89R17944 TYPED
 
  By: Kitzman H.B. No. 1550
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the regulation of veterinary professionals and
  facilities by the State Board of Veterinary Medical Examiners and
  the temporary administration of the board by the Department of
  Licensing and Regulation
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 801.002, Occupations Code, is amended to
  add Subsection (6-b) to read as follows:
         (6-b)  "Veterinary medical facility" means a location,
  including a building, portion of a building, or vehicle, in which
  the practice of veterinary medicine normally takes place or is
  provided.
         SECTION 2.  Sections 801.023(a) and (b), Occupations Code,
  are amended to read as follows:
         (a)  The executive director of the department shall direct
  and may dismiss the board's executive director [of the board], and
  has authority relating to personnel actions as if the board's
  executive director were an employee of the department. The
  presiding officer of the commission shall appoint a replacement
  executive director of the board if necessary.
         (b)  Subject to Subsection (a), the executive director of the
  board is responsible for the administration of licensing,
  enforcement, financial services, human resources, and workforce
  development duties of the board, including:
               (1)  accounts payable and accounts receivable;
               (2)  budgeting, inventory, and asset management;
               (3)  payroll;
               (4)  personnel and labor issues;
               (5)  purchasing;
               (6)  recruitment, evaluation, selection, training, and
  promotion of personnel;
               (7)  submitting required reports regarding finances,
  performance measures, strategic planning, legislative
  appropriations requests, operating budgets, and similar
  information as required by law;
               (8)  legal support services, including responding to
  requests for public information; and
               (9)  information technology and support.
         SECTION 3.  Section 801.101, Occupations Code, is amended to
  read as follows:
         Sec. 801.101.  EXECUTIVE DIRECTOR. The board shall appoint
  [may employ] an executive director. The executive director serves
  at the will of the board.
         SECTION 4.  Section 801.102, Occupations Code, is amended to
  read as follows:
         Sec. 801.102.  [CERTAIN DUTIES OF] EXECUTIVE DIRECTOR POWERS
  AND DUTIES. (a) The executive director shall [is responsible for]:
               (1)  perform any duties assigned by the board and other
  duties specified by law;
               (2)  administer and enforce the board's programs; and
               (3)  issue licenses regulated by the board.
               [(1)  safekeeping the money collected under this
  chapter; and
               (2)  properly disbursing the veterinary fund account
  established by this chapter.]
         (b)  The executive director may:
               (1)  delegate any power or duty assigned to the
  executive director unless prohibited by law; and
               (2)  issue emergency orders and cease and desist orders
  as provided by this chapter.
         [(b)  Repealed by Acts 2003, 78th Leg., ch. 285, Sec.
  31(39).]
         SECTION 5.  Section 801.103, Occupations Code, is amended to
  read as follows:
         Sec. 801.103.  PERSONNEL. The board may employ personnel to
  administer this chapter and may prescribe their duties and
  compensation, subject to the personnel policies and budget approved
  by the board.
         SECTION 6.  Subchapter D, Chapter 801, Occupations Code, is
  amended by adding Section 801.150 to read as follows:
         Sec. 801.150.  GENERAL POWERS AND DUTIES OF BOARD. The board
  shall:
               (1)  supervise the executive director's administration
  of this chapter;
               (2)  formulate policy objectives for the board; and
               (3)  approve the board's operating budget and requests
  for legislative appropriations.
         SECTION 7.  Sections 801.151(a) and (b), Occupations Code,
  are amended to read as follows:
         (a)  The board shall [may] adopt rules as necessary to
  administer this chapter.
         (b)  The board shall [may] adopt rules of professional
  conduct appropriate to establish and maintain a high standard of
  integrity, skills, and practice in the veterinary medicine
  profession.
         SECTION 8.  Section 801.156, Occupations Code, is amended to
  read as follows:
         Sec. 801.156.  DATA; PUBLIC ACCESS [REGISTRY]. (a) The
  board shall maintain an electronic system allowing it to provide
  accurate reporting of information relating to license holders and
  applicants, complaints, enforcement actions, investigations, and
  inspections [a record of each license holder's:
               (1)  name;
               (2)  residence address; and
               (3)  business address].
