|  | 
      
        |  | 
      
        |  | A BILL TO BE ENTITLED | 
      
        |  | AN ACT | 
      
        |  | relating to the continuation and functions of the Department of | 
      
        |  | State Health Services, the provision of health services in this | 
      
        |  | state, and the regulation of certain health-related occupations and | 
      
        |  | activities. | 
      
        |  | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
        |  | ARTICLE 1.  STATE MENTAL HEALTH HOSPITAL SYSTEM | 
      
        |  | SECTION 1.001.  Subchapter D, Chapter 1001, Health and | 
      
        |  | Safety Code, is amended by adding Section 1001.086 to read as | 
      
        |  | follows: | 
      
        |  | Sec. 1001.086.  TREATMENT ALTERNATIVES TRAINING CURRICULUM | 
      
        |  | FOR JUDGES AND ATTORNEYS.  (a)  The department shall work with the | 
      
        |  | court of criminal appeals to develop and maintain a training | 
      
        |  | curriculum for judges and attorneys that provides information on | 
      
        |  | inpatient and outpatient treatment alternatives to inpatient | 
      
        |  | commitment to a state hospital for a patient whom a court is | 
      
        |  | ordering to receive mental health services: | 
      
        |  | (1)  to attain competency to stand trial under Chapter | 
      
        |  | 46B, Code of Criminal Procedure; or | 
      
        |  | (2)  following an acquittal by reason of insanity under | 
      
        |  | Chapter 46C, Code of Criminal Procedure. | 
      
        |  | (b)  The training curriculum developed and maintained under | 
      
        |  | Subsection (a) must include a guide to treatment alternatives, | 
      
        |  | other than inpatient treatment at a state hospital, from which a | 
      
        |  | patient described by Subsection (a) may receive mental health | 
      
        |  | services. | 
      
        |  | SECTION 1.002.  Not later than March 1, 2016, the Department | 
      
        |  | of State Health Services and the court of criminal appeals shall | 
      
        |  | develop the training curriculum required by Section 1001.086, | 
      
        |  | Health and Safety Code, as added by this article. | 
      
        |  | ARTICLE 2.  COMMUNITY MENTAL HEALTH PROGRAMS | 
      
        |  | SECTION 2.001.  Subchapter B, Chapter 533, Health and Safety | 
      
        |  | Code, is amended by adding Section 533.0347 to read as follows: | 
      
        |  | Sec. 533.0347.  REVIEW RELATING TO BEHAVIORAL HEALTH | 
      
        |  | SERVICES PROVIDER CONTRACTS.  (a)  In this section, "behavioral | 
      
        |  | health services" means mental health services, substance abuse | 
      
        |  | services, or both. | 
      
        |  | (b)  The commission shall conduct a strategic review to | 
      
        |  | evaluate and improve the performance measures and payment | 
      
        |  | mechanisms that are included in the department's contracts with | 
      
        |  | providers of behavioral health services.  The commission shall | 
      
        |  | conduct the review in three phases and with the assistance of a | 
      
        |  | third party who has expertise in health purchasing. | 
      
        |  | (c)  In the first phase of the review, the commission shall: | 
      
        |  | (1)  identify for elimination from the department's | 
      
        |  | contracts with providers of behavioral health services performance | 
      
        |  | measures that are not required by state or federal law, | 
      
        |  | particularly those that measure inputs and processes rather than | 
      
        |  | outcomes; | 
      
        |  | (2)  review and identify refinements to the metrics and | 
      
        |  | methodology associated with the withholding of funds from local | 
      
        |  | mental health authorities for use as performance-based incentive | 
      
        |  | payments for the authorities as directed by Rider 78, page II-76, | 
      
        |  | Chapter 1411 (S.B. 1), Acts of the 83rd Legislature, Regular | 
      
        |  | Session, 2013 (the General Appropriations Act);  and | 
      
        |  | (3)  consider adopting strategies that are similar to | 
      
        |  | strategies associated with the performance measures and | 
      
        |  | accountability processes for managed care organizations. | 
      
        |  | (d)  The commission and the department may not include a | 
      
        |  | performance measure identified for elimination under Subsection | 
      
        |  | (c)(1) in a contract between the department and a provider of | 
      
        |  | behavioral health services that is entered into or renewed on or | 
      
        |  | after September 1, 2015. | 
      
        |  | (e)  Not later than September 1, 2015, the commission and the | 
      
        |  | department shall implement the refinements identified under | 
      
        |  | Subsection (c)(2) to the metrics and methodology associated with | 
      
        |  | the withholding of funds from local mental health authorities for | 
      
        |  | use as performance-based incentive payments for the authorities. | 
      
        |  | (f)  In the second phase of the review: | 
      
        |  | (1)  the commission and the third party shall develop | 
      
        |  | outcome measures for inclusion in contracts with providers of | 
      
        |  | behavioral health services that are based on best practices in | 
      
        |  | performance measurement and contracting; | 
      
        |  | (2)  the commission shall use a subset of priority | 
      
        |  | outcome measures from those developed under Subdivision (1) to | 
      
        |  | develop and implement incentive payments and financial sanctions | 
      
        |  | for inclusion in contracts with providers of behavioral health | 
      
        |  | services that are aligned with the models used by the commission for | 
      
        |  | purchasing health care services; and | 
      
        |  | (3)  the commission and the department shall jointly: | 
      
        |  | (A)  identify obstacles to the timely processing | 
      
        |  | of contracts with providers of behavioral health services and | 
      
        |  | determine ways to eliminate those obstacles; and | 
      
        |  | (B)  determine ways to streamline contracts with | 
      
        |  | providers of behavioral health services, including the reporting | 
      
        |  | requirements for performance measures included in those contracts, | 
      
        |  | to minimize the administrative burden on providers of behavioral | 
      
        |  | health services, the commission, and the department. | 
      
        |  | (g)  For a contract between the department and a provider of | 
      
        |  | behavioral health services that is entered into or renewed on or | 
      
        |  | after September 1, 2016, the commission and the department shall: | 
      
        |  | (1)  include: | 
      
        |  | (A)  the outcome measures developed under | 
      
        |  | Subsection (f)(1); and | 
      
        |  | (B)  the incentive payments and financial | 
      
        |  | sanctions developed under Subsection (f)(2); and | 
      
        |  | (2)  ensure that the contract is streamlined in | 
      
        |  | accordance with the commission's and department's determinations | 
      
        |  | under Subsection (f)(3)(B). | 
      
        |  | (h)  In the third phase of the review, the commission shall | 
      
        |  | develop and make available to the public online, not later than | 
      
        |  | December 1, 2016, a web-based dashboard that enables the public to | 
      
        |  | make comparisons between behavioral health services providers. | 
      
        |  | (i)  This section expires September 1, 2017. | 
      
        |  | SECTION 2.002.  Section 533.0359(a), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (a)  In developing rules governing local mental health | 
      
        |  | authorities under Sections 533.035, [ 533.0351,] 533.03521, | 
      
        |  | 533.0357, and 533.0358, the executive commissioner shall use | 
      
        |  | rulemaking procedures under Subchapter B, Chapter 2001, Government | 
      
        |  | Code. | 
      
        |  | SECTION 2.003.  Subchapter B, Chapter 533, Health and Safety | 
      
        |  | Code, is amended by adding Section 533.0515 to read as follows: | 
      
        |  | Sec. 533.0515.  REGIONAL ALLOCATION OF MENTAL HEALTH BEDS IN | 
      
        |  | STATE HOSPITALS.  (a)  The commission, with input from the local | 
      
        |  | mental health authorities and local behavioral health authorities, | 
      
        |  | and after considering any plan developed under Section 533.051, | 
      
        |  | shall divide the state into regions for the purpose of allocating to | 
      
        |  | each region beds in the state hospitals for patients who are: | 
      
        |  | (1)  voluntarily admitted to a state hospital under | 
      
        |  | Subchapter B, Chapter 462, or Chapter 572; | 
      
        |  | (2)  admitted to a state hospital for emergency | 
      
        |  | detention under Subchapter C, Chapter 462, or Chapter 573; | 
      
        |  | (3)  ordered by a court to receive at a state hospital | 
      
        |  | inpatient chemical dependency treatment under Subchapter D, | 
      
        |  | Chapter 462, or inpatient mental health services under Chapter 574; | 
      
        |  | (4)  committed to a state hospital to attain competency | 
      
        |  | to stand trial under Chapter 46B, Code of Criminal Procedure; or | 
      
        |  | (5)  committed to a state hospital to receive inpatient | 
      
        |  | mental health services following an acquittal by reason of insanity | 
      
        |  | under Chapter 46C, Code of Criminal Procedure. | 
      
        |  | (b)  The local mental health authorities and local | 
      
        |  | behavioral health authorities shall develop and submit to the | 
      
        |  | commission for approval a methodology for allocating to each region | 
      
        |  | designated under Subsection (a) a certain number of state hospital | 
      
        |  | beds for the patients described by Subsection (a).  The commission | 
      
        |  | may approve the allocation methodology only if the authorities | 
      
        |  | demonstrate that the methodology fairly allocates state hospital | 
      
        |  | beds across the state. | 
      
        |  | (c)  After the commission approves the allocation | 
      
        |  | methodology, the department shall begin allocating state hospital | 
      
        |  | beds to the regions according to the methodology. | 
      
        |  | (d)  On a quarterly basis, the commission shall assess and | 
      
        |  | collect from each local mental health authority and local | 
      
        |  | behavioral health authority in a region a daily fee, in an amount | 
      
        |  | prescribed by rule by the executive commissioner, for each bed day | 
      
        |  | that a patient from that region and described by Subsection (a) | 
      
        |  | spends in a state hospital in excess of the number of state hospital | 
      
        |  | beds allocated to that region under Subsection (c). | 
      
        |  | (e)  The commission shall distribute the fees collected | 
      
        |  | under Subsection (d) to the local mental health authorities and | 
      
        |  | local behavioral health authorities in each region in which | 
      
        |  | patients described by Subsection (a) underuse the state hospital | 
      
        |  | beds allocated to the region during the quarter.  The commission | 
      
        |  | shall distribute the fees to the local mental health authorities | 
      
        |  | and local behavioral health authorities in proportion to the | 
      
        |  | underuse of state hospital beds in the regions in which the | 
      
        |  | authorities are located. | 
      
        |  | SECTION 2.004.  Subchapter D, Chapter 533, Health and Safety | 
      
        |  | Code, is amended by adding Sections 533.088 and 533.089 to read as | 
      
        |  | follows: | 
      
        |  | Sec. 533.088.  ESTABLISHMENT OF NEW FACILITY TYPES; FUNDING. | 
      
        |  | (a)  The executive commissioner may adopt rules establishing new | 
      
        |  | types of community-based crisis and treatment facilities for | 
      
        |  | persons with mental health disorders, substance abuse disorders, or | 
      
        |  | co-occurring mental health and substance abuse disorders.  A new | 
      
        |  | type of facility established by rule under this section must | 
      
        |  | provide mental health or substance abuse services to patients in a | 
      
        |  | residential setting and according to best practices. | 
      
        |  | (b)  The department shall give priority in the award of state | 
      
        |  | funding for crisis and treatment facilities for persons with mental | 
      
        |  | health or substance abuse disorders to a facility that is approved | 
      
        |  | by the department to operate as a new facility type under Subsection | 
      
        |  | (a) or that otherwise delivers mental health or substance abuse | 
      
        |  | services in an innovative manner. | 
      
        |  | Sec. 533.089.  REVIEW RELATING TO CERTAIN COMMUNITY-BASED | 
      
        |  | CRISIS AND TREATMENT FACILITIES.  (a)  The department shall conduct | 
      
        |  | a comprehensive review of department rules and department contract | 
      
        |  | requirements governing community-based crisis and treatment | 
      
        |  | facilities for persons with mental health and substance abuse | 
      
        |  | disorders.  As part of the review, department regulatory staff, | 
      
        |  | department behavioral health program staff, and stakeholders shall | 
      
        |  | work together to identify best practices for and unnecessary | 
      
        |  | barriers to the effective delivery of mental health and substance | 
      
        |  | abuse services by community-based crisis and treatment facilities. | 
      
        |  | (b)  The department shall: | 
      
        |  | (1)  develop proposed rules based on the work of the | 
      
        |  | department staff and stakeholders in Subsection (a); and | 
      
        |  | (2)  submit to the appropriate behavioral health | 
      
        |  | services advisory body designated by the executive commissioner the | 
      
        |  | proposed rules for the body's review. | 
      
        |  | (c)  Not later than September 1, 2016, the executive | 
      
        |  | commissioner shall adopt rules relating to the delivery of mental | 
      
        |  | health and substance abuse services by community-based crisis and | 
      
        |  | treatment facilities after considering any recommendations made by | 
      
        |  | the advisory body under Subsection (b)(2).  The rules may include | 
      
        |  | the establishment of new types of community-based crisis and | 
      
        |  | treatment facilities for persons with mental health disorders, | 
      
        |  | substance abuse disorders, or co-occurring mental health and | 
      
        |  | substance abuse disorders as authorized by Section 533.088. | 
      
        |  | (d)  This section expires September 1, 2017. | 
      
        |  | SECTION 2.005.  Subchapter D, Chapter 1001, Health and | 
      
        |  | Safety Code, is amended by adding Sections 1001.0731 and 1001.0732 | 
      
        |  | to read as follows: | 
      
        |  | Sec. 1001.0731.  CONTRACTING FOR CERTAIN FUNCTIONS RELATING | 
      
        |  | TO SUBSTANCE ABUSE.  The department may contract only with local | 
      
        |  | mental health authorities and local behavioral health authorities | 
      
        |  | to administer outreach, screening, assessment, and referral | 
      
        |  | functions relating to the provision of substance abuse services. | 
      
        |  | Sec. 1001.0732.  MENTAL HEALTH AND SUBSTANCE ABUSE HOTLINES. | 
      
        |  | The department shall ensure that each local mental health authority | 
      
        |  | and local behavioral health authority operates a toll-free | 
      
        |  | telephone hotline that enables a person to call a single hotline | 
      
        |  | number to obtain information from the authority about mental health | 
      
        |  | services, substance abuse services, or both. | 
      
        |  | SECTION 2.006.  The following provisions, including | 
      
        |  | provisions amended by S.B. 219, Acts of the 84th Legislature, | 
      
        |  | Regular Session, 2015, are repealed: | 
      
        |  | (1)  Section 7.030, Education Code; | 
      
        |  | (2)  Subchapter F, Chapter 461A, Health and Safety | 
      
        |  | Code; and | 
      
        |  | (3)  Section 533.0351, Health and Safety Code. | 
      
        |  | SECTION 2.007.  As soon as practicable after the effective | 
      
        |  | date of this Act, the Health and Human Services Commission shall | 
      
        |  | divide the state into regions and the local mental health | 
      
        |  | authorities and local behavioral health authorities shall develop | 
      
        |  | and submit to the commission for approval the state hospital bed | 
      
        |  | allocation methodology required by Section 533.0515, Health and | 
      
        |  | Safety Code, as added by this article. Before the commission | 
      
        |  | approves the methodology, the Department of State Health Services | 
      
        |  | shall continue to allocate beds in the state hospitals according to | 
      
        |  | the department's policy as it existed immediately before the | 
      
        |  | effective date of this Act, and the policy is continued in effect | 
      
        |  | for that purpose. | 
      
        |  | SECTION 2.008.  Section 1001.0731, Health and Safety Code, | 
      
        |  | as added by this article, applies only to a contract that is entered | 
      
        |  | into or renewed on or after the effective date of this Act.  A | 
      
        |  | contract that is entered into or renewed before that date is | 
      
        |  | governed by the law as it existed immediately before the effective | 
      
        |  | date of this Act, and that law is continued in effect for that | 
      
        |  | purpose. | 
      
        |  | ARTICLE 3.  EMERGENCY MEDICAL SERVICES REGULATION | 
      
        |  | SECTION 3.001.  Section 773.050, Health and Safety Code, is | 
      
        |  | amended by adding Subsection (i) to read as follows: | 
      
        |  | (i)  The department may develop and administer at least twice | 
      
        |  | each calendar year a jurisprudence examination to determine the | 
      
        |  | knowledge that an applicant for an emergency medical services | 
      
        |  | provider license or emergency medical services personnel | 
      
        |  | certification has of this chapter, department rules, and any other | 
      
        |  | applicable laws affecting the applicant's activities regulated | 
      
        |  | under this chapter. Department rules must specify who must take the | 
      
        |  | examination on behalf of an entity applying for an emergency | 
      
        |  | medical services provider license. | 
      
        |  | SECTION 3.002.  Section 773.0571, Health and Safety Code, as | 
      
        |  | amended by Chapters 1089 (H.B. 3556) and 1311 (S.B. 8), Acts of the | 
      
        |  | 83rd Legislature, Regular Session, 2013, is reenacted and amended | 
      
        |  | to read as follows: | 
      
        |  | Sec. 773.0571.  REQUIREMENTS FOR PROVIDER LICENSE.  The | 
      
        |  | department shall issue to an emergency medical services provider | 
      
        |  | applicant a license that is valid for two years if the department is | 
      
        |  | satisfied that: | 
      
        |  | (1)  the applicant has adequate staff to meet the | 
      
        |  | staffing standards prescribed by this chapter and the rules adopted | 
      
        |  | under this chapter; | 
      
        |  | (2)  each emergency medical services vehicle is | 
      
        |  | adequately constructed, equipped, maintained, and operated to | 
      
        |  | render basic or advanced life support services safely and | 
      
        |  | efficiently; | 
      
        |  | (3)  the applicant offers safe and efficient services | 
      
        |  | for emergency prehospital care and transportation of patients; | 
      
        |  | (4)  the applicant: | 
      
        |  | (A)  possesses sufficient professional experience | 
      
        |  | and qualifications to provide emergency medical services; and | 
      
        |  | (B)  has not been excluded from participation in | 
      
        |  | the state Medicaid program; | 
      
        |  | (5)  the applicant holds a letter of approval issued | 
      
        |  | under Section 773.0573 by the governing body of the municipality or | 
      
        |  | the commissioners court of the county in which the applicant is | 
      
        |  | located and is applying to provide emergency medical services, as | 
      
        |  | applicable; [ and] | 
      
        |  | (6)  the applicant employs a medical director; [ and] | 
      
        |  | (7)  the applicant operates out of a physical location | 
      
        |  | in compliance with Section 773.05715; | 
      
        |  | (8)  the applicant owns or has a long-term lease | 
      
        |  | agreement for all equipment necessary for safe operation of an | 
      
        |  | emergency medical services provider, as provided by Section | 
      
        |  | 773.05716; and | 
      
        |  | (9) [ (6)]  the applicant complies with the rules | 
      
        |  | adopted under this chapter. | 
      
        |  | SECTION 3.003.  Section 773.05713, Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | Sec. 773.05713.  REPORT TO LEGISLATURE.  Not later than | 
      
        |  | December 1 of each even-numbered year, the department shall | 
      
        |  | electronically submit a report to the lieutenant governor, the | 
      
        |  | speaker of the house of representatives, and the standing | 
      
        |  | committees of the house and senate with jurisdiction over the | 
      
        |  | department on the effect of Sections 773.05711 and 773.05712 that | 
      
        |  | includes: | 
      
        |  | (1)  the total number of applications for emergency | 
      
        |  | medical services provider licenses submitted to the department and | 
      
        |  | the number of applications for which licenses were issued or | 
      
        |  | licenses were denied by the department; | 
      
        |  | (2)  the number of emergency medical services provider | 
      
        |  | licenses that were suspended or revoked by the department for | 
      
        |  | violations of those sections and a description of the types of | 
      
        |  | violations that led to the license suspension or revocation; | 
      
        |  | (3)  the number of occurrences and types of fraud | 
      
        |  | committed by licensed emergency medical services providers related | 
      
        |  | to those sections; | 
      
        |  | (4)  the number of complaints made against licensed | 
      
        |  | emergency medical services providers for violations of those | 
      
        |  | sections and a description of the types of complaints, reported in | 
      
        |  | the manner required by Section 773.0605(d); and | 
      
        |  | (5)  the status of any coordination efforts of the | 
      
        |  | department and the Texas Medical Board related to those sections. | 
      
        |  | SECTION 3.004.  Subchapter C, Chapter 773, Health and Safety | 
      
        |  | Code, is amended by adding Sections 773.05715 and 773.05716 to read | 
      
        |  | as follows: | 
      
        |  | Sec. 773.05715.  PHYSICAL LOCATION REQUIRED.  (a) An | 
      
        |  | emergency medical services provider must have a permanent physical | 
      
        |  | location as the provider's primary place of business. An applicant | 
      
        |  | for an emergency medical services provider license must demonstrate | 
      
        |  | proof of the location of the primary place of business in the manner | 
      
        |  | required by the department. | 
      
        |  | (b)  The physical location may be owned or leased by the | 
      
        |  | emergency medical services provider. | 
      
        |  | (c)  The emergency medical services provider must remain in | 
      
        |  | the same physical location for the period of licensure, unless the | 
      
        |  | department approves a change in location. | 
      
        |  | (d)  The emergency medical services provider must maintain | 
      
        |  | all patient care records in the physical location that is the | 
      
        |  | provider's primary place of business, unless the department | 
      
        |  | approves an alternate location. | 
      
        |  | (e)  Only one emergency medical services provider may | 
      
        |  | operate out of a single physical location. | 
      
        |  | Sec. 773.05716.  NECESSARY EQUIPMENT.  (a) An emergency | 
      
        |  | medical services provider must own or hold a long-term lease for all | 
      
        |  | equipment necessary for the safe operation of an emergency medical | 
      
        |  | services provider, including emergency medical services vehicles, | 
      
        |  | heart rate monitors, defibrillators, stretchers, and any other | 
      
        |  | equipment the department determines is required. | 
      
        |  | (b)  An applicant for an emergency medical services provider | 
      
        |  | license must demonstrate proof of compliance with this section in | 
      
        |  | the manner required by the department. | 
      
        |  | SECTION 3.005.  Subchapter C, Chapter 773, Health and Safety | 
      
        |  | Code, is amended by adding Section 773.0605 to read as follows: | 
      
        |  | Sec. 773.0605.  COMPLAINTS AND INVESTIGATIONS.  (a) The | 
      
        |  | department shall track and keep records of: | 
      
        |  | (1)  each complaint received by the department | 
      
        |  | regarding emergency medical services providers and emergency | 
      
        |  | medical services personnel; | 
      
        |  | (2)  each investigation initiated by the department | 
      
        |  | under this chapter; and | 
      
        |  | (3)  each disciplinary action initiated by the | 
      
        |  | department under this chapter. | 
      
        |  | (b)  The department shall develop a formal process to refer | 
      
        |  | complaints outside the department's jurisdiction to the | 
      
        |  | appropriate agency for disposition. | 
      
        |  | (c)  The department shall track the types of complaints | 
      
        |  | received outside the department's jurisdiction.  The department | 
      
        |  | shall separately track complaints outside the department's | 
      
        |  | jurisdiction relating to potential billing fraud and make | 
      
        |  | information relating to those complaints available to the | 
      
        |  | appropriate state agency. | 
      
        |  | (d)  The department shall annually report statistical | 
      
        |  | information regarding each complaint received, and each | 
      
        |  | investigation or disciplinary action initiated, under this | 
      
        |  | chapter. The report must include: | 
      
        |  | (1)  the reason and basis for each complaint; | 
      
        |  | (2)  the origin of each investigation, including | 
      
        |  | whether the investigation: | 
      
        |  | (A)  resulted from a complaint brought by a | 
      
        |  | consumer; | 
      
        |  | (B)  resulted from a complaint brought by another | 
      
        |  | source; or | 
      
        |  | (C)  was initiated by the department in the | 
      
        |  | absence of a complaint; | 
      
        |  | (3)  the average time to resolve each complaint from | 
      
        |  | the date the complaint is received; | 
      
        |  | (4)  the disposition of each investigation, including: | 
      
        |  | (A)  the number of investigations commenced in | 
      
        |  | which no disciplinary action was taken, and the reasons no | 
      
        |  | disciplinary action was taken; | 
      
        |  | (B)  the number of investigations resulting in | 
      
        |  | disciplinary action, and the disciplinary actions taken; and | 
      
        |  | (C)  the number of complaints referred to another | 
      
        |  | agency for disposition; and | 
      
        |  | (5)  the number, type, and age of each open | 
      
        |  | investigation at the end of each fiscal year. | 
      
        |  | (e)  The department shall make the report required by | 
      
        |  | Subsection (d) available to the public through publication on the | 
      
        |  | department's website and on request. | 
      
        |  | SECTION 3.006.  Section 773.0611, Health and Safety Code, is | 
      
        |  | amended by adding Subsection (d) to read as follows: | 
      
        |  | (d)  The department may use an inspection performed by an | 
      
        |  | entity to which the department has delegated inspection authority | 
      
        |  | as a basis for a disciplinary action under Section 773.061. | 
      
        |  | SECTION 3.007.  (a)  The changes in law made by Sections | 
      
        |  | 773.05715 and 773.05716, Health and Safety Code, as added by this | 
      
        |  | article, apply only to a person that applies for a license or renews | 
      
        |  | a license as an emergency medical services provider on or after the | 
      
        |  | effective date of this Act. | 
      
        |  | (b)  The Department of State Health Services shall develop | 
      
        |  | the formal process required by Section 773.0605(b), Health and | 
      
        |  | Safety Code, as added by this article, as soon as practicable after | 
      
        |  | the effective date of this Act. | 
      
        |  | (c)  The Department of State Health Services may use an | 
      
        |  | inspection performed by an entity to which the department has | 
      
        |  | delegated inspection authority as a basis for a disciplinary | 
      
        |  | action, as provided by Section 773.0611(d), Health and Safety Code, | 
      
        |  | as added by this article, regardless of whether the inspection was | 
      
        |  | performed before, on, or after the effective date of this Act. | 
      
        |  | ARTICLE 4.  PUBLIC HEALTH SYSTEM | 
      
        |  | SECTION 4.001.  Section 117.101(a), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (a)  The committee shall: | 
      
        |  | (1)  define the core public health services a local | 
      
        |  | health entity should provide in a county or municipality; | 
      
        |  | (2)  evaluate public health in this state and identify | 
      
        |  | initiatives for areas that need improvement; | 
      
        |  | (3)  identify all funding sources available for use by | 
      
        |  | local health entities to perform core public health functions; | 
      
        |  | (4)  establish public health policy priorities for this | 
      
        |  | state; and | 
      
        |  | (5)  not later than November 30 of each even-numbered | 
      
        |  | year [ at least annually], make formal recommendations to the | 
      
        |  | department regarding: | 
      
        |  | (A)  the use and allocation of funds available | 
      
        |  | exclusively to local health entities to perform core public health | 
      
        |  | functions; | 
      
        |  | (B)  ways to improve the overall public health of | 
      
        |  | citizens in this state; | 
      
        |  | (C)  methods for transitioning from a contractual | 
      
        |  | relationship between the department and the local health entities | 
      
        |  | to a cooperative-agreement relationship between the department and | 
      
        |  | the local health entities; and | 
      
        |  | (D)  methods for fostering a continuous | 
      
        |  | collaborative relationship between the department and the local | 
      
        |  | health entities. | 
      
        |  | SECTION 4.002.  Section 117.103, Health and Safety Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 117.103.  BIENNIAL [ ANNUAL] REPORT.  Not [Beginning in  | 
      
        |  | 2012, not] later than November 30 of each even-numbered year, the | 
      
        |  | committee shall file a report on the implementation of this chapter | 
      
        |  | with the governor, the lieutenant governor, and the speaker of the | 
      
        |  | house of representatives. | 
      
        |  | SECTION 4.003.  The heading to Section 117.151, Health and | 
      
        |  | Safety Code, is amended to read as follows: | 
      
        |  | Sec. 117.151.  BIENNIAL  [ ANNUAL] REPORT. | 
      
        |  | SECTION 4.004.  Section 117.151(a), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (a)  Not [ Beginning in 2012, not] later than November 30 of | 
      
        |  | each even-numbered year, the department shall file a [ an annual] | 
      
        |  | report with the governor, the lieutenant governor, and the speaker | 
      
        |  | of the house of representatives detailing: | 
      
        |  | (1)  the implementation of the committee's | 
      
        |  | recommendations for the previous biennium described in Section | 
      
        |  | 117.101(a)(5); and | 
      
        |  | (2)  an explanation of the department's reasons for not | 
      
        |  | implementing a recommendation. | 
      
        |  | SECTION 4.005.  Subchapter D, Chapter 1001, Health and | 
      
        |  | Safety Code, is amended by adding Sections 1001.0785 and 1001.0786 | 
      
        |  | to read as follows: | 
      
        |  | Sec. 1001.0785.  INVENTORY OF PUBLIC HEALTH DUTIES.  (a) The | 
      
        |  | department shall develop and periodically update a comprehensive | 
      
        |  | inventory of the roles, responsibilities, and capacity, relating to | 
      
        |  | public health services, of: | 
      
        |  | (1)  the department's central office; | 
      
        |  | (2)  each public health region designated under Section | 
      
        |  | 121.007; and | 
      
        |  | (3)  each local health department, district, and | 
      
        |  | authority in this state. | 
      
        |  | (b)  The inventory under Subsection (a) must include: | 
      
        |  | (1)  the specific services and programs each entity | 
      
        |  | currently provides; and | 
      
        |  | (2)  the level of services provided. | 
      
        |  | (c)  Using the inventory compiled under Subsection (a), the | 
      
        |  | department shall create and update a clear matrix of duties | 
      
        |  | specific to each region, indicating which duties are performed by | 
      
        |  | each entity listed in Subsection (a).  The department shall clearly | 
      
        |  | delineate the division of duties between the department's central | 
      
        |  | office and the public health regions. | 
      
        |  | (d)  To assist the department in updating the matrix under | 
      
        |  | Subsection (c), each entity described by Subsections (a)(2) and (3) | 
      
        |  | shall provide the department with information regarding any | 
      
        |  | significant change in public health services provided by that | 
      
        |  | entity. | 
      
        |  | (e)  In creating the inventory and matrix of | 
      
        |  | responsibilities under this section, the department shall solicit | 
      
        |  | input from the Public Health Funding and Policy Committee | 
      
        |  | established under Section 117.051 and local health departments. | 
      
        |  | (f)  The department shall biennially present the inventory | 
      
        |  | and matrix created or updated under this section at a meeting of the | 
      
        |  | Public Health Funding and Policy Committee and at a meeting of the | 
      
        |  | State Health Services Council. | 
      
        |  | (g)  The department shall update the inventory and matrix | 
      
        |  | under this section not later than September 1 of each even-numbered | 
      
        |  | year. | 
      
        |  | Sec. 1001.0786.  PUBLIC HEALTH ACTION PLAN.  (a) The | 
      
        |  | department, in consultation with the Public Health Funding and | 
      
        |  | Policy Committee established under Section 117.051, shall: | 
      
        |  | (1)  establish clear goals and statewide priorities for | 
      
        |  | developing and improving the public health services delivery system | 
      
        |  | in this state; | 
      
        |  | (2)  develop an overarching vision for the department's | 
      
        |  | central office, each public health region designated under Section | 
      
        |  | 121.007, and local health departments, districts, and authorities; | 
      
        |  | (3)  develop goals and strategies for each region in | 
      
        |  | this state, with milestones, dates, performance measures, and | 
      
        |  | identification of the resources needed; and | 
      
        |  | (4)  create a public health action plan with regional | 
      
        |  | strategies and milestones to achieve the goals described by | 
      
        |  | Subdivisions (1)-(3). | 
      
        |  | (b)  The department shall complete an updated public health | 
      
        |  | action plan not later than November 30 of each even-numbered year | 
      
        |  | and present the plan, including progress on the goals established | 
      
        |  | in previous plans, to the Public Health Funding and Policy | 
      
        |  | Committee, the State Health Services Council, and the appropriate | 
      
        |  | standing committees of the legislature. | 
      
        |  | SECTION 4.006.  The Department of State Health Services | 
      
        |  | shall submit the initial inventory required by Section 1001.0785, | 
      
        |  | Health and Safety Code, as added by this article, not later than | 
      
        |  | March 1, 2016. | 
      
        |  | ARTICLE 5.  VITAL STATISTICS | 
      
        |  | SECTION 5.001.  Subchapter A, Chapter 191, Health and Safety | 
      
        |  | Code, is amended by adding Section 191.0031 to read as follows: | 
      
        |  | Sec. 191.0031.  CERTIFIED COPIES BY MAIL.  The state | 
      
        |  | registrar or a local registrar may not issue a certified copy of a | 
      
        |  | record under this chapter to a person who has applied for the record | 
      
        |  | by mail unless the person has provided notarized proof of identity | 
      
        |  | in accordance with rules adopted by the executive commissioner of | 
      
        |  | the Health and Human Services Commission.  The rules may require the | 
      
        |  | issuer of the certified copy to verify the notarization using the | 
      
        |  | records of the secretary of state under Section 406.012, Government | 
      
        |  | Code. | 
      
        |  | SECTION 5.002.  Section 191.022, Health and Safety Code, is | 
      
        |  | amended by adding Subsection (g) to read as follows: | 
      
        |  | (g)  Each local registrar shall annually submit a | 
      
        |  | self-assessment report to the state registrar.  The department | 
      
        |  | shall prescribe the information that must be included in the report | 
      
        |  | to allow a thorough desk audit of a local registrar. | 
      
        |  | SECTION 5.003.  Chapter 191, Health and Safety Code, is | 
      
        |  | amended by adding Subchapter D to read as follows: | 
      
        |  | SUBCHAPTER D.  ACCESS TO RECORDS | 
      
        |  | Sec. 191.071.  CRIMINAL BACKGROUND CHECK REQUIRED.  (a)  A | 
      
        |  | person may not access vital records maintained by the department | 
      
        |  | under this chapter and may not access the department's vital | 
      
        |  | records electronic registration system unless the department, or | 
      
        |  | another person acting on behalf of the department, has conducted a | 
      
        |  | fingerprint-based criminal background check, using state and | 
      
        |  | federal databases, on the person in accordance with department | 
      
        |  | policy and the person's record is satisfactory as determined under | 
      
        |  | department policy. | 
      
        |  | (b)  The department may adopt a policy waiving the | 
      
        |  | requirement of a fingerprint-based background check for a person | 
      
        |  | who previously submitted to a fingerprint-based background check as | 
      
        |  | a condition of licensure by a state agency. | 
      
        |  | SECTION 5.004.  Section 411.110(a), Government Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  The Department of State Health Services is entitled to | 
      
        |  | obtain from the department criminal history record information | 
      
        |  | maintained by the department that relates to: | 
      
        |  | (1)  a person who is: | 
      
        |  | (A)  an applicant for a license or certificate | 
      
        |  | under the Emergency Health Care Act (Chapter 773, Health and Safety | 
      
        |  | Code); | 
      
        |  | (B)  an owner or manager of an applicant for an | 
      
        |  | emergency medical services provider license under that Act; or | 
      
        |  | (C)  the holder of a license or certificate under | 
      
        |  | that Act; | 
      
        |  | (2)  an applicant for a license or a license holder | 
      
        |  | under Subchapter N, Chapter 431, Health and Safety Code; | 
      
        |  | (3)  an applicant for a license, the owner or manager of | 
      
        |  | an applicant for a massage establishment license, or a license | 
      
        |  | holder under Chapter 455, Occupations Code; | 
      
        |  | (4)  an applicant for employment at or current employee | 
      
        |  | of: | 
      
        |  | (A)  a public health hospital as defined by | 
      
        |  | Section 13.033, Health and Safety Code; or | 
      
        |  | (B)  the South Texas Health Care System; [ or] | 
      
        |  | (5)  an applicant for employment at, current employee | 
      
        |  | of, or person who contracts or may contract to provide goods or | 
      
        |  | services with[ : | 
      
        |  | [ (A)  the vital statistics unit of the Department  | 
      
        |  | of State Health Services; or | 
      
        |  | [ (B)]  the Council on Sex Offender Treatment or | 
      
        |  | other division or component of the Department of State Health | 
      
        |  | Services that monitors sexually violent predators as described by | 
      
        |  | Section 841.003(a), Health and Safety Code; or | 
      
        |  | (6)  a person authorized to access vital records or the | 
      
        |  | vital records electronic registration system under Chapter 191, | 
      
        |  | Health and Safety Code, including an employee of or contractor for | 
      
        |  | the Department of State Health Services, a local registrar, a | 
      
        |  | medical professional, or a funeral director. | 
      
        |  | SECTION 5.005.  In prescribing the initial requirements for | 
      
        |  | local registrar self-assessment reports under Section 191.022(g), | 
      
        |  | Health and Safety Code, as added by this article, the Department of | 
      
        |  | State Health Services shall solicit comment from local registrars | 
      
        |  | in this state. | 
      
        |  | SECTION 5.006.  The Department of State Health Services | 
      
        |  | shall prescribe policies necessary to implement Subchapter D, | 
      
        |  | Chapter 191, Health and Safety Code, as added by this article, to | 
      
        |  | take effect March 1, 2016. | 
      
        |  | ARTICLE 6.  TEXAS HEALTH CARE INFORMATION COLLECTION PROGRAM | 
      
        |  | SECTION 6.001.  Section 108.009, Health and Safety Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended by amending Subsection (a) and adding Subsection | 
      
        |  | (d-1) to read as follows: | 
      
        |  | (a)  The department may collect, and, except as provided by | 
      
        |  | Subsections [ Subsection] (d) and (d-1), providers shall submit to | 
      
        |  | the department or another entity as determined by the department, | 
      
        |  | all data required by this section.  The data shall be collected | 
      
        |  | according to uniform submission formats, coding systems, and other | 
      
        |  | technical specifications necessary to make the incoming data | 
      
        |  | substantially valid, consistent, compatible, and manageable using | 
      
        |  | electronic data processing, if available. | 
      
        |  | (d-1)  A facility that has been granted a waiver by the | 
      
        |  | department under this subsection is not required to submit data as | 
      
        |  | required by this section.  The executive commissioner shall adopt | 
      
        |  | rules to establish a process by which the department may grant a | 
      
        |  | waiver to exempt a facility from the requirements of this section if | 
      
        |  | the facility conducts not more than 600 procedures a year and does | 
      
        |  | not have information systems capable of automated reporting of | 
      
        |  | claims under this section.  A waiver may be valid for not more than a | 
      
        |  | year and may be reissued upon a showing of evidence that the | 
      
        |  | facility continues to qualify for the waiver under this subsection. | 
      
        |  | SECTION 6.002.  Chapter 108, Health and Safety Code, is | 
      
        |  | amended by adding Section 108.0145 to read as follows: | 
      
        |  | Sec. 108.0145.  PROVIDER NOT LIABLE FOR RELEASE OF | 
      
        |  | INFORMATION.  A provider that submits data under Section 108.009 is | 
      
        |  | not civilly or criminally liable for the use of the data under this | 
      
        |  | chapter or for a subsequent release of the data by the department or | 
      
        |  | another person. | 
      
        |  | SECTION 6.003.  Section 108.016, Health and Safety Code, is | 
      
        |  | repealed. | 
      
        |  | ARTICLE 7.  ABOLITION OF CERTAIN ADVISORY COMMITTEES, PANELS, AND | 
      
        |  | BOARDS | 
      
        |  | SECTION 7.001.  (a)  The Worksite Wellness Advisory Board is | 
      
        |  | abolished. | 
      
        |  | (b)  Section 664.052, Government Code, is amended to read as | 
      
        |  | follows: | 
      
        |  | Sec. 664.052.  RULES.  The executive commissioner shall | 
      
        |  | adopt rules for the administration of this subchapter[ , including  | 
      
        |  | rules prescribing the frequency and location of board meetings]. | 
      
        |  | (c)  Section 664.058, Government Code, is amended to read as | 
      
        |  | follows: | 
      
        |  | Sec. 664.058.  DONATIONS.  The department [ board] may | 
      
        |  | receive in-kind and monetary gifts, grants, and donations from | 
      
        |  | public and private donors to be used for the purposes of this | 
      
        |  | subchapter. | 
      
        |  | (d)  Section 664.061(a), Government Code, is amended to read | 
      
        |  | as follows: | 
      
        |  | (a)  A state agency may: | 
      
        |  | (1)  allow each employee 30 minutes during normal | 
      
        |  | working hours for exercise three times each week; | 
      
        |  | (2)  allow all employees to attend on-site wellness | 
      
        |  | seminars when offered; | 
      
        |  | (3)  provide eight hours of additional leave time each | 
      
        |  | year to an employee who: | 
      
        |  | (A)  receives a physical examination; and | 
      
        |  | (B)  completes either an online health risk | 
      
        |  | assessment tool provided by the department [ board] or a similar | 
      
        |  | health risk assessment conducted in person by a worksite wellness | 
      
        |  | coordinator; | 
      
        |  | (4)  provide financial incentives, notwithstanding | 
      
        |  | Section 2113.201, for participation in a wellness program developed | 
      
        |  | under Section 664.053(e) after the agency establishes a written | 
      
        |  | policy with objective criteria for providing the incentives; | 
      
        |  | (5)  offer on-site clinic or pharmacy services in | 
      
        |  | accordance with Subtitles B and J, Title 3, Occupations Code, | 
      
        |  | including the requirements regarding delegation of certain medical | 
      
        |  | acts under Chapter 157, Occupations Code; and | 
      
        |  | (6)  adopt additional wellness policies, as determined | 
      
        |  | by the agency. | 
      
        |  | (e)  Sections 664.051(1), 664.054, 664.055, 664.056, | 
      
        |  | 664.057, 664.059, and 664.060(c) and (f), Government Code, are | 
      
        |  | repealed. | 
      
        |  | SECTION 7.002.  (a)  The Sickle Cell Advisory Committee is | 
      
        |  | abolished. | 
      
        |  | (b)  Section 33.052, Health and Safety Code, is amended to | 
      
        |  | read as follows: | 
      
        |  | Sec. 33.052.  DUTIES OF DEPARTMENT.  The department shall[ : | 
      
        |  | [ (1)]  identify efforts related to the expansion and | 
      
        |  | coordination of education, treatment, and continuity of care | 
      
        |  | programs for individuals with sickle cell trait and sickle cell | 
      
        |  | disease[ ; | 
      
        |  | [ (2)  assist the advisory committee created under  | 
      
        |  | Section 33.053; and | 
      
        |  | [ (3)  provide the advisory committee created under  | 
      
        |  | Section 33.053 with staff support necessary for the advisory  | 
      
        |  | committee to fulfill its duties]. | 
      
        |  | (c)  Section 33.053, Health and Safety Code, is repealed. | 
      
        |  | SECTION 7.003.  (a) The Arthritis Advisory Committee is | 
      
        |  | abolished. | 
      
        |  | (b)  Section 97.007, Health and Safety Code, is repealed. | 
      
        |  | SECTION 7.004.  (a)  The Advisory Panel on Health | 
      
        |  | Care-Associated Infections and Preventable Adverse Events is | 
      
        |  | abolished. | 
      
        |  | (b)  Section 536.002(b), Government Code, is amended to read | 
      
        |  | as follows: | 
      
        |  | (b)  The executive commissioner shall appoint the members of | 
      
        |  | the advisory committee.  The committee must consist of physicians | 
      
        |  | and other health care providers, representatives of health care | 
      
        |  | facilities, representatives of managed care organizations, and | 
      
        |  | other stakeholders interested in health care services provided in | 
      
        |  | this state, including: | 
      
        |  | (1)  at least one member who is a physician with | 
      
        |  | clinical practice experience in obstetrics and gynecology; | 
      
        |  | (2)  at least one member who is a physician with | 
      
        |  | clinical practice experience in pediatrics; | 
      
        |  | (3)  at least one member who is a physician with | 
      
        |  | clinical practice experience in internal medicine or family | 
      
        |  | medicine; | 
      
        |  | (4)  at least one member who is a physician with | 
      
        |  | clinical practice experience in geriatric medicine; | 
      
        |  | (5)  at least three members who are or who represent a | 
      
        |  | health care provider that primarily provides long-term services and | 
      
        |  | supports; and | 
      
        |  | (6)  at least one member who is a consumer | 
      
        |  | representative[ ; and | 
      
        |  | [ (7)  at least one member who is a member of the  | 
      
        |  | Advisory Panel on Health Care-Associated Infections and  | 
      
        |  | Preventable Adverse Events who meets the qualifications prescribed  | 
      
        |  | by Section 98.052(a)(4), Health and Safety Code]. | 
      
        |  | (c)  The heading to Subchapter C, Chapter 98, Health and | 
      
        |  | Safety Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER C.  DUTIES OF DEPARTMENT [ AND ADVISORY PANEL]; REPORTING | 
      
        |  | SYSTEM | 
      
        |  | (d)  Section 98.1045(b), Health and Safety Code, is amended | 
      
        |  | to read as follows: | 
      
        |  | (b)  The executive commissioner may exclude an adverse event | 
      
        |  | described by Subsection (a)(2) from the reporting requirement of | 
      
        |  | Subsection (a) if the executive commissioner [ , in consultation  | 
      
        |  | with the advisory panel,] determines that the adverse event is not | 
      
        |  | an appropriate indicator of a preventable adverse event. | 
      
        |  | (e)  Section 98.105, Health and Safety Code, is amended to | 
      
        |  | read as follows: | 
      
        |  | Sec. 98.105.  REPORTING SYSTEM MODIFICATIONS.  The [ Based on  | 
      
        |  | the recommendations of the advisory panel, the] executive | 
      
        |  | commissioner by rule may modify in accordance with this chapter the | 
      
        |  | list of procedures that are reportable under Section 98.103.  The | 
      
        |  | modifications must be based on changes in reporting guidelines and | 
      
        |  | in definitions established by the federal Centers for Disease | 
      
        |  | Control and Prevention. | 
      
        |  | (f)  Section 98.106(c), Health and Safety Code, is amended to | 
      
        |  | read as follows: | 
      
        |  | (c)  The [ In consultation with the advisory panel, the] | 
      
        |  | department shall publish the departmental summary in a format that | 
      
        |  | is easy to read. | 
      
        |  | (g)  Section 98.108(a), Health and Safety Code, is amended to | 
      
        |  | read as follows: | 
      
        |  | (a)  The [ In consultation with the advisory panel, the] | 
      
        |  | executive commissioner by rule shall establish the frequency of | 
      
        |  | reporting by health care facilities required under Sections 98.103 | 
      
        |  | and 98.1045. | 
      
        |  | (h)  The following provisions are repealed: | 
      
        |  | (1)  Sections 98.001(1) and 98.002, Health and Safety | 
      
        |  | Code; and | 
      
        |  | (2)  Subchapter B, Chapter 98, Health and Safety Code. | 
      
        |  | SECTION 7.005.  (a) The Youth Camp Training Advisory | 
      
        |  | Committee is abolished. | 
      
        |  | (b)  Section 141.0095(d), Health and Safety Code, as amended | 
      
        |  | by S.B. 219, Acts of the 84th Legislature, Regular Session, 2015, is | 
      
        |  | amended to read as follows: | 
      
        |  | (d)  In accordance with this section [ and the criteria and  | 
      
        |  | guidelines developed by the training advisory committee  | 
      
        |  | established under Section 141.0096], the executive commissioner by | 
      
        |  | rule shall establish criteria and guidelines for training and | 
      
        |  | examination programs on sexual abuse and child molestation.  The | 
      
        |  | department may approve training and examination programs offered by | 
      
        |  | trainers under contract with youth camps or by online training | 
      
        |  | organizations or may approve programs offered in another format | 
      
        |  | authorized by the department. | 
      
        |  | (c)  Section 141.0096, Health and Safety Code, as amended by | 
      
        |  | S.B. 219, Acts of the 84th Legislature, Regular Session, 2015, is | 
      
        |  | repealed. | 
      
        |  | SECTION 7.006.  (a) The Texas Medical Child Abuse Resources | 
      
        |  | and Education System (MEDCARES) Advisory Committee is abolished. | 
      
        |  | (b)  Section 1001.155, Health and Safety Code, as added by | 
      
        |  | Chapter 1238 (S.B. 2080), Acts of the 81st Legislature, Regular | 
      
        |  | Session, 2009, is reenacted and amended to read as follows: | 
      
        |  | Sec. 1001.155.  REQUIRED REPORT.  Not later than December 1 | 
      
        |  | of each even-numbered year, the department [ , with the assistance  | 
      
        |  | of the advisory committee established under this subchapter,] shall | 
      
        |  | submit a report to the governor and the legislature regarding the | 
      
        |  | grant activities of the program and grant recipients, including the | 
      
        |  | results and outcomes of grants provided under this subchapter. | 
      
        |  | (c)  Section 1001.153, Health and Safety Code, as added by | 
      
        |  | Chapter 1238 (S.B. 2080), Acts of the 81st Legislature, Regular | 
      
        |  | Session, 2009, is repealed. | 
      
        |  | SECTION 7.007.  If an entity that is abolished by this | 
      
        |  | article has property, records, or other assets, the Health and | 
      
        |  | Human Services Commission shall take custody of the entity's | 
      
        |  | property, records, or other assets. | 
      
        |  | ARTICLE 8.  REGULATORY PROGRAMS TRANSFERRED TO THE TEXAS DEPARTMENT | 
      
        |  | OF LICENSING AND REGULATION | 
      
        |  | PART 1.  TRANSFERS DURING BIENNIUM ENDING AUGUST 31, 2017 | 
      
        |  | SECTION 8.001.  Section 203.002, Occupations Code, is | 
      
        |  | amended by adding Subdivision (1) and amending Subdivisions (3), | 
      
        |  | (4), (4-a), (6), and (9) to read as follows: | 
      
        |  | (1)  "Advisory board" means the Midwives Advisory | 
      
        |  | Board. | 
      
        |  | (3)  "Commission" [ "Commissioner"] means the Texas | 
      
        |  | Commission of Licensing and Regulation [ commissioner of state  | 
      
        |  | health services]. | 
      
        |  | (4)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (4-a)  "Executive director" [ commissioner"] means the | 
      
        |  | executive director of the department [ commissioner of the Health  | 
      
        |  | and Human Services Commission]. | 
      
        |  | (6)  "Midwife" means a person who practices midwifery | 
      
        |  | and has met the licensing requirements established by this chapter | 
      
        |  | and commission [ midwifery board] rules. | 
      
        |  | (9)  "Normal" means, as applied to pregnancy, labor, | 
      
        |  | delivery, the postpartum period, and the newborn period, and as | 
      
        |  | defined by commission [ midwifery board] rule, circumstances under | 
      
        |  | which a midwife has determined that a client is at a low risk of | 
      
        |  | developing complications. | 
      
        |  | SECTION 8.002.  Section 203.005, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.005.  EFFECT ON LOCAL ORDINANCES.  This chapter | 
      
        |  | does not prohibit a municipality from adopting a local ordinance or | 
      
        |  | rule to regulate the practice of midwifery in the municipality if | 
      
        |  | the ordinance or rule is compatible with and at least as strict as | 
      
        |  | this chapter and commission [ midwifery board] rules. | 
      
        |  | SECTION 8.003.  The heading to Subchapter B, Chapter 203, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER B. MIDWIVES ADVISORY [ MIDWIFERY] BOARD | 
      
        |  | SECTION 8.004.  Section 203.052, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.052.  ADVISORY [ APPOINTMENT OF MIDWIFERY] BOARD | 
      
        |  | MEMBERSHIP.  (a)  The advisory [ midwifery] board consists of nine | 
      
        |  | members appointed by the presiding officer of the commission with | 
      
        |  | the approval of the commission as follows: | 
      
        |  | (1)  five licensed midwife members each of whom has at | 
      
        |  | least three years' experience in the practice of midwifery; | 
      
        |  | (2)  one physician member who is certified by a | 
      
        |  | national professional organization of physicians that certifies | 
      
        |  | obstetricians and gynecologists; | 
      
        |  | (3)  one physician member who is certified by a | 
      
        |  | national professional organization of physicians that certifies | 
      
        |  | family practitioners or pediatricians; and | 
      
        |  | (4)  two members who represent the public and who are | 
      
        |  | not practicing or trained in a health care profession, one of whom | 
      
        |  | is a parent with at least one child born with the assistance of a | 
      
        |  | midwife. | 
      
        |  | (b)  Appointments to the advisory [ midwifery] board shall be | 
      
        |  | made without regard to the race, color, disability, sex, religion, | 
      
        |  | age, or national origin of the appointee. | 
      
        |  | SECTION 8.005.  Subchapter B, Chapter 203, Occupations Code, | 
      
        |  | is amended by adding Section 203.0521 to read as follows: | 
      
        |  | Sec. 203.0521.  DUTIES OF ADVISORY BOARD.  The advisory | 
      
        |  | board shall provide advice and recommendations to the department on | 
      
        |  | technical matters relevant to the administration of this chapter. | 
      
        |  | SECTION 8.006.  Section 203.055, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.055.  TERMS; VACANCIES.  (a) Members of the | 
      
        |  | advisory [ midwifery] board serve for staggered terms of six years. | 
      
        |  | 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 | 
      
        |  | presiding officer of the commission, with the commission's | 
      
        |  | approval, shall appoint a replacement who meets the qualifications | 
      
        |  | for the vacant position to serve for the remainder of the term. | 
      
        |  | SECTION 8.007.  Section 203.056, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.056.  PRESIDING OFFICER [ OFFICERS].  The presiding | 
      
        |  | officer of the commission [ commissioner] shall designate a public | 
      
        |  | member of the advisory [ midwifery] board to serve as the presiding | 
      
        |  | officer of the advisory [ midwifery] board to serve for a term of one | 
      
        |  | year [ in that capacity at the pleasure of the commissioner].  The | 
      
        |  | presiding officer of the advisory board may vote on any matter | 
      
        |  | before the advisory board [ midwifery board shall elect one of the  | 
      
        |  | other members of the midwifery board as vice presiding officer]. | 
      
        |  | SECTION 8.008.  Section 203.059, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.059.  MEETINGS.  [ (a)]  The advisory [midwifery] | 
      
        |  | board shall meet at [ least semiannually. | 
      
        |  | [ (b)  The midwifery board shall meet at other times at] the | 
      
        |  | call of the presiding officer of the commission or the executive | 
      
        |  | director [ midwifery board or the commissioner]. | 
      
        |  | SECTION 8.009.  The heading to Subchapter D, Chapter 203, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER D.  POWERS AND DUTIES [ OF MIDWIFERY BOARD, EXECUTIVE  | 
      
        |  | COMMISSIONER, AND DEPARTMENT] | 
      
        |  | SECTION 8.010.  The heading to Section 203.151, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 203.151.  GENERAL POWERS AND DUTIES [ RULEMAKING  | 
      
        |  | AUTHORITY OF MIDWIFERY BOARD]. | 
      
        |  | SECTION 8.011.  Section 203.151, Occupations Code, is | 
      
        |  | amended by amending Subsection (a) and adding Subsections (a-1) and | 
      
        |  | (a-2) to read as follows: | 
      
        |  | (a)  The executive director shall administer and enforce | 
      
        |  | this chapter. | 
      
        |  | (a-1)  The commission [ Subject to the approval of the  | 
      
        |  | executive commissioner, the midwifery board] shall: | 
      
        |  | (1)  [ adopt substantive and procedural rules necessary  | 
      
        |  | for the licensing of midwives; | 
      
        |  | [ (2)]  adopt rules prescribing the standards for the | 
      
        |  | practice of midwifery in this state, including standards for: | 
      
        |  | (A)  the delineation of findings that preclude a | 
      
        |  | woman or newborn from being classified as having a normal | 
      
        |  | pregnancy, labor, delivery, postpartum period, or newborn period; | 
      
        |  | and | 
      
        |  | (B)  administration of oxygen by a midwife to a | 
      
        |  | mother or newborn; | 
      
        |  | (2) [ (3)]  adopt rules prescribing: | 
      
        |  | (A)  the type of courses and number of hours | 
      
        |  | required to meet the basic midwifery education course and | 
      
        |  | continuing midwifery education course requirements; and | 
      
        |  | (B)  minimum standards for the approval and | 
      
        |  | revocation of approval of: | 
      
        |  | (i)  basic midwifery education courses and | 
      
        |  | continuing midwifery education courses; and | 
      
        |  | (ii)  instructors or facilities used in | 
      
        |  | basic midwifery education courses and continuing midwifery | 
      
        |  | education courses; and | 
      
        |  | (3)  [ (4)  adopt rules prescribing a procedure for  | 
      
        |  | reporting and processing complaints relating to the practice of  | 
      
        |  | midwifery in this state; | 
      
        |  | [ (5)  adopt and implement substantive and procedural  | 
      
        |  | rules as necessary to discipline midwives determined to be in  | 
      
        |  | violation of this chapter or otherwise a threat to the public health  | 
      
        |  | and safety; | 
      
        |  | [ (6)]  adopt rules as necessary to establish | 
      
        |  | eligibility for reciprocity for initial licensing under this | 
      
        |  | chapter[ ; and | 
      
        |  | [ (7)  adopt other rules necessary to implement a duty  | 
      
        |  | imposed on the executive commissioner or the department under this  | 
      
        |  | chapter]. | 
      
        |  | (a-2)  The department shall: | 
      
        |  | (1)  implement rules governing: | 
      
        |  | (A)  basic midwifery education courses and | 
      
        |  | continuing midwifery education courses;  and | 
      
        |  | (B)  approval of instructors or facilities used in | 
      
        |  | offering basic midwifery education courses and continuing | 
      
        |  | midwifery education courses; | 
      
        |  | (2)  prepare and distribute basic midwifery | 
      
        |  | information and instructor manuals; | 
      
        |  | (3)  enter into agreements necessary to carry out this | 
      
        |  | chapter; and | 
      
        |  | (4)  establish a program for licensure as a midwife as | 
      
        |  | prescribed by commission rules. | 
      
        |  | SECTION 8.012.  Section 203.152(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  The commission [ midwifery board] may not set a fee for | 
      
        |  | an amount less than the amount of that fee on September 1, 1993. | 
      
        |  | SECTION 8.013.  Sections 203.153(a) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  The [ Subject to the approval of the] department [, the  | 
      
        |  | midwifery board] shall issue basic information manuals for the | 
      
        |  | practice of midwifery [ .  The midwifery board shall approve the  | 
      
        |  | basic information manuals] and instructor manuals that may be used | 
      
        |  | in basic midwifery education courses. | 
      
        |  | (c)  A basic information manual must include information | 
      
        |  | about: | 
      
        |  | (1)  the knowledge necessary to practice as a midwife; | 
      
        |  | (2)  the basic education and continuing education | 
      
        |  | requirements for a midwife; | 
      
        |  | (3)  the legal requirements and procedures relating to | 
      
        |  | midwifery; | 
      
        |  | (4)  the standards of practice as a midwife; and | 
      
        |  | (5)  other information or procedures required by the | 
      
        |  | commission [ midwifery board] or the department. | 
      
        |  | SECTION 8.014.  Section 203.154, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.154.  REPORTS ON MIDWIFERY.  (a) [ (c)]  The | 
      
        |  | department [ midwifery board] shall prepare and publish reports on | 
      
        |  | the practice of midwifery in this state. | 
      
        |  | (b)  The Department of State Health Services shall publish a | 
      
        |  | [ , including] statistical report [reporting] of infant fetal | 
      
        |  | morbidity and mortality. | 
      
        |  | SECTION 8.015.  The heading to Section 203.155, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 203.155.  COMPLAINTS [ COMPLAINT PROCEDURE AND  | 
      
        |  | INVESTIGATION]. | 
      
        |  | SECTION 8.016.  Sections 203.155(b) and (d), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (b)  For purposes of Section 51.252, the commission must | 
      
        |  | adopt [ The] rules to [adopted under Subsection (a) must: | 
      
        |  | [ (1)  distinguish among categories of complaints; | 
      
        |  | [ (2)  ensure that a person who files a complaint has an  | 
      
        |  | opportunity to explain the allegations made in the complaint; and | 
      
        |  | [ (3)]  provide for the release of any relevant | 
      
        |  | midwifery or medical record to the department [ midwifery board], | 
      
        |  | without the necessity of consent by the midwife's client, as | 
      
        |  | necessary to conduct an investigation of a complaint. | 
      
        |  | (d)  The department [ midwifery board] shall provide | 
      
        |  | reasonable assistance to a person who wishes to file a complaint | 
      
        |  | with the department regarding a person or activity regulated by | 
      
        |  | this chapter [ midwifery board]. | 
      
        |  | SECTION 8.017.  Section 203.252(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A person qualifies to become a licensed midwife under | 
      
        |  | this chapter if the person provides the department [ program  | 
      
        |  | coordinator] with documentary evidence that the person has: | 
      
        |  | (1)  satisfied each requirement for basic midwifery | 
      
        |  | education; and | 
      
        |  | (2)  passed the comprehensive midwifery examination | 
      
        |  | and jurisprudence examination required by this chapter. | 
      
        |  | SECTION 8.018.  Section 203.253, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.253.  LICENSE APPLICATION.  A person who practices | 
      
        |  | midwifery must apply to the department to be licensed as a midwife | 
      
        |  | in the manner and on a form prescribed by the executive | 
      
        |  | director.  The application must: | 
      
        |  | (1)  be accompanied by a nonrefundable application fee; | 
      
        |  | and | 
      
        |  | (2)  include information required by commission | 
      
        |  | [ midwifery board] rules. | 
      
        |  | SECTION 8.019.  Section 203.254, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.254.  BASIC MIDWIFERY EDUCATION.  The commission | 
      
        |  | [ Subject to the approval of the executive commissioner, the  | 
      
        |  | midwifery board] shall establish requirements for basic midwifery | 
      
        |  | education. | 
      
        |  | SECTION 8.020.  Section 203.255(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The department [ midwifery board, with the approval of  | 
      
        |  | the executive commissioner,] shall: | 
      
        |  | (1)  adopt a comprehensive midwifery examination for | 
      
        |  | persons regulated under this chapter that must be passed before the | 
      
        |  | initial license may be issued; and | 
      
        |  | (2)  establish eligibility requirements for persons | 
      
        |  | taking a comprehensive midwifery examination. | 
      
        |  | SECTION 8.021.  Section 203.2555, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.2555.  JURISPRUDENCE EXAMINATION.  (a)  The | 
      
        |  | department [ midwifery board] shall develop and administer at least | 
      
        |  | twice each calendar year a jurisprudence examination to determine | 
      
        |  | an applicant's knowledge of this chapter, commission [ midwifery  | 
      
        |  | board] rules under this chapter, and any other applicable laws of | 
      
        |  | this state affecting the applicant's midwifery practice. | 
      
        |  | (b)  The commission [ Subject to the approval of the executive  | 
      
        |  | commissioner, the midwifery board] shall adopt rules to implement | 
      
        |  | this section, including rules related to the development and | 
      
        |  | administration of the examination, examination fees, guidelines | 
      
        |  | for reexamination, grading the examination, and providing notice of | 
      
        |  | examination results. | 
      
        |  | SECTION 8.022.  Section 203.256, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.256.  TRAINING IN NEWBORN SCREENING AND BASIC LIFE | 
      
        |  | SUPPORT CARDIOPULMONARY RESUSCITATION.  A person who practices | 
      
        |  | midwifery in this state must provide the department [ program  | 
      
        |  | coordinator] with satisfactory evidence that the person: | 
      
        |  | (1)  is trained to perform the newborn screening tests | 
      
        |  | under Section 203.354 or has made arrangements for the performance | 
      
        |  | of those tests; and | 
      
        |  | (2)  holds: | 
      
        |  | (A)  a current certificate issued by the American | 
      
        |  | Heart Association in basic life support cardiopulmonary | 
      
        |  | resuscitation; or | 
      
        |  | (B)  another form of certification acceptable to | 
      
        |  | the department that demonstrates proficiency in basic life support | 
      
        |  | cardiopulmonary resuscitation for adults and children. | 
      
        |  | SECTION 8.023.  Section 203.304, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.304.  CONTINUING MIDWIFERY EDUCATION.  (a)  The | 
      
        |  | commission by rule  [ Subject to the approval of the executive  | 
      
        |  | commissioner, the midwifery board] shall establish requirements | 
      
        |  | for continuing midwifery education, including a minimum number of | 
      
        |  | hours of continuing education required to renew a license under | 
      
        |  | this chapter. | 
      
        |  | (b)  On renewal of the license, a midwife must provide the | 
      
        |  | department [ program coordinator] with evidence, acceptable under | 
      
        |  | commission [ midwifery board] rules, of completion of continuing | 
      
        |  | midwifery education as prescribed by the commission by rule | 
      
        |  | [ midwifery board]. | 
      
        |  | (c)  The commission [ midwifery board] by rule shall develop a | 
      
        |  | process to evaluate and approve continuing education courses. | 
      
        |  | SECTION 8.024.  Section 203.305, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.305.  REQUIRED ATTENDANCE AT SPECIFIC MIDWIFERY | 
      
