District Of Columbia 2023-2024 Regular Session

District Of Columbia Council Bill B25-0545 Compare Versions

Version 1 (Old)

Version 2 (New)

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8		-	AN ACT
9		-
10		-	___________________
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12		-	IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
13		-
14		-	_______________
15		-
16		-
17		-	To amend the District of Columbia Health Occupations Revision Act of 1985 to revise the
18		-	governing standards of various health occupations regulated in the District, to reorganize
19		-	and update the composition and jurisdiction of various health occupation boards, and to
20		-	regulate the practices of medical radiation technology, behavior analysis, school
21		-	psychology, and general applied psychology; to amend the Department of Health
22		-	Functions Clarification Act of 2001 to remove the requirement that a dementia training
23		-	certificate be notarized, repeal certain advisory committees, and create a new Advisory
24		-	Committee on Medical Radiation Technologists; to amend section 47-2853.76e of the
25		-	District of Columbia Official Code to allow for ear piercings of minors with a sterilized
26		-	hollow needle and tattoo services for individuals aged 16 and 17 with written consent
27		-	from a parent or legal guardian; and to make other conforming and technical
28		-	amendments.
29		-
30		-	BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
31		-	act may be cited as the “Health Occupations Revision General Amendment Act of 2024”.
32		-
33		-	TITLE I. HEALTH PROFESSIONAL LICENSURE REVISIONS.
34		-	Sec. 101. The District of Columbia Health Occupations Revision Act of 1985, effective
35		-	March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1201.01 et seq.), is amended as follows:
36		-	(a) The table of contents is amended as follows:
37		-	(1) Title I is amended by adding a new section designation to read as follows:
38		-	“Sec. 105. Telehealth.”.
39		-	(2) Title II is amended as follows:
40		-	(A) The designation for section 203 is amended to read as follows:
41		-	“Sec. 203. Board of Medicine; Advisory Committees on Anesthesiologist Assistants,
42		-	Polysomnography, Surgical Assistants, Trauma Technologists, Athletic Trainers, Maternal Care
43		-	Professionals, and Medical Radiation Technologists.”.
44		-	(B) The designations for sections 205 and 217 are repealed.
45		-	(C) The designation for section 208 is amended to read as follows:
46		-	“Sec. 208. Board of Pharmacy.”. ENROLLED ORIGINAL
47		-
48		-
49		-
50		-
	8	+	A BILL 1
51	9		2
52		-
53		-
54		-	(D) New section designations are added to read as follows:
55		-	“Sec. 223. Board of Rehabilitative Therapies.
56		-	“Sec. 224. Board of Integrative Healthcare.”.
57		-	(3) Title IV is amended by adding a new section designation to read as follows:
58		-	“Sec. 413. Immunity.”.
59		-	(4) Title V is amended as follows:
60		-	(A) New section designations are added to read as follows:
61		-	“Sec. 511a. Emeritus status.
62		-	“Sec. 514a. Negotiated settlement agreement.
63		-	“Sec. 514b. Disciplinary or adverse action against nursing education or nursing assistive
64		-	personnel training programs.
65		-	“Sec. 525. Disciplinary records.”.
66		-	(B) The designation for section 513a is repealed.
67		-	(5) Title VI is amended as follows:
68		-	(A) The designation for section 603 is repealed.
69		-	(B) The designation for Title VI is amended by striking the phrase
70		-	“PROTOCOL; COLLABORATION.” and inserting the phrase “PROTOCOL.” in its place.
71		-	(C) New section designations are added to read as follows:
72		-	“Sec. 605a. Certified registered nurse anesthetist.
73		-	“Sec. 606a. Certified nurse-midwife.
74		-	“Sec. 607a. Certified nurse practitioner.
75		-	“Sec. 607b. Certified clinical nurse specialist.
76		-	“Sec. 608a. Qualifications, certification.”.
77		-	(6) The designation for Title VII-F is repealed.
78		-	(7) A new title designation is added to read as follows:
79		-	“TITLE VII-G.
80		-	“QUALIFICATIONS FOR LICENSURE TO PRACTICE AS A BEHAVIOR ANALYST .
81		-
82		-	“Sec. 771. Eligibility requirements and education.
83		-	(8) Title VIII is amended by adding a new designation to read as follows:
84		-	“Sec. 804a. Exceptions for non-clinical practice.”.
85		-	(9) Title VIII-C section designation 853 and 854 are repealed.
86		-	(10) New title designations are added to read as follows:
87		-	“Title VIII-F.
88		-	“CATEGORIES AND QUALIFICATIONS REQUIRED FOR THE PRACTICE OF
89		-	PSYCHOLOGY.
90		-
91		-	“Sec. 881. License and registration requirements. ENROLLED ORIGINAL
	10	+	25-545 3
	11	+	4
	12	+	IN THE COUNCIL OF THE DISTRICT OF COLUMBIA 5
	13	+	6
	14	+	7
	15	+	8
	16	+	9
	17	+	To amend the District of Columbia Health Occupations Revision Act of 1985 to revise the 10
	18	+	governing standards of various health occupations regulated in the District, to reorganize 11
	19	+	and update the composition and jurisdiction of various health occupation boards, and to 12
	20	+	regulate the practices of medical radiation technology, behavior analysis, school 13
	21	+	psychology, and general applied psychology; to amend the Department of Health 14
	22	+	Functions Clarification Act of 2001 to remove the requirement that a dementia training 15
	23	+	certificate be notarized, repeal certain advisory committees, and create a new Advisory 16
	24	+	Committee on Medical Radiation Technologists; to amend section 47-2853.76e of the 17
	25	+	District of Columbia Official Code to allow for ear piercings of minors with a sterilized 18
	26	+	hollow needle and tattoo services for individuals aged 16 and 17 with written consent 19
	27	+	from a parent or legal guardian; and to make other conforming and technical 20
	28	+	amendments. 21
	29	+	22
	30	+	BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this 23
	31	+	act may be cited as the “Health Occupations Revision General Amendment Act of 2024”. 24
	32	+	TITLE I. HEALTH PROFESSIONAL LICENSURE REVISIONS. 25
	33	+	Sec. 101. The District of Columbia Health Occupations Revision Act of 1985, effective 26
	34	+	March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1201.01 et seq.), is amended as follows: 27
	35	+	(a) The table of contents is amended as follows: 28
	36	+	(1) Title I is amended by adding a designation for a new section 105 to read as 29
	37	+	follows: 30
	38	+	“Sec. 105. Telehealth.”. 31 ENGROSSED ORIGINAL
	39	+
	40	+
	41	+
	42	+
	43	+	2
	44	+
	45	+	(2) Title II is amended as follows: 32
	46	+	(A) The designation for section 203 is amended to read as follows: 33
	47	+	“Sec. 203. Board of Medicine; Advisory Committees on Anesthesiologist Assistants, 34
	48	+	Polysomnography, Surgical Assistants, Trauma Technologists, Athletic Trainers, Maternal Care 35
	49	+	Professionals, and Medical Radiation Technologists.”. 36
	50	+	(B) The designation for section 208 is amended to read as follows: 37
	51	+	“Sec. 208. Board of Pharmacy.” 38
	52	+	(C) Repeal the designations for sections 205 and 217. 39
	53	+	(D) Add designations for new sections 223 and 224 to read as follows: 40
	54	+	“Sec. 223. Board of Rehabilitative Therapies. 41
	55	+	“Sec. 224. Board of Integrative Healthcare.”. 42
	56	+	(3) Title IV is amended by adding a designation for a new section 413 to read as 43
	57	+	follows: 44
	58	+	“Sec. 413. Immunity.”. 45
	59	+	(4) Title V is amended as follows: 46
	60	+	(A) Add designations for new sections 511a, 514a, 514b, and 525 to read 47
	61	+	as follows: 48
	62	+	“Sec. 511a. Emeritus status. 49
	63	+	“Sec. 514a. Negotiated settlement agreement. 50 ENGROSSED ORIGINAL
92	64
93	65
94	66
95	67
96	68		3
97	69
98		-	“Sec. 882. Qualifications.
99		-	“Sec. 883. Limitations.
100		-	“Title VIII-G.
101		-	“CATEGORIES AND QUALIFICATIONS REQUIRED FOR THE PRACTICE OF MEDICAL
102		-	RADIATION.
103		-
104		-	“Sec. 891. Qualifications for licensure.
105		-	“Sec. 892. Limitations on practice.
106		-	“Sec. 893. Transition of licensed and registered medical radiation practitioners.”.
107		-	(11) Title IX is amended as follows:
108		-	(A) The designation for section 902 is amended to read as follows:
109		-	“Sec. 902. Dance Therapy.”
110		-	(B) The section designations for 903, 906, 908, and 912 are repealed.
111		-	(C) The designation for section 907 is amended by striking the period and
112		-	inserting the phrase “; registration or certification required.” in its place.
113		-	(D) A new section designation is added to read as follows:
114		-	“Sec. 913. Doula.”.
115		-	(12) The designation for section 1204 is amended by striking the word “therapy”
116		-	and inserting the word “therapist” in its place.
117		-	(b) Section 101 (D.C. Official Code § 3-1201.01) is amended as follows:
118		-	(1) The first paragraph (1) and paragraph (1A) are amended to read as follows:
119		-	“(1) “Board” means the Board of Dentistry, the Board of Dietetics and Nutrition,
120		-	the Board of Integrative Healthcare, the Board of Medicine, the Board of Nursing, the Board of
121		-	Optometry, the Board of Pharmacy, the Board of Podiatry, the Board of Professional Counseling,
122		-	the Board of Psychology, the Board of Rehabilitative Therapies, the Board of Respiratory Care,
123		-	the Board of Social Work, or the Board of Veterinary Medicine established by this act, as the
124		-	context requires.
125		-	“(1A) “Boards of Allied Health” means the Board of Dentistry, the Board of
126		-	Dietetics and Nutrition, the Board of Massage Therapy, the Board of Optometry, the Board of
127		-	Podiatry, the Board of Rehabilitative Therapies, and the Board of Respiratory Care.”.
128		-	(2) The second paragraph (1) is designated as paragraph (1C).
129		-	(3) Paragraphs (1E), (1F), (1G), and (1H) are designated as paragraphs (10A),
130		-	(10B), (10C), and (10D).
131		-	(4) Paragraphs (1E), (10A), (10B), (10C), and (3) are repealed.
132		-	(5) Paragraph (1B) is amended by striking the phrase “means the Board of
133		-	Marriage and Family Therapy,” and inserting the word “means” in its place.
134		-	(6) Paragraph (10D) is amended by striking the word “midwife” and inserting the
135		-	phrase “health professional providing maternal services” in its place.
136		-	(7) Paragraph (6C) is amended to read as follows: ENROLLED ORIGINAL
	70	+	“Sec. 514b. Disciplinary or adverse action against nursing education or nursing 51
	71	+	assistive personnel training programs. 52
	72	+	“Sec. 525. Disciplinary records.”. 53
	73	+	(B) Repeal the designation for section 513a. 54
	74	+	(5) Title VI is amended as follows: 55
	75	+	(A) The designation for Title VI is amended by striking the phrase 56
	76	+	“PROTOCOL; COLLABORATION.” and inserting the phrase “PROTOCOL.” in its place. 57
	77	+	(B) Add designations for new sections 605a, 606a, 607a, 607b, and 608a 58
	78	+	to read as follows: 59
	79	+	“Sec. 605a. Certified registered nurse anesthetist. 60
	80	+	“Sec. 606a. Certified nurse-midwife. 61
	81	+	“Sec. 607a. Certified nurse practitioner. 62
	82	+	“Sec. 607b. Certified clinical nurse specialist. 63
	83	+	“Sec. 608a. Qualifications, certification.”. 64
	84	+	(C) Repeal the designation for section 603. 65
	85	+	(6) Repeal the designation for Title VII-F. 66
	86	+	(7) Add a designation for a new Title VII-G to read as follows: 67
	87	+	“TITLE VII-G. 68
	88	+	“QUALIFICATIONS FOR LICENSURE TO PRACTICE AS A BEHAVIOR ANALYST 69
	89	+	70
	90	+	“Sec. 771. Eligibility requirements and education. 71 ENGROSSED ORIGINAL
137	91
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141	95		4
142	96
143		-	“(6C) “Doula” means an individual certified by the Board of Medicine to provide
144		-	culturally competent and continuous physical, emotional, and informational support to a birthing
145		-	parent during pregnancy, labor, birth, and postpartum.”.
146		-	(8) A new paragraph (6C-i) is added to read as follows:
147		-	“(6C-i) “Electronic form” means a record created, generated, sent, communicated,
148		-	received, or stored by electronic means.”.
149		-	(9) Paragraph (15) is amended to read as follows:
150		-	“(15) “Suspension” means termination of the right to practice a health profession
151		-	for a specified period of time or until such time that the specified conditions in an order are
152		-	satisfied.”.
153		-	(10) A new paragraph (15A) is added to read as follows:
154		-	“(15A) “Telehealth” means the use of synchronous or asynchronous
155		-	telecommunication technology to provide access to health assessment, diagnosis, intervention,
156		-	consultation, supervision, and information where the health professional and the patient, client,
157		-	or supervisee are located at different physical locations.”.
158		-	(11) Paragraph (16) is amended by striking the period and inserting the phrase
159		-	“and is licensed to practice veterinary medicine in the District.” in its place.
160		-	(c) Section 102 (D.C. Official Code § 3-1201.02) is amended as follows:
161		-	(1) Paragraph (2) is amended to read as follows:
162		-	“(2) “Practice of advanced practice registered nursing” means the independent
163		-	performance of advanced-level nursing actions, with or without compensation, by a licensed
164		-	registered nurse with advanced education, knowledge, skills, and scope of practice who has been
165		-	certified to perform such actions by a national certifying body acceptable to the Board of
166		-	Nursing in the appropriate advanced practice registered nursing role and in at least one
167		-	population focus. Advanced practice registered nursing shall include the categories of certified
168		-	registered nurse anesthetist, certified nurse-midwife, certified nurse-practitioner, and clinical
169		-	nurse specialist. The practice of advanced practice registered nursing includes:
170		-	“(A) Advanced assessment;
171		-	“(B) Medical diagnosis;
172		-	“(C) Prescribing;
173		-	“(D) Selecting, administering, and dispensing therapeutic measures;
174		-	“(E) Treating alterations of the health status; and
175		-	“(F) Carrying out other functions identified in Title VI and in accordance
176		-	with procedures required by this act.”.
177		-	(2) Paragraph (2A-ii)(C)(iii) is repealed.
178		-	(3) Paragraph (2B)(A) is amended to read as follows:
179		-	“(2B)(A) “Practice of audiology” means the planning, directing, supervising, and
180		-	conducting of habilitative or rehabilitative counseling programs for individuals or groups of
181		-	individuals who have, or are suspected of having, disorders of hearing or balance; any service in ENROLLED ORIGINAL
	97	+	(8) Title VIII is amended by adding a designation for a new section 804a to read 72
	98	+	as follows: 73
	99	+	“Sec. 804a. Exceptions for non-clinical practice.”. 74
	100	+	(9) Title VIII-C is amended by repealing the designations for sections 853 and 75
	101	+	854. 76
	102	+	(10) Add designations for new Titles VIII-F and VIII-G to read as follows: 77
	103	+	“Title VIII-F. 78
	104	+	“CATEGORIES AND QUALIFICATIONS REQUIRED FOR THE PRACTICE OF 79
	105	+	PSYCHOLOGY 80
	106	+	81
	107	+	“Sec. 881. License and registration requirements. 82
	108	+	“Sec. 882. Qualifications. 83
	109	+	“Sec. 883. Limitations.”. 84
	110	+	“Title VIII-G. 85
	111	+	“CATEGORIES AND QUALIFICATIONS REQUIRED FOR THE PRACTICE OF MEDICAL 86
	112	+	RADIATION 87
	113	+	88
	114	+	“Sec. 891. Qualifications for licensure. 89
	115	+	“Sec. 892. Limitations on practice. 90
	116	+	“Sec. 893. Transition of licensed and registered medical radiation practitioners.”. 91
	117	+	(11) Title IX is amended as follows: 92
	118	+	(A) The designation for section 902 is amended to read as follows: 93 ENGROSSED ORIGINAL
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185	122
186	123		5
187	124
188		-	audiology, including prevention, identification, evaluation, consultation, habilitation or
189		-	rehabilitation, academic instruction, clinical instruction, and research; participating in hearing
190		-	conservation, hearing aid and assistive listening device evaluation, selection, preparation,
191		-	dispensing, and orientation; fabricating ear molds; cerumen management; interoperative
192		-	neurophysiologic monitoring; providing auditory training and speech reading; administering tests
193		-	of vestibular function or tinnitus; or speech and language screening limited to a pass-or-fail
194		-	determination for the purpose of identification of individuals with disorders of communication
195		-	and associated referral for management of communication and balance disorders, or cognitive,
196		-	dexterity, depression, or vision screening, and associated referral for management of related
197		-	disorders. The practice of audiology does not include the practice of medicine or osteopathic
198		-	medicine, or the performance of a task in the normal practice of medicine or osteopathic
199		-	medicine by a person to whom the task is delegated by a licensed physician.”.
200		-	(4) The existing paragraph (2C-i) is redesignated as paragraph (2C-ii).
201		-	(5) A new paragraph (2C-i) is added to read as follows:
202		-	“(2C-i) “Practice of behavior analysis” means the design, implementation, and
203		-	evaluation of environmental modifications to produce socially significant improvement in human
204		-	behavior, including the use of direct observation, measurement, and functional analysis of the
205		-	relationship between environment and behavior.”.
206		-	(6) Paragraph (3)(A) is amended to read as follows:
207		-	“(3)(A) “Practice of chiropractic” means practicing a primary care health
208		-	discipline through the evaluation, examination, diagnosis, counseling, and treatment or
209		-	management of biomechanical or physiological conditions or disorders that compromise neural
210		-	integrity or organ system function; the use of x-rays and advanced diagnostic imaging, physical
211		-	examination, and examination by instrumentation for the detection and correction of
212		-	subluxations and somatic dysfunctions that cause vertebral, neuromuscular, or skeletal disorder;
213		-	the adjustment of the spine or manipulation of bodily articulations for the restoration and
214		-	maintenance of health; and the referral of a patient for diagnostic imaging, tests, and clinical
215		-	laboratory procedures in order to determine a regimen of chiropractic care or to form a basis or
216		-	referral of patients to other licensed health care professionals. The practice of chiropractic does
217		-	not include the use of drugs or surgery but may include ancillary procedures such as dry needling
218		-	in accordance with the rules and requirements promulgated by the Mayor.”.
219		-	(7) Paragraph (3A) is amended by striking the phrase “or cells desquamated from
220		-	a body surface or lesion” and inserting the phrase “cells desquamated from a body surface or
221		-	lesion, or cells aspirated from a lesion” in its place.
222		-	(8) Paragraph (4) is amended as follows:
223		-	(A) Subparagraph (A) is amended to read as follows:
224		-	“(4)(A) “Practice of dental hygiene” means the performance of any of the
225		-	following activities in accordance with the provisions of subparagraph (B) of this paragraph: ENROLLED ORIGINAL
	125	+	“Sec. 902. Dance Therapy.” 94
	126	+	(B) The designation for section 907 is amended by striking the period and 95
	127	+	inserting the phrase “; registration or certification required.” in its place. 96
	128	+	(C) Repeal the designations for sections 903, 906, 908, and 912. 97
	129	+	(D) Add a designation for a new section 913 to read as follows: 98
	130	+	“Sec. 913. Doula.”. 99
	131	+	(12) The designation for section 1204 is amended by striking the word “therapy” 100
	132	+	and inserting the word “therapist” in its place. 101
	133	+	(b) Section 101 (D.C. Official Code § 3-1201.01) is amended as follows: 102
	134	+	(1) The first paragraph (1) and paragraph (1A) are amended to read as follows: 103
	135	+	“(1) “Board” means the Board of Dentistry, the Board of Dietetics and Nutrition, 104
	136	+	the Board of Integrative Healthcare, the Board of Medicine, the Board of Nursing, the Board of 105
	137	+	Optometry, the Board of Pharmacy, the Board of Podiatry, the Board of Professional Counseling, 106
	138	+	the Board of Psychology, the Board of Rehabilitative Therapies, the Board of Respiratory Care, 107
	139	+	the Board of Social Work, or the Board of Veterinary Medicine established by this act, as the 108
	140	+	context requires. 109
	141	+	“(1A) “Boards of Allied Health” means the Board of Dentistry, the Board of 110
	142	+	Dietetics and Nutrition, the Board of Massage Therapy, the Board of Optometry, the Board of 111
	143	+	Podiatry, the Board of Rehabilitative Therapies, and the Board of Respiratory Care.”. 112
	144	+	(2) The second paragraph (1) is designated as paragraph (1C). 113 ENGROSSED ORIGINAL
226	145
227	146
228	147
229	148
230	149		6
231	150
232		-	“(i) A preliminary dental examination, including charting of
233		-	cavities, soft tissue examination, periodontal examination, and oral cancer screening; a complete
234		-	prophylaxis, including the removal of any deposit, accretion, or stain from the surface of a tooth
235		-	or a restoration; debridement; scaling and root planing; soft tissue curettage; application of
236		-	topical fluoride and fluoride varnish; and the polishing of a tooth or a restoration;
237		-	“(ii) Applying a medicinal agent to a tooth for a prophylactic
238		-	purpose;
239		-	“(iii) Taking dental radiographs;
240		-	“(iv) Instructing individuals or groups of individuals in oral health
241		-	care;
242		-	“(v) Administering local anesthesia and nitrous oxide when
243		-	certified by the Board of Dentistry to do so;”
244		-	“(vi) Applying pit and fissure sealants;
245		-	“(vii) Placing and removing periodontal dressings;
246		-	“(viii) Administering vaccinations under the direct supervision of a
247		-	dentist licensed under this act when certified by the Board of Dentistry to do so;
248		-	“(ix) Prescribing topical prescription or over-the-counter fluoride
249		-	preparations and topical antimicrobial oral rinses, under the general supervision of a dentist
250		-	licensed under this act;
251		-	“(x) Performing blood glucose testing;
252		-	“(xi) Placing or removing temporary restorations and crowns;
253		-	“(xii) Taking study cast impressions;
254		-	“(xiii) Removing sutures; and
255		-	“(xiv) Any other functions included in the curricula of approved
256		-	educational programs in dental hygiene, including dental hygiene diagnosis.”.