         (b)  The board shall provide on its public-facing website:
               (1)  a feature allowing users to verify a license
  holder's license status, determine whether the license holder is
  currently subject to disciplinary action, and review relevant
  disciplinary orders; and
               (2)  data, updated at least quarterly, summarizing the
  number, type, and disposition of complaints received during the
  fiscal year.
         [(b)  A license holder shall notify the board of a change of
  business address or employer not later than the 60th day after the
  date the change takes effect.]
         SECTION 9.  Section 801.157, Occupations Code, is amended to
  add Subsection (c) to read as follows:
         (c)  The board shall provide information on its website
  directing licensed veterinarians to approved peer assistance
  programs.
         SECTION 10.  Sections 801.158(a) and (c), Occupations Code,
  are amended to read as follows:
         (a)  The board or executive director may request and, if
  necessary, compel by subpoena:
               (1)  the attendance of witnesses for examination under
  oath; and
               (2)  the production for inspection or copying of books,
  accounts, records, papers, correspondence, documents, and other
  evidence relevant to an investigation of an alleged violation of
  this chapter.
         (c)  An action filed under this section must be filed in a
  district court in Travis County or any other county in which the
  department may hold a hearing. [Venue for an action brought under
  Subsection (b) is in a district court in:
               (1)  Travis County; or
               (2)  any county in which the board may hold a hearing.]
         SECTION 11.  Section 801.161, Occupations Code, is amended
  to read as follows:
         Sec. 801.161.  USE OF TECHNOLOGY. (a) The board shall
  implement a policy requiring the board to use appropriate
  technological solutions to improve the board's ability to perform
  its functions. The policy must ensure that the public is able to
  interact with the board on the Internet.
         (b)  The board may by rule require an applicant or license
  holder to provide an e-mail address for purposes of receiving
  correspondence.  An e-mail address provided under this section is
  confidential and is not subject to disclosure under Chapter 552,
  Government Code.
         (c)  Notwithstanding any other law, the board may by rule
  provide that service of any notice, order, or pleading required
  under this chapter or under Chapter 2001, Government Code, may be
  made electronically to the e-mail address provided pursuant to
  subsection (b).
         SECTION 12.  Section 801.163(d), Occupations Code, is
  amended to read as follows:
         (d)  Notwithstanding any other law, [To the extent of any
  conflict with] Chapter 2110, Government Code, does not apply to an
  advisory committee appointed under this section [and board rules
  adopted under this section control].
         SECTION 13.  Subchapter D, Chapter 801, Occupations Code, is
  amended by adding Section 801.1631 to read as follows:
         Sec. 801.1631.  INSPECTIONS AND INVESTIGATIONS. (a) The
  board may conduct inspections or investigations as necessary to
  enforce the laws administered by the board.
         (b)  To perform its functions under subsection (a), the board
  may, during reasonable business hours:
               (1)  enter a veterinary medical facility or other
  business premises of a person regulated by the board, or of a person
  suspected of being in violation of, or threatening to violate, a law
  administered by the board, or a rule or order of the board or
  executive director; and
               (2)  examine and copy records pertinent to the
  inspection or investigation.
         (c)  The board may take a disciplinary action authorized by
  this chapter for a violation identified during an inspection.
         SECTION 14.  Section 801.164, Occupations Code, is amended
  to read as follows:
         Sec. 801.164.  RISK-BASED INSPECTIONS [RELATED TO
  CONTROLLED SUBSTANCES PRACTICES]. (a) The board shall [may]
  [conduct a inspection] prioritize inspections relating to key risk
  factors identified by the board, including previous violations by
  the license holder or [of a veterinarian's practice based on]
  information [obtained from the veterinarian or another source]
  concerning a [the] veterinarian's use, handling, prescribing,
  dispensing, or delivery of controlled substances.