        |  | EDUCATION COURSES.  The department [ midwifery board] may assess the | 
      
        |  | continuing education needs of licensed midwives and may require | 
      
        |  | licensed midwives to attend continuing midwifery education courses | 
      
        |  | specified by the department [ midwifery board]. | 
      
        |  | SECTION 8.025.  Section 203.306, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.306.  GROUNDS FOR REFUSING RENEWAL.  The department | 
      
        |  | [ midwifery board] may refuse to renew the license of a person who | 
      
        |  | fails to pay an administrative penalty [ imposed under Subchapter  | 
      
        |  | J,] unless enforcement of the penalty is stayed or a court has | 
      
        |  | ordered that the administrative penalty is not owed. | 
      
        |  | SECTION 8.026.  Section 203.351(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  The department [ midwifery board] shall prescribe the | 
      
        |  | form of the informed choice and disclosure statement required to be | 
      
        |  | used by a midwife under this chapter.  The form must include: | 
      
        |  | (1)  statistics of the midwife's experience as a | 
      
        |  | midwife; | 
      
        |  | (2)  the date the midwife's license expires; | 
      
        |  | (3)  the date the midwife's cardiopulmonary | 
      
        |  | resuscitation certification expires; | 
      
        |  | (4)  the midwife's compliance with continuing education | 
      
        |  | requirements; | 
      
        |  | (5)  a description of medical backup arrangements; and | 
      
        |  | (6)  the legal responsibilities of a midwife, including | 
      
        |  | statements concerning newborn blood screening, ophthalmia | 
      
        |  | neonatorum prevention, and prohibited acts under Sections | 
      
        |  | 203.401-203.403. | 
      
        |  | SECTION 8.027.  Section 203.352, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.352.  PRENATAL AND CERTAIN MEDICAL CARE ENCOURAGED. | 
      
        |  | A midwife shall encourage a client to seek: | 
      
        |  | (1)  prenatal care; and | 
      
        |  | (2)  medical care through consultation or referral, as | 
      
        |  | specified by commission [ midwifery board] rules, if the midwife | 
      
        |  | determines that the pregnancy, labor, delivery, postpartum period, | 
      
        |  | or newborn period of a woman or newborn may not be classified as | 
      
        |  | normal for purposes of this chapter. | 
      
        |  | SECTION 8.028.  Section 203.354(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  A midwife may collect blood specimens for the newborn | 
      
        |  | screening tests if the midwife has been approved by the department | 
      
        |  | to collect the specimen.  The commission [ Subject to the approval  | 
      
        |  | of the executive commissioner, the midwifery board] shall adopt | 
      
        |  | rules establishing the standards for approval.  The standards must | 
      
        |  | recognize completion of a course of instruction that includes the | 
      
        |  | blood specimen collection procedure or verification by | 
      
        |  | appropriately trained health care providers that the midwife has | 
      
        |  | been instructed in the blood collection procedures. | 
      
        |  | SECTION 8.029.  Section 203.355(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  The Department of State Health Services [ department] | 
      
        |  | and a local health department, a public health district, or a local | 
      
        |  | health unit shall provide clinical and laboratory support services | 
      
        |  | to a pregnant woman or a newborn who is a client of a midwife if the | 
      
        |  | midwife is required to provide the services under this chapter. | 
      
        |  | SECTION 8.030.  Section 203.356(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A physician, a registered nurse, or other person who, on | 
      
        |  | the order of a physician, instructs a midwife in the approved | 
      
        |  | techniques for collecting blood specimens to be used for newborn | 
      
        |  | screening tests is immune from liability arising out of the failure | 
      
        |  | or refusal of the midwife to: | 
      
        |  | (1)  collect the specimens in the approved manner;  or | 
      
        |  | (2)  submit the specimens to the Department of State | 
      
        |  | Health Services [ department] in a timely manner. | 
      
        |  | SECTION 8.031.  Sections 203.357(a) and (b), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  The department [ midwifery board] may require | 
      
        |  | information in addition to that required by Section 203.253 if it | 
      
        |  | determines the additional information is necessary and appropriate | 
      
        |  | to ascertain the nature and extent of midwifery in this state.  The | 
      
        |  | department [ midwifery board] may not require information regarding | 
      
        |  | any act that is prohibited under this chapter. | 
      
        |  | (b)  The [ With the approval of the midwifery board, the] | 
      
        |  | department shall prescribe forms for the additional information and | 
      
        |  | shall distribute those forms directly to each midwife.  Each | 
      
        |  | midwife must complete and return the forms to the department as | 
      
        |  | requested. | 
      
        |  | SECTION 8.032.  Section 203.401, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.401.  PROHIBITED PRACTICES.  A midwife may not: | 
      
        |  | (1)  provide midwifery care in violation of commission | 
      
        |  | [ midwifery board] rule, except in an emergency that poses an | 
      
        |  | immediate threat to the life of a woman or newborn; | 
      
        |  | (2)  administer a prescription drug to a client other | 
      
        |  | than: | 
      
        |  | (A)  a drug administered under the supervision of | 
      
        |  | a licensed physician in accordance with state law; | 
      
        |  | (B)  prophylaxis approved by the Department of | 
      
        |  | State Health Services [ department] to prevent ophthalmia | 
      
        |  | neonatorum; or | 
      
        |  | (C)  oxygen administered in accordance with | 
      
        |  | commission [ midwifery board] rule; | 
      
        |  | (3)  use forceps or a surgical instrument for a | 
      
        |  | procedure other than cutting the umbilical cord or providing | 
      
        |  | emergency first aid during delivery; | 
      
        |  | (4)  remove placenta by invasive techniques; | 
      
        |  | (5)  use a mechanical device or medicine to advance or | 
      
        |  | retard labor or delivery; or | 
      
        |  | (6)  make on a birth certificate a false statement or | 
      
        |  | false record in violation of Section 195.003, Health and Safety | 
      
        |  | Code. | 
      
        |  | SECTION 8.033.  Section 203.404, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.404.  GROUNDS FOR DISCIPLINARY ACTION.  (a)  The | 
      
        |  | commission or executive director [ midwifery board] may discipline a | 
      
        |  | licensed midwife, refuse to renew a midwife's license, or refuse to | 
      
        |  | issue a license to an applicant if the person: | 
      
        |  | (1)  violates this chapter or a rule adopted under this | 
      
        |  | chapter; | 
      
        |  | (2)  submits false or misleading information to the | 
      
        |  | [ midwifery board or the] department; | 
      
        |  | (3)  is convicted of a misdemeanor involving moral | 
      
        |  | turpitude or a felony; | 
      
        |  | (4)  uses alcohol or drugs intemperately; | 
      
        |  | (5)  engages in unprofessional or dishonorable conduct | 
      
        |  | that may reasonably be determined to deceive or defraud the public; | 
      
        |  | (6)  is unable to practice midwifery with reasonable | 
      
        |  | skill and safety because of illness, disability, or psychological | 
      
        |  | impairment; | 
      
        |  | (7)  is determined by a court judgment to be mentally | 
      
        |  | impaired; | 
      
        |  | (8)  submits a birth or death certificate known by the | 
      
        |  | person to be false or fraudulent or engages in another act that | 
      
        |  | violates Title 3, Health and Safety Code, or a rule adopted under | 
      
        |  | that title; | 
      
        |  | (9)  violates Chapter 244, Health and Safety Code, or a | 
      
        |  | rule adopted under that chapter; or | 
      
        |  | (10)  fails to practice midwifery in a manner | 
      
        |  | consistent with the public health and safety. | 
      
        |  | (b)  The commission or executive director [ midwifery board] | 
      
        |  | may discipline a licensed midwife and may refuse to issue a license | 
      
        |  | to an applicant for a disciplinary action taken by another | 
      
        |  | jurisdiction that affects the person's authority to practice | 
      
        |  | midwifery, including a suspension, a revocation, or another action. | 
      
        |  | SECTION 8.034.  Section 203.406, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 203.406.  REFUND.  (a)  Subject to Subsection (b), the | 
      
        |  | commission or executive director [ midwifery board] may order a | 
      
        |  | licensed midwife to pay a refund to a consumer as provided in an | 
      
        |  | agreed settlement, default order, or commission order [ agreement  | 
      
        |  | resulting from an informal settlement conference] instead of or in | 
      
        |  | addition to imposing an administrative penalty against the license | 
      
        |  | holder [ under this chapter]. | 
      
        |  | (b)  The amount of a refund ordered [ as provided in an  | 
      
        |  | agreement resulting from an informal settlement conference] may not | 
      
        |  | exceed the amount the consumer paid to the licensed midwife for a | 
      
        |  | service regulated by this chapter.  The commission or executive | 
      
        |  | director [ midwifery board] may not require payment of other damages | 
      
        |  | or estimate harm in a refund order. | 
      
        |  | SECTION 8.035.  Section 203.501(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A person is liable for a civil penalty if the person is | 
      
        |  | required to be licensed under this chapter and the person knowingly | 
      
        |  | or intentionally practices midwifery: | 
      
        |  | (1)  without a license or while the license is | 
      
        |  | suspended or revoked; or | 
      
        |  | (2)  in violation of a commission [ midwifery board] | 
      
        |  | order. | 
      
        |  | SECTION 8.036.  Section 203.502(b), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (b)  If the executive director [ department] or a health | 
      
        |  | authority determines that a person has violated this chapter, the | 
      
        |  | executive director may institute an action described by Section | 
      
        |  | 51.352 [ and that the violation creates an immediate threat to the  | 
      
        |  | health and safety of the public, the department, or the health  | 
      
        |  | authority with the concurrence of the department, may request the  | 
      
        |  | attorney general or a district, county, or city attorney to bring an  | 
      
        |  | action in a district court for a restraining order to restrain the  | 
      
        |  | violation]. | 
      
        |  | SECTION 8.037.  Section 203.503(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  Venue for a civil action arising out of the imposition | 
      
        |  | of an administrative penalty [ brought under Section 203.451 or  | 
      
        |  | 203.452] is in the county in which the defendant resides or in the | 
      
        |  | county in which the violation occurred. | 
      
        |  | SECTION 8.038.  Section 203.505(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  A violation of a cease and desist [ an] order issued by | 
      
        |  | the executive director [ under this section] constitutes grounds for | 
      
        |  | imposing an administrative penalty [ under Subchapter J]. | 
      
        |  | SECTION 8.039.  Section 401.001, Occupations Code, is | 
      
        |  | amended by amending Subdivisions (1), (3), (4), and (4-a) and | 
      
        |  | adding Subdivisions (1-a) and (4-b) to read as follows: | 
      
        |  | (1)  "Advisory board" means the Speech-Language | 
      
        |  | Pathologists and Audiologists Advisory Board. | 
      
        |  | (1-a)  "Audiologist" means a person who meets the | 
      
        |  | qualifications of this chapter to practice audiology. | 
      
        |  | (3)  "Commission" [ "Board"] means the Texas Commission | 
      
        |  | of Licensing and Regulation [ State Board of Examiners for  | 
      
        |  | Speech-Language Pathology and Audiology]. | 
      
        |  | (4)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (4-a)  "Executive director" means the executive | 
      
        |  | director of the department. | 
      
        |  | (4-b)  "Hearing instrument" has the meaning assigned by | 
      
        |  | Section 402.001. | 
      
        |  | SECTION 8.040.  Section 401.052, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.052.  NURSES.  This chapter does not prevent or | 
      
        |  | restrict a communication, speech, language, or hearing screening, | 
      
        |  | as defined by commission [ board] rule, from being conducted by a | 
      
        |  | registered nurse: | 
      
        |  | (1)  licensed in this state; and | 
      
        |  | (2)  practicing in accordance with the standards of | 
      
        |  | professional conduct and ethics established by rules adopted by the | 
      
        |  | Texas Board of Nursing. | 
      
        |  | SECTION 8.041.  Section 401.053, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.053.  PERSONS TRAINED BY DEPARTMENT OF STATE HEALTH | 
      
        |  | SERVICES.  (a)  This chapter does not apply to a person who shows | 
      
        |  | evidence of having received training by the Department of State | 
      
        |  | Health Services [ department] in a communication, speech, language, | 
      
        |  | or hearing screening training program approved by that [ the] | 
      
        |  | department if the person's activity is limited to screening as | 
      
        |  | defined by commission [ board] rule. | 
      
        |  | (b)  A person who has received training by the Department of | 
      
        |  | State Health Services [ department] in a program under Subsection | 
      
        |  | (a) may not: | 
      
        |  | (1)  practice speech-language pathology or audiology; | 
      
        |  | or | 
      
        |  | (2)  represent that the person is a speech-language | 
      
        |  | pathologist or audiologist. | 
      
        |  | SECTION 8.042.  Sections 401.054(b), (c), and (d), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (b)  The Texas Education Agency certificate in | 
      
        |  | speech-language pathology must require an applicant to: | 
      
        |  | (1)  hold a master's degree in communicative disorders | 
      
        |  | or the equivalent from a university program accredited by the | 
      
        |  | American Speech-Language-Hearing Association; and | 
      
        |  | (2)  pass a national examination in speech-language | 
      
        |  | pathology or audiology approved by the department [ board]. | 
      
        |  | (c)  A person affected by this section who performs work as a | 
      
        |  | speech-language pathologist or audiologist in addition to | 
      
        |  | performing the person's duties within an agency, institution, or | 
      
        |  | organization under the jurisdiction of the Texas Education Agency | 
      
        |  | is required to hold a license issued by the department [ board] | 
      
        |  | unless that work is limited to speech and hearing screening | 
      
        |  | procedures performed without compensation. | 
      
        |  | (d)  For the purposes of Subsection (b)(1), an applicant's | 
      
        |  | educational credentials are equivalent to a master's degree in | 
      
        |  | communicative disorders if the credentials: | 
      
        |  | (1)  consist of graduate-level course work and | 
      
        |  | practicum from a program accredited by the American | 
      
        |  | Speech-Language-Hearing Association; and | 
      
        |  | (2)  meet requirements that are the same as those | 
      
        |  | established by the department [ board] for a license in | 
      
        |  | speech-language pathology or audiology. | 
      
        |  | SECTION 8.043.  The heading to Subchapter C, Chapter 401, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER C. [ STATE BOARD OF EXAMINERS FOR] SPEECH-LANGUAGE | 
      
        |  | PATHOLOGISTS [ PATHOLOGY] AND AUDIOLOGISTS ADVISORY BOARD | 
      
        |  | [ AUDIOLOGY] | 
      
        |  | SECTION 8.044.  Section 401.102, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.102.  ADVISORY BOARD MEMBERSHIP.  (a)  The advisory | 
      
        |  | board consists of nine members appointed by the presiding officer | 
      
        |  | of the commission with the approval of the commission [ governor] as | 
      
        |  | follows: | 
      
        |  | (1)  three audiologist members; | 
      
        |  | (2)  three speech-language pathologist members; and | 
      
        |  | (3)  three members who represent the public. | 
      
        |  | (b)  Advisory board [ Board] members must: | 
      
        |  | (1)  have been a resident of this state for the two | 
      
        |  | years preceding the date of appointment; | 
      
        |  | (2)  be from the various geographic regions of the | 
      
        |  | state; and | 
      
        |  | (3)  be from varying employment settings. | 
      
        |  | (c)  The advisory board members appointed under Subsections | 
      
        |  | (a)(1) and (2) must: | 
      
        |  | (1)  have been engaged in teaching, research, or | 
      
        |  | providing services in speech-language pathology or audiology for at | 
      
        |  | least five years; and | 
      
        |  | (2)  be licensed under this chapter. | 
      
        |  | (d)  One of the public advisory board members must be a | 
      
        |  | physician licensed in this state and certified in otolaryngology or | 
      
        |  | pediatrics. | 
      
        |  | (e)  Appointments to the advisory board shall be made without | 
      
        |  | regard to the race, creed, sex, religion, or national origin of the | 
      
        |  | appointee. | 
      
        |  | SECTION 8.045.  Subchapter C, Chapter 401, Occupations Code, | 
      
        |  | is amended by adding Section 401.10205 to read as follows: | 
      
        |  | Sec. 401.10205.  DUTIES OF ADVISORY BOARD.  The advisory | 
      
        |  | board shall provide advice and recommendations to the department on | 
      
        |  | technical matters relevant to the administration of this chapter. | 
      
        |  | SECTION 8.046.  The heading to Section 401.105, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 401.105.  TERMS; VACANCIES. | 
      
        |  | SECTION 8.047.  Section 401.105(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  If a vacancy occurs during a member's term, the | 
      
        |  | presiding officer of the commission, with the commission's | 
      
        |  | approval, shall appoint a replacement who meets the qualifications | 
      
        |  | for the vacant position to serve for the remainder of the term [ A  | 
      
        |  | person may not be appointed to serve more than two consecutive  | 
      
        |  | terms]. | 
      
        |  | SECTION 8.048.  Section 401.107, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.107.  PRESIDING OFFICER [ BOARD OFFICERS].  (a)  The | 
      
        |  | presiding officer of the commission [ governor] shall designate a | 
      
        |  | member of the advisory board to serve as the presiding officer of | 
      
        |  | the advisory board for a term of one year [ to serve in that capacity  | 
      
        |  | at the will of the governor]. | 
      
        |  | (b)  The presiding officer of the advisory board may vote on | 
      
        |  | any matter before the advisory board [ must hold a license under this  | 
      
        |  | chapter]. | 
      
        |  | SECTION 8.049.  Section 401.108, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.108.  MEETINGS.  [ (a)]  The advisory board shall | 
      
        |  | meet [ hold at least two regular meetings each year. | 
      
        |  | [ (b)  Additional meetings may be held] at the call of the | 
      
        |  | presiding officer of the commission or the executive director [ on  | 
      
        |  | the written request of any three members of the board]. | 
      
        |  | SECTION 8.050.  The heading to Subchapter E, Chapter 401, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER E. [ BOARD AND DEPARTMENT] POWERS AND DUTIES | 
      
        |  | SECTION 8.051.  Section 401.201, Occupations Code, is | 
      
        |  | amended by amending Subsection (a) and adding Subsection (a-1) to | 
      
        |  | read as follows: | 
      
        |  | (a)  The executive director shall administer and enforce | 
      
        |  | this chapter. | 
      
        |  | (a-1)  The [ With the assistance of the] department [, the  | 
      
        |  | board] shall: | 
      
        |  | (1)  [ administer, coordinate, and enforce this  | 
      
        |  | chapter; | 
      
        |  | [ (2)]  evaluate the qualifications of license | 
      
        |  | applicants; | 
      
        |  | (2) [ (3)]  provide for the examination of license | 
      
        |  | applicants; | 
      
        |  | (3) [ (4)]  in connection with a hearing under this | 
      
        |  | chapter [ Section 401.454], issue subpoenas, examine witnesses, and | 
      
        |  | administer oaths under the laws of this state; and | 
      
        |  | (4)  [ (5)  conduct hearings and keep records and  | 
      
        |  | minutes necessary to the orderly administration of this chapter;  | 
      
        |  | and | 
      
        |  | [ (6)]  investigate persons engaging in practices that | 
      
        |  | violate this chapter. | 
      
        |  | SECTION 8.052.  Section 401.202, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.202.  STANDARDS OF ETHICAL PRACTICE [ RULEMAKING  | 
      
        |  | AUTHORITY].  The commission [board] shall adopt rules under | 
      
        |  | [ necessary to administer and enforce] this chapter[, including  | 
      
        |  | rules] that establish standards of ethical practice. | 
      
        |  | SECTION 8.053.  Section 401.2021, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.2021.  [ JOINT] RULES FOR HEARING | 
      
        |  | INSTRUMENTS.  With the assistance of the advisory [ department,  | 
      
        |  | the] board and the Hearing Instrument Fitters and Dispensers | 
      
        |  | Advisory Board, the commission [ State Committee of Examiners in the  | 
      
        |  | Fitting and Dispensing of Hearing Instruments] shall [jointly] | 
      
        |  | adopt rules to establish requirements for each sale of a hearing | 
      
        |  | instrument for purposes of this chapter and Chapter 402.  The rules | 
      
        |  | must: | 
      
        |  | (1)  address: | 
      
        |  | (A)  the information and other provisions | 
      
        |  | required in each written contract for the purchase of a hearing | 
      
        |  | instrument; | 
      
        |  | (B)  records that must be retained under this | 
      
        |  | chapter or Chapter 402; and | 
      
        |  | (C)  guidelines for the 30-day trial period during | 
      
        |  | which a person may cancel the purchase of a hearing instrument; and | 
      
        |  | (2)  require that the written contract and 30-day trial | 
      
        |  | period information provided to a purchaser of a hearing instrument | 
      
        |  | be in plain language designed to be easily understood by the average | 
      
        |  | consumer. | 
      
        |  | SECTION 8.054.  Section 401.2022, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.2022.  [ JOINT] RULES FOR FITTING AND DISPENSING OF | 
      
        |  | HEARING INSTRUMENTS BY TELEPRACTICE.  (a)  In this section, | 
      
        |  | "telepractice" means the use of telecommunications technology by a | 
      
        |  | license holder for an assessment, intervention, or consultation | 
      
        |  | regarding a speech-language pathology or audiology client. | 
      
        |  | (b)  With the assistance of the advisory [ department, the] | 
      
        |  | board and the Hearing Instrument Fitters and Dispensers Advisory | 
      
        |  | Board, the commission [ State Committee of Examiners in the Fitting  | 
      
        |  | and Dispensing of Hearing Instruments] shall [jointly] adopt rules | 
      
        |  | to establish requirements for the fitting and dispensing of hearing | 
      
        |  | instruments by the use of telepractice for purposes of this chapter | 
      
        |  | and Chapter 402, including rules that establish the qualifications | 
      
        |  | and duties of license holders who use telepractice. | 
      
        |  | SECTION 8.055.  The heading to Section 401.203, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 401.203.  ASSISTANCE FILING COMPLAINT [ BOARD DUTIES  | 
      
        |  | REGARDING COMPLAINTS]. | 
      
        |  | SECTION 8.056.  Section 401.203(c), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (c)  The department [ board] shall provide reasonable | 
      
        |  | assistance to a person who wishes to file a complaint with the | 
      
        |  | department regarding a person or activity regulated under this | 
      
        |  | chapter [ board]. | 
      
        |  | SECTION 8.057.  Section 401.251, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.251.   TELEPHONE NUMBER FOR COMPLAINTS.  The | 
      
        |  | department [ 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. | 
      
        |  | SECTION 8.058.  The heading to Section 401.253, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 401.253.  [ GENERAL] RULES REGARDING USE OF PRIVATE | 
      
        |  | INVESTIGATOR [ REGARDING COMPLAINT INVESTIGATION AND DISPOSITION]. | 
      
        |  | SECTION 8.059.  Section 401.253(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  For purposes of Section 51.252, the commission must [ The  | 
      
        |  | board shall] adopt rules to [concerning the investigation of a  | 
      
        |  | complaint filed with the board.  The rules must: | 
      
        |  | [ (1)  distinguish among categories of complaints; | 
      
        |  | [ (2)  ensure that a complaint is not dismissed without  | 
      
        |  | appropriate consideration; | 
      
        |  | [ (3)  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 dismissed  | 
      
        |  | complaint; | 
      
        |  | [ (4)  ensure that the person who filed the complaint  | 
      
        |  | has an opportunity to explain the allegations made in the  | 
      
        |  | complaint; and | 
      
        |  | [ (5)]  prescribe guidelines concerning the categories | 
      
        |  | of complaints under this chapter that require the use of a private | 
      
        |  | investigator and the procedures for the department [ board] to | 
      
        |  | obtain the services of a private investigator. | 
      
        |  | SECTION 8.060.  The heading to Section 401.2535, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 401.2535.  CONFIDENTIALITY OF COMPLAINT AND | 
      
        |  | DISCIPLINARY INFORMATION [ INVESTIGATION;  SUBPOENA]. | 
      
        |  | SECTION 8.061.  Sections 401.2535(h) and (i), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (h)  All information and materials subpoenaed or compiled by | 
      
        |  | the department [ board] in connection with a complaint and | 
      
        |  | investigation are confidential and not subject to disclosure under | 
      
        |  | Chapter 552, Government Code, and not subject to disclosure, | 
      
        |  | discovery, subpoena, or other means of legal compulsion for their | 
      
        |  | release to anyone other than the department [ board] or its | 
      
        |  | employees or agents involved in discipline of the holder of a | 
      
        |  | license, except that this information may be disclosed to: | 
      
        |  | (1)  persons involved with the department [ board] in a | 
      
        |  | disciplinary action against the holder of a license; | 
      
        |  | (2)  professional speech-language pathologist and | 
      
        |  | audiologist licensing or disciplinary boards in other | 
      
        |  | jurisdictions; | 
      
        |  | (3)  peer assistance programs approved by the | 
      
        |  | commission [ board] under Chapter 467, Health and Safety Code; | 
      
        |  | (4)  law enforcement agencies; and | 
      
        |  | (5)  persons engaged in bona fide research, if all | 
      
        |  | individual-identifying information has been deleted. | 
      
        |  | (i)  The filing of formal charges by the department [ board] | 
      
        |  | against a holder of a license, the nature of those charges, | 
      
        |  | disciplinary proceedings of the department, commission, or | 
      
        |  | executive director [ board], and final disciplinary actions, | 
      
        |  | including warnings and reprimands, by the department, commission, | 
      
        |  | or executive director [ board] are not confidential and are subject | 
      
        |  | to disclosure in accordance with Chapter 552, Government Code. | 
      
        |  | SECTION 8.062.  Section 401.302, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.302.  ISSUANCE OF LICENSE.  (a)  The department | 
      
        |  | [ board] shall issue a license to an applicant who meets the | 
      
        |  | requirements of this chapter and who pays to the department [ board] | 
      
        |  | the initial nonrefundable license fee. | 
      
        |  | (b)  The department [ board] may issue to an applicant a | 
      
        |  | license in either speech-language pathology or audiology. | 
      
        |  | (c)  The department [ board] may issue a license in both | 
      
        |  | speech-language pathology and audiology to an applicant. | 
      
        |  | (d)  The commission [ board] by rule shall establish | 
      
        |  | qualifications for dual licensing in speech-language pathology and | 
      
        |  | audiology and may develop a full range of licensing options and | 
      
        |  | establish rules for qualifications. | 
      
        |  | SECTION 8.063.  Section 401.303(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A person who desires a license under this chapter must | 
      
        |  | apply to the department [ board] on a form and in the manner | 
      
        |  | prescribed by the executive director [ board prescribes]. | 
      
        |  | SECTION 8.064.  Sections 401.304(a) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  To be eligible for licensing as a speech-language | 
      
        |  | pathologist or audiologist, an applicant must: | 
      
        |  | (1)  if the application is for a license in: | 
      
        |  | (A)  speech-language pathology, possess at least | 
      
        |  | a master's degree with a major in at least one of the areas of | 
      
        |  | communicative sciences or disorders from a program accredited by a | 
      
        |  | national accrediting organization that is approved by the | 
      
        |  | commission or department [ board] and recognized by the United | 
      
        |  | States secretary of education under the Higher Education Act of | 
      
        |  | 1965 (20 U.S.C. Section 1001 et seq.) in an accredited or approved | 
      
        |  | college or university; or | 
      
        |  | (B)  audiology, possess at least a doctoral degree | 
      
        |  | in audiology or a related hearing science from a program accredited | 
      
        |  | by a national accrediting organization that is approved by the | 
      
        |  | commission or department [ board] and recognized by the United | 
      
        |  | States secretary of education under the Higher Education Act of | 
      
        |  | 1965 (20 U.S.C. Section 1001 et seq.) in an accredited or approved | 
      
        |  | college or university; | 
      
        |  | (2)  submit a transcript from a public or private | 
      
        |  | institution of higher learning showing successful completion of | 
      
        |  | course work in amounts set by the commission by rule [ board] in: | 
      
        |  | (A)  normal development and use of speech, | 
      
        |  | language, and hearing; | 
      
        |  | (B)  evaluation, habilitation, and rehabilitation | 
      
        |  | of speech, language, and hearing disorders; and | 
      
        |  | (C)  related fields that augment the work of | 
      
        |  | clinical practitioners of speech-language pathology and audiology; | 
      
        |  | (3)  have successfully completed at least 36 semester | 
      
        |  | hours in courses that are acceptable toward a graduate degree by the | 
      
        |  | college or university in which the courses are taken, at least 24 of | 
      
        |  | which must be in the professional area for which the license is | 
      
        |  | requested; | 
      
        |  | (4)  have completed the minimum number of hours, | 
      
        |  | established by the commission by rule [ board], of supervised | 
      
        |  | clinical experience with persons who present a variety of | 
      
        |  | communication disorders; and | 
      
        |  | (5)  have completed the full-time supervised | 
      
        |  | professional experience, as defined by commission [ board] rule, in | 
      
        |  | which clinical work has been accomplished in the major professional | 
      
        |  | area for which the license is being sought. | 
      
        |  | (c)  Supervised professional experience under Subsection | 
      
        |  | (a)(5) must: | 
      
        |  | (1)  be under the supervision of a qualified person | 
      
        |  | acceptable to the department [ board] under guidelines approved by | 
      
        |  | the commission [ board]; and | 
      
        |  | (2)  begin after completion of the academic and | 
      
        |  | clinical experience required by this section. | 
      
        |  | SECTION 8.065.  Section 401.3041, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.3041.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR LICENSE ISSUANCE.  (a)  The department [ board] | 
      
        |  | shall require that an applicant for a license submit a complete and | 
      
        |  | legible set of fingerprints, on a form prescribed by the department | 
      
        |  | [ board], to the department [board] or to the Department of Public | 
      
        |  | Safety for the purpose of obtaining criminal history record | 
      
        |  | information from the Department of Public Safety and the Federal | 
      
        |  | Bureau of Investigation. | 
      
        |  | (b)  The department [ board] may not issue a license to a | 
      
        |  | person who does not comply with the requirement of Subsection (a). | 
      
        |  | (c)  The department [ board] shall conduct a criminal history | 
      
        |  | check of each applicant for a license using information: | 
      
        |  | (1)  provided by the individual under this section; and | 
      
        |  | (2)  made available to the department [ board] by the | 
      
        |  | Department of Public Safety, the Federal Bureau of Investigation, | 
      
        |  | and any other criminal justice agency under Chapter 411, Government | 
      
        |  | Code. | 
      
        |  | (d)  The department [ Department of State Health Services on  | 
      
        |  | behalf of the board] may: | 
      
        |  | (1)  enter into an agreement with the Department of | 
      
        |  | Public Safety to administer a criminal history check required under | 
      
        |  | this section; and | 
      
        |  | (2)  authorize the Department of Public Safety to | 
      
        |  | collect from each applicant the costs incurred by the Department of | 
      
        |  | Public Safety in conducting the criminal history check. | 
      
        |  | SECTION 8.066.  Section 401.305, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.305.  EXAMINATION.  (a)  To obtain a license, an | 
      
        |  | applicant must: | 
      
        |  | (1)  pass an [ a validated] examination approved by the | 
      
        |  | commission by rule [ board]; and | 
      
        |  | (2)  pay fees in a manner prescribed by the commission | 
      
        |  | by rule [ board]. | 
      
        |  | (b)  The department [ board] shall [: | 
      
        |  | [ (1)]  administer an examination at least twice each | 
      
        |  | year. | 
      
        |  | (b-1)  The commission by rule shall [ ; | 
      
        |  | [ (2)]  determine standards for acceptable performance | 
      
        |  | on the examination [ ; and | 
      
        |  | [ (3)  maintain a record of all examination scores for  | 
      
        |  | at least two years after the date of examination]. | 
      
        |  | (c)  The commission [ board] by rule may: | 
      
        |  | (1)  establish procedures for the administration of the | 
      
        |  | examination; and | 
      
        |  | (2)  require a written or oral examination, or both. | 
      
        |  | (d)  The commission by rule [ board] may require the | 
      
        |  | examination of [ examine] an applicant in any theoretical or applied | 
      
        |  | field of speech-language pathology or audiology it considers | 
      
        |  | appropriate.  The commission by rule [ board] may require the | 
      
        |  | examination of [ examine] an applicant on professional skills and | 
      
        |  | judgment in the use of speech-language pathology or audiology | 
      
        |  | techniques or methods. | 
      
        |  | SECTION 8.067.  Section 401.307(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  An applicant who fails two examinations may not be | 
      
        |  | reexamined until the person: | 
      
        |  | (1)  submits a new application accompanied by a | 
      
        |  | nonrefundable application fee;  and | 
      
        |  | (2)  presents evidence acceptable to the department | 
      
        |  | [ board] of additional study in the area for which a license is | 
      
        |  | sought. | 
      
        |  | SECTION 8.068.  Section 401.308, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.308.  PROVISIONAL LICENSE;  CERTIFICATE OF CLINICAL | 
      
        |  | COMPETENCE WAIVER.  (a)  The department [ board] may grant a | 
      
        |  | provisional license to an applicant who: | 
      
        |  | (1)  is licensed in good standing as a speech-language | 
      
        |  | pathologist or an audiologist in another state that has licensing | 
      
        |  | requirements that are substantially equivalent to the requirements | 
      
        |  | of this chapter; | 
      
        |  | (2)  has passed a national or other examination | 
      
        |  | recognized by the department [ board] relating to speech-language | 
      
        |  | pathology or audiology; and | 
      
        |  | (3)  is sponsored by a license holder with whom the | 
      
        |  | provisional license holder may practice under this section. | 
      
        |  | (b)  An applicant for a provisional license may be excused | 
      
        |  | from the requirement of Subsection (a)(3) if the department [ board] | 
      
        |  | determines that compliance with that requirement is a hardship to | 
      
        |  | the applicant. | 
      
        |  | (c)  A provisional license is valid until the date the | 
      
        |  | department [ board] approves or denies the provisional license | 
      
        |  | holder's application for a license. | 
      
        |  | (d)  The department [ board] shall issue a license under this | 
      
        |  | chapter to a provisional license holder: | 
      
        |  | (1)  who passes the examination required by Section | 
      
        |  | 401.305; | 
      
        |  | (2)  for whom the department [ board] verifies | 
      
        |  | satisfaction of the academic and experience requirements for a | 
      
        |  | license under this chapter; and | 
      
        |  | (3)  who satisfies any other license requirements under | 
      
        |  | this chapter. | 
      
        |  | (e)  The department [ board] shall complete the processing of | 
      
        |  | a provisional license holder's application for a license not later | 
      
        |  | than the 180th day after the date the provisional license is issued. | 
      
        |  | (f)  The department [ board] may waive the examination | 
      
        |  | requirement and issue a license to an applicant who holds the | 
      
        |  | Certificate of Clinical Competence of the American | 
      
        |  | Speech-Language-Hearing Association. | 
      
        |  | SECTION 8.069.  Section 401.310(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The department [ board] shall issue a temporary | 
      
        |  | certificate of registration to an applicant who: | 
      
        |  | (1)  satisfies the requirements of Section 401.304; | 
      
        |  | (2)  has not previously applied to take the | 
      
        |  | examination; and | 
      
        |  | (3)  pays the nonrefundable application fee. | 
      
        |  | SECTION 8.070.  Section 401.311(c), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (c)  The commission [ board] by rule shall: | 
      
        |  | (1)  prescribe the terms governing a person's practice | 
      
        |  | as an intern under this section; and | 
      
        |  | (2)  establish general guidelines and renewal | 
      
        |  | procedures for the holder of an intern license. | 
      
        |  | SECTION 8.071.  Sections 401.312(a) and (b), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  The commission by rule [ board] may establish minimum | 
      
        |  | qualifications for licensed assistants in speech-language | 
      
        |  | pathology and in audiology. | 
      
        |  | (b)  A licensed assistant in speech-language pathology or in | 
      
        |  | audiology must meet the minimum qualifications established by the | 
      
        |  | commission [ board]. | 
      
        |  | SECTION 8.072.  Section 401.351, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 401.351.  LICENSE TERM [ EXPIRATION].  [(a)]  A license | 
      
        |  | issued under this chapter is valid for two years.  [ The board by  | 
      
        |  | rule may adopt a system under which licenses expire on various dates  | 
      
        |  | during the year. | 
      
        |  | [ (b)  For the year in which the license expiration date is  | 
      
        |  | changed, license fees payable on the original expiration date shall  | 
      
        |  | be prorated on a monthly basis so that each license holder pays only  | 
      
        |  | the portion of the license fee that is allocable to the number of  | 
      
        |  | months during which the license is valid.  On renewal of the license  | 
      
        |  | on the new expiration date, the total license renewal fee is  | 
      
        |  | payable.] | 
      
        |  | SECTION 8.073.  Section 401.352(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  Each licensed speech-language pathologist or | 
      
        |  | audiologist must pay the nonrefundable fee for license renewal. | 
      
        |  | [ The board shall allow a 60-day grace period.  After expiration of  | 
      
        |  | the grace period, the board may renew a license on payment of a  | 
      
        |  | penalty set by board rule.] | 
      
        |  | SECTION 8.074.  Section 401.355, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.355.  CONTINUING EDUCATION.  (a)  The commission by | 
      
        |  | rule [ board] shall establish uniform mandatory continuing | 
      
        |  | education requirements.  A license holder may not renew the | 
      
        |  | person's license unless the person meets the continuing education | 
      
        |  | requirements. | 
      
        |  | (b)  The commission [ board] shall establish the requirements | 
      
        |  | in a manner that allows a license holder to comply without an | 
      
        |  | extended absence from the license holder's county of residence. | 
      
        |  | SECTION 8.075.  Section 401.401(c), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (c)  The commission [ board] shall adopt rules necessary to | 
      
        |  | enforce this section. | 
      
        |  | SECTION 8.076.  Section 401.403(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  A person who meets the requirements of this chapter for | 
      
        |  | licensing as an audiologist or audiologist intern and who fits and | 
      
        |  | dispenses hearing instruments must: | 
      
        |  | (1)  register with the department [ board] the person's | 
      
        |  | intention to fit and dispense hearing instruments; | 
      
        |  | (2)  comply with the profession's code of ethics; | 
      
        |  | (3)  comply with the federal Food and Drug | 
      
        |  | Administration guidelines for fitting and dispensing hearing | 
      
        |  | instruments; | 
      
        |  | (4)  when providing services in this state, use a | 
      
        |  | written contract that contains the department's [ board's] name, | 
      
        |  | mailing address, and telephone number; and | 
      
        |  | (5)  follow the guidelines adopted by commission | 
      
        |  | [ board] rule for a 30-day trial period on every hearing instrument | 
      
        |  | purchased. | 
      
        |  | SECTION 8.077.  Section 401.451(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  After a hearing, the commission or executive director | 
      
        |  | [ board] may deny a license to an applicant or may suspend or revoke | 
      
        |  | a person's license or place on probation a license holder if the | 
      
        |  | applicant or license holder: | 
      
        |  | (1)  violates this chapter or an order issued or rule | 
      
        |  | adopted under this chapter [ of the board]; | 
      
        |  | (2)  obtains a license by means of fraud, | 
      
        |  | misrepresentation, or concealment of a material fact; | 
      
        |  | (3)  sells, barters, or offers to sell or barter a | 
      
        |  | license or certificate of registration; or | 
      
        |  | (4)  engages in unprofessional conduct that: | 
      
        |  | (A)  endangers or is likely to endanger the | 
      
        |  | health, welfare, or safety of the public as defined by commission | 
      
        |  | [ board] rule; or | 
      
        |  | (B)  violates the code of ethics adopted and | 
      
        |  | published by the commission [ board]. | 
      
        |  | SECTION 8.078.  Section 401.453(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The commission or department [ board] may deny a license | 
      
        |  | or may suspend or revoke a license if the applicant or license | 
      
        |  | holder has been convicted of a misdemeanor involving moral | 
      
        |  | turpitude or a felony.  The commission or department [ board] may | 
      
        |  | take action authorized by this section when: | 
      
        |  | (1)  the time for appeal of the person's conviction has | 
      
        |  | elapsed; | 
      
        |  | (2)  the judgment or conviction has been affirmed on | 
      
        |  | appeal; or | 
      
        |  | (3)  an order granting probation is made suspending the | 
      
        |  | imposition of the person's sentence, without regard to whether a | 
      
        |  | subsequent order: | 
      
        |  | (A)  allows a withdrawal of a plea of guilty; | 
      
        |  | (B)  sets aside a verdict of guilty; or | 
      
        |  | (C)  dismisses an information or indictment. | 
      
        |  | SECTION 8.079.  Section 401.5021, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.5021.  [ BOARD-ORDERED] REFUND.  The commission or | 
      
        |  | executive director [ board] may order an audiologist to pay a refund | 
      
        |  | to a consumer who returns a hearing instrument during the 30-day | 
      
        |  | trial period required by rules adopted under Section 401.2021. | 
      
        |  | SECTION 8.080.  Section 401.552(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The amount of an [ the] administrative penalty imposed | 
      
        |  | for a violation of this chapter or a rule adopted or order issued | 
      
        |  | under this chapter may not be less than $50 or more than $5,000 for | 
      
        |  | each violation.  Each day a violation continues or occurs is a | 
      
        |  | separate violation for the purpose of imposing a penalty. | 
      
        |  | SECTION 8.081.  Section 402.001, Occupations Code, is | 
      
        |  | amended by amending Subdivisions (2), (3), and (6), amending | 
      
        |  | Subdivision (3-a), as added by S.B. 219, Acts of the 84th | 
      
        |  | Legislature, Regular Session, 2015, and adding Subdivision (1) to | 
      
        |  | read as follows: | 
      
        |  | (1)  "Advisory board" means the Hearing Instrument | 
      
        |  | Fitters and Dispensers Advisory Board. | 
      
        |  | (2)  "Commission" [ "Committee"] means the Texas | 
      
        |  | Commission of Licensing and Regulation [ State Committee of  | 
      
        |  | Examiners in the Fitting and Dispensing of Hearing Instruments]. | 
      
        |  | (3)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (3-a)  "Executive director [ commissioner]" means the | 
      
        |  | executive director [ commissioner] of the department [Health and  | 
      
        |  | Human Services Commission]. | 
      
        |  | (6)  "License" means a license issued by the department | 
      
        |  | [ committee] under this chapter to a person authorized to fit and | 
      
        |  | dispense hearing instruments. | 
      
        |  | SECTION 8.082.  The heading to Subchapter B, Chapter 402, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER B. HEARING INSTRUMENT FITTERS AND DISPENSERS ADVISORY | 
      
        |  | BOARD [ STATE COMMITTEE OF EXAMINERS IN THE FITTING AND DISPENSING  | 
      
        |  | OF HEARING INSTRUMENTS] | 
      
        |  | SECTION 8.083.  Section 402.051, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 402.051.  ADVISORY BOARD [ COMMITTEE;] MEMBERSHIP.  (a) | 
      
        |  | The advisory board [ State Committee of Examiners in the Fitting and  | 
      
        |  | Dispensing of Hearing Instruments is part of the department and] | 
      
        |  | consists of nine members appointed by the presiding officer of the | 
      
        |  | commission [ governor] with the approval [advice and consent] of the | 
      
        |  | commission [ senate] as follows: | 
      
        |  | (1)  six members licensed under this chapter who have | 
      
        |  | been residents of this state actually engaged in fitting and | 
      
        |  | dispensing hearing instruments for at least five years preceding | 
      
        |  | appointment, not more than one of whom may be licensed under Chapter | 
      
        |  | 401; | 
      
        |  | (2)  one member who is actively practicing as a | 
      
        |  | physician licensed by the Texas Medical Board and who: | 
      
        |  | (A)  has been a resident of this state for at least | 
      
        |  | two years preceding appointment; | 
      
        |  | (B)  is a citizen of the United States; and | 
      
        |  | (C)  specializes in the practice of | 
      
        |  | otolaryngology; and | 
      
        |  | (3)  two members of the public. | 
      
        |  | (b)  Appointments to the advisory board [ committee] shall be | 
      
        |  | made without regard to the race, creed, sex, religion, or national | 
      
        |  | origin of the appointee. | 
      
        |  | SECTION 8.084.  Subchapter B, Chapter 402, Occupations Code, | 
      
        |  | is amended by adding Section 402.0511 to read as follows: | 
      
        |  | Sec. 402.0511.  DUTIES OF ADVISORY BOARD.  The advisory | 
      
        |  | board shall provide advice and recommendations to the department on | 
      
        |  | technical matters relevant to the administration of this chapter. | 
      
        |  | SECTION 8.085.  Section 402.055, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.055.  TERMS; VACANCIES.  (a)  Members of the | 
      
        |  | advisory board [ committee] serve staggered six-year terms.  The | 
      
        |  | terms of three members expire on February 1 of each odd-numbered | 
      
        |  | year. | 
      
        |  | (b)  If a vacancy occurs during a member's term, the | 
      
        |  | presiding officer of the commission, with the commission's | 
      
        |  | approval, shall appoint a replacement who meets the qualifications | 
      
        |  | for the vacant position to serve for the remainder of the term [ A  | 
      
        |  | member who has served two full consecutive terms on the committee is  | 
      
        |  | not eligible for reappointment to the committee for the 12 months  | 
      
        |  | following the expiration of the second full term]. | 
      
        |  | [ (c)  In the event of the death, resignation, or removal of a  | 
      
        |  | member, the governor shall fill the vacancy of the unexpired term in  | 
      
        |  | the same manner as other appointments.] | 
      
        |  | SECTION 8.086.  Section 402.057, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.057.  PRESIDING OFFICER [ OFFICERS].  [(a)]  The | 
      
        |  | presiding officer of the commission [ governor] shall designate a | 
      
        |  | member of the advisory board to serve [ committee] as the presiding | 
      
        |  | officer of the advisory board for a term of [ committee to serve in  | 
      
        |  | that capacity at the will of the governor. | 
      
        |  | [ (b)  The term of office as an officer of the committee is] | 
      
        |  | one year.  The presiding officer of the advisory board may vote on | 
      
        |  | any matter before the advisory board. | 
      
        |  | SECTION 8.087.  Section 402.058, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.058.  MEETINGS.  [ (a)]  The advisory board | 
      
        |  | [ committee] shall meet [hold regular meetings at least twice a  | 
      
        |  | year. | 
      
        |  | [ (b)  A special meeting of the committee shall be held] at | 
      
        |  | the call of the presiding officer of the commission or the executive | 
      
        |  | director [ a majority of the members]. | 
      
        |  | SECTION 8.088.  The heading to Subchapter C, Chapter 402, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER C.  [ COMMITTEE] POWERS AND DUTIES | 
      
        |  | SECTION 8.089.  Section 402.101, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.101.  GENERAL POWERS AND DUTIES.  (a) The executive | 
      
        |  | director [ With the assistance of the department, the committee] | 
      
        |  | shall[ : | 
      
        |  | [ (1)]  administer [, coordinate,] and enforce this | 
      
        |  | chapter. | 
      
        |  | (b)  The department shall: | 
      
        |  | (1)  [ ; | 
      
        |  | [ (2)]  evaluate the qualifications of applicants; | 
      
        |  | (2) [ (3)]  examine applicants; and | 
      
        |  | (3) [ (4)]  in connection with a hearing under this | 
      
        |  | chapter [ Section 402.502], issue subpoenas, examine witnesses, and | 
      
        |  | administer oaths under the laws of this state[ ; and | 
      
        |  | [ (5)  conduct hearings and keep records and minutes  | 
      
        |  | necessary to the orderly administration of this chapter]. | 
      
        |  | SECTION 8.090.  Section 402.1021, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.1021.  [ JOINT] RULES FOR HEARING | 
      
        |  | INSTRUMENTS.  With the assistance of the advisory board and the | 
      
        |  | Speech-Language Pathologists and Audiologists Advisory Board | 
      
        |  | [ department], the commission [committee and the State Board of  | 
      
        |  | Examiners for Speech-Language Pathology and Audiology] shall | 
      
        |  | [ jointly] adopt rules to establish requirements for each sale of a | 
      
        |  | hearing instrument for purposes of this chapter and Chapter 401. | 
      
        |  | The rules must: | 
      
        |  | (1)  address: | 
      
        |  | (A)  the information and other provisions | 
      
        |  | required in each written contract for the purchase of a hearing | 
      
        |  | instrument; | 
      
        |  | (B)  records that must be retained under this | 
      
        |  | chapter or Chapter 401; and | 
      
        |  | (C)  guidelines for the 30-day trial period during | 
      
        |  | which a person may cancel the purchase of a hearing instrument; and | 
      
        |  | (2)  require that the written contract and 30-day trial | 
      
        |  | period information provided to a purchaser of a hearing instrument | 
      
        |  | be in plain language designed to be easily understood by the average | 
      
        |  | consumer. | 
      
        |  | SECTION 8.091.  Section 402.1023, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.1023.  [ JOINT] RULES FOR FITTING AND DISPENSING OF | 
      
        |  | HEARING INSTRUMENTS BY TELEPRACTICE.  (a)  In this section, | 
      
        |  | "telepractice" means the use of telecommunications technology by a | 
      
        |  | license holder for the fitting and dispensing of hearing | 
      
        |  | instruments. | 
      
        |  | (b)  With the assistance of the advisory board and the | 
      
        |  | Speech-Language Pathologists and Audiologists Advisory Board | 
      
        |  | [ department], the commission [committee and the State Board of  | 
      
        |  | Examiners for Speech-Language Pathology and Audiology] shall | 
      
        |  | [ jointly] adopt rules to establish requirements for the fitting and | 
      
        |  | dispensing of hearing instruments by the use of telepractice for | 
      
        |  | purposes of this chapter and Chapter 401, including rules that | 
      
        |  | establish the qualifications and duties of license holders who use | 
      
        |  | telepractice. | 
      
        |  | SECTION 8.092.  The heading to Section 402.103, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 402.103.  FALSE, MISLEADING, OR DECEPTIVE [ RULES  | 
      
        |  | RESTRICTING] ADVERTISING [OR COMPETITIVE BIDDING]. | 
      
        |  | SECTION 8.093.  Section 402.103(c), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (c)  For purposes of Section 51.204, an [ An] advertisement is | 
      
        |  | false, misleading, or deceptive if the advertisement: | 
      
        |  | (1)  contains a misrepresentation of fact; | 
      
        |  | (2)  contains a false statement as to the license | 
      
        |  | holder's professional achievements, education, skills, or | 
      
        |  | qualifications in the hearing instrument dispensing profession; | 
      
        |  | (3)  makes a partial disclosure of relevant fact, | 
      
        |  | including the advertisement of: | 
      
        |  | (A)  a discounted price of an item without | 
      
        |  | identifying in the advertisement or at the location of the item: | 
      
        |  | (i)  the specific product being offered at | 
      
        |  | the discounted price; or | 
      
        |  | (ii)  the usual price of the item; and | 
      
        |  | (B)  the price of a specifically identified | 
      
        |  | hearing instrument, if more than one hearing instrument appears in | 
      
        |  | the same advertisement without an accompanying price; | 
      
        |  | (4)  contains a representation that a product | 
      
        |  | innovation is new, if the product was first offered by the | 
      
        |  | manufacturer to the general public in this state not less than 12 | 
      
        |  | months before the date of the advertisement; | 
      
        |  | (5)  states that the license holder manufactures | 
      
        |  | hearing instruments at the license holder's office location unless | 
      
        |  | the next statement discloses that the instruments are manufactured | 
      
        |  | by a specified manufacturer and remanufactured by the license | 
      
        |  | holder; or | 
      
        |  | (6)  contains any other representation, statement, or | 
      
        |  | claim that is inherently misleading or deceptive. | 
      
        |  | SECTION 8.094.  Sections 402.104(a) and (e), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  The department [ committee] shall develop and maintain | 
      
        |  | an examination that may include written, oral, or practical | 
      
        |  | tests.  The department shall administer or arrange for the | 
      
        |  | administration of the examination. | 
      
        |  | (e)  The commission [ committee] by rule shall establish the | 
      
        |  | qualifications for a proctor.  The rules must: | 
      
        |  | (1)  require a proctor to be licensed in good standing | 
      
        |  | as a hearing instrument fitter and dispenser; | 
      
        |  | (2)  specify the number of years a proctor must be | 
      
        |  | licensed as a hearing instrument fitter and dispenser; and | 
      
        |  | (3)  specify the disciplinary actions or other actions | 
      
        |  | that disqualify a person from serving as a proctor. | 
      
        |  | SECTION 8.095.  Section 402.152, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.152.  COMPLAINTS.  (a)  Each license or permit | 
      
        |  | holder under this chapter shall at all times prominently display in | 
      
        |  | the person's place of business a sign containing: | 
      
        |  | (1)  the name, mailing address, e-mail address, and | 
      
        |  | telephone number of the department [ committee]; and | 
      
        |  | (2)  a statement informing consumers that a complaint | 
      
        |  | against a license or permit holder may be directed to the department | 
      
        |  | [ committee]. | 
      
        |  | (b)  Each written contract for services in this state of a | 
      
        |  | license holder [ licensed hearing instrument dispenser] must | 
      
        |  | contain the department's [ committee's] name, mailing address, | 
      
        |  | e-mail address, and telephone number. | 
      
        |  | SECTION 8.096.  The heading to Section 402.154, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 402.154.  CONFIDENTIALITY OF COMPLAINT AND | 
      
        |  | DISCIPLINARY INFORMATION [ INVESTIGATION; SUBPOENA]. | 
      
        |  | SECTION 8.097.  Section 402.154, Occupations Code, is | 
      
        |  | amended by amending Subsection (h), as amended by S.B. 219, Acts of | 
      
        |  | the 84th Legislature, Regular Session, 2015, and Subsection (i) to | 
      
        |  | read as follows: | 
      
        |  | (h)  All information and materials subpoenaed or compiled by | 
      
        |  | the department [ committee] in connection with a complaint and | 
      
        |  | investigation are confidential and not subject to disclosure under | 
      
        |  | Chapter 552, Government Code, and not subject to disclosure, | 
      
        |  | discovery, subpoena, or other means of legal compulsion for their | 
      
        |  | release to anyone other than the department [ committee] or its | 
      
        |  | agents or employees who are involved in discipline of the holder of | 
      
        |  | a license, except that this information may be disclosed to: | 
      
        |  | (1)  persons involved with the department [ committee] | 
      
        |  | in a disciplinary action against the holder of a license; | 
      
        |  | (2)  professional licensing or disciplinary boards for | 
      
        |  | the fitting and dispensing of hearing instruments in other | 
      
        |  | jurisdictions; | 
      
        |  | (3)  peer assistance programs approved by the | 
      
        |  | commission [ executive commissioner] under Chapter 467, Health and | 
      
        |  | Safety Code; | 
      
        |  | (4)  law enforcement agencies; and | 
      
        |  | (5)  persons engaged in bona fide research, if all | 
      
        |  | individual-identifying information has been deleted. | 
      
        |  | (i)  The filing of formal charges by the department | 
      
        |  | [ committee] against a holder of a license, the nature of those | 
      
        |  | charges, disciplinary proceedings of the department, commission, | 
      
        |  | or executive director [ committee], and final disciplinary actions, | 
      
        |  | including warnings and reprimands, by the department, commission, | 
      
        |  | or executive director [ committee] are not confidential and are | 
      
        |  | subject to disclosure in accordance with Chapter 552, Government | 
      
        |  | Code. | 
      
        |  | SECTION 8.098.  Section 402.202(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  To engage in fitting and dispensing hearing instruments | 
      
        |  | in this state a person must pass an examination required by the | 
      
        |  | department [ committee]. | 
      
        |  | SECTION 8.099.  Sections 402.203(a) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  An applicant for examination must: | 
      
        |  | (1)  apply to the department in the manner and | 
      
        |  | [ committee] on a form prescribed [provided] by the executive | 
      
        |  | director [ committee]; | 
      
        |  | (2)  provide [ on the form]: | 
      
        |  | (A)  documentation [ sworn evidence] that the | 
      
        |  | applicant is at least 18 years of [ has attained the] age [of  | 
      
        |  | majority] and has graduated from an accredited high school or | 
      
        |  | equivalent; and | 
      
        |  | (B)  other information determined necessary by | 
      
        |  | the department [ committee]; and | 
      
        |  | (3)  pay any required fees for application and | 
      
        |  | examination. | 
      
        |  | (c)  The department [ committee] may refuse to examine an | 
      
        |  | applicant who has been convicted of a misdemeanor that involves | 
      
        |  | moral turpitude or a felony. | 
      
        |  | SECTION 8.100.  Section 402.205(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  An examination shall be conducted in writing and by | 
      
        |  | other means the department [ committee] determines adequate to | 
      
        |  | ascertain the qualifications of applicants. | 
      
        |  | SECTION 8.101.  Section 402.207, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.207.  ISSUANCE OF APPRENTICE PERMIT.  (a)  The | 
      
        |  | department [ committee] shall issue an apprentice permit to fit and | 
      
        |  | dispense hearing instruments to a temporary training permit holder | 
      
        |  | who has: | 
      
        |  | (1)  passed all parts of the examination with a score of | 
      
        |  | 70 percent or greater; | 
      
        |  | (2)  paid the required fees; and | 
      
        |  | (3)  met all requirements of this chapter. | 
      
        |  | (b)  An apprentice permit is valid for one year.  The | 
      
        |  | department [ committee] may extend the apprentice permit for an | 
      
        |  | additional period not to exceed one year [ six months]. | 
      
        |  | (c)  An apprentice permit holder shall work under the | 
      
        |  | supervision of a license holder [ licensed hearing instrument  | 
      
        |  | dispenser] for at least one year.  During the apprentice year, the | 
      
        |  | apprentice permit holder shall complete 20 hours of classroom | 
      
        |  | continuing education as required by Section 402.303 for a license | 
      
        |  | holder. | 
      
        |  | SECTION 8.102.  Section 402.208, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.208.  ISSUANCE OF LICENSE.  The department | 
      
        |  | [ committee] shall issue a [hearing instrument dispenser's] license | 
      
        |  | to an apprentice permit holder when the department [ committee] has | 
      
        |  | received sufficient evidence that the apprentice permit holder has | 
      
        |  | met all the licensing requirements of this chapter. | 
      
        |  | SECTION 8.103.  Sections 402.209(a), (c), (e), (f), and (i), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (a)  A person licensed to fit and dispense hearing | 
      
        |  | instruments in another state may apply for a license under this | 
      
        |  | chapter by submitting a completed [ an] application on a form | 
      
        |  | prescribed by the department [ committee]. | 
      
        |  | (c)  An applicant for a license under this section shall | 
      
        |  | provide as part of the application: | 
      
        |  | (1)  written verification that the applicant is | 
      
        |  | licensed in good standing as a fitter and dispenser of hearing | 
      
        |  | instruments in another state and has held the license for at least | 
      
        |  | three years preceding the date of application; | 
      
        |  | (2)  written verification that: | 
      
        |  | (A)  the requirements to obtain a license to fit | 
      
        |  | and dispense hearing instruments in the state in which the | 
      
        |  | applicant is licensed include passing an examination approved by | 
      
        |  | the commission [ committee] by rule; or | 
      
        |  | (B)  the applicant holds a certification from a | 
      
        |  | professional organization approved by the commission [ committee] | 
      
        |  | by rule; | 
      
        |  | (3)  a written statement from the licensing entity in | 
      
        |  | the state in which the applicant is licensed that details any | 
      
        |  | disciplinary action taken by the entity against the applicant; and | 
      
        |  | (4)  a statement of the applicant's criminal history | 
      
        |  | acceptable to the department [ committee]. | 
      
        |  | (e)  If the department approves an application, on the next | 
      
        |  | regularly scheduled examination date the applicant may take the | 
      
        |  | practical section of the examination required under Section 402.202 | 
      
        |  | and a written examination of Texas law administered by the | 
      
        |  | department.  If the applicant passes the examinations required | 
      
        |  | under this section, the department [ committee] shall issue to the | 
      
        |  | applicant a license under this chapter. | 
      
        |  | (f)  The department may allow an applicant under this section | 
      
        |  | who satisfies all application requirements other than the | 
      
        |  | requirement under Subsection (c)(2) to take all sections of the | 
      
        |  | examination required under Section 402.202.  If the applicant | 
      
        |  | passes the examination, the department [ committee] shall issue to | 
      
        |  | the applicant a license under this chapter. | 
      
        |  | (i)  The department [ committee] may not issue a license under | 
      
        |  | this section to an applicant who is a licensed audiologist in | 
      
        |  | another state. The department [ committee] shall inform [refer] the | 
      
        |  | applicant of [ to] the licensing requirements of Chapter 401 [State  | 
      
        |  | Board of Examiners for Speech-Language Pathology and Audiology]. | 
      
        |  | SECTION 8.104.  Section 402.210, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.210.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR LICENSE ISSUANCE.  (a)  The department [ committee] | 
      
        |  | shall require that an applicant for a license submit a complete and | 
      
        |  | legible set of fingerprints, on a form prescribed by the department | 
      
        |  | [ committee], to the department [committee] or to the Department of | 
      
        |  | Public Safety for the purpose of obtaining criminal history record | 
      
        |  | information from the Department of Public Safety and the Federal | 
      
        |  | Bureau of Investigation. | 
      
        |  | (b)  The department [ committee] may not issue a license to a | 
      
        |  | person who does not comply with the requirement of Subsection (a). | 
      
        |  | (c)  The department [ committee] shall conduct a criminal | 
      
        |  | history check of each applicant for a license using information: | 
      
        |  | (1)  provided by the individual under this section; and | 
      
        |  | (2)  made available to the department [ committee] by | 
      
        |  | the Department of Public Safety, the Federal Bureau of | 
      
        |  | Investigation, and any other criminal justice agency under Chapter | 
      
        |  | 411, Government Code. | 
      
        |  | (d)  The department [ on behalf of the committee] may: | 
      
        |  | (1)  enter into an agreement with the Department of | 
      
        |  | Public Safety to administer a criminal history check required under | 
      
        |  | this section; and | 
      
        |  | (2)  authorize the Department of Public Safety to | 
      
        |  | collect from each applicant the costs incurred by the Department of | 
      
        |  | Public Safety in conducting the criminal history check. | 
      
        |  | SECTION 8.105.  Section 402.251, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.251.  TEMPORARY TRAINING PERMIT QUALIFICATIONS. | 
      
        |  | (a)  The department [ committee] shall issue a temporary training | 
      
        |  | permit to a person who: | 
      
        |  | (1)  has never taken the examination administered under | 
      
        |  | this chapter; | 
      
        |  | (2)  possesses the qualifications required under | 
      
        |  | Section 402.203(a); | 
      
        |  | (3)  submits a written application on a form prescribed | 
      
        |  | [ provided] by the department [committee] furnishing documentation | 
      
        |  | [ sworn evidence] that the applicant  satisfies the requirements of | 
      
        |  | Subdivisions (1) and (2); and | 
      
        |  | (4)  pays any required [ the temporary training permit] | 
      
        |  | fee. | 
      
        |  | (b)  The department [ committee] may issue a new temporary | 
      
        |  | training permit under this section to a person on or after the 365th | 
      
        |  | day after the person's previous temporary training permit expired. | 
      
        |  | SECTION 8.106.  Section 402.252, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.252.  SUPERVISION STATEMENT [ AFFIDAVIT].  (a)  An | 
      
        |  | application for a temporary training permit must be accompanied by | 
      
        |  | the statement [ affidavit] of a person licensed to fit and dispense | 
      
        |  | hearing instruments under this chapter or Chapter 401, other than a | 
      
        |  | person licensed under Section 401.311 or 401.312. | 
      
        |  | (b)  The statement must be on a form prescribed by the | 
      
        |  | department and [ affidavit must] state that: | 
      
        |  | (1)  the person will supervise the applicant[ , if  | 
      
        |  | granted a temporary training permit, will be supervised by the  | 
      
        |  | affiant] in all work done by the applicant under the temporary | 
      
        |  | training permit; | 
      
        |  | (2)  the person [ affiant] will notify the department | 
      
        |  | [ committee] not later than the 10th day after the date of the | 
      
        |  | applicant's termination of supervision by the person [ affiant]; and | 
      
        |  | (3)  if the person [ affiant] is licensed under Chapter | 
      
        |  | 401, the person [ affiant] will comply with all provisions of this | 
      
        |  | chapter and rules adopted under this chapter that relate to the | 
      
        |  | supervision and training of a temporary training permit holder. | 
      
        |  | SECTION 8.107.  Sections 402.253(b) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (b)  A temporary training permit automatically expires on | 
      
        |  | the first anniversary of the date of issuance unless the department | 
      
        |  | [ committee] extends the permit for an additional period not to | 
      
        |  | exceed one year [ six months]. | 
      
        |  | (c)  The department [ committee] may not extend a temporary | 
      
        |  | training permit more than once. | 
      
        |  | SECTION 8.108.  Section 402.254(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The commission by rule [ committee] shall establish | 
      
        |  | formal and practical education guidelines for the training of | 
      
        |  | temporary training permit holders. | 
      
        |  | SECTION 8.109.  Section 402.255(d), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (d)  The supervisor shall maintain a log of the contact hours | 
      