257		-	(B) Subparagraph (B) is amended as follows:
258		-	(i) Strike the phrase “A dental hygienist may perform” and insert
259		-	the phrase “Except for administering vaccinations, a dental hygienist may perform” in its place;
260		-	(ii) Strike the phrase “in his or her office or any public school or
261		-	institution rendering dental services.” and insert the phrase “in their office or mobile dental clinic
262		-	and in any public health setting, including a health care facility, correctional institution,
263		-	residential facility, public school, shelter for victims of domestic abuse or runaways, foster
264		-	home, nonprofit clinic, and long-term care facility rendering dental services as that term is
265		-	defined in section 101(7) of the District of Columbia Long-Term Care Ombudsman Program Act
266		-	of 1988, effective March 16, 1989 (D.C. Law 7-218; D.C. Official Code § 7-701.01(7)).” in its
267		-	place.
268		-	(iii) Strike the phrase “subparagraph (A)(vi)” and insert the phrase
269		-	“subparagraph (A)(xiv)” in its place.
270		-	(C) Subparagraph (C) is amended to read as follows: ENROLLED ORIGINAL
	151	+	(3) Paragraphs (1E), (1F), (1G), and (1H) are designated as paragraphs (10A), 114
	152	+	(10B), (10C), and (10D). 115
	153	+	(4) Paragraphs (1E), (10A), (10B), (10C), and (3) are repealed. 116
	154	+	(5) Paragraph (1B) is amended by striking the phrase “means the Board of 117
	155	+	Marriage and Family Therapy,” and inserting the word “means” in its place. 118
	156	+	(6) Paragraph (10D) is amended by striking the word “midwife” and inserting the 119
	157	+	phrase “health professional providing maternal services” in its place. 120
	158	+	(7) Paragraph (6C) is amended to read as follows: 121
	159	+	“(6C) “Doula” means an individual certified by the Board of Medicine to provide 122
	160	+	culturally competent and continuous physical, emotional, and informational support to a birthing 123
	161	+	parent during pregnancy, labor, birth, and postpartum.”. 124
	162	+	(8) A new paragraph (6C-i) is added to read as follows: 125
	163	+	“(6C-i) “Electronic form” means a record created, generated, sent, communicated, 126
	164	+	received, or stored by electronic means.”. 127
	165	+	(9) Paragraph (15) is amended to read as follows: 128
	166	+	“(15) “Suspension” means termination of the right to practice a health profession 129
	167	+	for a specified period of time or until such time that the specified conditions in an order are 130
	168	+	satisfied.”. 131
	169	+	(10) A new paragraph (15A) is added to read as follows: 132 ENGROSSED ORIGINAL
271	170
272	171
273	172
274	173
275	174		7
276	175
277		-	“(C) For the purposes of this paragraph, the term:
278		-	“(i) “Collaborative practice agreement” means a formal agreement
279		-	between a licensed dentist and a licensed dental hygienist agreed upon by both parties that
280		-	includes, at a minimum, the roles and responsibilities of each party, the ways in which they will
281		-	collaborate, and the specific procedures, patient types, and protocols the dental hygienist must
282		-	follow when practicing under the agreement.
283		-	“(ii) “Dental hygiene diagnosis” means the identification of an
284		-	existing oral health problem that a dental hygienist is qualified and licensed to treat within the
285		-	scope of the practice and focuses on behavioral risks and physical conditions related to oral
286		-	health.
287		-	“(iii) “General supervision” means the performance by a dental
288		-	hygienist of procedures permitted by subparagraph (A) of this paragraph based on instructions
289		-	given by a dentist licensed under this act, but not requiring the physical presence of the dentist
290		-	during the performance of these procedures. General supervision in dental clinics and public
291		-	health settings shall be pursuant to a collaborative practice agreement, meeting the requirements
292		-	set forth by the Mayor through rulemaking, with a dentist licensed under this act that designates
293		-	authorization for the services provided by the dental hygienist; provided, that the dental hygienist
294		-	has documented completion of a Board-approved course on medical emergencies within each
295		-	continuing education cycle.”.
296		-	(9) Paragraph (6) is amended as follows:
297		-	(A) Subparagraph (A) is amended to read as follows:
298		-	“(6)(A) “Practice of nutrition” means the application of the scientific principles
299		-	derived from the study of food, nutrition, biochemistry, metabolism, physiology, and behavioral
300		-	sciences for achieving and maintaining health throughout the lifespan; the provision of nutrition
301		-	care services in-person or via telehealth, including medical nutrition therapy to prevent, manage,
302		-	or treat diseases or medical conditions and promote wellness; the ordering of patient diets,
303		-	including therapeutic diets via oral routes; the ordering of medical laboratory tests related to
304		-	nutritional therapeutic treatments; and the provision of recommendations on vitamin, mineral,
305		-	and other dietary supplements.”.
306		-	(B) A new subparagraph (A-i) is added to read as follows:
307		-	“(A-i) “Practice of dietetics” includes the entire scope of the practice of
308		-	nutrition in subparagraph (A) of this paragraph, as well as the application of scientific principles
309		-	derived from the study of nutrigenomics, pharmacology, and food systems management; the
310		-	development and ordering of therapeutic diets, via oral, enteral, and parenteral routes; and the
311		-	provision of advanced clinical nutrition care services consistent with current Scope and
312		-	Standards of Practice for dietitians registered by the Commission on Dietetic Registration.”.
313		-	(C) A new subparagraph (C) is added to read as follows: ENROLLED ORIGINAL
	176	+	“(15A) “Telehealth” means the use of synchronous or asynchronous 133
	177	+	telecommunication technology to provide access to health assessment, diagnosis, intervention, 134
	178	+	consultation, supervision, and information where the health professional and the patient, client, 135
	179	+	or supervisee are located at different physical locations.”. 136
	180	+	(11) Paragraph (16) is amended by striking the period and inserting the phrase 137
	181	+	“and is licensed to practice veterinary medicine in the District.” in its place. 138
	182	+	(c) Section 102 (D.C. Official Code § 3-1201.02) is amended as follows: 139
	183	+	(1) The lead-in language for paragraph (2) is amended to read as follows: 140
	184	+	“(2) “Practice of advanced practice registered nursing” means the independent 141
	185	+	performance of advanced-level nursing actions, with or without compensation, by a licensed 142
	186	+	registered nurse with advanced education, knowledge, skills, and scope of practice who has been 143
	187	+	certified to perform such actions by a national certifying body acceptable to the Board of 144
	188	+	Nursing in the appropriate advanced practice registered nursing role and in at least one 145
	189	+	population focus. Advanced practice registered nursing shall include the categories of certified 146
	190	+	registered nurse anesthetist, certified nurse-midwife, certified nurse-practitioner, and clinical 147
	191	+	nurse specialist. The practice of advanced practice registered nursing includes: 148
	192	+	“(A) Advanced assessment; 149
	193	+	“(B) Medical diagnosis; 150
	194	+	“(C) Prescribing; 151
	195	+	“(D) Selecting, administering, and dispensing therapeutic measures; 152 ENGROSSED ORIGINAL
314	196
315	197
316	198
317	199
318	200		8
319	201
320		-	“(C) For the purposes of this paragraph, the term “medical nutrition
321		-	therapy” means the provision of any of the following nutrition care services for the purpose of
322		-	management or treatment of a disease or medical condition:
323		-	“(i) Nutrition assessment;
324		-	“(ii) Nutrition diagnosis;
325		-	“(iii) Nutrition intervention; and
326		-	“(iv) Nutrition monitoring and evaluation.”.
327		-	(10) Paragraphs (6A) and (6A-i) are repealed.
328		-	(11) Paragraph (6B) is amended as follows:
329		-	(A) Subparagraph (A) is amended by striking the phrase “the context of
330		-	marriage and family systems.” and inserting the phrase “the context of, or arising from, marriage
331		-	and family systems.” in its place.
332		-	(B) Subparagraphs (B) and (C) are repealed.
333		-	(12) Paragraphs (6B-i) and (6B-ii) are repealed.
334		-	(13) New paragraphs (6D) and (6E) are added to read as follows:
335		-	“(6D) “Practice of medical assistants” means performing assistance with minor
336		-	medical practices that, other than the administration of vaccines or other injections, do not
337		-	involve any subcutaneous procedure and occur only under the direct supervision of a physician,
338		-	physician assistant, or advance practice registered nurse.
339		-	“(6E) “Practice of medical radiation technology” means the use of ionizing or
340		-	non-ionizing radiation for the purposes of medical imaging and treatment in any of the following
341		-	categories:
342		-	“(A) The practice of cardiovascular-interventional technology, which
343		-	means the use of imaging equipment to perform a comprehensive scope of invasive cardiac or
344		-	neurological, peripheral, and visual cardiovascular and non-vascular diagnostic, therapeutic and
345		-	interventional procedures that are displayed in radiographic or digital images for the purpose of
346		-	assisting physicians in diagnostic and interventional procedures;
347		-	“(B) The practice of computed tomography technology, which means the
348		-	use of ionizing radiation to produce tomographic images or slices of specific areas of the body on
349		-	film, fluorescent material, or an image display device;
350		-	“(C) The practice of magnetic resonance technology, which means the use
351		-	of resonance frequency within a magnetic field to evaluate anatomic of physiologic conditions of
352		-	the body, perform spectral analysis, perform functional and anatomic analysis, and provide a
353		-	basis for interventional or therapeutic procedures that utilize magnetic resonance technology;
354		-	“(D) The practice of mammography, which means the use of low-dose x-
355		-	rays to image internal structures of the breast for purposes of detecting abnormal growths or
356		-	cysts; ENROLLED ORIGINAL
	202	+	“(E) Treating alterations of the health status; and 153
	203	+	“(F) Carrying out other functions identified in subtitle VI of this title and in 154
	204	+	accordance with procedures required by this title.”. 155
	205	+	(2) Paragraph (2A-ii)(C)(iii) is repealed. 156
	206	+	(3) Paragraph (2B)(A) is amended to read as follows: 157
	207	+	“(2B)(A) “Practice of audiology” means the planning, directing, supervising, and 158
	208	+	conducting of habilitative or rehabilitative counseling programs for individuals or groups of 159
	209	+	individuals who have, or are suspected of having, disorders of hearing or balance; any service in 160
	210	+	audiology, including prevention, identification, evaluation, consultation, habilitation or 161
	211	+	rehabilitation, academic instruction, clinical instruction, and research; participating in hearing 162
	212	+	conservation, hearing aid and assistive listening device evaluation, selection, preparation, 163
	213	+	dispensing, and orientation; fabricating ear molds; cerumen management; interoperative 164
	214	+	neurophysiologic monitoring; providing auditory training and speech reading; administering tests 165
	215	+	of vestibular function or tinnitus; or speech and language screening limited to a pass-or-fail 166
	216	+	determination for the purpose of identification of individuals with disorders of communication 167
	217	+	and associated referral for management of communication and balance disorders, or cognitive, 168
	218	+	dexterity, depression, or vision screening, and associated referral for management of related 169
	219	+	disorders. The practice of audiology does not include the practice of medicine or osteopathic 170
	220	+	medicine, or the performance of a task in the normal practice of medicine or osteopathic 171
	221	+	medicine by a person to whom the task is delegated by a licensed physician.”. 172 ENGROSSED ORIGINAL
357	222
358	223
359	224
360	225
361	226		9
362	227
363		-	“(E) The practice of nuclear medicine technology, which means the use of
364		-	in vivo and in vitro detection and measurement of radioactivity and the administration of
365		-	radiopharmaceuticals and radionuclides for diagnostic and therapeutic purposes;
366		-	“(F) The practice of radiation therapy, which means the administration of
367		-	ionizing and non-ionizing radiation to human beings for therapeutic purposes as prescribed and
368		-	supervised by a radiation oncologist;
369		-	“(G) The practice of radiography, which means the use of ionizing
370		-	radiation projected through the body to produce radiographic or fluoroscopic images;
371		-	“(H) The practice by radiologist assistants, which means the practice of
372		-	radiography in the areas of patient care, patient management, clinical imaging and interventional
373		-	procedures, but does not include interpreting images, making diagnoses, or prescribing
374		-	medication or therapies; and
375		-	“(I) The practice of ultrasonography or sonography, which means the use
376		-	of ultrasound for the visualization of subcutaneous body structures including tendons, muscles,
377		-	joints, vessels, and internal organs for possible pathology or lesions.”.
378		-	(14) Paragraph (7B) is amended to read as follows:
379		-	“(7B) “Practice by nursing assistive personnel” means the performance by
380		-	authorized individuals who have been assigned direct patient care tasks that are common to
381		-	nursing functions and do not require professional skill or judgment within a health care,
382		-	residential, or community support setting; provided, that the patient care tasks are performed
383		-	under the general supervision of a licensed health care professional. Nursing assistive personnel
384		-	includes:
385		-	“(A) Nurse aides;
386		-	“(B) Medication aides;
387		-	“(C) Home-health aides;
388		-	“(D) Patient care technicians;
389		-	“(E) Trained medication employees;
390		-	“(F) Dialysis technicians; and
391		-	“(G) Any other profession as determined by the Mayor through
392		-	rulemaking.”.
393		-	(15) Paragraph (9)(A) is amended as follows:
394		-	(A) Sub-subparagraph (i) is amended to read as follows:
395		-	“(i) The therapeutic use of everyday life activities and the use of
396		-	other occupational therapy techniques to engage clients who have disability- or non-disability-
397		-	related needs in everyday life occupations to enable participation in activities at home, school,
398		-	the workplace, or other community settings to promote habilitation, rehabilitation, and health and
399		-	wellness, with or without compensation;”.
400		-	(B) Sub-subparagraph (iii) is amended by striking the word “patients” and
401		-	inserting the word “clients” in its place. ENROLLED ORIGINAL
	228	+	(4) The existing paragraph (2C-i) is redesignated as paragraph (2C-ii). 173
	229	+	(5) A new paragraph (2C-i) is added to read as follows: 174
	230	+	“(2C-i) “Practice of behavior analysis” means the design, implementation, and 175
	231	+	evaluation of environmental modifications to produce socially significant improvement in human 176
	232	+	behavior, including the use of direct observation, measurement, and functional analysis of the 177
	233	+	relationship between environment and behavior.”. 178
	234	+	(6) Paragraph (3)(A) is amended to read as follows: 179
	235	+	“(3)(A) “Practice of chiropractic” means practicing a primary care health 180
	236	+	discipline through the evaluation, examination, diagnosis, counseling, and treatment or 181
	237	+	management of biomechanical or physiological conditions or disorders that compromise neural 182
	238	+	integrity or organ system function; the use of x-rays and advanced diagnostic imaging, physical 183
	239	+	examination, and examination by instrumentation for the detection and correction of 184
	240	+	subluxations and somatic dysfunctions that cause vertebral, neuromuscular, or skeletal disorder; 185
	241	+	the adjustment of the spine or manipulation of bodily articulations for the restoration and 186
	242	+	maintenance of health; and the referral of a patient for diagnostic imaging, tests, and clinical 187
	243	+	laboratory procedures in order to determine a regimen of chiropractic care or to form a basis or 188
	244	+	referral of patients to other licensed health care professionals. The practice of chiropractic does 189
	245	+	not include the use of drugs or surgery but may include ancillary procedures such as dry needling 190
	246	+	in accordance with the rules and requirements promulgated by the Mayor.”. 191 ENGROSSED ORIGINAL
402	247
403	248
404	249
405	250
406	251		10
407	252
408		-	(16) Paragraph (10)(E) and is amended to read as follows:
409		-	“(E) An individual licensed to practice optometry may administer or
410		-	prescribe the following drugs:
411		-	“(i) Antibiotics, but not oral systemic antiviral or antifungal agents;
412		-	“(ii) Antihistamines;
413		-	“(iv) Non-steroidal anti-inflammatories;
414		-	“(iv) Medication for the initiation of immediate emergency
415		-	treatment of angle closure glaucoma; and
416		-	“(v) Injectable systemic drugs to counter anaphylactic reactions.”.
417		-	(17) Paragraph (10A)(A) is amended by striking the phrase “communicating in
418		-	person” and inserting the phrase “communicating in person or through interactive virtual
419		-	communication” in its place.
420		-	(18) Paragraph (11) is amended to read as follows:
421		-	“(11)(A) “Practice of pharmacy” means the interpretation and evaluation of
422		-	prescription orders; the dispensing and labeling of drugs, devices, and biologicals; the
423		-	compounding of drugs as authorized by federal and District law; the prescribing and dispensing
424		-	of self-administered hormonal contraceptives when certified by the Board of Pharmacy to do so
425		-	and in accordance with regulations issued by the Mayor; drug and device selection;
426		-	responsibility for advising and providing information, where regulated or otherwise necessary,
427		-	concerning drugs, devices, and biologicals, and their therapeutic values, content, hazards, and
428		-	uses in the treatment and prevention of disease; responsibility for conducting drug-regimen
429		-	reviews; responsibility for the proper and safe storage and distribution of drugs, devices, and
430		-	biologicals; the administration of a prescribed drug, device, and biological in accordance with
431		-	regulations issued by the Mayor; the order and administration of immunizations and vaccinations
432		-	in accordance with the Centers for Disease Control and Prevention’s published guidelines and
433		-	recommended immunization schedules for adults aged 18 and older with valid identification,
434		-	adolescents and children aged 3 through 17 with written informed parental consent or without
435		-	consent if authorized by District law, and the administration of immunizations and vaccinations
436		-	to any individual pursuant to a valid prescription when certified by the Board of Pharmacy to do
437		-	so; conducting health screenings, including ordering, performing, and interpreting Clinical
438		-	Laboratory Improvement Amendments-waived tests; the offering or performance of those acts,
439		-	services, operations, and transactions necessary in the conduct, operation, management, and
440		-	control of a pharmacy; the initiating, modifying, or discontinuing a drug therapy in accordance
441		-	with a duly executed collaborative practice agreement; the maintenance of proper records; and a
442		-	range of professional healthcare and clinical services as determined by the Mayor through
443		-	rulemaking, but including:
444		-	“(i) Medication Therapy Management;
445		-	“(ii) Management of chronic conditions, including Type 2 diabetes
446		-	mellitus and hypertension; ENROLLED ORIGINAL
	253	+	(7) Paragraph (3A) is amended by striking the phrase “or cells desquamated from 192
	254	+	a body surface or lesion” and inserting the phrase “cells desquamated from a body surface or 193
	255	+	lesion, or cells aspirated from a lesion” in its place. 194
	256	+	(8) Paragraph (4) is amended as follows: 195
	257	+	(A) Subparagraph (A) is amended to read as follows: 196
	258	+	“(4)(A) “Practice of dental hygiene” means the performance of any of the 197
	259	+	following activities in accordance with the provisions of subparagraph (B) of this paragraph: 198
	260	+	“(i) A preliminary dental examination, including charting of 199
	261	+	cavities, soft tissue examination, periodontal examination, and oral cancer screening; a complete 200
	262	+	prophylaxis, including the removal of any deposit, accretion, or stain from the surface of a tooth 201
	263	+	or a restoration; debridement; scaling and root planing; soft tissue curettage; application of 202
	264	+	topical fluoride and fluoride varnish; and the polishing of a tooth or a restoration; 203
	265	+	“(ii) Applying a medicinal agent to a tooth for a prophylactic 204
	266	+	purpose; 205
	267	+	“(iii) Taking dental radiographs; 206
	268	+	“(iv) Instructing individuals or groups of individuals in oral health 207
	269	+	care; 208
	270	+	“(v) Administering local anesthesia and nitrous oxide when 209
	271	+	certified by the Board of Dentistry to do so;” 210
	272	+	“(vi) Applying pit and fissure sealants; 211 ENGROSSED ORIGINAL
447	273
448	274
449	275
450	276
451	277		11
452	278
453		-	“(iii) Performing foot checks for patients with diabetes;
454		-	“(iv) Performing point-of-care testing for blood glucose;
455		-	“(v) Providing diabetes education;
456		-	“(vi) Performing point-of-care testing and cholesterol monitoring;
457		-	“(vii) Offering tobacco-cessation services;
458		-	“(viii) Providing transition-of-care services;
459		-	“(ix) Administering anticoagulation therapy;
460		-	“(x) Screening for depression and other mental health conditions;
461		-	“(xi) Conducting asthma Control checks;
462		-	“(xii) Screening for sexually transmitted diseases; and
463		-	“(xiii) Extending prescriptions as medically necessary, excluding
464		-	controlled substances or specialized medications; and
465		-	“(xiv) Initiation of Pre Exposure Prophylaxis (PrEP) and Post
466		-	Exposure Prophylaxis (PEP) for the prevention of HIV/AIDS pursuant to a protocol.