         (b)  The board may use alternative inspection methods,
  including videoconference or similar technology, instead of
  conducting an in-person inspection in circumstances the board
  considers appropriate.
         SECTION 15.  Subchapter D, Chapter 801, Occupations Code, is
  amended by adding Section 801.165 to read as follows:
         Sec. 801.165.  REFUND. (a)  Subject to Subsection (b), the
  board or executive director may order a license holder to pay a
  refund to a consumer as provided in an agreed settlement, default
  order, or board order instead of or in addition to imposing an
  administrative penalty or sanction.
         (b)  The amount of a refund ordered under this section may
  not exceed the amount the consumer paid to the license holder for a
  service regulated by the board, and may not require payment of other
  damages or estimate harm.
         SECTION 16.  Subchapter D, Chapter 801, Occupations Code, is
  amended by adding Section 801.166 to read as follows:
         Sec. 801.166.  RECIPROCITY AGREEMENTS. The board, with
  approval of the governor, may enter into an agreement with another
  state to allow for licensing by reciprocity.
         SECTION 17.  Section 801.205, Occupations Code, is amended
  to read as follows:
         Sec. 801.205.  GENERAL RULES REGARDING COMPLAINT
  INVESTIGATION AND DISPOSITION. The board shall adopt rules
  relating to the investigation and disposition of complaints filed
  with the board. The rules must:
               (1)  distinguish between categories of complaints;
               (2)  ensure that complaints are not dismissed without
  appropriate consideration; and
               (3)  require that the board be advised of a complaint
  that is dismissed.[;
               (4)  ensure that the person who filed the complaint has
  the opportunity to explain the allegations made in the complaint;
  and
               (5)  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.]
         SECTION 18.  Section 801.2051, Occupations Code, is amended
  to read as follows:
         Sec. 801.2051.  PRIORITY OF COMPLAINTS. The board shall
  assign priorities and investigate complaints based on risk posed to
  the public by the conduct alleged in the complaint. [The board shall
  prioritize complaints to resolve the more serious complaints
  first.]
         SECTION 19.  Section 801.2052, Occupations Code, is amended
  to read as follows:
         Sec. 801.2052.  DISMISSAL OF BASELESS OR UNFOUNDED
  COMPLAINT. (a)  If the board determines at any time that an
  allegation or complaint submitted by a person is baseless,
  unfounded, or does not fall within the board's regulatory
  jurisdiction, the board shall dismiss the complaint. [If, before
  the 180th day after the date the board's official investigation of a
  complaint is commenced, the board determines in accordance with
  rules adopted under this section that a complaint filed with the
  board is baseless or unfounded, the board shall:
               (1)  dismiss the complaint; and
               (2)  include a statement in the record of the complaint
  that the complaint was dismissed because the complaint was baseless
  or unfounded.]
         (b)  The board shall adopt rules to implement this section
  and establish criteria for determining that a complaint is baseless
  or unfounded.
         SECTION 20.  Section 801.2055, Occupations Code, is amended
  to add Subsection (c-1) and to amend Subsection (d) as follows:
         (c-1)  The board may contract with a qualified individual to
  assist in reviewing or investigating complaints requiring medical
  expertise.  Except for an act involving fraud, conspiracy, or
  malice, an individual with whom the board contracts under this
  subsection is immune from liability or from disciplinary action
  under this chapter and may not be subject to a suit for damages for
  any act arising from the performance of the individual's duties in:
               (1)  participating in an informal conference to
  determine the facts of a complaint;
               (2)  offering an expert opinion or technical guidance
  on an alleged violation of this chapter or of a rule or order issued
  by the board or executive director;
               (3)  testifying at a hearing regarding a complaint; or
               (4)  making an evaluation, report, or recommendation
  regarding a complaint.
         (d)  A veterinarian board member who reviews a complaint
  under this section may not [participate in] deliberate or vote in 
  any subsequent disciplinary proceeding related to the complaint.
