)  other relevant information.
         (b)  Except as provided by Subsection (c), if a written
  complaint is filed with the board that the board has authority to
  resolve, the board, at least quarterly and until final disposition
  of the complaint, shall notify the parties to the complaint of the
  status of the complaint unless the notice would jeopardize an
  undercover investigation.
         (c)  If a written complaint that the board has authority to
  resolve is referred to the enforcement committee, the board at
  least semiannually and until final disposition of the complaint,
  shall notify the parties to the complaint of the status of the
  complaint unless the notice would jeopardize an undercover
  investigation.
         Sec. 207.205.  GENERAL RULES REGARDING COMPLAINT
  INVESTIGATION AND DISPOSITION. (a) The board shall adopt rules
  concerning the investigation of a complaint filed with the
  board.  The rules adopted under this section must:
               (1)  distinguish between categories of complaints;
               (2)  require the board to prioritize complaints for
  purposes of determining the order in which they are investigated,
  taking into account the seriousness of the allegations made in a
  complaint and the length of time a complaint has been pending;
               (3)  ensure that a complaint is not dismissed without
  appropriate consideration;
               (4)  require that the board be advised of a complaint
  that is dismissed and that a letter be sent to the person who filed
  the complaint explaining the action taken on the complaint;
               (5)  ensure that the person who filed the complaint has
  the opportunity to explain the allegations made in the complaint;
  and
               (6)  prescribe guidelines concerning the categories of
  complaints that require the use of a private investigator and the
  procedures for the board to obtain the services of a private
  investigator.
         (b)  The board shall:
               (1)  dispose of a complaint in a timely manner; and
               (2)  establish a schedule for conducting each phase of
  the complaint process that is under the control of the board not
  later than the 30th day after the date the board receives the
  complaint.
         (c)  The board shall notify the parties to the complaint of
  the projected time requirements for pursuing the complaint.
         (d)  The board shall notify the parties to the complaint of
  any change in the schedule not later than the seventh day after the
  date the change is made.
         (e)  The executive director shall notify the board of a
  complaint that is unresolved after the time prescribed by the board
  for resolving the complaint so that the board may take necessary
  action on the complaint.
         Sec. 207.206.  CONFIDENTIALITY OF INVESTIGATION FILES. (a)
  The board's investigation files are confidential, privileged, and
  not subject to discovery, subpoena, or any other means of legal
  compulsion for release other than to the board or an employee or
  agent of the board.
         (b)  The board shall share information in investigation
  files, on request, with another state or federal regulatory agency
  or with a local, state, or federal law enforcement agency
  regardless of whether the investigation has been completed. The
  board is not required to disclose under this subsection information
  that is an attorney-client communication, an attorney work product,
  or other information protected by a privilege recognized by the
  Texas Rules of Civil Procedure or the Texas Rules of Evidence.
         (c)  On the completion of the investigation and before a
  hearing under Section 207.302, the board shall provide to the
  license holder, subject to any other privilege or restriction set
  forth by rule, statute, or legal precedent, access to all
  information in the board's possession that the board intends to
  offer into evidence in presenting its case in chief at the contested
  case hearing on the complaint. The board is not required to
  provide:
               (1)  a board investigative report or memorandum;
               (2)  the identity of a nontestifying complainant; or
               (3)  attorney-client communications, attorney work
  product, or other materials covered by a privilege recognized by
  the Texas Rules of Civil Procedure or the Texas Rules of Evidence.
         (d)  Notwithstanding Subsection (a), the board may:
               (1)  disclose a complaint to the affected license
  holder; and
               (2)  provide to a complainant the license holder's
  response to the complaint, if providing the response is considered
  by the board to be necessary to investigate the complaint.
         (e)  This section does not prohibit the board or another
  party in a disciplinary action from offering into evidence in a
  contested case under Chapter 2001, Government Code, a record,
  document, or other information obtained or created during an
  investigation.
         Sec. 207.207.  INSPECTIONS. (a) The board, during
  reasonable business hours, may:
               (1)  conduct an on-site inspection of an integrative
  medicine office or facility to investigate a complaint filed with
  the board; and
               (2)  examine and copy records of the integrative
  medicine office or facility pertinent to the inspection or
  investigation.
         (b)  The board is not required to provide notice before
  conducting an inspection under this section.
  [Sections 207.208-207.250 reserved for expansion]
  SUBCHAPTER F. LICENSE REQUIREMENTS; RENEWALS
         Sec. 207.251.  LICENSE REQUIRED. A person may not engage in
  the practice of integrative medicine in this state unless the
  person holds a license issued under this chapter.
         Sec. 207.252.  ISSUANCE OF LICENSE. The board shall issue a
  license to an applicant who:
               (1)  meets the eligibility requirements of Section
  207.253;
               (2)  submits an application on a form prescribed by the
  board;
               (3)  pays the required application fee; and
               (4)  submits to the board any other information the
  board considers necessary to evaluate the applicant's
  qualifications.