467		-	“(B) For the purposes of this paragraph, the term:
468		-	“(i) “Administration” means the direct application of a prescription
469		-	drug, device, or biological to the body of the patient by injection, inhalation, ingestion, or other
470		-	means.
471		-	“(ii) “Collaborative practice agreement” means a voluntary written
472		-	agreement between a licensed pharmacist and a licensed physician that has been approved by the
473		-	Board of Pharmacy and the Board of Medicine, either directly or through rulemaking, or between
474		-	a licensed pharmacist and another health practitioner with independent prescriptive authority
475		-	licensed by a District health occupation board, that defines the scope of practice between the
476		-	licensed pharmacist and licensed physician, or other health practitioner, for the initiation,
477		-	modification, or discontinuation of a drug therapy regimen.
478		-	“(iii) “Pharmacy” means an establishment or institution, or any
479		-	part thereof, where the practice of pharmacy is conducted, drugs are compounded or dispensed,
480		-	offered for sale, given away, or displayed for sale at retail, or prescriptions are compounded or
481		-	dispensed.
482		-	“(iv) “Prescription” means an order for a drug, medicinal
483		-	chemical, biological, or combination or mixtures thereof, or for a medically prescribed medical
484		-	device, in writing, or on an approved electronic form, dated and signed by an authorized health
485		-	professional, or given orally to a pharmacist by an authorized health professional or the person’s
486		-	authorized agent and immediately reduced to writing by the pharmacist or pharmacy intern.
487		-	“(C) The Mayor shall establish regulations to ensure the safe and effective
488		-	provision of the services listed under subparagraph (A) of this paragraph, including appropriate
489		-	training requirements and protocols for collaboration with other healthcare professionals.”.
490		-	(19) Paragraph (12)(A) and (B) are amended to read as follows:
491		-	ENROLLED ORIGINAL
	279	+	“(vii) Placing and removing periodontal dressings; 212
	280	+	“(viii) Administering vaccinations under the direct supervision of a 213
	281	+	dentist licensed under this act when certified by the Board of Dentistry to do so; 214
	282	+	“(ix) Prescribing topical prescription or over-the-counter fluoride 215
	283	+	preparations and topical antimicrobial oral rinses, under the general supervision of a dentist 216
	284	+	licensed under this act; 217
	285	+	“(x) Performing blood glucose testing; 218
	286	+	“(xi) Placing or removing temporary restorations and crowns; 219
	287	+	“(xii) Taking study cast impressions; 220
	288	+	“(xiii) Removing sutures; and 221
	289	+	“(xiv) Any other functions included in the curricula of approved 222
	290	+	educational programs in dental hygiene, including dental hygiene diagnosis.”. 223
	291	+	(B) Subparagraph (B) is amended as follows: 224
	292	+	(i) Strike the phrase “A dental hygienist may perform” and insert 225
	293	+	the phrase “Except for administering vaccinations, a dental hygienist may perform” in its place; 226
	294	+	(ii) Strike the phrase “in his or her office or any public school or 227
	295	+	institution rendering dental services.” and insert the phrase “in their office or mobile dental clinic 228
	296	+	and in any public health setting, including a health care facility, correctional institution, 229
	297	+	residential facility, public school, shelter for victims of domestic abuse or runaways, foster 230
	298	+	home, nonprofit clinic, and long-term care facility rendering dental services as that term is 231 ENGROSSED ORIGINAL
492	299
493	300
494	301
495	302
496	303		12
497	304
498		-	“(12)(A) Practice of physical therapy” means the independent evaluation or
499		-	treatment of human disability, injury, or disease through the specific scientific application of
500		-	physical measures to secure the functional rehabilitation of the human body; utilizing standard
501		-	procedures of physical therapy to treat patients with mechanical, physiological, and
502		-	developmental impairments, functional limitations, and disabilities, or other health and
503		-	movement-related conditions to alleviate the effects of these conditions, to reduce the risk of
504		-	injury, and to promote and maintain fitness, health, and wellness in populations of all ages; the
505		-	ability to order imaging as part of the evaluation process; and the teaching and researching of
506		-	physical therapy.
507		-	“(B) “Practice by physical therapist assistants” means the performance of
508		-	selected components of a physical therapy treatment intervention by a person who has graduated
509		-	from a physical therapist assistant program accredited by an agency recognized for that purpose
510		-	by the Secretary of the Department of Education or the Council of Postsecondary Accreditation
511		-	and is licensed pursuant to this act to assist a physical therapist.”.
512		-	(20) Paragraph (14) is amended to read as follows:
513		-	“(14) “Practice of podiatry” means the diagnosis, treatment, prevention, and care
514		-	of pathology and ailments of all structures and tissues of the human foot and ankle, the
515		-	anatomical structures that attach to the human food, ankle, and soft tissue at or below the knee,
516		-	by surgical, medical, or mechanical means, with or without compensation. A licensed podiatrist
517		-	may administer local anesthesia, as well as injections, immunizations, and vaccinations.”.
518		-	(21) Paragraph (15) is amended to read as follows:
519		-	“(15) “Practice of practical nursing” means the performance, under the
520		-	supervision of a registered nurse, advanced practice registered nurse, licensed physician, or other
521		-	authorized health care provider, with or without compensation, of directed nursing services
522		-	required in observing and caring for sick, injured, convalescent, or disabled patients, in
523		-	promoting preventive measures in community health, in acting to safeguard life and health, in
524		-	administering treatment and medication prescribed by a physician, dentist, or advanced practice
525		-	registered nurses, or in performing other acts not requiring the skill, judgment, and knowledge of
526		-	a registered nurse. The practice of practical nursing includes the training of nursing assistive
527		-	personnel and shall be subject to the nursing standards established or recognized by the Board of
528		-	Nursing in accordance with regulations promulgated by the Mayor.”.
529		-	(22) Paragraph (15B) is amended as follows:
530		-	(A) Subparagraph (A) is amended by striking the phrase “; and” and
531		-	inserting a semicolon in its place.
532		-	(B) Subparagraph (B) is amended by striking the period and inserting a
533		-	semicolon in its place.
534		-	(C) New subparagraphs (C) and (D) are added to read as follows: ENROLLED ORIGINAL
	305	+	defined in section 101(7) of the District of Columbia Long-Term Care Ombudsman Program Act 232
	306	+	of 1988, effective March 16, 1989 (D.C. Law 7-218; D.C. Official Code § 7-701.01(7)).” in its 233
	307	+	place. 234
	308	+	(iii) Strike the phrase “subparagraph (A)(vi)” and insert the phrase 235
	309	+	“subparagraph (A)(xiv)” in its place. 236
	310	+	(C) Subparagraph (C) is amended to read as follows: 237
	311	+	“(C) For the purposes of this paragraph, the term: 238
	312	+	“(i) “Collaborative practice agreement” means a formal agreement 239
	313	+	between a licensed dentist and a licensed dental hygienist agreed upon by both parties that 240
	314	+	includes, at a minimum, the roles and responsibilities of each party, the ways in which they will 241
	315	+	collaborate, and the specific procedures, patient types, and protocols the dental hygienist must 242
	316	+	follow when practicing under the agreement. 243
	317	+	“(ii) “Dental hygiene diagnosis” means the identification of an 244
	318	+	existing oral health problem that a dental hygienist is qualified and licensed to treat within the 245
	319	+	scope of the practice and focuses on behavioral risks and physical conditions related to oral 246
	320	+	health. 247
	321	+	“(iii) “General supervision” means the performance by a dental 248
	322	+	hygienist of procedures permitted by subparagraph (A) of this paragraph based on instructions 249
	323	+	given by a dentist licensed under this Act, but not requiring the physical presence of the dentist 250
	324	+	during the performance of these procedures. General supervision in dental clinics and public 251 ENGROSSED ORIGINAL
535	325
536	326
537	327
538	328
539	329		13
540	330
541		-	“(C) Determining and evaluating treatment goals and objectives and
542		-	implementing counseling techniques and evidence-based counseling methods, models, and
543		-	interventions to achieve treatment plan goals; and
544		-	“(D) Teaching and supervising the practice of professional counseling.”.
545		-	(23) Paragraph (16) is amended to read as follows:
546		-	“(16)(A) “Practice of psychology” means the observation, description, evaluation,
547		-	interpretation, prediction, and modification of human behavior by the application of
548		-	psychological principles, methods, and procedures, with or without compensation, for the
549		-	purposes of:
550		-	“(i) Preventing, eliminating, assessing, or predicting symptomatic,
551		-	maladaptive, or undesired behavior;
552		-	“(ii) Evaluating, assessing, or facilitating the enhancement of
553		-	individual, group, or organizational effectiveness, including personal effectiveness, adaptive
554		-	behavior, interpersonal relationships, work and life adjustment, health, and individual, group, or
555		-	organizational performance; or
556		-	“(iii) Providing effective services to help children and youth
557		-	succeed academically, socially, behaviorally, and emotionally and direct educational and mental
558		-	health services for children and youth, including working with parents, educators, and other
559		-	professionals to create supportive learning and social environments for children.
560		-	“(B) Limitations on the authorization to practice psychology under this
561		-	paragraph shall be set forth as follows:
562		-	“(i) A person licensed as a health services psychologist is
563		-	authorized to practice psychology within the full scope of subparagraph (A) of this paragraph;
564		-	“(ii) A person licensed as a general applied psychologist is
565		-	authorized to practice psychology within the scope of subparagraph (A)(ii) of this paragraph;
566		-	“(iii) A person registered as a school psychologist is authorized to
567		-	practice psychology within the scope of subparagraph (A)(iii) of this paragraph; and
568		-	“(iv) A person registered as a psychology associate is authorized to
569		-	practice psychology within the scope of subparagraph (A)(i) of this paragraph; provided, that
570		-	they practice only under the supervision of a licensed health services psychologist.”.
571		-	“(C) Nothing in this paragraph shall be construed as preventing or
572		-	restricting the practice, services, or activities of:
573		-	“(i) An individual bearing the title of psychologist in the employ of
574		-	an academic institution, research organization, or laboratory, if the psychology-based activities
575		-	or services offered are within the scope of employment, are consistent with his or her
576		-	professional training and experience, and are provided within the confines of employment; or
577		-	“(ii) A school psychologist employed by District of Columbia
578		-	Public Schools or a public charter school and working in accordance with regulations issued by
579		-	the Office of the State Superintendent of Education.”. ENROLLED ORIGINAL
	331	+	health settings shall be pursuant to a collaborative practice agreement, meeting the requirements 252
	332	+	set forth by the Mayor through rulemaking, with a dentist licensed under this act that designates 253
	333	+	authorization for the services provided by the dental hygienist; provided, that the dental hygienist 254
	334	+	has documented completion of a Board-approved course on medical emergencies within each 255
	335	+	continuing education cycle”. 256
	336	+	(9) Paragraph (6) (D.C. Official Code § 3-1201.02(6)) is amended as follows: 257
	337	+	(A) Subparagraph (A) is amended to read as follows: 258
	338	+	“(6)(A) “Practice of nutrition” means the application of the scientific principles 259
	339	+	derived from the study of food, nutrition, biochemistry, metabolism, physiology, and behavioral 260
	340	+	sciences for achieving and maintaining health throughout the lifespan; the provision of nutrition 261
	341	+	care services in-person or via telehealth, including medical nutrition therapy to prevent, manage, 262
	342	+	or treat diseases or medical conditions and promote wellness; the ordering of patient diets, 263
	343	+	including therapeutic diets via oral routes; the ordering of medical laboratory tests related to 264
	344	+	nutritional therapeutic treatments; and the provision of recommendations on vitamin, mineral, 265
	345	+	and other dietary supplements.”. 266
	346	+	(B) A new subparagraph (A-i) is added to read as follows: 267
	347	+	“(A-i) “Practice of dietetics” includes the entire scope of practice of 268
	348	+	nutrition included in subparagraph (6)(A), as well as the application of scientific principles 269
	349	+	derived from the study of nutrigenomics, pharmacology, and food systems management; the 270
	350	+	development and ordering of therapeutic diets, via oral, enteral, and parenteral routes; and the 271 ENGROSSED ORIGINAL
580	351
581	352
582	353
583	354
584	355		14
585	356
586		-	(24) A new paragraph (16A) is added to read as follows:
587		-	“(16A) “Practice of recreational therapy” means the systematic process that
588		-	utilizes recreation and other activity-based interventions to address the assessed needs of
589		-	individuals with illness or disabling conditions as a means of psychological and physical health,
590		-	recovery, and well-being, including treatment services designed to restore, remediate, and
591		-	rehabilitate a person’s level of functioning and independence in life activities, to promote health
592		-	and wellness and reduce, or to eliminate the activity limitations and restrictions to participate in
593		-	life situations caused by illness or a disabling condition.”.
594		-	(25) Paragraph (17) is amended to read as follows:
595		-	“(17) “Practice of registered nursing” means the performance of the full scope of
596		-	nursing services, with or without compensation, designed to promote, protect, optimize, and
597		-	maintain health and abilities, prevent illness and injury, facilitate healing, alleviate suffering
598		-	through the diagnosis and treatment of human response, and advocate for the care of individuals,
599		-	families, groups, communities, and populations. The practice of registered nursing includes the
600		-	performance of acts requiring substantial specialized knowledge, judgment, and skill based on
601		-	the principles of the biological, physiological, behavioral, and sociological sciences, including
602		-	administrative, educational, and research functions, and shall be subject to standards established
603		-	or recognized by the Board of Nursing and in accordance with regulations promulgated by the
604		-	Mayor.”.
605		-	(26) Paragraph (17A) is amended to read as follows:
606		-	“(17A) “Practice of respiratory care” means the diagnostic evaluation,
607		-	assessment, care and treatment, management, or rehabilitation, in collaboration with a licensed
608		-	physician, of patients who have deficiencies and abnormalities which affect the pulmonary
609		-	system and associated aspects of the cardiopulmonary or other systems.”.
610		-	(27) Paragraph (18)(A) is amended to read as follows:
611		-	“(18)(A) “Practice of social work” means the application of social work theory,
612		-	knowledge, methods, ethics, and the professional use of self to restore or enhance social,
613		-	psychosocial, or biopsychosocial functioning of individuals, couples, families, groups,
614		-	organizations, and communities, which may include, depending on an individual’s level of social
615		-	work licensure and area of practice, the formulation of psychosocial evaluation and assessment,
616		-	counseling, psychotherapy, referral, advocacy, mediation, consultation, research, administration,
617		-	education, and community organization.”.
618		-	(28) Paragraph (19A) is amended by striking the phrase “under the direct
619		-	supervision” and inserting the phrase “under the supervision” in its place.
620		-	(d) Section 103(d) (D.C. Official Code § 3-1201.03(d)) is amended as follows:
621		-	(1) Paragraph (1) is amended by striking the semicolon and adding the phrase “;
622		-	or” in its place.
623		-	(2) Paragraph (2) is amended by striking the semicolon and inserting a period in
624		-	its place. ENROLLED ORIGINAL
	357	+	provision of advanced clinical nutrition care services consistent with current Scope and 272
	358	+	Standards of Practice for dietitians registered by the Commission on Dietetic Registration.”. 273
	359	+	(C) A new subparagraph (C) is added to read as follows: 274
	360	+	“(C) For the purposes of this paragraph, the term “medical nutrition 275
	361	+	therapy” means the provision of any of the following nutrition care services for the purpose of 276
	362	+	management or treatment of a disease or medical condition: 277
	363	+	“(i) Nutrition assessment; 278
	364	+	“(ii) Nutrition diagnosis; 279
	365	+	“(iii) Nutrition intervention; and 280
	366	+	“(iv) Nutrition monitoring and evaluation.”. 281
	367	+	(10) Paragraphs (6A) and (6A-i) are repealed. 282
	368	+	(11) Paragraph (6B) is amended as follows: 283
	369	+	(A) Subparagraph (A) is amended by striking the phrase “the context of 284
	370	+	marriage and family systems.” and inserting the phrase “the context of, or arising from, marriage 285
	371	+	and family systems.” in its place. 286
	372	+	(B) Subparagraphs (B) and (C) are repealed. 287
	373	+	(12) Paragraphs (6B-i) and (6B-ii) are repealed. 288
	374	+	(13) New paragraphs (6D) and (6E) are added to read as follows: 289
	375	+	“(6D) “Practice of medical assistants” means performing assistance with minor 290
	376	+	medical practices that, other than the administration of vaccines or other injections, do not 291 ENGROSSED ORIGINAL
625	377
626	378
627	379
628	380
629	381		15
630	382
631		-	(3) Paragraphs (3), (4), (5), (6), and (7) are repealed.
632		-	(e) A new section 105 is added to read as follows:
633		-	“Sec. 105. Telehealth.
634		-	“(a) A health professional licensed, registered, or certified in the District pursuant to this
635		-	act may provide a telehealth service to a District resident or person located in the District if
636		-	doing so is:
637		-	“(1) Consistent with the applicable standard of care in the District and the health
638		-	professional’s scope of authorized practice in the District; and
639		-	“(2) Not otherwise prohibited by law or regulation.
640		-	“(b) A practitioner-patient or practitioner-client relationship may be established through
641		-	telehealth in accordance with the appropriate standard of care and the practitioner’s competence
642		-	and scope of practice; provided, that the Mayor may through rulemaking issue additional
643		-	requirements for specific health professionals to establish a practitioner-client relationship,
644		-	including an initial in-person physical examination.
645		-	“(c)(1) A health professional who provides a telehealth service shall do so in a manner
646		-	consistent with the standard of care applicable to a health professional who provides a
647		-	comparable health care service in person in the District.
648		-	“(2) The professional practice standards, rules, and laws applicable to the
649		-	provision of healthcare services, including those related to identity verification, documentation,
650		-	informed consent, confidentiality, privacy, and security shall apply to the provision of telehealth
651		-	services.
652		-	“(d) A health professional providing telehealth services who is authorized to prescribe
653		-	medications shall comply with the Prescription Drug Monitoring Program Act of 2013, effective
654		-	February 22, 2014 (D.C. Law 20-66; D.C. Code § 48-853.01 et seq.), and all District or federal
655		-	laws and rules related to prescription and controlled substances.
656		-	“(e) Except as otherwise provided in subsection (f) of this section, a practitioner who
657		-	does not hold a license, registration, or certification to practice in the District pursuant to this act
658		-	may not provide a telehealth service to a client or patient physically located in the District unless
659		-	the practitioner and the client or patient have an existing practitioner-client or practitioner-patient
660		-	relationship and:
661		-	“(1)The client or patient is temporarily present in the District; or
662		-	“(2) The client or patient is a District resident and the telehealth services provided
663		-	do not exceed 120 days or a longer period of time as determined by the Mayor through
664		-	rulemaking.
665		-	“(f) Nothing in this section shall be construed to conflict with interstate reciprocity
666		-	agreements or occupational licensure interstate compacts entered into by the District.”.
667		-	(f) Section 203 (D.C. Official Code § 3-1202.03) is amended as follows:
668		-	(1) The section heading is amended to read as follows: ENROLLED ORIGINAL
	383	+	involve any subcutaneous procedure and occur only under the direct supervision of a physician, 292
	384	+	physician assistant, or advance practice registered nurse.”. 293
	385	+	“(6E) “Practice of medical radiation technology” means the use of ionizing or 294
	386	+	non-ionizing radiation for the purposes of medical imaging and treatment in any of the following 295
	387	+	categories: 296
	388	+	“(A) The practice of cardiovascular-interventional technology, which 297
	389	+	means the use of imaging equipment to perform a comprehensive scope of invasive cardiac or 298
	390	+	neurological, peripheral, and visual cardiovascular and non-vascular diagnostic, therapeutic and 299
	391	+	interventional procedures that are displayed in radiographic or digital images for the purpose of 300
	392	+	assisting physicians in diagnostic and interventional procedures; 301
	393	+	“(B) The practice of computed tomography technology, which means the 302
	394	+	use of ionizing radiation to produce tomographic images or slices of specific areas of the body on 303
	395	+	film, fluorescent material, or an image display device; 304
	396	+	“(C) The practice of magnetic resonance technology, which means the use 305
	397	+	of resonance frequency within a magnetic field to evaluate anatomic of physiologic conditions of 306
	398	+	the body, perform spectral analysis, perform functional and anatomic analysis, and provide a 307
	399	+	basis for interventional or therapeutic procedures that utilize magnetic resonance technology; 308
	400	+	“(D) The practice of mammography, which means the use of low-dose x-309
	401	+	rays to image internal structures of the breast for purposes of detecting abnormal growths or 310
	402	+	cysts; 311 ENGROSSED ORIGINAL
669	403
670	404
671	405
672	406
673	407		16
674	408
675		-	“Sec. 203. Board of Medicine; Advisory Committees on Anesthesiologist Assistants,
676		-	Polysomnography, Surgical Assistants, Trauma Technologists, Athletic Trainers, Maternal Care
677		-	Professionals, and Medical Radiation Technologists.”.
678		-	(2) Subsection (a) is amended as follows:
679		-	(A) Paragraph (2) is amended to read as follows:
680		-	“(2) The Board shall regulate the practice of medicine, the practice by
681		-	anesthesiologists assistants with the advice of the Advisory Committee on Anesthesiologist
682		-	Assistants, the practice of medical radiation technology with the advice of the Advisory
683		-	Committee on Medical Radiation Technologists, the practice by physician assistants, the practice
684		-	by surgical assistants with the advice of the Advisory Committee on Surgical Assistants, the
685		-	practice by physicians-in-training, the practice by trauma technologists with the advice of the
686		-	Advisory Committee on Trauma Technologists, the practice of athletic training with the advice
687		-	of the Advisory Committee on Athletic Trainers, and the practices of certified professional
688		-	midwifery and doulas with the advice of the Advisory Committee on Maternal Care
689		-	Professionals.”.