         SECTION 21.  Section 801.2056, Occupations Code, is amended
  to read as follows:
         Sec. 801.2056.  COMPLAINTS NOT REQUIRING MEDICAL EXPERTISE.
  [(a)] The board shall adopt rules relating to the evaluation and
  disposition of complaints not requiring medical expertise. [The
  board may delegate to a committee of board staff the authority to
  dismiss or enter into an agreed settlement of a complaint that does
  not require medical expertise. The disposition determined by the
  committee must be approved by the board at a public meeting.
         (b)  A complaint delegated under this section shall be
  referred for informal proceedings under Section 801.408 if:
               (1)  the committee determines that the complaint should
  not be dismissed or settled;
               (2)  the committee is unable to reach an agreed
  settlement; or
               (3)  the license holder who is the subject of the
  complaint requests that the complaint be referred for informal
  proceedings.]
         SECTION 22.  Section 801.207, Occupations Code, is amended
  to read as follows:
         Sec. 801.207.  CONFIDENTIALITY [PUBLIC RECORD; EXCEPTION].
  (a)  Except as otherwise provided by this section, a complaint and
  investigation concerning a person to whom this chapter applies, and
  all information and materials subpoenaed or compiled by the board
  in connection with the complaint and investigation, are
  confidential and not subject to:
               (1)  disclosure under Chapter 552, Government Code; or
               (2)  disclosure, discovery, subpoena, or other means of
  legal compulsion for their release to any person.
         [Except as provided by Subsection (b), a board record is a
  public record and is available for public inspection during normal
  business hours.]
         (b)  Notwithstanding subsection (a), the board may disclose
  information regarding a complaint or investigation to:
               (1)  a person providing testimony or review on the
  board's behalf in a disciplinary proceeding;
               (2)  a respondent or the respondent's authorized
  representative;
               (3)  a professional licensing, credentialing, or
  disciplinary entity;
               (4)  a peer assistance program approved by the board
  pursuant to Section 801.157; 
               (5)  a law enforcement agency; or
               (6)  a person engaged in bona fide research, if all
  individual-identifying information has been deleted.
         [Except as provided by Subsection (b-1), each complaint,
  investigation file and record, and other investigation report and
  all other investigative information in the possession of or
  received or gathered by the board or the board's employees or agents
  relating to a license holder, an application for license, or a
  criminal investigation or proceeding is privileged and
  confidential and is not subject to discovery, subpoena, or other
  means of legal compulsion for release to anyone other than the board
  or the board's employees or agents involved in discipline of a
  license holder.]
         (b-1)  Not later than the 14th day before the date of an
  informal proceeding under Section 801.408, the board shall provide
  to the license holder who is the subject of the complaint a copy of
  the record of any review conducted under Section 801.2055 of a
  complaint requiring medical expertise. The board shall redact the
  name of each veterinarian who conducted the review.
         (c)  Except as provided by Subsection (b-1), the board shall
  protect the identity of a complainant to the extent possible.
         (d)  Not later than the 30th day after the date of receipt of
  a written request from a license holder who is the subject of a
  formal complaint initiated and filed under this subchapter or from
  the license holder's counsel of record, and subject to any other
  privilege or restriction set forth by rule, statute, or legal
  precedent, and unless good cause is shown for delay, the board shall
  provide the license holder with access to all information in its
  possession that the board intends to offer into evidence in
  presenting its case in chief at the contested 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.
         (e)  Furnishing information under Subsection (d) does not
  constitute a waiver of privilege or confidentiality under this
  chapter or other applicable law.
         (f)  The board may not be compelled to release or disclose
  complaint and investigation information or materials to a person
  listed in Subsection (b) if the board has not issued a notice of
  alleged violation related to the information or materials.
         (g)  Notices of alleged violation and disciplinary orders,
  including warnings and reprimands, issued by the board are not
  confidential and are subject to disclosure in accordance with
  Chapter 552, Government Code.