         Sec. 207.253.  ELIGIBILITY REQUIREMENTS. To be eligible for
  a license under this chapter, an applicant must:
               (1)  successfully complete an educational program
  approved by the board;
               (2)  pass an examination approved by the board;
               (3)  be of good moral character; and
               (4)  meet any other requirement established by board
  rule.
         Sec. 207.254.  LICENSE RENEWAL. (a)  On notification from
  the board, a person who holds a license under this chapter may renew
  the license by:
               (1)  paying the required renewal fee;
               (2)  submitting the appropriate form; and
               (3)  meeting any other requirement established by board
  rule.
         (b)  The board by rule may adopt a system under which
  licenses expire on various dates during the year.
         (c)  A person who is otherwise eligible to renew a license
  may renew an unexpired license by paying the required renewal fee to
  the board before the expiration date of the license. A person whose
  license has expired may not engage in activities that require a
  license until the license has been renewed.
         (d)  A person whose license has been expired for 90 days or
  less may renew the license by paying to the board a fee that is equal
  to 1-1/2 times the renewal fee for the license.
         (e)  A person whose license has been expired for more than 90
  days but less than one year may renew the license by paying to the
  board a fee equal to two times the renewal fee for the license.
         Sec. 207.255.  INACTIVE STATUS. (a) A person licensed under
  this chapter may place the person's license on inactive status by
  applying to the board. A person whose license is on inactive status
  is not required to pay renewal fees for the license.
         (b)  The holder of a license on inactive status may not
  engage in the practice of integrative medicine. A violation of this
  subsection is considered to be practicing without a license.
         (c)  A person whose license is on inactive status under this
  section may return the person's license to active status by:
               (1)  applying to the board;
               (2)  paying the fee established by the board for
  returning a license to active status;  and
               (3)  satisfying any other requirements established by
  the board.
         (d)  The board by rule shall establish a limit on the length
  of time a license holder's license may remain on inactive status.
  [Sections 207.256-207.300 reserved for expansion]
  SUBCHAPTER G.  LICENSE DENIAL OR DISCIPLINARY PROCEDURES
         Sec. 207.301.  GROUNDS FOR LICENSE DENIAL OR DISCIPLINARY
  ACTION.  The board may refuse to issue a license to a person and
  shall suspend, revoke, or refuse to renew the license of a person or
  shall reprimand a person licensed under this chapter if the person:
               (1)  obtains a license by fraud, misrepresentation, or
  concealment of material facts;
               (2)  violates a rule adopted by the board;
               (3)  engages in unprofessional conduct as defined by
  board rule that endangers or is likely to endanger the health,
  welfare, or safety of the public; or
               (4)  violates this chapter.
         Sec. 207.302.  HEARING ON DENIAL OR DISCIPLINARY ACTION. (a)
  A person whose application for a license is denied, whose license is
  suspended or revoked, or who has been reprimanded is entitled to a
  hearing before the State Office of Administrative Hearings if the
  person submits a written request to the board.
         (b)  A hearing under this subchapter is a contested case
  under Chapter 2001, Government Code.
         Sec. 207.303.  PROBATION. The board may place on probation a
  person whose license is suspended. If a license suspension is
  probated, the board may require the person to:
               (1)  report regularly to the board on matters that are
  the basis of the probation;
               (2)  limit practice to the areas prescribed by the
  board; or
               (3)  continue or review professional education until
  the person attains a degree of skill satisfactory to the board in
  those areas that are the basis of the probation.
         Sec. 207.304.  EMERGENCY SUSPENSION. (a) The board shall
  temporarily suspend the license of a license holder if the board
  determines from the evidence or information presented to it that
  continued practice by the license holder would constitute a
  continuing and imminent threat to the public welfare.
         (b)  A license may be suspended under this section without
  notice or hearing on the complaint if:
               (1)  action is taken to initiate proceedings for a
  hearing before the State Office of Administrative Hearings
  simultaneously with the temporary suspension; and
               (2)  a hearing is held as soon as practicable under this
  chapter and Chapter 2001, Government Code.
         (c)  The State Office of Administrative Hearings shall hold a
  preliminary hearing not later than the 14th day after the date of
  the temporary suspension to determine if there is probable cause to
  believe that a continuing and imminent threat to the public welfare
  still exists. A final hearing on the matter shall be held not later
  than the 61st day after the date of the temporary suspension.
  [Sections 207.305-207.350 reserved for expansion]
  SUBCHAPTER H.  ADMINISTRATIVE PENALTY
         Sec. 207.351.  IMPOSITION OF PENALTY. The board may impose
  an administrative penalty against a person who violates this
  chapter or a rule adopted under this chapter.