        |  | by practicum category on a form prescribed [ provided] by the | 
      
        |  | department [ committee].  After the temporary training permit holder | 
      
        |  | has completed 150 contact hours, the supervisor and the permit | 
      
        |  | holder shall sign the form, and the form shall be notarized and | 
      
        |  | mailed to the department [ committee]. | 
      
        |  | SECTION 8.110.  Section 402.256, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.256.  AUTHORITY OF TEMPORARY TRAINING PERMIT | 
      
        |  | HOLDER.  (a)  A temporary training permit holder may provide routine | 
      
        |  | fitting and dispensing of hearing instruments that have [ has] been | 
      
        |  | ordered by the supervisor.  The supervisor is the sole judge of | 
      
        |  | whether the permit holder has the qualifications necessary to | 
      
        |  | perform routine fitting and dispensing.  A supervisor is | 
      
        |  | accountable to the department [ committee] for the actions and | 
      
        |  | misdeeds of a temporary training permit holder acting at the | 
      
        |  | supervisor's discretion. | 
      
        |  | (b)  A temporary training permit holder may not: | 
      
        |  | (1)  own, manage, or independently operate a business | 
      
        |  | that engages in the fitting or sale of hearing instruments; or | 
      
        |  | (2)  advertise or otherwise represent that the permit | 
      
        |  | holder holds a license under this chapter [ as a hearing instrument  | 
      
        |  | dispenser]. | 
      
        |  | SECTION 8.111.  Sections 402.257(a), (c), and (d), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (a)  On the request of a supervisor or temporary training | 
      
        |  | permit holder, the department [ committee] may approve a transfer of | 
      
        |  | a permit holder from the permit holder's supervisor to another | 
      
        |  | eligible supervisor before completion of the training. | 
      
        |  | (c)  The department [ committee] may approve a second | 
      
        |  | transfer request before completion of the training only under | 
      
        |  | exceptional circumstances.  The department [ committee] may not | 
      
        |  | approve more than two transfers. | 
      
        |  | (d)  If a transfer is approved, credit may be transferred at | 
      
        |  | the discretion of the department [ committee]. | 
      
        |  | SECTION 8.112.  Sections 402.301(a) and (f), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  A license under this chapter is valid for two | 
      
        |  | years.  The department [ committee] shall renew the license every | 
      
        |  | two years on payment of the renewal fee unless the license is | 
      
        |  | suspended or revoked. | 
      
        |  | (f)  The department [ committee] may not renew a license | 
      
        |  | unless the license holder provides proof that all equipment that is | 
      
        |  | used by the license holder to produce a measurement in the testing | 
      
        |  | of hearing acuity has been properly calibrated or certified by a | 
      
        |  | qualified technician. | 
      
        |  | SECTION 8.113.  Sections 402.303(a), (b), (c), (d), and | 
      
        |  | (e-1), Occupations Code, are amended to read as follows: | 
      
        |  | (a)  The commission [ committee] by rule shall adopt | 
      
        |  | requirements for the continuing education of a license holder, | 
      
        |  | including online continuing education requirements and a | 
      
        |  | requirement that a license holder complete 20 hours of continuing | 
      
        |  | education every two years.  The department [ committee] may not | 
      
        |  | renew a license unless the license holder demonstrates compliance | 
      
        |  | with the continuing education requirements established by the | 
      
        |  | commission by rule [ committee]. | 
      
        |  | (b)  A license holder shall provide written proof of | 
      
        |  | attendance or completion of an approved course on a form prescribed | 
      
        |  | by the department [ committee]. | 
      
        |  | (c)  The department [ committee] may waive compliance with | 
      
        |  | the continuing education requirement for license renewal for a | 
      
        |  | license holder who provides evidence of hardship or inability to | 
      
        |  | meet the requirement.  The waiver may be granted after review by the | 
      
        |  | department [ committee] on an annual basis. | 
      
        |  | (d)  The commission [ committee] shall adopt rules to | 
      
        |  | establish reasonable requirements for continuing education | 
      
        |  | sponsors and courses and to clearly define what constitutes a | 
      
        |  | manufacturer or nonmanufacturer sponsor.  The department shall | 
      
        |  | review and approve continuing education sponsor and course | 
      
        |  | applications.  The department may request assistance from licensed | 
      
        |  | members of the advisory board [ committee] in approving a sponsor or | 
      
        |  | course.  The department must provide a list of approved continuing | 
      
        |  | education sponsors and continuing education courses, including | 
      
        |  | online courses.  The list must be revised and updated | 
      
        |  | periodically.  Any continuing education activity must be provided | 
      
        |  | by an approved sponsor.  The department shall approve at least five | 
      
        |  | hours of specific courses each year. | 
      
        |  | (e-1)  The department [ committee] must allow a license | 
      
        |  | holder to report at least 10 hours of online continuing education | 
      
        |  | credit hours in a single reporting period. | 
      
        |  | SECTION 8.114.  Section 402.304(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  A license holder may be credited with continuing | 
      
        |  | education credit hours for a published book or article written by | 
      
        |  | the license holder that contributes to the license holder's | 
      
        |  | professional competence.  The department [ continuing education  | 
      
        |  | committee] may grant credit hours based on the degree to which the | 
      
        |  | published book or article advances knowledge regarding the fitting | 
      
        |  | and dispensing of hearing instruments.  A license holder may claim | 
      
        |  | in a reporting period not more than five credit hours for | 
      
        |  | preparation of a publication. | 
      
        |  | SECTION 8.115.  Section 402.305, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.305.  CONTINUING EDUCATION EXEMPTIONS.  The | 
      
        |  | department [ committee] may renew the license of a license holder | 
      
        |  | who does not comply with the continuing education requirements of | 
      
        |  | Section [ Sections] 402.303 or 402.304 if the license holder: | 
      
        |  | (1)  was licensed for the first time during the 24 | 
      
        |  | months before the reporting date; | 
      
        |  | (2)  has served in the regular armed forces of the | 
      
        |  | United States during part of the 24 months before the reporting | 
      
        |  | date; or | 
      
        |  | (3)  submits proof from an attending physician that the | 
      
        |  | license holder suffered a serious or disabling illness or physical | 
      
        |  | disability that prevented compliance with the continuing education | 
      
        |  | requirements during the 24 months before the reporting date. | 
      
        |  | SECTION 8.116.  Section 402.306, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.306.  DUPLICATE LICENSE.  The department | 
      
        |  | [ committee] shall issue a duplicate license to a license holder | 
      
        |  | whose license has been lost or destroyed.  The department | 
      
        |  | [ committee] may prescribe the procedure and requirements for | 
      
        |  | issuance of a duplicate license. | 
      
        |  | SECTION 8.117.  Section 402.351, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.351.  DISPLAY OF LICENSE.  A person engaged in | 
      
        |  | fitting and dispensing hearing instruments shall display the | 
      
        |  | person's license in a conspicuous place in the person's principal | 
      
        |  | office and, when required, shall exhibit the license to the | 
      
        |  | department [ committee] or its authorized representative. | 
      
        |  | SECTION 8.118.  Section 402.353(c), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (c)  The commission [ committee] shall adopt rules necessary | 
      
        |  | to enforce this section. | 
      
        |  | SECTION 8.119.  Section 402.401, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.401.  TRIAL PERIOD.  The commission by rule | 
      
        |  | [ committee] shall establish guidelines for a 30-day trial period | 
      
        |  | during which a person may cancel the purchase of a hearing | 
      
        |  | instrument. | 
      
        |  | SECTION 8.120.  Section 402.403, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.403.  WRITTEN CONTRACT.  The owner of a hearing | 
      
        |  | instrument fitting and dispensing practice shall ensure that each | 
      
        |  | client receives a written contract at the time of purchase of a | 
      
        |  | hearing instrument that contains: | 
      
        |  | (1)  the signature of the license holder who dispensed | 
      
        |  | the hearing instrument; | 
      
        |  | (2)  the printed name of the license holder who | 
      
        |  | dispensed the hearing instrument; | 
      
        |  | (3)  the address of the principal office of the license | 
      
        |  | holder who dispensed the hearing instrument; | 
      
        |  | (4)  the license number of the license holder who | 
      
        |  | dispensed the hearing instrument; | 
      
        |  | (5)  a description of the make and model of the hearing | 
      
        |  | instrument; | 
      
        |  | (6)  the amount charged for the hearing instrument; | 
      
        |  | (7)  a statement of whether the hearing instrument is | 
      
        |  | new, used, or rebuilt; | 
      
        |  | (8)  notice of the 30-day trial period under Section | 
      
        |  | 402.401; and | 
      
        |  | (9)  the name, mailing address, e-mail address, and | 
      
        |  | telephone number of the department [ committee]. | 
      
        |  | SECTION 8.121.  Section 402.404, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.404.  SURETY BONDING.  (a)  A sole proprietor, | 
      
        |  | partnership, corporation, or other legal entity engaged in the | 
      
        |  | fitting and dispensing of hearing instruments shall file with the | 
      
        |  | department [ committee] security in a form provided by Subsection | 
      
        |  | (b) in the amount of $10,000 and conditioned on the promise to pay | 
      
        |  | all: | 
      
        |  | (1)  taxes and contributions owed to the state and | 
      
        |  | political subdivisions of the state by the entity; and | 
      
        |  | (2)  judgments that the entity may be required to pay | 
      
        |  | for: | 
      
        |  | (A)  negligently or improperly dispensing hearing | 
      
        |  | instruments; or | 
      
        |  | (B)  breaching a contract relating to the | 
      
        |  | dispensing of hearing instruments. | 
      
        |  | (b)  The security may be a bond, a cash deposit, or another | 
      
        |  | negotiable security acceptable to the department [ committee]. | 
      
        |  | (c)  A bond required by this section remains in effect until | 
      
        |  | canceled by action of the surety, the principal, or the department | 
      
        |  | [ committee].  A person must take action on the bond not later than | 
      
        |  | the third anniversary of the date the bond is canceled. | 
      
        |  | SECTION 8.122.  Section 402.451(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A person may not: | 
      
        |  | (1)  buy, sell, or fraudulently obtain a license or aid | 
      
        |  | another person to do so; | 
      
        |  | (2)  alter a license with the intent to defraud; | 
      
        |  | (3)  wilfully make a false statement in an application | 
      
        |  | to the department [ committee] for a license, a temporary training | 
      
        |  | permit, or the renewal of a license; | 
      
        |  | (4)  falsely impersonate a license holder; | 
      
        |  | (5)  engage in the fitting and dispensing of hearing | 
      
        |  | instruments when the person's license is suspended or revoked; | 
      
        |  | (6)  dispense or fit a hearing instrument on a person | 
      
        |  | who has ordered the hearing instrument or device by mail unless the | 
      
        |  | person dispensing or fitting is a license holder under this chapter | 
      
        |  | or under Chapter 401; or | 
      
        |  | (7)  sell a hearing instrument by mail. | 
      
        |  | SECTION 8.123.  Section 402.501, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 402.501.  GROUNDS FOR LICENSE DENIAL AND DISCIPLINARY | 
      
        |  | ACTION.  The commission or executive director [ committee] may | 
      
        |  | refuse to issue or renew a license, revoke or suspend a license or | 
      
        |  | permit, place on probation a person whose license or permit has been | 
      
        |  | suspended, or reprimand a license or permit holder who: | 
      
        |  | (1)  makes a material misstatement in furnishing | 
      
        |  | information to the department [ committee] or to another state or | 
      
        |  | federal agency; | 
      
        |  | (2)  violates this chapter or a rule adopted under this | 
      
        |  | chapter; | 
      
        |  | (3)  is convicted of a felony or misdemeanor that | 
      
        |  | includes dishonesty as an essential element or of a crime directly | 
      
        |  | related to the practice of fitting and dispensing hearing | 
      
        |  | instruments; | 
      
        |  | (4)  makes a misrepresentation for the purpose of | 
      
        |  | obtaining or renewing a license, including falsifying the | 
      
        |  | educational requirements under this chapter; | 
      
        |  | (5)  is professionally incompetent or engages in | 
      
        |  | malpractice or dishonorable, unethical, or unprofessional conduct | 
      
        |  | that is likely to deceive, defraud, or harm the public; | 
      
        |  | (6)  aids or assists another person in violating this | 
      
        |  | chapter or a rule adopted under this chapter; | 
      
        |  | (7)  does not provide information in response to a | 
      
        |  | written request made by the department within 60 days; | 
      
        |  | (8)  directly or indirectly knowingly employs, hires, | 
      
        |  | procures, or induces a person not licensed under this chapter to fit | 
      
        |  | and dispense hearing instruments unless the person is exempt under | 
      
        |  | this chapter; | 
      
        |  | (9)  aids a person not licensed under this chapter in | 
      
        |  | the fitting or dispensing of hearing instruments unless the person | 
      
        |  | is exempt under this chapter; | 
      
        |  | (10)  is habitually intoxicated or addicted to a | 
      
        |  | controlled substance; | 
      
        |  | (11)  directly or indirectly gives to or receives from | 
      
        |  | a person a fee, commission, rebate, or other form of compensation | 
      
        |  | for a service not actually provided; | 
      
        |  | (12)  violates a term of probation; | 
      
        |  | (13)  wilfully makes or files a false record or report; | 
      
        |  | (14)  has a physical illness that results in the | 
      
        |  | inability to practice the profession with reasonable judgment, | 
      
        |  | skill, or safety, including the deterioration or loss of motor | 
      
        |  | skills through aging; | 
      
        |  | (15)  solicits a service by advertising that is false | 
      
        |  | or misleading; | 
      
        |  | (16)  participates in subterfuge or misrepresentation | 
      
        |  | in the fitting or dispensing of a hearing instrument; | 
      
        |  | (17)  knowingly advertises for sale a model or type of | 
      
        |  | hearing instrument that cannot be purchased; | 
      
        |  | (18)  falsely represents that the service of a licensed | 
      
        |  | physician or other health professional will be used or made | 
      
        |  | available in the fitting, adjustment, maintenance, or repair of a | 
      
        |  | hearing instrument; | 
      
        |  | (19)  falsely uses the term "doctor," "audiologist," | 
      
        |  | "clinic," "clinical audiologist," "state licensed," "state | 
      
        |  | certified," "licensed hearing instrument dispenser," "board | 
      
        |  | certified hearing instrument specialist," "hearing instrument | 
      
        |  | specialist," or "certified hearing aid audiologist," or uses any | 
      
        |  | other term, abbreviation, or symbol that falsely gives the | 
      
        |  | impression that: | 
      
        |  | (A)  a service is being provided by a person who is | 
      
        |  | licensed or has been awarded a degree or title; or | 
      
        |  | (B)  the person providing a service has been | 
      
        |  | recommended by a government agency or health provider; | 
      
        |  | (20)  advertises a manufacturer's product or uses a | 
      
        |  | manufacturer's name or trademark in a way that implies a | 
      
        |  | relationship between a license or permit holder and a manufacturer | 
      
        |  | that does not exist; | 
      
        |  | (21)  directly or indirectly gives or offers to give, | 
      
        |  | or permits or causes to be given, money or another thing of value to | 
      
        |  | a person who advises others in a professional capacity as an | 
      
        |  | inducement to influence the person to influence the others to: | 
      
        |  | (A)  purchase or contract to purchase products | 
      
        |  | sold or offered for sale by the license or permit holder; or | 
      
        |  | (B)  refrain from purchasing or contracting to | 
      
        |  | purchase products sold or offered for sale by another license or | 
      
        |  | permit holder under this chapter; | 
      
        |  | (22)  with fraudulent intent fits and dispenses a | 
      
        |  | hearing instrument under any name, including a false name or alias; | 
      
        |  | (23)  does not adequately provide for the service or | 
      
        |  | repair of a hearing instrument fitted and sold by the license | 
      
        |  | holder; or | 
      
        |  | (24)  violates a regulation of the federal Food and | 
      
        |  | Drug Administration or the Federal Trade Commission relating to | 
      
        |  | hearing instruments. | 
      
        |  | SECTION 8.124.  The heading to Section 402.551, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 402.551.  AMOUNT OF ADMINISTRATIVE PENALTY. | 
      
        |  | SECTION 8.125.  Section 402.551(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  The amount of an [ the] administrative penalty imposed | 
      
        |  | for a violation of this chapter or a rule adopted or order issued | 
      
        |  | under this chapter may not exceed $250 plus costs for the first | 
      
        |  | violation and $1,000 plus costs for each subsequent violation. | 
      
        |  | SECTION 8.126.  Section 402.5521, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 402.5521.  [ COMMITTEE-ORDERED] REFUND FOR HEARING | 
      
        |  | INSTRUMENT.  The commission or executive director [ committee] may | 
      
        |  | order a license holder to pay a refund to a consumer who returns a | 
      
        |  | hearing instrument during the 30-day trial period required by rules | 
      
        |  | adopted under Section 402.1021. | 
      
        |  | SECTION 8.127.  Section 402.553(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A person who violates this chapter or a rule adopted or | 
      
        |  | order issued [ adopted by the committee] under this chapter is | 
      
        |  | liable for a civil penalty not to exceed $5,000 a day. | 
      
        |  | SECTION 8.128.  Section 451.001, Occupations Code, is | 
      
        |  | amended by amending Subdivision (2), amending Subdivisions (5) and | 
      
        |  | (6), as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, and adding Subdivision (7) to read as follows: | 
      
        |  | (2)  "Athletic trainer" means a person who practices | 
      
        |  | athletic training, is licensed by the department [ board], and may | 
      
        |  | use the initials "LAT," "LATC," and "AT" to designate the person as | 
      
        |  | an athletic trainer.  The terms "sports trainer" and "licensed | 
      
        |  | athletic trainer" are equivalent to "athletic trainer." | 
      
        |  | (5)  "Commission" [ "Commissioner"] means the Texas | 
      
        |  | Commission of Licensing and Regulation [ commissioner of state  | 
      
        |  | health services]. | 
      
        |  | (6)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (7)  "Executive director" means the executive director | 
      
        |  | of the department. | 
      
        |  | SECTION 8.129.  Section 451.003, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 451.003.  APPLICABILITY.  This chapter does not apply | 
      
        |  | to: | 
      
        |  | (1)  a physician licensed by the Texas Medical Board; | 
      
        |  | (2)  a dentist, licensed under the laws of this state, | 
      
        |  | engaged in the practice of dentistry; | 
      
        |  | (3)  a licensed optometrist or therapeutic optometrist | 
      
        |  | engaged in the practice of optometry or therapeutic optometry as | 
      
        |  | defined by statute; | 
      
        |  | (4)  an occupational therapist engaged in the practice | 
      
        |  | of occupational therapy; | 
      
        |  | (5)  a nurse engaged in the practice of nursing; | 
      
        |  | (6)  a licensed podiatrist engaged in the practice of | 
      
        |  | podiatry as defined by statute; | 
      
        |  | (7)  a physical therapist engaged in the practice of | 
      
        |  | physical therapy; | 
      
        |  | (8)  a registered massage therapist engaged in the | 
      
        |  | practice of massage therapy; | 
      
        |  | (9)  a commissioned or contract physician, physical | 
      
        |  | therapist, or physical therapist assistant in the United States | 
      
        |  | Army, Navy, Air Force, or Public Health Service; or | 
      
        |  | (10)  an athletic trainer who does not live in this | 
      
        |  | state, who is licensed, registered, or certified by an authority | 
      
        |  | recognized by the department [ board], and who provides athletic | 
      
        |  | training in this state for a period determined by the department | 
      
        |  | [ board]. | 
      
        |  | SECTION 8.130.  Section 451.051(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  The board consists of five members appointed by the | 
      
        |  | presiding officer of the commission [ governor] with the approval | 
      
        |  | [ advice and consent] of the commission [senate] as follows: | 
      
        |  | (1)  three members who are athletic trainers; and | 
      
        |  | (2)  two members who represent the public. | 
      
        |  | SECTION 8.131.  Subchapter B, Chapter 451, Occupations Code, | 
      
        |  | is amended by adding Section 451.0521 to read as follows: | 
      
        |  | Sec. 451.0521.  DUTIES OF BOARD.  The board shall provide | 
      
        |  | advice and recommendations to the department on technical matters | 
      
        |  | relevant to the administration of this chapter. | 
      
        |  | SECTION 8.132.  Section 451.053(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  If a vacancy occurs on the board, the presiding officer | 
      
        |  | of the commission, with the commission's approval, [ governor] shall | 
      
        |  | appoint a replacement who meets the qualifications for the vacant | 
      
        |  | position [ successor] to serve for the unexpired portion of the | 
      
        |  | term. | 
      
        |  | SECTION 8.133.  Section 451.055, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 451.055.  PRESIDING OFFICER [ OFFICERS].  (a)  The | 
      
        |  | presiding officer of the commission [ governor] shall designate a | 
      
        |  | member of the board [ as the board's presiding officer] to serve as | 
      
        |  | the presiding officer of the board for [ in that capacity at the will  | 
      
        |  | of the governor.  The board shall elect an assistant presiding  | 
      
        |  | officer and secretary-treasurer from its members.  The assistant  | 
      
        |  | presiding officer and secretary-treasurer serve] a one-year term. | 
      
        |  | The presiding officer of the board may vote on any matter before the | 
      
        |  | board. | 
      
        |  | SECTION 8.134.  Section 451.056, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 451.056.  MEETINGS.  The board shall meet at [ least  | 
      
        |  | twice a year.  The board may hold additional meetings on] the call | 
      
        |  | of the presiding officer of the commission or the executive | 
      
        |  | director [ at the written request of any three members of the board]. | 
      
        |  | SECTION 8.135.  The heading to Subchapter C, Chapter 451, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER C.  [ BOARD] POWERS AND DUTIES | 
      
        |  | SECTION 8.136.  Section 451.101, Occupations Code, is | 
      
        |  | amended by amending Subsection (a) and adding Subsections (a-1) and | 
      
        |  | (a-2) to read as follows: | 
      
        |  | (a)  The executive director shall administer and enforce | 
      
        |  | this chapter. | 
      
        |  | (a-1)  The department [ board] shall: | 
      
        |  | (1)  adopt an official seal; | 
      
        |  | (2)  prescribe the application form for a license | 
      
        |  | applicant; | 
      
        |  | (3)  prescribe a suitable form for a license | 
      
        |  | certificate; [ and] | 
      
        |  | (4)  prepare and conduct an examination for license | 
      
        |  | applicants; | 
      
        |  | (5)  maintain a complete record of all licensed | 
      
        |  | athletic trainers; and | 
      
        |  | (6)  annually prepare a roster showing the names and | 
      
        |  | addresses of all licensed athletic trainers. | 
      
        |  | (a-2)  The department shall make a copy of the roster | 
      
        |  | available to any person requesting it on payment of a fee | 
      
        |  | established by the department in an amount sufficient to cover the | 
      
        |  | cost of the roster. | 
      
        |  | SECTION 8.137.  The heading to Section 451.110, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 451.110.  CONFIDENTIALITY OF COMPLAINT AND | 
      
        |  | DISCIPLINARY INFORMATION [ SUBPOENAS]. | 
      
        |  | SECTION 8.138.  Sections 451.110(h) and (i), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (h)  All information and materials subpoenaed or compiled by | 
      
        |  | the department [ board] in connection with a complaint and | 
      
        |  | investigation are confidential and not subject to disclosure under | 
      
        |  | Chapter 552, Government Code, and not subject to disclosure, | 
      
        |  | discovery, subpoena, or other means of legal compulsion for their | 
      
        |  | release to anyone other than the department [ board] or its | 
      
        |  | employees or agents involved in discipline of the holder of a | 
      
        |  | license, except that this information may be disclosed to: | 
      
        |  | (1)  persons involved with the department [ board] in a | 
      
        |  | disciplinary action against the holder of a license; | 
      
        |  | (2)  athletic trainer licensing or disciplinary boards | 
      
        |  | in other jurisdictions; | 
      
        |  | (3)  peer assistance programs approved by the | 
      
        |  | commission [ board] under Chapter 467, Health and Safety Code; | 
      
        |  | (4)  law enforcement agencies; and | 
      
        |  | (5)  persons engaged in bona fide research, if all | 
      
        |  | individual-identifying information has been deleted. | 
      
        |  | (i)  The filing of formal charges by the department [ board] | 
      
        |  | against a holder of a license, the nature of those charges, | 
      
        |  | disciplinary proceedings of the department, commission, or | 
      
        |  | executive director [ board], and final disciplinary actions, | 
      
        |  | including warnings and reprimands, by the department, commission, | 
      
        |  | or executive director [ board] are not confidential and are subject | 
      
        |  | to disclosure in accordance with Chapter 552, Government Code. | 
      
        |  | SECTION 8.139.  Section 451.152, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 451.152.  LICENSE APPLICATION.  An applicant for an | 
      
        |  | athletic trainer license must submit to the department [ board]: | 
      
        |  | (1)  an application in the manner and on a form | 
      
        |  | prescribed by the executive director [ board]; and | 
      
        |  | (2)  the required examination fee. | 
      
        |  | SECTION 8.140.  Section 451.153, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 451.153.  APPLICANT QUALIFICATIONS.  (a)  An applicant | 
      
        |  | for an athletic trainer license must: | 
      
        |  | (1)  have met the athletic training curriculum | 
      
        |  | requirements of a college or university approved by the commission | 
      
        |  | [ board] and give proof of graduation; | 
      
        |  | (2)  hold a degree or certificate in physical therapy | 
      
        |  | and have completed: | 
      
        |  | (A)  a basic athletic training course from an | 
      
        |  | accredited college or university; and | 
      
        |  | (B)  an apprenticeship described by Subsection | 
      
        |  | (b); or | 
      
        |  | (3)  have a degree in corrective therapy with at least a | 
      
        |  | minor in physical education or health that includes a basic | 
      
        |  | athletic training course and meet the apprenticeship requirement or | 
      
        |  | any other requirement established by the commission [ board]. | 
      
        |  | (b)  The apprenticeship required to be completed by an | 
      
        |  | applicant consists of 720 hours completed in two years under the | 
      
        |  | direct supervision of a licensed athletic trainer acceptable to the | 
      
        |  | department [ board].  Actual working hours include a minimum of 20 | 
      
        |  | hours a week during each fall semester. | 
      
        |  | SECTION 8.141.  Section 451.156, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 451.156.  REQUIREMENTS FOR LICENSE ISSUANCE.  An | 
      
        |  | applicant for an athletic trainer license is entitled to receive | 
      
        |  | the license if the applicant: | 
      
        |  | (1)  satisfies the requirements of Section 451.153 or | 
      
        |  | 451.154; | 
      
        |  | (2)  passes [ satisfactorily completes] the examination | 
      
        |  | required [ administered] by the department [board]; | 
      
        |  | (3)  pays the required license fee; and | 
      
        |  | (4)  has not committed an act that constitutes grounds | 
      
        |  | for refusal of a license under Section 451.251. | 
      
        |  | SECTION 8.142.  Section 451.157, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 451.157.  TEMPORARY LICENSE.  (a)  The department | 
      
        |  | [ board] may issue a temporary license to an applicant if the | 
      
        |  | applicant satisfies: | 
      
        |  | (1)  the requirements of Section 451.153 or 451.154; | 
      
        |  | and | 
      
        |  | (2)  any other requirement established by the | 
      
        |  | commission [ board]. | 
      
        |  | (b)  The commission [ board] by rule shall prescribe the time | 
      
        |  | during which a temporary license is valid. | 
      
        |  | SECTION 8.143.  The heading to Section 451.201, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 451.201.  LICENSE EXPIRATION; RENEWAL. | 
      
        |  | SECTION 8.144.  Section 451.201(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  A license issued under Section 451.156 expires on the | 
      
        |  | second anniversary of the date of issuance and may be renewed | 
      
        |  | biennially. | 
      
        |  | SECTION 8.145.  Section 451.251(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The commission or executive director [ board] may refuse | 
      
        |  | to issue a license to an applicant and shall reprimand a license | 
      
        |  | holder or suspend, revoke, or refuse to renew a person's license if | 
      
        |  | the person: | 
      
        |  | (1)  has been convicted of a misdemeanor involving | 
      
        |  | moral turpitude or a felony; | 
      
        |  | (2)  obtained the license by fraud or deceit; | 
      
        |  | (3)  violated or conspired to violate this chapter or a | 
      
        |  | rule adopted under this chapter; or | 
      
        |  | (4)  provided services outside the scope of practice of | 
      
        |  | athletic training. | 
      
        |  | SECTION 8.146.  The heading to Section 451.351, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 451.351.  AMOUNT [ IMPOSITION] OF ADMINISTRATIVE | 
      
        |  | PENALTY. | 
      
        |  | SECTION 8.147.  Section 451.351(c), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (c)  The amount of an administrative [ the] penalty imposed | 
      
        |  | for a violation of this chapter or a rule adopted or order issued | 
      
        |  | under this chapter may not exceed $500 for each violation, and each | 
      
        |  | day a violation continues or occurs is a separate violation for | 
      
        |  | purposes of imposing a penalty.  The total amount of the penalty | 
      
        |  | assessed for a violation continuing or occurring on separate days | 
      
        |  | under this subsection may not exceed $2,500. | 
      
        |  | SECTION 8.148.  Section 605.002, Occupations Code, is | 
      
        |  | amended by amending Subdivision (1), amending Subdivision (5), as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, and adding Subdivisions (2) and (5-a) to read as follows: | 
      
        |  | (1)  "Advisory board" [ "Board"] means the Orthotists | 
      
        |  | and Prosthetists Advisory [ Texas] Board [of Orthotics and  | 
      
        |  | Prosthetics]. | 
      
        |  | (2)  "Commission" means the Texas Commission of | 
      
        |  | Licensing and Regulation. | 
      
        |  | (5)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (5-a)  "Executive director" means the executive | 
      
        |  | director of the department. | 
      
        |  | SECTION 8.149.  The heading to Subchapter B, Chapter 605, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER B. ORTHOTISTS AND PROSTHETISTS ADVISORY [ TEXAS] BOARD | 
      
        |  | [ OF ORTHOTICS AND PROSTHETICS] | 
      
        |  | SECTION 8.150.  Section 605.052, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.052.  ADVISORY [ APPOINTMENT OF] BOARD [;] | 
      
        |  | MEMBERSHIP.  (a)  The advisory board consists of seven members | 
      
        |  | appointed by the presiding officer of the commission [ governor] | 
      
        |  | with the approval [ advice and consent] of the commission [senate] | 
      
        |  | as follows: | 
      
        |  | (1)  one licensed orthotist member who has practiced | 
      
        |  | orthotics for the five years preceding the date of appointment; | 
      
        |  | (2)  one licensed prosthetist member who has practiced | 
      
        |  | prosthetics for the five years preceding the date of appointment; | 
      
        |  | (3)  one licensed prosthetist orthotist member who has | 
      
        |  | practiced orthotics and prosthetics for the five years preceding | 
      
        |  | the date of appointment; | 
      
        |  | (4)  one member who is a representative of the public | 
      
        |  | who uses an orthosis; | 
      
        |  | (5)  one member who is a representative of the public | 
      
        |  | who uses a prosthesis; and | 
      
        |  | (6)  two members who are representatives of the public | 
      
        |  | who do not use an orthosis or prosthesis. | 
      
        |  | (b)  Appointments to the advisory board shall be made without | 
      
        |  | regard to the race, color, disability, sex, religion, age, or | 
      
        |  | national origin of the appointee. | 
      
        |  | SECTION 8.151.  Subchapter B, Chapter 605, Occupations Code, | 
      
        |  | is amended by adding Section 605.0521 to read as follows: | 
      
        |  | Sec. 605.0521.  DUTIES OF ADVISORY BOARD.  The advisory | 
      
        |  | board shall provide advice and recommendations to the department on | 
      
        |  | technical matters relevant to the administration of this chapter. | 
      
        |  | SECTION 8.152.  Section 605.055, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.055.  TERMS; VACANCY.  (a)  Members of the advisory | 
      
        |  | board serve staggered six-year terms.  The terms of two or three | 
      
        |  | members expire on February 1 of each odd-numbered year. | 
      
        |  | (b)  If a vacancy occurs during a member's term, the | 
      
        |  | presiding officer of the commission, with the commission's | 
      
        |  | approval, [ governor] shall appoint a replacement who meets the | 
      
        |  | qualifications for the vacant position [ person] to serve for the | 
      
        |  | remainder of the term. | 
      
        |  | SECTION 8.153.  Section 605.056, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.056.  PRESIDING OFFICER [ OFFICERS].  The presiding | 
      
        |  | officer of the commission [ members of the board] shall designate a | 
      
        |  | member of the advisory board to serve as the [ elect from the board's  | 
      
        |  | membership a] presiding officer of the advisory board for a term of | 
      
        |  | one year.  The presiding officer of the advisory board may vote on | 
      
        |  | any matter before the advisory board [ , a secretary, and other  | 
      
        |  | officers as required to conduct the board's business]. | 
      
        |  | SECTION 8.154.  Section 605.059(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  The advisory [ A special meeting of the] board shall meet | 
      
        |  | at the call of [ be called by] the presiding officer of the | 
      
        |  | commission or the executive director [ or on the written request of  | 
      
        |  | any three members]. | 
      
        |  | SECTION 8.155.  Section 605.151, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.151.  GENERAL POWERS AND DUTIES [ OF BOARD].  The | 
      
        |  | executive director shall administer and enforce this chapter [ board  | 
      
        |  | may: | 
      
        |  | [ (1)  investigate complaints; | 
      
        |  | [ (2)  issue, suspend, deny, and revoke licenses; | 
      
        |  | [ (3)  reprimand license holders and place license  | 
      
        |  | holders on probation; | 
      
        |  | [ (4)  in connection with a hearing under Section  | 
      
        |  | 605.353, issue subpoenas; | 
      
        |  | [ (5)  hold hearings; and | 
      
        |  | [ (6)  use personnel, facilities, furniture, equipment,  | 
      
        |  | and other items supplied by the department to administer this  | 
      
        |  | chapter]. | 
      
        |  | SECTION 8.156.  Section 605.155, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.155.  EXAMINATIONS.  The department [ board] must | 
      
        |  | approve any examination required for a license under this chapter. | 
      
        |  | Each examination shall be offered at least once each year. | 
      
        |  | SECTION 8.157.  The heading to Subchapter E, Chapter 605, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER E. [ PUBLIC INTEREST INFORMATION AND] COMPLAINT | 
      
        |  | INFORMATION [ PROCEDURES] | 
      
        |  | SECTION 8.158.  The heading to Section 605.2021, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 605.2021.  CONFIDENTIALITY OF COMPLAINT AND | 
      
        |  | DISCIPLINARY INFORMATION [ SUBPOENAS]. | 
      
        |  | SECTION 8.159.  Sections 605.2021(h) and (i), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (h)  All information and materials subpoenaed or compiled by | 
      
        |  | the department [ board] in connection with a complaint and | 
      
        |  | investigation are confidential and not subject to disclosure under | 
      
        |  | Chapter 552, Government Code, and not subject to disclosure, | 
      
        |  | discovery, subpoena, or other means of legal compulsion for their | 
      
        |  | release to anyone other than the department [ board] or its | 
      
        |  | employees or agents involved in discipline of the holder of a | 
      
        |  | license, except that this information may be disclosed to: | 
      
        |  | (1)  persons involved with the department [ board] in a | 
      
        |  | disciplinary action against the holder of a license; | 
      
        |  | (2)  professional orthotist or prosthetist | 
      
        |  | disciplinary boards in other jurisdictions; | 
      
        |  | (3)  peer assistance programs approved by the | 
      
        |  | commission [ board] under Chapter 467, Health and Safety Code; | 
      
        |  | (4)  law enforcement agencies; and | 
      
        |  | (5)  persons engaged in bona fide research, if all | 
      
        |  | individual-identifying information has been deleted. | 
      
        |  | (i)  The filing of formal charges by the department [ board] | 
      
        |  | against a holder of a license, the nature of those charges, | 
      
        |  | disciplinary proceedings of the department, commission, or | 
      
        |  | executive director [ board], and final disciplinary actions, | 
      
        |  | including warnings and reprimands, by the department, commission, | 
      
        |  | or executive director [ board] are not confidential and are subject | 
      
        |  | to disclosure in accordance with Chapter 552, Government Code. | 
      
        |  | SECTION 8.160.  Section 605.251, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.251.  LICENSE REQUIRED.  A person may not practice, | 
      
        |  | attempt to practice, or offer to practice orthotics or prosthetics, | 
      
        |  | act as an assistant to a person who practices orthotics or | 
      
        |  | prosthetics, or in any way hold the person out as being able to | 
      
        |  | practice orthotics or prosthetics unless the person holds a license | 
      
        |  | [ issued by the board] under this chapter. | 
      
        |  | SECTION 8.161.  Section 605.252, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.252.  LICENSE ELIGIBILITY.  (a)  To be eligible for | 
      
        |  | a license to practice orthotics or prosthetics in this state, a | 
      
        |  | person must: | 
      
        |  | (1)  submit an [ file a written] application in the | 
      
        |  | manner and [ with the board] on the form prescribed by the executive | 
      
        |  | director [ board]; | 
      
        |  | (2)  pay the nonrefundable application fee; | 
      
        |  | (3)  be a resident of this state; | 
      
        |  | (4)  have completed formal training, including the | 
      
        |  | required hours of classroom education and clinical practice, in an | 
      
        |  | area of study the commission [ board] by rule determines to be | 
      
        |  | necessary and appropriate; | 
      
        |  | (5)  have completed a clinical residency in the | 
      
        |  | professional area for which a license is sought that complies with | 
      
        |  | the standards, guidelines, or procedures established by the | 
      
        |  | department [ board] for a clinical residency that is offered in this | 
      
        |  | state or another state; and | 
      
        |  | (6)  have passed each written and practical examination | 
      
        |  | approved and required by the department [ board]. | 
      
        |  | (b)  The requirements for a license established by | 
      
        |  | commission [ board] rule must include the requirement that the | 
      
        |  | applicant hold: | 
      
        |  | (1)  a bachelor's or graduate degree in orthotics and | 
      
        |  | prosthetics from: | 
      
        |  | (A)  an education program recognized and | 
      
        |  | accredited by the Commission on Accreditation of Allied Health | 
      
        |  | Education Programs that is offered at an institution of higher | 
      
        |  | education; or | 
      
        |  | (B)  a practitioner education program that has | 
      
        |  | education standards that are equivalent to or exceed the standards | 
      
        |  | adopted by the Commission on Accreditation of Allied Health | 
      
        |  | Education Programs; or | 
      
        |  | (2)  a bachelor's degree in another subject and an | 
      
        |  | orthotic or prosthetic certificate issued by a practitioner | 
      
        |  | education program: | 
      
        |  | (A)  recognized and accredited by the Commission | 
      
        |  | on Accreditation of Allied Health Education Programs; or | 
      
        |  | (B)  that has education standards that are | 
      
        |  | equivalent to or exceed the standards adopted by the Commission on | 
      
        |  | Accreditation of Allied Health Education Programs. | 
      
        |  | (c)  To meet the clinical residency requirements for a | 
      
        |  | license, the applicant must complete a professional clinical | 
      
        |  | residency that meets the requirements established by commission | 
      
        |  | [ board] rule and is conducted under the direct supervision of a | 
      
        |  | licensed orthotist, licensed prosthetist, or a licensed | 
      
        |  | prosthetist orthotist in the discipline for which licensure is | 
      
        |  | sought.  The clinical residency requirements adopted by the | 
      
        |  | commission [ board] must be equivalent to or exceed the standards | 
      
        |  | set by the National Commission on Orthotic and Prosthetic | 
      
        |  | Education. | 
      
        |  | (d)  The department [ board] may accept as a substitute for | 
      
        |  | the examination requirement proof that the license applicant holds | 
      
        |  | a license in a state that has licensing requirements that are equal | 
      
        |  | to or exceed the requirements of this chapter. | 
      
        |  | SECTION 8.162.  Sections 605.254(a) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  A person is entitled to an exemption from the license | 
      
        |  | requirements established [ by the board] under Section 605.252 if | 
      
        |  | the person is a resident of this state who [ : | 
      
        |  | [ (1)  applies for the exemption not later than the  | 
      
        |  | 181st day after the date on which the board's initial rules are  | 
      
        |  | finally adopted and: | 
      
        |  | [ (A)  has provided comprehensive orthotic or  | 
      
        |  | prosthetic care for at least three years before the date of the  | 
      
        |  | application, including practicing orthotics or prosthetics in this  | 
      
        |  | state for the year preceding that date; or | 
      
        |  | [ (B)  has provided comprehensive orthotic and  | 
      
        |  | prosthetic care for at least six years, including practicing  | 
      
        |  | orthotics and prosthetics in this state for the year preceding the  | 
      
        |  | application date; or | 
      
        |  | [ (2)]  presents evidence satisfactory to the | 
      
        |  | department [ board] that the person possesses unique qualifications | 
      
        |  | to practice orthotics, prosthetics, or orthotics and prosthetics. | 
      
        |  | (c)  The department [ board] shall issue a license to a person | 
      
        |  | who is determined to be eligible for a license under Subsection (a) | 
      
        |  | [ or (b)].  A person to whom a license is issued under this | 
      
        |  | subsection is entitled to the same license privileges as if the | 
      
        |  | person met the educational and vocational requirements of Section | 
      
        |  | 605.252.  The license holder is subject to the license renewal | 
      
        |  | requirements established by the commission [ board], other than the | 
      
        |  | academic, clinical training, and examination requirements, which | 
      
        |  | the commission [ board] may not impose as a condition of the person's | 
      
        |  | license. | 
      
        |  | SECTION 8.163.  Sections 605.255(a) and (b), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  An applicant for a license as an orthotist assistant or | 
      
        |  | prosthetist assistant must: | 
      
        |  | (1)  submit an application in the manner and [ file a  | 
      
        |  | written application with the board] on a form prescribed [provided] | 
      
        |  | by the executive director [ board]; | 
      
        |  | (2)  pay the nonrefundable application fee established | 
      
        |  | [ prescribed] by the commission by rule [board]; and | 
      
        |  | (3)  present evidence satisfactory to the department | 
      
        |  | [ board] that the applicant has completed an education program, | 
      
        |  | including courses in the anatomical, biological, and physical | 
      
        |  | sciences, and a clinical residency as prescribed and adopted by the | 
      
        |  | commission by rule [ board]. | 
      
        |  | (b)  An assistant licensed under this section may provide | 
      
        |  | only ancillary patient care services, as defined by the commission | 
      
        |  | by rule [ board], in the discipline in which the assistant's | 
      
        |  | supervisor is licensed under this chapter. | 
      
        |  | SECTION 8.164.  Sections 605.256(a) and (b), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  The department [ board] may issue a license or | 
      
        |  | registration certificate under this chapter only to an individual. | 
      
        |  | (b)  The department [ board] shall issue a license in | 
      
        |  | orthotics or prosthetics to an applicant who meets the requirements | 
      
        |  | provided under this chapter.  A license may be granted in either | 
      
        |  | orthotics or prosthetics, or in both, if the person meets the | 
      
        |  | requirements established by the department [ board]. | 
      
        |  | SECTION 8.165.  Section 605.257, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.257.  TEMPORARY LICENSE.  (a)  The department | 
      
        |  | [ board] may issue a temporary license to an individual who: | 
      
        |  | (1)  has recently become a resident of this state; | 
      
        |  | (2)  has applied for a license as an orthotist, | 
      
        |  | prosthetist, or both; and | 
      
        |  | (3)  has: | 
      
        |  | (A)  practiced orthotics regularly since January | 
      
        |  | 1, 1996; or | 
      
        |  | (B)  been licensed by the state in which the | 
      
        |  | person formerly resided if that state has license requirements that | 
      
        |  | are equal to or exceed the requirements of this chapter. | 
      
        |  | (b)  A temporary license is valid for one year from the date | 
      
        |  | issued.  A temporary license may be renewed for not more than one | 
      
        |  | additional year if the applicant presents evidence sufficient to | 
      
        |  | the department [ board] of good cause for renewal. | 
      
        |  | SECTION 8.166.  Section 605.258(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The department [ board] may issue a student registration | 
      
        |  | certificate to an individual who is working toward fulfilling the | 
      
        |  | requirements for a license as an orthotist, prosthetist, or | 
      
        |  | prosthetist orthotist and: | 
      
        |  | (1)  holds either: | 
      
        |  | (A)  a bachelor's or graduate degree in orthotics | 
      
        |  | and prosthetics from: | 
      
        |  | (i)  an education program recognized and | 
      
        |  | accredited by the Commission on Accreditation of Allied Health | 
      
        |  | Education Programs that is offered at an institution of higher | 
      
        |  | education; or | 
      
        |  | (ii)  a practitioner education program that | 
      
        |  | has education standards that are equivalent to or exceed the | 
      
        |  | standards adopted by the Commission on Accreditation of Allied | 
      
        |  | Health Education Programs; or | 
      
        |  | (B)  a bachelor's degree in another subject and an | 
      
        |  | orthotic or prosthetic certificate issued by a practitioner | 
      
        |  | education program: | 
      
        |  | (i)  recognized and accredited by the | 
      
        |  | Commission on Accreditation of Allied Health Education Programs; or | 
      
        |  | (ii)  that has education standards that are | 
      
        |  | equivalent to or exceed the standards adopted by the Commission on | 
      
        |  | Accreditation of Allied Health Education Programs; or | 
      
        |  | (2)  is a student who: | 
      
        |  | (A)  is currently enrolled in a graduate program | 
      
        |  | in this state in orthotics and prosthetics that: | 
      
        |  | (i)  is recognized and accredited by the | 
      
        |  | Commission on Accreditation of Allied Health Education Programs; | 
      
        |  | and | 
      
        |  | (ii)  incorporates a professional clinical | 
      
        |  | residency that meets the requirements of rules adopted under | 
      
        |  | Section 605.252(c); and | 
      
        |  | (B)  submits to the department [ board] a written | 
      
        |  | certification from the graduate program in which the student is | 
      
        |  | enrolled that the student has successfully completed the academic | 
      
        |  | prerequisites to enter a professional clinical residency. | 
      
        |  | SECTION 8.167.  Section 605.259(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The department [ board] may issue a registered orthotic | 
      
        |  | technician or registered prosthetic technician certificate to an | 
      
        |  | applicant who: | 
      
        |  | (1)  submits an [ files a written] application in the | 
      
        |  | manner and [ with the board] on a form prescribed [provided] by the | 
      
        |  | executive director [ board]; | 
      
        |  | (2)  pays the nonrefundable application fee; and | 
      
        |  | (3)  presents evidence satisfactory to the department | 
      
        |  | [ board] that the applicant has completed an education program and | 
      
        |  | laboratory experience as prescribed by the commission by rule | 
      
        |  | [ board]. | 
      
        |  | SECTION 8.168.  Sections 605.260(a), (b), and (c), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (a)  The commission [ board] by rule shall establish | 
      
        |  | requirements for the accreditation and the renewal of an | 
      
        |  | accreditation of an orthotic or prosthetic facility in which | 
      
        |  | orthotics or prosthetics are conducted.  The department [ board] may | 
      
        |  | issue an accreditation only to an orthotic or prosthetic facility. | 
      
        |  | (b)  If a person owns more than one facility, the department | 
      
        |  | [ board] may require only one application for the accreditation of | 
      
        |  | each of the person's facilities.  Each orthotic or prosthetic | 
      
        |  | facility must meet the requirements established by commission rule | 
      
        |  | [ the board]. | 
      
        |  | (c)  An orthotic or prosthetic facility must be under the | 
      
        |  | on-site direction of an orthotist or prosthetist licensed by the | 
      
        |  | department [ board] in the discipline for which accreditation is | 
      
        |  | sought. | 
      
        |  | SECTION 8.169.  Section 605.261, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.261.  CONTINUING EDUCATION.  (a)  The commission | 
      
        |  | [ board] shall: | 
      
        |  | (1)  adopt rules that require a license holder to | 
      
        |  | participate in an approved continuing education program to renew a | 
      
        |  | license issued under this chapter; and | 
      
        |  | (2)  prepare or approve continuing education programs | 
      
        |  | for license holders. | 
      
        |  | (b)  To renew a license under this chapter, an applicant must | 
      
        |  | submit to the department [ board] evidence of satisfactory | 
      
        |  | completion of the continuing education requirements required by the | 
      
        |  | commission [ board]. | 
      
        |  | (c)  The department [ board] shall notify a license holder who | 
      
        |  | has failed to comply with the [ board's] continuing education | 
      
        |  | requirements of the license holder's failure to comply and that | 
      
        |  | failure to obtain the required continuing education before the | 
      
        |  | expiration of three months after the date the notice is given | 
      
        |  | constitutes grounds for the commission or executive director | 
      
        |  | [ board] to suspend or revoke the license holder's license. | 
      
        |  | SECTION 8.170.  Section 605.353, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 605.353.  DISCIPLINARY ACTIONS.  (a)  After notice and | 
      
        |  | opportunity for a hearing, the commission or executive director | 
      
        |  | [ board] may revoke, suspend, or refuse to renew a license issued | 
      
        |  | under this chapter on a finding that: | 
      
        |  | (1)  the license was obtained by fraud, | 
      
        |  | misrepresentation, or concealment of a material fact; | 
      
        |  | (2)  the person engaged in fraud or deceit in | 
      
        |  | connection with services provided by the person; | 
      
        |  | (3)  the person engaged in unprofessional or unethical | 
      
        |  | conduct; | 
      
        |  | (4)  the person engaged in gross negligence or | 
      
        |  | malpractice; or | 
      
        |  | (5)  the person violated this chapter or a rule adopted | 
      
        |  | under this chapter. | 
      
        |  | (b)  The commission or executive director [ board] may | 
      
        |  | reinstate a license revoked under Subsection (a) after the first | 
      
        |  | anniversary of the date of the revocation on terms the commission or | 
      
        |  | executive director [ board] determines to be necessary. | 
      
        |  | SECTION 8.171.  Section 605.354(c), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (c)  The attorney general shall bring an action in the name | 
      
        |  | of the state at the department's [ board's] request to collect a | 
      
        |  | civil penalty under this section. | 
      
        |  | SECTION 8.172.  Section 605.402(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The amount of an [ the] administrative penalty imposed | 
      
        |  | for a violation of this chapter or a rule adopted or order issued | 
      
        |  | under this chapter may not be less than $50 or more than $5,000 for | 
      
        |  | each violation.  Each day a violation continues or occurs is a | 
      
        |  | separate violation for the purpose of imposing a penalty. | 
      
        |  | SECTION 8.173.  Section 701.002, Occupations Code, is | 
      
        |  | amended by amending Subdivisions (1), (2), and (4) and adding | 
      
        |  | Subdivision (1-a) to read as follows: | 
      
        |  | (1)  "Advisory board" means the Dietitians Advisory | 
      
        |  | Board. | 
      
        |  | (1-a)  "Commission" [ "Commissioner"] means the Texas | 
      
        |  | Commission of Licensing and Regulation [ commissioner of state  | 
      
        |  | health services]. | 
      
        |  | (2)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (4)  "Executive director" [ "Dietitians board"] means | 
      
        |  | the executive director of the department [ Texas State Board of  | 
      
        |  | Examiners of Dietitians]. | 
      
        |  | SECTION 8.174.  The heading to Subchapter B, Chapter 701, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER B. [ TEXAS STATE BOARD OF EXAMINERS OF] DIETITIANS | 
      
        |  | ADVISORY BOARD | 
      
        |  | SECTION 8.175.  Section 701.051, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.051.  DIETITIANS ADVISORY BOARD MEMBERSHIP.  (a) | 
      
        |  | The advisory board [ Texas State Board of Examiners of Dietitians] | 
      
        |  | consists of nine members appointed by the presiding officer of the | 
      
        |  | commission [ governor] with the approval [advice and consent] of the | 
      
        |  | commission [ senate] as follows: | 
      
        |  | (1)  six licensed dietitian members, each of whom has | 
      
        |  | been licensed under this chapter for not less than three years | 
      
        |  | before the member's date of appointment; and | 
      
        |  | (2)  three members who represent the public. | 
      
        |  | (b)  In appointing dietitian members to the advisory | 
      
        |  | [ dietitians] board, the presiding officer of the commission | 
      
        |  | [ governor] shall attempt to maintain balanced representation among | 
      
        |  | the following primary areas of expertise included in the | 
      
        |  | professional discipline of dietetics: | 
      
        |  | (1)  clinical; | 
      
        |  | (2)  educational; | 
      
        |  | (3)  management; | 
      
        |  | (4)  consultation; and | 
      
        |  | (5)  community. | 
      
        |  | (c)  Appointments to the advisory [ dietitians] board shall | 
      
        |  | be made without regard to the race, color, disability, sex, | 
      
        |  | religion, age, or national origin of the appointee. | 
      
        |  | SECTION 8.176.  Subchapter B, Chapter 701, Occupations Code, | 
      
        |  | is amended by adding Section 701.0511 to read as follows: | 
      
        |  | Sec. 701.0511.  DUTIES OF ADVISORY BOARD.  The advisory | 
      
        |  | board shall provide advice and recommendations to the department on | 
      
        |  | technical matters relevant to the administration of this chapter. | 
      
        |  | SECTION 8.177.  Section 701.054, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.054.  TERMS; VACANCIES.  (a) Members of the | 
      
        |  | advisory [ dietitians] board serve staggered six-year terms.  The | 
      
        |  | terms of three [ two] members begin on September 1 of each | 
      
        |  | odd-numbered year. | 
      
        |  | (b)  If a vacancy occurs during a member's term, the | 
      
        |  | presiding officer of the commission, with the commission's | 
      
        |  | approval, shall appoint a replacement who meets the qualifications | 
      
        |  | for the vacant position to serve for the remainder of the term. | 
      
        |  | SECTION 8.178.  Section 701.057, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.057.  PRESIDING OFFICER [ OFFICERS].  [(a)]  The | 
      
        |  | presiding officer of the commission [ governor] shall designate a | 
      
        |  | member of the advisory [ dietitians] board as the presiding officer | 
      
        |  | of the advisory board to serve for a term of one year [ in that  | 
      
        |  | capacity at the pleasure of the governor].  The presiding officer of | 
      
        |  | the advisory board may vote on any matter before the advisory board. | 
      
        |  | [ (b)  Not later than the 30th day after the date the governor  | 
      
        |  | appoints new board members, the dietitians board shall meet to  | 
      
        |  | elect an assistant presiding officer, who holds office according to  | 
      
        |  | board rules.] | 
      
        |  | SECTION 8.179.  Section 701.058, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.058.  MEETINGS.  The advisory [ dietitians] board | 
      
        |  | shall meet at the call of the presiding officer of the commission or | 
      
        |  | the executive director [ hold at least two regular meetings each  | 
      
        |  | year as provided by board rules]. | 
      
        |  | SECTION 8.180.  Section 701.151, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.151.  GENERAL POWERS AND DUTIES [ OF DIETITIANS  | 
      
        |  | BOARD].  (a)  The executive director shall administer and enforce | 
      
        |  | this chapter. | 
      
        |  | (b)  The department [ dietitians board] shall: | 
      
        |  | (1)  adopt an official seal; | 
      
        |  | (2)  adopt and publish a code of ethics; | 
      
        |  | (3)  establish the qualifications and fitness of | 
      
        |  | applicants for licenses, including renewed and reciprocal | 
      
        |  | licenses; | 
      
        |  | (4)  revoke, suspend, or deny a license, probate a | 
      
        |  | license suspension, or reprimand a license holder for a violation | 
      
        |  | of this chapter, a [ board] rule adopted under this chapter, or the | 
      
        |  | code of ethics; and | 
      
        |  | (5)  request and receive any necessary assistance from | 
      
        |  | state educational institutions or other state agencies [ spend money  | 
      
        |  | necessary to properly administer the board's duties; and | 
      
        |  | [ (6)  establish reasonable and necessary fees to  | 
      
        |  | administer this chapter]. | 
      
        |  | SECTION 8.181.  Subchapter D, Chapter 701, Occupations Code, | 
      
        |  | is amended by adding Section 701.1511 to read as follows: | 
      
        |  | Sec. 701.1511.  REGISTRY.  The department shall prepare a | 
      
        |  | registry of licensed dietitians and provisional licensed | 
      
        |  | dietitians and make the registry available to the public, license | 
      
        |  | holders, and appropriate state agencies. | 
      
        |  | SECTION 8.182.  Section 701.154, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 701.154.  AMOUNT OF FEES.  The commission [ (a)  After  | 
      
        |  | consulting the department, the dietitians board by rule shall set  | 
      
        |  | fees in amounts reasonable and necessary to cover the cost of  | 
      
        |  | administering this chapter.  The fees for issuing or renewing a  | 
      
        |  | license must be in amounts designed to allow the department and the  | 
      
        |  | dietitians board to recover from the license holders all of the  | 
      
        |  | direct and indirect costs to the department and to the dietitians  | 
      
        |  | board in administering and enforcing this chapter. | 
      
        |  | [ (b)  The dietitians board] may not set a fee that existed on | 
      
        |  | September 1, 1993, in an amount that is less than the amount of that | 
      
        |  | fee on that date. | 
      
        |  | SECTION 8.183.  Section 701.155, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.155.  SEAL.  (a)  The commission [ dietitians board] | 
      
        |  | by rule may require a license holder to: | 
      
        |  | (1)  obtain a seal authorized by the department [ board] | 
      
        |  | bearing the license holder's name and the legend "Licensed | 
      
        |  | Dietitian"; and | 
      
        |  | (2)  affix the seal to formal documentation of | 
      
        |  | nutrition services provided by the license holder, as determined | 
      
        |  | necessary and appropriate by the department [ board]. | 
      
        |  | (b)  If the commission [ dietitians board] adopts rules under | 
      
        |  | Subsection (a), the rules must authorize a license holder to comply | 
      
        |  | with Subsection (a)(2) by maintaining a facsimile of the license | 
      
        |  | holder's seal on file at the location where services are provided | 
      
        |  | if: | 
      
        |  | (1)  the services are provided: | 
      
        |  | (A)  in a facility licensed under the Health and | 
      
        |  | Safety Code; | 
      
        |  | (B)  on behalf of a local, state, or federal | 
      
        |  | government agency; or | 
      
        |  | (C)  under other circumstances determined | 
      
        |  | reasonable and necessary by the department [ board]; and | 
      
        |  | (2)  the facsimile is maintained on file at all times | 
      
        |  | during which the services are provided. | 
      
        |  | SECTION 8.184.  The heading to Subchapter E, Chapter 701, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER E. [ PUBLIC INTEREST INFORMATION AND] COMPLAINT | 
      
        |  | PROCEDURES | 
      
        |  | SECTION 8.185.  The heading to Section 701.2041, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 701.2041.  CONFIDENTIALITY OF COMPLAINT AND | 
      
        |  | DISCIPLINARY INFORMATION [ SUBPOENAS]. | 
      
        |  | SECTION 8.186.  Sections 701.2041(h) and (i), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (h)  All information and materials subpoenaed or compiled by | 
      
        |  | the department [ dieticians board] in connection with a complaint | 
      
        |  | and investigation are confidential and not subject to disclosure | 
      
        |  | under Chapter 552, Government Code, and not subject to disclosure, | 
      
        |  | discovery, subpoena, or other means of legal compulsion for their | 
      
        |  | release to anyone other than the department [ board] or its | 
      
        |  | employees or agents involved in discipline of the holder of a | 
      
        |  | license, except that this information may be disclosed to: | 
      
        |  | (1)  persons involved with the department [ board] in a | 
      
        |  | disciplinary action against the holder of a license; | 
      
        |  | (2)  professional dietitian licensing or disciplinary | 
      
        |  | boards in other jurisdictions; | 
      
        |  | (3)  peer assistance programs approved by the | 
      
        |  | commission [ board] under Chapter 467, Health and Safety Code; | 
      
        |  | (4)  law enforcement agencies; and | 
      
        |  | (5)  persons engaged in bona fide research, if all | 
      
        |  | individual-identifying information has been deleted. | 
      
        |  | (i)  The filing of formal charges by the department | 
      
        |  | [ dieticians board] against a holder of a license, the nature of | 
      
        |  | those charges, disciplinary proceedings of the department, | 
      
        |  | commission, or executive director [ board], and final disciplinary | 
      
        |  | actions, including warnings and reprimands, by the department, | 
      
        |  | commission, or executive director [ board] are not confidential and | 
      
        |  | are subject to disclosure in accordance with Chapter 552, | 
      
        |  | Government Code. | 
      
        |  | SECTION 8.187.  Section 701.252, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.252.  LICENSE APPLICATION.  (a)  Each applicant for | 
      
        |  | a dietitian license must submit an [ a sworn] application in the | 
      
        |  | manner and on a form prescribed by the executive director | 
      
        |  | accompanied by the application fee. | 
      
        |  | (b)  The commission [ dietitians board shall prescribe the  | 
      
        |  | application form and may] by rule shall determine the information | 
      
        |  | and documentation required to be submitted as part of an | 
      
        |  | application [ establish dates by which applications and fees must be  | 
      
        |  | received]. | 
      
        |  | SECTION 8.188.  Sections 701.253(c), (e), and (f), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (c)  The department [ dietitians board] shall prepare or | 
      
        |  | approve an examination.  An examination prescribed by the | 
      
        |  | department [ board] may be or may include an examination given by the | 
      
        |  | Commission on Dietetic Registration or by a national or state | 
      
        |  | testing service instead of an examination prepared by the | 
      
        |  | department or the department's designee [ board]. | 
      
        |  | (e)  The department [ dietitians board] shall administer an | 
      
        |  | examination to qualified applicants at least twice each calendar | 
      
        |  | year. | 
      
        |  | (f)  The department [ dietitians board] shall waive the | 
      
        |  | examination requirement for an applicant who, at the time of | 
      
        |  | application, is a dietitian registered by the Commission on | 
      
        |  | Dietetic Registration. | 
      
        |  | SECTION 8.189.  Section 701.254, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.254.  QUALIFICATIONS FOR EXAMINATION.  To qualify | 
      
        |  | for the licensing examination under this chapter, an applicant | 
      
        |  | must: | 
      
        |  | (1)  possess a baccalaureate or postbaccalaureate | 
      
        |  | degree, conferred by a college or university regionally accredited | 
      
        |  | at the time of conferral, with: | 
      
        |  | (A)  a major course of study in human nutrition, | 
      
        |  | food and nutrition, nutrition education, dietetics, or food systems | 
      
        |  | management; or | 
      
        |  | (B)  an equivalent major course of study approved | 
      
        |  | by the department [ dietitians board]; and | 
      
        |  | (2)  have completed an internship or preplanned, | 
      
        |  | documented, professional experience program in dietetics practice | 
      
        |  | of not less than 900 hours under the supervision of a licensed | 
      
        |  | dietitian or a registered dietitian approved by the department | 
      
        |  | [ board]. | 
      
        |  | SECTION 8.190.  Section 701.255(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  Not later than the 45th day after the date a properly | 
      
        |  | submitted and timely application is received and not later than the | 
      
        |  | 30th day before the next examination date, the department shall | 
      
        |  | notify an applicant in writing of the receipt and investigation of | 
      
        |  | the applicant's application and any other relevant evidence | 
      
        |  | relating to applicant qualifications established by commission | 
      
        |  | [ dietitians board] rule. | 
      
        |  | SECTION 8.191.  Sections 701.2575(a) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  The department [ dietitians board] shall develop and | 
      
        |  | administer at least twice each calendar year a jurisprudence | 
      
        |  | examination to determine an applicant's knowledge of this chapter, | 
      
        |  | commission [ board] rules under this chapter, and any other | 
      
        |  | applicable laws of this state affecting the applicant's dietetics | 
      
        |  | practice. | 
      
        |  | (c)  The commission [ dietitians board] shall adopt rules to | 
      
        |  | implement this section, including rules related to the development | 
      
        |  | and administration of the examination, examination fees, | 
      
        |  | guidelines for reexamination, grading the examination, and | 
      
        |  | providing notice of examination results. | 
      
        |  | SECTION 8.192.  Section 701.258, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.258.  QUALIFIED PERSON ENTITLED TO LICENSE.  The | 
      
        |  | department [ dietitians board] shall issue a license [certificate] | 
      
        |  | as a licensed dietitian to a person qualified for a license under | 
      
        |  | this chapter. | 
      
        |  | SECTION 8.193.  Sections 701.259(a), (b), (c), and (d), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (a)  The department [ dietitians board] may issue a license to | 
      
        |  | use the title "provisional licensed dietitian" to an applicant who | 
      
        |  | files an application, pays an application fee, and submits evidence | 
      
        |  | of successful completion of the education requirement under Section | 
      
        |  | 701.254. | 
      
        |  | (b)  A provisional licensed dietitian must practice under | 
      
        |  | the supervision and direction of a licensed dietitian.  The | 
      
        |  | supervising licensed dietitian must be designated in [ sign] the | 
      
        |  | applicant's initial application for a provisional license. | 
      
        |  | (c)  The department [ dietitians board] shall issue a license | 
      
        |  | [ certificate] as a provisional licensed dietitian to a person | 
      
        |  | qualified for a provisional license under this chapter. | 
      
        |  | (d)  A provisional license expires on the first anniversary | 
      
        |  | of the date of issuance and[ , if the supervising licensed dietitian  | 
      
        |  | signs the renewal application,] may be renewed annually not more | 
      
        |  | than twice [ by complying with the renewal procedures under Section  | 
      
        |  | 701.301]. | 
      
        |  | SECTION 8.194.  Section 701.260, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.260.  TEMPORARY LICENSE.  (a)  On receipt of an | 
      