         (h)  Notwithstanding any other provision of this section, if
  an investigation would be jeopardized by the disclosure of
  information relating to a complaint or investigation, the board may
  temporarily withhold or otherwise refrain from disclosing to any
  person any information or materials that the board would otherwise
  be required to disclose.
         SECTION 23.  Section 801.208(d), Occupations Code, is
  amended to read as follows:
         (d)  The notification may not include information that is
  confidential under Section 801.207[(b)].
         SECTION 24.  Section 801.253, Occupations Code, as amended
  by Acts 2011, 82nd Leg., R.S., Ch. 940 (H.B. 414), Sec. 9, is
  reenacted and amended to read as follows:
         (a)  The board shall conduct licensing examinations for
  veterinarians as provided by board rule. [The board shall conduct
  the examination at a time and place the board determines is
  convenient for applicants.]
         (b)  The board shall provide notice of a licensing
  examination on its internet website [by publication in a newspaper
  or periodical.
         (c)  The board shall examine each qualified applicant who
  attends the examination.]
         SECTION 25.  Section 801.406, Occupations Code, is amended
  to read as follows:
         Sec. 801.406.  REINSTATEMENT AFTER [REQUIRED DISCIPLINARY
  ACTION FOR] CERTAIN FELONY CONVICTIONS. (a) If a person's license
  has been revoked:
               (1)  by operation of law pursuant to Section 53.021(b),
  Occupations Code, upon imprisonment after a conviction of a felony
  under Chapter 481 or 483 of the Health and Safety Code; or
               (2)  by the board upon conviction of a license holder of
  an offense under Section 485.033, Health and Safety Code, or of any
  offense under Chapter 481 or 483 of that code,
  [On conviction of a license holder of a felony under Section
  485.033, Health and Safety Code, or Chapter 481 or 483 of that code,
  the board shall, after conducting an administrative hearing in
  which the fact of conviction is determined, impose a penalty as
  provided by Section 801.401. The board shall set the amount of the
  penalty to match the seriousness of the conviction.
         (b)  Repealed by Acts 2005, 79th Leg., Ch. 27, Sec. 27(2),
  eff. September 1, 2005.
         (c)  The] the board may reinstate or reissue the [a] license
  [suspended or revoked under this section] only upon determining [on
  an express determination based on substantial evidence contained in
  an investigative report indicating] that reinstatement or
  reissuance of the license is in the best interests of [:
               (1)  ]the public[;] and
               [(2)]  the person whose license has been [suspended or]
  revoked.
         SECTION 26.  Section 801.407(d), Occupations Code, is
  amended to read as follows:
         (d)  The board shall by rule prescribe notice procedures for
  proceedings under this subchapter [The board may conduct
  deliberations relating to a disciplinary action during executive
  session. At the conclusion of those deliberations, the board shall
  vote and announce its decision to the license holder in open
  session].
         SECTION 27.  Section 801.408, Occupations Code, is amended
  to read as follows:
         Sec. 801.408.  INFORMAL PROCEEDINGS. (a) The board by rule
  shall adopt procedures governing:
               (1)  informal disposition of a contested case under
  Section 2001.056, Government Code; and
               (2)  an informal proceeding held in compliance with
  Section 2001.054, Government Code.
         (b)  Rules adopted under Subsection (a) must:
               (1)  provide the complainant and the license holder an
  opportunity to be heard; and
               (2)  require the presence of a member of the board's
  legal staff [general counsel] or a representative of the attorney
  general during an informal proceeding to advise the board or the
  board's employees.
         (c)  A committee of two or more veterinarian board members
  and one or more public board members must be present at an informal
  proceeding for a complaint that requires medical expertise. The
  committee shall recommend enforcement action at the informal
  proceeding.
         [(d)  A committee of board staff may recommend enforcement
  action at an informal proceeding for a complaint that does not
  require medical expertise or may refer the complaint to the
  committee of board members under Subsection (c).