690		-	(B) A new paragraph (2A) is added to read as follows:
691		-	“(2A) The Board shall also regulate the practice of acupuncture and the practice
692		-	of naturopathic medicine until the Board of Integrative Healthcare commences operations
693		-	pursuant to section 224(f).”.
694		-	(C) Paragraph (3) is amended as follows:
695		-	(i) The existing language is designated as subparagraph (A).
696		-	(ii) Subparagraph (A) is amended by striking the period and
697		-	inserting the phrase “; except, that from the effective date of the Health Occupations Revision
698		-	General Amendment Act of 2024, passed on 2nd reading on May 7, 2024 (Enrolled version of
699		-	Bill 25-545) (“2024 Act”), of the members of the Board, 9 shall be physicians licensed to
700		-	practice in the District, 2 shall be physician assistants licensed to practice in the District, 3 shall
701		-	be consumer members, and one shall be the Director of the Department of Health, or his or her
702		-	designee.” in its place.
703		-	(iii) A new subparagraph (B) is added to read as follows:
704		-	“(B) The Chair of the Board as of the effective date of the 2024 Act shall
705		-	be a physician member.”.
706		-	(D) Paragraph (8) is amended as follows:
707		-	(i) Subparagraph (A) is repealed.
708		-	(ii) Subparagraph (B-ii) is repealed.
709		-	(iii) Subparagraph (C) is amended by striking the phrase “ in
710		-	accordance with guidelines approved by the Advisory Committee on Physician Assistants;” and
711		-	inserting a semicolon in its place.
712		-	(iv) Subparagraph (H) is amended by striking the phrase “; and”
713		-	and inserting a semicolon in its place. ENROLLED ORIGINAL
	409	+	“(E) The practice of nuclear medicine technology, which means the use of 312
	410	+	in vivo and in vitro detection and measurement of radioactivity and the administration of 313
	411	+	radiopharmaceuticals and radionuclides for diagnostic and therapeutic purposes; 314
	412	+	“(F) The practice of radiation therapy, which means the administration of 315
	413	+	ionizing and non-ionizing radiation to human beings for therapeutic purposes as prescribed and 316
	414	+	supervised by a radiation oncologist; 317
	415	+	“(G) The practice of radiography, which means the use of ionizing 318
	416	+	radiation projected through the body to produce radiographic or fluoroscopic images; 319
	417	+	“(H) The practice by radiologist assistants, which means the practice of 320
	418	+	radiography in the areas of patient care, patient management, clinical imaging and interventional 321
	419	+	procedures, but does not include interpreting images, making diagnoses, or prescribing 322
	420	+	medication or therapies; and 323
	421	+	“(I) The practice of ultrasonography or sonography, which means the use 324
	422	+	of ultrasound for the visualization of subcutaneous body structures including tendons, muscles, 325
	423	+	joints, vessels, and internal organs for possible pathology or lesions.”. 326
	424	+	(14) Paragraph (7B) (D.C. Official Code § 3-1201.02(7B)) is amended to read as 327
	425	+	follows: 328
	426	+	“(7B) “Practice by nursing assistive personnel” means the performance by 329
	427	+	authorized individuals who have been assigned direct patient care tasks that are common to 330
	428	+	nursing functions and do not require professional skill or judgment within a health care, 331 ENGROSSED ORIGINAL
714	429
715	430
716	431
717	432
718	433		17
719	434
720		-	(v) Subparagraph (I) is amended by striking the period at the end
721		-	and inserting the phrase “; and” in its place.
722		-	(vi) A new subparagraph (J) is added to read as follows:
723		-	“(J) The practice of medical radiation technology in accordance with
724		-	guidelines approved by the Advisory Committee on Medical Radiation Technologists.”.
725		-	(3) Subsection (a-2) is repealed.
726		-	(g) Section 204 (D.C. Official Code § 3-1202.04) is amended as follows:
727		-	(1) Subsection (a) is amended by striking the period and inserting the phrase “;
728		-	except that, from the effective date of the Health Occupations Revision General Amendment Act
729		-	of 2024, passed on 2nd reading on May 7, 2024 (Enrolled version of Bill 25-545) (“2024 Act”),
730		-	the Board shall consist of 13 members.” in its place.
731		-	(2) Subsection (b) is amended as follows:
732		-	(A) Paragraph (1) is amended to read as follows:
733		-	“(b)(1) The Board shall regulate the practice of advanced practice registered nursing,
734		-	practice of registered nursing, practice of practical nursing, practice by nursing assistive
735		-	personnel, practice of nursing home administration, practice of assisted living administration,
736		-	and practice of home health care administration.”.
737		-	(B) Paragraph (2) is amended as follows:
738		-	(i) Strike the phrase “required for the approval of nursing schools
739		-	and nursing programs” and insert the phrase “required for the approval of nursing education
740		-	programs” in its place.
741		-	(ii) Strike the phrase “may also recommend” and insert the phrase
742		-	“shall also recommend” in its place.
743		-	(iii) Strike the phrase “withdrawing approval of nursing schools
744		-	and nursing programs.” and insert the phrase “withdrawing approval of nursing education
745		-	programs and training programs for nursing assistive personnel.” in its place.
746		-	(3) Subsection (c) is amended by striking the period and inserting the phrase “;
747		-	except, that from the effective date of the 2024 Act, of the members of the Board, 4 shall be
748		-	registered nurses licensed in the District, 2 shall be practical nurses licensed in the District, one
749		-	shall be a nursing home administrator, assisted living administrator, or home health care
750		-	administrator licensed in the District, one shall be a nursing assistive personnel registered or
751		-	certified in the District, 3 shall be registered nurses, advanced practice registered nurses,
752		-	practical nurses, or nursing assistive personnel licensed, registered, or certified in the District,
753		-	and 2 shall be consumer members.” in its place.
754		-	(h) Section 205 (D.C. Official Code § 3-1202.05) is repealed.
755		-	(i) Section 206 (D.C. Official Code § 3-1202.06) is amended by adding a new subsection
756		-	(f) to read as follows:
757		-	“(f) The Board shall be dissolved on the day the Board of Rehabilitative Therapies
758		-	commences operation pursuant to section 223(e).”. ENROLLED ORIGINAL
	435	+	residential, or community support setting; provided, that the patient care tasks are performed 332
	436	+	under the general supervision of a licensed health care professional. Nursing assistive personnel 333
	437	+	includes: 334
	438	+	“(A) Nurse aides; 335
	439	+	“(B) Medication aides; 336
	440	+	“(C) Home-health aides; 337
	441	+	“(D) Patient care technicians; 338
	442	+	“(E) Trained medication employees; 339
	443	+	“(F) Dialysis technicians; and 340
	444	+	“(G) Any other profession as determined by the Mayor through 341
	445	+	rulemaking.”. 342
	446	+	(15) Paragraph (9)(A) is amended as follows: 343
	447	+	(A) Sub-subparagraph (i) is amended to read as follows: 344
	448	+	“(i) The therapeutic use of everyday life activities and the use of 345
	449	+	other occupational therapy techniques to engage clients who have disability- or non-disability-346
	450	+	related needs in everyday life occupations to enable participation in activities at home, school, 347
	451	+	the workplace, or other community settings to promote habilitation, rehabilitation, and health and 348
	452	+	wellness, with or without compensation;”. 349
	453	+	(B) Sub-subparagraph (iii) is amended by striking the word “patients” and 350
	454	+	inserting the word “clients” in its place. 351 ENGROSSED ORIGINAL
759	455
760	456
761	457
762	458
763	459		18
764	460
765		-	(j) Section 207 (D.C. Official Code § 3-1202.07) is amended as follows:
766		-	(1) Subsection (f) is amended to read as follows:
767		-	“(f) Upon application, the Board shall grant certification to administer diagnostic
768		-	pharmaceutical agents and prescribe therapeutic pharmaceutical agents to applicants who have
769		-	satisfied the requirements of the Board in accordance with the rules promulgated by the Mayor.”.
770		-	(2) Subsection (g) is repealed.
771		-	(k) Section 208 (D.C. Official Code § 3-1202.08) is amended as follows:
772		-	(1) The section heading is amended by striking the phrase “and Advisory
773		-	Committee on Clinical Laboratory Practitioners.” and inserting a period in its place.
774		-	(2) Subsection (b) is amended as follows:
775		-	(A) Paragraph (1) is amended to read as follows:
776		-	“(1) The Board shall regulate the practice of pharmacy, the practice of
777		-	pharmaceutical detailing, and the practice of pharmacy technicians.”.
778		-	(B) Paragraph (1A) is repealed.
779		-	(3) Subsection (c) is amended by striking the period and inserting the phrase “;
780		-	except, that from the effective date of the Health Occupations Revision General Amendment Act
781		-	of 2024, passed on 2nd reading on May 7, 2024 (Enrolled version of Bill 25-545), of the
782		-	members of the Board, 5 shall be pharmacists licensed in the District, one shall be a pharmacy
783		-	technician registered in the District, and one shall be a consumer member.” in its place.
784		-	(4) Subsection (f) is amended by striking the phrase “and only pursuant to a
785		-	written protocol and valid prescription or standing order of a physician.” and inserting a period in
786		-	its place.
787		-	(5) Subsections (g) and (i) through (m) are repealed.
788		-
789		-	(l) Section 209 (D.C. Official Code § 3-1202.09)) is amended by adding a new subsection
790		-	(f) to read as follows:
791		-	“(f) The Board shall be dissolved on the day the Board of Rehabilitative Therapies
792		-	commences operation pursuant to section 223(e).”.
793		-	(m) Section 211 (D.C. Official Code § 3-1202.11) is amended as follows:
794		-	(1) Subsection (a) is amended by striking the period and inserting the phrase “;
795		-	except that, from the effective date of the Health Occupations Revision General Amendment Act
796		-	of 2024, passed on 2nd reading on May 7, 2024 (Enrolled version of Bill 25-545) (“2024 Act”),
797		-	the Board shall consist of 6 members.” in its place.
798		-	(2) Subsection (b) is amended to read as follows:
799		-	“(b) The Board shall regulate the practice of psychology, the practice by psychology
800		-	associates, and the practice of behavior analysis.”.
801		-	(3) Subsection (c) is amended by striking the period and inserting the phrase “;
802		-	except, that from the effective date of the 2024 Act, of the members of the Board, 4 shall be ENROLLED ORIGINAL
	461	+	(16) Paragraph (10)(E) and is amended to read as follows: 352
	462	+	“(E) An individual licensed to practice optometry may administer or 353
	463	+	prescribe the following drugs: 354
	464	+	“(i) Antibiotics, but not oral systemic antiviral or antifungal agents; 355
	465	+	“(ii) Antihistamines; 356
	466	+	“(iv) Non-steroidal anti-inflammatories; 357
	467	+	“(iv) Medication for the initiation of immediate emergency 358
	468	+	treatment of angle closure glaucoma; and 359
	469	+	“(v) Injectable systemic drugs to counter anaphylactic reactions.”. 360
	470	+	(17) Paragraph (10A)(A) is amended by striking the phrase “communicating in 361
	471	+	person” and inserting the phrase “communicating in person or through interactive virtual 362
	472	+	communication” in its place. 363
	473	+	(18) Paragraph (11) is amended as follows: 364
	474	+	(A) Subparagraph (A) is amended to read as follows: 365
	475	+	“(11)(A) “Practice of pharmacy” means the interpretation and evaluation of 366
	476	+	prescription orders; the dispensing and labeling of drugs, devices, and biologicals; the 367
	477	+	compounding of drugs as authorized by federal and District law; the prescribing and dispensing 368
	478	+	of self-administered hormonal contraceptives when certified by the Board of Pharmacy to do so 369
	479	+	and in accordance with regulations issued by the Mayor; drug and device selection; 370
	480	+	responsibility for advising and providing information, where regulated or otherwise necessary, 371 ENGROSSED ORIGINAL
803	481
804	482
805	483
806	484
807	485		19
808	486
809		-	psychologists licensed in the District, one shall be a behavior analyst licensed in the District, and
810		-	one shall be a consumer member.” in its place.
811		-	(4) A new subsection (f) is added to read as follows:
812		-	“(f)(1) Within one year of the effective date of the 2024 Act, the Mayor shall issue rules
813		-	for the licensure and scope of the practice of behavior analysis, which shall include at a
814		-	minimum:
815		-	“(A) A code of ethics for the practice of behavior analysis;
816		-	“(B) Criteria for the educational and clinical training of licensed behavior
817		-	analysts;
818		-	“(C) Criteria for a professional competency examination and testing of
819		-	applicants for a license to practice behavior analysis; and
820		-	“(D) Continuing education requirements for license renewal.
821		-	“(2) The Board shall hold at least 2 public meetings to solicit input on the rules
822		-	developed pursuant to this subsection from behavior analysts and residents served by behavior
823		-	analysts before issuing rules.”.
824		-	(n) Section 212(c) (D.C. Official Code § 3-1202.12(c)) is amended by striking the period
825		-	and inserting the phrase “; except, that from the effective date of the Health Occupations
826		-	Revision General Amendment Act of 2024, passed on 2nd reading on May 7, 2024 (Enrolled
827		-	version of Bill 25-545), of the members of the Board, 4 shall be social workers licensed in the
828		-	District; provided, that 3 of those members shall be a licensed graduate social worker, licensed
829		-	independent social worker, or licensed independent clinical social worker, while the remaining
830		-	member may be from any of the 4 licensing categories established by Title VIII, and one shall be
831		-	a consumer member.” in its place.
832		-	(o) Section 213 (D.C. Official Code § 3-1202.13) is amended as follows:
833		-	(1) Subsection (a) is amended by striking the period and inserting the phrase “;
834		-	except, that from the effective date of the Health Occupations Revision General Amendment Act
835		-	of 2024, passed on 2nd reading on May 7, 2024 (Enrolled version of Bill 25-545) (“2024 Act”),
836		-	the Board shall consist of 7 members appointed by the Mayor with the advice and consent of the
837		-	Council.” in its place.
838		-	(2) Subsection (b) is amended by striking the phrase “and addiction counseling.”
839		-	and inserting the phrase “addiction counseling, dance therapy, and marriage and family therapy.”
840		-	in its place.
841		-	(3) Subsection (d) is amended to read as follows:
842		-	“(d) Of the members of the Board, 2 shall be professional counselors licensed in the
843		-	District, one shall be an educator engaged in teaching counseling, one shall be a professional art
844		-	therapist, one shall be a consumer member, and one shall have at least 5 years of experience in
845		-	the field of addiction counseling; except, that from the effective date of the 2024 Act, of the
846		-	members of the Board:
847		-	“(1) Three shall be professional counselors licensed in the District; ENROLLED ORIGINAL
	487	+	concerning drugs, devices, and biologicals, and their therapeutic values, content, hazards, and 372
	488	+	uses in the treatment and prevention of disease; responsibility for conducting drug-regimen 373
	489	+	reviews; responsibility for the proper and safe storage and distribution of drugs, devices, and 374
	490	+	biologicals; the administration of a prescribed drug, device, and biological in accordance with 375
	491	+	regulations issued by the Mayor; the order and administration of immunizations and vaccinations 376
	492	+	in accordance with the Centers for Disease Control and Prevention’s published guidelines and 377
	493	+	recommended immunization schedules for adults aged 18 and older with valid identification, 378
	494	+	adolescents and children aged 3 through 17 with written informed parental consent or without 379
	495	+	consent if authorized by District law, and the administration of immunizations and vaccinations 380
	496	+	to any individual pursuant to a valid prescription when certified by the Board of Pharmacy to do 381
	497	+	so; conducting health screenings, including ordering, performing, and interpreting Clinical 382
	498	+	Laboratory Improvement Amendments-waived tests; the offering or performance of those acts, 383
	499	+	services, operations, and transactions necessary in the conduct, operation, management, and 384
	500	+	control of a pharmacy; the initiating, modifying, or discontinuing a drug therapy in accordance 385
	501	+	with a duly executed collaborative practice agreement; the maintenance of proper records; and a 386
	502	+	range of professional healthcare and clinical services as determined by the Mayor through 387
	503	+	rulemaking, but including: 388
	504	+	“(i) Medication Therapy Management; 389
	505	+	“(ii) Management of chronic conditions, including Type 2 diabetes 390
	506	+	mellitus and hypertension; 391 ENGROSSED ORIGINAL
848	507
849	508
850	509
851	510
852	511		20
853	512
854		-	“(2) One shall be a professional art therapist licensed in the District;
855		-	“(3) One shall be a marriage and family therapist licensed in the District;
856		-	“(4) One shall be a professional counselor, a professional art therapist, a
857		-	marriage and family therapist, or an addiction counselor licensed or certified in the District; and
858		-	“(5) One shall be a consumer member; provided further, that of the
859		-	members who are licensed professional counselors, one shall be an educator engaged in teaching
860		-	counseling and one shall have at least 3 years of experience in the field of addiction counseling.”.
861		-	(p) Section 214 (D.C. Official Code § 3-1202.14) is amended as follows:
862		-	(1) Subsection (b) is amended by striking the word “therapy” and inserting the
863		-	word “care” in its place.
864		-	(2) Subsection (c) is amended by striking the period and inserting the phrase “;
865		-	except, that from the effective date of the Health Occupations Revision General Amendment Act
866		-	of 2024, passed on 2nd reading on May 7, 2024 (Enrolled version of Bill 25-545), of the
867		-	members of the Board, 3 shall be respiratory care practitioners licensed in the District, one shall
868		-	be either a physician with knowledge and experience in the practice of respiratory care or a
869		-	respiratory care practitioner, licensed in the District, and one shall be a consumer member.”.
870		-	(q) Section 216 (D.C. Official Code § 3-1202.16) is amended by adding a new subsection
871		-	(f) to read as follows:
872		-	“(f) The Board shall be dissolved on the day the Board of Integrative Healthcare
873		-	commences operation pursuant to section 224(f).”.
874		-	(r) Section 217 (D.C. Official Code § 3-1202.17) is repealed.
875		-	(s) Section 218 (D.C. Official Code § 3-1202.18) is amended by adding a new subsection
876		-	(i) to read as follows:
877		-	“(i) The Board shall be dissolved on the day the Board of Rehabilitative Therapies
878		-	commences operation pursuant to section 223(e).”.
879		-	(t) New sections 223 and 224 are added to read as follows:
880		-	“Sec. 223. Board of Rehabilitative Therapies.
881		-	“(a) There is established a Board of Rehabilitative Therapies to consist of 11 members
882		-	appointed by the Mayor with the advice and consent of the Council.
883		-	“(b) The Board shall regulate the practices of audiology, occupational therapy, physical
884		-	therapy, recreational therapy, and speech-language pathology and the practices by audiology
885		-	assistants, occupational therapy assistants, physical therapist assistants, speech-language
886		-	pathology assistants, and speech-language pathology clinical fellows.
887		-	“(c) Of the members of the Board, 3 shall be physical therapists or physical therapist
888		-	assistants licensed in the District, 2 shall be occupational therapists or occupational therapy
889		-	assistants licensed in the District, 2 shall be audiologists or speech-language pathologists
890		-	licensed in the District, one shall be a recreational therapist licensed in the District, 2 shall be
891		-	consumer members, and one shall be a District licensed or registered:
892		-	“(1) Audiologist; ENROLLED ORIGINAL
	513	+	“(iii) Performing foot checks for patients with diabetes; 392
	514	+	“(iv) Performing point-of-care testing for blood glucose; 393
	515	+	“(v) Providing diabetes education; 394
	516	+	“(vi) Performing point-of-care testing and cholesterol monitoring; 395
	517	+	“(vii) Offering tobacco-cessation services; 396
	518	+	“(viii) Providing transition-of-care services; 397
	519	+	“(ix) Administering anticoagulation therapy; 398
	520	+	“(x) Screening for depression and other mental health conditions; 399
	521	+	“(xi) Conducting asthma Control checks; 400
	522	+	“(xii) Screening for sexually transmitted diseases; and 401
	523	+	“(xiii) Extending prescriptions as medically necessary, excluding 402
	524	+	controlled substances or specialized medications; and 403
	525	+	“(xiv) Initiation of Pre Exposure Prophylaxis (PrEP) and Post 404
	526	+	Exposure Prophylaxis (PEP) for the prevention of HIV/AIDS pursuant to a protocol.”. 405
	527	+	(B) Subparagraph (B) is amended to read as follows: 406
	528	+	“(B) Within the meaning of this paragraph, the term: 407
	529	+	“(i) “Administration” means the direct application of a prescription 408
	530	+	drug, device, or biological to the body of the patient by injection, inhalation, ingestion, or other 409
	531	+	means. 410 ENGROSSED ORIGINAL
893	532
894	533
895	534
896	535
897	536		21
898	537
899		-	“(2) Audiology assistant;
900		-	“(3) Physical therapist;
901		-	“(4) Physical therapist assistant;
902		-	“(5) Occupational therapist;
903		-	“(6) Occupational therapy assistant;
904		-	“(7) Recreational therapist;
905		-	“(8) Speech-language pathologist; or
906		-	“(9) Speech-language pathology assistant.
907		-	“(d) Of the members initially appointed under this section, 3 shall be appointed for a term
908		-	of one year, 4 shall be appointed for a term of 2 years, and 4 shall be appointed for a term of 3
909		-	years. The terms of the members first appointed shall begin on the date that a majority of the first
910		-	members are sworn in, which shall become the anniversary date for all subsequent appointments.