        |  | application and payment of an application fee, the department | 
      
        |  | [ dietitians board] may grant a temporary license to an applicant | 
      
        |  | who: | 
      
        |  | (1)  is licensed in good standing as a dietitian in | 
      
        |  | another state that has licensing requirements that are | 
      
        |  | substantially equivalent to the requirements of this chapter; | 
      
        |  | (2)  has passed a national or other examination that is | 
      
        |  | recognized by the department [ board] and relates to dietetics; and | 
      
        |  | (3)  is sponsored by a person licensed by the | 
      
        |  | department [ board] under this chapter with whom the temporary | 
      
        |  | license holder may practice. | 
      
        |  | (b)  The department [ dietitians board] may waive the | 
      
        |  | requirement of Subsection (a)(3) if the department [ board] | 
      
        |  | determines that compliance with that provision is a hardship to an | 
      
        |  | applicant. | 
      
        |  | (c)  A temporary license is valid until the date the | 
      
        |  | department [ dietitians board] approves or denies the temporary | 
      
        |  | license holder's application for a license.  The department [ board] | 
      
        |  | shall issue a license under this chapter to the holder of a | 
      
        |  | temporary license if: | 
      
        |  | (1)  the temporary license holder passes the competency | 
      
        |  | examination required by Section 701.253; | 
      
        |  | (2)  the department [ board] verifies that the temporary | 
      
        |  | license holder meets the academic and experience requirements for a | 
      
        |  | license under this chapter; and | 
      
        |  | (3)  the temporary license holder satisfies any other | 
      
        |  | license requirements under this chapter. | 
      
        |  | (d)  The department [ dietitians board] must complete the | 
      
        |  | processing of a temporary license holder's application for a | 
      
        |  | license not later than the 180th day after the date the department | 
      
        |  | [ board] issues the temporary license.  The department [board] may | 
      
        |  | extend this deadline to receive pending examination results. | 
      
        |  | SECTION 8.195.  Section 701.303, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.303.  CONTINUING EDUCATION.  (a)  The commission | 
      
        |  | [ dietitians board] by rule shall establish a minimum number of | 
      
        |  | hours of continuing education required for license renewal under | 
      
        |  | this chapter. | 
      
        |  | (b)  The commission or department [ dietitians board] may | 
      
        |  | assess the continuing education needs of license holders and may | 
      
        |  | require license holders to attend continuing education courses | 
      
        |  | specified by the commission or department [ board].  The department | 
      
        |  | [ board] shall develop a process to evaluate and approve continuing | 
      
        |  | education courses. | 
      
        |  | (c)  The commission or department [ dietitians board] shall | 
      
        |  | identify key factors for a license holder's competent performance | 
      
        |  | of professional duties.  The department [ board] shall adopt a | 
      
        |  | procedure to assess the license holder's participation in | 
      
        |  | continuing education programs. | 
      
        |  | SECTION 8.196.  Section 701.304, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.304.  GROUNDS FOR REFUSING RENEWAL.  The commission | 
      
        |  | or department [ dietitians board] may refuse to renew the license of | 
      
        |  | a person who fails to pay an administrative penalty imposed under | 
      
        |  | Subchapter K, unless enforcement of the penalty is stayed or a court | 
      
        |  | has ordered that the administrative penalty is not owed. | 
      
        |  | SECTION 8.197.  Section 701.351, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.351.  DISPLAY OF LICENSE [ CERTIFICATE].  (a)  A | 
      
        |  | license holder shall display the person's license [ certificate] in | 
      
        |  | an appropriate and public manner as prescribed by commission rule. | 
      
        |  | (b)  A license [ certificate] issued by the department | 
      
        |  | [ dietitians board] is the property of the department [board] and | 
      
        |  | shall be surrendered on demand. | 
      
        |  | SECTION 8.198.  Section 701.352, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.352.  LICENSE HOLDER INFORMATION.  A license holder | 
      
        |  | shall keep the department informed of the license holder's current | 
      
        |  | address as provided by commission rule. | 
      
        |  | SECTION 8.199.  Section 701.353(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A person may not use a seal authorized by the department | 
      
        |  | [ dietitians board] unless the person holds a license issued under | 
      
        |  | this chapter. | 
      
        |  | SECTION 8.200.  Section 701.401, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.401.  GROUNDS FOR DISCIPLINARY ACTION.  The | 
      
        |  | commission or executive director [ dietitians board] shall refuse to | 
      
        |  | renew a license, revoke or suspend a license, place on probation a | 
      
        |  | person whose license has been suspended, or reprimand a license | 
      
        |  | holder for a violation of this chapter, [ or] a rule or code of | 
      
        |  | ethics adopted under this chapter, or an order of [ by] the | 
      
        |  | commission or executive director [ board]. | 
      
        |  | SECTION 8.201.  Section 701.403, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.403.  SANCTIONS.  The State Office of | 
      
        |  | Administrative Hearings shall use the schedule of sanctions adopted | 
      
        |  | by the commission by [ dietitians board] rule for a sanction imposed | 
      
        |  | as the result of a hearing conducted by the office. | 
      
        |  | SECTION 8.202.  Section 701.502(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The amount of an [ the] administrative penalty imposed | 
      
        |  | for a violation of this chapter or a rule adopted or order issued | 
      
        |  | under this chapter may not be less than $50 or more than $5,000 for | 
      
        |  | each violation.  Each day a violation continues or occurs is a | 
      
        |  | separate violation for the purpose of imposing a penalty. | 
      
        |  | SECTION 8.203.  Section 701.512, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 701.512.  REFUND.  (a)  Subject to Subsection (b), the | 
      
        |  | commission or executive director [ dietitians board] may order a | 
      
        |  | license holder to pay a refund to a consumer as provided in an | 
      
        |  | agreement resulting from an informal settlement conference instead | 
      
        |  | of or in addition to imposing an administrative penalty under this | 
      
        |  | chapter. | 
      
        |  | (b)  The amount of a refund ordered as provided in an | 
      
        |  | agreement resulting from an informal settlement conference may not | 
      
        |  | exceed the amount the consumer paid to the license holder for a | 
      
        |  | service regulated by this chapter.  The commission or executive | 
      
        |  | director [ board] may not require payment of other damages or | 
      
        |  | estimate harm in a refund order. | 
      
        |  | SECTION 8.204.  The following provisions of the Occupations | 
      
        |  | Code, including provisions amended by S.B. 219, Acts of the 84th | 
      
        |  | Legislature, Regular Session, 2015, are repealed: | 
      
        |  | (1)  Section 203.006; | 
      
        |  | (2)  Section 203.051; | 
      
        |  | (3)  Section 203.053; | 
      
        |  | (4)  Section 203.054; | 
      
        |  | (5)  Section 203.057; | 
      
        |  | (6)  Section 203.058; | 
      
        |  | (7)  Section 203.060; | 
      
        |  | (8)  Subchapter C, Chapter 203; | 
      
        |  | (9)  Section 203.151(b); | 
      
        |  | (10)  Section 203.1515; | 
      
        |  | (11)  Section 203.152(a); | 
      
        |  | (12)  Sections 203.155(a) and (c); | 
      
        |  | (13)  Section 203.156; | 
      
        |  | (14)  Section 203.158; | 
      
        |  | (15)  Section 203.159; | 
      
        |  | (16)  Section 203.160; | 
      
        |  | (17)  Section 203.161; | 
      
        |  | (18)  Subchapter E, Chapter 203; | 
      
        |  | (19)  Section 203.255(b); | 
      
        |  | (20)  Section 203.2556; | 
      
        |  | (21)  Section 203.302; | 
      
        |  | (22)  Section 203.303; | 
      
        |  | (23)  Section 203.405; | 
      
        |  | (24)  Subchapter J, Chapter 203; | 
      
        |  | (25)  Section 203.502(c); | 
      
        |  | (26)  Section 203.505(a); | 
      
        |  | (27)  Section 401.002; | 
      
        |  | (28)  Section 401.101; | 
      
        |  | (29)  Section 401.103; | 
      
        |  | (30)  Section 401.104; | 
      
        |  | (31)  Section 401.106; | 
      
        |  | (32)  Section 401.109; | 
      
        |  | (33)  Section 401.110; | 
      
        |  | (34)  Subchapter D, Chapter 401; | 
      
        |  | (35)  Section 401.201(b); | 
      
        |  | (36)  Sections 401.203(a) and (b); | 
      
        |  | (37)  Section 401.204; | 
      
        |  | (38)  Section 401.205; | 
      
        |  | (39)  Section 401.206; | 
      
        |  | (40)  Section 401.207; | 
      
        |  | (41)  Section 401.252; | 
      
        |  | (42)  Sections 401.253(b), (c), (d), and (e); | 
      
        |  | (43)  Sections 401.2535(a), (b), (c), (d), (e), (f), | 
      
        |  | and (g); | 
      
        |  | (44)  Section 401.254; | 
      
        |  | (45)  Section 401.306; | 
      
        |  | (46)  Section 401.307(c); | 
      
        |  | (47)  Section 401.313; | 
      
        |  | (48)  Section 401.315; | 
      
        |  | (49)  Sections 401.352(b) and (c); | 
      
        |  | (50)  Section 401.353; | 
      
        |  | (51)  Section 401.354; | 
      
        |  | (52)  Section 401.405; | 
      
        |  | (53)  Section 401.451(b); | 
      
        |  | (54)  Section 401.452; | 
      
        |  | (55)  Section 401.4531; | 
      
        |  | (56)  Section 401.454; | 
      
        |  | (57)  Section 401.455; | 
      
        |  | (58)  Section 401.456; | 
      
        |  | (59)  Section 401.457; | 
      
        |  | (60)  Section 401.458; | 
      
        |  | (61)  Section 401.459; | 
      
        |  | (62)  Section 401.460; | 
      
        |  | (63)  Section 401.502; | 
      
        |  | (64)  Section 401.5022; | 
      
        |  | (65)  Section 401.551; | 
      
        |  | (66)  Section 401.553; | 
      
        |  | (67)  Section 401.554; | 
      
        |  | (68)  Section 401.555; | 
      
        |  | (69)  Section 401.556; | 
      
        |  | (70)  Section 401.557; | 
      
        |  | (71)  Section 401.558; | 
      
        |  | (72)  Section 401.559; | 
      
        |  | (73)  Section 401.560; | 
      
        |  | (74)  Section 401.561; | 
      
        |  | (75)  Section 402.002; | 
      
        |  | (76)  Section 402.052; | 
      
        |  | (77)  Section 402.053; | 
      
        |  | (78)  Section 402.054; | 
      
        |  | (79)  Section 402.056; | 
      
        |  | (80)  Section 402.0581; | 
      
        |  | (81)  Section 402.059; | 
      
        |  | (82)  Section 402.060; | 
      
        |  | (83)  Section 402.061; | 
      
        |  | (84)  Section 402.102; | 
      
        |  | (85)  Section 402.1022; | 
      
        |  | (86)  Sections 402.103(a) and (b); | 
      
        |  | (87)  Section 402.105; | 
      
        |  | (88)  Section 402.106; | 
      
        |  | (89)  Section 402.151; | 
      
        |  | (90)  Section 402.1511; | 
      
        |  | (91)  Section 402.153; | 
      
        |  | (92)  Sections 402.154(a), (b), (c), (d), (e), (f), and | 
      
        |  | (g); | 
      
        |  | (93)  Section 402.205(d); | 
      
        |  | (94)  Section 402.206; | 
      
        |  | (95)  Sections 402.209(b) and (g); | 
      
        |  | (96)  Section 402.257(b); | 
      
        |  | (97)  Sections 402.301(b), (c), (d), and (e); | 
      
        |  | (98)  Section 402.303(f); | 
      
        |  | (99)  Section 402.354; | 
      
        |  | (100)  Section 402.452; | 
      
        |  | (101)  Section 402.502; | 
      
        |  | (102)  Section 402.503; | 
      
        |  | (103)  Section 402.504; | 
      
        |  | (104)  Section 402.505; | 
      
        |  | (105)  Section 402.506; | 
      
        |  | (106)  Sections 402.551(a) and (c); | 
      
        |  | (107)  Section 402.552; | 
      
        |  | (108)  Section 402.5522; | 
      
        |  | (109)  Section 402.553(b); | 
      
        |  | (110)  Section 451.051(a); | 
      
        |  | (111)  Section 451.0511; | 
      
        |  | (112)  Section 451.0512; | 
      
        |  | (113)  Section 451.0513; | 
      
        |  | (114)  Section 451.052; | 
      
        |  | (115)  Section 451.054; | 
      
        |  | (116)  Section 451.057; | 
      
        |  | (117)  Sections 451.101(b) and (c); | 
      
        |  | (118)  Section 451.1015; | 
      
        |  | (119)  Section 451.1016; | 
      
        |  | (120)  Section 451.102; | 
      
        |  | (121)  Section 451.103; | 
      
        |  | (122)  Section 451.1035; | 
      
        |  | (123)  Section 451.104; | 
      
        |  | (124)  Section 451.105; | 
      
        |  | (125)  Section 451.106; | 
      
        |  | (126)  Section 451.108; | 
      
        |  | (127)  Section 451.109; | 
      
        |  | (128)  Sections 451.110(a), (b), (c), (d), (e), (f), | 
      
        |  | and (g); | 
      
        |  | (129)  Section 451.155; | 
      
        |  | (130)  Section 451.201(b); | 
      
        |  | (131)  Section 451.202; | 
      
        |  | (132)  Section 451.203; | 
      
        |  | (133)  Section 451.204; | 
      
        |  | (134)  Section 451.2512; | 
      
        |  | (135)  Section 451.252; | 
      
        |  | (136)  Section 451.253; | 
      
        |  | (137)  Section 451.254; | 
      
        |  | (138)  Section 451.255; | 
      
        |  | (139)  Sections 451.351(a), (b), (e), (f), (g), (h), | 
      
        |  | (i), (j), (k), and (l); | 
      
        |  | (140)  Section 451.352; | 
      
        |  | (141)  Section 605.003; | 
      
        |  | (142)  Section 605.051; | 
      
        |  | (143)  Section 605.053; | 
      
        |  | (144)  Section 605.054; | 
      
        |  | (145)  Section 605.057; | 
      
        |  | (146)  Section 605.058; | 
      
        |  | (147)  Section 605.059(a); | 
      
        |  | (148)  Section 605.060; | 
      
        |  | (149)  Section 605.061; | 
      
        |  | (150)  Subchapter C, Chapter 605; | 
      
        |  | (151)  Section 605.152; | 
      
        |  | (152)  Section 605.153; | 
      
        |  | (153)  Section 605.154; | 
      
        |  | (154)  Section 605.201; | 
      
        |  | (155)  Section 605.202; | 
      
        |  | (156)  Sections 605.2021(a), (b), (c), (d), (e), (f), | 
      
        |  | and (g); | 
      
        |  | (157)  Section 605.203; | 
      
        |  | (158)  Section 605.253; | 
      
        |  | (159)  Section 605.254(b); | 
      
        |  | (160)  Section 605.255(c); | 
      
        |  | (161)  Section 605.259(b); | 
      
        |  | (162)  Section 605.3535; | 
      
        |  | (163)  Section 605.355; | 
      
        |  | (164)  Section 605.401; | 
      
        |  | (165)  Section 605.403; | 
      
        |  | (166)  Section 605.404; | 
      
        |  | (167)  Section 605.405; | 
      
        |  | (168)  Section 605.406; | 
      
        |  | (169)  Section 605.407; | 
      
        |  | (170)  Section 605.408; | 
      
        |  | (171)  Section 605.409; | 
      
        |  | (172)  Section 605.410; | 
      
        |  | (173)  Section 605.411; | 
      
        |  | (174)  Section 701.003; | 
      
        |  | (175)  Section 701.052; | 
      
        |  | (176)  Section 701.053; | 
      
        |  | (177)  Section 701.055; | 
      
        |  | (178)  Section 701.056; | 
      
        |  | (179)  Section 701.059; | 
      
        |  | (180)  Subchapter C, Chapter 701; | 
      
        |  | (181)  Section 701.152; | 
      
        |  | (182)  Section 701.153; | 
      
        |  | (183)  Section 701.1535; | 
      
        |  | (184)  Section 701.156; | 
      
        |  | (185)  Section 701.157; | 
      
        |  | (186)  Section 701.159; | 
      
        |  | (187)  Section 701.160; | 
      
        |  | (188)  Section 701.161; | 
      
        |  | (189)  Section 701.201; | 
      
        |  | (190)  Section 701.202; | 
      
        |  | (191)  Section 701.203; | 
      
        |  | (192)  Section 701.204; | 
      
        |  | (193)  Sections 701.2041(a), (b), (c), (d), (e), (f), | 
      
        |  | and (g); | 
      
        |  | (194)  Section 701.205; | 
      
        |  | (195)  Section 701.206; | 
      
        |  | (196)  Section 701.256; | 
      
        |  | (197)  Section 701.261; | 
      
        |  | (198)  Sections 701.301(b), (c), (d), (e), and (f); | 
      
        |  | (199)  Section 701.302; | 
      
        |  | (200)  Section 701.402; | 
      
        |  | (201)  Section 701.404; | 
      
        |  | (202)  Section 701.405; | 
      
        |  | (203)  Section 701.406; | 
      
        |  | (204)  Section 701.407; | 
      
        |  | (205)  Section 701.408; | 
      
        |  | (206)  Section 701.452; | 
      
        |  | (207)  Section 701.453; | 
      
        |  | (208)  Section 701.501; | 
      
        |  | (209)  Section 701.502(c); | 
      
        |  | (210)  Section 701.503; | 
      
        |  | (211)  Section 701.504; | 
      
        |  | (212)  Section 701.505; | 
      
        |  | (213)  Section 701.506; | 
      
        |  | (214)  Section 701.507; | 
      
        |  | (215)  Section 701.508; | 
      
        |  | (216)  Section 701.509; | 
      
        |  | (217)  Section 701.510; and | 
      
        |  | (218)  Section 701.511. | 
      
        |  | PART 2.  TRANSFERS DURING BIENNIUM ENDING AUGUST 31, 2019 | 
      
        |  | SECTION 8.205.  Sections 106.115(a), (b-1), and (b-3), | 
      
        |  | Alcoholic Beverage Code, are amended to read as follows: | 
      
        |  | (a)  On the placement of a minor on deferred disposition for | 
      
        |  | an offense under Section 49.02, Penal Code, or under Section | 
      
        |  | 106.02, 106.025, 106.04, 106.041, 106.05, or 106.07, the court | 
      
        |  | shall require the defendant to attend an alcohol awareness program | 
      
        |  | approved by the Texas Department of Licensing and Regulation [ State  | 
      
        |  | Health Services] under this section or a drug and alcohol driving | 
      
        |  | awareness program approved by the Texas Education Agency.  On | 
      
        |  | conviction of a minor of an offense under one or more of those | 
      
        |  | sections, the court, in addition to assessing a fine as provided by | 
      
        |  | those sections, shall require a defendant who has not been | 
      
        |  | previously convicted of an offense under one of those sections to | 
      
        |  | attend an alcohol awareness program or a drug and alcohol driving | 
      
        |  | awareness program described by this subsection.  If the defendant | 
      
        |  | has been previously convicted once or more of an offense under one | 
      
        |  | or more of those sections, the court may require the defendant to | 
      
        |  | attend an alcohol awareness program or a drug and alcohol driving | 
      
        |  | awareness program described by this subsection.  If the defendant | 
      
        |  | is younger than 18 years of age, the court may require the parent or | 
      
        |  | guardian of the defendant to attend the program with the | 
      
        |  | defendant.  The Texas Department of Licensing and Regulation or | 
      
        |  | Texas Commission of Licensing and Regulation, as appropriate [ State  | 
      
        |  | Health Services]: | 
      
        |  | (1)  is responsible for the administration of the | 
      
        |  | certification of approved alcohol awareness programs; | 
      
        |  | (2)  may charge a nonrefundable application fee for: | 
      
        |  | (A)  initial certification of the approval; or | 
      
        |  | (B)  renewal of the certification; | 
      
        |  | (3)  shall adopt rules regarding alcohol awareness | 
      
        |  | programs approved under this section; and | 
      
        |  | (4)  shall monitor, coordinate, and provide training to | 
      
        |  | a person who provides an alcohol awareness program. | 
      
        |  | (b-1)  If the defendant resides in a county with a population | 
      
        |  | of 75,000 or less and access to an alcohol awareness program is not | 
      
        |  | readily available in the county, the court may allow the defendant | 
      
        |  | to take an online alcohol awareness program if the Texas Department | 
      
        |  | of Licensing and Regulation [ State Health Services] approves online | 
      
        |  | courses or require the defendant to perform not less than eight | 
      
        |  | hours of community service related to alcohol abuse prevention or | 
      
        |  | treatment and approved by the Texas Department of Licensing and | 
      
        |  | Regulation [ State Health Services] under Subsection (b-3) instead | 
      
        |  | of attending the alcohol awareness program. Community service | 
      
        |  | ordered under this subsection is in addition to community service | 
      
        |  | ordered under Section 106.071(d). | 
      
        |  | (b-3)  The Texas Department of Licensing and Regulation | 
      
        |  | [ State Health Services] shall create a list of community services | 
      
        |  | related to alcohol abuse prevention or treatment in each county in | 
      
        |  | the state to which a judge may sentence a defendant under Subsection | 
      
        |  | (b-1). | 
      
        |  | SECTION 8.206.  Sections 13(h) and (j), Article 42.12, Code | 
      
        |  | of Criminal Procedure, are amended to read as follows: | 
      
        |  | (h)  If a person convicted of an offense under Sections | 
      
        |  | 49.04-49.08, Penal Code, is placed on community supervision, the | 
      
        |  | judge shall require, as a condition of the community supervision, | 
      
        |  | that the defendant attend and successfully complete before the | 
      
        |  | 181st day after the day community supervision is granted an | 
      
        |  | educational program jointly approved by the Texas Department of | 
      
        |  | Licensing and Regulation [ Commission on Alcohol and Drug Abuse], | 
      
        |  | the Department of Public Safety, the Traffic Safety Section of the | 
      
        |  | Texas Department of Transportation, and the community justice | 
      
        |  | assistance division of the Texas Department of Criminal Justice | 
      
        |  | designed to rehabilitate persons who have driven while intoxicated. | 
      
        |  | The Texas Department of Licensing and Regulation [ Commission on  | 
      
        |  | Alcohol and Drug Abuse] shall publish the jointly approved rules | 
      
        |  | and shall monitor, coordinate, and provide training to persons | 
      
        |  | providing the educational programs.  The Texas Department of | 
      
        |  | Licensing and Regulation [ Commission on Alcohol and Drug Abuse] is | 
      
        |  | responsible for the administration of the certification of approved | 
      
        |  | educational programs and may charge a nonrefundable application fee | 
      
        |  | for the initial certification of approval and for renewal of a | 
      
        |  | certificate.  The judge may waive the educational program | 
      
        |  | requirement or may grant an extension of time to successfully | 
      
        |  | complete the program that expires not later than one year after the | 
      
        |  | beginning date of the person's community supervision, however, if | 
      
        |  | the defendant by a motion in writing shows good cause.  In | 
      
        |  | determining good cause, the judge may consider but is not limited | 
      
        |  | to:  the defendant's school and work schedule, the defendant's | 
      
        |  | health, the distance that the defendant must travel to attend an | 
      
        |  | educational program, and the fact that the defendant resides out of | 
      
        |  | state, has no valid driver's license, or does not have access to | 
      
        |  | transportation.  The judge shall set out the finding of good cause | 
      
        |  | for waiver in the judgment.  If a defendant is required, as a | 
      
        |  | condition of community supervision, to attend an educational | 
      
        |  | program or if the court waives the educational program requirement, | 
      
        |  | the court clerk shall immediately report that fact to the | 
      
        |  | Department of Public Safety, on a form prescribed by the | 
      
        |  | department, for inclusion in the person's driving record.  If the | 
      
        |  | court grants an extension of time in which the person may complete | 
      
        |  | the program, the court clerk shall immediately report that fact to | 
      
        |  | the Department of Public Safety on a form prescribed by the | 
      
        |  | department.  The report must include the beginning date of the | 
      
        |  | person's community supervision.  Upon the person's successful | 
      
        |  | completion of the educational program, the person's instructor | 
      
        |  | shall give notice to the Department of Public Safety for inclusion | 
      
        |  | in the person's driving record and to the community supervision and | 
      
        |  | corrections department.  The community supervision and corrections | 
      
        |  | department shall then forward the notice to the court clerk for | 
      
        |  | filing.  If the Department of Public Safety does not receive notice | 
      
        |  | that a defendant required to complete an educational program has | 
      
        |  | successfully completed the program within the period required by | 
      
        |  | this section, as shown on department records, the department shall | 
      
        |  | revoke the defendant's driver's license, permit, or privilege or | 
      
        |  | prohibit the person from obtaining a license or permit, as provided | 
      
        |  | by Sections 521.344(e) and (f), Transportation Code.  The | 
      
        |  | Department of Public Safety may not reinstate a license suspended | 
      
        |  | under this subsection unless the person whose license was suspended | 
      
        |  | makes application to the department for reinstatement of the | 
      
        |  | person's license and pays to the department a reinstatement fee of | 
      
        |  | $100.  The Department of Public Safety shall remit all fees | 
      
        |  | collected under this subsection to the comptroller for deposit in | 
      
        |  | the general revenue fund.  This subsection does not apply to a | 
      
        |  | defendant if a jury recommends community supervision for the | 
      
        |  | defendant and also recommends that the defendant's driver's license | 
      
        |  | not be suspended. | 
      
        |  | (j)  The judge shall require a defendant who is punished | 
      
        |  | under Section 49.09, Penal Code, as a condition of community | 
      
        |  | supervision, to attend and successfully complete an educational | 
      
        |  | program for repeat offenders approved by the Texas Department of | 
      
        |  | Licensing and Regulation [ Commission on Alcohol and Drug Abuse]. | 
      
        |  | The Texas Commission of Licensing and Regulation [ on Alcohol and  | 
      
        |  | Drug Abuse] shall adopt rules and shall monitor, coordinate, and | 
      
        |  | provide training to persons providing the educational programs. | 
      
        |  | The Texas Department of Licensing and Regulation [ Commission on  | 
      
        |  | Alcohol and Drug Abuse] is responsible for the administration of | 
      
        |  | the certification of approved educational programs and may charge a | 
      
        |  | nonrefundable application fee for initial certification of | 
      
        |  | approval or for renewal of the certification.  The judge may waive | 
      
        |  | the educational program requirement only if the defendant by a | 
      
        |  | motion in writing shows good cause.  In determining good cause, the | 
      
        |  | judge may consider the defendant's school and work schedule, the | 
      
        |  | defendant's health, the distance that the defendant must travel to | 
      
        |  | attend an educational program, and whether the defendant resides | 
      
        |  | out of state or does not have access to transportation.  The judge | 
      
        |  | shall set out the finding of good cause in the judgment.  If a | 
      
        |  | defendant is required, as a condition of community supervision, to | 
      
        |  | attend an educational program, the court clerk shall immediately | 
      
        |  | report that fact to the Department of Public Safety, on a form | 
      
        |  | prescribed by the department, for inclusion in the defendant's | 
      
        |  | driving record.  The report must include the beginning date of the | 
      
        |  | defendant's community supervision.  On the defendant's successful | 
      
        |  | completion of the educational program for repeat offenders, the | 
      
        |  | defendant's instructor shall give notice to the Department of | 
      
        |  | Public Safety for inclusion in the defendant's driving record and | 
      
        |  | to the community supervision and corrections department.  The | 
      
        |  | community supervision and corrections department shall then | 
      
        |  | forward the notice to the court clerk for filing.  If the Department | 
      
        |  | of Public Safety does not receive notice that a defendant required | 
      
        |  | to complete an educational program has successfully completed the | 
      
        |  | program for repeat offenders within the period required by the | 
      
        |  | judge, as shown on department records, the department shall revoke | 
      
        |  | the defendant's driver's license, permit, or privilege or prohibit | 
      
        |  | the defendant from obtaining a license or permit, as provided by | 
      
        |  | Sections 521.344(e) and (f), Transportation Code. | 
      
        |  | SECTION 8.207.  Section 401.501, Health and Safety Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended by amending Subdivision (1) and adding | 
      
        |  | Subdivisions (1-a) and (2) to read as follows: | 
      
        |  | (1)  "Commission" means the Texas Commission of | 
      
        |  | Licensing and Regulation. | 
      
        |  | (1-a)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (2)  "Executive director" means the executive director | 
      
        |  | of the department. | 
      
        |  | SECTION 8.208.  Subchapter M, Chapter 401, Health and Safety | 
      
        |  | Code, is amended by adding Section 401.5011 to read as follows: | 
      
        |  | Sec. 401.5011.  GENERAL POWERS AND DUTIES.  The executive | 
      
        |  | director shall administer and enforce this chapter. | 
      
        |  | SECTION 8.209.  Section 401.502, Health and Safety Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.502.  EXAMINATION.  The commission [ executive  | 
      
        |  | commissioner] may adopt rules to govern the development and | 
      
        |  | administration of an examination for an applicant under this | 
      
        |  | subchapter. | 
      
        |  | SECTION 8.210.  Section 401.503, Health and Safety Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 401.503.  APPLICATION PROCESS.  (a)  An application for | 
      
        |  | a certificate or license under this subchapter must be submitted in | 
      
        |  | the manner and [ made] on a form prescribed [and provided] by the | 
      
        |  | executive director [ department]. | 
      
        |  | (b)  The application must require an applicant to provide | 
      
        |  | sworn statements relating to the applicant's education and to | 
      
        |  | provide other information required by the commission [ department]. | 
      
        |  | SECTION 8.211.  Section 401.505(a), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (a)  An applicant for a laser hair removal professional | 
      
        |  | certificate must: | 
      
        |  | (1)  be certified by a recognized certifying agency, | 
      
        |  | including the Society for Clinical and Medical Hair Removal or | 
      
        |  | another certification entity approved by the department; | 
      
        |  | (2)  meet the requirements for a senior laser hair | 
      
        |  | removal technician certificate under Section 401.506; and | 
      
        |  | (3)  pass an examination required [ administered] by the | 
      
        |  | department. | 
      
        |  | SECTION 8.212.  The heading to Section 401.512, Health and | 
      
        |  | Safety Code, is amended to read as follows: | 
      
        |  | Sec. 401.512.  TERM [ RENEWAL] OF CERTIFICATE OR LICENSE. | 
      
        |  | SECTION 8.213.  Section 401.512(a), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (a)  A certificate or license expires on the second | 
      
        |  | anniversary of the date of issuance and may be renewed. | 
      
        |  | SECTION 8.214.  Section 401.515(b), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (b)  The commission [ executive commissioner] shall adopt | 
      
        |  | rules relating to the customer notice. | 
      
        |  | SECTION 8.215.  Sections 401.516(a) and (b), Health and | 
      
        |  | Safety Code, are amended to read as follows: | 
      
        |  | (a)  A laser hair removal facility shall post a warning sign | 
      
        |  | as prescribed by the commission [ department] in a conspicuous | 
      
        |  | location readily visible to a person entering the facility.  The | 
      
        |  | sign must provide a toll-free telephone number and e-mail address | 
      
        |  | for the department and inform the customer that the customer may | 
      
        |  | contact [ call] the department. | 
      
        |  | (b)  The commission [ executive commissioner] shall adopt | 
      
        |  | rules specifying the size, content, and design of the sign, with | 
      
        |  | wording listing the potential dangers involved. | 
      
        |  | SECTION 8.216.  Section 401.518(a), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (a)  A laser hair removal facility operator is responsible | 
      
        |  | for maintaining the laser hair removal facility's compliance with | 
      
        |  | the requirements of this subchapter and commission [ department] | 
      
        |  | rules relating to laser and pulsed light devices. | 
      
        |  | SECTION 8.217.  Section 401.519(b), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (b)  Under the rules of the commission [ department], a laser | 
      
        |  | hair removal facility must document with the department the | 
      
        |  | facility's contractual relationship with the consulting physician. | 
      
        |  | SECTION 8.218.  Section 401.521(b), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (b)  A person who violates Subsection (a) is practicing | 
      
        |  | medicine in violation of Subtitle B, Title 3, Occupations Code, and | 
      
        |  | is subject to the penalties under that subtitle and Subchapter F, | 
      
        |  | Chapter 51, Occupations Code [ under Section 401.522]. | 
      
        |  | SECTION 8.219.  The heading to Section 401.522, Health and | 
      
        |  | Safety Code, is amended to read as follows: | 
      
        |  | Sec. 401.522.  AMOUNT OF ADMINISTRATIVE PENALTY | 
      
        |  | [ ENFORCEMENT; PENALTIES]. | 
      
        |  | SECTION 8.220.  Section 401.522(a), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (a)  The amount of [ department may impose] an administrative | 
      
        |  | penalty imposed for a violation of this subchapter or a rule adopted | 
      
        |  | or order issued [ on a person who violates this subchapter or a rule  | 
      
        |  | adopted] under this subchapter [.  The amount of the penalty] may | 
      
        |  | not exceed $5,000 for each violation. | 
      
        |  | SECTION 8.221.  Section 455.001, Occupations Code, is | 
      
        |  | amended by amending Subdivisions (1) and (2) and adding Subdivision | 
      
        |  | (1-a) to read as follows: | 
      
        |  | (1)  "Commission" means the Texas Commission of | 
      
        |  | Licensing and Regulation. | 
      
        |  | (1-a) "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (2)  "Executive director" [ commissioner"] means the | 
      
        |  | executive director [ commissioner] of the department [Health and  | 
      
        |  | Human Services Commission]. | 
      
        |  | SECTION 8.222.  The heading to Subchapter B, Chapter 455, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER B.  POWERS AND DUTIES [ OF EXECUTIVE COMMISSIONER] | 
      
        |  | SECTION 8.223.  Section 455.053, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 455.053.  RULES REGARDING MASSAGE SCHOOLS.  Rules | 
      
        |  | adopted under this chapter relating to a massage school must | 
      
        |  | contain minimum standards for: | 
      
        |  | (1)  the issuance, denial, renewal, suspension, | 
      
        |  | revocation, or probation of a license under this chapter; | 
      
        |  | (2)  the qualifications of professional personnel; | 
      
        |  | (3)  the supervision of professional personnel; | 
      
        |  | (4)  the equipment essential to the education, health, | 
      
        |  | and safety of students, massage school personnel, and the public; | 
      
        |  | (5)  the sanitary and hygienic conditions of a massage | 
      
        |  | school; | 
      
        |  | (6)  the provision of massage therapy or other massage | 
      
        |  | services by a massage school or student; | 
      
        |  | (7)  the maximum number of hours a student may | 
      
        |  | accumulate in a massage school's internship program before the | 
      
        |  | student is required to be licensed under this chapter; | 
      
        |  | (8)  the educational and clinical records kept by a | 
      
        |  | massage school; | 
      
        |  | (9)  the organizational structure of a massage school, | 
      
        |  | including the lines of authority and the delegation of | 
      
        |  | responsibility; | 
      
        |  | (10)  fire prevention and safety in a massage school; | 
      
        |  | (11)  the massage school's curriculum and educational | 
      
        |  | material; | 
      
        |  | (12)  massage school inspections; and | 
      
        |  | (13)  any other aspect of the operation of a massage | 
      
        |  | school that the commission [ executive commissioner] considers | 
      
        |  | necessary to protect students, massage school personnel, or the | 
      
        |  | public. | 
      
        |  | SECTION 8.224.  The heading to Subchapter C, Chapter 455, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER C. POWERS AND DUTIES [ OF DEPARTMENT] | 
      
        |  | SECTION 8.225.  Section 455.101, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 455.101.  GENERAL POWERS AND DUTIES [ OF DEPARTMENT]. | 
      
        |  | (a) The executive director [ department] shall [: | 
      
        |  | [ (1)]  administer and enforce this chapter. | 
      
        |  | (b)  The department shall: | 
      
        |  | (1)  [ ; | 
      
        |  | [ (2)]  investigate a person who may be engaging in a | 
      
        |  | practice that violates this chapter; | 
      
        |  | (2) [ (3)]  regulate the number and content of school | 
      
        |  | hours provided by a massage school or a massage therapy instructor; | 
      
        |  | and | 
      
        |  | (3) [ (4)]  prepare and administer a state examination | 
      
        |  | under this chapter. | 
      
        |  | SECTION 8.226.  Section 455.103, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 455.103.  MEMORANDUM OF UNDERSTANDING REGARDING | 
      
        |  | MASSAGE SCHOOLS.  (a)  The commission [ department] may enter into a | 
      
        |  | memorandum of understanding with the Texas Education Agency to | 
      
        |  | regulate massage schools. | 
      
        |  | (b)  A memorandum must: | 
      
        |  | (1)  be adopted by the commission [ executive  | 
      
        |  | commissioner] by rule; and | 
      
        |  | (2)  limit the total amount of the fees charged by the | 
      
        |  | department and the Texas Education Agency for licensing a massage | 
      
        |  | school to an amount equal to the amount of the fees the department | 
      
        |  | would charge for licensing the massage school in the absence of the | 
      
        |  | memorandum. | 
      
        |  | SECTION 8.227.  Section 455.151(d), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (d)  The department may issue one or more types of licenses | 
      
        |  | not otherwise provided for by this chapter that authorize the | 
      
        |  | license holder to perform a service described by Subsection | 
      
        |  | (c).  The commission [ executive commissioner] may adopt rules | 
      
        |  | governing a license issued under this subsection. | 
      
        |  | SECTION 8.228.  Section 455.153, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 455.153.  APPLICATION FOR LICENSE.  An applicant for a | 
      
        |  | license under this chapter must: | 
      
        |  | (1)  submit an application in the manner and on a form | 
      
        |  | prescribed [ provided] by the executive director [department]; and | 
      
        |  | (2)  include with the application the application fee | 
      
        |  | set by the commission [ executive commissioner] by rule. | 
      
        |  | SECTION 8.229.  Sections 455.1572(c) and (e), Occupations | 
      
        |  | Code, as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, are amended to read as follows: | 
      
        |  | (c)  A provisional license is valid until the date the | 
      
        |  | department approves or denies the provisional license holder's | 
      
        |  | application for licensing.  The department shall issue a license | 
      
        |  | under this chapter to the provisionally licensed person if the | 
      
        |  | person: | 
      
        |  | (1)  is eligible for a license under Section 51.404 | 
      
        |  | [ 455.1571]; or | 
      
        |  | (2)  passes the part of the examination under Section | 
      
        |  | 455.101 that relates to the applicant's knowledge and understanding | 
      
        |  | of the laws and rules relating to the practice of massage therapy in | 
      
        |  | this state and: | 
      
        |  | (A)  the department verifies that the person meets | 
      
        |  | the academic and experience requirements for licensing under this | 
      
        |  | chapter; and | 
      
        |  | (B)  the person satisfies any other licensing | 
      
        |  | requirements under this chapter. | 
      
        |  | (e)  The commission [ executive commissioner] by rule may | 
      
        |  | establish a fee for a provisional license. | 
      
        |  | SECTION 8.230.  The heading to Section 455.160, Occupations | 
      
        |  | Code, as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, is amended to read as follows: | 
      
        |  | Sec. 455.160.  LICENSE TERM AND RENEWAL. | 
      
        |  | SECTION 8.231.  Section 455.160(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  A license issued under this chapter is valid for two | 
      
        |  | years.  A license holder must renew the license biennially.  [ The  | 
      
        |  | license expires unless the license holder submits an application  | 
      
        |  | for renewal accompanied by the renewal fee prescribed by the  | 
      
        |  | executive commissioner by rule or by the late fee prescribed by this  | 
      
        |  | section.] | 
      
        |  | SECTION 8.232.  Sections 455.203(a) and (b), Occupations | 
      
        |  | Code, as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, are amended to read as follows: | 
      
        |  | (a)  A massage school must meet the minimum standards of | 
      
        |  | operation established by commission [ department] rule. | 
      
        |  | (b)  An instructor must meet the minimum requirements | 
      
        |  | established by commission [ department] rule. | 
      
        |  | SECTION 8.233.  Section 455.251, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 455.251.  GROUNDS FOR LICENSE DENIAL OR DISCIPLINARY | 
      
        |  | ACTION.  (a)  The commission or executive director [ department] 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)  sells, barters, or offers to sell or barter a | 
      
        |  | license; | 
      
        |  | (3)  violates a rule adopted by the commission | 
      
        |  | [ executive commissioner] under this chapter; | 
      
        |  | (4)  engages in unprofessional conduct as defined by | 
      
        |  | commission [ department] rule that endangers or is likely to | 
      
        |  | endanger the health, welfare, or safety of the public; | 
      
        |  | (5)  violates an order or ordinance adopted by a | 
      
        |  | political subdivision under Chapter 243, Local Government Code; or | 
      
        |  | (6)  violates this chapter. | 
      
        |  | (b)  The commission or executive director [ department] shall | 
      
        |  | revoke the license of a person licensed as a massage therapist or | 
      
        |  | massage therapy instructor if: | 
      
        |  | (1)  the person is convicted of, enters a plea of nolo | 
      
        |  | contendere or guilty to, or receives deferred adjudication for an | 
      
        |  | offense involving prostitution or another sexual offense; or | 
      
        |  | (2)  the commission or executive director [ department] | 
      
        |  | determines the person has practiced or administered massage therapy | 
      
        |  | at or for a sexually oriented business. | 
      
        |  | (c)  The commission or executive director [ department] shall | 
      
        |  | revoke the license of a person licensed as a massage school or | 
      
        |  | massage establishment if the commission or executive director | 
      
        |  | [ department] determines that: | 
      
        |  | (1)  the school or establishment is a sexually oriented | 
      
        |  | business; or | 
      
        |  | (2)  an offense involving prostitution or another | 
      
        |  | sexual offense that resulted in a conviction for the offense, a plea | 
      
        |  | of nolo contendere or guilty to the offense, or a grant of deferred | 
      
        |  | adjudication for the offense occurred on the premises of the school | 
      
        |  | or establishment. | 
      
        |  | SECTION 8.234.  The heading to Section 455.302, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 455.302.  AMOUNT OF ADMINISTRATIVE PENALTY. | 
      
        |  | SECTION 8.235.  Section 455.302(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The amount of an administrative penalty imposed for a | 
      
        |  | violation of this chapter or a rule adopted or order issued under | 
      
        |  | this chapter may not exceed $1,000 for each violation.  Each day a | 
      
        |  | violation continues or occurs is a separate violation for purposes | 
      
        |  | of imposing a penalty. | 
      
        |  | SECTION 8.236.  Section 1952.001, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended by adding Subdivision (2-a) and amending | 
      
        |  | Subdivisions (3) and (4) to read as follows: | 
      
        |  | (2-a)  "Commission" means the Texas Commission of | 
      
        |  | Licensing and Regulation. | 
      
        |  | (3)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (4)  "Executive director [ commissioner]" means the | 
      
        |  | executive director [ commissioner] of the department [Health and  | 
      
        |  | Human Services Commission]. | 
      
        |  | SECTION 8.237.  The heading to Subchapter B, Chapter 1952, | 
      
        |  | Occupations Code, as amended by S.B. 219, Acts of the 84th | 
      
        |  | Legislature, Regular Session, 2015, is amended to read as follows: | 
      
        |  | SUBCHAPTER B. POWERS AND DUTIES [ OF EXECUTIVE COMMISSIONER AND  | 
      
        |  | DEPARTMENT] | 
      
        |  | SECTION 8.238.  Section 1952.051, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1952.051.  GENERAL POWERS AND DUTIES [ RULES].  (a)  The | 
      
        |  | executive director shall administer and enforce this chapter. | 
      
        |  | (b)  The commission [ executive commissioner] by rule shall | 
      
        |  | [ : | 
      
        |  | [ (1)]  adopt standards and education requirements | 
      
        |  | consistent with those established under Chapter 654, Government | 
      
        |  | Code, for the registration of: | 
      
        |  | (1) [ (A)]  code enforcement officers; and | 
      
        |  | (2) [ (B)]  code enforcement officers in training [; and | 
      
        |  | [ (2)  prescribe application forms for original and  | 
      
        |  | renewal certificates of registration]. | 
      
        |  | SECTION 8.239.  Section 1952.053(b), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (b)  The register must include: | 
      
        |  | (1)  the name, residence, date of birth, and social | 
      
        |  | security number of the applicant; | 
      
        |  | (2)  the name and address of the employer or business of | 
      
        |  | the applicant; | 
      
        |  | (3)  the date of the application; | 
      
        |  | (4)  the education and experience qualifications of the | 
      
        |  | applicant; | 
      
        |  | (5)  the action taken by the department regarding the | 
      
        |  | application and the date of the action; | 
      
        |  | (6)  the serial number of any certificate of | 
      
        |  | registration issued to the applicant; and | 
      
        |  | (7)  any other information required by commission | 
      
        |  | [ department] rule. | 
      
        |  | SECTION 8.240.  Subchapter B, Chapter 1952, Occupations | 
      
        |  | Code, is amended by adding Section 1952.055 to read as follows: | 
      
        |  | Sec. 1952.055.  ADVISORY COMMITTEE.  The department may | 
      
        |  | establish an advisory committee to provide advice and | 
      
        |  | recommendations to the department on technical matters relevant to | 
      
        |  | the administration of this chapter. | 
      
        |  | SECTION 8.241.  Section 1952.102, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1952.102.  ELIGIBILITY TO REGISTER AS CODE ENFORCEMENT | 
      
        |  | OFFICER.  To be eligible to receive a certificate of registration as | 
      
        |  | a code enforcement officer, a person must: | 
      
        |  | (1)  submit an application in the manner and on the form | 
      
        |  | prescribed by the executive director; | 
      
        |  | (2)  have at least one year of full-time experience in | 
      
        |  | the field of code enforcement; | 
      
        |  | (3) [ (2)]  pass the examination required [conducted] | 
      
        |  | by the department [ or the department's designee]; | 
      
        |  | (4) [ (3)]  pay the application, examination, and | 
      
        |  | registration fees; and | 
      
        |  | (5) [ (4)]  meet any other requirements prescribed by | 
      
        |  | this chapter or by commission [ department] rule. | 
      
        |  | SECTION 8.242.  Section 1952.103(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  An applicant for a certificate of registration under | 
      
        |  | this chapter who has less than one year of full-time experience in | 
      
        |  | code enforcement is entitled to receive a certificate of | 
      
        |  | registration as a code enforcement officer in training on: | 
      
        |  | (1)  passing the examination described by Section | 
      
        |  | 1952.102(3) [ 1952.102(2)]; [and] | 
      
        |  | (2)  paying the required fees; and | 
      
        |  | (3)  meeting any other requirement prescribed by this | 
      
        |  | chapter or by commission rule. | 
      
        |  | SECTION 8.243.  The heading to Section 1952.105, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 1952.105.  TERM [ RENEWAL OR REINSTATEMENT] OF | 
      
        |  | CERTIFICATE; RENEWAL. | 
      
        |  | SECTION 8.244.  Section 1952.105(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  A certificate of registration issued under this chapter | 
      
        |  | expires on the second anniversary of the date of issuance and may be | 
      
        |  | renewed biennially on payment of the required renewal fee and on | 
      
        |  | completion of the continuing education requirements prescribed by | 
      
        |  | commission [ department] rule. | 
      
        |  | SECTION 8.245.  Section 1952.1051, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1952.1051.  CONTINUING EDUCATION.  The commission | 
      
        |  | [ executive commissioner] by rule shall prescribe continuing | 
      
        |  | education requirements for code enforcement officers and code | 
      
        |  | enforcement officers in training that: | 
      
        |  | (1)  establish the number of hours of continuing | 
      
        |  | education required for renewal of a certificate of registration; | 
      
        |  | (2)  establish an approved curriculum that includes | 
      
        |  | material regarding changes in applicable law; and | 
      
        |  | (3)  provide that the approved curriculum may be taught | 
      
        |  | by suitable public agencies and by private entities approved by the | 
      
        |  | department. | 
      
        |  | SECTION 8.246.  Section 1952.151, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 1952.151.  DENIAL OF CERTIFICATE;  DISCIPLINARY ACTION. | 
      
        |  | (a)  The commission or executive director [ department] may deny a | 
      
        |  | person's application for a certificate of registration if the | 
      
        |  | person's certificate or license to engage in code enforcement or a | 
      
        |  | related profession has been revoked by another licensing entity in | 
      
        |  | this state or another state for: | 
      
        |  | (1)  unprofessional conduct; | 
      
        |  | (2)  fraud, deceit, or negligence; or | 
      
        |  | (3)  misconduct in the practice of code enforcement or | 
      
        |  | a related profession. | 
      
        |  | (b)  The commission or executive director [ department] shall | 
      
        |  | suspend or revoke a certificate of registration issued under this | 
      
        |  | chapter if the commission or executive director [ department] | 
      
        |  | determines that the certificate holder: | 
      
        |  | (1)  engaged in fraud or deceit in obtaining a | 
      
        |  | certificate; or | 
      
        |  | (2)  is grossly negligent, incompetent, or guilty of | 
      
        |  | misconduct in the practice of code enforcement. | 
      
        |  | SECTION 8.247.  Section 1952.252(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The amount of an [ the] administrative penalty imposed | 
      
        |  | for a violation of this chapter or a rule adopted or order issued | 
      
        |  | under this chapter may not be less than $50 or more than $5,000 for | 
      
        |  | each violation.  Each day a violation continues or occurs is a | 
      
        |  | separate violation for the purpose of imposing a penalty. | 
      
        |  | SECTION 8.248.  Section 1953.001, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended by amending Subdivisions (1) and (2) and adding | 
      
        |  | Subdivision (1-a) to read as follows: | 
      
        |  | (1)  "Commission" means the Texas Commission of | 
      
        |  | Licensing and Regulation. | 
      
        |  | (1-a)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (2)  "Executive director [ commissioner]" means the | 
      
        |  | executive director [ commissioner] of the department [Health and  | 
      
        |  | Human Services Commission]. | 
      
        |  | SECTION 8.249.  The heading to Subchapter B, Chapter 1953, | 
      
        |  | Occupations Code, as amended by S.B. 219, Acts of the 84th | 
      
        |  | Legislature, Regular Session, 2015, is amended to read as follows: | 
      
        |  | SUBCHAPTER B. POWERS AND DUTIES [ OF EXECUTIVE COMMISSIONER AND  | 
      
        |  | DEPARTMENT] | 
      
        |  | SECTION 8.250.  Section 1953.051, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1953.051.  GENERAL POWERS AND DUTIES [ OF DEPARTMENT]. | 
      
        |  | (a) The executive director shall administer and enforce this | 
      
        |  | chapter. | 
      
        |  | (b)  The department shall: | 
      
        |  | (1)  administer continuing education requirements; and | 
      
        |  | (2)  prescribe necessary forms. | 
      
        |  | SECTION 8.251.  Subchapter B, Chapter 1953, Occupations | 
      
        |  | Code, as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, is amended by adding Section 1953.0512 to read as | 
      
        |  | follows: | 
      
        |  | Sec. 1953.0512.  ADVISORY COMMITTEE.  The department may | 
      
        |  | establish an advisory committee to provide advice and | 
      
        |  | recommendations to the department on technical matters relevant to | 
      
        |  | the administration of this chapter. | 
      
        |  | SECTION 8.252.  Section 1953.102, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1953.102.  ELIGIBILITY REQUIREMENTS.  (a)  To be | 
      
        |  | eligible to receive a certificate of registration as a professional | 
      
        |  | sanitarian, a person must: | 
      
        |  | (1)  hold at least a bachelor's degree from an | 
      
        |  | accredited college or university that includes at least 30 semester | 
      
        |  | hours in basic or applied science; | 
      
        |  | (2)  complete any additional training in the basic | 
      
        |  | sciences or public health the department [ executive commissioner] | 
      
        |  | determines necessary to effectively serve as a professional | 
      
        |  | sanitarian; and | 
      
        |  | (3)  have at least two years of full-time experience in | 
      
        |  | sanitation. | 
      
        |  | (b)  The commission [ executive commissioner] by rule may | 
      
        |  | establish other qualifications for registration. | 
      
        |  | SECTION 8.253.  Section 1953.104(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  The department shall issue a certificate of | 
      
        |  | registration as a professional sanitarian to a person who: | 
      
        |  | (1)  applies in the manner and on the form prescribed by | 
      
        |  | the executive director [ department]; | 
      
        |  | (2)  pays the registration fee set by the commission | 
      
        |  | [ executive commissioner] by rule; | 
      
        |  | (3)  meets the eligibility requirements prescribed by | 
      
        |  | Section 1953.102; and | 
      
        |  | (4)  passes an examination under Subchapter D. | 
      
        |  | SECTION 8.254.  Section 1953.105(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  The department shall issue a certificate of | 
      
        |  | registration as a sanitarian in training to a person who: | 
      
        |  | (1)  is employed in sanitation; | 
      
        |  | (2)  meets the eligibility requirements prescribed by | 
      
        |  | Section 1953.102, other than the requirements relating to | 
      
        |  | experience; | 
      
        |  | (3)  pays a registration fee prescribed by the | 
      
        |  | commission [ executive commissioner] by rule for a sanitarian in | 
      
        |  | training; and | 
      
        |  | (4)  passes an examination under Subchapter D. | 
      
        |  | SECTION 8.255.  The heading to Section 1953.106, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 1953.106.  RENEWAL [ OR REINSTATEMENT] OF CERTIFICATE. | 
      
        |  | SECTION 8.256.  Section 1953.106(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  To renew a certificate of registration under this | 
      
        |  | chapter, a professional sanitarian must: | 
      
        |  | (1)  pay to the department a renewal fee prescribed by | 
      
        |  | the commission [ executive commissioner] by rule; and | 
      
        |  | (2)  provide proof of completion of continuing | 
      
        |  | education requirements [ contact hours as] prescribed by the | 
      
        |  | commission by rule [ executive commissioner]. | 
      
        |  | SECTION 8.257.  Section 1953.151(b), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (b)  An applicant for a certificate of registration may not | 
      
        |  | take the examination unless the applicant pays the examination fee | 
      
        |  | prescribed by the commission [ executive commissioner] by rule. | 
      
        |  | SECTION 8.258.  Section 1953.201, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1953.201.  DENIAL OF CERTIFICATE;  DISCIPLINARY ACTION. | 
      
        |  | (a)  The commission or executive director [ department] may deny a | 
      
        |  | person's application for a certificate of registration if: | 
      
        |  | (1)  the person's certificate or license to engage in a | 
      
        |  | profession in this state or elsewhere has been revoked for | 
      
        |  | unprofessional conduct, fraud, deceit, negligence, or misconduct | 
      
        |  | in the practice of the profession; or | 
      
        |  | (2)  satisfactory proof is presented to the commission | 
      
        |  | or executive director [ department] establishing that the person has | 
      
        |  | been found guilty of unprofessional conduct, fraud, deceit, | 
      
        |  | negligence, or misconduct in the practice of a profession. | 
      
        |  | (b)  The commission or executive director [ department] may | 
      
        |  | suspend or revoke a certificate of registration if the certificate | 
      
        |  | holder: | 
      
        |  | (1)  practiced fraud or deceit in obtaining the | 
      
        |  | certificate; or | 
      
        |  | (2)  acted in a manner constituting gross negligence, | 
      
        |  | incompetency, or misconduct in the practice of sanitation. | 
      
        |  | SECTION 8.259.  Section 1953.302(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The amount of an [ the] administrative penalty imposed | 
      
        |  | for a violation of this chapter or a rule adopted or order issued | 
      
        |  | under this chapter may not be less than $50 or more than $5,000 for | 
      
        |  | each violation.  Each day a violation continues or occurs is a | 
      
        |  | separate violation for the purpose of imposing a penalty. | 
      
        |  | SECTION 8.260.  Section 1958.001, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended by amending Subdivisions (1) and (2) and adding | 
      
        |  | Subdivision (1-a) to read as follows: | 
      
        |  | (1)  "Commission" means the Texas Commission of | 
      
        |  | Licensing and Regulation. | 
      
        |  | (1-a)  "Department" means the Texas Department of | 
      
        |  | Licensing and Regulation [ State Health Services]. | 
      
        |  | (2)  "Executive director [ commissioner]" means the | 
      
        |  | executive director [ commissioner] of the department [Health and  | 
      
        |  | Human Services Commission]. | 
      
        |  | SECTION 8.261.  Section 1958.051, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 1958.051.  GENERAL POWERS AND DUTIES [ OF DEPARTMENT;  | 
      
        |  | SCOPE OF AUTHORITY].  The executive director [department] shall | 
      
        |  | administer and enforce this chapter to protect the public from the | 
      
        |  | adverse health effects of mold. | 
      
        |  | SECTION 8.262.  Section 1958.054, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1958.054.  RULES REGARDING PERFORMANCE STANDARDS AND | 
      
        |  | WORK PRACTICES.  The commission [ executive commissioner] by rule | 
      
        |  | shall establish minimum performance standards and work practices | 
      
        |  | for conducting a mold assessment or mold remediation in this state. | 
      
        |  | SECTION 8.263.  Section 1958.056(b), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (b)  The commission [ executive commissioner] shall adopt | 
      
        |  | rules regarding compliance investigations. | 
      
        |  | SECTION 8.264.  Section 1958.058, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1958.058.  SAFETY STANDARDS.  The commission [ executive  | 
      
        |  | commissioner] by rule may develop and establish mold safety | 
      
        |  | standards for license holders if appropriate scientific | 
      
        |  | information exists regarding the effect of mold. | 
      
        |  | SECTION 8.265.  Section 1958.059, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1958.059.  CODE OF ETHICS.  The commission [ executive  | 
      
        |  | commissioner] by rule shall adopt a code of ethics for license | 
      
        |  | holders that promotes the education of mold assessors and mold | 
      
        |  | remediators concerning the ethical, legal, and business principles | 
      
        |  | that should govern their conduct. | 
      
        |  | SECTION 8.266.  Section 1958.101(b), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (b)  The commission [ executive commissioner] shall adopt | 
      
        |  | rules regarding: | 
      
        |  | (1)  the scope of mold-related work for which a license | 
      
        |  | is required, including the supervision of employees or other | 
      
        |  | persons by license holders; and | 
      
        |  | (2)  renewal requirements for a license issued under | 
      
        |  | this chapter. | 
      
        |  | SECTION 8.267.  Section 1958.103, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1958.103.  REGISTRATION REQUIREMENTS FOR EMPLOYEES. | 
      
        |  | The commission [ executive commissioner] may adopt rules to require | 
      
        |  | the registration of employees supervised by license holders. | 
      
        |  | SECTION 8.268.  Section 1958.104, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1958.104.  RULES REGARDING LICENSE APPLICATION. The | 
      
        |  | commission [ executive commissioner] shall adopt rules regarding a | 
      
        |  | license application. The commission [ executive commissioner] shall | 
      
        |  | adopt rules that establish minimum requirements for a license, | 
      
        |  | including: | 
      
        |  | (1)  the type of license; | 
      
        |  | (2)  the qualifications for the license, including any | 
      
        |  | previous training required under Section 1958.106; | 
      
        |  | (3)  renewal requirements for the license, including | 
      
        |  | ongoing continuing education required under Section 1958.106; and | 
      
        |  | (4)  liability insurance requirements for the license. | 
      
        |  | SECTION 8.269.  Section 1958.106(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  The commission [ executive commissioner] shall adopt | 
      
        |  | rules regarding training required under this chapter and continuing | 
      
        |  | education required for a license holder under this chapter. | 
      
        |  | SECTION 8.270.  Section 1958.153(c), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (c)  The commission [ executive commissioner] shall adopt | 
      
        |  | rules to implement this section, including rules: | 
      
        |  | (1)  describing the information that must be provided | 
      
        |  | in the notice; and | 
      
        |  | (2)  authorizing verbal notification to the department | 
      
        |  | in an emergency. | 
      
        |  | SECTION 8.271.  Section 1958.154(c), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (c)  The commission [ executive commissioner] shall adopt | 
      
        |  | rules to implement this section, other than rules described by | 
      
        |  | Subsection (d). | 
      
        |  | SECTION 8.272.  Section 1958.155(c), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (c)  A license holder who is not an individual shall disclose | 
      
        |  | to the department the name, address, and occupation of each person | 
      
        |  | that has an ownership interest in the license holder.  The license | 
      
        |  | holder shall report any changes in ownership to the department.  The | 
      
        |  | commission [ executive commissioner] shall adopt rules to implement | 
      
        |  | this section, including rules regarding the form of the disclosure | 
      
        |  | and the time required to make disclosures or to report a change in | 
      
        |  | ownership. | 
      
        |  | SECTION 8.273.  Section 1958.201, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 1958.201.  DISCIPLINARY ACTION.  If a license holder | 
      
        |  | violates this chapter or an order or rule adopted under this | 
      
        |  | chapter, the commission or executive director [ department], after | 
      
        |  | providing the person with notice and an opportunity for a hearing, | 
      
        |  | shall take one or more of the following actions: | 
      
        |  | (1)  revoke, suspend, or refuse to renew the license; | 
      
        |  | (2)  impose an administrative penalty; | 
      
        |  | (3)  bring an action to collect a civil penalty; or | 
      
        |  | (4)  reprimand the person. | 
      
        |  | SECTION 8.274.  Section 1958.252, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 1958.252.  AMOUNT OF PENALTY.  (a)  The amount of an | 
      
        |  | administrative penalty imposed for a violation of this chapter or a | 
      
        |  | rule adopted or order issued under this chapter may not exceed | 
      
        |  | $5,000 for each violation.  Each day a violation continues under | 
      
        |  | Section 1958.101 or 1958.155 may be considered a separate violation | 
      
        |  | for purposes of imposing a penalty. | 
      
        |  | (b)  The amount shall be based on [ In determining the amount  | 
      
        |  | of the penalty, the department shall consider]: | 
      
        |  | (1)  whether the violation was committed knowingly, | 
      
        |  | intentionally, or fraudulently; | 
      
        |  | (2)  the seriousness of the violation; | 
      
        |  | (3)  any hazard created to the health and safety of the | 
      
        |  | public; | 
      
        |  | (4)  the person's history of previous violations; and | 
      
        |  | (5)  any other matter that justice may require. | 
      
        |  | SECTION 8.275.  Section 1958.253(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  The commission or executive director [ department] may | 
      
        |  | choose not to impose an administrative penalty under this | 
      
        |  | subchapter if, not later than the 10th day after the date of written | 
      
        |  | notice of the violation [ under Section 1958.254], the person | 
      
        |  | provides conclusive evidence that the circumstances giving rise to | 
      
        |  | the violation have been corrected and all actual damages are paid. | 
      
        |  | SECTION 8.276.  Section 521.374(a), Transportation Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A person whose license is suspended under Section | 
      
        |  | 521.372 may attend an educational program, approved by the Texas | 
      
        |  | Department of Licensing and Regulation [ Commission on Alcohol and  | 
      
        |  | Drug Abuse] under rules adopted by the Texas Commission of | 
      
        |  | Licensing and Regulation [ commission] and the department, that is | 
      
        |  | designed to educate persons on the dangers of drug abuse. | 
      
        |  | SECTION 8.277.  Section 521.375, Transportation Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 521.375.  JOINT ADOPTION OF RULES.  (a)  The Texas | 
      
        |  | Commission of Licensing and Regulation [ on Alcohol and Drug Abuse] | 
      
        |  | and the department shall jointly adopt rules for the qualification | 
      
        |  | and approval of providers of educational programs under Section | 
      
        |  | 521.374. | 
      
        |  | (b)  The Texas Department of Licensing and Regulation | 
      
        |  | [ Commission on Alcohol and Drug Abuse] shall publish the jointly | 
      
        |  | adopted rules. | 
      
        |  | SECTION 8.278.  Section 521.376, Transportation Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 521.376.  DUTIES OF TEXAS DEPARTMENT OF LICENSING AND | 
      