         (e)  At an informal proceeding under this section, and on
  agreement with the license holder, the board may order the license
  holder to refund an amount not to exceed the amount a client paid to
  the license holder instead of or in addition to imposing an
  administrative penalty under this chapter. The board may not
  require payment of other damages or estimate harm under this
  subsection.]
         (d) [(f)]   Before an informal disposition is effective, the
  board must review and approve at a public meeting an informal
  disposition of the complaint recommended by board members or board
  staff.
         SECTION 28.  Subchapter I, Chapter 801, Occupations Code, is
  amended by adding Section 801.4011 to read as follows:
         Sec 801.4011.  DEFERRED ACTION.  (a)  For any action or
  complaint for which the board proposes to impose on a person a
  sanction other than a reprimand or a denial, suspension, or
  revocation of a license, the board may:
               (1)  defer the final action the board has proposed if
  the person conforms to conditions imposed by the board, including
  any condition the board could impose as a condition of probation
  under Section 801.401; and
               (2)  if the person successfully meets the imposed
  conditions, dismiss the complaint.
         (b)  Except as provided by this subsection, a deferred action
  by the board is not confidential and is subject to disclosure in
  accordance with Chapter 552, Government Code. If the person
  successfully meets the conditions imposed by the board in deferring
  final action and the board dismisses the action or complaint, the
  deferred action of the board is confidential to the same extent as a
  complaint is confidential under Section 801.207.
         SECTION 29.  Subchapter J, Chapter 801, Occupations Code, is
  amended by adding Section 801.4521 to read as follows:
         Sec. 801.4521.  IMPOSITION OF SANCTION. A proceeding under
  this subchapter imposing an administrative penalty may be combined
  with a proceeding to impose an administrative sanction.  If a
  sanction is imposed in a proceeding under this subchapter, the
  requirements of this subchapter apply to the imposition of the
  sanction.
         SECTION 30.  Section 801.453(a), Occupations Code, is
  amended to read as follows:
         (a)  On a determination by a committee described by Section
  801.408(c) [or (d)] that a violation of this chapter or a rule
  adopted or order issued under this chapter occurred, the committee
  may issue a report to the board stating:
               (1)  the facts on which the determination is based; and
               (2)  the committee's recommendation on the imposition
  of an administrative penalty, including a recommendation on the
  amount of the penalty.
         SECTION 31.  Section 801.454, Occupations Code, is amended
  to read as follows:
         Sec. 801.454.  PENALTY TO BE PAID OR HEARING REQUESTED [ON
  COMMITTEE'S RECOMMENDATIONS]. (a) Not later than the 20th day
  after the date a person receives a [the] notice of alleged
  violation, the person may in writing:
               (1)  accept the board's [committee's] determination and
  recommended administrative penalty; or
               (2)  request a hearing on the occurrence of the
  violation, the amount of the penalty, or both.
         (b)  If the person accepts the board's [committee's]
  determination and recommended penalty, the board by order shall
  approve the determination and require the person to pay the
  recommended penalty [may:
               (1)  approve the determination and impose the
  recommended penalty;
               (2)  modify the determination or recommended penalty;
  or
               (3)  reject the determination or recommended penalty].
         SECTION 32.  Section 801.455, Occupations Code, is amended
  to read as follows:
         Sec. 801.455.  HEARING [ON COMMITTEE'S RECOMMENDATIONS].  
  (a) If a respondent requests a hearing pursuant to Section 801.407,
  the hearing shall be conducted by the State Office of
  Administrative Hearings [If the person requests a hearing or fails
  to respond timely to the notice, the executive director shall set a
  hearing and give notice of the hearing to the person].
         (b)  The State Office of Administrative Hearings shall
  consider the board's applicable substantive rules and policies when
  conducting a hearing under this subchapter [A hearing set by the
  executive director under Subsection (a) shall be held by an
  administrative law judge of the State Office of Administrative
  Hearings].
         (c)  The administrative law judge shall:
               (1)  make findings of fact and conclusions of law; and
               (2)  promptly issue to the board a proposal for a
  decision as to the occurrence of the violation, any recommended
  license sanction, and the amount of any proposed administrative
  penalty.