         Sec. 207.352.  AMOUNT OF PENALTY. (a)  The amount of the
  administrative penalty may not exceed $1,000 for each violation.
  Each day of a continuing violation is a separate violation.
         (b)  The amount of the penalty shall be based on:
               (1)  the seriousness of the violation;
               (2)  the history of previous violations;
               (3)  the amount necessary to deter a future violation;
               (4)  efforts made to correct the violation; and
               (5)  any other matter that justice may require.
         Sec. 207.353.  NOTICE OF VIOLATION AND PENALTY. (a)  If,
  after investigating a possible violation and the facts surrounding
  that possible violation, the board determines that a violation
  occurred, the board shall give written notice of the violation to
  the person alleged to have committed the violation.
         (b)  The notice must:
               (1)  include a brief summary of the alleged violation;
               (2)  state the amount of the proposed administrative
  penalty; and
               (3)  inform the person of the person's right to a
  hearing on the occurrence of the violation, the amount of the
  penalty, or both.
         Sec. 207.354.  PENALTY TO BE PAID OR HEARING REQUESTED. (a)  
  Not later than the 30th day after the date the person receives the
  notice, the person may:
               (1)  accept the board's determination, including the
  proposed administrative penalty; or
               (2)  make a written request for a hearing on that
  determination.
         (b)  If the person accepts the board's determination, the
  board by order shall approve the determination and impose the
  proposed penalty.
         Sec. 207.355.  HEARING. (a)  If the person timely requests a
  hearing, the board shall:
               (1)  set a hearing; and
               (2)  give written notice of the hearing to the person.
         (b)  A hearing under this subchapter shall be conducted by
  the State Office of Administrative Hearings.
         (c)  The administrative law judge shall make findings of fact
  and conclusions of law and promptly issue to the board a proposal
  for decision regarding the occurrence of the violation and the
  amount of any proposed administrative penalty.
         Sec. 207.356.  DECISION BY BOARD. (a)  Based on the findings
  of fact and conclusions of law and the recommendations of the
  administrative law judge, the board by order may determine that:
               (1)  a violation has occurred and may impose an
  administrative penalty; or
               (2)  a violation did not occur.
         (b)  The board shall give notice of the order to the person.
  The notice must include:
               (1)  separate statements of the findings of fact and
  conclusions of law;
               (2)  the amount of any penalty imposed; and
               (3)  a statement of the right of the person to judicial
  review of the order.
         Sec. 207.357.  OPTIONS FOLLOWING DECISION: PAY OR APPEAL.
  (a)  Not later than the 30th day after the date on which the order
  becomes final, the person shall:
               (1)  pay the administrative penalty;
               (2)  pay the penalty and file a petition for judicial
  review contesting the occurrence of the violation, the amount of
  the penalty, or both; or
               (3)  without paying the penalty, file a petition for
  judicial review contesting the occurrence of the violation, the
  amount of the penalty, or both.
         (b)  Within the 30-day period following the date on which the
  order becomes final, a person who acts under Subsection (a)(3) may:
               (1)  stay enforcement of the penalty by:
                     (A)  paying the penalty to the court for placement
  in an escrow account; or
                     (B)  giving to the court a supersedeas bond that
  is approved by the court for the amount of the penalty and that is
  effective until all judicial review of the order is final; or
               (2)  request the court to stay enforcement of the
  penalty by:
                     (A)  filing with the court a sworn affidavit of
  the person stating that the person is financially unable to pay the
  penalty and is financially unable to give the supersedeas bond; and
                     (B)  giving a copy of the affidavit to the board by
  certified mail.
         (c)  If the board receives a copy of an affidavit as provided
  by Subsection (b)(2), the board may file with the court a contest to
  the affidavit not later than the fifth day after the date the copy
  is received.
         (d)  The court shall hold a hearing on the facts alleged in
  the affidavit as soon as practicable and shall stay the enforcement
  of the penalty on finding that the alleged facts are true. The
  person who files an affidavit has the burden of proving that the
  person is financially unable to pay the penalty and to give a
  supersedeas bond.
         Sec. 207.358.  COLLECTION OF PENALTY. If the person does not
  pay the administrative penalty and the enforcement of the penalty
  is not stayed, the board may refer the matter to the attorney
  general for collection.
         Sec. 207.359.  DETERMINATION BY COURT. (a)  If the court
  sustains the determination that a violation occurred, the court may
  uphold or reduce the amount of the administrative penalty and order
  the person to pay the full or reduced amount.
         (b)  If the court does not sustain the determination that a
  violation occurred, the court shall order that a penalty is not
  owed.