        |  | REGULATION [ COMMISSION ON ALCOHOL AND DRUG ABUSE];  APPLICATION AND | 
      
        |  | RENEWAL FEES.  The Texas Department of Licensing and Regulation | 
      
        |  | [ Commission on Alcohol and Drug Abuse]: | 
      
        |  | (1)  shall monitor, coordinate, and provide training to | 
      
        |  | persons who provide educational programs under Section 521.374; | 
      
        |  | (2)  shall administer the approval of those educational | 
      
        |  | programs; and | 
      
        |  | (3)  may charge a nonrefundable application fee for: | 
      
        |  | (A)  initial certification of approval; and | 
      
        |  | (B)  renewal of the certification. | 
      
        |  | SECTION 8.279.  The following provisions of the Health and | 
      
        |  | Safety Code are repealed: | 
      
        |  | (1)  Section 401.509; | 
      
        |  | (2)  Section 401.511; | 
      
        |  | (3)  Sections 401.512(b) and (c); and | 
      
        |  | (4)  Sections 401.522(b) and (c). | 
      
        |  | SECTION 8.280.  The following provisions of the Occupations | 
      
        |  | Code, including provisions amended by S.B. 219, Acts of the 84th | 
      
        |  | Legislature, Regular Session, 2015, are repealed: | 
      
        |  | (1)  Section 455.051; | 
      
        |  | (2)  Section 455.056; | 
      
        |  | (3)  Section 455.057; | 
      
        |  | (4)  Section 455.058; | 
      
        |  | (5)  Section 455.1565; | 
      
        |  | (6)  Section 455.1571; | 
      
        |  | (7)  Sections 455.160(b), (c), (d), (e), (f), and (g); | 
      
        |  | (8)  Section 455.161; | 
      
        |  | (9)  Section 455.252; | 
      
        |  | (10)  Section 455.253; | 
      
        |  | (11)  Section 455.254; | 
      
        |  | (12)  Section 455.301; | 
      
        |  | (13)  Section 455.303; | 
      
        |  | (14)  Section 455.304; | 
      
        |  | (15)  Section 455.305; | 
      
        |  | (16)  Section 455.306; | 
      
        |  | (17)  Section 455.307; | 
      
        |  | (18)  Section 455.308; | 
      
        |  | (19)  Section 455.309; | 
      
        |  | (20)  Section 455.310; | 
      
        |  | (21)  Section 455.311; | 
      
        |  | (22)  Section 1952.052; | 
      
        |  | (23)  Section 1952.054; | 
      
        |  | (24)  Section 1952.105(b); | 
      
        |  | (25)  Section 1952.152; | 
      
        |  | (26)  Section 1952.251; | 
      
        |  | (27)  Section 1952.253; | 
      
        |  | (28)  Section 1952.254; | 
      
        |  | (29)  Section 1952.255; | 
      
        |  | (30)  Section 1952.256; | 
      
        |  | (31)  Section 1952.257; | 
      
        |  | (32)  Section 1952.258; | 
      
        |  | (33)  Section 1952.259; | 
      
        |  | (34)  Section 1952.260; | 
      
        |  | (35)  Section 1952.261; | 
      
        |  | (36)  Section 1953.0511; | 
      
        |  | (37)  Section 1953.052; | 
      
        |  | (38)  Section 1953.054; | 
      
        |  | (39)  Section 1953.055; | 
      
        |  | (40)  Section 1953.103; | 
      
        |  | (41)  Section 1953.106(b); | 
      
        |  | (42)  Section 1953.152; | 
      
        |  | (43)  Section 1953.202; | 
      
        |  | (44)  Section 1953.301; | 
      
        |  | (45)  Section 1953.303; | 
      
        |  | (46)  Section 1953.304; | 
      
        |  | (47)  Section 1953.305; | 
      
        |  | (48)  Section 1953.306; | 
      
        |  | (49)  Section 1953.307; | 
      
        |  | (50)  Section 1953.308; | 
      
        |  | (51)  Section 1953.309; | 
      
        |  | (52)  Section 1953.310; | 
      
        |  | (53)  Section 1953.311; | 
      
        |  | (54)  Section 1958.053; | 
      
        |  | (55)  Section 1958.055(a); | 
      
        |  | (56)  Section 1958.057; | 
      
        |  | (57)  Section 1958.107; | 
      
        |  | (58)  Section 1958.251; | 
      
        |  | (59)  Section 1958.254; | 
      
        |  | (60)  Section 1958.255; | 
      
        |  | (61)  Section 1958.256; | 
      
        |  | (62)  Section 1958.257; | 
      
        |  | (63)  Section 1958.258; and | 
      
        |  | (64)  Section 1958.302. | 
      
        |  | PART 3.  TRANSITION PROVISIONS | 
      
        |  | SECTION 8.281.  (a)  A rule or fee of the Department of State | 
      
        |  | Health Services that relates to a program transferred under this | 
      
        |  | article and that is in effect on the effective date of the transfer | 
      
        |  | remains in effect until changed by the Texas Commission of | 
      
        |  | Licensing and Regulation. | 
      
        |  | (b)  A license, permit, certificate of registration, or | 
      
        |  | other authorization issued by the Department of State Health | 
      
        |  | Services for a program transferred under this article is continued | 
      
        |  | in effect as a license, permit, certificate, or other authorization | 
      
        |  | of the Texas Department of Licensing and Regulation after the | 
      
        |  | effective date of the transfer. | 
      
        |  | (c)  A complaint, investigation, contested case, or other | 
      
        |  | proceeding before the Department of State Health Services relating | 
      
        |  | to a program transferred under this article that is pending on the | 
      
        |  | effective date of the transfer is transferred without change in | 
      
        |  | status to the Texas Commission of Licensing and Regulation or Texas | 
      
        |  | Department of Licensing and Regulation, as appropriate. | 
      
        |  | SECTION 8.282.  (a)  As soon as practicable after the | 
      
        |  | effective date of a transfer under this article, the Department of | 
      
        |  | State Health Services and the Texas Department of Licensing and | 
      
        |  | Regulation shall adopt a transition plan to provide for the orderly | 
      
        |  | transfer of powers, duties, functions, programs, and activities | 
      
        |  | under this article.  The transition plan must provide for the | 
      
        |  | transfer to be completed: | 
      
        |  | (1)  not later than August 31, 2017, for a program | 
      
        |  | transferred under Part 1 of this article; or | 
      
        |  | (2)  not later than August 31, 2019, for a program | 
      
        |  | transferred under Part 2 of this article. | 
      
        |  | (b)  The Department of State Health Services shall provide | 
      
        |  | the Texas Department of Licensing and Regulation with access to any | 
      
        |  | systems or information necessary for the Texas Department of | 
      
        |  | Licensing and Regulation to accept a program transferred under this | 
      
        |  | article. | 
      
        |  | (c)  On the date specified in the transition plan required | 
      
        |  | under Subsection (a) of this section for the transfer of a | 
      
        |  | particular program to the Texas Department of Licensing and | 
      
        |  | Regulation, if applicable, the existing board associated with the | 
      
        |  | program is abolished and the Texas Department of Licensing and | 
      
        |  | Regulation shall, as soon as practicable after that date, appoint | 
      
        |  | the advisory board for the program. | 
      
        |  | (d)  Not later than August 31, 2017, the Texas Department of | 
      
        |  | Licensing and Regulation shall create a health professions division | 
      
        |  | to oversee programs transferred under this article and to ensure | 
      
        |  | the department develops the necessary health-related expertise. | 
      
        |  | ARTICLE 9.  REGULATORY PROGRAMS TRANSFERRED TO THE TEXAS MEDICAL | 
      
        |  | BOARD | 
      
        |  | SECTION 9.001.  Section 151.004, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 151.004.  APPLICATION OF SUNSET ACT.  The Texas Medical | 
      
        |  | Board 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 subtitle and Chapters 204, 205, | 
      
        |  | [ and] 206, 601, 602, 603, and 604 expire September 1, 2017. | 
      
        |  | SECTION 9.002.  Section 601.002, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended by amending Subdivisions (1), (3), and (4) and | 
      
        |  | adding Subdivisions (1-a), (4-a), and (4-b) to read as follows: | 
      
        |  | (1)  "Advisory board" means the Texas Board of Medical | 
      
        |  | Radiologic Technology. | 
      
        |  | (1-a)  "Authorized person" means a person who meets or | 
      
        |  | exceeds the minimum educational standards of the advisory board | 
      
        |  | [ department] under Section 601.201. | 
      
        |  | (3)  "Direct supervision" means supervision and | 
      
        |  | control by a medical radiologic technologist or a practitioner who: | 
      
        |  | (A)  assumes legal liability for a student | 
      
        |  | employed to perform a radiologic procedure and enrolled in a | 
      
        |  | program that meets the requirements adopted under Section 601.052 | 
      
        |  | [ 601.053];  and | 
      
        |  | (B)  is physically present during the performance | 
      
        |  | of the radiologic procedure to provide consultation or direct the | 
      
        |  | action of the student. | 
      
        |  | (4)  "Education program" means clinical training or any | 
      
        |  | other program offered by an organization approved by the advisory | 
      
        |  | board [ department] that: | 
      
        |  | (A)  has a specified objective; | 
      
        |  | (B)  includes planned activities for | 
      
        |  | participants; and | 
      
        |  | (C)  uses an approved method for measuring the | 
      
        |  | progress of participants. | 
      
        |  | (4-a)  "Hospital" has the meaning assigned by Section | 
      
        |  | 157.051. | 
      
        |  | (4-b)  "Medical board" means the Texas Medical Board. | 
      
        |  | SECTION 9.003.  Chapter 601, Occupations Code, is amended by | 
      
        |  | adding Subchapter A-1 to read as follows: | 
      
        |  | SUBCHAPTER A-1.  TEXAS BOARD OF MEDICAL RADIOLOGIC TECHNOLOGY | 
      
        |  | Sec. 601.021.  TEXAS BOARD OF MEDICAL RADIOLOGIC TECHNOLOGY. | 
      
        |  | The Texas Board of Medical Radiologic Technology is an advisory | 
      
        |  | board to the Texas Medical Board. | 
      
        |  | Sec. 601.022.  APPOINTMENT OF ADVISORY BOARD.  (a)  The | 
      
        |  | advisory board consists of nine members appointed by the governor | 
      
        |  | with the advice and consent of the senate as follows: | 
      
        |  | (1)  four medical radiologic technologists who each | 
      
        |  | have at least five years of experience as a medical radiologic | 
      
        |  | technologist; | 
      
        |  | (2)  two physicians licensed in this state who | 
      
        |  | supervise medical radiologic technologists; and | 
      
        |  | (3)  three members who represent the public. | 
      
        |  | (b)  Appointments to the advisory board shall be made without | 
      
        |  | regard to the race, color, disability, sex, religion, age, or | 
      
        |  | national origin of the appointee. | 
      
        |  | Sec. 601.023.  MEMBERSHIP ELIGIBILITY AND RESTRICTIONS.  (a) | 
      
        |  | In this section, "Texas trade association" means a cooperative and | 
      
        |  | voluntarily joined statewide 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 public member of the advisory board | 
      
        |  | if the person or the person's spouse: | 
      
        |  | (1)  is registered, certified, or licensed by a | 
      
        |  | regulatory agency in a health care profession; | 
      
        |  | (2)  is employed by or participates in the management | 
      
        |  | of a business entity or other organization regulated by or | 
      
        |  | receiving money from the medical board or advisory board; | 
      
        |  | (3)  owns or controls, directly or indirectly, more | 
      
        |  | than a 10 percent interest in a business entity or other | 
      
        |  | organization regulated by or receiving money from the medical board | 
      
        |  | or advisory board; or | 
      
        |  | (4)  uses or receives a substantial amount of tangible | 
      
        |  | goods, services, or money from the medical board or advisory board | 
      
        |  | other than compensation or reimbursement authorized by law for | 
      
        |  | advisory board membership, attendance, or expenses. | 
      
        |  | (c)  A person may not be a member of the advisory board if: | 
      
        |  | (1)  the person is an officer, employee, or paid | 
      
        |  | consultant of a Texas trade association in the field of health care; | 
      
        |  | or | 
      
        |  | (2)  the person's spouse is an officer, manager, or paid | 
      
        |  | consultant of a Texas trade association in the field of health care. | 
      
        |  | (d)  A person may not be a member of the advisory board or act | 
      
        |  | as the general counsel to the advisory 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 medical board or | 
      
        |  | advisory board. | 
      
        |  | Sec. 601.024.  TERMS;  VACANCIES.  (a)  Members of the | 
      
        |  | advisory board are appointed for staggered six-year terms.  The | 
      
        |  | terms of three members expire on February 1 of each odd-numbered | 
      
        |  | year. | 
      
        |  | (b)  A member may not serve more than: | 
      
        |  | (1)  two consecutive full terms;  or | 
      
        |  | (2)  a total of three full terms. | 
      
        |  | (c)  If a vacancy occurs during a member's term, the governor | 
      
        |  | shall appoint a new member to fill the unexpired term. | 
      
        |  | Sec. 601.025.  OFFICERS.  The governor shall designate a | 
      
        |  | member of the advisory board as the presiding officer of the | 
      
        |  | advisory board to serve in that capacity at the will of the | 
      
        |  | governor.  The advisory board shall select from its membership an | 
      
        |  | assistant presiding officer and other officers as the advisory | 
      
        |  | board considers necessary to carry out the advisory board's duties. | 
      
        |  | Sec. 601.026.  GROUNDS FOR REMOVAL.  (a)  It is a ground for | 
      
        |  | removal from the advisory board that a member: | 
      
        |  | (1)  does not have at the time of taking office the | 
      
        |  | qualifications required by Sections 601.022 and 601.023; | 
      
        |  | (2)  does not maintain during service on the advisory | 
      
        |  | board the qualifications required by Sections 601.022 and 601.023; | 
      
        |  | (3)  is ineligible for membership under Section | 
      
        |  | 601.023; | 
      
        |  | (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 advisory board meetings that the member is eligible to | 
      
        |  | attend during a calendar year without an excuse approved by a | 
      
        |  | majority vote of the advisory board. | 
      
        |  | (b)  The validity of an action of the advisory board is not | 
      
        |  | affected by the fact that it is taken when a ground for removal of an | 
      
        |  | advisory board member exists. | 
      
        |  | (c)  If the executive director of the medical board has | 
      
        |  | knowledge that a potential ground for removal exists, the executive | 
      
        |  | director shall notify the presiding officer of the advisory 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 ranking officer of the advisory board, who shall then | 
      
        |  | notify the governor and the attorney general that a potential | 
      
        |  | ground for removal exists. | 
      
        |  | Sec. 601.027.  PER DIEM.  A member of the advisory board is | 
      
        |  | entitled to receive a per diem as set by legislative appropriation | 
      
        |  | for each day that the member engages in the business of the advisory | 
      
        |  | board. | 
      
        |  | Sec. 601.028.  APPLICATION OF OPEN MEETINGS, OPEN RECORDS, | 
      
        |  | AND  ADMINISTRATIVE PROCEDURE LAWS.  Except as otherwise provided | 
      
        |  | by this chapter, the advisory board is subject to Chapters 551, 552, | 
      
        |  | and 2001, Government Code. | 
      
        |  | Sec. 601.029.  MEETINGS;  QUORUM REQUIREMENTS.  (a)  The | 
      
        |  | advisory board shall conduct regular meetings at least three times | 
      
        |  | a year at the times and places the advisory board considers most | 
      
        |  | convenient for applicants and advisory board members. | 
      
        |  | (b)  The advisory board may hold special meetings in | 
      
        |  | accordance with rules adopted by the advisory board and approved by | 
      
        |  | the medical board. | 
      
        |  | (c)  A majority of the advisory board members constitutes a | 
      
        |  | quorum for all purposes except for an advisory board activity | 
      
        |  | related to examining the credentials of applicants, acting as a | 
      
        |  | panel for disciplinary action under Section 601.306, or conducting | 
      
        |  | an informal meeting under Section 601.311. | 
      
        |  | Sec. 601.030.  TRAINING.  (a)  A person who is appointed to | 
      
        |  | and qualifies for office as a member of the advisory board may not | 
      
        |  | vote, deliberate, or be counted as a member in attendance at a | 
      
        |  | meeting of the advisory 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 and the advisory board's programs, | 
      
        |  | functions, rules, and budget; | 
      
        |  | (2)  the results of the most recent formal audit of the | 
      
        |  | advisory board; | 
      
        |  | (3)  the requirements of laws relating to open | 
      
        |  | meetings, public information, administrative procedure, and | 
      
        |  | conflicts of interest; and | 
      
        |  | (4)  any applicable ethics policies adopted by the | 
      
        |  | advisory board or the Texas Ethics Commission. | 
      
        |  | (c)  A person appointed to the advisory board is entitled to | 
      
        |  | reimbursement, as provided by the General Appropriations Act, for | 
      
        |  | the 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. | 
      
        |  | SECTION 9.004.  The heading to Subchapter B, Chapter 601, | 
      
        |  | Occupations Code, as amended by S.B. 219, Acts of the 84th | 
      
        |  | Legislature, Regular Session, 2015, is amended to read as follows: | 
      
        |  | SUBCHAPTER B. POWERS AND DUTIES OF ADVISORY BOARD [ EXECUTIVE  | 
      
        |  | COMMISSIONER] AND MEDICAL BOARD [DEPARTMENT] | 
      
        |  | SECTION 9.005.  Section 601.052, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.052.  GENERAL POWERS AND DUTIES OF ADVISORY | 
      
        |  | BOARD [ RULES].  The advisory board shall: | 
      
        |  | (1)  [ executive commissioner may] adopt rules that are | 
      
        |  | reasonable and necessary for the performance of the advisory | 
      
        |  | board's duties under [ to implement] this chapter, as provided by | 
      
        |  | Chapter 2001, Government Code, including rules to establish: | 
      
        |  | (A)  the certification program required by | 
      
        |  | Subchapter C, including minimum standards for issuing, renewing, | 
      
        |  | suspending, or revoking a certificate; | 
      
        |  | (B)  certification renewal dates; | 
      
        |  | (C)  the registry required by Subchapter E; | 
      
        |  | (D)  procedures for disciplinary actions; | 
      
        |  | (E)  minimum standards for approving and | 
      
        |  | rescinding approval of curricula and education programs to train | 
      
        |  | individuals, registered nurses, and physician assistants to | 
      
        |  | perform radiologic procedures; and | 
      
        |  | (F)  minimum standards for approving and | 
      
        |  | rescinding approval of instructors to teach approved curricula or | 
      
        |  | education programs to train individuals to perform radiologic | 
      
        |  | procedures; | 
      
        |  | (2)  review and approve or reject each application for | 
      
        |  | the issuance or renewal of a certificate; | 
      
        |  | (3)  issue each certificate; | 
      
        |  | (4)  deny, suspend, or revoke a certificate or | 
      
        |  | otherwise discipline a certificate holder;  and | 
      
        |  | (5)  take any action necessary to carry out the | 
      
        |  | functions and duties of the advisory board under this chapter. | 
      
        |  | SECTION 9.006.  Subchapter B, Chapter 601, Occupations Code, | 
      
        |  | as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, is amended by adding Sections 601.0521 and 601.0522 | 
      
        |  | to read as follows: | 
      
        |  | Sec. 601.0521.  GUIDELINES FOR EARLY INVOLVEMENT IN | 
      
        |  | RULEMAKING PROCESS.  (a)  The advisory board shall adopt guidelines | 
      
        |  | to establish procedures for receiving input during the rulemaking | 
      
        |  | process from individuals and groups that have an interest in | 
      
        |  | matters under the advisory board's jurisdiction.  The guidelines | 
      
        |  | must provide an opportunity for those individuals and groups to | 
      
        |  | provide input before the advisory board submits the rule to the | 
      
        |  | medical board for approval. | 
      
        |  | (b)  A rule adopted under this chapter may not be challenged | 
      
        |  | on the grounds that the advisory board did not comply with this | 
      
        |  | section.  If the advisory board was unable to solicit a significant | 
      
        |  | amount of input from the public or affected persons early in the | 
      
        |  | rulemaking process, the advisory board shall state in writing the | 
      
        |  | reasons why it was unable to do so. | 
      
        |  | Sec. 601.0522.  POWERS AND DUTIES OF MEDICAL BOARD RELATING | 
      
        |  | TO RADIOLOGIC PROCEDURES.  (a)  The medical board shall adopt rules | 
      
        |  | consistent with this chapter to regulate individuals who: | 
      
        |  | (1)  perform radiologic procedures; and | 
      
        |  | (2)  are licensed by the medical board and supervise an | 
      
        |  | individual who performs radiologic procedures. | 
      
        |  | (b)  The medical board, by a majority vote, shall approve or | 
      
        |  | reject each rule adopted by the advisory board.  If approved, the | 
      
        |  | rule may take effect.  If the rule is rejected, the medical board | 
      
        |  | shall return the rule to the advisory board for revision. | 
      
        |  | SECTION 9.007.  Section 601.054, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.054.  APPROVAL AND REVIEW OF CURRICULA AND TRAINING | 
      
        |  | PROGRAMS.  (a)  An applicant for approval of a curriculum or | 
      
        |  | training program must apply to the advisory board [ department] on a | 
      
        |  | form [ prescribed by the department] and under rules adopted by the | 
      
        |  | advisory board [ executive commissioner]. | 
      
        |  | (b)  The advisory board [ department] shall approve a | 
      
        |  | curriculum or training program that meets the minimum standards | 
      
        |  | adopted under Section 601.052 [ 601.053].  The advisory board | 
      
        |  | [ department] may review the approval annually. | 
      
        |  | (c)  The advisory board [ executive commissioner] may set a | 
      
        |  | fee for approval of a curriculum or training program not to exceed | 
      
        |  | the estimated amount that the advisory board [ department] projects | 
      
        |  | to be required for the evaluation of the curriculum or training | 
      
        |  | program. | 
      
        |  | SECTION 9.008.  Section 601.055, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.055.  APPROVAL AND REVIEW OF INSTRUCTOR APPROVAL. | 
      
        |  | (a)  An applicant for approval of an instructor must apply to the | 
      
        |  | advisory board [ department] on a form [prescribed by the  | 
      
        |  | department] and under rules adopted by the advisory board | 
      
        |  | [ executive commissioner]. | 
      
        |  | (b)  The advisory board [ department] shall approve an | 
      
        |  | instructor who meets the minimum standards adopted under Section | 
      
        |  | 601.052 [ 601.053].  The advisory board [department] may review the | 
      
        |  | approval annually. | 
      
        |  | SECTION 9.009.  Sections 601.056(a) and (b), Occupations | 
      
        |  | Code, as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, are amended to read as follows: | 
      
        |  | (a)  The advisory board [ executive commissioner] with the | 
      
        |  | assistance of appropriate state agencies shall identify by rule | 
      
        |  | radiologic procedures, other than radiologic procedures described | 
      
        |  | by Subsection (c), that are dangerous or hazardous and that may be | 
      
        |  | performed only by a practitioner or a medical radiologic | 
      
        |  | technologist certified under this chapter. | 
      
        |  | (b)  In adopting rules under Subsection (a), the advisory | 
      
        |  | board [ executive commissioner] may consider whether the radiologic | 
      
        |  | procedure will be performed by a registered nurse or a licensed | 
      
        |  | physician assistant. | 
      
        |  | SECTION 9.010.  Section 601.057, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.057.  FEES.  The advisory board by rule [ executive  | 
      
        |  | commissioner] may set fees for examination, certificate issuance, | 
      
        |  | registration of a person under Section 601.202, and application | 
      
        |  | processing under Section 601.203 in amounts that are reasonable to | 
      
        |  | cover the costs of administering this chapter without the use of | 
      
        |  | additional general revenue.  [ The fees for issuing or renewing a  | 
      
        |  | certificate must be in amounts designed to allow the department to  | 
      
        |  | recover from the certificate holders all of the department's direct  | 
      
        |  | and indirect costs in administering and enforcing this chapter.] | 
      
        |  | SECTION 9.011.  Subchapter B, Chapter 601, Occupations Code, | 
      
        |  | as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, is amended by adding Sections 601.0571 and 601.0572 | 
      
        |  | to read as follows: | 
      
        |  | Sec. 601.0571.  FEE REFUND ON CANCELLATION.  The advisory | 
      
        |  | board may adopt rules relating to the refund of a fee for the | 
      
        |  | issuance or renewal of a certificate after the cancellation of a | 
      
        |  | certificate. | 
      
        |  | Sec. 601.0572.  RULES ON CONSEQUENCES OF CRIMINAL | 
      
        |  | CONVICTION.  The advisory board shall adopt rules and guidelines as | 
      
        |  | necessary to comply with Chapter 53, except to the extent the | 
      
        |  | requirements of this chapter are stricter than the requirements of | 
      
        |  | Chapter 53. | 
      
        |  | SECTION 9.012.  Section 601.058, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.058.  RULES RESTRICTING ADVERTISING OR COMPETITIVE | 
      
        |  | BIDDING.  (a)  The advisory board [ executive commissioner] may not | 
      
        |  | adopt rules restricting advertising or competitive bidding by a | 
      
        |  | medical radiologic technologist except to prohibit false, | 
      
        |  | misleading, or deceptive practices. | 
      
        |  | (b)  In adopting rules to prohibit false, misleading, or | 
      
        |  | deceptive practices, the advisory board [ executive commissioner] | 
      
        |  | may not include a rule that: | 
      
        |  | (1)  restricts the use of any medium for advertising; | 
      
        |  | (2)  restricts the use of a medical radiologic | 
      
        |  | technologist's personal appearance or voice in an advertisement; | 
      
        |  | (3)  relates to the size or duration of an | 
      
        |  | advertisement by the medical radiologic technologist; or | 
      
        |  | (4)  restricts the medical radiologic technologist's | 
      
        |  | advertisement under a trade name. | 
      
        |  | SECTION 9.013.  Subchapter B, Chapter 601, Occupations Code, | 
      
        |  | as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, is amended by adding Sections 601.059 and 601.060 to | 
      
        |  | read as follows: | 
      
        |  | Sec. 601.059.  ASSISTANCE BY MEDICAL BOARD; DIVISION OF | 
      
        |  | RESPONSIBILITIES.  (a)  The medical board shall provide | 
      
        |  | administrative and clerical employees as necessary to enable the | 
      
        |  | advisory board to administer this chapter. | 
      
        |  | (b)  Subject to the advice and approval of the medical board, | 
      
        |  | the advisory board shall develop and implement policies that | 
      
        |  | clearly separate the policy-making responsibilities of the | 
      
        |  | advisory board and the management responsibilities of the executive | 
      
        |  | director and staff of the medical board. | 
      
        |  | Sec. 601.060.  PUBLIC PARTICIPATION.  Subject to the advice | 
      
        |  | and approval of the medical board, the advisory board shall develop | 
      
        |  | and implement policies that provide the public with a reasonable | 
      
        |  | opportunity to appear before the advisory board and to speak on any | 
      
        |  | issue under the jurisdiction of the advisory board. | 
      
        |  | SECTION 9.014.  Section 601.102, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.102.  CLASSES OF CERTIFICATES.  (a)  The advisory | 
      
        |  | board [ executive commissioner] shall establish classes of | 
      
        |  | certificates to include all radiologic procedures used in the | 
      
        |  | course and scope of the practice of practitioners licensed in this | 
      
        |  | state. | 
      
        |  | (b)  The advisory board [ department] may issue to a person: | 
      
        |  | (1)  a general certificate to perform radiologic | 
      
        |  | procedures; or | 
      
        |  | (2)  a limited certificate that authorizes the person | 
      
        |  | to perform radiologic procedures only on specific parts of the | 
      
        |  | human body. | 
      
        |  | (c)  The advisory board [ department] may issue to a person a | 
      
        |  | temporary general certificate or a temporary limited certificate | 
      
        |  | that authorizes the person to perform radiologic procedures for a | 
      
        |  | period not to exceed one year. | 
      
        |  | SECTION 9.015.  Subchapter C, Chapter 601, Occupations Code, | 
      
        |  | is amended by adding Section 601.1031 to read as follows: | 
      
        |  | Sec. 601.1031.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR REGISTRATION.  (a)  The advisory board shall | 
      
        |  | require that an applicant for a certificate submit a complete and | 
      
        |  | legible set of fingerprints, on a form prescribed by the advisory | 
      
        |  | board, to the advisory board or to the Department of Public Safety | 
      
        |  | for the purpose of obtaining criminal history record information | 
      
        |  | from the Department of Public Safety and the Federal Bureau of | 
      
        |  | Investigation. | 
      
        |  | (b)  The advisory board may not issue a certificate to a | 
      
        |  | person who does not comply with the requirement of Subsection (a). | 
      
        |  | (c)  The advisory board shall conduct a criminal history | 
      
        |  | check of each applicant for a certificate using information: | 
      
        |  | (1)  provided by the individual under this section; and | 
      
        |  | (2)  made available to the advisory board by the | 
      
        |  | Department of Public Safety, the Federal Bureau of Investigation, | 
      
        |  | and any other criminal justice agency under Chapter 411, Government | 
      
        |  | Code. | 
      
        |  | (d)  The advisory board may: | 
      
        |  | (1)  enter into an agreement with the Department of | 
      
        |  | Public Safety to administer a criminal history check required under | 
      
        |  | this section; and | 
      
        |  | (2)  authorize the Department of Public Safety to | 
      
        |  | collect from each applicant the costs incurred by the Department of | 
      
        |  | Public Safety in conducting the criminal history check. | 
      
        |  | SECTION 9.016.  Section 601.104, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.104.  EXAMINATION. (a) The advisory board | 
      
        |  | [ executive commissioner] may adopt rules providing for the | 
      
        |  | preparation and administration of an examination for applicants for | 
      
        |  | a certificate. | 
      
        |  | (b)  An applicant for a certificate must pass a jurisprudence | 
      
        |  | examination approved by the advisory board. | 
      
        |  | SECTION 9.017.  Section 601.1041, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 601.1041.  NOTIFICATION OF EXAMINATION RESULTS.  (a) | 
      
        |  | Not later than the 30th day after the date a person takes an | 
      
        |  | examination for a certificate under this chapter, the advisory | 
      
        |  | board [ department] shall notify the person of the results of the | 
      
        |  | examination. | 
      
        |  | (b)  If the examination is graded or reviewed by a testing | 
      
        |  | service, the advisory board [ department] shall notify the person of | 
      
        |  | the results of the examination not later than the 14th day after the | 
      
        |  | date the advisory board [ department] receives the results from the | 
      
        |  | testing service.  If notice of the examination results will be | 
      
        |  | delayed for longer than 90 days after the examination date, the | 
      
        |  | advisory board [ department] shall notify the person of the reason | 
      
        |  | for the delay before the 90th day. | 
      
        |  | (c)  The advisory board [ department] may require a testing | 
      
        |  | service to notify a person of the results of the person's | 
      
        |  | examination. | 
      
        |  | (d)  If requested in writing by a person who fails an | 
      
        |  | examination for a certificate administered under this chapter, the | 
      
        |  | advisory board [ department] shall furnish the person with an | 
      
        |  | analysis of the person's performance on the examination. | 
      
        |  | SECTION 9.018.  Section 601.105, Occupations Code, is | 
      
        |  | amended by amending Subsection (a) and adding Subsection (c) to | 
      
        |  | read as follows: | 
      
        |  | (a)  The advisory board [ department] shall issue a | 
      
        |  | certificate to an applicant who: | 
      
        |  | (1)  meets the minimum standards for certification | 
      
        |  | established under Section 601.052; | 
      
        |  | (2)  passes the required examinations; | 
      
        |  | (3)  complies with the criminal history record | 
      
        |  | information requirement of Section 601.1031; | 
      
        |  | (4)  submits an application on a form prescribed by the | 
      
        |  | advisory board; | 
      
        |  | (5)  pays the required application fee; | 
      
        |  | (6)  certifies that the applicant is mentally and | 
      
        |  | physically able to perform radiologic procedures; and | 
      
        |  | (7)  submits to the advisory board any other | 
      
        |  | information the advisory board considers necessary to evaluate the | 
      
        |  | applicant's qualifications [ 601.053]. | 
      
        |  | (c)  The advisory board may delegate authority to medical | 
      
        |  | board employees to issue certificates under this chapter to | 
      
        |  | applicants who clearly meet all certification requirements.  If the | 
      
        |  | medical board employees determine that the applicant does not | 
      
        |  | clearly meet all certification requirements, the application must | 
      
        |  | be returned to the advisory board.  A certificate issued under this | 
      
        |  | subsection does not require formal advisory board approval. | 
      
        |  | SECTION 9.019.  Section 601.107, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.107.  CERTIFICATION BY ENDORSEMENT.  In adopting | 
      
        |  | minimum standards for certifying medical radiologic technologists, | 
      
        |  | the advisory board [ executive commissioner] may establish criteria | 
      
        |  | for issuing a certificate to a person licensed or otherwise | 
      
        |  | registered as a medical radiologic technologist by the American | 
      
        |  | Registry of Radiologic Technologists, the American Registry of | 
      
        |  | Clinical Radiography Technologists, or another state whose | 
      
        |  | requirements for licensure or registration were on the date of | 
      
        |  | licensing or registration substantially equal to the requirements | 
      
        |  | of this chapter. | 
      
        |  | SECTION 9.020.  Section 601.108, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.108.  CONTINUING EDUCATION AND OTHER GUIDELINES. | 
      
        |  | (a)  The advisory board [ executive commissioner] may establish | 
      
        |  | guidelines. | 
      
        |  | (b)  The advisory board [ executive commissioner] shall | 
      
        |  | provide for the preparation, recognition, or administration of | 
      
        |  | continuing education programs for medical radiologic technologists | 
      
        |  | in which participation is required, to the extent required by the | 
      
        |  | advisory board [ department], to keep the person's certificate. | 
      
        |  | SECTION 9.021.  Section 601.109, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.109.  PROVISIONAL CERTIFICATE.  (a)  The advisory | 
      
        |  | board [ department] may issue a provisional certificate to an | 
      
        |  | applicant currently licensed or certified in another jurisdiction | 
      
        |  | who seeks certification in this state and who: | 
      
        |  | (1)  has been licensed or certified in good standing as | 
      
        |  | a medical radiologic technologist for at least two years in another | 
      
        |  | jurisdiction, including a foreign country, that has licensing or | 
      
        |  | certification requirements substantially equivalent to the | 
      
        |  | requirements of this chapter; | 
      
        |  | (2)  has passed a national or other examination | 
      
        |  | recognized by the advisory board [ department] relating to the | 
      
        |  | practice of radiologic technology; and | 
      
        |  | (3)  is sponsored by a medical radiologic technologist | 
      
        |  | certified by the advisory board [ department] under this chapter | 
      
        |  | with whom the provisional certificate holder will practice during | 
      
        |  | the time the person holds a provisional certificate. | 
      
        |  | (b)  The advisory board [ department] may waive the | 
      
        |  | requirement of Subsection (a)(3) for an applicant if the advisory | 
      
        |  | board [ department] determines that compliance with that subsection | 
      
        |  | would be a hardship to the applicant. | 
      
        |  | (c)  A provisional certificate is valid until the date the | 
      
        |  | advisory board [ department] approves or denies the provisional | 
      
        |  | certificate holder's application for a certificate.  The advisory | 
      
        |  | board [ department] shall issue a certificate under this chapter to | 
      
        |  | the provisional certificate holder if: | 
      
        |  | (1)  the provisional certificate holder is eligible to | 
      
        |  | be certified under Section 601.107; or | 
      
        |  | (2)  the provisional certificate holder passes the part | 
      
        |  | of the examination under Section 601.104 that relates to the | 
      
        |  | applicant's knowledge and understanding of the laws and rules | 
      
        |  | relating to the practice of radiologic technology in this state | 
      
        |  | and: | 
      
        |  | (A)  the advisory board [ department] verifies | 
      
        |  | that the provisional certificate holder meets the academic and | 
      
        |  | experience requirements for a certificate under this chapter; and | 
      
        |  | (B)  the provisional certificate holder satisfies | 
      
        |  | any other licensing requirements under this chapter. | 
      
        |  | (d)  The advisory board [ department] must approve or deny a | 
      
        |  | provisional certificate holder's application for a certificate not | 
      
        |  | later than the 180th day after the date the provisional certificate | 
      
        |  | is issued.  The advisory board [ department] may extend the 180-day | 
      
        |  | period if the results of an examination have not been received by | 
      
        |  | the advisory board [ department] before the end of that period. | 
      
        |  | (e)  The advisory board [ executive commissioner] by rule may | 
      
        |  | establish a fee for a provisional certificate in an amount | 
      
        |  | reasonable and necessary to cover the cost of issuing the | 
      
        |  | certificate [ designed to allow the department to recover from the  | 
      
        |  | certificate holders all of the department's direct and indirect  | 
      
        |  | costs in administering and enforcing this chapter]. | 
      
        |  | SECTION 9.022.  Section 601.110, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.110.  CERTIFICATE EXPIRATION.  (a)  Not later than | 
      
        |  | the 30th day before the date a person's certificate is scheduled to | 
      
        |  | expire, the advisory board [ department] shall send written notice | 
      
        |  | of the impending expiration to the person at the person's last known | 
      
        |  | address according to the records of the advisory board | 
      
        |  | [ department]. | 
      
        |  | (b)  The advisory board [ executive commissioner] by rule may | 
      
        |  | adopt a system under which certificates expire on various dates | 
      
        |  | during the year.  For the year in which the certificate expiration | 
      
        |  | date is changed, the advisory board [ department] shall prorate | 
      
        |  | certificate fees on a monthly basis so that each certificate holder | 
      
        |  | pays only that portion of the certificate fee that is allocable to | 
      
        |  | the number of months during which the certificate is valid.  On | 
      
        |  | renewal of the certificate on the new expiration date, the total | 
      
        |  | certificate renewal fee is payable. | 
      
        |  | SECTION 9.023.  Section 601.111, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 601.111.  CERTIFICATE RENEWAL [ PROCEDURE].  (a) On | 
      
        |  | notification from the advisory board, a [ A] person who is otherwise | 
      
        |  | eligible to renew a certificate may renew an unexpired certificate | 
      
        |  | by: | 
      
        |  | (1)  paying the required renewal fee to the advisory | 
      
        |  | board [ department] before the expiration date of the certificate; | 
      
        |  | (2)  submitting the appropriate form; and | 
      
        |  | (3)  meeting any other requirement established by | 
      
        |  | advisory board rule. | 
      
        |  | (a-1)  A person whose certificate has expired may not engage | 
      
        |  | in activities that require a certificate until the certificate has | 
      
        |  | been renewed. | 
      
        |  | (b)  A person whose certificate has been expired for 90 days | 
      
        |  | or less may renew the certificate by paying to the advisory board | 
      
        |  | [ department] a renewal fee that is equal to 1-1/2 times the normally | 
      
        |  | required renewal fee. | 
      
        |  | (c)  A person whose certificate has been expired for more | 
      
        |  | than 90 days but less than one year may renew the certificate by | 
      
        |  | paying to the advisory board [ department] a renewal fee that is | 
      
        |  | equal to two times the normally required renewal fee. | 
      
        |  | (d)  A person whose certificate has been expired for one year | 
      
        |  | or more may not renew the certificate.  The person may obtain a new | 
      
        |  | certificate by complying with the requirements and procedures, | 
      
        |  | including the examination requirements, for an original | 
      
        |  | certificate. | 
      
        |  | SECTION 9.024.  Subchapter C, Chapter 601, Occupations Code, | 
      
        |  | is amended by adding Section 601.1111 to read as follows: | 
      
        |  | Sec. 601.1111.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR RENEWAL.  (a)  An applicant for renewal of a | 
      
        |  | certificate shall submit a complete and legible set of fingerprints | 
      
        |  | for purposes of performing a criminal history check of the | 
      
        |  | applicant as provided by Section 601.1031. | 
      
        |  | (b)  The advisory board may not renew the certificate of a | 
      
        |  | person who does not comply with the requirement of Subsection (a). | 
      
        |  | (c)  A certificate holder is not required to submit | 
      
        |  | fingerprints under this section for the renewal of the certificate | 
      
        |  | if the holder has previously submitted fingerprints under: | 
      
        |  | (1)  Section 601.1031 for the initial issuance of the | 
      
        |  | certificate of registration; or | 
      
        |  | (2)  this section as part of a prior renewal of a | 
      
        |  | certificate of registration. | 
      
        |  | SECTION 9.025.  The heading to Section 601.112, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 601.112.  RENEWAL OF CERTIFICATE BY OUT-OF-STATE PERSON | 
      
        |  | [ PRACTITIONER]. | 
      
        |  | SECTION 9.026.  Section 601.112(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  The person must pay to the advisory board [ department] a | 
      
        |  | fee that is equal to two times the normally required renewal fee for | 
      
        |  | the certificate. | 
      
        |  | SECTION 9.027.  Section 601.154, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.154.  HOSPITAL PROCEDURES.  A person is not | 
      
        |  | required to hold a certificate issued under this chapter to perform | 
      
        |  | a radiologic procedure in a hospital if: | 
      
        |  | (1)  the hospital participates in the federal Medicare | 
      
        |  | program or is accredited by the Joint Commission on Accreditation | 
      
        |  | of Hospitals; and | 
      
        |  | (2)  the person has completed a training program | 
      
        |  | approved by the advisory board [ department] under Section 601.201. | 
      
        |  | SECTION 9.028.  Section 601.156, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.156.  PROCEDURE PERFORMED AS PART OF CONTINUING | 
      
        |  | EDUCATION PROGRAM.  A person is not required to hold a certificate | 
      
        |  | issued under this chapter or to comply with the registration | 
      
        |  | requirements adopted under Section 601.252 if the person is: | 
      
        |  | (1)  licensed or otherwise registered as a medical | 
      
        |  | radiologic technologist by another state, the American Registry of | 
      
        |  | Radiologic Technologists, the American Registry of Clinical | 
      
        |  | Radiography Technologists, or a professional organization or | 
      
        |  | association recognized by the advisory board [ department]; | 
      
        |  | (2)  enrolled in a continuing education program that | 
      
        |  | meets the requirements adopted under Section 601.108; and | 
      
        |  | (3)  performing a radiologic procedure as part of the | 
      
        |  | continuing education program for not more than 10 days. | 
      
        |  | SECTION 9.029.  Subchapter E, Chapter 601, Occupations Code, | 
      
        |  | as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, is amended to read as follows: | 
      
        |  | SUBCHAPTER E. MANDATORY TRAINING FOR CERTAIN AUTHORIZED PERSONS | 
      
        |  | Sec. 601.201.  MANDATORY TRAINING.  (a)  The minimum | 
      
        |  | standards of the advisory board [ department] for approval of a | 
      
        |  | curriculum or an education program under Section 601.052 [ 601.053] | 
      
        |  | must include mandatory training guidelines for a person, other than | 
      
        |  | a practitioner or a medical radiologic technologist, who | 
      
        |  | intentionally uses radiologic technology, including a person who | 
      
        |  | does not hold a certificate issued under this chapter and who is | 
      
        |  | performing a radiologic procedure at a hospital or under the | 
      
        |  | direction of a practitioner, other than a dentist. | 
      
        |  | (b)  The training program approved by the advisory board | 
      
        |  | [ department] must contain an appropriate number of hours of | 
      
        |  | education that must be completed before the person may perform a | 
      
        |  | radiologic procedure. | 
      
        |  | Sec. 601.202.  REGISTRY.  The advisory board [ executive  | 
      
        |  | commissioner] by rule shall establish a registry of persons | 
      
        |  | required to comply with this subchapter. | 
      
        |  | Sec. 601.203.  HARDSHIP EXEMPTION.  (a)  On application to | 
      
        |  | the advisory board [ department] by a hospital, a federally | 
      
        |  | qualified health center as defined by 42 U.S.C. Section 1396d, or a | 
      
        |  | practitioner, the advisory board [ department] shall exempt the | 
      
        |  | applicant from the requirements of Section 601.201 in employing a | 
      
        |  | person certified under this chapter or trained as required by | 
      
        |  | Section 601.201 if the applicant shows a hardship in employing a | 
      
        |  | person certified under this chapter or trained as required by | 
      
        |  | Section 601.201. | 
      
        |  | (b)  The following conditions are considered to be a hardship | 
      
        |  | for the purposes of Subsection (a): | 
      
        |  | (1)  that the applicant reports an inability to attract | 
      
        |  | and retain medical radiologic technologists; | 
      
        |  | (2)  that the applicant is located at a great distance | 
      
        |  | from a school of medical radiologic technology; | 
      
        |  | (3)  that there is a list of qualified persons who have | 
      
        |  | applied to a school of medical radiologic technology whose | 
      
        |  | admissions are pending because of a lack of faculty or space; | 
      
        |  | (4)  that the school of medical radiologic technology | 
      
        |  | produces an insufficient number of graduates in medical radiologic | 
      
        |  | technology to meet the needs of the applicant; or | 
      
        |  | (5)  any other criteria determined by advisory board | 
      
        |  | [ department] rule. | 
      
        |  | SECTION 9.030.  Chapter 601, Occupations Code, is amended by | 
      
        |  | adding Subchapter F-1 to read as follows: | 
      
        |  | SUBCHAPTER F-1. COMPLAINTS AND INVESTIGATIVE INFORMATION | 
      
        |  | Sec. 601.271.  COMPLAINT INFORMATION AND STATUS.  (a)  The | 
      
        |  | advisory board shall maintain a system to promptly and efficiently | 
      
        |  | act on complaints filed with the advisory board.  The advisory | 
      
        |  | board shall maintain: | 
      
        |  | (1)  information about the parties to the complaint and | 
      
        |  | the subject matter of the complaint; | 
      
        |  | (2)  a summary of the results of the review or | 
      
        |  | investigation of the complaint; and | 
      
        |  | (3)  information about the disposition of the | 
      
        |  | complaint. | 
      
        |  | (b)  The advisory board shall make information available | 
      
        |  | describing its procedures for complaint investigation and | 
      
        |  | resolution. | 
      
        |  | (c)  If a written complaint is filed with the advisory board | 
      
        |  | relating to a certificate holder or a person approved under Section | 
      
        |  | 601.054 or 601.055, the advisory board, as often as quarterly and | 
      
        |  | until final determination of the action to be taken on the | 
      
        |  | complaint, shall notify the parties to the complaint of the status | 
      
        |  | of the complaint unless the notice would jeopardize an active | 
      
        |  | investigation. | 
      
        |  | Sec. 601.272.  CONDUCT OF INVESTIGATION.  The advisory board | 
      
        |  | shall complete a preliminary investigation of a complaint filed | 
      
        |  | with the advisory board not later than the 45th day after the date | 
      
        |  | of receiving the complaint.  The advisory board shall first | 
      
        |  | determine whether the person constitutes a continuing threat to the | 
      
        |  | public welfare.  On completion of the preliminary investigation, | 
      
        |  | the advisory board shall determine whether to officially proceed on | 
      
        |  | the complaint.  If the advisory board fails to complete the | 
      
        |  | preliminary investigation in the time required by this section, the | 
      
        |  | advisory board's official investigation of the complaint is | 
      
        |  | considered to commence on that date. | 
      
        |  | Sec. 601.273.  ACCESS TO COMPLAINT INFORMATION.  (a)  Except | 
      
        |  | as provided by Subsection (b), the advisory board shall provide a | 
      
        |  | person who is the subject of a formal complaint filed under this | 
      
        |  | chapter with access to all information in its possession that the | 
      
        |  | advisory board intends to offer into evidence in presenting its | 
      
        |  | case in chief at the contested hearing on the complaint, subject to | 
      
        |  | any other privilege or restriction established by rule, statute, or | 
      
        |  | legal precedent.  The advisory board shall provide the information | 
      
        |  | not later than the 30th day after receipt of a written request from | 
      
        |  | the person or the person's counsel, unless good cause is shown for | 
      
        |  | delay. | 
      
        |  | (b)  The advisory board is not required to provide: | 
      
        |  | (1)  advisory board investigative reports; | 
      
        |  | (2)  investigative memoranda; | 
      
        |  | (3)  the identity of a nontestifying complainant; | 
      
        |  | (4)  attorney-client communications; | 
      
        |  | (5)  attorney work product;  or | 
      
        |  | (6)  other material covered by a privilege recognized | 
      
        |  | by the Texas Rules of Civil Procedure or the Texas Rules of | 
      
        |  | Evidence. | 
      
        |  | (c)  Providing information under this section does not | 
      
        |  | constitute a waiver of privilege or confidentiality under this | 
      
        |  | chapter or other law. | 
      
        |  | Sec. 601.274.  HEALTH CARE ENTITY REQUEST FOR INFORMATION. | 
      
        |  | On the written request of a health care entity, the advisory board | 
      
        |  | shall provide to the entity: | 
      
        |  | (1)  information about a complaint filed against a | 
      
        |  | person that was resolved after investigation by: | 
      
        |  | (A)  a disciplinary order of the advisory board; | 
      
        |  | or | 
      
        |  | (B)  an agreed settlement;  and | 
      
        |  | (2)  the basis of and current status of any complaint | 
      
        |  | that has been referred by the executive director of the medical | 
      
        |  | board for enforcement action. | 
      
        |  | Sec. 601.275.  CONFIDENTIALITY OF INVESTIGATIVE | 
      
        |  | INFORMATION.  A complaint, adverse report, investigation file, | 
      
        |  | other report, or other investigative information in the possession | 
      
        |  | of or received or gathered by the advisory board, the medical board, | 
      
        |  | or an employee or agent of the medical board relating to a | 
      
        |  | certificate holder, a person approved under Section 601.054 or | 
      
        |  | 601.055, an application for certification or approval, 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 any person other than the | 
      
        |  | advisory board, the medical board, or an employee or agent of the | 
      
        |  | advisory board or medical board involved in discipline under this | 
      
        |  | chapter.  For purposes of this section, "investigative information" | 
      
        |  | includes information related to the identity of a person performing | 
      
        |  | or supervising compliance monitoring for the advisory board or | 
      
        |  | medical board and a report prepared by the person related to | 
      
        |  | compliance monitoring. | 
      
        |  | Sec. 601.276.  PERMITTED DISCLOSURE OF INVESTIGATIVE | 
      
        |  | INFORMATION.  (a)  Investigative information in the possession of | 
      
        |  | the advisory board, the medical board, or an employee or agent of | 
      
        |  | the medical board that relates to the discipline of a certificate | 
      
        |  | holder or a person approved under Section 601.054 or 601.055, may be | 
      
        |  | disclosed to: | 
      
        |  | (1)  a licensing authority in another state or country | 
      
        |  | in which the certificate holder or person is licensed, certified, | 
      
        |  | or permitted or has applied for a license, certification, or | 
      
        |  | permit;  or | 
      
        |  | (2)  a medical peer review committee reviewing: | 
      
        |  | (A)  an application for privileges;  or | 
      
        |  | (B)  the qualifications of the certificate holder | 
      
        |  | or person with respect to retaining privileges. | 
      
        |  | (b)  If investigative information in the possession of the | 
      
        |  | advisory board, the medical board, or an employee or agent of the | 
      
        |  | medical board indicates that a crime may have been committed, the | 
      
        |  | advisory board or medical board, as appropriate, shall report the | 
      
        |  | information to the proper law enforcement agency.  The advisory | 
      
        |  | board and medical board shall cooperate with and assist each law | 
      
        |  | enforcement agency conducting a criminal investigation of a | 
      
        |  | certificate holder or a person approved under Section 601.054 or | 
      
        |  | 601.055 by providing information relevant to the investigation. | 
      
        |  | Confidential information disclosed to a law enforcement agency | 
      
        |  | under this subsection remains confidential and may not be disclosed | 
      
        |  | by the law enforcement agency except as necessary to further the | 
      
        |  | investigation. | 
      
        |  | SECTION 9.031.  Subchapter G, Chapter 601, Occupations Code, | 
      
        |  | as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, is amended to read as follows: | 
      
        |  | SUBCHAPTER G. CERTIFICATE DENIAL AND DISCIPLINARY ACTION | 
      
        |  | Sec. 601.301.  CERTIFICATE DENIAL AND DISCIPLINARY ACTION. | 
      
        |  | The advisory board [ department] may, for a violation of this | 
      
        |  | chapter or a rule adopted under this chapter: | 
      
        |  | (1)  suspend, revoke, or refuse to renew a certificate; | 
      
        |  | (2)  rescind approval of a curriculum, training | 
      
        |  | program, or instructor; | 
      
        |  | (3)  deny an application for certification or approval; | 
      
        |  | (4)  issue a reprimand; or | 
      
        |  | (5)  place the offender's certificate on probation and | 
      
        |  | require compliance with a requirement of the advisory board | 
      
        |  | [ department], including requiring the offender to: | 
      
        |  | (A)  submit to medical or psychological | 
      
        |  | treatment; | 
      
        |  | (B)  meet additional education requirements; | 
      
        |  | (C)  pass an examination; or | 
      
        |  | (D)  work under the supervision of a medical | 
      
        |  | radiologic technologist or other practitioner. | 
      
        |  | Sec. 601.302.  GROUNDS FOR CERTIFICATE DENIAL OR | 
      
        |  | DISCIPLINARY ACTION.  The advisory board [ department] may take | 
      
        |  | action under Section 601.301 against a person subject to this | 
      
        |  | chapter for: | 
      
        |  | (1)  obtaining or attempting to obtain a certificate | 
      
        |  | issued under this chapter by bribery or fraud; | 
      
        |  | (2)  making or filing a false report or record made in | 
      
        |  | the person's capacity as a medical radiologic technologist; | 
      
        |  | (3)  intentionally or negligently failing to file a | 
      
        |  | report or record required by law; | 
      
        |  | (4)  intentionally obstructing or inducing another to | 
      
        |  | intentionally obstruct the filing of a report or record required by | 
      
        |  | law; | 
      
        |  | (5)  engaging in unprofessional conduct, including the | 
      
        |  | violation of the standards of practice of radiologic technology | 
      
        |  | established by the advisory board [ department]; | 
      
        |  | (6)  developing an incapacity that prevents the | 
      
        |  | practice of radiologic technology with reasonable skill, | 
      
        |  | competence, and safety to the public as the result of: | 
      
        |  | (A)  an illness; | 
      
        |  | (B)  drug or alcohol dependency; or | 
      
        |  | (C)  another physical or mental condition or | 
      
        |  | illness; | 
      
        |  | (7)  failing to report to the advisory board | 
      
        |  | [ department] the violation of this chapter by another person; | 
      
        |  | (8)  employing, for the purpose of applying ionizing | 
      
        |  | radiation to a person, a person who is not certified under or in | 
      
        |  | compliance with this chapter; | 
      
        |  | (9)  violating this chapter, a rule adopted under this | 
      
        |  | chapter, an order of the advisory board [ department] previously | 
      
        |  | entered in a disciplinary proceeding, or an order to comply with a | 
      
        |  | subpoena issued by the advisory board [ department]; | 
      
        |  | (10)  having a certificate revoked, suspended, or | 
      
        |  | otherwise subjected to adverse action or being denied a certificate | 
      
        |  | by another certification authority in another state, territory, or | 
      
        |  | country; or | 
      
        |  | (11)  being convicted of or pleading nolo contendere to | 
      
        |  | a crime directly related to the practice of radiologic technology. | 
      
        |  | Sec. 601.303.  STUDENT PRACTICING WITHOUT DIRECT | 
      
        |  | SUPERVISION.  The advisory board [ department] may take disciplinary | 
      
        |  | action against a student for intentionally practicing radiologic | 
      
        |  | technology without direct supervision. | 
      
        |  | Sec. 601.304.  ADMINISTRATIVE PROCEDURE.  The procedure by | 
      
        |  | which the advisory board [ department] takes a disciplinary action | 
      
        |  | and the procedure by which a disciplinary action is appealed are | 
      
        |  | governed by: | 
      
        |  | (1)  advisory board [ department] rules for a contested | 
      
        |  | case hearing;  and | 
      
        |  | (2)  Chapter 2001, Government Code. | 
      
        |  | Sec. 601.305.  SURRENDER OF CERTIFICATE [ REINSTATEMENT]. | 
      
        |  | (a)  The advisory board may accept the voluntary surrender of a | 
      
        |  | certificate. A person who has surrendered a certificate may not | 
      
        |  | engage in activities that require a certificate, and the advisory | 
      
        |  | board may not return the certificate to the person, until the person | 
      
        |  | demonstrates to the satisfaction of the advisory board [ subject to  | 
      
        |  | disciplinary action under Section 601.302(6) shall, at reasonable  | 
      
        |  | intervals, be given an opportunity to demonstrate] that the person | 
      
        |  | is able to resume the practice of radiologic technology. | 
      
        |  | (b)  The advisory board shall by rule establish guidelines | 
      
        |  | for determining when a person is competent to resume [ department  | 
      
        |  | may not reinstate a certificate to a holder or issue a certificate  | 
      
        |  | to an applicant previously denied a certificate unless the  | 
      
        |  | department is satisfied that the holder or applicant has complied  | 
      
        |  | with requirements set by the department and is capable of engaging  | 
      
        |  | in] the practice of radiologic technology. | 
      
        |  | Sec. 601.306.  EMERGENCY SUSPENSION.  (a)  The presiding | 
      
        |  | officer of the advisory board shall appoint a three-member | 
      
        |  | disciplinary panel consisting of advisory board members to | 
      
        |  | determine whether a certificate should be temporarily suspended. | 
      
        |  | (a-1)  The disciplinary panel [ department] shall temporarily | 
      
        |  | suspend the certificate of a certificate holder if the panel | 
      
        |  | [ department] determines from the evidence or information presented | 
      
        |  | to it that continued practice by the certificate holder would | 
      
        |  | constitute a continuing [ and imminent] threat to the public | 
      
        |  | welfare. | 
      
        |  | (b)  A certificate 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 advisory board [ 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)  Notwithstanding Chapter 551, Government Code, the | 
      
        |  | disciplinary panel may hold a meeting by telephone conference call | 
      
        |  | if immediate action is required and convening of the panel at one | 
      
        |  | location is inconvenient for any member of the panel [ 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]. | 
      
        |  | Sec. 601.307.  DELEGATION OF CERTAIN COMPLAINT | 
      
        |  | DISPOSITIONS.  (a)  The advisory board may delegate to a committee | 
      
        |  | of medical board employees the authority to dismiss or enter into an | 
      
        |  | agreed settlement of a complaint that does not relate directly to | 
      
        |  | patient care or that involves only administrative violations.  The | 
      
        |  | disposition determined by the committee must be approved by the | 
      
        |  | advisory board at a public meeting. | 
      
        |  | (b)  A complaint delegated under this section shall be | 
      
        |  | referred for an informal proceeding under Section 601.311 if: | 
      
        |  | (1)  the committee of employees determines that the | 
      
        |  | complaint should not be dismissed or settled; | 
      
        |  | (2)  the committee is unable to reach an agreed | 
      
        |  | settlement; or | 
      
        |  | (3)  the affected person requests that the complaint be | 
      
        |  | referred for an informal proceeding. | 
      
        |  | Sec. 601.308.  SUBPOENA.  (a)  The executive director of the | 
      
        |  | medical board, the director's designee, or the secretary-treasurer | 
      
        |  | of the medical board may issue a subpoena or subpoena duces tecum | 
      
        |  | for the advisory board: | 
      
        |  | (1)  to conduct an investigation or a contested | 
      
        |  | proceeding related to: | 
      
        |  | (A)  alleged misconduct by a certificate holder or | 
      
        |  | a person approved under Section 601.054 or 601.055; | 
      
        |  | (B)  an alleged violation of this chapter or other | 
      
        |  | law related to radiologic technology;  or | 
      
        |  | (C)  the provision of health care under this | 
      
        |  | chapter; or | 
      
        |  | (2)  for purposes of determining whether to issue, | 
      
        |  | suspend, restrict, or revoke a certificate or approval under this | 
      
        |  | chapter. | 
      
        |  | (b)  Failure to timely comply with a subpoena issued under | 
      
        |  | this section is a ground for: | 
      
        |  | (1)  disciplinary action by the advisory board or | 
      
        |  | another licensing or regulatory agency with jurisdiction over the | 
      
        |  | person subject to the subpoena;  and | 
      
        |  | (2)  denial of an application for certification or | 
      
        |  | approval. | 
      
        |  | Sec. 601.309.  PROTECTION OF PATIENT IDENTITY.  In a | 
      
        |  | disciplinary investigation or proceeding conducted under this | 
      
        |  | chapter, the advisory board shall protect the identity of each | 
      
        |  | patient whose medical records are examined and used in a public | 
      
        |  | proceeding unless the patient: | 
      
        |  | (1)  testifies in the public proceeding;  or | 
      
        |  | (2)  submits a written release in regard to the | 
      
        |  | patient's records or identity. | 
      
        |  | Sec. 601.310.  REQUIRED SUSPENSION OF LICENSE OF | 
      
        |  | INCARCERATED CERTIFICATE HOLDER.  Regardless of the offense, the | 
      
        |  | advisory board shall suspend the certificate or approval of a | 
      
        |  | person serving a prison term in a state or federal penitentiary | 
      
        |  | during the term of the incarceration. | 
      
        |  | Sec. 601.311.  INFORMAL PROCEEDINGS.  (a)  The advisory | 
      
        |  | board by rule shall adopt procedures governing: | 
      
        |  | (1)  informal disposition of a contested case under | 
      
        |  | Section 2001.056, Government Code; and | 
      
        |  | (2)  informal proceedings held in compliance with | 
      
        |  | Section 2001.054, Government Code. | 
      
        |  | (b)  Rules adopted under this section must require that: | 
      
        |  | (1)  an informal meeting in compliance with Section | 
      
        |  | 2001.054, Government Code, be scheduled and the advisory board give | 
      
        |  | notice to the person who is the subject of a complaint of the time | 
      
        |  | and place of the meeting not later than the 45th day before the date | 
      
        |  | the meeting is held; | 
      
        |  | (2)  the complainant and the person who is the subject | 
      
        |  | of the complaint be provided an opportunity to be heard; | 
      
        |  | (3)  at least one of the advisory board members | 
      
        |  | participating in the informal meeting as a panelist be a member who | 
      
        |  | represents the public; | 
      
        |  | (4)  a member of the medical board's staff be at the | 
      
        |  | meeting to present to the advisory board's representative the facts | 
      
        |  | the staff reasonably believes it could prove by competent evidence | 
      
        |  | or qualified witnesses at a hearing; and | 
      
        |  | (5)  the advisory board's legal counsel or a | 
      
        |  | representative of the attorney general be present to advise the | 
      
        |  | advisory board or the medical board's staff. | 
      
        |  | (c)  The person who is the subject of the complaint is | 
      
        |  | entitled to: | 
      
        |  | (1)  reply to the staff's presentation; and | 
      
        |  | (2)  present the facts the person reasonably believes | 
      
        |  | the person could prove by competent evidence or qualified witnesses | 
      
        |  | at a hearing. | 
      
        |  | (d)  After ample time is given for the presentations, the | 
      
        |  | advisory board representative shall recommend that the | 
      
        |  | investigation be closed or shall attempt to mediate the disputed | 
      
        |  | matters and make a recommendation regarding the disposition of the | 
      
        |  | case in the absence of a hearing under applicable law concerning | 
      
        |  | contested cases. | 
      
        |  | (e)  If the person who is the subject of the complaint has | 
      
        |  | previously been the subject of disciplinary action by the advisory | 
      
        |  | board, the advisory board shall schedule the informal meeting as | 
      
        |  | soon as practicable. | 
      
        |  | Sec. 601.312.  ADVISORY BOARD REPRESENTATION IN INFORMAL | 
      
        |  | PROCEEDINGS.  (a)  In an informal meeting under Section 601.311, at | 
      
        |  | least two panelists shall be appointed to determine whether an | 
      
        |  | informal disposition is appropriate. | 
      
        |  | (b)  Notwithstanding Subsection (a) and Section | 
      
        |  | 601.311(b)(3), an informal proceeding may be conducted by one | 
      
        |  | panelist if the person who is the subject of the complaint waives | 
      
        |  | the requirement that at least two panelists conduct the informal | 
      
        |  | proceeding.  If the person waives that requirement, the panelist | 
      
        |  | may be any member of the advisory board. | 
      
        |  | (c)  Except as provided by Subsection (d), the panel | 
      
        |  | requirements described by Subsections (a) and (b) apply to an | 
      
        |  | informal proceeding conducted by the advisory board under Section | 
      
        |  | 601.311, including a proceeding to: | 
      
        |  | (1)  consider a disciplinary case to determine if a | 
      
        |  | violation has occurred; or | 
      
        |  | (2)  request modification or termination of an order. | 
      
        |  | (d)  The panel requirements described by Subsections (a) and | 
      
        |  | (b) do not apply to an informal proceeding conducted by the advisory | 
      
        |  | board under Section 601.311 to show compliance with an order of the | 
      
        |  | advisory board. | 
      
        |  | Sec. 601.313.  ROLES AND RESPONSIBILITIES OF PARTICIPANTS IN | 
      
        |  | INFORMAL PROCEEDINGS.  (a)  An advisory board member who serves as a | 
      
        |  | panelist at an informal meeting under Section 601.311 shall make | 
      
        |  | recommendations for the disposition of a complaint or | 
      
        |  | allegation.  The member may request the assistance of a medical | 
      
        |  | board employee at any time. | 
      
        |  | (b)  Medical board employees shall present a summary of the | 
      
        |  | allegations against the person who is the subject of the complaint | 
      
        |  | and of the facts pertaining to the allegation that the employees | 
      
        |  | reasonably believe may be proven by competent evidence at a formal | 
      
        |  | hearing. | 
      
        |  | (c)  An attorney for the advisory board or medical board | 
      
        |  | shall act as counsel to the panel and, notwithstanding Subsection | 
      
        |  | (e), shall be present during the informal meeting and the panel's | 
      
        |  | deliberations to advise the panel on legal issues that arise during | 
      
        |  | the proceeding.  The attorney may ask questions of a participant in | 
      
        |  | the informal meeting to clarify any statement made by the | 
      
        |  | participant.  The attorney shall provide to the panel a historical | 
      
        |  | perspective on comparable cases that have appeared before the | 
      
        |  | advisory board or medical board, keep the proceedings focused on | 
      
        |  | the case being discussed, and ensure that the medical board's | 
      
        |  | employees and the person who is the subject of the complaint have an | 
      
        |  | opportunity to present information related to the case.  During the | 
      
        |  | panel's deliberations, the attorney may be present only to advise | 
      
        |  | the panel on legal issues and to provide information on comparable | 
      
        |  | cases that have appeared before the advisory board or medical | 
      
        |  | board. | 
      
        |  | (d)  The panel and medical board employees shall provide an | 
      
        |  | opportunity for the person who is the subject of the complaint and | 
      
        |  | the person's authorized representative to reply to the medical | 
      
        |  | board employees' presentation and to present oral and written | 
      
        |  | statements and facts that the person and representative reasonably | 
      
        |  | believe could be proven by competent evidence at a formal hearing. | 
      
        |  | (e)  An employee of the medical board who participated in the | 
      
        |  | presentation of the allegation or information gathered in the | 
      
        |  | investigation of the complaint, the person who is the subject of the | 
      
        |  | complaint, the person's authorized representative, the | 
      
        |  | complainant, the witnesses, and members of the public may not be | 
      
        |  | present during the deliberations of the panel.  Only the members of | 
      
        |  | the panel and the attorney serving as counsel to the panel may be | 
      
        |  | present during the deliberations. | 
      
        |  | (f)  The panel shall recommend the dismissal of the complaint | 
      
        |  | or allegations or, if the panel determines that the person has | 
      
        |  | violated a statute or advisory board rule, the panel may recommend | 
      
        |  | advisory board action and terms for an informal settlement of the | 
      
        |  | case. | 
      
        |  | (g)  The panel's recommendations under Subsection (f) must | 
      
        |  | be made in a written order and presented to the affected person and | 
      
        |  | the person's authorized representative.  The person may accept the | 
      
        |  | proposed settlement within the time established by the panel at the | 
      
        |  | informal meeting.  If the person rejects the proposed settlement or | 
      
        |  | does not act within the required time, the advisory board may | 
      
        |  | proceed with the filing of a formal complaint with the State Office | 
      
        |  | of Administrative Hearings. | 
      
        |  | Sec. 601.314.  LIMIT ON ACCESS TO INVESTIGATION FILES.  The | 
      
        |  | advisory board shall prohibit or limit access to an investigation | 
      
        |  | file relating to a person subject to an informal proceeding in the | 
      
        |  | manner provided by Sections 164.007(c) and 601.275. | 
      
        |  | Sec. 601.315.  REFUND.  (a)  Subject to Subsection (b), the | 
      
        |  | advisory board may order a certificate holder to pay a refund to a | 
      
        |  | consumer as provided in an agreement resulting from an informal | 
      
        |  | settlement conference instead of or in addition to imposing an | 
      
        |  | administrative penalty under Subchapter H. | 
      
        |  | (b)  The amount of a refund ordered as provided in an | 
      
        |  | agreement resulting from an informal settlement conference may not | 
      
        |  | exceed the amount the consumer paid to the certificate holder for a | 
      
        |  | service regulated by this chapter.  The advisory board may not | 
      
        |  | require payment of other damages or estimate harm in a refund order. | 
      
        |  | Sec. 601.316.  EXPERT IMMUNITY.  An expert who assists the | 
      
        |  | advisory board is immune from suit and judgment and may not be | 
      
        |  | subjected to a suit for damages for any investigation, report, | 
      
        |  | recommendation, statement, evaluation, finding, or other action | 
      
        |  | taken in the course of assisting the advisory board in a | 
      
        |  | disciplinary proceeding.  The attorney general shall represent the | 
      
        |  | expert in any suit resulting from a service provided by the person | 
      
        |  | in good faith to the advisory board. | 
      
        |  | SECTION 9.032.  Section 601.351, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 601.351.  IMPOSITION OF PENALTY.  The advisory board | 
      