911		-	“(e) The Board shall commence operation and assume regulatory authority from the
912		-	Boards of Audiology and Speech-Language Pathology, Physical Therapy, and Occupational
913		-	Therapy one year from the effective date of the Health Occupations Revision General
914		-	Amendment Act of 2024, passed on 2nd reading on May 7, 2024 (Enrolled version of Bill 25-
915		-	545), or once the following appointments are made, whichever is earlier:
916		-	“(1) 2 members licensed to practice physical therapy;
917		-	“(2) 2 members licensed to practice occupational therapy;
918		-	“(3) One member authorized to practice speech-language pathology or audiology;
919		-	and
920		-	“(4) One consumer member.
921		-	“Sec. 224. Board of Integrative Healthcare.
922		-	“(a) There is established a Board of Integrative Healthcare to consist of 9 members
923		-	appointed by the Mayor with the advice and consent of the Council.
924		-	“(b) The Board shall regulate the practices of acupuncture, chiropractic, and naturopathic
925		-	medicine.
926		-	“(c) Of the members of the Board, 2 shall be acupuncturists licensed in the District, 2
927		-	shall be doctors of chiropractic licensed in the District, 2 shall be naturopathic physicians
928		-	licensed in the District, one shall be a medical physician licensed in the District who works with
929		-	acupuncturists, doctors of chiropractic, or naturopathic physicians, and 2 shall be consumer
930		-	members.
931		-	“(d) Except as provided in subsection (e) of this section, members of the Board shall be
932		-	appointed for terms of 3 years.
933		-	“(e) Of the members initially appointed under this section, 3 shall be appointed for a term
934		-	of one year, 3 shall be appointed for a term of 2 years, and 3 shall be appointed for a term of 3
935		-	years. The terms of the members first appointed shall begin on the date that a majority of the first
936		-	members are sworn in, which shall become the anniversary date for all subsequent appointments. ENROLLED ORIGINAL
	538	+	“(ii) “Collaborative practice agreement” means a voluntary written 411
	539	+	agreement between a licensed pharmacist and a licensed physician that has been approved by the 412
	540	+	Board of Pharmacy and the Board of Medicine, either directly or through rulemaking, or between 413
	541	+	a licensed pharmacist and another health practitioner with independent prescriptive authority 414
	542	+	licensed by a District health occupation board, that defines the scope of practice between the 415
	543	+	licensed pharmacist and licensed physician, or other health practitioner, for the initiation, 416
	544	+	modification, or discontinuation of a drug therapy regimen. 417
	545	+	“(iii) “Pharmacy” means an establishment or institution, or any 418
	546	+	part thereof, where the practice of pharmacy is conducted, drugs are compounded or dispensed, 419
	547	+	offered for sale, given away, or displayed for sale at retail, or prescriptions are compounded or 420
	548	+	dispensed. 421
	549	+	“(iv) “Prescription” means an order for a drug, medicinal 422
	550	+	chemical, biological, or combination or mixtures thereof, or for a medically prescribed medical 423
	551	+	device, in writing, or on an approved electronic form, dated and signed by an authorized health 424
	552	+	professional, or given orally to a pharmacist by an authorized health professional or the person’s 425
	553	+	authorized agent and immediately reduced to writing by the pharmacist or pharmacy intern.”. 426
	554	+	(C) A new subparagraph (C) is added to read as follows: 427
	555	+	“(C) The Mayor shall establish regulations to ensure the safe and effective 428
	556	+	provision of the services listed under paragraph (A) of this section, including appropriate training 429
	557	+	requirements and protocols for collaboration with other healthcare professionals.”. 430 ENGROSSED ORIGINAL
937	558
938	559
939	560
940	561
941	562		22
942	563
943		-	“(f) The Board shall commence operation and assume regulatory authority from the
944		-	Board of Medicine for the practices of acupuncture and naturopathic medicine and the Board of
945		-	Chiropractic one year of the effective date of the Health Occupations Revision General
946		-	Amendment Act of 2024, passed on 2nd reading on May 7, 2024 (Enrolled version of Bill 25-
947		-	545), or once the following appointments are made, whichever is earlier:
948		-	“(1) One member licensed to practice acupuncture;
949		-	“(2) One member licensed to practice chiropractic;
950		-	“(3) One member licensed to practice naturopathic medicine;
951		-	“(4) One member licensed to practice medicine who works with an acupuncturist,
952		-	a doctor of chiropractic, or a doctor of naturopathic medicine; and
953		-	“(5) One consumer member.”.
954		-	(u) Section 302 (D.C. Official Code § 3-1203.02) is amended as follows:
955		-	(1) A new paragraph (10A) is added to read as follows:
956		-	“(10A) Creating and maintaining an online complaint form for the public to
957		-	submit a complaint regarding any health care professional registered or licensed by any Board
958		-	pursuant to this act or any unlicensed activity;”.
959		-	(2) Paragraph (12) is amended by striking the phrase “, except the Mayor may
960		-	provide for the issuance of temporary licenses to applicants for licensure to practice social work
961		-	and marriage and family therapy for a period not to exceed 1 year, and to applicants for licensure
962		-	to practice as anesthesiologist assistants for a period not to exceed 2 years;” and inserting a
963		-	semicolon in its place.
964		-	(v) Section 401(b)(2) (D.C. Official Code § 3-1204.01(b)(2)) is amended by striking the
965		-	phrase “the trauma technologist member initially appointed to the Advisory Committee on
966		-	Trauma Technologists,” and inserting the phrase “the trauma technologist member initially
967		-	appointed to the Advisory Committee on Trauma Technologists, the athletic trainers initially
968		-	appointed to the Advisory Committee on Athletic Trainers, the certified professional midwives
969		-	and the doula initially appointed to the Advisory Committee on Maternal Care Professionals, the
970		-	practitioners of medical radiation technology initially appointed to the Advisory Committee on
971		-	Medical Radiation Technologists,” in its place.
972		-	(w) Section 404(b) (D.C. Official Code § 3-1204.04(b)) is amended to read as follows:
973		-	“(b) The failure of a member of a board or advisory committee to attend at least 1/2 of the
974		-	regular, scheduled meetings of a board or advisory committee within a 12-month period shall
975		-	constitute neglect of duty. Notwithstanding subsection (a), the Mayor may remove a member of a
976		-	board or advisory committee for such neglect of duty without a hearing.”.
977		-	(x) Section 405 (D.C. Official Code § 3-1204.05) is amended by adding a new
978		-	subsection (a-1) to read as follows:
979		-	“(a-1) Each board and advisory committee may elect a vice chairperson from among its
980		-	members.”.
981		-	(y) Section 408 (D.C. Official Code § 3-1204.08) is amended as follows: ENROLLED ORIGINAL
	564	+	(19) Paragraph (12) is amended as follows: 431
	565	+	(A) Subparagraph (A) is amended to read as follows: 432
	566	+	“(12)(A) Practice of physical therapy” means the independent evaluation or 433
	567	+	treatment of human disability, injury, or disease through the specific scientific application of 434
	568	+	physical measures to secure the functional rehabilitation of the human body, utilizing standard 435
	569	+	procedures of physical therapy to treat patients with mechanical, physiological, and 436
	570	+	developmental impairments, functional limitations, and disabilities, or other health and 437
	571	+	movement-related conditions, to alleviate the effects of these conditions, to reduce the risk of 438
	572	+	injury, and to promote and maintain fitness, health, and wellness in populations of all ages; the 439
	573	+	ability to order imaging as part of the evaluation process; and the teaching and researching of 440
	574	+	physical therapy.”. 441
	575	+	(B) Paragraph (B) is amended to read as follows: 442
	576	+	“(B) “Practice by physical therapist assistants” means the performance of selected 443
	577	+	components of a physical therapy treatment intervention by a person who has graduated from a 444
	578	+	physical therapist assistant program accredited by an agency recognized for that purpose by the 445
	579	+	Secretary of the Department of Education or the Council of Postsecondary Accreditation and is 446
	580	+	licensed pursuant to this act to assist a physical therapist.”. 447
	581	+	(20) Paragraph (14) is amended to read as follows: 448
	582	+	“(14) “Practice of podiatry” means the diagnosis, treatment, prevention, and care 449
	583	+	of pathology and ailments of all structures and tissues of the human foot and ankle, the 450 ENGROSSED ORIGINAL
982	584
983	585
984	586
985	587
986	588		23
987	589
988		-	(1) Paragraph (2) is amended by striking the word “licenses” and inserting the
989		-	phrase “a license, registration, or certification,” in its place.
990		-	(2) Paragraph (4) is amended by striking the word “licenses” and inserting the
991		-	phrase “licenses, registrations, or certifications” in its place.
992		-	(z) A new section 413 is added to read as follows:
993		-	“Sec. 413. Immunity.
994		-	“A person who is a member of a board, a staff member supporting a board, or a legally
995		-	authorized agent of a board acting without malice and in the furtherance of their duties shall have
996		-	immunity from civil liability for investigating, prosecuting, participating in a hearing, or
997		-	otherwise acting on an allegation of a ground for board action.”.
998		-	(aa) The designation for Title V is amended to read as follows:
999		-	“TITLE V.
1000		-	“LICENSING, REGISTRATION, CERTIFICATION , OR APPROVAL REQUIRED.”.
1001		-
1002		-	(bb) Section 501 (D.C. Official Code § 3-1205.01) is amended as follows:
1003		-	(1) The section heading is amended to read as follows:
1004		-	“Sec. 501. License, registration, certification, or approval required.”.
1005		-	(2) Subsection (a) is amended as follows:
1006		-	(A) Paragraphs (1) and (2) are amended to read as follows:
1007		-	“(a)(1) A license issued pursuant to this act is required to practice acupuncture, advanced
1008		-	practice registered nursing, assisted living administration, audiology, cardiovascular-
1009		-	interventionist technology, chiropractic, certified midwifery, certified professional midwifery,
1010		-	computed tomography technology, dental hygiene, dentistry, dietetics, health services
1011		-	psychology, general applied psychology, home health care administration, magnetic resonance
1012		-	technology, mammography, marriage and family therapy, massage therapy, medicine,
1013		-	naturopathic medicine, nuclear medicine technology, nursing home administration, nutrition,
1014		-	occupational therapy, optometry, pharmaceutical detailing, pharmacy, physical therapy, podiatry,
1015		-	practical nursing, professional art therapy, professional counseling, radiography, recreational
1016		-	therapy, registered nursing, respiratory care, social work, speech-language pathology, ultrasound
1017		-	technology or sonography, veterinary medicine, or to practice as an anesthesiologist assistant,
1018		-	athletic trainer, graduate marriage and family therapist, graduate professional art therapist,
1019		-	physician assistant, physical therapist assistant, polysomnographic technologist, occupational
1020		-	therapy assistant, radiation therapist, radiologist assistant, surgical assistant, or as a trauma
1021		-	technologist in the District, except as otherwise provided in this act.
1022		-	“(2) Registration is required to practice as an audiology assistant, dance therapist,
1023		-	dental assistant, psychology associate, polysomnographic technician or trainee, school
1024		-	psychologist, speech-language pathology assistant, or speech-language pathology clinical
1025		-	fellow.”.
1026		-	(B) New paragraphs (6) and (7) are added to read as follows: ENROLLED ORIGINAL
	590	+	anatomical structures that attach to the human food, ankle, and soft tissue at or below the knee, 451
	591	+	by surgical, medical, or mechanical means, with or without compensation. A licensed podiatrist 452
	592	+	may administer local anesthesia, as well as injections, immunizations, and vaccinations.”. 453
	593	+	(21) Paragraph (15) is amended to read as follows: 454
	594	+	“(15) “Practice of practical nursing” means the performance, under the 455
	595	+	supervision of a registered nurse, advanced practice registered nurse, licensed physician, or other 456
	596	+	authorized health care provider, with or without compensation, of directed nursing services 457
	597	+	required in observing and caring for sick, injured, convalescent, or disabled patients, in 458
	598	+	promoting preventive measures in community health, in acting to safeguard life and health, in 459
	599	+	administering treatment and medication prescribed by a physician, dentist, or advanced practice 460
	600	+	registered nurses, or in performing other acts not requiring the skill, judgment, and knowledge of 461
	601	+	a registered nurse. The practice of practical nursing includes the training of nursing assistive 462
	602	+	personnel and shall be subject to the nursing standards established or recognized by the Board of 463
	603	+	Nursing in accordance with regulations promulgated by the Mayor.”. 464
	604	+	(22) Paragraph (15B) is amended as follows: 465
	605	+	(A) Subparagraph (A) is amended by striking the phrase “; and” and 466
	606	+	inserting a semicolon in its place. 467
	607	+	(B) Subparagraph (B) is amended by striking the period and inserting a 468
	608	+	semicolon in its place. 469
	609	+	(C) New subparagraphs (C) and (D) are added to read as follows: 470 ENGROSSED ORIGINAL
1027	610
1028	611
1029	612
1030	613
1031	614		24
1032	615
1033		-	“(6) Registration or certification under section 907 or rules promulgated by the
1034		-	Mayor is required for any person to engage in the role or function of nursing assistive personnel.
1035		-	“(7) Approval by the Board of Nursing is required to operate nursing education
1036		-	programs and training programs for nursing assistive personnel in the District.”.
1037		-	(cc) Section 502(a) (D.C. Official Code § 3-1205.02(a)) is amended as follows:
1038		-	(1) Paragraph (2) is amended to read as follows:
1039		-	“(2) To an individual employed by the federal government, while he or she is
1040		-	acting in the official discharge of the duties of employment in the District;”.
1041		-	(2) Paragraph (3) is amended to read as follows:
1042		-	“(3) To an individual, licensed, registered, or certified to practice a health
1043		-	occupation in a state, who is providing care to an individual, an animal, or a group (“client or
1044		-	patient”) for a limited period of time, if:
1045		-	“(A) The individual has been providing care to the client or patient located
1046		-	in a state and is accompanying the client or patient to the District for a visit not exceeding 30
1047		-	days;
1048		-	“(B) The individual is called from a state in professional consultation by
1049		-	or on behalf of a client or patient to visit, examine, treat, or provide advice regarding the specific
1050		-	client or patient in the District; or
1051		-	“(C) The individual is invited to give a demonstration of a procedure or
1052		-	clinic in the District; provided, that the individual engages in the provision of care, consultation,
1053		-	demonstration, or clinic in affiliation with a comparable health professional licensed, registered,
1054		-	or certified pursuant to this act;”.
1055		-	(3) Paragraph (3A) is amended by striking the phrase “retained to testify as an
1056		-	expert witness” and inserting the phrase “retained to assess or evaluate a subject and to testify as
1057		-	an expert witness” in its place.
1058		-	(dd) Section 503 (D.C. Official Code § 3-1205.03) is amended as follows:
1059		-	(1) Subsection (a) is amended as follows:
1060		-	(A) Paragraph (2) is amended by striking the phrase “age;” and inserting
1061		-	the phrase “age; except that individuals applying for certification as nursing assistive personnel
1062		-	shall be at least 16 years of age;” in its place.
1063		-	(B) Paragraph (3) is amended by striking the phrase “and Titles VI, VII,
1064		-	VIII and VIII-A” and inserting the phrase “and Titles VI, VII, VIII, VIII-A, VIII-B, VIII-C,
1065		-	VIII-D, VIII-E, VIII-F, or VIII-G” in its place.
1066		-	(C) Paragraph (4) is amended by striking the phrase “; and” and inserting a
1067		-	semicolon in its place.
1068		-	(D) Paragraph (5) is amended by striking the period and inserting a
1069		-	semicolon in its place.
1070		-	(E) New paragraphs (6) and (7) are added to read as follows: ENROLLED ORIGINAL
	616	+	“(C) Determining and evaluating treatment goals and objectives and 471
	617	+	implementing counseling techniques and evidence-based counseling methods, models, and 472
	618	+	interventions to achieve treatment plan goals; and 473
	619	+	“(D) Teaching and supervising the practice of professional counseling.”. 474
	620	+	(23) Paragraph (16) is amended to read as follows: 475
	621	+	“(16)(A) “Practice of psychology” means the observation, description, evaluation, 476
	622	+	interpretation, prediction, and modification of human behavior by the application of 477
	623	+	psychological principles, methods, and procedures, with or without compensation, for the 478
	624	+	purposes of: 479
	625	+	“(i) Preventing, eliminating, assessing, or predicting symptomatic, 480
	626	+	maladaptive, or undesired behavior; 481
	627	+	“(ii) Evaluating, assessing, or facilitating the enhancement of individual, 482
	628	+	group, or organizational effectiveness, including personal effectiveness, adaptive behavior, 483
	629	+	interpersonal relationships, work and life adjustment, health, and individual, group, or 484
	630	+	organizational performance; or 485
	631	+	“(iii) Providing effective services to help children and youth succeed 486
	632	+	academically, socially, behaviorally, and emotionally and direct educational and mental health 487
	633	+	services for children and youth, including working with parents, educators, and other 488
	634	+	professionals to create supportive learning and social environments for children. 489 ENGROSSED ORIGINAL
1071	635
1072	636
1073	637
1074	638
1075	639		25
1076	640
1077		-	“(6) Has not had a license, registration, or certification to practice a health
1078		-	occupation revoked or suspended in another state if:
1079		-	“(A) The basis of the license revocation or suspension would have caused
1080		-	a similar result in the District; and
1081		-	“(B) The revocation or suspension has not been terminated or the
1082		-	applicant’s license has not been restored to good standing in the relevant state; and
1083		-	“(7) Is not currently the subject of a pending disciplinary action regarding the
1084		-	individual’s right to practice in another state.”.
1085		-	(2) Subsection (c) is repealed.
1086		-	(3) Subsection (d) is amended by striking the phrase “and Titles VI, VII, VIII and
1087		-	VIII-A” and inserting the phrase “and Titles VI, VII, VIII, VIII-A, VIII-B, VIII-C, VIII-D, VIII-
1088		-	E, VIII-F, and VIII-G” in its place.
1089		-	(ee) Section 504 (D.C. Official Code § 3-1205.04) is amended as follows:
1090		-	(1) Subsection (a) is amended by striking the phrase “Board of Medicine” and
1091		-	inserting the phrase “Board of Integrative Healthcare” in its place.
1092		-	(2) Subsection (b) is amended by striking the phrase “Board of Chiropractic” both
1093		-	times it appears and inserting the phrase “Board of Integrative Healthcare” in its place.
1094		-	(3) Subsection (d-2) is amended by striking the phrase “completed a minimum of
1095		-	500 hours of training in massage therapy.” and inserting the phrase “completed the training in
1096		-	massage therapy required pursuant to rules promulgated by the Mayor.” in its place.
1097		-	(4) Subsection (e-1) is amended by striking the phrase “Board of Medicine”
1098		-	wherever it appears and inserting the phrase “Board of Integrative Healthcare” in its place.
1099		-	(5) Subsection (f)(1) is amended by striking the phrase “Board of Long-Term
1100		-	Care Administration” and inserting the phrase “Board of Nursing” in its place.
1101		-	(6) Subsection (g) is amended by striking the phrase “Board of Occupational
1102		-	Therapy” both times it appears and inserting the phrase “Board of Rehabilitative Therapies” in
1103		-	its place.
1104		-	(7) Subsection (j) is amended as follows:
1105		-	(A) Strike the phrase “physical therapy assistant” both times it appears and
1106		-	insert the phrase “physical therapist assistant” in its place.
1107		-	(B) Strike the phrase “Board of Physical Therapy” wherever it appears and
1108		-	insert the phrase “Board of Rehabilitative Therapies” in its place.
1109		-	(8) Subsection (o) is repealed.
1110		-	(9) Subsection (p) is amended as follows:
1111		-	(A) Strike the phrase “respiratory therapy” and insert the phrase
1112		-	“respiratory care” in its place.
1113		-	(B) Strike the phrase “Board of Respiratory Therapy” and insert the phrase
1114		-	“Board of Respiratory Care” in its place.
1115		-	(10) Subsection (t) is amended as follows: ENROLLED ORIGINAL
	641	+	“(B) Limitations on the authorization to practice psychology under this paragraph 490
	642	+	shall be set forth as follows: 491
	643	+	“(i) A person licensed as a health services psychologist is authorized to 492
	644	+	practice psychology within the full scope of subparagraph (A) of this paragraph; 493
	645	+	“(ii) A person licensed as a general applied psychologist is authorized to 494
	646	+	practice psychology within the scope of subparagraph (A)(ii) of this paragraph; 495
	647	+	“(iii) A person registered as a school psychologist is authorized to practice 496
	648	+	psychology within the scope of subparagraph (A)(iii) of this paragraph; and 497
	649	+	“(iv) A person registered as a psychology associate is authorized to 498
	650	+	practice psychology within the scope of subparagraph (A)(i) of this paragraph; provided, that 499
	651	+	they practice only under the supervision of a licensed health services psychologist.”. 500
	652	+	“(C) Nothing in this paragraph shall be construed as preventing or restricting the 501
	653	+	practice, services, or activities of: 502
	654	+	“(i) An individual bearing the title of psychologist in the employ of an 503
	655	+	academic institution, research organization, or laboratory, if the psychology-based activities or 504
	656	+	services offered are within the scope of employment, are consistent with his or her professional 505
	657	+	training and experience, and are provided within the confines of employment; or 506
	658	+	“(ii) A school psychologist employed by District of Columbia Public 507
	659	+	Schools or a public charter school and working in accordance with regulations issued by the 508
	660	+	Office of the State Superintendent of Education.”. 509 ENGROSSED ORIGINAL
1116	661
1117	662
1118	663
1119	664
1120	665		26
1121	666
1122		-	(A) Paragraph (1) is amended by striking the word “midwifery” and
1123		-	inserting the phrase “certified professional midwifery” in its place.