         SECTION 33.  Section 801.456(a), Occupations Code, is
  amended to read as follows:
         (a)  Based on the findings of fact, conclusions of law, and
  proposal for a decision under Section 801.455(c), the board by
  order may determine that:
               (1)  a violation has occurred and impose a license
  sanction, [an] administrative penalty, or both; or
               (2)  a violation did not occur.
         SECTION 34.  Section 801.457(a), Occupations Code, is
  amended to read as follows:
         (a)  Not later than the 30th day after the date the board's
  order becomes final, the person shall:
               (1)  pay the administrative penalty;
               (2)  pay the penalty and file a petition for judicial
  review contesting the order [fact of the violation, the amount of
  the penalty, or both]; or
               (3)  without paying the penalty, file a petition for
  judicial review contesting the order [fact of the violation, the
  amount of the penalty, or both].
         SECTION 35.  Section 801.502(b), Occupations Code, is
  amended to read as follows:
         (b)  Venue for an action brought under this section is in a
  district court in Travis County [Venue for an action under this
  section is in:
               (1)  the county in which the person against whom the
  action is brought resides, if the person is an individual who
  resides in this state;
               (2)  the county of the defendant's principal office in
  this state if the defendant is not an individual; or
               (3)  Travis County, if the person:
                     (A)  is an individual who does not reside in this
  state; or
                     (B)  is an entity that does not have its principal
  office in this state].
         SECTION 36.  Section 801.508, Occupations Code, is amended
  to read as follows:
         Sec. 801.508.  CEASE AND DESIST ORDER.  The board or
  executive director may issue a cease and desist order upon
  determining that it is necessary to prevent a violation of this
  chapter, or of a rule adopted or order issued by the board.
         [(a)  If it appears to the board that a person is engaging in
  an act or practice that constitutes the practice of veterinary
  medicine without a license or the practice of equine dentistry
  without a license 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 the activity.
         (b)  A violation of an order under this section constitutes
  grounds for imposing an administrative penalty under Subchapter J.]
         SECTION 37.  Subchapter K, Chapter 801, Occupations Code, is
  amended by adding Section 801.510 to read as follows:
         Sec. 801.510.  ISSUANCE OF EMERGENCY ORDERS. (a) Upon
  determining that an emergency exists requiring immediate action to
  protect the public health and safety, the board or executive
  director may issue an emergency order to:
               (1)  suspend or revoke a license or other authorization
  issued under a program regulated by the board; or
               (2)  halt operation of an unsafe veterinary medical
  facility.
         (b)  The board or executive director may issue an emergency
  order with or without notice and hearing.  If an emergency order is
  issued under this section without a hearing, the board shall set the
  time and place for a hearing conducted by the State Office of
  Administrative Hearings to affirm, modify, or set aside the
  emergency order not later than the 17th day after the date the order
  was issued. The order shall be affirmed to the extent that
  reasonable cause existed to issue the order.
         (c)  A proceeding under this section is a contested case
  under Chapter 2001, Government Code.
         SECTION 38.  Chapter 801, Occupations Code, is amended by
  designating Sections 801.601 through 801.604 as Subchapter M and
  adding a subchapter heading to read as follows:
  SUBCHAPTER M.  VETERINARY MEDICAL FACILITIES
         Sec. 801.601.  REGISTRATION OF VETERINARY MEDICAL
  FACILITIES REQUIRED. (a)  Veterinary medicine shall be practiced
  only in or from a veterinary medical facility that is registered
  with the board or that is exempted by rule from the registration
  requirement.  Unless exempted by this section or by board rule
  adopted pursuant to this section, every individual facility must be
  registered with the board.
         (b)  Subsection (a) does not apply to a facility maintained
  or operated by the federal government.
         (c)  A mobile facility affiliated with a registered
  veterinary medical facility is exempt from separate registration if
  identified in the application for registration filed pursuant to
  this subchapter.