        |  | [ department] may impose an administrative penalty against a person | 
      
        |  | who violates this chapter or a rule adopted under this chapter. | 
      
        |  | SECTION 9.033.  Section 601.353(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  If, after investigating a possible violation and the | 
      
        |  | facts surrounding that possible violation, the advisory board | 
      
        |  | [ department] determines that a violation occurred, the advisory | 
      
        |  | board [ department] shall give written notice of the violation to | 
      
        |  | the person alleged to have committed the violation. | 
      
        |  | SECTION 9.034.  Section 601.354, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.354.  PENALTY TO BE PAID OR HEARING REQUESTED.  (a) | 
      
        |  | Not later than the 20th day after the date the person receives the | 
      
        |  | notice, the person may: | 
      
        |  | (1)  accept the [ department'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 [ department's] determination, | 
      
        |  | the advisory board [ department] by order shall approve the | 
      
        |  | determination and impose the proposed penalty. | 
      
        |  | SECTION 9.035.  Section 601.355, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.355.  HEARING.  (a)  If the person timely requests a | 
      
        |  | hearing, the advisory board [ department] shall: | 
      
        |  | (1)  set a hearing; | 
      
        |  | (2)  give written notice of the hearing to the person; | 
      
        |  | and | 
      
        |  | (3)  designate a hearings examiner to conduct the | 
      
        |  | hearing. | 
      
        |  | (b)  The hearings examiner shall make findings of fact and | 
      
        |  | conclusions of law and promptly issue to the advisory board | 
      
        |  | [ department] a proposal for decision as to the occurrence of the | 
      
        |  | violation and the amount of any proposed administrative penalty. | 
      
        |  | SECTION 9.036.  Section 601.356, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.356.  DECISION BY ADVISORY BOARD [ DEPARTMENT].  (a) | 
      
        |  | Based on the findings of fact and conclusions of law and the | 
      
        |  | recommendations of the hearings examiner, the advisory board | 
      
        |  | [ department] 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 advisory board [ department] 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. | 
      
        |  | SECTION 9.037.  Sections 601.357(b) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (b)  Within the 30-day period, 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 | 
      
        |  | advisory board [ department] by certified mail. | 
      
        |  | (c)  If the advisory board [ department] receives a copy of an | 
      
        |  | affidavit as provided by Subsection (b)(2), the advisory board | 
      
        |  | [ department]  may file with the court a contest to the affidavit not | 
      
        |  | later than the fifth day after the date the copy is received. | 
      
        |  | SECTION 9.038.  Section 601.358, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 601.358.  COLLECTION OF PENALTY.  If the person does not | 
      
        |  | pay the administrative penalty and the enforcement of the penalty | 
      
        |  | is not stayed, the advisory board [ department] may refer the matter | 
      
        |  | to the attorney general for collection. | 
      
        |  | SECTION 9.039.  Section 601.360(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (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 advisory board | 
      
        |  | [ department] if the person paid the penalty under Section | 
      
        |  | 601.357(a)(2); or | 
      
        |  | (2)  if the person paid the penalty under Section | 
      
        |  | 601.357(b)(1)(A) or posted a supersedeas bond, order the advisory | 
      
        |  | board [ department] 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. | 
      
        |  | SECTION 9.040.  Section 601.361, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 601.361.  EXPENSES AND COSTS.  (a)  In this section, | 
      
        |  | "reasonable expenses and costs" includes expenses incurred by the | 
      
        |  | advisory board [ department] and the attorney general in the | 
      
        |  | investigation, initiation, or prosecution of an action, including | 
      
        |  | reasonable investigative costs, court costs, attorney's fees, | 
      
        |  | witness fees, and deposition expenses. | 
      
        |  | (b)  The advisory board [ department] may assess reasonable | 
      
        |  | expenses and costs against a person in an administrative hearing | 
      
        |  | if, as a result of the hearing, an administrative penalty is | 
      
        |  | assessed against the person.  The person shall pay expenses and | 
      
        |  | costs assessed under this subsection not later than the 30th day | 
      
        |  | after the date the order of the advisory board [ department] | 
      
        |  | requiring the payment of expenses and costs is final.  The advisory | 
      
        |  | board [ department] may refer the matter to the attorney general for | 
      
        |  | collection of the expenses and costs. | 
      
        |  | (c)  If the attorney general brings an action against a | 
      
        |  | person to enforce an administrative penalty assessed under this | 
      
        |  | chapter and the person is found liable for an administrative | 
      
        |  | penalty, the attorney general may recover, on behalf of the | 
      
        |  | attorney general and the advisory board [ department], reasonable | 
      
        |  | expenses and costs. | 
      
        |  | SECTION 9.041.  Sections 601.401(a) and (c), Occupations | 
      
        |  | Code, as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, are amended to read as follows: | 
      
        |  | (a)  If it appears that a person has violated, is violating, | 
      
        |  | or is threatening to violate this chapter or a rule adopted under | 
      
        |  | this chapter, the advisory board [ department] may bring an action | 
      
        |  | to enjoin the continued or threatened violation. | 
      
        |  | (c)  At the request of the advisory board [ department], the | 
      
        |  | attorney general shall bring an action in the name of the state for | 
      
        |  | the injunctive relief, to recover the civil penalty, or both. | 
      
        |  | SECTION 9.042.  Section 601.402(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A person who is required to be certified under this | 
      
        |  | chapter commits an offense if the person: | 
      
        |  | (1)  knowingly administers a radiologic procedure to | 
      
        |  | another person without holding a valid certificate issued by the | 
      
        |  | advisory board [ department]; | 
      
        |  | (2)  practices radiologic technology without holding a | 
      
        |  | certificate under this chapter; | 
      
        |  | (3)  uses or attempts to use a suspended or revoked | 
      
        |  | certificate; | 
      
        |  | (4)  knowingly allows a student enrolled in an | 
      
        |  | education program to perform a radiologic procedure without direct | 
      
        |  | supervision; | 
      
        |  | (5)  obtains or attempts to obtain a certificate | 
      
        |  | through bribery or fraudulent misrepresentation; | 
      
        |  | (6)  uses the title or name "certified medical | 
      
        |  | radiologic technologist" or any other name or title that implies | 
      
        |  | the person is certified to practice radiologic technology, unless | 
      
        |  | the person is certified under this chapter; | 
      
        |  | (7)  knowingly conceals information relating to | 
      
        |  | enforcement of this chapter or a rule adopted under this chapter; or | 
      
        |  | (8)  employs a person not certified by or in compliance | 
      
        |  | with this chapter for the purpose of applying ionizing radiation to | 
      
        |  | a person. | 
      
        |  | SECTION 9.043.  Section 602.002, Occupations Code, is | 
      
        |  | amended by amending Subdivision (1), as amended by S.B. 219, Acts of | 
      
        |  | the 84th Legislature, Regular Session, 2015, amending Subdivision | 
      
        |  | (4), and adding Subdivision (5-a) to read as follows: | 
      
        |  | (1)  "Advisory committee" [ "Board"] means the Medical | 
      
        |  | Physicist [ Texas Board of] Licensure Advisory Committee [for  | 
      
        |  | Professional Medical Physicists]. | 
      
        |  | (4)  "License" means a certificate issued by the | 
      
        |  | medical board that authorizes the holder to engage in the practice | 
      
        |  | of medical physics. | 
      
        |  | (5-a)  "Medical board" means the Texas Medical Board. | 
      
        |  | SECTION 9.044.  The heading to Subchapter B, Chapter 602, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER B. MEDICAL PHYSICIST [ TEXAS BOARD OF] LICENSURE ADVISORY | 
      
        |  | COMMITTEE [ FOR PROFESSIONAL MEDICAL PHYSICISTS] | 
      
        |  | SECTION 9.045.  Section 602.051, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.051.  ADVISORY COMMITTEE [ BOARD].  (a) The advisory | 
      
        |  | committee [ Texas Board of Licensure for Professional Medical  | 
      
        |  | Physicists] is an informal advisory committee to the medical board | 
      
        |  | and is not subject to Chapter 2110, Government Code [ the division of  | 
      
        |  | the department responsible for regulating the practice of medical  | 
      
        |  | physics]. | 
      
        |  | (b)  The advisory committee has no independent rulemaking | 
      
        |  | authority. | 
      
        |  | SECTION 9.046.  The heading to Section 602.052, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 602.052.  APPOINTMENT OF ADVISORY COMMITTEE [ BOARD  | 
      
        |  | MEMBERS]. | 
      
        |  | SECTION 9.047.  Sections 602.052(a) and (d), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  The advisory committee [ board] consists of seven [nine] | 
      
        |  | members appointed by the president of the medical board [ governor  | 
      
        |  | with the advice and consent of the senate] as follows: | 
      
        |  | (1)  four [ five licensed] medical physicists licensed | 
      
        |  | in this state who each have at least five years of experience as a | 
      
        |  | medical physicist [ , with at least one board certified  | 
      
        |  | representative of each of the following specialties: | 
      
        |  | [ (A)  diagnostic radiological physics; | 
      
        |  | [ (B)  medical health physics; | 
      
        |  | [ (C)  medical nuclear physics; and | 
      
        |  | [ (D)  therapeutic radiological physics]; | 
      
        |  | (2)  two [ three] physicians licensed in this state who | 
      
        |  | each have at least five years of clinical experience related to | 
      
        |  | medical physics [ , with a board certified representative of each of  | 
      
        |  | the following specialties: | 
      
        |  | [ (A)  diagnostic radiology; | 
      
        |  | [ (B)  nuclear medicine; and | 
      
        |  | [ (C)  radiation therapy]; and | 
      
        |  | (3)  one member who represents the public. | 
      
        |  | (d)  Appointments to the advisory committee [ board] shall be | 
      
        |  | made without regard to the race, color, disability, creed, sex, | 
      
        |  | religion, age, or national origin of the appointee. | 
      
        |  | SECTION 9.048.  The heading to Section 602.053, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 602.053.  PUBLIC MEMBER [ BOARD MEMBERSHIP;] | 
      
        |  | ELIGIBILITY. | 
      
        |  | SECTION 9.049.  Section 602.053(d), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (d)  An advisory committee [ A public board] member | 
      
        |  | representing the public must be a resident of this [ the] state for a | 
      
        |  | period of not less than four years preceding appointment.  A person | 
      
        |  | may not be a [ public] member of the advisory committee representing | 
      
        |  | the public [ board] if the person or the person's spouse: | 
      
        |  | (1)  is registered, certified, or licensed by a | 
      
        |  | regulatory agency in a health care profession [ the field of medical  | 
      
        |  | physics]; | 
      
        |  | (2)  is employed by or participates in the management | 
      
        |  | of a business entity or other organization regulated by or | 
      
        |  | receiving money from the medical board; | 
      
        |  | (3)  owns or controls, directly or indirectly, more | 
      
        |  | than a 10 percent interest in a business entity or other | 
      
        |  | organization regulated by or receiving money from the medical | 
      
        |  | board; or | 
      
        |  | (4)  uses or receives a substantial amount of tangible | 
      
        |  | goods, services, or money from the medical board other than | 
      
        |  | compensation or reimbursement authorized by law for medical board | 
      
        |  | membership, attendance, or expenses. | 
      
        |  | SECTION 9.050.  Sections 602.054(b) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (b)  A person may not be a member of the advisory committee | 
      
        |  | [ board] if: | 
      
        |  | (1)  the person is an officer, employee, or paid | 
      
        |  | consultant of a Texas trade association in the field of medicine; or | 
      
        |  | (2)  the person's spouse is an officer, manager, or paid | 
      
        |  | consultant of a Texas trade association in the field of medicine. | 
      
        |  | (c)  A person may not serve as a member of the advisory | 
      
        |  | committee [ 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 advisory committee or medical | 
      
        |  | board. | 
      
        |  | SECTION 9.051.  Section 602.055, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.055.  TERMS; VACANCY.  (a)  Members of the advisory | 
      
        |  | committee [ board] serve two-year [staggered six-year] terms.  The | 
      
        |  | terms of the [ three] members expire on February 1 of each | 
      
        |  | odd-numbered year. | 
      
        |  | (b)  A person is not eligible to serve more than two [ one] | 
      
        |  | consecutive full terms [ six-year term].  [A person may serve  | 
      
        |  | consecutively one six-year term and a shorter term that arises  | 
      
        |  | because of filling an unexpired vacancy.] | 
      
        |  | (c)  If a vacancy occurs during a member's term [ on the  | 
      
        |  | board], the president of the medical board [governor] shall appoint | 
      
        |  | a person to serve for the unexpired term. | 
      
        |  | SECTION 9.052.  Sections 602.056(a) and (b), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  It is a ground for removal from the advisory committee | 
      
        |  | [ board] that a member: | 
      
        |  | (1)  does not have at the time of appointment the | 
      
        |  | qualifications required by Section 602.052 [ 602.053] for | 
      
        |  | appointment to the board; | 
      
        |  | (2)  does not maintain during service on the board the | 
      
        |  | qualifications required by Section 602.052 [ 602.053] for | 
      
        |  | appointment to the board; | 
      
        |  | (3)  is ineligible for membership under Section | 
      
        |  | 602.053(d) or Section 602.054; or | 
      
        |  | (4)  cannot, because of illness or disability, | 
      
        |  | discharge the member's duties for a substantial part of the member's | 
      
        |  | term[ ; or | 
      
        |  | [ (5)  does not attend at least half of the regularly  | 
      
        |  | scheduled board meetings held in a calendar year, excluding  | 
      
        |  | meetings held while the person was not a board member, without an  | 
      
        |  | excuse approved by the board]. | 
      
        |  | (b)  The validity of an [ A board] action of the advisory | 
      
        |  | committee is not affected by the fact that it is taken while a | 
      
        |  | ground for removal of a member of the advisory committee [ board] | 
      
        |  | exists [ is not invalid for that reason]. | 
      
        |  | SECTION 9.053.  Section 602.057, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.057.  COMPENSATION.  A member of the advisory | 
      
        |  | committee [ board] is entitled to a per diem in an amount set by the | 
      
        |  | legislature for each day that the member engages in the business of | 
      
        |  | the advisory committee [ board]. | 
      
        |  | SECTION 9.054.  Section 602.058, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.058.  ADVISORY COMMITTEE [ BOARD] OFFICERS; | 
      
        |  | MEETINGS.  (a)  The president of the medical board [ governor] shall | 
      
        |  | biennially designate a member of the advisory committee [ board] as | 
      
        |  | the presiding officer of the advisory committee [ board] to serve in | 
      
        |  | that capacity at the will of the president [ governor].  The advisory | 
      
        |  | committee may [ At the first regularly scheduled meeting of each  | 
      
        |  | calendar year, the board shall] elect from its members additional | 
      
        |  | officers as necessary [ an assistant presiding officer]. | 
      
        |  | (b)  The advisory committee [ board] shall meet as requested | 
      
        |  | by the medical board.  A meeting may be held by telephone conference | 
      
        |  | call [ hold a meeting at least once a year and at other times in  | 
      
        |  | accordance with board rule]. | 
      
        |  | SECTION 9.055.  The heading to Subchapter D, Chapter 602, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER D.  MEDICAL BOARD POWERS AND DUTIES | 
      
        |  | SECTION 9.056.  Section 602.151, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 602.151.  GENERAL POWERS AND DUTIES.  The medical board | 
      
        |  | shall: | 
      
        |  | (1)  adopt [ and revise, with the approval of the  | 
      
        |  | executive commissioner of the Health and Human Services  | 
      
        |  | Commission,] rules reasonably necessary to properly perform its | 
      
        |  | duties under this chapter; | 
      
        |  | (2)  establish [ adopt an official seal; | 
      
        |  | [ (3) determine the] qualifications for a medical | 
      
        |  | physicist to practice in this state [ and fitness of each applicant  | 
      
        |  | for a license or license renewal]; | 
      
        |  | (3)  establish minimum education and training | 
      
        |  | requirements necessary for a license under this chapter; | 
      
        |  | (4)  establish requirements for [ charge a fee for  | 
      
        |  | processing and issuing or renewing a license; | 
      
        |  | [ (5)  conduct] examinations for licensure; | 
      
        |  | (5)  prescribe the application form for a license under | 
      
        |  | this chapter; and | 
      
        |  | (6)  [ issue, deny, renew, revoke, and suspend licenses; | 
      
        |  | [ (7)]  adopt and publish a code of ethics[; and | 
      
        |  | [ (8)  conduct hearings on complaints concerning  | 
      
        |  | violations of this chapter or rules adopted under this chapter]. | 
      
        |  | SECTION 9.057.  Section 602.152, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.152.  CONSUMER INTEREST INFORMATION; COMPLAINTS. | 
      
        |  | (a)  The medical board shall prepare information of consumer | 
      
        |  | interest describing the regulatory functions of the medical board | 
      
        |  | and the procedures by which complaints are filed with and resolved | 
      
        |  | by the medical board. | 
      
        |  | (b)  The medical board shall maintain a file on each written | 
      
        |  | complaint filed with the medical board.  The file must include: | 
      
        |  | (1)  the name of the person who filed the complaint; | 
      
        |  | (2)  the date the complaint is received by the medical | 
      
        |  | board; | 
      
        |  | (3)  the subject matter of the complaint; | 
      
        |  | (4)  the name of each person contacted in relation to | 
      
        |  | the complaint; | 
      
        |  | (5)  a summary of the results of the review or | 
      
        |  | investigation of the complaint; and | 
      
        |  | (6)  an explanation of the reason the file was closed, | 
      
        |  | if the medical board closed the file without taking action other | 
      
        |  | than to investigate the complaint. | 
      
        |  | (c)  The medical board shall provide to the person filing the | 
      
        |  | complaint and to each person who is a subject of the complaint a | 
      
        |  | copy of the medical board's policies and procedures relating to | 
      
        |  | complaint investigation and resolution. | 
      
        |  | (d)  The medical board, at least quarterly until final | 
      
        |  | disposition of the complaint, shall notify the person filing the | 
      
        |  | complaint and each person who is a subject of the complaint of the | 
      
        |  | status of the complaint unless the notice would jeopardize an | 
      
        |  | undercover investigation. | 
      
        |  | SECTION 9.058.  Section 602.1521, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.1521.  PUBLIC PARTICIPATION.  The medical board | 
      
        |  | shall develop and implement policies that provide the public with a | 
      
        |  | reasonable opportunity to appear before the medical board and to | 
      
        |  | speak on any issue relating to medical physicists [ under the  | 
      
        |  | jurisdiction of the board]. | 
      
        |  | SECTION 9.059.  The heading to Section 602.1525, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 602.1525.  SUBPOENAS; CONFIDENTIALITY OF INFORMATION. | 
      
        |  | SECTION 9.060.  Section 602.1525, Occupations Code, is | 
      
        |  | amended by amending Subsection (a), as amended by S.B. 219, Acts of | 
      
        |  | the 84th Legislature, Regular Session, 2015, amending Subsections | 
      
        |  | (h) and (i), and adding Subsection (a-1) to read as follows: | 
      
        |  | (a)  The executive director of the medical board, the | 
      
        |  | director's designee, or the secretary-treasurer of the medical | 
      
        |  | board may issue [ In an investigation of a complaint filed with the  | 
      
        |  | board, the board may request that the commissioner or the  | 
      
        |  | commissioner's designee approve the issuance of] a subpoena or | 
      
        |  | subpoena duces tecum: | 
      
        |  | (1)  to conduct an investigation or a contested case | 
      
        |  | proceeding related to: | 
      
        |  | (A)  alleged misconduct by a medical physicist; | 
      
        |  | (B)  an alleged violation of this chapter or | 
      
        |  | another law related to the practice of medical physics; or | 
      
        |  | (C)  the provision of health care under this | 
      
        |  | chapter; or | 
      
        |  | (2)  for purposes of determining whether to issue, | 
      
        |  | suspend, restrict, or revoke a license under this chapter[ .  If the  | 
      
        |  | request is approved, the board may issue a subpoena to compel the  | 
      
        |  | attendance of a relevant witness or the production, for inspection  | 
      
        |  | or copying, of relevant evidence that is in this state]. | 
      
        |  | (a-1)  Failure to timely comply with a subpoena issued under | 
      
        |  | this section is a ground for: | 
      
        |  | (1)  disciplinary action by the medical board or | 
      
        |  | another licensing or regulatory agency with jurisdiction over the | 
      
        |  | person subject to the subpoena; and | 
      
        |  | (2)  denial of a license application. | 
      
        |  | (h)  All information and materials subpoenaed or compiled by | 
      
        |  | the medical board in connection with a complaint and investigation | 
      
        |  | are confidential and not subject to disclosure under Chapter 552, | 
      
        |  | Government Code, and not subject to disclosure, discovery, | 
      
        |  | subpoena, or other means of legal compulsion for their release to | 
      
        |  | anyone other than the medical board or its agents or employees who | 
      
        |  | are involved in discipline of the holder of a license, except that | 
      
        |  | this information may be disclosed to: | 
      
        |  | (1)  persons involved with the medical board in a | 
      
        |  | disciplinary action against the holder of a license; | 
      
        |  | (2)  professional medical physics licensing or | 
      
        |  | disciplinary boards in other jurisdictions; | 
      
        |  | (3)  peer assistance programs approved by the medical | 
      
        |  | board under Chapter 467, Health and Safety Code; | 
      
        |  | (4)  law enforcement agencies; and | 
      
        |  | (5)  persons engaged in bona fide research, if all | 
      
        |  | individual-identifying information has been deleted. | 
      
        |  | (i)  The filing of formal charges by the medical board | 
      
        |  | against a holder of a license, the nature of those charges, | 
      
        |  | disciplinary proceedings of the medical board, and final | 
      
        |  | disciplinary actions, including warnings and reprimands, by the | 
      
        |  | medical board are not confidential and are subject to disclosure in | 
      
        |  | accordance with Chapter 552, Government Code. | 
      
        |  | SECTION 9.061.  Section 602.153, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.153.  CONTINUING EDUCATION.  The medical board | 
      
        |  | shall recognize, prepare, or administer continuing education | 
      
        |  | programs for persons licensed under this chapter [ by the board].  A | 
      
        |  | license holder must participate in the programs to the extent | 
      
        |  | required by the medical board to keep the person's license. | 
      
        |  | SECTION 9.062.  Section 602.154, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.154.  RULES RELATING TO ADVERTISING OR COMPETITIVE | 
      
        |  | BIDDING.  (a)  The medical board may not adopt rules restricting | 
      
        |  | advertising or competitive bidding by a license holder except to | 
      
        |  | prohibit false, misleading, or deceptive practices. | 
      
        |  | (b)  In its rules to prohibit false, misleading, or deceptive | 
      
        |  | practices, the medical 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. | 
      
        |  | SECTION 9.063.  Subchapter D, Chapter 602, Occupations Code, | 
      
        |  | is amended by adding Section 602.156 to read as follows: | 
      
        |  | Sec. 602.156.  RULES ON CONSEQUENCES OF CRIMINAL CONVICTION. | 
      
        |  | The medical board shall adopt rules and guidelines as necessary to | 
      
        |  | comply with Chapter 53, except to the extent the requirements of | 
      
        |  | this chapter are stricter than the requirements of Chapter 53. | 
      
        |  | SECTION 9.064.  Section 602.203, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.203.  LICENSE APPLICATION.  (a)  A person may apply | 
      
        |  | for a license by filing an application with the medical board. | 
      
        |  | (b)  An application must be on a form prescribed by the | 
      
        |  | medical board and must include: | 
      
        |  | (1)  evidence of relevant work experience, including a | 
      
        |  | description of the duties performed; | 
      
        |  | (2)  an official transcript from the college or | 
      
        |  | university granting the applicant's degree; | 
      
        |  | (3)  a statement of the medical physics specialty for | 
      
        |  | which the application is submitted; | 
      
        |  | (4)  three professional references; and | 
      
        |  | (5)  any additional information required by medical | 
      
        |  | board rule. | 
      
        |  | (c)  The applicant must submit with the application the fee | 
      
        |  | prescribed by the medical board. | 
      
        |  | (d)  The medical board [ or the executive secretary] may | 
      
        |  | require an applicant to appear before the medical board [ or  | 
      
        |  | secretary] to present additional information in support of the | 
      
        |  | application. | 
      
        |  | SECTION 9.065.  Section 602.205, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 602.205.  TEMPORARY LICENSE.  The medical board may | 
      
        |  | issue a temporary license to an applicant who has satisfied the | 
      
        |  | educational requirements for a license but who has not yet | 
      
        |  | completed the experience and examination requirements of Section | 
      
        |  | 602.207.  A temporary license is valid for one year from the date of | 
      
        |  | issuance. | 
      
        |  | SECTION 9.066.  Section 602.206(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The medical board shall administer a written | 
      
        |  | examination for a license to qualified applicants at least two | 
      
        |  | times each year. | 
      
        |  | SECTION 9.067.  Section 602.207(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  To be eligible to take an examination for a license, an | 
      
        |  | applicant must: | 
      
        |  | (1)  have a master's or doctoral degree from an | 
      
        |  | accredited college or university that signifies the completion of | 
      
        |  | courses approved by the medical board in physics, medical physics, | 
      
        |  | biophysics, radiological physics, medical health physics, or | 
      
        |  | equivalent courses; | 
      
        |  | (2)  have demonstrated, to the medical board's | 
      
        |  | satisfaction, completion of at least two years of full-time work | 
      
        |  | experience in the five years preceding the date of application in | 
      
        |  | the medical physics specialty for which application is made; and | 
      
        |  | (3)  submit a completed application as required by | 
      
        |  | Section 602.203. | 
      
        |  | SECTION 9.068.  Section 602.208, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.208.  EXAMINATION RESULTS; REEXAMINATION.  (a)  The | 
      
        |  | medical board shall notify each examinee of the results of the | 
      
        |  | examination not later than the 30th day after the date the | 
      
        |  | examination is administered.  If an examination is graded or | 
      
        |  | reviewed by a national or state testing service, the medical board | 
      
        |  | shall notify each examinee of the results of the examination not | 
      
        |  | later than the 14th day after the date the medical board receives | 
      
        |  | the results from the testing service. | 
      
        |  | (b)  If the medical board learns that the notice of the | 
      
        |  | examination results will be delayed for more than 90 days after the | 
      
        |  | examination date, the medical board shall notify each examinee of | 
      
        |  | the reason for the delay not later than the 90th day. | 
      
        |  | (c)  If requested by a person who fails the examination, the | 
      
        |  | medical board shall provide to the person an analysis of the | 
      
        |  | person's performance on the examination. | 
      
        |  | (d)  The medical board by rule shall establish procedures and | 
      
        |  | requirements for reexamination of an applicant who fails the | 
      
        |  | examination. | 
      
        |  | SECTION 9.069.  Subchapter E, Chapter 602, Occupations Code, | 
      
        |  | is amended by adding Section 602.2081 to read as follows: | 
      
        |  | Sec. 602.2081.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR LICENSE.  (a)  The medical board shall require that | 
      
        |  | an applicant for a license submit a complete and legible set of | 
      
        |  | fingerprints, on a form prescribed by the medical board, to the | 
      
        |  | medical board or to the Department of Public Safety for the purpose | 
      
        |  | of obtaining criminal history record information from the | 
      
        |  | Department of Public Safety and the Federal Bureau of | 
      
        |  | Investigation. | 
      
        |  | (b)  The medical board may not issue a license to a person who | 
      
        |  | does not comply with the requirement of Subsection (a). | 
      
        |  | (c)  The medical board shall conduct a criminal history check | 
      
        |  | of each applicant for a license using information: | 
      
        |  | (1)  provided by the individual under this section; and | 
      
        |  | (2)  made available to the medical board by the | 
      
        |  | Department of Public Safety, the Federal Bureau of Investigation, | 
      
        |  | and any other criminal justice agency under Chapter 411, Government | 
      
        |  | Code. | 
      
        |  | (d)  The medical board may: | 
      
        |  | (1)  enter into an agreement with the Department of | 
      
        |  | Public Safety to administer a criminal history check required under | 
      
        |  | this section; and | 
      
        |  | (2)  authorize the Department of Public Safety to | 
      
        |  | collect from each applicant the costs incurred by the Department of | 
      
        |  | Public Safety in conducting the criminal history check. | 
      
        |  | SECTION 9.070.  Sections 602.209(a), (b), (c), and (e), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (a)  The medical board may issue a license to an eligible | 
      
        |  | applicant who: | 
      
        |  | (1)  passes the examination under Section 602.206; and | 
      
        |  | (2)  meets all other license requirements. | 
      
        |  | (b)  Not later than the 30th day after the date the medical | 
      
        |  | board makes a decision on an application submitted under Section | 
      
        |  | 602.203, the medical board shall notify the applicant of the | 
      
        |  | decision. | 
      
        |  | (c)  If the medical board approves the application, the | 
      
        |  | medical board shall issue a license to the applicant.  If the | 
      
        |  | medical board denies the application, the medical board shall | 
      
        |  | include in the notice of decision a description of the areas of | 
      
        |  | deficiency. | 
      
        |  | (e)  A license certificate is the medical board's property | 
      
        |  | and must be surrendered on demand. | 
      
        |  | SECTION 9.071.  Section 602.210, Occupations Code, is | 
      
        |  | amended by amending Subsections (b), (c), (d), (e), and (f) and | 
      
        |  | adding Subsection (g) to read as follows: | 
      
        |  | (b)  The medical board by rule may adopt a system under which | 
      
        |  | licenses expire on various dates during the year. | 
      
        |  | (c)  A person may renew an unexpired license by paying the | 
      
        |  | required renewal fee to the medical board before the expiration | 
      
        |  | date of the license. | 
      
        |  | (d)  If a person's license has been expired for 90 days or | 
      
        |  | less, the person may renew the license by paying to the medical | 
      
        |  | board the required renewal fee and a penalty fee in an amount equal | 
      
        |  | to one-half of the amount of the renewal fee. | 
      
        |  | (e)  If a person's license has been expired for longer than | 
      
        |  | 90 days but less than one year [ two years], the person may renew the | 
      
        |  | license by paying to the medical board the renewal fee that was due | 
      
        |  | at expiration and a penalty fee in an amount equal to the amount of | 
      
        |  | the renewal fee. | 
      
        |  | (f)  If a person's license has been expired for one year [ two  | 
      
        |  | years] or longer, the person may not renew the license.  To obtain a | 
      
        |  | new license, a person must comply with the requirements and | 
      
        |  | procedures for obtaining an original license, including the | 
      
        |  | examination requirement [ application requirements of this chapter  | 
      
        |  | and must submit to the board: | 
      
        |  | [ (1)  a supplemental experience record as required by  | 
      
        |  | the board; | 
      
        |  | [ (2)  a description of professional activities  | 
      
        |  | undertaken during the expiration period; | 
      
        |  | [ (3)  a list of current professional references; and | 
      
        |  | [ (4)  a transcript for any degree or college credit  | 
      
        |  | earned since the person's previous license application]. | 
      
        |  | (g)  Not later than the 30th day before the date a person's | 
      
        |  | license expires, the medical board shall send written notice of the | 
      
        |  | impending license expiration to the person at the license holder's | 
      
        |  | last known address according to the records of the medical board. | 
      
        |  | SECTION 9.072.  Subchapter E, Chapter 602, Occupations Code, | 
      
        |  | is amended by adding Section 602.2101 to read as follows: | 
      
        |  | Sec. 602.2101.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR RENEWAL.  (a)  An applicant renewing a license shall | 
      
        |  | submit a complete and legible set of fingerprints for purposes of | 
      
        |  | performing a criminal history check of the applicant as provided by | 
      
        |  | Section 602.2081. | 
      
        |  | (b)  The medical board may not renew the license of a person | 
      
        |  | who does not comply with the requirement of Subsection (a). | 
      
        |  | (c)  A license holder is not required to submit fingerprints | 
      
        |  | under this section for the renewal of the license if the license | 
      
        |  | holder has previously submitted fingerprints under: | 
      
        |  | (1)  Section 602.2081 for the initial issuance of the | 
      
        |  | license; or | 
      
        |  | (2)  this section as part of a prior renewal of the | 
      
        |  | license. | 
      
        |  | SECTION 9.073.  Section 602.211, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.211.  LICENSE BY ENDORSEMENT OR RECIPROCITY.  (a) | 
      
        |  | On receipt of an application and fee under Section 602.203, the | 
      
        |  | medical board may waive any prerequisite for obtaining a license to | 
      
        |  | a person who holds a license to practice medical or radiological | 
      
        |  | physics in another state, territory, or jurisdiction acceptable to | 
      
        |  | the medical board that has requirements for the licensing of | 
      
        |  | medical or radiological physicists that are substantially the same | 
      
        |  | as the requirements of this chapter. | 
      
        |  | (b)  The medical board may waive any prerequisite for | 
      
        |  | obtaining a license to practice medical physics in this state for an | 
      
        |  | applicant who holds a license issued by another jurisdiction with | 
      
        |  | which this state has a reciprocity agreement.  The medical board may | 
      
        |  | make an agreement, subject to the approval of the governor, with | 
      
        |  | another state to allow for licensing by reciprocity. | 
      
        |  | SECTION 9.074.  Section 602.212, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.212.  LICENSE HOLDER DUTIES.  A license holder | 
      
        |  | shall: | 
      
        |  | (1)  publicly display the license holder's license in | 
      
        |  | an appropriate manner; and | 
      
        |  | (2)  report immediately to the medical board any change | 
      
        |  | in the license holder's address. | 
      
        |  | SECTION 9.075.  Section 602.213, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 602.213.  PROVISIONAL LICENSE.  (a)  The medical board | 
      
        |  | may issue a provisional license to an applicant currently licensed | 
      
        |  | or certified in another jurisdiction who seeks a license in this | 
      
        |  | state and who: | 
      
        |  | (1)  has been licensed or certified in good standing as | 
      
        |  | a practitioner of medical or radiologic physics for at least two | 
      
        |  | years in another jurisdiction, including a foreign country, that | 
      
        |  | has licensing or certification requirements substantially | 
      
        |  | equivalent to the requirements of this chapter; | 
      
        |  | (2)  has passed a national or other examination | 
      
        |  | recognized by the medical board relating to the practice of medical | 
      
        |  | or radiologic physics; and | 
      
        |  | (3)  is sponsored by a person licensed by the medical | 
      
        |  | board under this chapter with whom the provisional license holder | 
      
        |  | will practice during the time the person holds a provisional | 
      
        |  | license. | 
      
        |  | (b)  The medical board may waive the requirement of | 
      
        |  | Subsection (a)(3) for an applicant if the medical board determines | 
      
        |  | that compliance with that subsection would be a hardship to the | 
      
        |  | applicant. | 
      
        |  | (c)  A provisional license is valid until the date the | 
      
        |  | medical board approves or denies the provisional license holder's | 
      
        |  | application for a license.  The medical board shall issue a license | 
      
        |  | under this chapter to the provisional license holder if: | 
      
        |  | (1)  the provisional license holder is eligible to be | 
      
        |  | certified under Section 602.211; or | 
      
        |  | (2)  the provisional license holder passes the part of | 
      
        |  | the examination under Section 602.206 that relates to the | 
      
        |  | applicant's knowledge and understanding of the laws and rules | 
      
        |  | relating to the practice of medical physics in this state and: | 
      
        |  | (A)  the medical board verifies that the | 
      
        |  | provisional license holder meets the academic and experience | 
      
        |  | requirements for a license under this chapter; and | 
      
        |  | (B)  the provisional license holder satisfies any | 
      
        |  | other licensing requirements under this chapter. | 
      
        |  | (d)  The medical board must approve or deny a provisional | 
      
        |  | license holder's application for a license not later than the 180th | 
      
        |  | day after the date the provisional license is issued.  The medical | 
      
        |  | board may extend the 180-day period if the results of an examination | 
      
        |  | have not been received by the medical board before the end of that | 
      
        |  | period. | 
      
        |  | (e)  The medical board may establish a fee for provisional | 
      
        |  | licenses. | 
      
        |  | SECTION 9.076.  Section 602.251, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.251.  GROUNDS FOR LICENSE DENIAL OR DISCIPLINARY | 
      
        |  | ACTION.  The medical board shall refuse to issue or renew a license, | 
      
        |  | suspend or revoke a license, or reprimand a license holder for: | 
      
        |  | (1)  obtaining or renewing a license by means of fraud, | 
      
        |  | misrepresentation, or concealment of a material fact; | 
      
        |  | (2)  having previously applied for or held a license | 
      
        |  | issued by the licensing authority of another state, territory, or | 
      
        |  | jurisdiction that was denied, suspended, or revoked by that | 
      
        |  | licensing authority; | 
      
        |  | (3)  engaging in unprofessional conduct that | 
      
        |  | endangered or is likely to endanger the health, safety, or welfare | 
      
        |  | of the public as defined by medical board rule; | 
      
        |  | (4)  violating this chapter, a lawful order or rule of | 
      
        |  | the medical board, or the medical board's code of ethics; or | 
      
        |  | (5)  being convicted of: | 
      
        |  | (A)  a felony; or | 
      
        |  | (B)  a misdemeanor involving moral turpitude or | 
      
        |  | that directly relates to the person's duties as a licensed medical | 
      
        |  | physicist. | 
      
        |  | SECTION 9.077.  Section 602.252, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.252.  ADMINISTRATIVE PROCEDURE.  Chapters 2001 and | 
      
        |  | 2002, Government Code, and medical board rules for a contested | 
      
        |  | hearing apply to a proceeding by the medical board under this | 
      
        |  | subchapter. | 
      
        |  | SECTION 9.078.  Subchapter F, Chapter 602, Occupations Code, | 
      
        |  | is amended by adding Section 602.2521 to read as follows: | 
      
        |  | Sec. 602.2521.  INFORMAL PROCEDURES.  (a)  The medical board | 
      
        |  | by rule shall adopt procedures governing: | 
      
        |  | (1)  informal disposition of a contested case under | 
      
        |  | Section 2001.056, Government Code; and | 
      
        |  | (2)  informal proceedings held in compliance with | 
      
        |  | Section 2001.054, Government Code. | 
      
        |  | (b)  Rules adopted under Subsection (a) must: | 
      
        |  | (1)  provide the complainant, if applicable and | 
      
        |  | permitted by law, an opportunity to be heard; | 
      
        |  | (2)  provide the license holder an opportunity to be | 
      
        |  | heard; and | 
      
        |  | (3)  require the medical board's legal counsel or a | 
      
        |  | representative of the attorney general to be present to advise the | 
      
        |  | medical board or the medical board's employees. | 
      
        |  | SECTION 9.079.  Section 602.253, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.253.  PROBATION.  The medical board may place on | 
      
        |  | probation a person whose license is suspended.  If a license | 
      
        |  | suspension is probated, the medical board may require the person | 
      
        |  | to: | 
      
        |  | (1)  report regularly to the medical board [ department] | 
      
        |  | on matters that are the basis of the probation; | 
      
        |  | (2)  limit practice to the areas prescribed by the | 
      
        |  | medical board; or | 
      
        |  | (3)  continue or review professional education until | 
      
        |  | the person attains a degree of skill satisfactory to the medical | 
      
        |  | board in those areas that are the basis of the probation. | 
      
        |  | SECTION 9.080.  Section 602.254(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The medical board or a three-member panel [ committee] of | 
      
        |  | medical board members designated by the president of the medical | 
      
        |  | board shall temporarily suspend the license of a license holder if | 
      
        |  | the medical board or panel [ committee] 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. | 
      
        |  | SECTION 9.081.  Section 602.301, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.301.  INJUNCTION.  The medical board shall | 
      
        |  | prosecute or file suit to enjoin a violation of this chapter or a | 
      
        |  | rule adopted under this chapter. | 
      
        |  | SECTION 9.082.  Section 602.3015, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 602.3015.  CIVIL PENALTY.  (a)  A person who violates | 
      
        |  | this chapter or a rule adopted or order issued [ adopted by the  | 
      
        |  | board] under this chapter is liable for a civil penalty not to | 
      
        |  | exceed $5,000 a day. | 
      
        |  | (b)  At the request of the medical board, the attorney | 
      
        |  | general shall bring an action to recover a civil penalty authorized | 
      
        |  | under this section. | 
      
        |  | SECTION 9.083.  Sections 602.351(a), (e), (g), (h), (i), | 
      
        |  | (j), (k), and (l), Occupations Code, are amended to read as follows: | 
      
        |  | (a)  The medical board may impose an administrative penalty | 
      
        |  | on a person licensed under this chapter who violates this chapter or | 
      
        |  | a rule adopted or order issued [ adopted] under this chapter.  A | 
      
        |  | penalty collected under this subchapter shall be deposited in the | 
      
        |  | state treasury in the general revenue fund. | 
      
        |  | (e)  If the medical board [ executive secretary] determines | 
      
        |  | that a violation occurred, the medical board [ executive secretary] | 
      
        |  | shall give written notice [ of the report] by certified mail to the | 
      
        |  | person. | 
      
        |  | (g)  Within 20 days after the date the person receives the | 
      
        |  | notice under Subsection (e), the person in writing may: | 
      
        |  | (1)  accept the determination and recommended penalty | 
      
        |  | [ of the executive secretary]; or | 
      
        |  | (2)  make a request for a hearing on the occurrence of | 
      
        |  | the violation, the amount of the penalty, or both. | 
      
        |  | (h)  If the person accepts the determination and recommended | 
      
        |  | penalty or if the person fails to respond to the notice, the medical | 
      
        |  | board by order shall approve the determination and impose the | 
      
        |  | recommended penalty. | 
      
        |  | (i)  If the person requests a hearing, the medical board | 
      
        |  | shall refer the matter to the State Office of Administrative | 
      
        |  | Hearings, which shall promptly set a hearing date and give written | 
      
        |  | notice of the time and place of the hearing to the person.  An | 
      
        |  | administrative law judge of the State Office of Administrative | 
      
        |  | Hearings shall conduct the hearing. | 
      
        |  | (j)  The administrative law judge shall make findings of fact | 
      
        |  | and conclusions of law and promptly issue to the medical board a | 
      
        |  | proposal for a decision about the occurrence of the violation and | 
      
        |  | the amount of a proposed penalty. | 
      
        |  | (k)  Based on the findings of fact, conclusions of law, and | 
      
        |  | proposal for a decision, the medical board by order may determine | 
      
        |  | that: | 
      
        |  | (1)  a violation occurred and impose a penalty; or | 
      
        |  | (2)  a violation did not occur. | 
      
        |  | (l)  The notice of the medical board's order under Subsection | 
      
        |  | (k) that is sent to the person in accordance with Chapter 2001, | 
      
        |  | Government Code, must include a statement of the right of the person | 
      
        |  | to judicial review of the order. | 
      
        |  | SECTION 9.084.  Sections 602.352(a), (b), and (c), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (a)  Within 30 days after the date an order of the medical | 
      
        |  | board under Section 602.351(k) that imposes an administrative | 
      
        |  | penalty becomes final, the person shall: | 
      
        |  | (1)  pay the penalty; or | 
      
        |  | (2)  file a petition for judicial review of the medical | 
      
        |  | board's order contesting the occurrence of the violation, the | 
      
        |  | amount of the penalty, or both. | 
      
        |  | (b)  Within the 30-day period prescribed by Subsection (a), a | 
      
        |  | person who files a petition for judicial review may: | 
      
        |  | (1)  stay enforcement of the penalty by: | 
      
        |  | (A)  paying the penalty to the court for placement | 
      
        |  | in an escrow account; or | 
      
        |  | (B)  giving the court a supersedeas bond approved | 
      
        |  | by the court that is: | 
      
        |  | (i)  for the amount of the penalty; and | 
      
        |  | (ii)  effective until all judicial review of | 
      
        |  | the medical board's 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)  sending a copy of the affidavit to the | 
      
        |  | medical board by certified mail. | 
      
        |  | (c)  If the medical board receives a copy of an affidavit | 
      
        |  | under Subsection (b)(2), the medical board may file with the court, | 
      
        |  | within five days after the date the copy is received, a contest to | 
      
        |  | the affidavit.  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 or to give | 
      
        |  | a supersedeas bond. | 
      
        |  | SECTION 9.085.  Sections 603.002(2) and (3), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (2)  "Advisory committee" [ "Committee"] means the | 
      
        |  | [ Texas State] Perfusionist Licensure Advisory Committee. | 
      
        |  | (3)  "Medical board" [ "Department"] means the Texas | 
      
        |  | Medical Board [ Department of State Health Services]. | 
      
        |  | SECTION 9.086.  Section 603.006, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.006.  APPLICABILITY OF OTHER LAW.  Chapter 2110, | 
      
        |  | Government Code, does not apply to the advisory committee. | 
      
        |  | SECTION 9.087.  The heading to Subchapter B, Chapter 603, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER B.  [ TEXAS STATE] PERFUSIONIST LICENSURE ADVISORY | 
      
        |  | COMMITTEE | 
      
        |  | SECTION 9.088.  Section 603.051, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.051.  ADVISORY COMMITTEE MEMBERSHIP.  (a)  The | 
      
        |  | advisory committee is an informal advisory committee to the medical | 
      
        |  | board.  The advisory committee has no independent rulemaking | 
      
        |  | authority. | 
      
        |  | (a-1)  The advisory committee [ Texas State Perfusionist  | 
      
        |  | Advisory Committee] consists of seven [five] members appointed by | 
      
        |  | the president of the medical board [ commissioner] as follows: | 
      
        |  | (1)  four perfusionists licensed in this state [ two  | 
      
        |  | licensed perfusionist members] who each have [been licensed under  | 
      
        |  | this chapter for] at least five [three] years of experience as a | 
      
        |  | perfusionist [ before the date of appointment]; | 
      
        |  | (2)  two physicians [ one physician member] licensed in | 
      
        |  | this state [ by the Texas Medical Board] who supervise perfusionists | 
      
        |  | [ is certified by that board in cardiovascular surgery]; and | 
      
        |  | (3)  one member [ two members] who represents | 
      
        |  | [ represent] the public. | 
      
        |  | (b)  Appointments to the advisory committee shall reflect | 
      
        |  | the historical and cultural diversity of the inhabitants of this | 
      
        |  | state. | 
      
        |  | (c)  Appointments to the advisory committee shall be made | 
      
        |  | without regard to the race, color, disability, sex, religion, age, | 
      
        |  | or national origin of the appointee. | 
      
        |  | SECTION 9.089.  Section 603.0511, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.0511.  PUBLIC MEMBER ELIGIBILITY [ OF PUBLIC  | 
      
        |  | MEMBERS].  A person may not be a public member of the advisory | 
      
        |  | committee if the person or the person's spouse: | 
      
        |  | (1)  is registered, certified, or licensed by a | 
      
        |  | regulatory agency in a [ the field of] health care profession; | 
      
        |  | (2)  is employed by or participates in the management | 
      
        |  | of a business entity or other organization regulated by or | 
      
        |  | receiving money from the medical board [ department]; | 
      
        |  | (3)  owns or controls, directly or indirectly, more | 
      
        |  | than a 10 percent interest in a business entity or other | 
      
        |  | organization regulated by or receiving money from the medical board | 
      
        |  | [ department]; or | 
      
        |  | (4)  uses or receives a substantial amount of tangible | 
      
        |  | goods, services, or money from the medical board [ department] other | 
      
        |  | than compensation or reimbursement authorized by law for advisory | 
      
        |  | committee membership, attendance, or expenses. | 
      
        |  | SECTION 9.090.  Sections 603.052(b) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (b)  A person may not be an advisory [ a] committee member | 
      
        |  | [ and may not be a department employee 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, or paid | 
      
        |  | consultant of a Texas trade association in the field of health care; | 
      
        |  | or | 
      
        |  | (2)  the person's spouse is an officer, manager, or paid | 
      
        |  | consultant of a Texas trade association in the field of health care. | 
      
        |  | (c)  A person may not be a member of the advisory committee or | 
      
        |  | act as the general counsel to the advisory committee [ or the  | 
      
        |  | department] 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 advisory committee or medical board | 
      
        |  | [ department]. | 
      
        |  | SECTION 9.091.  Section 603.053, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.053.  TERMS; VACANCY.  (a)  Members of the advisory | 
      
        |  | committee serve two-year [ staggered six-year] terms.  The terms of | 
      
        |  | the [ one or two] members [, as appropriate,] expire on February 1 of | 
      
        |  | each odd-numbered year. | 
      
        |  | (b)  If a vacancy occurs during a member's term, the | 
      
        |  | president of the medical board shall appoint a person to serve for | 
      
        |  | the unexpired term. | 
      
        |  | SECTION 9.092.  Sections 603.054(a) and (b), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  It is a ground for removal from the advisory committee | 
      
        |  | that a member: | 
      
        |  | (1)  does not have at the time of taking office the | 
      
        |  | qualifications required by Section 603.051; | 
      
        |  | (2)  does not maintain during service on the advisory | 
      
        |  | committee the qualifications required by Section 603.051; | 
      
        |  | (3)  is ineligible for membership under Section | 
      
        |  | 603.0511 or 603.052; or | 
      
        |  | (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 committee meetings that the member is eligible to attend  | 
      
        |  | during a calendar year without an excuse approved by a majority vote  | 
      
        |  | of the committee]. | 
      
        |  | (b)  The validity of an action of the advisory committee is | 
      
        |  | not affected by the fact that it is taken when a ground for removal | 
      
        |  | of a member of the advisory committee exists. | 
      
        |  | SECTION 9.093.  Section 603.056, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.056.  OFFICERS.  (a)  The president of the medical | 
      
        |  | board [ Not later than the 30th day after the date the commissioner  | 
      
        |  | appoints new committee members, the commissioner] shall designate | 
      
        |  | biennially an advisory committee member as the [ a] presiding | 
      
        |  | officer of the advisory committee to serve in that capacity at the | 
      
        |  | will of the president.  [ The presiding officer serves at the  | 
      
        |  | pleasure of the commissioner.] | 
      
        |  | (b)  The advisory committee may appoint additional officers | 
      
        |  | as necessary. | 
      
        |  | SECTION 9.094.  Section 603.057, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.057.  MEETINGS.  The advisory committee shall meet | 
      
        |  | as requested by the medical board [ subject to the call of the  | 
      
        |  | commissioner].  A meeting may be held by telephone conference call. | 
      
        |  | SECTION 9.095.  The heading to Subchapter D, Chapter 603, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER D.  MEDICAL BOARD POWERS AND DUTIES | 
      
        |  | SECTION 9.096.  Section 603.151, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.151.  GENERAL POWERS AND DUTIES [ OF DEPARTMENT]. | 
      
        |  | The medical board [ department] shall: | 
      
        |  | (1)  establish the qualifications for a perfusionist to | 
      
        |  | practice in this state [ and fitness of applicants for licenses,  | 
      
        |  | including renewed and reciprocal licenses]; | 
      
        |  | (2)  establish requirements for an examination for a | 
      
        |  | license under this chapter [ revoke, suspend, or deny a license,  | 
      
        |  | probate a license suspension, or reprimand a license holder for a  | 
      
        |  | violation of this chapter, a rule adopted by the executive  | 
      
        |  | commissioner under this chapter, or the code of ethics adopted by  | 
      
        |  | the executive commissioner]; | 
      
        |  | (3)  establish minimum education and training | 
      
        |  | requirements necessary for a license under this chapter [ spend  | 
      
        |  | money necessary to administer the department's duties]; | 
      
        |  | (4)  prescribe the application form for a license under | 
      
        |  | this chapter; and [ request and receive necessary assistance from  | 
      
        |  | another state agency, including a state educational institution;] | 
      
        |  | (5)  adopt [ an official seal;] and | 
      
        |  | [ (6)]  publish a [the] code of ethics [adopted by the  | 
      
        |  | executive commissioner]. | 
      
        |  | SECTION 9.097.  Section 603.152, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.152.  GENERAL RULEMAKING AUTHORITY.  The medical | 
      
        |  | board [ executive commissioner] may adopt rules necessary to: | 
      
        |  | (1)  regulate the practice of perfusion; | 
      
        |  | (2)  enforce this chapter; and | 
      
        |  | (3)  perform medical board [ department] duties under | 
      
        |  | this chapter. | 
      
        |  | SECTION 9.098.  Section 603.153, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.153.  RULES RESTRICTING ADVERTISING OR COMPETITIVE | 
      
        |  | BIDDING.  (a)  The medical board [ executive commissioner] may not | 
      
        |  | adopt a rule restricting advertising or competitive bidding by a | 
      
        |  | person regulated by the medical board [ department] under this | 
      
        |  | chapter except to prohibit a false, misleading, or deceptive | 
      
        |  | practice. | 
      
        |  | (b)  The medical board [ executive commissioner] may not | 
      
        |  | include in rules to prohibit a false, misleading, or deceptive | 
      
        |  | practice by a person regulated by the medical board [ department] | 
      
        |  | under this chapter a rule that: | 
      
        |  | (1)  restricts the person's use of any medium for | 
      
        |  | advertising; | 
      
        |  | (2)  restricts the person's personal appearance or use | 
      
        |  | of the person's voice in an advertisement; | 
      
        |  | (3)  relates to the size or duration of any | 
      
        |  | advertisement by the person; or | 
      
        |  | (4)  restricts the use by the person of a trade name in | 
      
        |  | advertising. | 
      
        |  | SECTION 9.099.  Section 603.1535, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.1535.  RULES ON CONSEQUENCES OF CRIMINAL | 
      
        |  | CONVICTION.  (a)  The medical board [ executive commissioner] shall | 
      
        |  | adopt rules necessary to comply with Chapter 53, except to the | 
      
        |  | extent the requirements of this chapter are stricter than the | 
      
        |  | requirements of Chapter 53. | 
      
        |  | (b)  In rules under this section, the medical board | 
      
        |  | [ executive commissioner] shall list the specific offenses for which | 
      
        |  | a conviction would constitute grounds for the medical board | 
      
        |  | [ department] to take action under Section 53.021. | 
      
        |  | SECTION 9.100.  Section 603.154, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended by amending Subsection (a) to read as follows: | 
      
        |  | (a)  The medical board [ After consulting the commissioner or  | 
      
        |  | the department, the executive commissioner] shall set fees in | 
      
        |  | amounts reasonable and necessary to cover the costs of | 
      
        |  | administering this chapter. | 
      
        |  | SECTION 9.101.  Section 603.155, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.155.  [ EXECUTIVE COMMISSIONER AND DEPARTMENT] | 
      
        |  | DUTIES REGARDING COMPLAINTS.  (a)  The medical board [ executive  | 
      
        |  | commissioner] by rule shall: | 
      
        |  | (1)  adopt a form to standardize information concerning | 
      
        |  | complaints made to the medical board [ department]; and | 
      
        |  | (2)  prescribe information to be provided to a person | 
      
        |  | when the person files a complaint with the medical board | 
      
        |  | [ department]. | 
      
        |  | (b)  The medical board [ department] shall provide reasonable | 
      
        |  | assistance to a person who wishes to file a complaint with the | 
      
        |  | medical board [ department]. | 
      
        |  | SECTION 9.102.  Section 603.156, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.156.  REGISTRY.  The medical board [ department] | 
      
        |  | shall prepare a registry of licensed perfusionists and | 
      
        |  | provisionally licensed perfusionists that is available to the | 
      
        |  | public, license holders, and appropriate state agencies. | 
      
        |  | SECTION 9.103.  Section 603.201, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.201.  PUBLIC INTEREST INFORMATION.  (a)  The | 
      
        |  | medical board [ department] shall prepare information of consumer | 
      
        |  | interest describing the profession of perfusion, the regulatory | 
      
        |  | functions of the medical board [ department], and the procedures by | 
      
        |  | which consumer complaints are filed with and resolved by the | 
      
        |  | medical board [ department]. | 
      
        |  | (b)  The medical board [ department] shall make the | 
      
        |  | information available to the public and appropriate state agencies. | 
      
        |  | SECTION 9.104.  Section 603.202, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.202.  COMPLAINTS.  (a)  The medical board | 
      
        |  | [ executive commissioner] by rule shall establish methods by which | 
      
        |  | consumers and service recipients are notified of the name, mailing | 
      
        |  | address, and telephone number of the medical board [ department] for | 
      
        |  | the purpose of directing complaints under this chapter to the | 
      
        |  | medical board [ department].  The medical board [department] may | 
      
        |  | provide for that notice: | 
      
        |  | (1)  on each license form, application, or written | 
      
        |  | contract for services of a person licensed under this chapter; | 
      
        |  | (2)  on a sign prominently displayed in the place of | 
      
        |  | business of each person licensed under this chapter; or | 
      
        |  | (3)  in a bill for services provided by a person | 
      
        |  | licensed under this chapter. | 
      
        |  | (b)  The medical board [ department] 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. | 
      
        |  | SECTION 9.105.  Section 603.203, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.203.  RECORDS OF COMPLAINTS.  (a)  The medical board | 
      
        |  | [ department] shall maintain a system to promptly and efficiently | 
      
        |  | act on complaints filed [ with the department] under this | 
      
        |  | chapter.  The medical board [ department] shall maintain: | 
      
        |  | (1)  information about the parties to the complaint and | 
      
        |  | the subject matter of the complaint; | 
      
        |  | (2)  a summary of the results of the review or | 
      
        |  | investigation of the complaint; and | 
      
        |  | (3)  information about the disposition of the | 
      
        |  | complaint. | 
      
        |  | (b)  The medical board [ department] shall make information | 
      
        |  | available describing its procedures for complaint investigation | 
      
        |  | and resolution. | 
      
        |  | (c)  The medical board [ department] shall periodically | 
      
        |  | notify the parties of the status of the complaint until final | 
      
        |  | disposition of the complaint. | 
      
        |  | SECTION 9.106.  Section 603.204, Occupations Code, is | 
      
        |  | amended by amending Subsections (a) and (d), as amended by S.B. 219, | 
      
        |  | Acts of the 84th Legislature, Regular Session, 2015, and amending | 
      
        |  | Subsection (b) to read as follows: | 
      
        |  | (a)  The medical board [ executive commissioner] shall adopt | 
      
        |  | rules concerning the investigation of a complaint filed [ with the  | 
      
        |  | department] under this chapter.  The rules shall: | 
      
        |  | (1)  distinguish among categories of complaints; | 
      
        |  | (2)  ensure that a complaint is not dismissed without | 
      
        |  | appropriate consideration; | 
      
        |  | (3)  require that if [ the department be advised of] a | 
      
        |  | complaint [ that] is dismissed, [and that] a letter shall be sent to | 
      
        |  | the person who filed the complaint explaining the action taken on | 
      
        |  | the dismissed complaint; | 
      
        |  | (4)  ensure that the person who filed the complaint has | 
      
        |  | an 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 medical board [ department] to obtain the | 
      
        |  | services of a private investigator. | 
      
        |  | (b)  The medical board [ department] shall: | 
      
        |  | (1)  dispose of each complaint in a timely manner; and | 
      
        |  | (2)  establish, not later than the 30th day after the | 
      
        |  | date the medical board [ department] receives a complaint, a | 
      
        |  | schedule for conducting each phase of the complaint resolution | 
      
        |  | process that is under the control of the medical board | 
      
        |  | [ department]. | 
      
        |  | (d)  The executive director of the medical board [ secretary] | 
      
        |  | shall notify the president of the medical board [ department] of a | 
      
        |  | complaint that is not resolved within the time prescribed by the | 
      
        |  | medical board [ department] for resolving the complaint so that the | 
      
        |  | president [ department] may take necessary action on the complaint. | 
      
        |  | SECTION 9.107.  The heading to Section 603.2041, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 603.2041.  SUBPOENAS; CONFIDENTIALITY OF INFORMATION. | 
      