1124		-	(B) Paragraph (2) is amended by striking the word “midwifery” and
1125		-	inserting the phrase “certified professional midwifery” in its place.
1126		-	(11) A new subsection (v) is added to read as follows:
1127		-	“(v) For purposes of this section, references to the Board on Rehabilitative Therapies and
1128		-	Board of Integrative Healthcare prior to their commencement of operations pursuant to sections
1129		-	223(e) and 224(f), respectively, shall continue to refer to the board with regulatory authority over
1130		-	the respective health care profession prior to the effective date of the Health Occupations
1131		-	Revision General Amendment Act of 2024, passed on 2nd reading on May 7, 2024 (Enrolled
1132		-	version of Bill 25-545).”.
1133		-	(ff) Section 505 (D.C. Official Code § 3-1205.05) is amended as follows:
1134		-	(1) Subsection (b) is amended by adding a new sentence at the end to read as
1135		-	follows “An individual who does not have a social security number shall submit with the
1136		-	application a sworn affidavit, under penalty of perjury, stating that he or she does not have a
1137		-	social security number.”.
1138		-	(2) New subsections (c), (d), and (e) are added to read as follows:
1139		-	“(c) While a post office box may be provided as the applicant’s preferred mailing
1140		-	address, an applicant shall provide their actual physical residential or business address for the
1141		-	record.
1142		-	“(d) An applicant shall have the burden of establishing that they meet the requirements
1143		-	for the license, registration, or certification sought.
1144		-	“(e) Any document or information required by this act or rule issued pursuant to this act
1145		-	to be submitted for the issuance or renewal of a license, registration, or certification may be
1146		-	submitted in electronic form in accordance with rules established by the Mayor.”.
1147		-	(gg) Section 507 (D.C. Official Code § 3-1205.07) is amended by adding a new
1148		-	subsection (c) to read as follows:
1149		-	“(c) The Mayor may issue rules establishing standards and requirements by which a
1150		-	board may assess and determine that an endorsement applicant possesses current competency
1151		-	substantially equivalent to the competency standards required in the District, notwithstanding
1152		-	that the applicant may not have been licensed, registered, certified, or accredited by an
1153		-	accrediting association or a state board under the standards that were substantially equivalent to
1154		-	the District’s standards at the time of their licensure, registration, certification, or accreditation.”.
1155		-	(hh) Section 508a (D.C. Official Code § 3-1205.08a) is amended to read as follows:
1156		-	“Sec. 508a. Temporary license, registration, or certification.
1157		-	“(a) A board may, in situations established by the Mayor through rulemaking, issue a
1158		-	temporary license, registration, or certification for a health care profession to an applicant if the
1159		-	applicant is licensed, registered, or certified and in good standing in another jurisdiction to
1160		-	practice the same profession. ENROLLED ORIGINAL
	667	+	(24) A new paragraph (16A) is added to read as follows: 510
	668	+	“(16A) “Practice of recreational therapy” means the systematic process that 511
	669	+	utilizes recreation and other activity-based interventions to address the assessed needs of 512
	670	+	individuals with illness or disabling conditions as a means of psychological and physical health, 513
	671	+	recovery, and well-being, including treatment services designed to restore, remediate, and 514
	672	+	rehabilitate a person’s level of functioning and independence in life activities, to promote health 515
	673	+	and wellness and reduce, or to eliminate the activity limitations and restrictions to participate in 516
	674	+	life situations caused by illness or a disabling condition.”. 517
	675	+	(25) Paragraph (17) is amended to read as follows: 518
	676	+	“(17) “Practice of registered nursing” means the performance of the full scope of 519
	677	+	nursing services, with or without compensation, designed to promote, protect, optimize, and 520
	678	+	maintain health and abilities, prevent illness and injury, facilitate healing, alleviate suffering 521
	679	+	through the diagnosis and treatment of human response, and advocate for the care of individuals, 522
	680	+	families, groups, communities, and populations. The practice includes the performance of acts 523
	681	+	requiring substantial specialized knowledge, judgment, and skill based on the principles of the 524
	682	+	biological, physiological, behavioral, and sociological sciences, including administrative, 525
	683	+	educational, and research functions, and shall be subject to standards established or recognized 526
	684	+	by the Board of Nursing and in accordance with regulations promulgated by the Mayor.”. 527
	685	+	(26) Paragraph (17A) is amended to read as follows: 528 ENGROSSED ORIGINAL
1161	686
1162	687
1163	688
1164	689
1165	690		27
1166	691
1167		-	“(b) A temporary license, registration, or certification issued pursuant to this section shall
1168		-	be valid for a fixed period of time established by the issuing board, subject to any limits as may
1169		-	be established by the Mayor by rule.
1170		-	“(c) For the purposes of this section, the term “in good standing” means that the applicant
1171		-	has an active license and is not subject to any current public or private discipline, including
1172		-	probation, suspension, revocation, or any other public or private practice restriction.
1173		-	“(d) An applicant who previously held a license, registration or certification in the
1174		-	District that was revoked or suspended shall be not eligible for a temporary license, registration,
1175		-	or certification under this section.”.
1176		-	(ii) Subsection 509(a)(2) (D.C. Official Code § 3-1205.09(a)(2)) is repealed.
1177		-	(jj) Section 509a (D.C. Official Code § 3-1205.09a) is amended as follows:
1178		-	(1) Subsection (a) is amended by striking the phrase “the Board” and inserting the
1179		-	phrase “the Board of Medicine” in its place.
1180		-	(2) Subsection (b) is amended by striking the phrase “in any single year” and
1181		-	inserting “in any single calendar year” in its place.
1182		-	(3) Subsection (e)(4) is amended to read as follows:
1183		-	“(4) All initial applicants shall pay a license fee of a minimum of $500.”.
1184		-	(4) Subsection (g)(2) is amended by striking the phrase “a fee of $1,000,” and
1185		-	inserting the phrase “a minimum fee of $1,000,” in its place.
1186		-	(kk) Section 510 (D.C. Official Code § 3-1205.10) is amended as follows:
1187		-	(1) Subsection (a) is amended to read as follows:
1188		-	“(a) The term of a license, registration, or certification shall not exceed 2 years;
1189		-	except, that the Mayor may by rule provide for a period of licensure, registration, or certification
1190		-	of not more than 3 years. An expiring license, registration, or certification may be renewed in
1191		-	accordance with rules issued by the Mayor.”.
1192		-	(2) A new subsection (a-1) is added to read as follows:
1193		-	“(a-1) The Mayor may require a health professional to maintain the required
1194		-	qualifications for licensure, registration, or certification during the period of licensure,
1195		-	registration, or certification or for the renewal of the license, registration, or certification.”.
1196		-	(3) Subsection (b)(1) is repealed.
1197		-	(4) Subsection (c) is amended as follows:
1198		-	(A) The lead-in language is amended by striking the phrase “by first class
1199		-	mail” and inserting the phrase “by first class mail or electronic mail” in its place.
1200		-	(B) Paragraph (2) is amended by striking the phrase “issued and mailed”
1201		-	and inserting the word “issued” in its place.
1202		-	(5) Subsection (d)(2) is amended by striking the semicolon and inserting the
1203		-	phrase “ pursuant to this act or rules promulgated under this act;” in its place.
1204		-	(ll) Section 511 (D.C. Official Code § 3-1205.11) is amended as follows: ENROLLED ORIGINAL
	692	+	“(17A) “Practice of respiratory care” means the diagnostic evaluation, 529
	693	+	assessment, care and treatment, management, or rehabilitation, in collaboration with a licensed 530
	694	+	physician, of patients who have deficiencies and abnormalities which affect the pulmonary 531
	695	+	system and associated aspects of the cardiopulmonary or other systems.”. 532
	696	+	(27) Paragraph (18)(A) is amended to read as follows: 533
	697	+	“(18)(A) “Practice of social work” means the application of social work theory, 534
	698	+	knowledge, methods, ethics, and the professional use of self to restore or enhance social, 535
	699	+	psychosocial, or biopsychosocial functioning of individuals, couples, families, groups, 536
	700	+	organizations, and communities, which may include, depending on an individual’s level of social 537
	701	+	work licensure and area of practice, the formulation of psychosocial evaluation and assessment, 538
	702	+	counseling, psychotherapy, referral, advocacy, mediation, consultation, research, administration, 539
	703	+	education, and community organization.”. 540
	704	+	(28) Paragraph (19A) is amended by striking the phrase “under the direct 541
	705	+	supervision” and inserting the phrase “under the supervision” in its place. 542
	706	+	(d) Section 103(d) (D.C. Official Code § 3-1201.03(d)) is amended as follows: 543
	707	+	(1) Paragraph (2) is amended by striking the semicolon and inserting a period in 544
	708	+	its place. 545
	709	+	(2) Paragraphs (3), (4), (5), (6), and (7) are repealed. 546
	710	+	(e) A new section 105 is added to read as follows: 547
	711	+	“Sec. 105. Telehealth. 548 ENGROSSED ORIGINAL
1205	712
1206	713
1207	714
1208	715
1209	716		28
1210	717
1211		-	(1) Subsection (a) is amended by striking the phrase “on inactive status.” and
1212		-	inserting the phrase “on inactive status; except, that, the license, registration, or certification of a
1213		-	nursing assistive personnel, medical training licensee, medical training registrant,
1214		-	polysomnographic technician, polysomnographic trainee, speech-language pathology clinical
1215		-	fellow, and any other health care professional as determined by the Mayor through rulemaking
1216		-	shall not be eligible to be placed on inactive status.” in its place.
1217		-	(2) Subsection (c) is amended to read as follows:
1218		-	“(c) Each board shall, subject to the limitations specified in subsection (a) of this section,
1219		-	issue a license, registration, or certification to an individual who is on inactive status and who
1220		-	desires to resume the practice of a health occupation, if the individual:
1221		-	“(1) Pays the fee established by the Mayor;
1222		-	“(2) Seeks reactivation of the license, registration, or certification in accordance
1223		-	with the rules governing the profession and complies with the continuing education and criminal
1224		-	background check requirements in effect when the licensee, registrant, or person certified seeks
1225		-	to reactivate their license, registration, or certification; and
1226		-	“(3) Establishes to the satisfaction of the board that regulates the profession that
1227		-	they possess the current competency to practice their health profession safely and effectively,
1228		-	which may include compliance with a re-entry plan for individuals who have not actively
1229		-	practiced their profession for a period of time as established by rule.”.
1230		-	(3) A new subsection (d) is added to read as follows:
1231		-	“(d) The Mayor may establish by rule a maximum amount of time that a license,
1232		-	registration, or certification may remain inactive in accordance with each health care
1233		-	profession’s standards.”.
1234		-	(mm) A new section 511a is added to read as follows:
1235		-	“Sec. 511a. Emeritus status.
1236		-	“(a) The Mayor may issue rules permitting emeritus status for a licensee, registrant, or
1237		-	certificate holder who meets the following requirements:
1238		-	“(1) The person has at least 10 years of relevant licensed, registered, or certified
1239		-	practice in the District;
1240		-	“(2) The person provides a declaration of retirement from active practice in all
1241		-	jurisdictions in which the person is licensed, registered, or certified;
1242		-	“(3) The person is not the subject of disciplinary action in any jurisdiction; and
1243		-	“(4) The person has had no prior revocation or suspension of their license,
1244		-	registration, or certification in any jurisdiction.
1245		-	“(b) An individual holding emeritus status permits the holder to refer to themself by the
1246		-	title of their license, registration, or certification but may not:
1247		-	“(1) Engage in active practice of that health profession in the District or any other
1248		-	jurisdiction; or ENROLLED ORIGINAL
	718	+	“(a) A health professional licensed, registered, or certified in the District pursuant to this 549
	719	+	act may provide a telehealth service to a District resident or person located in the District if 550
	720	+	doing so is: 551
	721	+	“(1) Consistent with the applicable standard of care in the District and the health 552
	722	+	professional’s scope of authorized practice in the District; and 553
	723	+	“(2) Not otherwise prohibited by law or regulation. 554
	724	+	“(b) A practitioner-patient or practitioner-client relationship may be established through 555
	725	+	telehealth in accordance with the appropriate standard of care and the practitioner’s competence 556
	726	+	and scope of practice; provided, that the Mayor may through rulemaking issue additional 557
	727	+	requirements for specific health professionals to establish a practitioner-client relationship, 558
	728	+	including an initial in-person physical examination. 559
	729	+	“(c)(1) A health professional who provides a telehealth service shall do so in a manner 560
	730	+	consistent with the standard of care applicable to a health professional who provides a 561
	731	+	comparable health care service in person in the District. 562
	732	+	“(2) The professional practice standards, rules, and laws applicable to the 563
	733	+	provision of healthcare services, including those related to identity verification, documentation, 564
	734	+	informed consent, confidentiality, privacy, and security shall apply to the provision of telehealth 565
	735	+	services. 566
	736	+	“(d) A health professional providing telehealth services who is authorized to prescribe 567
	737	+	medications shall comply with the Prescription Drug Monitoring Program Act of 2013, effective 568 ENGROSSED ORIGINAL
1249	738
1250	739
1251	740
1252	741
1253	742		29
1254	743
1255		-	“(2) Either explicitly or implicitly hold themself out to others as a person permitted
1256		-	to engage in active practice of that health profession.
1257		-	“(c) The board may cancel an emeritus license, registration, or certificate for failure to
1258		-	meet the requirements of subsections (a) or (b) of this section.
1259		-	“(d) The board may take disciplinary action against an emeritus status holder for
1260		-	violations of sections 501 or 514.
1261		-	“(e) An emeritus status holder may apply to change to active license, registration, or
1262		-	certification status within 5 years after the date emeritus status was granted by:
1263		-	“(1) Paying the fee established by the Mayor;
1264		-	“(2) Complying with the continuing education requirements in effect when the
1265		-	emeritus holder seeks to return to active license, registration, or certification status;
1266		-	“(3) Complying with any other current requirements for the reactivation of a
1267		-	license, registration, or certification; and
1268		-	“(4) Establishing to the board’s satisfaction that they possess the current
1269		-	competency to practice their health profession.
1270		-	“(f) An emeritus status holder may not return to active license, registration, or
1271		-	certification status more than 5 years after the grant of the emeritus status except by submitting
1272		-	an application for a new license, registration, or certification and establishing to the satisfaction
1273		-	of the board that they qualify for the license, registration, or certification and possess current
1274		-	competency to practice that profession.”.
1275		-	(nn) Section 512 (D.C. Official Code § 3-1205.12) is amended as follows:
1276		-	(1) Subsection (a) is amended as follows:
1277		-	(A) The lead-in language is amended to read as follows:
1278		-	“(a) Except as otherwise provided in subsections (b), (c), and (d) of this section, if a
1279		-	health professional fails for any reason to renew the license, registration, or certification issued
1280		-	under this title prior to the expiration date or during the period of late renewal, the board
1281		-	regulating the health occupation shall reinstate the license, registration, or certification, if the
1282		-	health professional:”.
1283		-	(B) Paragraph (2) is amended to read as follows:
1284		-	“(2) Complies with the current requirements for reinstatement of a license,
1285		-	registration, or certification as specified by this act and rules;”.
1286		-	(2) Subsection (b) is amended to read as follows:
1287		-	“(b) The board shall not reinstate the license, registration, or certification of a health
1288		-	professional who fails to apply for reinstatement of a license, registration, or certification within
1289		-	5 years after the license, registration, or certification expires. The health professional may
1290		-	become licensed, registered, or certified by meeting the requirements for a new application as
1291		-	specified by rule.”.
1292		-	(3) New subsections (c) and (d) are added to read as follows: ENROLLED ORIGINAL
	744	+	February 22, 2014 (D.C. Law 20-66; D.C. Code § 48-853.01 et seq.), and all District or federal 569
	745	+	laws and rules related to prescription and controlled substances. 570
	746	+	“(e) Except as otherwise provided in subsection (f) of this section, a practitioner who 571
	747	+	does not hold a license, registration, or certification to practice in the District pursuant to this act 572
	748	+	may not provide a telehealth service to a client or patient physically located in the District unless 573
	749	+	the practitioner and the client or patient have an existing practitioner-client or practitioner-patient 574
	750	+	relationship and: 575
	751	+	“(1)The client or patient is temporarily present in the District; or 576
	752	+	“(2) The client or patient is a District resident and the telehealth services provided 577
	753	+	do not exceed 120 days or a longer period of time as determined by the Mayor through 578
	754	+	rulemaking. 579
	755	+	“(f) Nothing in this section shall be construed to conflict with interstate reciprocity 580
	756	+	agreements or occupational licensure interstate compacts entered into by the District.”. 581
	757	+	(f) Section 203 (D.C. Official Code § 3-1202.03) is amended as follows: 582
	758	+	(1) The section heading is amended to read as follows: 583
	759	+	“Sec. 203. Board of Medicine; Advisory Committees on Anesthesiologist Assistants, 584
	760	+	Polysomnography, Surgical Assistants, Trauma Technologists, Athletic Trainers, Maternal Care 585
	761	+	Professionals, and Medical Radiation Technologists.”. 586
	762	+	(2) Subsection (a) is amended as follows: 587
	763	+	(A) Paragraph (2) is amended to read as follows: 588 ENGROSSED ORIGINAL
1293	764
1294	765
1295	766
1296	767
1297	768		30
1298	769
1299		-	“(c) Any individual who has not been in the active practice of their health profession for
1300		-	more than 2 years preceding the date of the reinstatement application may be required, pursuant
1301		-	to rule, to submit proof satisfactory to the board of their competency to practice, which may
1302		-	include training, testing, or practice monitoring as determined by the board.
1303		-	“(d) A registration or certification of a nursing assistive personnel that has expired and is
1304		-	not renewed may not be reinstated except as may be provided in rules issued by the Mayor.”.
1305		-	(oo) Section 513(a)(4) (D.C. Official Code § 3-1205.13(a)(4)) is amended as follows:
1306		-	(1) Subparagraph (A) is amended to read as follows:
1307		-	“(A) Change of email address, address of the place of residence, or
1308		-	address of the place of business or employment within 30 days after the relevant change;”.
1309		-	(2) Subparagraph (C) is amended to read as follows:
1310		-	“(C) Adverse event meeting the requirements of section 9 of the Health-
1311		-	Care and Community Residence Facility Hospice and Home Care Licensure Act of 1983,
1312		-	effective February 24, 1984 (D.C. Law 5-48; D.C. Official Code § 44-508), within the time
1313		-	specified by that section.”.
1314		-	(pp) Section 514 (D.C. Official Code § 3-1205.14) is amended as follows:
1315		-	(1) Subsection (a) is amended as follows:
1316		-	(A) The lead-in language is amended by striking the phrase “, an applicant
1317		-	to establish or operate a school of nursing or nursing program,” and inserting a comma in its
1318		-	place.
1319		-	(B) Paragraph (3) is amended to read as follows:
1320		-	“(3) Is disciplined by a licensing, disciplinary, or regulatory authority,
1321		-	professional interstate compact, or peer review body, has entered into a Corporate Integrity
1322		-	Agreement or other agreement with the federal government in lieu of legal sanction, or is
1323		-	convicted or disciplined by a court of any jurisdiction for conduct that would be grounds for
1324		-	disciplinary action under this section; for the purposes of this paragraph, the term “convicted”
1325		-	means the entry of a finding of guilt by a judge or jury, or the acceptance or entry of a guilty
1326		-	plea, a judgment, or any admission of guilt, including a plea of nolo contendere, an Alford plea,
1327		-	deferred sentence, or deferred judgment;”.
1328		-	(C) Paragraphs (19) and (20) are amended to read as follows:
1329		-	“(19) Prescribes, dispenses, takes, acquires, appropriates for one’s own or
1330		-	another’s use, or administers drugs when not authorized to do so;
1331		-	“(20) Fails to exercise appropriate supervision over persons who are authorized to
1332		-	practice only under the supervision of the licensee, registrant, or certificate holder;”.
1333		-	(D) Paragraph (25) is amended by striking the phrase “, or fails to conduct
1334		-	business with honesty and fair dealing with employees or students in his or her school of nursing
1335		-	or nursing program, the District of Columbia, a state, the federal government, or the public;” and
1336		-	inserting a semicolon in its place.
1337		-	(E) A new paragraph (26A) is added to read as follows: ENROLLED ORIGINAL
	770	+	“(2) The Board shall regulate the practice of medicine, the practice by 589
	771	+	anesthesiologists assistants with the advice of the Advisory Committee on Anesthesiologist 590
	772	+	Assistants, the practice of medical radiation technology with the advice of the Advisory 591
	773	+	Committee on Medical Radiation Technologists, the practice by physician assistants, the practice 592
	774	+	by surgical assistants with the advice of the Advisory Committee on Surgical Assistants, the 593
	775	+	practice by physicians-in-training, the practice by trauma technologists with the advice of the 594
	776	+	Advisory Committee on Trauma Technologists, the practice of athletic training with the advice 595
	777	+	of the Advisory Committee on Athletic Trainers, and the practices of certified professional 596
	778	+	midwifery and doulas with the advice of the Advisory Committee on Maternal Care 597
	779	+	Professionals.”. 598
	780	+	(B) A new paragraph (2A) is added to read as follows: 599
	781	+	“(2A) The Board shall also regulate the practice of acupuncture and the practice 600
	782	+	of naturopathic medicine until the Board of Integrative Healthcare commences operations 601
	783	+	pursuant to Section 224(f).”. 602
	784	+	(C) Paragraph (3) is amended as follows: 603
	785	+	(i) The existing language is designated as subparagraph (A). 604
	786	+	(ii) Subparagraph (A) is amended by striking the period and 605
	787	+	inserting the phrase “; except, that from the effective date of the Health Occupations Revision 606
	788	+	General Amendment Act of 2024, as approved by the Committee on Health on March 21, 2024 607
	789	+	(Committee Print of Bill 25-545) (“2024 Act”), of the members of the Board, 9 shall be 608 ENGROSSED ORIGINAL
1338	790
1339	791
1340	792
1341	793
1342	794		31
1343	795
1344		-	“(26A) Performs treatments or services without informed consent by the patient,
1345		-	client, or their legal representative, except as provided under section 1 of An Act to relieve
1346		-	physicians of liability negligent medical treatment at the scene of an accident in the District of
1347		-	Columbia, approved November 8, 1965 (79 Stat. 1302; D.C. Official Code § 7-401);”.