         (c)  The board may by rule provide exemptions to the
  registration requirement for facilities if it determines that
  imposing or enforcing the requirement:
               (1)  is not cost-effective for the board;
               (2)  is not feasible with current resources or
  standards; or
               (3)  will not substantially benefit or protect
  consumers.
         Sec. 801.602.  REGISTRATION ELIGIBILITY AND APPLICATION.
  (a)  To register a veterinary medical facility, the business entity
  providing services at the facility shall submit the application
  provided by the board and pay the applicable fee established by the
  board pursuant to Section 801.154.  The application must be signed
  by a person with authority to act on behalf of the entity.
         (b)  The facility shall, in its application for
  registration:
               (1)  indicate the type of business entity that provides
  services at the facility, and provide information regarding the
  owners, partners, and operators of the entity as required by board
  rule; and
               (2)  provide the names and license or registration
  numbers of all persons who provide services at the facility and are
  regulated by the board.
         (c)  An application under this section shall require the
  facility to designate a medical director. The designated medical
  director must:
               (1)  be licensed by the board as a veterinarian and
  remain in good standing;
               (2)  regularly practice veterinary medicine at or from
  the facility; and
               (3)  co-sign the application for registration; and
               (4)  agree to accept all correspondence from the board
  on behalf of the facility.
         (d)  A veterinary medical facility whose designated medical
  director ceases to be affiliated with the facility shall designate
  a new medical director within 30 days of the change.
         (e)  The term of a registration issued under this section and
  the process for renewal of a registration shall be provided by board
  rule.
         Sec. 801.603.  STANDARDS FOR OPERATION OF VETERINARY MEDICAL
  FACILITIES. The board shall adopt and enforce rules relating to
  standards of operation of veterinary medical facilities.  The rules
  must include standards regarding:
               (1)  safety and sanitation;
               (2)  storage and security of pharmaceuticals and
  controlled substances;
               (3)  patient care;
               (4)  retention of documentation, including medical
  records, controlled substance logs, and employment records; and
               (5)  compliance with other state laws related to health
  and safety.
         Sec 801.604.  SANCTIONS AND ADMINISTRATIVE PENALTIES.  The
  owner or owners of a business entity that provides services at a
  veterinary medical facility shall be subject to administrative
  penalties, license sanctions, or both, if:
               (1)  the facility does not hold a current registration;
               (2)  the facility violates a standard adopted pursuant
  to Section 801.603;
               (3)  facility personnel deny access to the board or its
  agents to conduct an inspection or investigation; or
               (4)  the facility fails to comply with a board order.
         SECTION 39.  The following provisions of Chapter 801,
  Occupations Code, are repealed:
               (1)  Section 801.206;
               (2)  Section 801.253(a) as amended by Acts 2011, 82nd
  Leg., R.S., Ch. 411 (S.B. 811), Sec. 3;
               (3)  Section 801.307(a-1) as added by Acts 2019, 86th
  Leg., R.S., Ch. 449 (S.B. 1947), Sec. 2;
               (5)  Section 801.459;
               (6)  Section 801.461; and
               (7)  Section 801.505.
         SECTION 40.  As soon as practicable after the effective date
  of this Act, the State Board of Veterinary Medical Examiners shall
  adopt the rules and procedures necessary to implement the
  provisions of this Act other than those contained in Subchapter M,
  Chapter 801, Occupations Code, as added by this Act.
         SECTION 41.  No later than March 1, 2027, the State Board of
  Veterinary Medical Examiners shall adopt the rules and procedures
  necessary to implement the provisions contained in Subchapter M,
  Chapter 801, Occupations Code, as added by this Act.
         SECTION 42.  A veterinary medical facility shall register
  with the board not later than September 1, 2027.
         SECTION 43.  (a) Except as provided by Subsection (b) of this
  section, this Act takes effect September 1, 2025.
         (b)  Subchapter M, Chapter 801, Occupations Code, as added by
  this Act, takes effect September 1, 2026.