        |  | SECTION 9.108.  Section 603.2041, Occupations Code, is | 
      
        |  | amended by amending Subsections (a), (h), and (i), as amended by | 
      
        |  | S.B. 219, Acts of the 84th Legislature, Regular Session, 2015, and | 
      
        |  | adding Subsection (a-1) to read as follows: | 
      
        |  | (a)  The executive director of the medical board, the | 
      
        |  | director's designee, or the secretary-treasurer of the medical | 
      
        |  | board [ In an investigation of a complaint filed with the  | 
      
        |  | department, the department] may issue a subpoena or subpoena duces | 
      
        |  | tecum: | 
      
        |  | (1)  to conduct an investigation or a contested case | 
      
        |  | proceeding related to: | 
      
        |  | (A)  alleged misconduct by a perfusionist; | 
      
        |  | (B)  an alleged violation of this chapter or | 
      
        |  | another law related to the practice of perfusion; or | 
      
        |  | (C)  the provision of health care under this | 
      
        |  | chapter; or | 
      
        |  | (2)  for purposes of determining whether to issue, | 
      
        |  | suspend, restrict, or revoke a license under this chapter [ to  | 
      
        |  | compel the attendance of a relevant witness or the production, for  | 
      
        |  | inspection or copying, of relevant evidence that is in this state]. | 
      
        |  | (a-1)  Failure to timely comply with a subpoena issued under | 
      
        |  | this section is a ground for: | 
      
        |  | (1)  disciplinary action by the medical board or | 
      
        |  | another licensing or regulatory agency with jurisdiction over the | 
      
        |  | person subject to the subpoena; and | 
      
        |  | (2)  denial of a license application. | 
      
        |  | (h)  All information and materials subpoenaed or compiled by | 
      
        |  | the medical board [ department] in connection with a complaint and | 
      
        |  | investigation under this chapter are confidential and not subject | 
      
        |  | to disclosure under Chapter 552, Government Code, and not subject | 
      
        |  | to disclosure, discovery, subpoena, or other means of legal | 
      
        |  | compulsion for their release to anyone other than the medical board | 
      
        |  | [ department] or its agents or employees involved in discipline of | 
      
        |  | the holder of a license, except that this information may be | 
      
        |  | disclosed to: | 
      
        |  | (1)  persons involved with the medical board | 
      
        |  | [ department] in a disciplinary action against the holder of a | 
      
        |  | license under this chapter; | 
      
        |  | (2)  professional perfusionist licensing or | 
      
        |  | disciplinary boards in other jurisdictions; | 
      
        |  | (3)  peer assistance programs approved by the medical | 
      
        |  | board [ department] under Chapter 467, Health and Safety Code; | 
      
        |  | (4)  law enforcement agencies; and | 
      
        |  | (5)  persons engaged in bona fide research, if all | 
      
        |  | individual-identifying information has been deleted. | 
      
        |  | (i)  The filing of formal charges by the medical board | 
      
        |  | [ department] against a holder of a license under this chapter, the | 
      
        |  | nature of those charges, disciplinary proceedings of the medical | 
      
        |  | board [ department], and final disciplinary actions, including | 
      
        |  | warnings and reprimands, by the medical board [ department] are not | 
      
        |  | confidential and are subject to disclosure in accordance with | 
      
        |  | Chapter 552, Government Code. | 
      
        |  | SECTION 9.109.  Section 603.205, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.205.  PUBLIC PARTICIPATION.  (a)  The medical board | 
      
        |  | [ department] shall develop and implement policies that provide the | 
      
        |  | public with a reasonable opportunity to appear before the medical | 
      
        |  | board [ department] and to speak on any issue related to the practice | 
      
        |  | of perfusion. | 
      
        |  | (b)  The medical board [ department] shall prepare and | 
      
        |  | maintain a written plan that describes how a person who does not | 
      
        |  | speak English or who has a physical, mental, or developmental | 
      
        |  | disability may be provided reasonable access to the medical board's | 
      
        |  | [ department's] programs under this chapter. | 
      
        |  | SECTION 9.110.  Section 603.252(b), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (b)  The medical board [ department] shall prescribe the | 
      
        |  | application form and [ the executive commissioner] by rule may | 
      
        |  | establish dates by which applications and fees must be received. | 
      
        |  | SECTION 9.111.  Sections 603.253(b), (c), (d), and (e), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (b)  The medical board [ department] shall prepare or approve | 
      
        |  | an examination.  The medical board [ department] may prescribe an | 
      
        |  | examination that consists of or includes a written examination | 
      
        |  | given by the American Board of Cardiovascular Perfusion or by a | 
      
        |  | national or state testing service. | 
      
        |  | (c)  The medical board [ department] shall have any written | 
      
        |  | portion of the examination validated by an independent testing | 
      
        |  | professional. | 
      
        |  | (d)  The medical board [ department] shall administer an | 
      
        |  | examination to qualified applicants at least once each calendar | 
      
        |  | year. | 
      
        |  | (e)  On receipt of an application and application fee, the | 
      
        |  | medical board [ department] shall waive the examination requirement | 
      
        |  | for an applicant who, at the time of application: | 
      
        |  | (1)  is licensed or certified by another state that has | 
      
        |  | licensing or certification requirements the medical board | 
      
        |  | [ department] determines to be substantially equivalent to the | 
      
        |  | requirements of this chapter; or | 
      
        |  | (2)  holds a certificate as a certified clinical | 
      
        |  | perfusionist issued by the American Board of Cardiovascular | 
      
        |  | Perfusion before January 1, 1994, authorizing the holder to | 
      
        |  | practice perfusion in a state that does not license or certify | 
      
        |  | perfusionists. | 
      
        |  | SECTION 9.112.  Sections 603.2535(b) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (b)  The medical board [ department] shall develop and | 
      
        |  | administer at least twice each calendar year a jurisprudence | 
      
        |  | examination to determine an applicant's knowledge of this chapter, | 
      
        |  | rules adopted under this chapter [ by the executive commissioner], | 
      
        |  | and any other applicable laws of this state affecting the | 
      
        |  | applicant's practice of perfusion. | 
      
        |  | (c)  The medical board [ executive commissioner] shall adopt | 
      
        |  | rules to implement this section, including rules related to the | 
      
        |  | development and administration of the examination, examination | 
      
        |  | fees, guidelines for reexamination, grading the examination, and | 
      
        |  | providing notice of examination results. | 
      
        |  | SECTION 9.113.  Section 603.254, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.254.  QUALIFICATION FOR EXAMINATION.  (a)  To | 
      
        |  | qualify for the licensing examinations under this chapter, an | 
      
        |  | applicant must have successfully completed a perfusion education | 
      
        |  | program approved by the medical board [ department]. | 
      
        |  | (b)  The medical board [ department] may approve a perfusion | 
      
        |  | education program only if the program has educational standards | 
      
        |  | that are: | 
      
        |  | (1)  at least as stringent as those established by the | 
      
        |  | Accreditation Committee for Perfusion Education of the American | 
      
        |  | Medical Association or its successor; and | 
      
        |  | (2)  approved by the Commission on Accreditation of the | 
      
        |  | Allied Health Education Program of the American Medical Association | 
      
        |  | or its successor. | 
      
        |  | SECTION 9.114.  Section 603.255(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  The medical board [ department] shall notify an | 
      
        |  | applicant in writing of the receipt and investigation of the | 
      
        |  | applicant's application and any other relevant evidence relating to | 
      
        |  | qualifications established by [ department] rule not later than: | 
      
        |  | (1)  the 45th day after the date a properly submitted | 
      
        |  | and timely application is received; and | 
      
        |  | (2)  the 30th day before the next examination date. | 
      
        |  | SECTION 9.115.  Section 603.256, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.256.  EXAMINATION RESULTS.  (a)  The medical board | 
      
        |  | [ department] shall notify each examinee of the examination results | 
      
        |  | not later than the 30th day after the date the examination is | 
      
        |  | administered.  If an examination is graded or reviewed by a national | 
      
        |  | or state testing service, the medical board [ department] shall | 
      
        |  | notify each examinee of the examination results not later than the | 
      
        |  | 14th day after the date the medical board [ department] receives the | 
      
        |  | results from the testing service. | 
      
        |  | (b)  If the notice of the results of an examination graded or | 
      
        |  | reviewed by a national or state testing service will be delayed for | 
      
        |  | longer than 90 days after the examination date, the medical board | 
      
        |  | [ department] shall notify each examinee of the reason for the delay | 
      
        |  | before the 90th day. | 
      
        |  | (c)  If requested in writing by a person who fails the | 
      
        |  | examination, the medical board [ department] shall provide to the | 
      
        |  | person an analysis of the person's performance on the examination. | 
      
        |  | SECTION 9.116.  Section 603.257, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.257.  REEXAMINATION AND ALTERNATIVES TO | 
      
        |  | EXAMINATION.  The medical board [ executive commissioner] by rule | 
      
        |  | shall establish: | 
      
        |  | (1)  a limit on the number of times an applicant who | 
      
        |  | fails an examination may retake the examination; | 
      
        |  | (2)  requirements for retaking an examination; and | 
      
        |  | (3)  alternative methods of examining competency. | 
      
        |  | SECTION 9.117.  Subchapter F, Chapter 603, Occupations Code, | 
      
        |  | is amended by adding Section 603.2571 to read as follows: | 
      
        |  | Sec. 603.2571.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR LICENSE.  (a)  The medical board shall require that | 
      
        |  | an applicant for a license submit a complete and legible set of | 
      
        |  | fingerprints, on a form prescribed by the medical board, to the | 
      
        |  | medical board or to the Department of Public Safety for the purpose | 
      
        |  | of obtaining criminal history record information from the | 
      
        |  | Department of Public Safety and the Federal Bureau of | 
      
        |  | Investigation. | 
      
        |  | (b)  The medical board may not issue a license to a person who | 
      
        |  | does not comply with the requirement of Subsection (a). | 
      
        |  | (c)  The medical board shall conduct a criminal history check | 
      
        |  | of each applicant for a license using information: | 
      
        |  | (1)  provided by the individual under this section; and | 
      
        |  | (2)  made available to the medical board by the | 
      
        |  | Department of Public Safety, the Federal Bureau of Investigation, | 
      
        |  | and any other criminal justice agency under Chapter 411, Government | 
      
        |  | Code. | 
      
        |  | (d)  The medical board may: | 
      
        |  | (1)  enter into an agreement with the Department of | 
      
        |  | Public Safety to administer a criminal history check required under | 
      
        |  | this section; and | 
      
        |  | (2)  authorize the Department of Public Safety to | 
      
        |  | collect from each applicant the costs incurred by the Department of | 
      
        |  | Public Safety in conducting the criminal history check. | 
      
        |  | SECTION 9.118.  Section 603.259, Occupations Code, is | 
      
        |  | amended by amending Subsections (a) and (d) and Subsection (c), as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, to read as follows: | 
      
        |  | (a)  The medical board [ department] may issue a provisional | 
      
        |  | license to an applicant who files an application, pays an | 
      
        |  | application fee, and submits evidence satisfactory to the medical | 
      
        |  | board [ department] of successful completion of the education | 
      
        |  | requirement under Section 603.254. | 
      
        |  | (c)  A provisionally licensed perfusionist must practice | 
      
        |  | under the supervision and direction of a licensed perfusionist | 
      
        |  | while performing perfusion.  If the medical board [ department] | 
      
        |  | finds that a licensed perfusionist is not reasonably available to | 
      
        |  | provide supervision and direction and if the medical board | 
      
        |  | [ department] approves an application submitted [to the department] | 
      
        |  | by the provisionally licensed perfusionist, supervision and | 
      
        |  | direction may be provided by a physician who is licensed by the | 
      
        |  | medical board [ Texas Medical Board] and certified by the American | 
      
        |  | Board of Thoracic Surgery or certified in cardiovascular surgery by | 
      
        |  | the American Osteopathic Board of Surgery. | 
      
        |  | (d)  The medical board [ executive commissioner] may not | 
      
        |  | adopt a rule governing supervision and direction that requires the | 
      
        |  | immediate physical presence of the supervising person. | 
      
        |  | SECTION 9.119.  Sections 603.301(b), (c), (d), and (f), | 
      
        |  | Occupations Code, are amended to read as follows: | 
      
        |  | (b)  The medical board [ executive commissioner] by rule may | 
      
        |  | adopt a system under which licenses expire on various dates during | 
      
        |  | the year. | 
      
        |  | (c)  A person may renew an unexpired license by paying the | 
      
        |  | required renewal fee to the medical board [ department] before the | 
      
        |  | license expiration date. | 
      
        |  | (d)  A person whose license has been expired for 90 days or | 
      
        |  | less may renew the license by paying to the medical board | 
      
        |  | [ department] a fee that is equal to 1-1/4 times the amount of the | 
      
        |  | renewal fee.  If a license has been expired for more than 90 days | 
      
        |  | but less than one year, the person may renew the license by paying | 
      
        |  | to the medical board [ department] a fee that is equal to 1-1/2 times | 
      
        |  | the amount of the renewal fee. | 
      
        |  | (f)  Before the 30th day before a person's license expiration | 
      
        |  | date, the medical board [ department] shall send written notice of | 
      
        |  | the impending license expiration to the person at the person's last | 
      
        |  | known address according to medical board [ department] records. | 
      
        |  | SECTION 9.120.  Section 603.303, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.303.  RENEWAL OF EXPIRED LICENSE BY OUT-OF-STATE | 
      
        |  | PRACTITIONER.  (a)  The medical board [ department] may renew | 
      
        |  | without reexamination an expired license of a person who was | 
      
        |  | licensed as a perfusionist in this state, moved to another state, | 
      
        |  | and is licensed or certified and has been in practice in the other | 
      
        |  | state for the two years preceding the date the person applies for | 
      
        |  | renewal. | 
      
        |  | (b)  The person must pay to the medical board [ department] a | 
      
        |  | fee that is equal to the amount of the renewal fee for the license. | 
      
        |  | SECTION 9.121.  Subchapter G, Chapter 603, Occupations Code, | 
      
        |  | is amended by adding Section 603.3031 to read as follows: | 
      
        |  | Sec. 603.3031.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR RENEWAL.  (a)  An applicant renewing a license shall | 
      
        |  | submit a complete and legible set of fingerprints for purposes of | 
      
        |  | performing a criminal history check of the applicant as provided by | 
      
        |  | Section 603.2571. | 
      
        |  | (b)  The medical board may not renew the license of a person | 
      
        |  | who does not comply with the requirement of Subsection (a). | 
      
        |  | (c)  A license holder is not required to submit fingerprints | 
      
        |  | under this section for the renewal of the license if the license | 
      
        |  | holder has previously submitted fingerprints under: | 
      
        |  | (1)  Section 603.2571 for the initial issuance of the | 
      
        |  | license; or | 
      
        |  | (2)  this section as part of a prior renewal of the | 
      
        |  | license. | 
      
        |  | SECTION 9.122.  Section 603.304, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.304.  CONTINUING EDUCATION.  (a)  To renew a license | 
      
        |  | under this chapter, a person must submit proof satisfactory to the | 
      
        |  | medical board [ department] that the person has complied with the | 
      
        |  | continuing education requirements prescribed by the medical board | 
      
        |  | [ executive commissioner]. | 
      
        |  | (b)  The medical board [ executive commissioner] shall | 
      
        |  | establish continuing education programs for licensed perfusionists | 
      
        |  | and provisionally licensed perfusionists under this chapter.  The | 
      
        |  | standards of the programs must be at least as stringent as the | 
      
        |  | standards of the American Board of Cardiovascular Perfusion or its | 
      
        |  | successor. | 
      
        |  | (c)  The medical board [ executive commissioner] shall: | 
      
        |  | (1)  establish a minimum number of hours of continuing | 
      
        |  | education required for license renewal under this chapter; and | 
      
        |  | (2)  develop a process to evaluate and approve | 
      
        |  | continuing education courses. | 
      
        |  | (d)  The medical board [ executive commissioner] shall | 
      
        |  | identify key factors for a license holder's competent performance | 
      
        |  | of professional duties.  The medical board [ executive  | 
      
        |  | commissioner] shall adopt a procedure to assess a license holder's | 
      
        |  | participation in continuing education programs. | 
      
        |  | SECTION 9.123.  Section 603.305, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.305.  GROUNDS FOR REFUSING RENEWAL.  The medical | 
      
        |  | board [ department] may refuse to renew the license of a person who | 
      
        |  | fails to pay an administrative penalty imposed under Subchapter K | 
      
        |  | unless enforcement of the penalty is stayed or a court has ordered | 
      
        |  | that the administrative penalty is not owed. | 
      
        |  | SECTION 9.124.  Section 603.352, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.352.  LICENSE HOLDER INFORMATION.  A person | 
      
        |  | licensed under this chapter shall keep the medical board | 
      
        |  | [ department] informed of any change in the license holder's | 
      
        |  | address. | 
      
        |  | SECTION 9.125.  Section 603.353, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.353.  SURRENDER OF LICENSE.  A license certificate | 
      
        |  | issued by the medical board [ department] is the property of the | 
      
        |  | medical board [ department] and shall be surrendered on demand. | 
      
        |  | SECTION 9.126.  Section 603.401, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.401.  GROUNDS FOR DISCIPLINARY ACTION.  If a | 
      
        |  | license holder violates this chapter or a rule or code of ethics | 
      
        |  | adopted under this chapter [ by the executive commissioner], the | 
      
        |  | medical board [ department] shall: | 
      
        |  | (1)  revoke or suspend the license; | 
      
        |  | (2)  place on probation the person if the person's | 
      
        |  | license has been suspended; | 
      
        |  | (3)  reprimand the license holder; or | 
      
        |  | (4)  refuse to renew the license. | 
      
        |  | SECTION 9.127.  Section 603.402, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.402.  HEARING.  (a)  If the medical board | 
      
        |  | [ department] proposes to revoke, suspend, or refuse to renew a | 
      
        |  | person's license, the person is entitled to a hearing before a | 
      
        |  | hearings officer appointed by the State Office of Administrative | 
      
        |  | Hearings. | 
      
        |  | (b)  The medical board [ executive commissioner] shall | 
      
        |  | prescribe procedures for appealing [ to the department] a decision | 
      
        |  | to revoke, suspend, or refuse to renew a license. | 
      
        |  | SECTION 9.128.  Section 603.404(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The medical board [ executive commissioner] by rule | 
      
        |  | shall adopt a broad schedule of sanctions for a violation of this | 
      
        |  | chapter. | 
      
        |  | SECTION 9.129.  Section 603.405, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.405.  PROBATION.  The medical board [ department] | 
      
        |  | may require a person whose license suspension is probated to: | 
      
        |  | (1)  report regularly to the medical board [ department] | 
      
        |  | on matters that are the basis of the probation; | 
      
        |  | (2)  limit practice to areas prescribed by the medical | 
      
        |  | board [ department]; or | 
      
        |  | (3)  continue the person's professional education until | 
      
        |  | the license holder attains a degree of skill satisfactory to the | 
      
        |  | medical board [ department] in those areas that are the basis of the | 
      
        |  | probation. | 
      
        |  | SECTION 9.130.  Section 603.406, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.406.  MONITORING OF LICENSE HOLDER.  (a)  The | 
      
        |  | medical board [ executive commissioner] by rule shall develop a | 
      
        |  | system for monitoring a license holder's compliance with the | 
      
        |  | requirements of this chapter. | 
      
        |  | (b)  Rules adopted under this section must include | 
      
        |  | procedures to: | 
      
        |  | (1)  monitor for compliance a license holder who is | 
      
        |  | ordered by the medical board [ department] to perform certain acts; | 
      
        |  | and | 
      
        |  | (2)  identify and monitor license holders who represent | 
      
        |  | a risk to the public. | 
      
        |  | SECTION 9.131.  Section 603.407, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.407.  INFORMAL PROCEDURES.  (a)  The medical board | 
      
        |  | [ executive commissioner] 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, if applicable and | 
      
        |  | permitted by law, an opportunity to be heard; | 
      
        |  | (2)  provide [ and] the license holder an opportunity to | 
      
        |  | be heard; and | 
      
        |  | (3) [ (2)]  require the presence of a representative of | 
      
        |  | the attorney general or the medical board's [ department's] legal | 
      
        |  | counsel to advise the medical board [ department] or the medical | 
      
        |  | board's [ department's] employees. | 
      
        |  | SECTION 9.132.  Section 603.408(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The medical board or a three-member panel of medical | 
      
        |  | board members designated by the president of the medical board | 
      
        |  | [ department] shall temporarily suspend the license of a license | 
      
        |  | holder if the medical board or panel [ department] 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. | 
      
        |  | SECTION 9.133.  Section 603.409, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.409.  REFUND.  (a)  Subject to Subsection (b), the | 
      
        |  | medical board [ department] may order a license holder to pay a | 
      
        |  | refund to a consumer as provided in an agreement resulting from an | 
      
        |  | informal settlement conference instead of or in addition to | 
      
        |  | imposing an administrative penalty under this chapter. | 
      
        |  | (b)  The amount of a refund ordered as provided in an | 
      
        |  | agreement resulting from an informal settlement conference may not | 
      
        |  | exceed the amount the consumer paid to the license holder for a | 
      
        |  | service regulated by this chapter.  The medical board [ department] | 
      
        |  | may not require payment of other damages or estimate harm in a | 
      
        |  | refund order. | 
      
        |  | SECTION 9.134.  Section 603.451(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The medical board [ department] may request the attorney | 
      
        |  | general or the appropriate county or district attorney to commence | 
      
        |  | an action to enjoin a violation of this chapter. | 
      
        |  | SECTION 9.135.  Section 603.4515, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.4515.  CIVIL PENALTY.  (a)  A person who violates | 
      
        |  | this chapter or[ ,] a rule adopted [by the executive commissioner  | 
      
        |  | under this chapter,] or an order issued [adopted by the department] | 
      
        |  | under this chapter is liable for a civil penalty not to exceed | 
      
        |  | $5,000 a day. | 
      
        |  | (b)  At the request of the medical board [ department], the | 
      
        |  | attorney general shall bring an action to recover a civil penalty | 
      
        |  | authorized under this section. | 
      
        |  | SECTION 9.136.  Section 603.453(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  If it appears to the medical board [ department] that a | 
      
        |  | person who is not licensed under this chapter is violating this | 
      
        |  | chapter, a rule adopted under this chapter, or another state | 
      
        |  | statute or rule relating to the practice of perfusion, the medical | 
      
        |  | board [ department] after notice and an opportunity for a hearing | 
      
        |  | may issue a cease and desist order prohibiting the person from | 
      
        |  | engaging in the activity. | 
      
        |  | SECTION 9.137.  Section 603.501, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 603.501.  IMPOSITION OF ADMINISTRATIVE PENALTY.  The | 
      
        |  | medical board [ department] may impose an administrative penalty on | 
      
        |  | a person licensed under this chapter who violates this chapter or a | 
      
        |  | rule or order adopted under this chapter. | 
      
        |  | SECTION 9.138.  Section 603.502(c), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (c)  The medical board [ executive commissioner] by rule | 
      
        |  | shall adopt an administrative penalty schedule based on the | 
      
        |  | criteria listed in Subsection (b) for violations of this chapter or | 
      
        |  | applicable rules to ensure that the amounts of penalties imposed | 
      
        |  | are appropriate to the violation.  The medical board [ department] | 
      
        |  | shall provide the administrative penalty schedule to the public on | 
      
        |  | request. | 
      
        |  | SECTION 9.139.  Section 603.503, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.503.   NOTICE OF VIOLATION AND PENALTY. If the | 
      
        |  | medical board [ department] determines that a violation occurred, | 
      
        |  | the medical board [ department] shall give written notice of the | 
      
        |  | violation to the person. The notice must: | 
      
        |  | (1)  include a brief summary of the alleged violation; | 
      
        |  | (2)  state the amount of the recommended administrative | 
      
        |  | penalty [ recommended by the department]; 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. | 
      
        |  | SECTION 9.140.  Section 603.504, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.504.  PENALTY TO BE PAID OR HEARING REQUESTED. (a) | 
      
        |  | Within 10 days after the date the person receives the notice, the | 
      
        |  | person in writing may: | 
      
        |  | (1)  accept the determination and recommended | 
      
        |  | administrative penalty of the medical board [ department]; or | 
      
        |  | (2)  make a request for a hearing on the occurrence of | 
      
        |  | the violation, the amount of the penalty, or both. | 
      
        |  | (b)  If the person accepts the determination and recommended | 
      
        |  | penalty of the medical board [ department], the medical board | 
      
        |  | [ department] by order shall approve the determination and impose | 
      
        |  | the recommended penalty. | 
      
        |  | SECTION 9.141.  Sections 603.505(a) and (c), Occupations | 
      
        |  | Code, as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, are amended to read as follows: | 
      
        |  | (a)  If the person requests a hearing or fails to respond in a | 
      
        |  | timely manner to the notice, the medical board [ department] shall | 
      
        |  | set a hearing and give written notice of the hearing to the person. | 
      
        |  | (c)  The administrative law judge shall make findings of fact | 
      
        |  | and conclusions of law and promptly issue to the medical board | 
      
        |  | [ department] a proposal for a decision about the occurrence of the | 
      
        |  | violation and the amount of a proposed administrative penalty. | 
      
        |  | SECTION 9.142.  Section 603.506, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 603.506.  DECISION BY MEDICAL BOARD [ DEPARTMENT].  (a) | 
      
        |  | Based on the findings of fact, conclusions of law, and proposal for | 
      
        |  | decision, the medical board [ department] by order may determine | 
      
        |  | that: | 
      
        |  | (1)  a violation occurred and impose an administrative | 
      
        |  | penalty; or | 
      
        |  | (2)  a violation did not occur. | 
      
        |  | (b)  The notice of the medical board's [ department's] order | 
      
        |  | given to the person must include a statement of the right of the | 
      
        |  | person to judicial review of the order. | 
      
        |  | SECTION 9.143.  Sections 603.507(a), (b), and (c), | 
      
        |  | Occupations Code, as amended by S.B. 219, Acts of the 84th | 
      
        |  | Legislature, Regular Session, 2015, are amended to read as follows: | 
      
        |  | (a)  Within 30 days after the date the medical board's | 
      
        |  | [ department's] order becomes final, the person shall: | 
      
        |  | (1)  pay the administrative penalty; or | 
      
        |  | (2)  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 prescribed by Subsection (a), a | 
      
        |  | person who files a petition for judicial review may: | 
      
        |  | (1)  stay enforcement of the penalty by: | 
      
        |  | (A)  paying the penalty to the court for placement | 
      
        |  | in an escrow account; or | 
      
        |  | (B)  giving the court a supersedeas bond approved | 
      
        |  | by the court that: | 
      
        |  | (i)  is for the amount of the penalty; and | 
      
        |  | (ii)  is effective until all judicial review | 
      
        |  | of the medical board's [ department's] 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 medical | 
      
        |  | board [ department] by certified mail. | 
      
        |  | (c)  If the medical board [ department] receives a copy of an | 
      
        |  | affidavit under Subsection (b)(2), the medical board [ department] | 
      
        |  | may file with the court, within five days after the date the copy is | 
      
        |  | received, a contest to the affidavit. | 
      
        |  | SECTION 9.144.  Sections 604.001(1) and (2), Occupations | 
      
        |  | Code, as amended by S.B. 219, Acts of the 84th Legislature, Regular | 
      
        |  | Session, 2015, are amended to read as follows: | 
      
        |  | (1)  "Advisory board" means the Texas Board of | 
      
        |  | Respiratory Care [ "Department" means the Department of State Health  | 
      
        |  | Services]. | 
      
        |  | (2)  "Medical board" means the Texas Medical Board | 
      
        |  | [ "Executive commissioner" means the executive commissioner of the  | 
      
        |  | Health and Human Services Commission]. | 
      
        |  | SECTION 9.145.  Section 604.003, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.003.  EFFECT OF CHAPTER.  This chapter does not | 
      
        |  | prohibit: | 
      
        |  | (1)  the practice of respiratory care as an integral | 
      
        |  | part of the program of study by a student enrolled in a respiratory | 
      
        |  | care education program approved by the advisory board [ department]; | 
      
        |  | (2)  the employment by a health care facility of a | 
      
        |  | person to deliver limited respiratory care support services under | 
      
        |  | the supervision of another person who holds a certificate issued | 
      
        |  | under this chapter, if the person delivering the services does not | 
      
        |  | perform an invasive procedure related to critical respiratory care, | 
      
        |  | including a therapeutic, diagnostic, or palliative procedure, as | 
      
        |  | part of the person's employment and if that person: | 
      
        |  | (A)  is enrolled for credit in the clinical | 
      
        |  | portion of an approved respiratory care education program; or | 
      
        |  | (B)  has completed all of the clinical portion of | 
      
        |  | an approved respiratory care education program within the preceding | 
      
        |  | 12 months and is actively pursuing a course of study leading to | 
      
        |  | graduation from the program; | 
      
        |  | (3)  the care of an ill person provided without charge | 
      
        |  | by a friend or family member; | 
      
        |  | (4)  care provided in an emergency by a person who does | 
      
        |  | not claim to be a respiratory care practitioner; | 
      
        |  | (5)  the performance by a respiratory care practitioner | 
      
        |  | of an advance in the art and techniques of respiratory care learned | 
      
        |  | through formal or specialized training; | 
      
        |  | (6)  the practice of respiratory care by health care | 
      
        |  | personnel who have been formally trained in the care used and who | 
      
        |  | are: | 
      
        |  | (A)  licensed under the law regulating their | 
      
        |  | professions; or | 
      
        |  | (B)  acting under the delegated authority of a | 
      
        |  | licensed physician; | 
      
        |  | (7)  the practice of a legally qualified respiratory | 
      
        |  | care practitioner who is discharging the practitioner's official | 
      
        |  | duties as an employee of the United States government; or | 
      
        |  | (8)  the practice by a person of a profession or | 
      
        |  | occupation for which the person is licensed, registered, or | 
      
        |  | certified under another law of this state. | 
      
        |  | SECTION 9.146.  Chapter 604, Occupations Code, is amended by | 
      
        |  | adding Subchapter A-1 to read as follows: | 
      
        |  | SUBCHAPTER A-1.  TEXAS BOARD OF RESPIRATORY CARE | 
      
        |  | Sec. 604.021.  TEXAS BOARD OF RESPIRATORY CARE.  The Texas | 
      
        |  | Board of Respiratory Care is an advisory board to the Texas Medical | 
      
        |  | Board. | 
      
        |  | Sec. 604.022.  APPOINTMENT OF ADVISORY BOARD.  (a)  The | 
      
        |  | advisory board consists of nine members appointed by the governor | 
      
        |  | with the advice and consent of the senate as follows: | 
      
        |  | (1)  four respiratory care practitioners who each have | 
      
        |  | at least five years of experience as a respiratory care | 
      
        |  | practitioner; | 
      
        |  | (2)  two physicians licensed in this state who | 
      
        |  | supervise respiratory care practitioners; and | 
      
        |  | (3)  three members who represent the public. | 
      
        |  | (b)  Appointments to the advisory board shall be made without | 
      
        |  | regard to the race, color, disability, sex, religion, age, or | 
      
        |  | national origin of the appointee. | 
      
        |  | Sec. 604.023.  MEMBERSHIP ELIGIBILITY AND RESTRICTIONS.  (a) | 
      
        |  | In this section, "Texas trade association" means a cooperative and | 
      
        |  | voluntarily joined statewide 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 public member of the advisory board | 
      
        |  | if the person or the person's spouse: | 
      
        |  | (1)  is registered, certified, or licensed by a | 
      
        |  | regulatory agency in a health care profession; | 
      
        |  | (2)  is employed by or participates in the management | 
      
        |  | of a business entity or other organization regulated by or | 
      
        |  | receiving money from the medical board or advisory board; | 
      
        |  | (3)  owns or controls, directly or indirectly, more | 
      
        |  | than a 10 percent interest in a business entity or other | 
      
        |  | organization regulated by or receiving money from the medical board | 
      
        |  | or advisory board; or | 
      
        |  | (4)  uses or receives a substantial amount of tangible | 
      
        |  | goods, services, or money from the medical board or advisory board | 
      
        |  | other than compensation or reimbursement authorized by law for | 
      
        |  | advisory board membership, attendance, or expenses. | 
      
        |  | (c)  A person may not be a member of the advisory board if: | 
      
        |  | (1)  the person is an officer, employee, or paid | 
      
        |  | consultant of a Texas trade association in the field of health care; | 
      
        |  | or | 
      
        |  | (2)  the person's spouse is an officer, manager, or paid | 
      
        |  | consultant of a Texas trade association in the field of health care. | 
      
        |  | (d)  A person may not be a member of the advisory board or act | 
      
        |  | as the general counsel to the advisory 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 medical board or | 
      
        |  | advisory board. | 
      
        |  | Sec. 604.024.  TERMS; VACANCIES.  (a)  Members of the | 
      
        |  | advisory board are appointed for staggered six-year terms.  The | 
      
        |  | terms of three members expire on February 1 of each odd-numbered | 
      
        |  | year. | 
      
        |  | (b)  A member may not serve more than: | 
      
        |  | (1)  two consecutive full terms; or | 
      
        |  | (2)  a total of three full terms. | 
      
        |  | (c)  If a vacancy occurs during a member's term, the governor | 
      
        |  | shall appoint a new member to fill the unexpired term. | 
      
        |  | Sec. 604.025.  OFFICERS.  The governor shall designate a | 
      
        |  | member of the advisory board as the presiding officer of the | 
      
        |  | advisory board to serve in that capacity at the will of the | 
      
        |  | governor.  The advisory board shall select from its membership an | 
      
        |  | assistant presiding officer and other officers as the advisory | 
      
        |  | board considers necessary to carry out the advisory board's duties. | 
      
        |  | Sec. 604.026.  GROUNDS FOR REMOVAL.  (a)  It is a ground for | 
      
        |  | removal from the advisory board that a member: | 
      
        |  | (1)  does not have at the time of taking office the | 
      
        |  | qualifications required by Sections 604.022 and 604.023; | 
      
        |  | (2)  does not maintain during service on the advisory | 
      
        |  | board the qualifications required by Sections 604.022 and 604.023; | 
      
        |  | (3)  is ineligible for membership under Section | 
      
        |  | 604.023; | 
      
        |  | (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 advisory board meetings that the member is eligible to | 
      
        |  | attend during a calendar year without an excuse approved by a | 
      
        |  | majority vote of the advisory board. | 
      
        |  | (b)  The validity of an action of the advisory board is not | 
      
        |  | affected by the fact that it is taken when a ground for removal of an | 
      
        |  | advisory board member exists. | 
      
        |  | (c)  If the executive director of the medical board has | 
      
        |  | knowledge that a potential ground for removal exists, the executive | 
      
        |  | director shall notify the presiding officer of the advisory 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 ranking officer of the advisory board, who shall then | 
      
        |  | notify the governor and the attorney general that a potential | 
      
        |  | ground for removal exists. | 
      
        |  | Sec. 604.027.  PER DIEM.  A member of the advisory board is | 
      
        |  | entitled to receive a per diem as set by legislative appropriation | 
      
        |  | for each day that the member engages in the business of the advisory | 
      
        |  | board. | 
      
        |  | Sec. 604.028.  APPLICATION OF OPEN MEETINGS, OPEN RECORDS, | 
      
        |  | AND  ADMINISTRATIVE PROCEDURE LAWS.  Except as otherwise provided | 
      
        |  | by this chapter, the advisory board is subject to Chapters 551, 552, | 
      
        |  | and 2001, Government Code. | 
      
        |  | Sec. 604.029.  MEETINGS;  QUORUM REQUIREMENTS.  (a)  The | 
      
        |  | advisory board shall conduct regular meetings at least three times | 
      
        |  | a year at the times and places the advisory board considers most | 
      
        |  | convenient for applicants and advisory board members. | 
      
        |  | (b)  The advisory board may hold special meetings in | 
      
        |  | accordance with rules adopted by the advisory board and approved by | 
      
        |  | the medical board. | 
      
        |  | (c)  A majority of the advisory board members constitutes a | 
      
        |  | quorum for all purposes except for an advisory board activity | 
      
        |  | related to examining the credentials of applicants, acting as a | 
      
        |  | panel for disciplinary action under Section 604.202, or conducting | 
      
        |  | an informal meeting under Section 604.209. | 
      
        |  | Sec. 604.030.  TRAINING.  (a)  A person who is appointed to | 
      
        |  | and qualifies for office as a member of the advisory board may not | 
      
        |  | vote, deliberate, or be counted as a member in attendance at a | 
      
        |  | meeting of the advisory 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 and the advisory board's programs, | 
      
        |  | functions, rules, and budget; | 
      
        |  | (2)  the results of the most recent formal audit of the | 
      
        |  | advisory board; | 
      
        |  | (3)  the requirements of laws relating to open | 
      
        |  | meetings, public information, administrative procedure, and | 
      
        |  | conflicts of interest; and | 
      
        |  | (4)  any applicable ethics policies adopted by the | 
      
        |  | advisory board or the Texas Ethics Commission. | 
      
        |  | (c)  A person appointed to the advisory board is entitled to | 
      
        |  | reimbursement, as provided by the General Appropriations Act, for | 
      
        |  | the 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. | 
      
        |  | SECTION 9.147.  The heading to Subchapter B, Chapter 604, | 
      
        |  | Occupations Code, as amended by S.B. 219, Acts of the 84th | 
      
        |  | Legislature, Regular Session, 2015, is amended to read as follows: | 
      
        |  | SUBCHAPTER B. POWERS AND DUTIES OF ADVISORY BOARD [ EXECUTIVE  | 
      
        |  | COMMISSIONER] AND MEDICAL BOARD [DEPARTMENT] | 
      
        |  | SECTION 9.148.  The heading to Section 604.052, Occupations | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 604.052.  GENERAL POWERS AND DUTIES OF ADVISORY BOARD | 
      
        |  | [ RULES]. | 
      
        |  | SECTION 9.149.  Section 604.052(a), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (a)  The advisory board [ executive commissioner by rule] | 
      
        |  | shall: | 
      
        |  | (1)  adopt rules that are reasonable and necessary for | 
      
        |  | the performance of the advisory board's duties under this chapter, | 
      
        |  | as provided by Chapter 2001, Government Code, including rules to | 
      
        |  | establish: | 
      
        |  | (A)  the certification and permitting program; | 
      
        |  | and | 
      
        |  | (B)  minimum qualifications for respiratory care | 
      
        |  | practitioners; | 
      
        |  | (2)  review and approve or reject each application for | 
      
        |  | the issuance or renewal of a certificate or temporary permit; | 
      
        |  | (3)  issue each certificate or permit; | 
      
        |  | (4)  deny, suspend, or revoke [ standards for issuing,  | 
      
        |  | denying, renewing, suspending, suspending on an emergency basis, or  | 
      
        |  | revoking] a certificate or temporary permit or otherwise discipline | 
      
        |  | a certificate or permit holder; and | 
      
        |  | (5)  take any action necessary to carry out the | 
      
        |  | functions and duties of the advisory board under this chapter. | 
      
        |  | SECTION 9.150.  Subchapter B, Chapter 604, Occupations Code, | 
      
        |  | is amended by adding Sections 604.0521 and 604.0522 to read as | 
      
        |  | follows: | 
      
        |  | Sec. 604.0521.  GUIDELINES FOR EARLY INVOLVEMENT IN | 
      
        |  | RULEMAKING PROCESS.  (a)  The advisory board shall adopt guidelines | 
      
        |  | to establish procedures for receiving input during the rulemaking | 
      
        |  | process from individuals and groups that have an interest in | 
      
        |  | matters under the advisory board's jurisdiction.  The guidelines | 
      
        |  | must provide an opportunity for those individuals and groups to | 
      
        |  | provide input before the advisory board submits the rule to the | 
      
        |  | medical board for approval. | 
      
        |  | (b)  A rule adopted under this chapter may not be challenged | 
      
        |  | on the grounds that the advisory board did not comply with this | 
      
        |  | section.  If the advisory board was unable to solicit a significant | 
      
        |  | amount of input from the public or affected persons early in the | 
      
        |  | rulemaking process, the advisory board shall state in writing the | 
      
        |  | reasons why it was unable to do so. | 
      
        |  | Sec. 604.0522.  POWERS AND DUTIES OF MEDICAL BOARD RELATING | 
      
        |  | TO RESPIRATORY CARE PRACTITIONERS.  (a)  The medical board shall | 
      
        |  | adopt rules consistent with this chapter to regulate: | 
      
        |  | (1)  respiratory care practitioners; and | 
      
        |  | (2)  physicians who supervise respiratory care | 
      
        |  | practitioners. | 
      
        |  | (b)  The medical board, by a majority vote, shall approve or | 
      
        |  | reject each rule adopted by the advisory board.  If approved, the | 
      
        |  | rule may take effect.  If the rule is rejected, the medical board | 
      
        |  | shall return the rule to the advisory board for revision. | 
      
        |  | SECTION 9.151.  Section 604.053, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.053.  FEES.  (a)  The advisory board [ executive  | 
      
        |  | commissioner] by rule shall set fees for an application, | 
      
        |  | examination, certificate, temporary permit, permit and certificate | 
      
        |  | renewal, and certificate reinstatement. | 
      
        |  | (b)  The advisory board [ executive commissioner] by rule | 
      
        |  | shall set fees in reasonable amounts that are sufficient to cover | 
      
        |  | the costs of administering this chapter.  [ The executive  | 
      
        |  | commissioner shall set fees for issuing or renewing a certificate  | 
      
        |  | or permit in amounts designed to allow the department to recover  | 
      
        |  | from the certificate and permit holders all of the department's  | 
      
        |  | direct and indirect costs in administering and enforcing this  | 
      
        |  | chapter.] | 
      
        |  | SECTION 9.152.  Section 604.054, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.054.  APPROVAL OF EDUCATION PROGRAMS.  In | 
      
        |  | determining whether to approve a respiratory care education | 
      
        |  | program, the advisory board [ department] shall consider relevant | 
      
        |  | information about the quality of the program, including | 
      
        |  | accreditation of the program by a professional medical association, | 
      
        |  | such as the Commission on Accreditation of Allied Health Education | 
      
        |  | Programs. | 
      
        |  | SECTION 9.153.  Section 604.055, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.055.  PEER ASSISTANCE PROGRAM.  The medical board | 
      
        |  | [ department] may establish, approve, and fund a peer assistance | 
      
        |  | program in accordance with Section 467.003, Health and Safety Code, | 
      
        |  | and medical board [ department] rules. | 
      
        |  | SECTION 9.154.  Section 604.057, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.057.  RULES REGARDING ADVERTISING OR COMPETITIVE | 
      
        |  | BIDDING.  (a)  The advisory board [ executive commissioner] may not | 
      
        |  | adopt rules restricting advertising or competitive bidding by a | 
      
        |  | temporary permit or certificate holder except to prohibit false, | 
      
        |  | misleading, or deceptive practices. | 
      
        |  | (b)  In adopting rules to prohibit false, misleading, or | 
      
        |  | deceptive practices, the advisory board [ executive commissioner] | 
      
        |  | may not include a rule that: | 
      
        |  | (1)  restricts the use of any medium for advertising; | 
      
        |  | (2)  restricts the use of a temporary permit or | 
      
        |  | certificate holder's personal appearance or voice in an | 
      
        |  | advertisement; | 
      
        |  | (3)  relates to the size or duration of an | 
      
        |  | advertisement by the temporary permit or certificate holder; or | 
      
        |  | (4)  restricts the temporary permit or certificate | 
      
        |  | holder's advertisement under a trade name. | 
      
        |  | SECTION 9.155.  Subchapter B, Chapter 604, Occupations Code, | 
      
        |  | is amended by adding Sections 604.058, 604.059, and 604.060 to read | 
      
        |  | as follows: | 
      
        |  | Sec. 604.058.  RULES ON CONSEQUENCES OF CRIMINAL CONVICTION. | 
      
        |  | The advisory board shall adopt rules and guidelines as necessary to | 
      
        |  | comply with Chapter 53, except to the extent the requirements of | 
      
        |  | this chapter are stricter than the requirements of Chapter 53. | 
      
        |  | Sec. 604.059.  ASSISTANCE BY MEDICAL BOARD; DIVISION OF | 
      
        |  | RESPONSIBILITIES.  (a)  The medical board shall provide | 
      
        |  | administrative and clerical employees as necessary to enable the | 
      
        |  | advisory board to administer this chapter. | 
      
        |  | (b)  Subject to the advice and approval of the medical board, | 
      
        |  | the advisory board shall develop and implement policies that | 
      
        |  | clearly separate the policy-making responsibilities of the | 
      
        |  | advisory board and the management responsibilities of the executive | 
      
        |  | director and staff of the medical board. | 
      
        |  | Sec. 604.060.  PUBLIC PARTICIPATION.  Subject to the advice | 
      
        |  | and approval of the medical board, the advisory board shall develop | 
      
        |  | and implement policies that provide the public with a reasonable | 
      
        |  | opportunity to appear before the advisory board and to speak on any | 
      
        |  | issue under the jurisdiction of the advisory board. | 
      
        |  | SECTION 9.156.  Section 604.101(b), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (b)  A person may not practice respiratory care other than | 
      
        |  | under the direction of a qualified medical director or other | 
      
        |  | physician licensed by the medical board [ Texas Medical Board]. | 
      
        |  | SECTION 9.157.  Section 604.103, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.103.  APPLICATION;  APPLICATION FEE.  An applicant | 
      
        |  | for a certificate or temporary permit must: | 
      
        |  | (1)  apply to the advisory board [ department] on a form | 
      
        |  | prescribed by [ the department] and under rules adopted by the | 
      
        |  | advisory board [ executive commissioner]; and | 
      
        |  | (2)  submit a nonrefundable application fee with the | 
      
        |  | application. | 
      
        |  | SECTION 9.158.  Subchapter C, Chapter 604, Occupations Code, | 
      
        |  | is amended by adding Section 604.1031 to read as follows: | 
      
        |  | Sec. 604.1031.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR CERTIFICATE OR TEMPORARY PERMIT.  (a)  The advisory | 
      
        |  | board shall require that an applicant for a certificate or | 
      
        |  | temporary permit submit a complete and legible set of fingerprints, | 
      
        |  | on a form prescribed by the advisory board, to the advisory board or | 
      
        |  | to the Department of Public Safety for the purpose of obtaining | 
      
        |  | criminal history record information from the Department of Public | 
      
        |  | Safety and the Federal Bureau of Investigation. | 
      
        |  | (b)  The advisory board may not issue a certificate or | 
      
        |  | temporary permit to a person who does not comply with the | 
      
        |  | requirement of Subsection (a). | 
      
        |  | (c)  The advisory board shall conduct a criminal history | 
      
        |  | check of each applicant for a certificate or temporary permit using | 
      
        |  | information: | 
      
        |  | (1)  provided by the individual under this section; and | 
      
        |  | (2)  made available to the advisory board by the | 
      
        |  | Department of Public Safety, the Federal Bureau of Investigation, | 
      
        |  | and any other criminal justice agency under Chapter 411, Government | 
      
        |  | Code. | 
      
        |  | (d)  The advisory board may: | 
      
        |  | (1)  enter into an agreement with the Department of | 
      
        |  | Public Safety to administer a criminal history check required under | 
      
        |  | this section; and | 
      
        |  | (2)  authorize the Department of Public Safety to | 
      
        |  | collect from each applicant the costs incurred by the Department of | 
      
        |  | Public Safety in conducting the criminal history check. | 
      
        |  | SECTION 9.159.  Section 604.104, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.104.  REQUIREMENT FOR CERTIFICATE.  An applicant | 
      
        |  | for a certificate must submit to the advisory board [ department] | 
      
        |  | written evidence, verified by oath, that the applicant has | 
      
        |  | completed: | 
      
        |  | (1)  an approved four-year high school course of study | 
      
        |  | or the equivalent as determined by the appropriate educational | 
      
        |  | agency; and | 
      
        |  | (2)  a respiratory care education program approved by | 
      
        |  | the advisory board [ department]. | 
      
        |  | SECTION 9.160.  Section 604.1041, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.1041.  EXAMINATION.  (a)  The advisory board | 
      
        |  | [ executive commissioner] by rule shall establish examination | 
      
        |  | requirements for a certificate under this chapter.  The advisory | 
      
        |  | board [ executive commissioner] may use the entry level examination | 
      
        |  | prepared by the National Board for Respiratory Care or an | 
      
        |  | equivalent examination. | 
      
        |  | (b)  An applicant for a certificate or temporary permit must | 
      
        |  | pass a jurisprudence examination approved by the advisory board. | 
      
        |  | SECTION 9.161.  Section 604.1042, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.1042.  NOTIFICATION OF EXAMINATION RESULTS.  (a) | 
      
        |  | Not later than the 30th day after the date a person takes a | 
      
        |  | certification examination under this chapter, the advisory board | 
      
        |  | [ department] shall notify the person of the results of the | 
      
        |  | examination. | 
      
        |  | (b)  If the examination is graded or reviewed by a testing | 
      
        |  | service, the advisory board [ department] shall notify the person of | 
      
        |  | the results of the examination not later than the 14th day after the | 
      
        |  | date the advisory board [ department] receives the results from the | 
      
        |  | testing service.  If notice of the examination results will be | 
      
        |  | delayed for longer than 90 days after the examination date, the | 
      
        |  | advisory board [ department] shall notify the person of the reason | 
      
        |  | for the delay before the 90th day. | 
      
        |  | (c)  The advisory board [ department] may require a testing | 
      
        |  | service to notify a person of the results of the person's | 
      
        |  | examination. | 
      
        |  | (d)  If requested in writing by a person who fails a | 
      
        |  | certification examination administered under this chapter, the | 
      
        |  | advisory board [ department] shall furnish the person with an | 
      
        |  | analysis of the person's performance on the examination. | 
      
        |  | SECTION 9.162.  Section 604.105, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.105.  ISSUANCE OF CERTIFICATE.  The advisory board | 
      
        |  | [ department] shall issue a certificate to an applicant who: | 
      
        |  | (1)  meets the minimum qualifications [ standards] | 
      
        |  | adopted under Section 604.052(a); | 
      
        |  | (2)  passes the required examinations; | 
      
        |  | (3)  complies with the criminal history record | 
      
        |  | information requirement of Section 604.1031; | 
      
        |  | (4)  submits an application on a form prescribed by the | 
      
        |  | advisory board; | 
      
        |  | (5)  certifies that the applicant is mentally and | 
      
        |  | physically able to be a respiratory care practitioner; | 
      
        |  | (6)  submits to the advisory board any other | 
      
        |  | information the advisory board considers necessary to evaluate the | 
      
        |  | applicant's qualifications; and | 
      
        |  | (7)  pays the certificate fee. | 
      
        |  | SECTION 9.163.  Section 604.106, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.106.  ISSUANCE OF CERTIFICATE BY RECIPROCITY.  The | 
      
        |  | advisory board [ department] may issue a certificate to a person who | 
      
        |  | is licensed or certified to practice respiratory care by another | 
      
        |  | state whose requirements for licensure or certification were on the | 
      
        |  | date the license or certificate was issued substantially equal to | 
      
        |  | the requirements of this chapter. | 
      
        |  | SECTION 9.164.  Section 604.107, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.107.  REQUIREMENTS FOR TEMPORARY PERMIT.  An | 
      
        |  | applicant for a temporary permit to practice respiratory care must | 
      
        |  | submit to the advisory board: | 
      
        |  | (1)  [ department] written evidence, verified by oath, | 
      
        |  | that the applicant is: | 
      
        |  | (A) [ (1)]  practicing or has within the 12-month | 
      
        |  | period preceding the application date practiced respiratory care in | 
      
        |  | another state or country and is licensed to practice respiratory | 
      
        |  | care in that state or country; | 
      
        |  | (B) [ (2)]  a student in an approved respiratory | 
      
        |  | care education program who expects to graduate from the program not | 
      
        |  | later than the 30th day after the date the temporary permit is | 
      
        |  | issued; or | 
      
        |  | (C) [ (3)]  a graduate of an approved respiratory | 
      
        |  | care education program; and | 
      
        |  | (2)  any additional information required by advisory | 
      
        |  | board rules. | 
      
        |  | SECTION 9.165.  Section 604.108, Occupations Code, is | 
      
        |  | amended by amending Subsection (a) and Subsection (b), as amended | 
      
        |  | by S.B. 219, Acts of the 84th Legislature, Regular Session, 2015, to | 
      
        |  | read as follows: | 
      
        |  | (a)  The advisory board [ department] shall issue a temporary | 
      
        |  | permit to an applicant who: | 
      
        |  | (1)  meets the requirements of Sections 604.103 and | 
      
        |  | 604.107; | 
      
        |  | (2)  complies with the criminal history record | 
      
        |  | information requirement of Section 604.1031; and | 
      
        |  | (3)  pays the permit fee. | 
      
        |  | (b)  A temporary permit is valid for the period set by | 
      
        |  | advisory board [ department] rule.  The period may not be less than | 
      
        |  | six months or more than 12 months. | 
      
        |  | SECTION 9.166.  Subchapter C, Chapter 604, Occupations Code, | 
      
        |  | is amended by adding Section 604.110 to read as follows: | 
      
        |  | Sec. 604.110.  DELEGATION OF AUTHORITY TO ISSUE CERTIFICATE | 
      
        |  | OR TEMPORARY PERMIT.  The advisory board may delegate authority to | 
      
        |  | medical board employees to issue certificates or temporary permits | 
      
        |  | under this chapter to applicants who clearly meet all applicable | 
      
        |  | requirements.  If the medical board employees determine that the | 
      
        |  | applicant does not clearly meet all applicable requirements, the | 
      
        |  | application must be returned to the advisory board.  A certificate | 
      
        |  | or temporary permit issued under this section does not require | 
      
        |  | formal advisory board approval. | 
      
        |  | SECTION 9.167.  Section 604.151(b), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (b)  The advisory board [ executive commissioner] by rule may | 
      
        |  | adopt a system under which certificates expire on various dates | 
      
        |  | during the year.  For the year in which the certificate expiration | 
      
        |  | date is changed, the advisory board [ department] shall prorate | 
      
        |  | certificate fees on a monthly basis so that each certificate holder | 
      
        |  | pays only that portion of the certificate fee that is allocable to | 
      
        |  | the number of months during which the certificate is valid.  On | 
      
        |  | renewal of the certificate on the new expiration date, the total | 
      
        |  | certificate renewal fee is payable. | 
      
        |  | SECTION 9.168.  Section 604.152, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.152.  NOTICE OF CERTIFICATE RENEWAL.  (a)  Not later | 
      
        |  | than the 30th day before the expiration date of a person's | 
      
        |  | certificate, the advisory board [ department] shall mail a renewal | 
      
        |  | notice to the person at the person's last known address. | 
      
        |  | (b)  To renew a certificate, the certificate holder must: | 
      
        |  | (1)  complete the renewal notice and return the notice | 
      
        |  | with the renewal fee to the advisory board [ department] on or before | 
      
        |  | the expiration date; and | 
      
        |  | (2)  meet any other requirement established by advisory | 
      
        |  | board rule. | 
      
        |  | SECTION 9.169.  Sections 604.1521(a) and (b), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  A person whose certificate has been expired for 90 days | 
      
        |  | or less may renew the certificate by paying to the advisory board | 
      
        |  | [ department] a renewal fee that is equal to 1-1/2 times the normally | 
      
        |  | required renewal fee. | 
      
        |  | (b)  A person whose certificate has been expired for more | 
      
        |  | than 90 days but less than one year may renew the certificate by | 
      
        |  | paying to the advisory board [ department] a renewal fee that is | 
      
        |  | equal to two times the normally required renewal fee. | 
      
        |  | SECTION 9.170.  Section 604.1522(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  The person must pay to the advisory board [ department] a | 
      
        |  | fee that is equal to two times the normally required renewal fee for | 
      
        |  | the certificate. | 
      
        |  | SECTION 9.171.  Subchapter D, Chapter 604, Occupations Code, | 
      
        |  | is amended by adding Section 604.1523 to read as follows: | 
      
        |  | Sec. 604.1523.  CRIMINAL HISTORY RECORD INFORMATION | 
      
        |  | REQUIREMENT FOR RENEWAL.  (a)  An applicant for renewal of a | 
      
        |  | certificate or temporary permit shall submit a complete and legible | 
      
        |  | set of fingerprints for purposes of performing a criminal history | 
      
        |  | check of the applicant as provided by Section 604.1031. | 
      
        |  | (b)  The advisory board may not renew the certificate or | 
      
        |  | temporary permit of a person who does not comply with the | 
      
        |  | requirement of Subsection (a). | 
      
        |  | (c)  A person is not required to submit fingerprints under | 
      
        |  | this section for the renewal of a certificate or temporary permit if | 
      
        |  | the person has previously submitted fingerprints under: | 
      
        |  | (1)  Section 604.1031 for the initial issuance of the | 
      
        |  | certificate or permit; or | 
      
        |  | (2)  this section as part of a prior renewal of a | 
      
        |  | certificate or permit. | 
      
        |  | SECTION 9.172.  Section 604.153(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  The advisory board [ department] shall issue to the | 
      
        |  | certificate holder a certificate for the renewal period on receipt | 
      
        |  | of the completed renewal notice and other information required by | 
      
        |  | advisory board rule and payment of the renewal fee. | 
      
        |  | SECTION 9.173.  Section 604.154, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.154.  CONTINUING EDUCATION REQUIREMENTS.  (a)  The | 
      
        |  | advisory board [ executive commissioner] shall establish for the | 
      
        |  | renewal of a certificate uniform continuing education requirements | 
      
        |  | of not less than 12 or more than 24 continuing education hours for | 
      
        |  | each renewal period. | 
      
        |  | (b)  The advisory board [ executive commissioner] may adopt | 
      
        |  | rules relating to meeting the continuing education requirements in | 
      
        |  | a hardship situation. | 
      
        |  | SECTION 9.174.  Section 604.156, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.156.  INACTIVE STATUS.  (a)  A respiratory care | 
      
        |  | practitioner who does not practice respiratory care during a | 
      
        |  | renewal period and who notifies the advisory board [ department] | 
      
        |  | that the practitioner is not practicing respiratory care is not | 
      
        |  | required to pay the renewal fee until the practitioner resumes | 
      
        |  | practice. | 
      
        |  | (b)  To resume the practice of respiratory care, the | 
      
        |  | practitioner must: | 
      
        |  | (1)  notify the advisory board [ department]; | 
      
        |  | (2)  satisfy requirements adopted by the advisory board | 
      
        |  | [ executive commissioner]; and | 
      
        |  | (3)  pay the reinstatement fee and the renewal fee for | 
      
        |  | the renewal period in which the practitioner will resume practice. | 
      
        |  | SECTION 9.175.  Section 604.157(b), Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | (b)  The advisory board [ department] may renew a temporary | 
      
        |  | permit for not more than one additional period, pending compliance | 
      
        |  | with this chapter and advisory board [ department] rules.  The | 
      
        |  | additional period may not be less than six months or more than 12 | 
      
        |  | months. | 
      
        |  | SECTION 9.176.  Chapter 604, Occupations Code, is amended by | 
      
        |  | adding Subchapter D-1 to read as follows: | 
      
        |  | SUBCHAPTER D-1. COMPLAINTS AND INVESTIGATIVE INFORMATION | 
      
        |  | Sec. 604.171.  COMPLAINT INFORMATION AND STATUS.  (a)  The | 
      
        |  | advisory board shall maintain a system to promptly and efficiently | 
      
        |  | act on complaints filed with the advisory board.  The advisory | 
      
        |  | board shall maintain: | 
      
        |  | (1)  information about the parties to the complaint and | 
      
        |  | the subject matter of the complaint; | 
      
        |  | (2)  a summary of the results of the review or | 
      
        |  | investigation of the complaint; and | 
      
        |  | (3)  information about the disposition of the | 
      
        |  | complaint. | 
      
        |  | (b)  The advisory board shall make information available | 
      
        |  | describing its procedures for complaint investigation and | 
      
        |  | resolution. | 
      
        |  | (c)  If a written complaint is filed with the advisory board | 
      
        |  | relating to a certificate or temporary permit holder, the advisory | 
      
        |  | board, as often as quarterly and until final determination of the | 
      
        |  | action to be taken on the complaint, shall notify the parties to the | 
      
        |  | complaint of the status of the complaint unless the notice would | 
      
        |  | jeopardize an active investigation. | 
      
        |  | Sec. 604.172.  CONDUCT OF INVESTIGATION.  The advisory board | 
      
        |  | shall complete a preliminary investigation of a complaint filed | 
      
        |  | with the advisory board not later than the 45th day after the date | 
      
        |  | of receiving the complaint.  The advisory board shall first | 
      
        |  | determine whether the person constitutes a continuing threat to the | 
      
        |  | public welfare.  On completion of the preliminary investigation, | 
      
        |  | the advisory board shall determine whether to officially proceed on | 
      
        |  | the complaint.  If the advisory board fails to complete the | 
      
        |  | preliminary investigation in the time required by this section, the | 
      
        |  | advisory board's official investigation of the complaint is | 
      
        |  | considered to commence on that date. | 
      
        |  | Sec. 604.173.  ACCESS TO COMPLAINT INFORMATION.  (a)  Except | 
      
        |  | as provided by Subsection (b), the advisory board shall provide a | 
      
        |  | person who is the subject of a formal complaint filed under this | 
      
        |  | chapter with access to all information in its possession that the | 
      
        |  | advisory board intends to offer into evidence in presenting its | 
      
        |  | case in chief at the contested hearing on the complaint, subject to | 
      
        |  | any other privilege or restriction established by rule, statute, or | 
      
        |  | legal precedent.  The advisory board shall provide the information | 
      
        |  | not later than the 30th day after receipt of a written request from | 
      
        |  | the person or the person's counsel, unless good cause is shown for | 
      
        |  | delay. | 
      
        |  | (b)  The advisory board is not required to provide: | 
      
        |  | (1)  advisory board investigative reports; | 
      
        |  | (2)  investigative memoranda; | 
      
        |  | (3)  the identity of a nontestifying complainant; | 
      
        |  | (4)  attorney-client communications; | 
      
        |  | (5)  attorney work product; or | 
      
        |  | (6)  other material covered by a privilege recognized | 
      
        |  | by the Texas Rules of Civil Procedure or the Texas Rules of | 
      
        |  | Evidence. | 
      
        |  | (c)  Providing information under this section does not | 
      
        |  | constitute a waiver of privilege or confidentiality under this | 
      
        |  | chapter or other law. | 
      
        |  | Sec. 604.174.  HEALTH CARE ENTITY REQUEST FOR INFORMATION. | 
      
        |  | On the written request of a health care entity, the advisory board | 
      
        |  | shall provide to the entity: | 
      
        |  | (1)  information about a complaint filed against a | 
      
        |  | person that was resolved after investigation by: | 
      
        |  | (A)  a disciplinary order of the advisory board; | 
      
        |  | or | 
      
        |  | (B)  an agreed settlement; and | 
      
        |  | (2)  the basis of and current status of any complaint | 
      
        |  | that has been referred by the executive director of the medical | 
      
        |  | board for enforcement action. | 
      
        |  | Sec. 604.175.  CONFIDENTIALITY OF INVESTIGATIVE | 
      
        |  | INFORMATION.  A complaint, adverse report, investigation file, | 
      
        |  | other report, or other investigative information in the possession | 
      
        |  | of or received or gathered by the advisory board, the medical board, | 
      
        |  | or an employee or agent of the medical board relating to a | 
      
        |  | certificate or temporary permit holder, an application for a | 
      
        |  | certificate or temporary permit, 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 any person other than the advisory board, the medical board, or | 
      
        |  | an employee or agent of the advisory board or medical board involved | 
      
        |  | in discipline under this chapter.  For purposes of this section, | 
      
        |  | "investigative information" includes information related to the | 
      
        |  | identity of a person performing or supervising compliance | 
      
        |  | monitoring for the advisory board or medical board and a report | 
      
        |  | prepared by the person related to compliance monitoring. | 
      
        |  | Sec. 604.176.  PERMITTED DISCLOSURE OF INVESTIGATIVE | 
      
        |  | INFORMATION.  (a)  Investigative information in the possession of | 
      
        |  | the advisory board, the medical board, or an employee or agent of | 
      
        |  | the medical board that relates to the discipline of a certificate or | 
      
        |  | temporary permit holder may be disclosed to: | 
      
        |  | (1)  a licensing authority in another state or country | 
      
        |  | in which the certificate or temporary permit holder is licensed, | 
      
        |  | certified, or permitted or has applied for a license, | 
      
        |  | certification, or permit; or | 
      
        |  | (2)  a medical peer review committee reviewing: | 
      
        |  | (A)  an application for privileges; or | 
      
        |  | (B)  the qualifications of the certificate holder | 
      
        |  | or person with respect to retaining privileges. | 
      
        |  | (b)  If investigative information in the possession of the | 
      
        |  | advisory board, the medical board, or an employee or agent of the | 
      
        |  | medical board indicates that a crime may have been committed, the | 
      
        |  | advisory board or medical board, as appropriate, shall report the | 
      
        |  | information to the proper law enforcement agency.  The advisory | 
      
        |  | board and medical board shall cooperate with and assist each law | 
      
        |  | enforcement agency conducting a criminal investigation of a | 
      
        |  | certificate or temporary permit holder by providing information | 
      
        |  | relevant to the investigation.  Confidential information disclosed | 
      
        |  | to a law enforcement agency under this subsection remains | 
      
        |  | confidential and may not be disclosed by the law enforcement agency | 
      
        |  | except as necessary to further the investigation. | 
      
        |  | SECTION 9.177.  Section 604.201, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.201.  DISCIPLINARY ACTION.  (a)  For a violation of | 
      