1348		-	(F) Paragraph (27) is amended by striking the phrase “negotiated
1349		-	settlement” and inserting the phrase “negotiated settlement agreement” in its place.
1350		-	(G) Paragraph (30) is amended by striking the semicolon and inserting the
1351		-	phrase “, or without the withdrawing health professional providing a referral or list of alternative
1352		-	providers;” in its place.
1353		-	(H) A new paragraph (30A) is added to read as follows:
1354		-	“(30A) Neglects or verbally or physically abuses a patient or client; for the
1355		-	purposes of this paragraph, the term “verbal abuse” includes yelling, screaming, shouting,
1356		-	threats, intimidation, insults, or name calling by the health professional or by their staff;”.
1357		-	(I) Paragraph (32) is amended by striking the phrase “HIV positive;” and
1358		-	inserting the phrase “HIV positive or is regarded as HIV positive;” in its place.
1359		-	(J) Paragraph (51) is amended by striking the phrase “; or” and inserting a
1360		-	semicolon in its place.
1361		-	(K) Paragraph (52) is amended by striking the period at the end and
1362		-	inserting a semicolon in its place.
1363		-	(L) New paragraphs (53), (54), and (55) are added to read as follows:
1364		-	“(53) Engages in conduct in their practice that is unprofessional or creates a
1365		-	deleterious impact on the public’s impression of the profession, or that denies a patient or client
1366		-	an atmosphere of safety and health while undergoing treatment;
1367		-	“(54) Allows staff or persons under their supervision or employment to engage in
1368		-	conduct that is unprofessional in their interaction with patients or clients; or
1369		-	“(55) Fails to maintain the minimum requirements for licensure, registration, or
1370		-	certification during the period of licensure, registration or certification.”.
1371		-	(2) Subsection (c) is amended as follows:
1372		-	(A) Paragraph (1) is amended by striking the phrase “or an application to
1373		-	establish a school of nursing or nursing program;” and inserting a semicolon in its place.
1374		-	(B) Paragraph (4) is amended by striking the semicolon and inserting the
1375		-	phrase “; provided, that the reprimand may subsequently be removed from the individual’s
1376		-	record upon approval by the board as authorized by rule;” in its place.
1377		-	(C) Paragraph (7) is amended by striking the phrase “; or” and inserting a
1378		-	semicolon in its place.
1379		-	(D) Paragraph (8) is amended by striking the period at the end and
1380		-	inserting the phrase “; or” in its place.
1381		-	(E) A new paragraph (9) is added to read as follows:
1382		-	“(9) Limit or restrict the practice of the person.”. ENROLLED ORIGINAL
	796	+	physicians licensed to practice in the District, 2 shall be physician assistants licensed to practice 609
	797	+	in the District, 3 shall be consumer members, and one shall be the Director of the Department of 610
	798	+	Health or his or her designee.” in its place. 611
	799	+	(iii) A new subparagraph (B) is added to read as follows: 612
	800	+	“(B) The Chair of the Board as of the effective date of the 2024 Act shall 613
	801	+	be a physician member.”. 614
	802	+	(D) Paragraph (8) is amended as follows: 615
	803	+	(i) Subparagraph (A) is repealed. 616
	804	+	(ii) Subparagraph (B-ii) is repealed. 617
	805	+	(iii) Subparagraph (C) is amended by striking the phrase “ in 618
	806	+	accordance with guidelines approved by the Advisory Committee on Physician Assistants;” and 619
	807	+	inserting a semicolon in its place. 620
	808	+	(iv) Subparagraph (H) is amended by striking the phrase “; and” 621
	809	+	and inserting a semicolon in its place. 622
	810	+	(v) Subparagraph (I) is amended by striking the period at the end 623
	811	+	and inserting the phrase “; and” in its place. 624
	812	+	(vi) A new subparagraph (J) is added to read as follows: 625
	813	+	“(J) The practice of medical radiation technology in accordance with 626
	814	+	guidelines approved by the Advisory Committee on Medical Radiation Technologists.”. 627
	815	+	(E) Subsection (a-2) is repealed. 628 ENGROSSED ORIGINAL
1383	816
1384	817
1385	818
1386	819
1387	820		32
1388	821
1389		-	(qq) New sections 514a and 514b are added to read as follows:
1390		-	“Sec. 514a. Negotiated settlement agreement.
1391		-	“(a) A board may, in its discretion, enter into a non-disciplinary settlement agreement
1392		-	with a person in lieu of disciplinary action; provided, that the conduct underlying the agreement
1393		-	meets the following requirements:
1394		-	“(1) The board is satisfied that there is little or no harm or substantive possibility
1395		-	of future harm to a client, patient, or the public;
1396		-	“(2) The board determines that the conduct involves issues of minor concern; and
1397		-	“(3) The matter does not involve gross negligence, intentional misconduct, or
1398		-	criminal conduct by the party or entity.
1399		-	“(b) A non-disciplinary settlement agreement shall not constitute a disciplinary action,
1400		-	but the conduct underlying the agreement may be considered in the board’s review of future
1401		-	conduct of a similar nature.”.
1402		-	“Sec. 514b. Disciplinary or adverse action against nursing education or nursing assistive
1403		-	personnel training programs.
1404		-	“The Board of Nursing, subject to the right to a hearing provided by section 519, may
1405		-	deny or withdraw approval of a nursing education program or a nursing assistive personnel
1406		-	training program, if:
1407		-	“(1) The program fails to meet the standards established by the Mayor through
1408		-	rulemaking;
1409		-	“(2) The program, or an individual responsible for the program, fails to conduct
1410		-	its business with honesty and fair dealing toward its employees, its students, the government, or
1411		-	the public;
1412		-	“(3) The program, or an individual responsible for the program, has engaged or
1413		-	attempted to engage in falsification of documents or records;
1414		-	“(4) The program, or an individual responsible for the program, fraudulently or
1415		-	deceptively obtains or attempts to obtain approval of a program; or
1416		-	“(5) The program, or an individual responsible for the program, has violated any
1417		-	applicable District law or regulation.”.
1418		-	(rr) Section 517(b) (D.C. Official Code § 3-1205.17(b)) is amended by striking the phrase
1419		-	“revoking or suspending the license,” and inserting the phrase “revoking, suspending, or
1420		-	accepting the surrender of the license,” in its place.
1421		-	(ss) Section 519 (D.C. Official Code § 3-1205.19) is amended as follows:
1422		-	(1) A new subsection (a-2) is added to read as follows:
1423		-	“(a-2) Before the Board of Nursing takes an action pursuant to section 514b, it
1424		-	shall give the program or operator of the program an opportunity for a hearing before the Board
1425		-	in accordance with this section.”. ENROLLED ORIGINAL
	822	+	(g) Section 204 (D.C. Official Code § 3-1202.04) is amended as follows: 629
	823	+	(1) Subsection (a) is amended by striking the period and inserting the phrase “; 630
	824	+	except that, from the effective date of the Health Occupations Revision General Amendment Act 631
	825	+	of 2024, as approved by the Committee on Health on March 21, 2024 (Committee Print of Bill 632
	826	+	25-545) (“2024 Act”), the Board shall consist of 13 members.” in its place. 633
	827	+	(2) Subsection (b) is amended as follows: 634
	828	+	(A) Paragraph (1) is amended to read as follows: 635
	829	+	“(b)(1) The Board shall regulate the practice of advanced practice registered nursing, 636
	830	+	practice of registered nursing, practice of practical nursing, practice by nursing assistive 637
	831	+	personnel, practice of nursing home administration, practice of assisted living administration, 638
	832	+	and practice of home health care administration.”. 639
	833	+	(B) Paragraph (2) is amended as follows: 640
	834	+	(i) Strike the phrase “required for the approval of nursing schools 641
	835	+	and nursing programs” and insert the phrase “required for the approval of nursing education 642
	836	+	programs” in its place. 643
	837	+	(ii) Strike the phrase “may also recommend” and insert the phrase 644
	838	+	“shall also recommend” in its place. 645
	839	+	(iii) Strike the phrase “withdrawing approval of nursing schools 646
	840	+	and nursing programs.” and insert the phrase “withdrawing approval of nursing education 647
	841	+	programs and training programs for nursing assistive personnel.” in its place. 648 ENGROSSED ORIGINAL
1426	842
1427	843
1428	844
1429	845
1430	846		33
1431	847
1432		-	(2) Subsection (b) is amended by striking the phrase “or person certified” and
1433		-	inserting the phrase “person certified, or person or entity operating a nursing education or
1434		-	nursing assistive personnel training program” in its place.
1435		-	(tt) Section 522(a) (D.C. Official Code § 3-1205.22(a)) is amended to read as follows:
1436		-	“(a) No initial, reactivated, or reinstated license, registration, or certification shall be
1437		-	issued to a health professional before a criminal background check has been conducted for that
1438		-	person. The applicant for a license, registration, or certification shall pay the fee established by
1439		-	the Mayor for the criminal background check. The Mayor may require, by rule, that a criminal
1440		-	background check be conducted for the renewal of a license, registration, or certification, and a
1441		-	fee for such criminal background check.”.
1442		-	(uu) A new section 525 is added to read as follows:
1443		-	“Sec. 525. Disciplinary records.
1444		-	“(a) Consent Orders, Final Orders, and Notices of Summary Suspensions issued pursuant
1445		-	to this act shall be considered public documents and posted on the Department of Health’s
1446		-	website; provided that these documents may be redacted for purposes of protecting private or
1447		-	otherwise confidential information and may only be disclosed in unredacted form in accordance
1448		-	with a District or federal law or regulation.
1449		-	“(b) Medical records, Orders for Fitness to Practice Evaluations, or other types of
1450		-	physical and mental evaluations, and the resulting reports, shall not be disclosed and shall be
1451		-	exempt from disclosure under the Freedom of Information Act of 1976, effective March 31, 1977
1452		-	(D.C. Law 1-96; D.C. Official Code § 2-531 et seq.).
1453		-	“(c) Notwithstanding any other provision of law, the Director of the Department of
1454		-	Health may provide information regarding a past or pending investigation of, or disciplinary
1455		-	action against, any licensee, registrant, or certificate holder, or applicant for licensure,
1456		-	registration, or certification by that board to any District licensing authority or a licensing
1457		-	authority of any jurisdiction, upon request; except, that this authorization shall not apply to
1458		-	information that is deemed confidential under subsection (b) of this section. Nothing in this act
1459		-	shall limit the authority of the Director to disclose to any person or entity information concerning
1460		-	the existence of any investigation for unlicensed practice being conducted against any person
1461		-	who is neither licensed, registered, or certified, nor an applicant for licensure, registration, or
1462		-	certification.”.
1463		-	(vv) Section 601(a) (D.C. Official Code § 3-1206.01(a)) is amended by striking the
1464		-	phrase “by this title,” and inserting the phrase “by this title and any rules promulgated pursuant
1465		-	to this title,” in its place.
1466		-	(ww) Section 603 (D.C. Official Code § 3-1206.03) is repealed.
1467		-	(xx) Subsection 604(4) (D.C. Official Code § 3-1206.04(4)) is amended by striking the
1468		-	word “board” and inserting the word “Mayor” in its place.
1469		-	(yy) A new section 605a is added to read as follows:
1470		-	“Sec. 605a. Certified registered nurse anesthetist. ENROLLED ORIGINAL
	848	+	(3) Subsection (c) is amended by striking the period and inserting the phrase “except, that 649
	849	+	from the effective date of the 2024 Act, of the members of the Board, 4 shall be registered nurses 650
	850	+	licensed in the District, 2 shall be practical nurses licensed in the District, one shall be a nursing 651
	851	+	home administrator, assisted living administrator, or home health care administrator licensed in 652
	852	+	the District, one shall be a nursing assistive personnel registered or certified in the District, 3 653
	853	+	shall be registered nurses, advanced practice registered nurses, practical nurses, or nursing 654
	854	+	assistive personnel licensed, registered, or certified in the District, and 2 shall be consumer 655
	855	+	members.” in its place. 656
	856	+	(h) Section 205 (D.C. Official Code § 3-1202.05) is repealed. 657
	857	+	(i) Section 206 (D.C. Official Code § 3-1202.06) is amended by adding a new subsection 658
	858	+	(f) to read as follows: 659
	859	+	“(f) The Board shall be dissolved on the day the Board of Rehabilitative Therapies 660
	860	+	commences operation pursuant to section 223(e).”. 661
	861	+	(j) Section 207 (D.C. Official Code § 3-1202.07) is amended as follows: 662
	862	+	(1) Subsection (f) is amended to read as follows: 663
	863	+	“(f) Upon application, the Board shall grant certification to administer diagnostic 664
	864	+	pharmaceutical agents and prescribe therapeutic pharmaceutical agents to applicants who have 665
	865	+	satisfied the requirements of the Board in accordance with the rules promulgated by the Mayor.”. 666
	866	+	(2) Subsection (g) is repealed. 667
	867	+	(k) Section 208 (D.C. Official Code § 3-1202.08) is amended as follows: 668 ENGROSSED ORIGINAL
1471	868
1472	869
1473	870
1474	871
1475	872		34
1476	873
1477		-	“In addition to the functions authorized in section 604, a certified registered nurse
1478		-	anesthetist may plan and deliver anesthesia, pain management, and related care to patients or
1479		-	clients of all health complexities across the lifespan. This practice incorporates the use of
1480		-	independent judgement as well as collaborative interaction with other health care professionals.”.
1481		-	(zz) A new section 606a is added to read as follows:
1482		-	“Sec. 606a. Certified nurse-midwife.
1483		-	“In addition to the functions authorized section 604, a certified nurse-midwife may
1484		-	provide primary care, gynecologic and family planning services, preconception care, care during
1485		-	pregnancy, childbirth, and the post-partum period, care of the healthy newborn during the first 28
1486		-	days of the newborn’s life, and treatment of partners for sexually transmitted infections.”.
1487		-	(aaa) New sections 607a and 607b are added to read as follows:
1488		-	“Sec. 607a. Certified nurse practitioner.
1489		-	“In addition to the functions authorized under section 604, a certified nurse practitioner
1490		-	may provide a full range of primary, acute, and specialty healthcare services, including:
1491		-	“(1) Ordering, performing and interpreting diagnostic tests such as lab work and
1492		-	x-rays;
1493		-	“(2) Diagnosing and treating acute and chronic conditions such as diabetes, high
1494		-	blood pressure, infections, and injuries;
1495		-	“(3) Prescribing medications and other treatments;
1496		-	“(4) Managing patients’ or clients’ overall care;
1497		-	“(5) Counseling;
1498		-	“(6) Educating patients on disease prevention and positive health and lifestyle
1499		-	choices; and
1500		-	“(7) Any other functions and roles as may be prescribed by rules.
1501		-	“Sec. 607b. Certified clinical nurse specialist.
1502		-	“(a) In addition to the functions authorized under section 604, a certified clinical nurse
1503		-	specialist may provide the services described in subsection (b) of this section related to specific
1504		-	specialties, including:
1505		-	“(1) Populations, such as pediatrics, geriatrics, or women’s health;
1506		-	“(2) Settings, such as critical care or the emergency room;
1507		-	“(3) Diseases or medical subspecialties, such as diabetes or oncology;
1508		-	“(4) Types of care, such as psychiatric or rehabilitation; and
1509		-	“(5) Types of problem, such as pain, wounds, and stress.
1510		-	“(b) A clinical nurse specialist may provide diagnosis, treatment, and ongoing
1511		-	management of patients or clients, through:
1512		-	“(1) Providing for the continuous improvement of patient or client outcomes and
1513		-	nursing care; ENROLLED ORIGINAL
	874	+	(1) The section heading is amended by striking the phrase “and Advisory 669
	875	+	Committee on Clinical Laboratory Practitioners.” and inserting a period in its place. 670
	876	+	(2) Subsection (b) is amended as follows: 671
	877	+	(A) Paragraph (1) is amended to read as follows: 672
	878	+	“(1) The Board shall regulate the practice of pharmacy, the practice of 673
	879	+	pharmaceutical detailing, and the practice of pharmacy technicians.”. 674
	880	+	(B) Paragraph (1A) is repealed. 675
	881	+	(3) Subsection (c) is amended by striking the period and inserting the phrase “; 676
	882	+	except, that from the effective date of the Health Occupations Revision General Amendment Act 677
	883	+	of 2024, as approved by the Committee on Health on March 21, 2024 (Committee Print of Bill 678
	884	+	25-545), of the members of the Board, 5 shall be pharmacists licensed in the District, one shall 679
	885	+	be a pharmacy technician registered in the District, and 1 shall be a consumer member.” in its 680
	886	+	place. 681
	887	+	(4) Subsection (f) is amended by striking the phrase “and only pursuant to a 682
	888	+	written protocol and valid prescription or standing order of a physician.” and inserting a period in 683
	889	+	its place. 684
	890	+	(5) Subsection (g) is repealed. 685
	891	+	(6) Subsections (i) through (m) are repealed. 686
	892	+	(l) Section 209 (D.C. Official Code § 3-1202.09)) is amended by adding a new subsection 687
	893	+	(f) to read as follows: 688 ENGROSSED ORIGINAL
1514	894
1515	895
1516	896
1517	897
1518	898		35
1519	899
1520		-	“(2) Practicing within the core competencies and behaviors specified by the
1521		-	National Association of Clinical Nurse Specialists or other national certifying body recognized
1522		-	by the Board;
1523		-	“(3) Creating therapeutic environments through mentoring and system changes;
1524		-	“(4) Practicing with individual clients, families, groups, and populations of
1525		-	clients; and
1526		-	“(5) Any other functions and roles prescribed by rules.”.
1527		-	(bbb) A new section 608a is added to read as follows:
1528		-	“Sec. 608a. Qualifications, certification.
1529		-	“(a) In addition to the general qualifications for licensure set forth in Title V, and any
1530		-	requirements the Mayor may establish by rule, a certified registered nurse anesthetist shall:
1531		-	“(1) Be a registered nurse holding a current, valid license pursuant to this act and
1532		-	be in good standing with no action pending or in effect against their license;
1533		-	“(2) Possess at least a master’s degree from a program accredited by the Council
1534		-	on Accreditation of Nurse Anesthesia Educational Programs; and
1535		-	“(3) Successfully complete the National Certification Examination administered
1536		-	by the National Board of Certification and Recertification for Nurse-Anesthetists (“NBCRNA”)
1537		-	and hold current NBCRNA certification.
1538		-	“(b) In addition to the general qualifications for licensure set forth in Title V, and any
1539		-	requirements the Mayor may establish by rule, a certified nurse-midwife shall:
1540		-	“(1) Be a registered nurse holding a current, valid license pursuant to this act and
1541		-	be in good standing with no action pending or in effect against their license;
1542		-	“(2) Possess at least a master’s degree from a program accredited by the
1543		-	Accreditation Commission for Midwifery Education; and
1544		-	“(3) Successfully complete the certification examination administered by the
1545		-	American Midwifery Certification Board (“AMBC”) and hold current AMBC certification as a
1546		-	certified nurse-midwife.
1547		-	“(c) In addition to the general qualifications for licensure set forth in Title V, and any
1548		-	requirements the Mayor may establish by rule, a certified nurse practitioner shall:
1549		-	“(1) Be a registered nurse holding a current, valid license pursuant to this act and
1550		-	be in good standing with no action pending or in effect against his or her license;
1551		-	“(2) Possess at least a Master of Science in Nursing from a program accredited by
1552		-	a national nursing organization recognized by the Board of Nursing; and
1553		-	“(3) Successfully complete a national certification examination administered by a
1554		-	national nurse practitioner certifying organization recognized by the Board of Nursing and hold a
1555		-	current certification in the relevant population focus.