         Sec. 207.360.  REMITTANCE OF PENALTY AND INTEREST. (a)  If,
  after judicial review, the administrative penalty is reduced or not
  imposed by the court, the court shall, after the judgment becomes
  final:
               (1)  order the appropriate amount, plus accrued
  interest, be remitted to the person by the board if the person paid
  the penalty under Section 207.357(a)(2); or
               (2)  if the person paid the penalty under Section
  207.357(b)(1)(A) or posted a supersedeas bond, order the board to:
                     (A)  execute a complete release of the escrow
  account or bond, as appropriate, if the penalty is not imposed; or
                     (B)  release the escrow account or bond, as
  appropriate, after the reduced penalty has been paid from the
  account or by the person.
         (b)  The interest paid under Subsection (a)(1) is accrued at
  the rate charged on loans to depository institutions by the New York
  Federal Reserve Bank. The interest shall be paid for the period
  beginning on the date the penalty is paid and ending on the date the
  penalty is remitted.
         Sec. 207.361.  ADMINISTRATIVE PROCEDURE. A proceeding under
  this subchapter is subject to Chapter 2001, Government Code.
  [Sections 207.362-207.400 reserved for expansion]
  SUBCHAPTER I.  OTHER PENALTIES AND ENFORCEMENT PROVISIONS
         Sec. 207.401.  INJUNCTIVE RELIEF. (a) The board may
  institute in the board's name an action to restrain a violation of
  this chapter. An action under this subsection is in addition to any
  other action authorized by law.
         (b)  The state may sue for an injunction to restrain the
  practice of integrative medicine in violation of this chapter.
         (c)  The state shall be represented in suits for injunction
  by:
               (1)  the attorney general;
               (2)  the district attorney of the district in which the
  defendant resides; or
               (3)  the county attorney of the county in which the
  defendant resides.
         (d)  A suit for injunction under Subsection (b) may not be
  filed before the final conviction for a violation of this chapter of
  the party sought to be enjoined.
         (e)  The state is not required to show that a person is
  personally injured by the defendant's unlawful practice of
  integrative medicine.
         (f)  A court may not grant a temporary or permanent
  injunction until a hearing of the complaint on its merits. A court
  may not issue an injunction or restraining order until the final
  trial and final judgment on the merits of the suit.
         (g)  If the defendant is shown to have been unlawfully
  practicing integrative medicine or to have been about to unlawfully
  practice integrative medicine, the court shall perpetually enjoin
  the defendant from practicing integrative medicine in the manner
  that was the subject of the suit.
         (h)  A defendant who disobeys the injunction is subject to
  the penalties provided by law for the violation of an injunction.
  The remedy by injunction is in addition to a criminal prosecution.
         (i)  A suit for injunction under this section shall be
  advanced for trial on the docket of the trial court and advanced and
  tried in the appellate courts in the same manner as other suits for
  injunction.
         Sec. 207.402.  CEASE AND DESIST ORDER. (a) If it appears to
  the board that a person is engaging in an act or practice that
  constitutes the practice of integrative medicine without a license
  or registration under this chapter, the board, after notice and
  opportunity for a hearing, may issue a cease and desist order
  prohibiting the person from engaging in that activity.
         (b)  A violation of an order under this section constitutes
  grounds for imposing an administrative penalty under Subchapter H.
         Sec. 207.403.  CIVIL PENALTY. (a) A person who violates
  this chapter or a rule adopted by the board under this chapter is
  liable to the state for a civil penalty of $1,000 for each day of
  violation.
         (b)  At the request of the board, the attorney general shall
  bring an action to recover a civil penalty authorized by this
  section.
         Sec. 207.404.  CRIMINAL PENALTY. A person commits an
  offense if the person violates this chapter.  An offense under this
  section is a misdemeanor punishable by a fine of not less than $50
  or more than $500 or by confinement in the county jail for not more
  than 30 days.
         SECTION 2.  As soon as practicable after the effective date
  of this Act, the governor shall appoint nine members to the Texas
  Board of Integrative Medicine in accordance with Chapter 207,
  Occupations Code, as added by this Act. In making the initial
  appointments, the governor shall designate three members for terms
  expiring January 31, 2013, three members for terms expiring January
  31, 2015, and three members for terms expiring January 31, 2017.
         SECTION 3.  Not later than June 1, 2012, the Texas Board of
  Integrative Medicine shall adopt the rules, procedures, and fees
  necessary to administer Chapter 207, Occupations Code, as added by
  this Act.
         SECTION 4.  Notwithstanding Chapter 207, Occupations Code,
  as added by this Act, a practitioner of integrative medicine is not
  required to hold a license under that chapter to practice
  integrative medicine in this state before September 1, 2012.
         SECTION 5.  (a)  Except as provided by Subsection (b) of this
  section, this Act takes effect September 1, 2011.
         (b)  Section 207.251 and Subchapters G, H, and I, Chapter
  207, Occupations Code, as added by this Act, take effect September
  1, 2012.