        |  | this chapter or a rule adopted under this chapter, the advisory | 
      
        |  | board [ department] may: | 
      
        |  | (1)  deny, suspend, suspend on an emergency basis, | 
      
        |  | revoke, or refuse to renew a certificate or temporary permit; | 
      
        |  | (2)  place the certificate or permit holder on | 
      
        |  | probation under conditions set by the advisory board [ department]; | 
      
        |  | or | 
      
        |  | (3)  reprimand the certificate or permit holder. | 
      
        |  | (b)  The advisory board [ department] shall take disciplinary | 
      
        |  | action authorized under Subsection (a) if the advisory board | 
      
        |  | [ department] determines that a person who holds a certificate or | 
      
        |  | temporary permit: | 
      
        |  | (1)  is guilty of fraud or deceit in procuring, | 
      
        |  | renewing, or attempting to procure a certificate or temporary | 
      
        |  | permit; | 
      
        |  | (2)  is unfit or incompetent because of negligence or | 
      
        |  | another cause of incompetency; | 
      
        |  | (3)  is addicted to or has improperly obtained, | 
      
        |  | possessed, used, or distributed a habit-forming drug or narcotic or | 
      
        |  | is habitually intemperate in the use of alcoholic beverages; | 
      
        |  | (4)  is guilty of dishonest or unethical conduct as | 
      
        |  | determined by the advisory board [ department]; | 
      
        |  | (5)  has practiced respiratory care after the person's | 
      
        |  | certificate or temporary permit has expired; | 
      
        |  | (6)  has practiced respiratory care under a certificate | 
      
        |  | or temporary permit illegally or fraudulently obtained or issued; | 
      
        |  | (7)  has practiced respiratory care without the | 
      
        |  | direction of a qualified medical director or other licensed | 
      
        |  | physician; or | 
      
        |  | (8)  has violated this chapter or aided or abetted | 
      
        |  | another in violating this chapter. | 
      
        |  | SECTION 9.178.  Subchapter E, Chapter 604, Occupations Code, | 
      
        |  | is amended by adding Section 604.2011 to read as follows: | 
      
        |  | Sec. 604.2011.  SURRENDER OF CERTIFICATE OR TEMPORARY | 
      
        |  | PERMIT.  (a) The advisory board may accept the voluntary surrender | 
      
        |  | of a certificate or temporary permit. A person who has surrendered a | 
      
        |  | certificate or temporary permit may not engage in activities that | 
      
        |  | require a certificate or permit, and the advisory board may not | 
      
        |  | return the certificate or permit to the person, until the person | 
      
        |  | demonstrates to the satisfaction of the advisory board that the | 
      
        |  | person is able to resume practice as a respiratory care | 
      
        |  | practitioner. | 
      
        |  | (b)  The advisory board shall by rule establish guidelines | 
      
        |  | for determining when a person is competent to resume practice as a | 
      
        |  | respiratory care practitioner. | 
      
        |  | SECTION 9.179.  Section 604.202, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.202.  EMERGENCY SUSPENSION.  (a) The presiding | 
      
        |  | officer of the advisory board shall appoint a three-member | 
      
        |  | disciplinary panel consisting of advisory board members to | 
      
        |  | determine whether a certificate or permit should be temporarily | 
      
        |  | suspended. | 
      
        |  | (a-1)  The disciplinary panel shall temporarily [ department  | 
      
        |  | may] suspend a certificate or temporary permit issued under this | 
      
        |  | chapter on a determination that continued practice by a certificate | 
      
        |  | or temporary permit holder would constitute a continuing threat to | 
      
        |  | the public welfare [ the health and safety of a person is threatened  | 
      
        |  | and may make the suspension effective immediately]. | 
      
        |  | (b)  A [ person whose] certificate or temporary permit may be | 
      
        |  | [ is] suspended under this section without notice or hearing on the | 
      
        |  | complaint if: | 
      
        |  | (1)  action is taken to initiate proceedings for [ is  | 
      
        |  | entitled to] a hearing before the advisory board simultaneously | 
      
        |  | with the temporary suspension; and | 
      
        |  | (2)  a hearing is held as soon as practicable under this | 
      
        |  | chapter and Chapter 2001, Government Code [ department not later  | 
      
        |  | than the 10th day after the effective date of the emergency  | 
      
        |  | suspension]. | 
      
        |  | (c)  Notwithstanding Chapter 551, Government Code, the | 
      
        |  | disciplinary panel may hold a meeting by telephone conference call | 
      
        |  | if immediate action is required and convening of the panel at one | 
      
        |  | location is inconvenient for any member of the panel. | 
      
        |  | SECTION 9.180.  Section 604.203, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.203.  DISCIPLINARY PROCEDURE.  The procedure by | 
      
        |  | which the advisory board [ department] takes a disciplinary action | 
      
        |  | and the procedure by which a disciplinary action is appealed are | 
      
        |  | governed by: | 
      
        |  | (1)  advisory board [ department] rules for a contested | 
      
        |  | case hearing; and | 
      
        |  | (2)  Chapter 2001, Government Code. | 
      
        |  | SECTION 9.181.  Subchapter E, Chapter 604, Occupations Code, | 
      
        |  | is amended by adding Sections 604.205 through 604.214 to read as | 
      
        |  | follows: | 
      
        |  | Sec. 604.205.  DELEGATION OF CERTAIN COMPLAINT | 
      
        |  | DISPOSITIONS.  (a)  The advisory board may delegate to a committee | 
      
        |  | of medical board employees the authority to dismiss or enter into an | 
      
        |  | agreed settlement of a complaint that does not relate directly to | 
      
        |  | patient care or that involves only administrative violations.  The | 
      
        |  | disposition determined by the committee must be approved by the | 
      
        |  | advisory board at a public meeting. | 
      
        |  | (b)  A complaint delegated under this section shall be | 
      
        |  | referred for an informal proceeding under Section 604.209 if: | 
      
        |  | (1)  the committee of employees determines that the | 
      
        |  | complaint should not be dismissed or settled; | 
      
        |  | (2)  the committee is unable to reach an agreed | 
      
        |  | settlement; or | 
      
        |  | (3)  the affected person requests that the complaint be | 
      
        |  | referred for an informal proceeding. | 
      
        |  | Sec. 604.206.  SUBPOENA.  (a)  The executive director of the | 
      
        |  | medical board, the director's designee, or the secretary-treasurer | 
      
        |  | of the medical board may issue a subpoena or subpoena duces tecum | 
      
        |  | for the advisory board: | 
      
        |  | (1)  to conduct an investigation or a contested | 
      
        |  | proceeding related to: | 
      
        |  | (A)  alleged misconduct by a certificate or | 
      
        |  | temporary permit holder; | 
      
        |  | (B)  an alleged violation of this chapter or other | 
      
        |  | law related to respiratory care; or | 
      
        |  | (C)  the provision of health care under this | 
      
        |  | chapter; or | 
      
        |  | (2)  for purposes of determining whether to issue, | 
      
        |  | suspend, restrict, or revoke a certificate or temporary permit | 
      
        |  | under this chapter. | 
      
        |  | (b)  Failure to timely comply with a subpoena issued under | 
      
        |  | this section is a ground for: | 
      
        |  | (1)  disciplinary action by the advisory board or | 
      
        |  | another licensing or regulatory agency with jurisdiction over the | 
      
        |  | person subject to the subpoena; and | 
      
        |  | (2)  denial of an application for a certificate or | 
      
        |  | temporary permit. | 
      
        |  | Sec. 604.207.  PROTECTION OF PATIENT IDENTITY.  In a | 
      
        |  | disciplinary investigation or proceeding conducted under this | 
      
        |  | chapter, the advisory board shall protect the identity of each | 
      
        |  | patient whose medical records are examined and used in a public | 
      
        |  | proceeding unless the patient: | 
      
        |  | (1)  testifies in the public proceeding; or | 
      
        |  | (2)  submits a written release in regard to the | 
      
        |  | patient's records or identity. | 
      
        |  | Sec. 604.208.  REQUIRED SUSPENSION OF LICENSE OF | 
      
        |  | INCARCERATED CERTIFICATE OR TEMPORARY PERMIT HOLDER.  Regardless of | 
      
        |  | the offense, the advisory board shall suspend the certificate or | 
      
        |  | temporary permit of a person serving a prison term in a state or | 
      
        |  | federal penitentiary during the term of the incarceration. | 
      
        |  | Sec. 604.209.  INFORMAL PROCEEDINGS.  (a)  The advisory | 
      
        |  | board by rule shall adopt procedures governing: | 
      
        |  | (1)  informal disposition of a contested case under | 
      
        |  | Section 2001.056, Government Code; and | 
      
        |  | (2)  informal proceedings held in compliance with | 
      
        |  | Section 2001.054, Government Code. | 
      
        |  | (b)  Rules adopted under this section must require that: | 
      
        |  | (1)  an informal meeting in compliance with Section | 
      
        |  | 2001.054, Government Code, be scheduled and the advisory board give | 
      
        |  | notice to the person who is the subject of a complaint of the time | 
      
        |  | and place of the meeting not later than the 45th day before the date | 
      
        |  | the meeting is held; | 
      
        |  | (2)  the complainant and the person who is the subject | 
      
        |  | of the complaint be provided an opportunity to be heard; | 
      
        |  | (3)  at least one of the advisory board members | 
      
        |  | participating in the informal meeting as a panelist be a member who | 
      
        |  | represents the public; | 
      
        |  | (4)  a member of the medical board's staff be at the | 
      
        |  | meeting to present to the advisory board's representative the facts | 
      
        |  | the staff reasonably believes it could prove by competent evidence | 
      
        |  | or qualified witnesses at a hearing; and | 
      
        |  | (5)  the advisory board's legal counsel or a | 
      
        |  | representative of the attorney general be present to advise the | 
      
        |  | advisory board or the medical board's staff. | 
      
        |  | (c)  The person who is the subject of the complaint is | 
      
        |  | entitled to: | 
      
        |  | (1)  reply to the staff's presentation; and | 
      
        |  | (2)  present the facts the person reasonably believes | 
      
        |  | the person could prove by competent evidence or qualified witnesses | 
      
        |  | at a hearing. | 
      
        |  | (d)  After ample time is given for the presentations, the | 
      
        |  | advisory board representative shall recommend that the | 
      
        |  | investigation be closed or shall attempt to mediate the disputed | 
      
        |  | matters and make a recommendation regarding the disposition of the | 
      
        |  | case in the absence of a hearing under applicable law concerning | 
      
        |  | contested cases. | 
      
        |  | (e)  If the person who is the subject of the complaint has | 
      
        |  | previously been the subject of disciplinary action by the advisory | 
      
        |  | board, the advisory board shall schedule the informal meeting as | 
      
        |  | soon as practicable. | 
      
        |  | Sec. 604.210.  ADVISORY BOARD REPRESENTATION IN INFORMAL | 
      
        |  | PROCEEDINGS.  (a)  In an informal meeting under Section 604.209, at | 
      
        |  | least two panelists shall be appointed to determine whether an | 
      
        |  | informal disposition is appropriate. | 
      
        |  | (b)  Notwithstanding Subsection (a) and Section | 
      
        |  | 604.209(b)(3), an informal proceeding may be conducted by one | 
      
        |  | panelist if the person who is the subject of the complaint waives | 
      
        |  | the requirement that at least two panelists conduct the informal | 
      
        |  | proceeding.  If the person waives that requirement, the panelist | 
      
        |  | may be any member of the advisory board. | 
      
        |  | (c)  Except as provided by Subsection (d), the panel | 
      
        |  | requirements described by Subsections (a) and (b) apply to an | 
      
        |  | informal proceeding conducted by the advisory board under Section | 
      
        |  | 604.209, including a proceeding to: | 
      
        |  | (1)  consider a disciplinary case to determine if a | 
      
        |  | violation has occurred; or | 
      
        |  | (2)  request modification or termination of an order. | 
      
        |  | (d)  The panel requirements described by Subsections (a) and | 
      
        |  | (b) do not apply to an informal proceeding conducted by the advisory | 
      
        |  | board under Section 604.209 to show compliance with an order of the | 
      
        |  | advisory board. | 
      
        |  | Sec. 604.211.  ROLES AND RESPONSIBILITIES OF PARTICIPANTS IN | 
      
        |  | INFORMAL PROCEEDINGS.  (a)  An advisory board member who serves as a | 
      
        |  | panelist at an informal meeting under Section 604.209 shall make | 
      
        |  | recommendations for the disposition of a complaint or | 
      
        |  | allegation.  The member may request the assistance of a medical | 
      
        |  | board employee at any time. | 
      
        |  | (b)  Medical board employees shall present a summary of the | 
      
        |  | allegations against the person who is the subject of the complaint | 
      
        |  | and of the facts pertaining to the allegation that the employees | 
      
        |  | reasonably believe may be proven by competent evidence at a formal | 
      
        |  | hearing. | 
      
        |  | (c)  An attorney for the advisory board or medical board | 
      
        |  | shall act as counsel to the panel and, notwithstanding Subsection | 
      
        |  | (e), shall be present during the informal meeting and the panel's | 
      
        |  | deliberations to advise the panel on legal issues that arise during | 
      
        |  | the proceeding.  The attorney may ask questions of a participant in | 
      
        |  | the informal meeting to clarify any statement made by the | 
      
        |  | participant.  The attorney shall provide to the panel a historical | 
      
        |  | perspective on comparable cases that have appeared before the | 
      
        |  | advisory board or medical board, keep the proceedings focused on | 
      
        |  | the case being discussed, and ensure that the medical board's | 
      
        |  | employees and the person who is the subject of the complaint have an | 
      
        |  | opportunity to present information related to the case.  During the | 
      
        |  | panel's deliberations, the attorney may be present only to advise | 
      
        |  | the panel on legal issues and to provide information on comparable | 
      
        |  | cases that have appeared before the advisory board or medical | 
      
        |  | board. | 
      
        |  | (d)  The panel and medical board employees shall provide an | 
      
        |  | opportunity for the person who is the subject of the complaint and | 
      
        |  | the person's authorized representative to reply to the medical | 
      
        |  | board employees' presentation and to present oral and written | 
      
        |  | statements and facts that the person and representative reasonably | 
      
        |  | believe could be proven by competent evidence at a formal hearing. | 
      
        |  | (e)  An employee of the medical board who participated in the | 
      
        |  | presentation of the allegation or information gathered in the | 
      
        |  | investigation of the complaint, the person who is the subject of the | 
      
        |  | complaint, the person's authorized representative, the | 
      
        |  | complainant, the witnesses, and members of the public may not be | 
      
        |  | present during the deliberations of the panel.  Only the members of | 
      
        |  | the panel and the attorney serving as counsel to the panel may be | 
      
        |  | present during the deliberations. | 
      
        |  | (f)  The panel shall recommend the dismissal of the complaint | 
      
        |  | or allegations or, if the panel determines that the person has | 
      
        |  | violated a statute or advisory board rule, the panel may recommend | 
      
        |  | advisory board action and terms for an informal settlement of the | 
      
        |  | case. | 
      
        |  | (g)  The panel's recommendations under Subsection (f) must | 
      
        |  | be made in a written order and presented to the affected person and | 
      
        |  | the person's authorized representative.  The person may accept the | 
      
        |  | proposed settlement within the time established by the panel at the | 
      
        |  | informal meeting.  If the person rejects the proposed settlement or | 
      
        |  | does not act within the required time, the advisory board may | 
      
        |  | proceed with the filing of a formal complaint with the State Office | 
      
        |  | of Administrative Hearings. | 
      
        |  | Sec. 604.212.  LIMIT ON ACCESS TO INVESTIGATION FILES.  The | 
      
        |  | advisory board shall prohibit or limit access to an investigation | 
      
        |  | file relating to a person subject to an informal proceeding in the | 
      
        |  | manner provided by Sections 164.007(c) and 604.175. | 
      
        |  | Sec. 604.213.  REFUND.  (a)  Subject to Subsection (b), the | 
      
        |  | advisory board may order a certificate or temporary permit holder | 
      
        |  | to pay a refund to a consumer as provided in an agreement resulting | 
      
        |  | from an informal settlement conference instead of or in addition to | 
      
        |  | imposing an administrative penalty under Subchapter F. | 
      
        |  | (b)  The amount of a refund ordered as provided in an | 
      
        |  | agreement resulting from an informal settlement conference may not | 
      
        |  | exceed the amount the consumer paid to the certificate or temporary | 
      
        |  | permit holder for a service regulated by this chapter.  The | 
      
        |  | advisory board may not require payment of other damages or estimate | 
      
        |  | harm in a refund order. | 
      
        |  | Sec. 604.214.  EXPERT IMMUNITY.  An expert who assists the | 
      
        |  | advisory board is immune from suit and judgment and may not be | 
      
        |  | subjected to a suit for damages for any investigation, report, | 
      
        |  | recommendation, statement, evaluation, finding, or other action | 
      
        |  | taken in the course of assisting the advisory board in a | 
      
        |  | disciplinary proceeding.  The attorney general shall represent the | 
      
        |  | expert in any suit resulting from a service provided by the person | 
      
        |  | in good faith to the advisory board. | 
      
        |  | SECTION 9.182.  Section 604.301, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.301.  IMPOSITION OF PENALTY.  The advisory board | 
      
        |  | [ department] may impose an administrative penalty on a person who | 
      
        |  | violates this chapter or a rule adopted under this chapter. | 
      
        |  | SECTION 9.183.  Section 604.303, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.303.  NOTICE OF VIOLATION AND PENALTY.  If, after | 
      
        |  | investigation of a possible violation and the facts surrounding the | 
      
        |  | possible violation, the advisory board [ department] determines | 
      
        |  | that a violation occurred, the advisory board [ department] shall | 
      
        |  | give written notice of the violation to the person alleged to have | 
      
        |  | committed the violation.  The notice must: | 
      
        |  | (1)  include a brief summary of the alleged violation; | 
      
        |  | (2)  state the amount of the proposed administrative | 
      
        |  | penalty based on the factors set forth in Section 604.302(b); 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. | 
      
        |  | SECTION 9.184.  Section 604.304, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.304.  PENALTY TO BE PAID OR HEARING REQUESTED.  (a) | 
      
        |  | Not later than the 20th day after the date the person receives the | 
      
        |  | notice under Section 604.303, the person may: | 
      
        |  | (1)  accept the advisory board's [ department's] | 
      
        |  | determination and proposed administrative penalty; or | 
      
        |  | (2)  make a written request for a hearing on that | 
      
        |  | determination. | 
      
        |  | (b)  If the person accepts the [ department's] determination, | 
      
        |  | the advisory board [ department] by order shall approve the | 
      
        |  | determination and assess the proposed penalty. | 
      
        |  | SECTION 9.185.  Section 604.305, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.305.  HEARING.  (a)  If the person requests a | 
      
        |  | hearing in a timely manner, the advisory board [ department] shall: | 
      
        |  | (1)  set a hearing; and | 
      
        |  | (2)  give written notice of the hearing to the person. | 
      
        |  | (b)  The hearings examiner shall: | 
      
        |  | (1)  make findings of fact and conclusions of law; and | 
      
        |  | (2)  promptly issue to the advisory board [ department] | 
      
        |  | a proposal for decision as to the occurrence of the violation and | 
      
        |  | the amount of any proposed administrative penalty. | 
      
        |  | SECTION 9.186.  Section 604.306, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.306.  DECISION BY ADVISORY BOARD [ DEPARTMENT].  (a) | 
      
        |  | Based on the findings of fact, conclusions of law, and proposal for | 
      
        |  | decision, the advisory board [ department] by order may determine | 
      
        |  | that: | 
      
        |  | (1)  a violation occurred and impose an administrative | 
      
        |  | penalty; or | 
      
        |  | (2)  a violation did not occur. | 
      
        |  | (b)  The advisory board [ department] 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 person's right to judicial | 
      
        |  | review of the order. | 
      
        |  | SECTION 9.187.  Sections 604.307(b) and (c), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (b)  Within the 30-day period, 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 | 
      
        |  | approved by the court that: | 
      
        |  | (i)  is for the amount of the penalty; and | 
      
        |  | (ii)  is effective until 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 | 
      
        |  | advisory board [ department] by certified mail. | 
      
        |  | (c)  If the advisory board [ department] receives a copy of an | 
      
        |  | affidavit under Subsection (b)(2), the advisory board [ department] | 
      
        |  | may file with the court a contest to the affidavit not later than | 
      
        |  | the fifth day after the date the copy is received. | 
      
        |  | SECTION 9.188.  Section 604.308, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 604.308.  COLLECTION OF PENALTY.  If the person does not | 
      
        |  | pay the penalty and enforcement of the penalty is not stayed, the | 
      
        |  | advisory board [ department] may refer the matter to the attorney | 
      
        |  | general for collection of the penalty. | 
      
        |  | SECTION 9.189.  Section 604.311, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 604.311.  ADMINISTRATIVE PENALTY EXPENSES AND COSTS. | 
      
        |  | (a)  In this section, "reasonable expenses and costs" includes | 
      
        |  | expenses incurred by the advisory board [ department] or the | 
      
        |  | attorney general in the investigation, initiation, or prosecution | 
      
        |  | of an action, including reasonable investigative costs, court | 
      
        |  | costs, attorney's fees, witness fees, and deposition expenses. | 
      
        |  | (b)  The advisory board [ department] may assess reasonable | 
      
        |  | expenses and costs against a person in an administrative hearing | 
      
        |  | if, as a result of the hearing, an administrative penalty is | 
      
        |  | assessed against the person.  The person shall pay expenses and | 
      
        |  | costs assessed under this subsection not later than the 30th day | 
      
        |  | after the date the order of the advisory board [ department] | 
      
        |  | requiring the payment of expenses and costs is final.  The advisory | 
      
        |  | board [ department] may refer the matter to the attorney general for | 
      
        |  | collection of the expenses and costs. | 
      
        |  | (c)  If the attorney general brings an action against a | 
      
        |  | person to enforce an administrative penalty assessed under this | 
      
        |  | subchapter and the person is found liable for an administrative | 
      
        |  | penalty, the attorney general may recover, on behalf of the | 
      
        |  | attorney general and the advisory board [ department], reasonable | 
      
        |  | expenses and costs. | 
      
        |  | SECTION 9.190.  The heading to Subchapter G, Chapter 604, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER G. CRIMINAL PENALTIES AND ENFORCEMENT PROVISIONS | 
      
        |  | SECTION 9.191.  Section 604.352(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  A person commits an offense if the person knowingly: | 
      
        |  | (1)  sells, fraudulently obtains, or furnishes a | 
      
        |  | respiratory care diploma, certificate, temporary permit, or | 
      
        |  | record; | 
      
        |  | (2)  practices respiratory care under a respiratory | 
      
        |  | care diploma, certificate, temporary permit, or record illegally or | 
      
        |  | fraudulently obtained or issued; | 
      
        |  | (3)  impersonates in any manner a respiratory care | 
      
        |  | practitioner; | 
      
        |  | (4)  practices respiratory care while the person's | 
      
        |  | certificate or temporary permit is suspended, revoked, or expired; | 
      
        |  | (5)  conducts a formal respiratory care education | 
      
        |  | program to prepare respiratory care personnel other than a program | 
      
        |  | approved by the advisory board [ department]; | 
      
        |  | (6)  employs a person as a respiratory care | 
      
        |  | practitioner who does not hold a certificate or temporary permit in | 
      
        |  | the practice of respiratory care; or | 
      
        |  | (7)  otherwise practices medicine in violation of | 
      
        |  | Section 604.002. | 
      
        |  | SECTION 9.192.  The following provisions of the Occupations | 
      
        |  | Code are repealed: | 
      
        |  | (1)  Sections 601.002(2) and (5); | 
      
        |  | (2)  Section 601.051; | 
      
        |  | (3)  Section 601.053; | 
      
        |  | (4)  Section 601.103; | 
      
        |  | (5)  Sections 602.002(1-a) and (2); | 
      
        |  | (6)  Sections 602.052(b) and (c); | 
      
        |  | (7)  Sections 602.053(a), (b), and (c); | 
      
        |  | (8)  Section 602.056(c); | 
      
        |  | (9)  Section 602.059; | 
      
        |  | (10)  Subchapter C, Chapter 602; | 
      
        |  | (11)  Sections 602.1525(b), (c), (d), (e), (f), and | 
      
        |  | (g); | 
      
        |  | (12)  Section 602.155; | 
      
        |  | (13)  Section 602.204; | 
      
        |  | (14)  Sections 603.002(1) and (4); | 
      
        |  | (15)  Section 603.005; | 
      
        |  | (16)  Section 603.054(c); | 
      
        |  | (17)  Section 603.058; | 
      
        |  | (18)  Subchapter C, Chapter 603; | 
      
        |  | (19)  Section 603.154(b); | 
      
        |  | (20)  Section 603.158; | 
      
        |  | (21)  Section 603.159; | 
      
        |  | (22)  Sections 603.2041(b), (c), (d), (f), and (g); | 
      
        |  | (23)  Section 604.051; | 
      
        |  | (24)  Sections 604.052(b) and (c); and | 
      
        |  | (25)  Section 604.056. | 
      
        |  | SECTION 9.193.  Sections 601.1031, 601.1111, 602.2081, | 
      
        |  | 602.2101, 603.2571, 603.3031, 604.1031, and 604.1523, Occupations | 
      
        |  | Code, as added by this article, apply only to an application for the | 
      
        |  | issuance or renewal of a license,  certificate, or permit filed | 
      
        |  | under Chapter 601, 602, 603, or 604, Occupations Code, on or after | 
      
        |  | January 1, 2016.  An application filed before that date is governed | 
      
        |  | by the law in effect at the time the application was filed, and the | 
      
        |  | former law is continued in effect for that purpose. | 
      
        |  | SECTION 9.194.  (a)  A rule or fee of the Department of State | 
      
        |  | Health Services that relates to a program transferred under this | 
      
        |  | article and that is in effect on the effective date of this Act | 
      
        |  | remains in effect until changed by the Texas Medical Board, the | 
      
        |  | Texas Board of Medical Radiologic Technology, or the Texas Board of | 
      
        |  | Respiratory Care, as appropriate. | 
      
        |  | (b)  A license, certificate, or permit issued by the | 
      
        |  | Department of State Health Services for a program transferred under | 
      
        |  | this article is continued in effect as a license, certificate, or | 
      
        |  | permit of the Texas Medical Board, the Texas Board of Medical | 
      
        |  | Radiologic Technology, or the Texas Board of Respiratory Care, as | 
      
        |  | appropriate, after the effective date of this Act. | 
      
        |  | (c)  A complaint, investigation, contested case, or other | 
      
        |  | proceeding before the Department of State Health Services relating | 
      
        |  | to a program transferred under this article that is pending on the | 
      
        |  | effective date of this Act is transferred without change in status | 
      
        |  | to the Texas Medical Board, the Texas Board of Medical Radiologic | 
      
        |  | Technology, or the Texas Board of Respiratory Care, as appropriate. | 
      
        |  | SECTION 9.195.  (a)  As soon as practicable after the | 
      
        |  | effective date of this Act, the Department of State Health Services | 
      
        |  | and the Texas Medical Board shall adopt a transition plan to provide | 
      
        |  | for the orderly transfer of powers, duties, functions, programs, | 
      
        |  | and activities under this article.  The transition plan must | 
      
        |  | provide for the transfer to be completed as soon as practicable | 
      
        |  | after the effective date of this Act. | 
      
        |  | (b)  The Department of State Health Services shall provide | 
      
        |  | the Texas Medical Board with access to any systems or information | 
      
        |  | necessary for the Texas Medical Board to accept a program | 
      
        |  | transferred under this article. | 
      
        |  | (c)  On the effective date of this Act, the Texas Board of | 
      
        |  | Licensure for Professional Medical Physicists and the Texas State | 
      
        |  | Perfusionist Advisory Committee are abolished and the governor and | 
      
        |  | the president of the Texas Medical Board, as appropriate, shall, as | 
      
        |  | soon as practicable after the effective date of this Act, appoint | 
      
        |  | the members of the Texas Board of Medical Radiologic Technology, | 
      
        |  | the Medical Physicist Licensure Advisory Committee, the | 
      
        |  | Perfusionist Licensure Advisory Committee, and the Texas Board of | 
      
        |  | Respiratory Care. | 
      
        |  | ARTICLE 10. DEREGULATION OF CERTAIN ACTIVITIES AND OCCUPATIONS | 
      
        |  | SECTION 10.001.  Section 2165.303(b), Government Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  The commission shall report the findings and test | 
      
        |  | results obtained under a contract for air monitoring under this | 
      
        |  | section to the office [ and the department] in a form and manner | 
      
        |  | prescribed by the office [ and the department] for that purpose. | 
      
        |  | SECTION 10.002.  Section 2165.305(c), Government Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (c)  In developing a seminar required by this section, the | 
      
        |  | office shall receive assistance from: | 
      
        |  | (1)  the commission; and | 
      
        |  | (2)  [ the department; and | 
      
        |  | [ (3)]  an entity that specializes in research and | 
      
        |  | technical assistance related to indoor air quality but does not | 
      
        |  | receive appropriations from the state. | 
      
        |  | SECTION 10.003.  The heading to Subtitle G, Title 2, Health | 
      
        |  | and Safety Code, is amended to read as follows: | 
      
        |  | SUBTITLE G. LICENSES AND OTHER REGULATION | 
      
        |  | SECTION 10.004.  The heading to Subchapter C, Chapter 144, | 
      
        |  | Health and Safety Code, is amended to read as follows: | 
      
        |  | SUBCHAPTER C. OPERATING PROCEDURES [ FOR ALL LICENSE HOLDERS] | 
      
        |  | SECTION 10.005.  Section 144.021, Health and Safety Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 144.021.  GENERAL REQUIREMENTS FOR RENDERING | 
      
        |  | OPERATIONS [ OPERATING LICENSES]. [(a)] Each rendering | 
      
        |  | establishment, related station, transfer station, dead animal | 
      
        |  | hauler, or renderable raw material hauler [ applicant for or holder  | 
      
        |  | of an operating license] shall adopt operating procedures that: | 
      
        |  | (1)  provide for the sanitary performance of rendering | 
      
        |  | operations and processes; | 
      
        |  | (2)  prevent the spread of infectious or noxious | 
      
        |  | materials; and | 
      
        |  | (3)  ensure that finished products are free from | 
      
        |  | disease-producing organisms. | 
      
        |  | [ (b)  As a condition of licensure, the department, in  | 
      
        |  | accordance with department rules, may prescribe other reasonable  | 
      
        |  | and appropriate construction, operational, maintenance, and  | 
      
        |  | inspection requirements to ensure compliance with this chapter and  | 
      
        |  | other applicable rules.] | 
      
        |  | SECTION 10.006.  Section 144.022, Health and Safety Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 144.022.  RECORDS.  (a) Each [ licensed] rendering | 
      
        |  | establishment, related station, or dead animal hauler shall have a | 
      
        |  | dead animal log that meets the requirements prescribed by | 
      
        |  | department rule. The name of the [ licensed] rendering | 
      
        |  | establishment, related station, or dead animal hauler must be on | 
      
        |  | the front of the log. | 
      
        |  | (b)  A rendering establishment, related station, or dead | 
      
        |  | animal hauler that [ When a license holder] receives a dead animal [,  | 
      
        |  | the license holder] shall enter the following information in the | 
      
        |  | log: | 
      
        |  | (1)  the date and time of the pickup of the dead animal; | 
      
        |  | (2)  the name of the driver of the collection vehicle; | 
      
        |  | (3)  a description of the dead animal; | 
      
        |  | (4)  the location of the dead animal, including the | 
      
        |  | county; and | 
      
        |  | (5)  the owner of the dead animal, if known. | 
      
        |  | (c)  The rendering establishment, related station, or dead | 
      
        |  | animal hauler [ license holder] shall also keep a record in the log, | 
      
        |  | or in an appendix to the log, of the general route followed in | 
      
        |  | making the collection. | 
      
        |  | (d)  The log is subject to inspection at all reasonable times | 
      
        |  | by the department or a person with written authorization from the | 
      
        |  | department. [ Repeated or wilful failure or refusal to produce the  | 
      
        |  | log for inspection or to permit inspection by persons properly  | 
      
        |  | authorized to inspect the log constitutes grounds for license  | 
      
        |  | revocation.] | 
      
        |  | (e)  This section does not apply to a [ licensed] renderable | 
      
        |  | raw material hauler. | 
      
        |  | SECTION 10.007.  The heading to Section 144.023, Health and | 
      
        |  | Safety Code, is amended to read as follows: | 
      
        |  | Sec. 144.023.  VEHICLES[ ; PERMIT REQUIRED]. | 
      
        |  | SECTION 10.008.  Section 144.023(c), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (c)  A truck bed used to transport dead animals or renderable | 
      
        |  | raw materials shall be thoroughly washed and sanitized before use | 
      
        |  | for the transport of finished rendered products. A truck bed used to | 
      
        |  | transport dead animals or renderable raw materials to a rendering | 
      
        |  | establishment, or to transfer finished rendered products from an | 
      
        |  | establishment, shall, before being used to transport any product | 
      
        |  | intended for human consumption, be thoroughly sanitized with a | 
      
        |  | bactericidal agent that is [ determined by the department to be] | 
      
        |  | safe for use in a rendering establishment. A truck bed may not be | 
      
        |  | used to transport dead animals or renderable raw materials at the | 
      
        |  | same time the truck bed or any part of the truck bed is used to | 
      
        |  | transport any product intended for human consumption, | 
      
        |  | notwithstanding the manner in which part of the truck bed is sealed | 
      
        |  | or separated from the remainder of the bed. | 
      
        |  | SECTION 10.009.  Section 144.027(c), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (c)  A drinking water supply [ approved by the department] | 
      
        |  | shall be provided at convenient locations in the establishment for | 
      
        |  | the use of employees. | 
      
        |  | SECTION 10.010.  Section 144.078(a), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (a)  The [ On request of the department, the] attorney general | 
      
        |  | may bring an action in any district court of this state that has | 
      
        |  | jurisdiction and venue for an injunction to compel compliance with | 
      
        |  | this chapter or to restrain any actual or threatened violation of | 
      
        |  | this chapter. | 
      
        |  | SECTION 10.011.  Section 144.079(c), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (c)  A renderer, hauler, or any other person may not[ : | 
      
        |  | [ (1)  take possession of recyclable cooking oil from an  | 
      
        |  | unlicensed hauler or an employee or contractor of an unlicensed  | 
      
        |  | hauler; or | 
      
        |  | [ (2)]  knowingly take possession of stolen recyclable | 
      
        |  | cooking oil. | 
      
        |  | SECTION 10.012.  Sections 145.006(a) and (b), Health and | 
      
        |  | Safety Code, as amended by S.B. 219, Acts of the 84th Legislature, | 
      
        |  | Regular Session, 2015, are amended to read as follows: | 
      
        |  | (a)  A tanning facility shall post a warning sign in a | 
      
        |  | conspicuous location where it is readily visible by persons | 
      
        |  | entering the establishment.  [ The executive commissioner by rule  | 
      
        |  | shall specify the size, design, and graphic design of the sign.] | 
      
        |  | The sign must have dimensions of at least 11 inches by 17 inches and | 
      
        |  | must contain the following wording: | 
      
        |  | Repeated exposure to ultraviolet radiation may cause chronic | 
      
        |  | sun damage characterized by wrinkling, dryness, fragility, | 
      
        |  | bruising of the skin, and skin cancer. | 
      
        |  | DANGER:  ULTRAVIOLET RADIATION | 
      
        |  | Failure to use protective eyewear may result in severe burns | 
      
        |  | or permanent injury to the eyes. | 
      
        |  | Medications or cosmetics may increase your sensitivity to | 
      
        |  | ultraviolet radiation.  Consult a physician before using a sunlamp | 
      
        |  | if you are using medications, have a history of skin problems, or | 
      
        |  | believe you are especially sensitive to sunlight.  Pregnant women | 
      
        |  | or women taking oral contraceptives who use this product may | 
      
        |  | develop discolored skin. | 
      
        |  | [ A customer may call the Department of State Health Services  | 
      
        |  | at (insert toll-free telephone number) to report an alleged injury  | 
      
        |  | regarding this tanning facility.] | 
      
        |  | IF YOU DO NOT TAN IN THE SUN, YOU ARE UNLIKELY TO TAN FROM USE OF AN | 
      
        |  | ULTRAVIOLET LAMP OR SUNLAMP. | 
      
        |  | (b)  A tanning facility operator shall also post a warning | 
      
        |  | sign at each tanning device in a conspicuous location that is | 
      
        |  | readily visible to a person about to use the device.  [ The executive  | 
      
        |  | commissioner by rule shall specify the size, design, and graphic  | 
      
        |  | design of the sign.]  The sign must have dimensions of at least 11 | 
      
        |  | inches by 17 inches and must contain the following wording: | 
      
        |  | DANGER:  ULTRAVIOLET RADIATION | 
      
        |  | 1.  Follow the manufacturer's instructions for use of this | 
      
        |  | device. | 
      
        |  | 2.  Avoid too frequent or lengthy exposure.  As with natural | 
      
        |  | sunlight, exposure can cause serious eye and skin injuries and | 
      
        |  | allergic reactions.  Repeated exposure may cause skin cancer. | 
      
        |  | 3.  Wear protective eyewear.  Failure to use protective | 
      
        |  | eyewear may result in severe burns or permanent damage to the eyes. | 
      
        |  | 4.  Do not sunbathe before or after exposure to ultraviolet | 
      
        |  | radiation from sunlamps. | 
      
        |  | 5.  Medications or cosmetics may increase your sensitivity | 
      
        |  | to ultraviolet radiation.  Consult a physician before using a | 
      
        |  | sunlamp if you are using medication, have a history of skin | 
      
        |  | problems, or believe you are especially sensitive to sunlight. | 
      
        |  | Pregnant women or women using oral contraceptives who use this | 
      
        |  | product may develop discolored skin. | 
      
        |  | [ A customer may call the Department of State Health Services  | 
      
        |  | at (insert toll-free telephone number) to report an alleged injury  | 
      
        |  | regarding this tanning device.] | 
      
        |  | IF YOU DO NOT TAN IN THE SUN, YOU ARE UNLIKELY TO TAN FROM USE OF | 
      
        |  | THIS DEVICE. | 
      
        |  | SECTION 10.013.  Sections 145.008(i) and (j), Health and | 
      
        |  | Safety Code, as amended by S.B. 219, Acts of the 84th Legislature, | 
      
        |  | Regular Session, 2015, are amended to read as follows: | 
      
        |  | (i)  A record of each customer using a tanning device shall | 
      
        |  | be maintained at the tanning facility at least until the third | 
      
        |  | anniversary of the date of the customer's last use of a tanning | 
      
        |  | device.  [ The executive commissioner by rule shall prescribe the  | 
      
        |  | form and content of the records.]  The record shall include: | 
      
        |  | (1)  the date and time of the customer's use of a | 
      
        |  | tanning device; | 
      
        |  | (2)  the length of time the tanning device was used; | 
      
        |  | (3)  any injury or illness resulting from the use of a | 
      
        |  | tanning device; | 
      
        |  | (4)  any written informed consent statement required to | 
      
        |  | be signed under Subsection (e); | 
      
        |  | (5)  the customer's skin type, as determined by the | 
      
        |  | customer by using the Fitzpatrick scale for classifying a skin | 
      
        |  | type; | 
      
        |  | (6)  whether the customer has a family history of skin | 
      
        |  | cancer; and | 
      
        |  | (7)  whether the customer has a past medical history of | 
      
        |  | skin cancer. | 
      
        |  | (j)  An operator shall keep an incident log at each tanning | 
      
        |  | facility.  The log shall be maintained at the tanning facility at | 
      
        |  | least until the third anniversary of the date of an incident.  [ The  | 
      
        |  | executive commissioner by rule shall prescribe the form and content  | 
      
        |  | of the log.]  The log shall include each: | 
      
        |  | (1)  alleged injury; | 
      
        |  | (2)  use of a tanning device by a customer not wearing | 
      
        |  | protective eyewear; | 
      
        |  | (3)  mechanical problem with a tanning device; and | 
      
        |  | (4)  customer complaint. | 
      
        |  | SECTION 10.014.  Section 145.0096, Health and Safety Code, | 
      
        |  | is amended by amending Subsections (a) and (b) and adding | 
      
        |  | Subsection (a-1) to read as follows: | 
      
        |  | (a)  This section applies only to a business that: | 
      
        |  | (1)  is operated under a license or permit as a sexually | 
      
        |  | oriented business issued in accordance with Section 243.007, Local | 
      
        |  | Government Code; or | 
      
        |  | (2)  offers, as its primary business, a service or the | 
      
        |  | sale, rental, or exhibition of a device or other item that is | 
      
        |  | intended to provide sexual stimulation or sexual gratification to a | 
      
        |  | customer. | 
      
        |  | (a-1)  A business to which this section applies [ described by  | 
      
        |  | Section 145.0095(a)(1) or (2)] may not use the word "tan" or | 
      
        |  | "tanning" in a sign or any other form of advertising. | 
      
        |  | (b)  A person commits an offense if the person violates | 
      
        |  | Subsection (a-1) [ (a)].  Except as provided by Subsection (c), an | 
      
        |  | offense under this subsection is a Class C misdemeanor. | 
      
        |  | SECTION 10.015.  The heading to Section 145.011, Health and | 
      
        |  | Safety Code, is amended to read as follows: | 
      
        |  | Sec. 145.011.  ACCESS TO RECORDS [ RULES; INSPECTION]. | 
      
        |  | SECTION 10.016.  Section 145.011(c), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (c)  A person who is required to maintain records under this | 
      
        |  | chapter or a person in charge of the custody of those records shall, | 
      
        |  | at the request of a [ an authorized agent or] health authority, | 
      
        |  | permit the [ authorized agent or] health authority access to copy or | 
      
        |  | verify the records at reasonable times. | 
      
        |  | SECTION 10.017.  Sections 145.0121(a) and (f), Health and | 
      
        |  | Safety Code, as amended by S.B. 219, Acts of the 84th Legislature, | 
      
        |  | Regular Session, 2015, are amended to read as follows: | 
      
        |  | (a)  If it appears that a person has violated or is violating | 
      
        |  | this chapter [ or an order issued or a rule adopted under this  | 
      
        |  | chapter], [the department may request] the attorney general, or the | 
      
        |  | district, [ or] county, [attorney] or [the] municipal attorney [of a  | 
      
        |  | municipality] in the jurisdiction where the violation is alleged to | 
      
        |  | have occurred or may occur, may [ to] institute a civil suit for: | 
      
        |  | (1)  an order enjoining the violation; | 
      
        |  | (2)  a permanent or temporary injunction, a temporary | 
      
        |  | restraining order, or other appropriate remedy [ if the department  | 
      
        |  | shows that the person has engaged in or is engaging in a violation]; | 
      
        |  | (3)  the assessment and recovery of a civil penalty; or | 
      
        |  | (4)  both injunctive relief and a civil penalty. | 
      
        |  | (f)  The [ department or the] attorney general may [each] | 
      
        |  | recover reasonable expenses incurred in obtaining injunctive | 
      
        |  | relief or a civil penalty under this section, including | 
      
        |  | investigation and court costs, reasonable attorney's fees, witness | 
      
        |  | fees, and other expenses.  [ The expenses recovered by the  | 
      
        |  | department under this section shall be used for the administration  | 
      
        |  | and enforcement of this chapter.]  The expenses recovered by the | 
      
        |  | attorney general shall be used by the attorney general. | 
      
        |  | SECTION 10.018.  Section 145.016(b), Health and Safety Code, | 
      
        |  | is amended to read as follows: | 
      
        |  | (b)  An operator or other person may disclose a customer | 
      
        |  | record: | 
      
        |  | (1)  if the customer, or a person authorized to act on | 
      
        |  | behalf of the customer, requests the record; | 
      
        |  | (2)  if a [ the commissioner or an authorized agent or] | 
      
        |  | health authority requests the record under Section 145.011; | 
      
        |  | (3)  if the customer consents in writing to the | 
      
        |  | disclosure to another person; | 
      
        |  | (4)  in a criminal proceeding in which the customer is a | 
      
        |  | victim, witness, or defendant; | 
      
        |  | (5)  if the record is requested in a criminal or civil | 
      
        |  | proceeding by court order or subpoena; or | 
      
        |  | (6)  as otherwise required by law. | 
      
        |  | SECTION 10.019.  Section 437.0057(a), Health and Safety | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | (a)  A county, a public health district, or the department | 
      
        |  | may require a food handler be certified through a food handler | 
      
        |  | program that is accredited by the American National Standards | 
      
        |  | Institute, if the [ certification under Subchapter D, Chapter 438,  | 
      
        |  | for each] food handler [who] is employed by a food service | 
      
        |  | establishment in which food is prepared on-site for sale to the | 
      
        |  | public and which holds a permit issued by the county, the public | 
      
        |  | health district, or the department.  This section applies without | 
      
        |  | regard to whether the food service establishment is at a fixed | 
      
        |  | location or is a mobile food unit. | 
      
        |  | SECTION 10.020.  Section 437.0195(a), Health and Safety | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | (a)  An individual who operates a cottage food production | 
      
        |  | operation must have successfully completed a basic food safety | 
      
        |  | education or training program for food handlers accredited by the | 
      
        |  | American National Standards Institute and the Conference for Food | 
      
        |  | Protection [ under Subchapter D, Chapter 438]. | 
      
        |  | SECTION 10.021.  The heading to Section 438.041, Health and | 
      
        |  | Safety Code, is amended to read as follows: | 
      
        |  | Sec. 438.041.  DEFINITIONS [ DEFINITION]. | 
      
        |  | SECTION 10.022.  Section 438.041, Health and Safety Code, is | 
      
        |  | amended by adding Subdivision (3) to read as follows: | 
      
        |  | (3)  "Food manager" means an individual who manages or | 
      
        |  | operates a food establishment. | 
      
        |  | SECTION 10.023.  Section 438.042, Health and Safety Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 438.042.  DUTIES OF EXECUTIVE COMMISSIONER.  (a)  The | 
      
        |  | executive commissioner shall adopt standards and procedures for the | 
      
        |  | accreditation of education and training programs for food managers | 
      
        |  | [ persons employed in the food service industry]. | 
      
        |  | (b)  The executive commissioner shall adopt standards and | 
      
        |  | procedures for the accreditation of education and training programs | 
      
        |  | for recertification of food managers [ persons employed in the food  | 
      
        |  | service industry] who have previously completed a program | 
      
        |  | accredited in accordance with this subchapter or have been | 
      
        |  | certified by a local health jurisdiction and have completed | 
      
        |  | training and testing requirements substantially similar to those | 
      
        |  | required by this subchapter for program accreditation. The | 
      
        |  | requirements for accreditation in Section 438.043 need not be met | 
      
        |  | by an education or training program for recertification. | 
      
        |  | SECTION 10.024.  Sections 438.046(b) and (c), Health and | 
      
        |  | Safety Code, are amended to read as follows: | 
      
        |  | (b)  A local health jurisdiction that requires training for a | 
      
        |  | food service worker shall accept as sufficient to meet the | 
      
        |  | jurisdiction's training and testing requirements a food manager | 
      
        |  | training course that is accredited by the department or a food | 
      
        |  | handler training course that is accredited by the American National | 
      
        |  | Standards Institute [ and listed with the registry]. A food service | 
      
        |  | worker trained in a course for the employees of a single entity is | 
      
        |  | considered to have met a local health jurisdiction's training and | 
      
        |  | testing requirements only as to food service performed for that | 
      
        |  | entity. | 
      
        |  | (c)  Any fee charged by a local health jurisdiction for a | 
      
        |  | certificate issued to a food service worker trained by an | 
      
        |  | accredited course as provided by Subsection (b) [ listed in the  | 
      
        |  | registry] may not exceed the lesser of: | 
      
        |  | (1)  the reasonable cost incurred by the jurisdiction | 
      
        |  | in issuing the certificate; or | 
      
        |  | (2)  the fee charged by the jurisdiction to issue a | 
      
        |  | certificate to a food service worker certified by the jurisdiction | 
      
        |  | as having met the training and testing requirements by any other | 
      
        |  | means. | 
      
        |  | SECTION 10.025.  Section 1001.071(b), Health and Safety | 
      
        |  | Code, as redesignated by S.B. 219, Acts of the 84th Legislature, | 
      
        |  | Regular Session, 2015, is amended to read as follows: | 
      
        |  | (b)  The department is responsible for administering human | 
      
        |  | services programs regarding the public health, including: | 
      
        |  | (1)  implementing the state's public health care | 
      
        |  | delivery programs under the authority of the department; | 
      
        |  | (2)  administering state health facilities, hospitals, | 
      
        |  | and health care systems; | 
      
        |  | (3)  developing and providing health care services, as | 
      
        |  | directed by law; | 
      
        |  | (4)  providing for the prevention and control of | 
      
        |  | communicable diseases; | 
      
        |  | (5)  providing public education on health-related | 
      
        |  | matters, as directed by law; | 
      
        |  | (6)  compiling and reporting health-related | 
      
        |  | information, as directed by law; | 
      
        |  | (7)  acting as the lead agency for implementation of | 
      
        |  | state policies regarding the human immunodeficiency virus and | 
      
        |  | acquired immunodeficiency syndrome and administering programs | 
      
        |  | related to the human immunodeficiency virus and acquired | 
      
        |  | immunodeficiency syndrome; | 
      
        |  | (8)  investigating the causes of injuries and methods | 
      
        |  | of prevention; | 
      
        |  | (9)  administering a grant program to provide | 
      
        |  | appropriated money to counties, municipalities, public health | 
      
        |  | districts, and other political subdivisions for their use to | 
      
        |  | provide or pay for essential public health services; | 
      
        |  | (10)  administering the registration of vital | 
      
        |  | statistics; | 
      
        |  | (11)  licensing, inspecting, and enforcing regulations | 
      
        |  | regarding health facilities, other than long-term care facilities | 
      
        |  | regulated by the Department of Aging and Disability Services; | 
      
        |  | (12)  implementing established standards and | 
      
        |  | procedures for the management and control of sanitation and for | 
      
        |  | health protection measures; | 
      
        |  | (13)  enforcing regulations regarding radioactive | 
      
        |  | materials; | 
      
        |  | (14)  enforcing regulations regarding food, [ bottled  | 
      
        |  | and vended drinking water,] drugs, cosmetics, and health devices; | 
      
        |  | (15)  enforcing regulations regarding food service | 
      
        |  | establishments, retail food stores, mobile food units, and roadside | 
      
        |  | food vendors; | 
      
        |  | (16)  enforcing regulations controlling hazardous | 
      
        |  | substances in households and workplaces; and | 
      
        |  | (17)  implementing a mental health program for | 
      
        |  | veterans. | 
      
        |  | SECTION 10.026.  Section 32.074(a), Human Resources Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  In this section, "personal emergency response system" | 
      
        |  | has the meaning assigned by Section 1702.331, Occupations [ 781.001,  | 
      
        |  | Health and Safety] Code. | 
      
        |  | SECTION 10.027.  Section 843.002(24), Insurance Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (24)  "Provider" means: | 
      
        |  | (A)  a person, other than a physician, who is | 
      
        |  | licensed or otherwise authorized to provide a health care service | 
      
        |  | in this state, including: | 
      
        |  | (i)  a chiropractor, registered nurse, | 
      
        |  | pharmacist, optometrist, [ registered optician,] or acupuncturist; | 
      
        |  | or | 
      
        |  | (ii)  a pharmacy, hospital, or other | 
      
        |  | institution or organization; | 
      
        |  | (B)  a person who is wholly owned or controlled by | 
      
        |  | a provider or by a group of providers who are licensed or otherwise | 
      
        |  | authorized to provide the same health care service; or | 
      
        |  | (C)  a person who is wholly owned or controlled by | 
      
        |  | one or more hospitals and physicians, including a | 
      
        |  | physician-hospital organization. | 
      
        |  | SECTION 10.028.  Sections 351.005(a) and (d), Occupations | 
      
        |  | Code, are amended to read as follows: | 
      
        |  | (a)  This chapter does not: | 
      
        |  | (1)  apply to an officer or agent of the United States | 
      
        |  | or this state in performing official duties; | 
      
        |  | (2)  prevent or interfere with the right of a physician | 
      
        |  | licensed by the Texas [ State Board of] Medical Board [Examiners] | 
      
        |  | to: | 
      
        |  | (A)  treat or prescribe for a patient; or | 
      
        |  | (B)  direct or instruct a person under the | 
      
        |  | physician's control, supervision, or direction to aid or attend to | 
      
        |  | the needs of a patient according to the physician's specific | 
      
        |  | direction, instruction, or prescription; | 
      
        |  | (3)  prevent a person from selling ready-to-wear | 
      
        |  | eyeglasses as merchandise at retail; | 
      
        |  | (4)  prevent an unlicensed person from making simple | 
      
        |  | repairs to eyeglasses; | 
      
        |  | (5)  [ prevent or interfere with the right of a  | 
      
        |  | dispensing optician registered under Chapter 352 to engage in  | 
      
        |  | spectacle or contact lens dispensing under that chapter; | 
      
        |  | [ (6)]  prevent an ophthalmic dispenser who does not | 
      
        |  | practice optometry or therapeutic optometry from measuring | 
      
        |  | interpupillary distances or making facial measurements to dispense | 
      
        |  | or adapt an ophthalmic prescription, lens, product, or accessory in | 
      
        |  | accordance with the specific directions of a written prescription | 
      
        |  | signed by an optometrist, therapeutic optometrist, or licensed | 
      
        |  | physician; | 
      
        |  | (6) [ (7)]  prevent the administrator or executor of the | 
      
        |  | estate of a deceased optometrist or therapeutic optometrist from | 
      
        |  | employing an optometrist or therapeutic optometrist to continue the | 
      
        |  | practice of the deceased during estate administration; or | 
      
        |  | (7) [ (8)]  prevent an optometrist or therapeutic | 
      
        |  | optometrist from working for the administrator or executor of the | 
      
        |  | estate of a deceased optometrist or therapeutic optometrist to | 
      
        |  | continue the practice of the deceased during estate administration. | 
      
        |  | (d)  Continuation of the practice of a deceased optometrist | 
      
        |  | or therapeutic optometrist by an estate under Subsections (a)(6) | 
      
        |  | and (7) [ (a)(7) and (8)] must: | 
      
        |  | (1)  be authorized by the county judge;  and | 
      
        |  | (2)  terminate before the first anniversary of the date | 
      
        |  | of death of the optometrist or therapeutic optometrist. | 
      
        |  | SECTION 10.029.  Section 353.004, Occupations Code, as | 
      
        |  | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, | 
      
        |  | 2015, is amended to read as follows: | 
      
        |  | Sec. 353.004.  PUBLIC INFORMATION ON PRESCRIPTION RELEASE. | 
      
        |  | [ (a)]  The [department and the] Texas Optometry Board shall prepare | 
      
        |  | and provide to the public and appropriate state agencies | 
      
        |  | information regarding the release and verification of contact lens | 
      
        |  | prescriptions. | 
      
        |  | [ (b)  The executive commissioner may adopt rules necessary  | 
      
        |  | to implement this section.] | 
      
        |  | SECTION 10.030.  Section 353.1015(b), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (b)  A prescription is considered verified under this | 
      
        |  | section if: | 
      
        |  | (1)  the prescribing physician, optometrist, or | 
      
        |  | therapeutic optometrist by a direct communication confirms that the | 
      
        |  | prescription is accurate; | 
      
        |  | (2)  the prescribing physician, optometrist, or | 
      
        |  | therapeutic optometrist informs the person dispensing the contact | 
      
        |  | lenses that the prescription is inaccurate and provides the correct | 
      
        |  | prescription information; or | 
      
        |  | (3)  the prescribing physician, optometrist, or | 
      
        |  | therapeutic optometrist fails to communicate with the person | 
      
        |  | dispensing the contact lenses not later than the eighth business | 
      
        |  | hour after the prescribing physician, optometrist, or therapeutic | 
      
        |  | optometrist receives from the person dispensing the contact lenses | 
      
        |  | the request for verification [ or within another similar period  | 
      
        |  | specified by rule]. | 
      
        |  | SECTION 10.031.  Section 353.103(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  If a patient presents a contact lens prescription to be | 
      
        |  | filled or asks a person who dispenses contact lenses [ permit  | 
      
        |  | holder] to verify a contact lens prescription under Section | 
      
        |  | 353.1015, but requests that fewer than the total number of lenses | 
      
        |  | authorized by the prescription be dispensed, the person dispensing | 
      
        |  | the lenses shall note on the prescription or verification: | 
      
        |  | (1)  the number of lenses dispensed; | 
      
        |  | (2)  the number of lenses that remain eligible to be | 
      
        |  | dispensed under the prescription; and | 
      
        |  | (3)  the name, address, and telephone number[ , and  | 
      
        |  | license or permit number] of the person dispensing the lenses. | 
      
        |  | SECTION 10.032.  Section 353.104(a), Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | (a)  If a patient needs an emergency refill of the patient's | 
      
        |  | contact lens prescription, a physician, optometrist, or | 
      
        |  | therapeutic optometrist may telephone or fax the prescription to a | 
      
        |  | person who dispenses [ authorized to dispense] contact lenses [under  | 
      
        |  | Section 353.051] or may verify a prescription under Section | 
      
        |  | 353.1015. | 
      
        |  | SECTION 10.033.  Section 353.151, Occupations Code, is | 
      
        |  | amended to read as follows: | 
      
        |  | Sec. 353.151.  DIRECTIONS FOR INDEPENDENT DISPENSER | 
      
        |  | [ OPTICIAN];  DELEGATION.  (a)  If a physician's directions, | 
      
        |  | instructions, or orders are to be performed or a physician's | 
      
        |  | prescription is to be filled by a person [ an optician] who is | 
      
        |  | independent of the physician's office, the directions, | 
      
        |  | instructions, orders, or prescription must be: | 
      
        |  | (1)  in writing or verified under Section 353.1015; | 
      
        |  | (2)  of a scope and content and communicated to the | 
      
        |  | person [ optician] in a form and manner that, in the professional | 
      
        |  | judgment of the physician, best serves the health, safety, and | 
      
        |  | welfare of the physician's patient; and | 
      
        |  | (3)  in a form and detail consistent with the person's | 
      
        |  | [ optician's] skill and knowledge. | 
      
        |  | (b)  A person who dispenses contact lenses [ holds a contact  | 
      
        |  | lens dispensing permit issued under Subchapter B] may measure the | 
      
        |  | eye or cornea and may evaluate the physical fit of lenses for a | 
      
        |  | particular patient of a physician if the physician has delegated in | 
      
        |  | writing those responsibilities regarding that patient to the person | 
      
        |  | in accordance with Subsection (a) and Section 351.005. | 
      
        |  | (c)  If a physician notes on a spectacle prescription "fit | 
      
        |  | for contacts" or similar language and has, as required by | 
      
        |  | Subsections (a) and (b), specifically delegated to a specific | 
      
        |  | person [ optician] the authority to make the additional measurements | 
      
        |  | and evaluations necessary for a fully written contact lens | 
      
        |  | prescription, the person [ optician] may dispense contact lenses to | 
      
        |  | the patient even though the prescription is less than a fully | 
      
        |  | written contact lens prescription. | 
      
        |  | SECTION 10.034.  The heading to Subtitle G, Title 3, | 
      
        |  | Occupations Code, is amended to read as follows: | 
      
        |  | SUBTITLE G.  PROFESSIONS RELATED TO HEARING AND[ ,] SPEECH[, AND  | 
      
        |  | DYSLEXIA] | 
      
        |  | SECTION 10.035.  The following provisions of the Government | 
      
        |  | Code are repealed: | 
      
        |  | (1)  Section 2165.301(2); | 
      
        |  | (2)  Section 2165.302; and | 
      
        |  | (3)  Section 2165.304. | 
      
        |  | SECTION 10.036.  The following provisions of the Health and | 
      
        |  | Safety Code are repealed: | 
      
        |  | (1)  Section 144.001; | 
      
        |  | (2)  Subchapter B, Chapter 144; | 
      
        |  | (3)  Sections 144.023(d) and (e); | 
      
        |  | (4)  Section 144.031; | 
      
        |  | (5)  Subchapter D, Chapter 144; | 
      
        |  | (6)  Subchapter E, Chapter 144; | 
      
        |  | (7)  Subchapter F, Chapter 144; | 
      
        |  | (8)  Section 144.071; | 
      
        |  | (9)  Section 144.072; | 
      
        |  | (10)  Section 144.073; | 
      
        |  | (11)  Section 144.074; | 
      
        |  | (12)  Section 144.075; | 
      
        |  | (13)  Section 144.076; | 
      
        |  | (14)  Section 144.077; | 
      
        |  | (15)  Section 144.078(c); | 
      
        |  | (16)  Section 144.080; | 
      
        |  | (17)  Section 144.081; | 
      
        |  | (18)  Section 144.082; | 
      
        |  | (19)  Section 144.083; | 
      
        |  | (20)  Section 144.084; | 
      
        |  | (21)  Section 144.085; | 
      
        |  | (22)  Section 145.001; | 
      
        |  | (23)  Section 145.002(1); | 
      
        |  | (24)  Section 145.004(b); | 
      
        |  | (25)  Section 145.006(c); | 
      
        |  | (26)  Section 145.008(k); | 
      
        |  | (27)  Section 145.009; | 
      
        |  | (28)  Section 145.0095; | 
      
        |  | (29)  Section 145.010; | 
      
        |  | (30)  Sections 145.011(a) and (b); | 
      
        |  | (31)  Section 145.012; | 
      
        |  | (32)  Section 145.0122; | 
      
        |  | (33)  Section 145.015; | 
      
        |  | (34)  Chapter 345; | 
      
        |  | (35)  Chapter 385; | 
      
        |  | (36)  Section 437.0057(b); | 
      
        |  | (37)  Section 438.0431; | 
      
        |  | (38)  Chapter 441; and | 
      
        |  | (39)  Chapter 781. | 
      
        |  | SECTION 10.037.  The following provisions of the Occupations | 
      
        |  | Code are repealed: | 
      
        |  | (1)  Section 351.005(c); | 
      
        |  | (2)  Chapter 352; | 
      
        |  | (3)  Sections 353.002(2) and (4); | 
      
        |  | (4)  Section 353.005; | 
      
        |  | (5)  Subchapter B, Chapter 353; | 
      
        |  | (6)  Section 353.202; | 
      
        |  | (7)  Section 353.2025; | 
      
        |  | (8)  Section 353.203; | 
      
        |  | (9)  Section 353.204(b); | 
      
        |  | (10)  Section 353.205; and | 
      
        |  | (11)  Chapter 403. | 
      
        |  | SECTION 10.038.  On the effective date of this Act, a | 
      
        |  | license, permit, certification of registration, or other | 
      
        |  | authorization issued under a law that is repealed by this article | 
      
        |  | expires. | 
      
        |  | SECTION 10.039.  The changes in law made by this article do | 
      
        |  | not affect the validity of a disciplinary action or other | 
      
        |  | proceeding that was initiated before the effective date of this Act | 
      
        |  | and that is pending before a court or other governmental entity on | 
      
        |  | the effective date of this Act. | 
      
        |  | SECTION 10.040.  (a)  An offense under or other violation of | 
      
        |  | a law that is repealed by this article is governed by the law in | 
      
        |  | effect when the offense or violation was committed, and the former | 
      
        |  | law is continued in effect for that purpose. | 
      
        |  | (b)  For purposes of this section, an offense or violation | 
      
        |  | was committed before the effective date of this Act if any element | 
      
        |  | of the offense or violation occurred before that date. | 
      
        |  | SECTION 10.041.  The repeal of a law by this article does not | 
      
        |  | entitle a person to a refund of an application, licensing, or other | 
      
        |  | fee paid by the person before the effective date of this Act. | 
      
        |  | ARTICLE 11.  CONTINUATION OF DEPARTMENT OF STATE HEALTH SERVICES | 
      
        |  | SECTION 11.001.  (a)  Section 1001.003, Health and Safety | 
      
        |  | Code, is amended to read as follows: | 
      
        |  | Sec. 1001.003.  SUNSET PROVISION.  The Department of State | 
      
        |  | Health Services is subject to Chapter 325, Government Code (Texas | 
      
        |  | Sunset Act).  Unless continued in existence as provided by that | 
      
        |  | chapter, the department is abolished and this chapter expires | 
      
        |  | September 1, 2027 [ 2015]. | 
      
        |  | (b)  This section takes effect only if H.B. 2304, S.B. 200, | 
      
        |  | or similar legislation of the 84th Legislature, Regular Session, | 
      
        |  | 2015, providing for the transfer of the functions of the Department | 
      
        |  | of State Health Services to the Health and Human Services | 
      
        |  | Commission is not enacted or does not become law.  If H.B. 2304, | 
      
        |  | S.B. 200, or similar legislation of the 84th Legislature, Regular | 
      
        |  | Session, 2015, is enacted, becomes law, and provides for the | 
      
        |  | transfer of the department's functions to the commission, this | 
      
        |  | section has no effect. | 
      
        |  | ARTICLE 12. GENERAL PROVISIONS AND EFFECTIVE DATE | 
      
        |  | SECTION 12.001.  To the extent of any conflict, this Act | 
      
        |  | prevails over another Act of the 84th Legislature, Regular Session, | 
      
        |  | 2015, relating to nonsubstantive additions to and corrections in | 
      
        |  | enacted codes. | 
      
        |  | SECTION 12.002.  (a)  Except as provided by Subsection (b) of | 
      
        |  | this section, this Act takes effect September 1, 2015. | 
      
        |  | (b)  Part 2 of Article 8 of this Act takes effect September 1, | 
      
        |  | 2017. |