1556		-	“(d) In addition to the general qualifications for licensure set forth in Title V, and any
1557		-	requirements the Mayor may establish by rule, a clinical nurse specialist shall: ENROLLED ORIGINAL
	900	+	“(f) The Board shall be dissolved on the day the Board of Rehabilitative Therapies 689
	901	+	commences operation pursuant to section 223(e).”. 690
	902	+	(m) Section 211 (D.C. Official Code § 3-1202.11) is amended as follows: 691
	903	+	(1) Subsection (a) is amended by striking the period and inserting the phrase “; 692
	904	+	except that, from the effective date of the Health Occupations Revision General Amendment Act 693
	905	+	of 2024, as approved by the Committee on Health on March 21, 2024 (Committee Print of Bill 694
	906	+	25-545) (“2024 Act”), the Board shall consist of 6 members.” in its place. 695
	907	+	(2) Subsection (b) is amended to read as follows: 696
	908	+	“(b) The Board shall regulate the practice of psychology, the practice by psychology 697
	909	+	associates, and the practice of behavior analysis.”. 698
	910	+	(3) Subsection (c) is amended by striking the period and inserting the phrase “; 699
	911	+	except, that from the effective date of the 2024 Act, of the members of the Board, 4 shall be 700
	912	+	psychologists licensed in the District, one shall be a behavior analyst licensed in the District, and 701
	913	+	one shall be a consumer member.” in its place. 702
	914	+	(4) A new subsection (f) is added to read as follows: 703
	915	+	“(f)(1) Within one year of the effective date of the 2024 Act, the Mayor shall issue rules 704
	916	+	for the licensure and scope of practice of behavior analysis, which shall include at a minimum: 705
	917	+	“(A) A code of ethics for the practice of behavior analysis; 706
	918	+	“(B) Criteria for the educational and clinical training of licensed behavior 707
	919	+	analysts; 708 ENGROSSED ORIGINAL
1558	920
1559	921
1560	922
1561	923
1562	924		36
1563	925
1564		-	“(1) Be a registered nurse holding a current, valid license pursuant to this act and
1565		-	be in good standing with no action pending or in effect against his or her license;
1566		-	“(2) Possess at least a Master of Science in Nursing from a program accredited by
1567		-	a national nursing organization recognized by the Board of Nursing; and
1568		-	“(3) Successfully complete a national certification examination administered by a
1569		-	national nurse practitioner certifying organization recognized by the Board of Nursing and hold
1570		-	current certification in the relevant population focus.”.
1571		-	(ccc) Section 621 (D.C. Official Code § 3-1206.21) is amended as follows:
1572		-	(1) Subsection (a) is amended as follows:
1573		-	(A) Paragraph (2) is amended by striking the phrase “physiological
1574		-	function tests.” and inserting the phrase “physiological function tests; and” in its place.
1575		-	(B) A new paragraph (3) is added to read as follows:
1576		-	“(3) Prescribe from a formulary listing of natural remedies to be used in the
1577		-	practice of naturopathic medicine that has been approved by the Board of Integrative Healthcare
1578		-	and the Board of Medicine.”.
1579		-	(2) Subsection (b)(4) is amended as follows:
1580		-	(A) Subparagraph (A) is amended by striking the phrase “Advisory
1581		-	Committee on Naturopathic Medicine, Board of Medicine,” and inserting the phrase “Board of
1582		-	Integrative Healthcare” in its place.
1583		-	(B) Subparagraph (B) is amended by striking the phrase “Advisory
1584		-	Committee on Naturopathic Medicine;” and inserting the phrase “Board of Integrative
1585		-	Healthcare;” in its place.
1586		-	(ddd) Section 701 (D.C. Official Code § 3-1207.01) is amended as follows:
1587		-	(1) Subsection (a) is amended as follows:
1588		-	(A) The lead-in language is amended by striking the phrase “a dietitian
1589		-	shall:” and inserting the phrase “a person may qualify for a dietitian license under this section
1590		-	by:” in its place.
1591		-	(B) Paragraphs (1) and (2) are amended to read as follows:
1592		-	“(1) Being credentialed in good standing by the Commission on Dietetic
1593		-	Registration as a registered dietitian before the effective date of the Health Occupations Revision
1594		-	General Amendment Act of 2024, passed on 2nd reading on May 7, 2024 (Enrolled version of
1595		-	Bill 25-545); or
1596		-	“(2) Meeting the following requirements:
1597		-	“(A) Holding a master’s or higher degree from a school, college, or
1598		-	university that was approved by the accrediting body recognized by the Council on
1599		-	Postsecondary Accreditation or the United States Department of Education at the time the degree
1600		-	was conferred with completion of a program of study accredited by the Accreditation Council for
1601		-	Education in Nutrition and Dietetics; ENROLLED ORIGINAL
	926	+	“(C) Criteria for a professional competency examination and testing of 709
	927	+	applicants for a license to practice behavior analysis; and 710
	928	+	“(D) Continuing education requirements for license renewal. 711
	929	+	“(2) The Board shall hold at least 2 public meetings to solicit input on the rules 712
	930	+	developed pursuant to this subsection from behavior analysts and residents served by behavior 713
	931	+	analysts before issuing rules.”. 714
	932	+	(n) Section 212(c) (D.C. Official Code § 3-1202.12(c)) is amended by striking the period 715
	933	+	and inserting the phrase “; except, that from the effective date of the Health Occupations 716
	934	+	Revision General Amendment Act of 2024, as approved by the Committee on Health on March 717
	935	+	21, 2024 (Committee Print of Bill 25-545), of the members of the Board, 4 shall be social 718
	936	+	workers licensed in the District; provided, that 3 of those members shall be a licensed graduate 719
	937	+	social worker, licensed independent social worker, or licensed independent clinical social 720
	938	+	worker, while the remaining member may be from any of the 4 licensing categories established 721
	939	+	by Title VIII, and one shall be a consumer member.” in its place. 722
	940	+	(o) Section 213 (D.C. Official Code § 3-1202.13) is amended as follows: 723
	941	+	(1) Subsection (a) is amended by striking the period and inserting the phrase “; 724
	942	+	except, that from the effective date of the Health Occupations Revision General Amendment Act 725
	943	+	of 2024, as approved by the Committee on Health on March 21, 2024 (Committee Print of Bill 726
	944	+	25-545) (“2024 Act”), the Board shall consist of 7 members appointed by the Mayor with the 727
	945	+	advice and consent of the Council.” in its place. 728 ENGROSSED ORIGINAL
1602	946
1603	947
1604	948
1605	949
1606	950		37
1607	951
1608		-	“(B) Successfully completing the dietitian certification examination of the
1609		-	Commission on Dietetic Registration of the Academy of Nutrition and Dietetics and be
1610		-	credentialed in good standing by the Commission on Dietetic Registration as a registered
1611		-	dietitian; and
1612		-	“(C) Successfully completing a supervised practice experience in dietetics
1613		-	and nutrition accredited by the Accreditation Council for Education in Nutrition and Dietetics.”.
1614		-	(2) Subsection (c) is amended as follows:
1615		-	(A) The lead-in language is amended to read as follows:
1616		-	“(c) A person may qualify for a nutritionist license if, in addition to the general
1617		-	qualifications for licensure set forth in Title V, and any requirements the Mayor may establish by
1618		-	rule, the person:”.
1619		-	(B) Paragraph (1) is amended by striking the word “Hold” and inserting
1620		-	the word “Holds” in its place.
1621		-	(C) Paragraph (2) is amended to read as follows:
1622		-	“(2) Has successfully completed the Certification Examination for Nutrition
1623		-	Specialists offered by the Board for Certification of Nutrition Specialists or another examination
1624		-	designated by the Mayor through rules.”.
1625		-	(eee) Section 710 (D.C. Official Code § 3-1207.10) is amended to read as follows:
1626		-	“Sec. 710. Qualifications for licensure.
1627		-	“(a) The Board of Professional Counseling shall license as a professional counselor a
1628		-	person who, in addition to meeting the requirements of Title V and any requirements the Mayor
1629		-	may establish by rule, has satisfactorily passed the national examination adopted by the Board,
1630		-	possesses a master’s degree in counseling or a related subject from an accredited college or
1631		-	university consisting of at least 60 hours of postgraduate education, and has completed 2 years of
1632		-	supervised counseling experience.
1633		-	“(b) The Board of Professional Counseling shall license as a graduate professional
1634		-	counselor a person who, in addition to meeting the requirements of Title V and any requirements
1635		-	the Mayor may establish by rule, has satisfactorily completed the national examination adopted
1636		-	by the Board and possesses a master’s degree in counseling or a related subject from an
1637		-	accredited college or university, consisting of at least 48 hours of graduate education.
1638		-	“(c) The Board of Professional Counseling may license, by endorsement, a professional
1639		-	counselor who, in addition to meeting the requirements of Title V and any requirements the
1640		-	Mayor may establish by rule, is currently licensed in another state in good standing and has:
1641		-	“(1) Engaged in independent professional counseling practice providing clinical
1642		-	counseling for at least 5 years pursuant to such license; or
1643		-	“(2) Held an independent professional counseling license for at least 3 years and
1644		-	possesses the National Certified Counseling credential issued by the National Board of Certified
1645		-	Counselors.”.
1646		-	(fff) Section 755 (D.C. Official Code § 3-1207.55) is amended as follows: ENROLLED ORIGINAL
	952	+	(2) Subsection (b) is amended by striking the phrase “and addiction counseling.” 729
	953	+	and inserting the phrase “addiction counseling, dance therapy, and marriage and family therapy.” 730
	954	+	in its place. 731
	955	+	(3) Subsection (d) is amended to read as follows: 732
	956	+	“(d) Of the members of the Board, 2 shall be professional counselors licensed in the 733
	957	+	District, one shall be an educator engaged in teaching counseling, one shall be a professional art 734
	958	+	therapist, one shall be a consumer member, and one shall have at least 5 years of experience in 735
	959	+	the field of addiction counseling; except, that from the effective date of the 2024 Act, of the 736
	960	+	members of the Board: 737
	961	+	“(1) 3 shall be professional counselors licensed in the District; 738
	962	+	“(2) One shall be a professional art therapist licensed in the District; 739
	963	+	“(3) One shall be a marriage and family therapist licensed in the District; 740
	964	+	“(4) One shall be a professional counselor, a professional art therapist, a 741
	965	+	marriage and family therapist, or an addiction counselor licensed or certified in the District; and 742
	966	+	“(5) One shall be a consumer member; provided, that of the members who 743
	967	+	are licensed professional counselors, one shall be an educator engaged in teaching counseling 744
	968	+	and one shall have at least 3 years of experience in the field of addiction counseling.”. 745
	969	+	(p) Section 214 (D.C. Official Code § 3-1202.14) is amended as follows: 746
	970	+	(1) Subsection (b) is amended by striking the word “therapy” and inserting the 747
	971	+	word “care” in its place. 748 ENGROSSED ORIGINAL
1647	972
1648	973
1649	974
1650	975
1651	976		38
1652	977
1653		-	(1) A new subsection (a-1) is added to read as follows:
1654		-	“(a-1) A registered pharmacy technician may administer immunizations and vaccinations
1655		-	in accordance with the Centers for Disease Control and Prevention’s published guidelines and
1656		-	recommended immunization schedules for adults aged 18 and older with valid identification,
1657		-	adolescents and children aged 3 through 17 with written informed parental consent or without
1658		-	consent if authorized by District law, and the administration of immunizations and vaccinations
1659		-	to any individual pursuant to a valid prescription under the direct supervision of a pharmacist
1660		-	licensed under this act; provided, that the registered pharmacy technician complies with all
1661		-	requirements under the rules issued by the Mayor.”.
1662		-	(2) Subsection (b) is amended by striking paragraph (7).
1663		-	(ggg) Title VII-F is repealed.
1664		-	(hhh) A new Title VII-G is added to read as follows:
1665		-	“TITLE VII-G
1666		-	“QUALIFICATIONS FOR LICENSURE TO PRACTICE AS A BEHAVIOR
1667		-	ANALYST.
1668		-	“Sec. 771. Eligibility requirements and education.
1669		-	“The Board of Psychology shall license as a behavior analyst a person who, in addition to
1670		-	meeting the requirements of Title V and any requirements the Mayor may establish by rule, has:
1671		-	“(1) Successfully completed a criminal background check;
1672		-	“(2) Obtained a current certification issued by the Behavior Analyst Certification
1673		-	Board; and
1674		-	“(3) Received a master’s degree or higher from a behavior analysis educational
1675		-	program that is accredited by the Behavior Analyst Certification Board; provided, that the Board
1676		-	shall waive this educational requirement if the applicant was certified by the Behavior Analyst
1677		-	Certification Board on or before the effective date of this title.”.
1678		-	(iii) A new section 804a is added to read as follows:
1679		-	“Sec. 804a. Exceptions for non-clinical practice.
1680		-	“(a) Nothing in this act shall be construed as preventing or restricting an individual who
1681		-	has successfully completed a bachelor’s degree in social work, a master’s degree in social work,
1682		-	or a doctorate degree in social work through a program accredited by the Council on Social
1683		-	Work Education from engaging in non-clinical practice; provided, that no such persons shall
1684		-	represent by title or description of services that they are social workers.
1685		-	“(b) For the purposes of this section, the term “non-clinical practice” means
1686		-	competencies and activities commonly included in a social work education program that do not
1687		-	involve clinical assessment, diagnosis, or treatment of mental health conditions, including:
1688		-	“(1) Non-clinical case management, including coordinating social services,
1689		-	conducting non-clinical assessments of service needs, and facilitating client access to resources;
1690		-	“(2) Community organization, including public education campaigns, information
1691		-	dissemination, and connecting individuals with social services; ENROLLED ORIGINAL
	978	+	(2) Subsection (c) is amended by striking the period and inserting the phrase “; 749
	979	+	except, that from the effective date of the Health Occupations Revision General Amendment Act 750
	980	+	of 2024, as approved by the Committee on Health on March 21, 2024 (Committee Print of Bill 751
	981	+	25-545), of the members of the Board, 3 shall be respiratory care practitioners licensed in the 752
	982	+	District, one shall be either a physician with knowledge and experience in the practice of 753
	983	+	respiratory care or a respiratory care practitioner, licensed in the District, and one shall be a 754
	984	+	consumer member.”. 755
	985	+	(q) Section 216 (D.C. Official Code § 3-1202.16) is amended by adding a new subsection 756
	986	+	(f) to read as follows: 757
	987	+	“(f) The Board shall be dissolved on the day the Board of Integrative Healthcare 758
	988	+	commences operation pursuant to section 224(f).”. 759
	989	+	(r) Section 217 (D.C. Official Code § 3-1202.17) is repealed. 760
	990	+	(s) Section 218 (D.C. Official Code § 3-1202.18) is amended by adding a new subsection 761
	991	+	(i) to read as follows: 762
	992	+	“(i) The Board shall be dissolved on the day the Board of Rehabilitative Therapies 763
	993	+	commences operation pursuant to section 223(e).”. 764
	994	+	(t) New sections 223 and 224 are added to read as follows: 765
	995	+	“Sec. 223. Board of Rehabilitative Therapies. 766
	996	+	“(a) There is established a Board of Rehabilitative Therapies to consist of 11 members 767
	997	+	appointed by the Mayor with the advice and consent of the Council. 768 ENGROSSED ORIGINAL
1692	998
1693	999
1694	1000
1695	1001
1696	1002		39
1697	1003
1698		-	“(3) Advocacy, including advocating for clients and communities, advocating for
1699		-	policy changes, and representing clients’ policy interests; and
1700		-	“(4) Administrative tasks, including handling client documentation, record-
1701		-	keeping, and program coordination.”.
1702		-	(jjj) Section 831 (D.C. Official Code § 3-1208.31) is amended as follows:
1703		-	(1) Subsection (a) is amended by striking the phrase “Board Marriage and Family
1704		-	Therapy” and inserting the phrase “Board of Professional Counseling” in its place.
1705		-	(2) Subsection (b)(1) is amended to read as follows:
1706		-	“(1) A graduate degree in marriage and family therapy from a program accredited
1707		-	by the Commission on Accreditation for Marriage and Family Therapy Education, or a graduate
1708		-	degree from a regionally accredited educational institution and an equivalent course of study
1709		-	consisting of at least 60 semester hours or 90 quarter credits as approved by the Board; and”.
1710		-	(kkk) Section 841 (D.C. Official Code § 3-1208.41) is amended as follows:
1711		-	(1) Subsection (a) is amended as follows:
1712		-	(A) The lead-in language is amended by striking the phrase “Audiology
1713		-	and Speech-Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its
1714		-	place.
1715		-	(B) Paragraph (3) is amended by striking the phrase “supervised
1716		-	postgraduate professional practice” and inserting the phrase “supervised practice” in its place.
1717		-	(2) Subsection (b) is amended by striking the phrase “Audiology and Speech-
1718		-	Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its place.
1719		-	(3) Subsection (c) is amended to read as follows:
1720		-	“(c) For purposes of this section, references to the Board on Rehabilitative Therapies
1721		-	prior to its commencement of operations pursuant to section 223(e) shall refer to the Board of
1722		-	Audiology and Speech-Language Pathology.”.
1723		-	(lll) Section 853 (D.C. Official Code § 3-1208.53) is repealed.
1724		-	(mmm) Section 854 (D.C. Official Code § 3-1208.54) is repealed.
1725		-	(nnn) Section 871 (D.C. Official Code § 3-1208.71) is amended as follows:
1726		-	(1) Subsection (a) is amended as follows:
1727		-	(A) Paragraph (1) is amended as follows:
1728		-	(i) Subparagraph (A) is amended by striking the phrase “; or” and
1729		-	inserting a period in its place.
1730		-	(ii) Subparagraph (B) is repealed.
1731		-	(B) Paragraph (2) is amended by striking the phrase “direct supervision”
1732		-	and inserting the phrase “immediate supervision” in its place.
1733		-	(2) Subsection (b)(1) is amended as follows:
1734		-	(A) Subparagraph (A) is amended by striking the phrase “; or” and
1735		-	inserting a period in its place.
1736		-	(B) Subparagraph (B) is repealed. ENROLLED ORIGINAL
	1004	+	“(b) The Board shall regulate the practices of audiology, occupational therapy, physical 769
	1005	+	therapy, recreational therapy, and speech-language pathology and the practices by audiology 770
	1006	+	assistants, occupational therapy assistants, physical therapist assistants, speech-language 771
	1007	+	pathology assistants, and speech-language pathology clinical fellows. 772
	1008	+	“(c) Of the members of the Board, 3 shall be physical therapists or physical therapist 773
	1009	+	assistants licensed in the District, 2 shall be occupational therapists or occupational therapy 774
	1010	+	assistants licensed in the District, 2 shall be audiologists or speech-language pathologists 775
	1011	+	licensed in the District, one shall be a recreational therapist licensed in the District, 2 shall be 776
	1012	+	consumer members, and one shall be a District licensed or registered: 777
	1013	+	“(1) Audiologist; 778
	1014	+	“(2) Audiology assistant; 779
	1015	+	“(3) Physical therapist; 780
	1016	+	“(4) Physical therapist assistant; 781
	1017	+	“(5) Occupational therapist; 782
	1018	+	“(6) Occupational therapy assistant; 783
	1019	+	“(7) Recreational therapist; 784
	1020	+	“(8) Speech-language pathologist; or 785
	1021	+	“(9) Speech-language pathology assistant. 786
	1022	+	“(d) Of the members initially appointed under this section, 3 shall be appointed for a term 787
	1023	+	of one year, 4 shall be appointed for a term of 2 years, and 4 shall be appointed for a term of 3 788 ENGROSSED ORIGINAL
1737	1024
1738	1025
1739	1026
1740	1027
1741	1028		40
1742	1029
1743		-	(ooo) Section 872 (D.C. Official Code § 3-1208.72) is amended by striking the period at
1744		-	the end and inserting the phrase “, unless further time is granted by the Mayor through
1745		-	rulemaking.” in its place.
1746		-	(ppp) New Titles VIII-F and VIII-G are added to read as follows:
1747		-	“TITLE VIII-F.
1748		-	“CATEGORIES AND QUALIFICATIONS REQUIRED FOR THE PRACTICE OF
1749		-	“PSYCHOLOGY.
1750		-
1751		-	“Sec. 881. License and registration requirements.
1752		-	“(a) No person may practice psychology in the District without one of the following:
1753		-	“(1) A health services psychology license, which is required for the practice of
1754		-	psychology as defined in section 102(16)(A);
1755		-	“(2) A general applied psychology license, which is required for the practice of
1756		-	psychology within the scope of section 102(16)(A)(ii);
1757		-	“(3) A school psychology registration, which is required for the practice of
1758		-	psychology within the scope of section 102(16)(A)(iii); or
1759		-	“(4) A psychology associate registration, which is required for the practice of
1760		-	psychology within the scope of section 102(16)(A)(iv).
1761		-	“(b) All active psychology licenses issued before the effective date of the Health
1762		-	Occupations Revision General Amendment Act of 2024, passed on 2nd reading on May 7, 2024
1763		-	(Enrolled version of Bill 25-545) (“2024 Act”), shall, upon renewal, be issued as health services
1764		-	psychology licenses.
1765		-	“(c) Notwithstanding subsection (a) of this section, for 2 years after the effective date of
1766		-	the 2024 Act, or such longer period of time which may be established by the Mayor through
1767		-	rulemaking, a person who has been practicing general applied psychology or school psychology
1768		-	before the effective date of the 2024 Act may continue to practice without the licensure or
1769		-	registration required pursuant to section 501(a)(1) or (2); provided, that the person applies for the
1770		-	relevant license or registration within 2 years after the effective date of the 2024 Act.
1771		-	“Sec. 882. Qualifications.
1772		-	“(a) In addition to the general qualifications for licensure set forth in Title V, and any
1773		-	requirements the Mayor may establish by rule, an individual applying for a license to practice
1774		-	health services psychology or general applied psychology shall establish to the satisfaction of the
1775		-	Board of Psychology that the individual has:
1776		-	“(1) Earned a doctoral degree in psychology from an accredited college or
1777		-	university; and
1778		-	“(2) Completed at least 2 years of experience in such areas of practice as shall be
1779		-	required by the Mayor through rulemaking, at least one year of which shall be postdoctoral
1780		-	experience. ENROLLED ORIGINAL
	1030	+	years. The terms of the members first appointed shall begin on the date that a majority of the first 789
	1031	+	members are sworn in, which shall become the anniversary date for all subsequent appointments. 790
	1032	+	“(e) The Board shall commence operation and assume regulatory authority from the 791
	1033	+	Boards of Audiology and Speech-Language Pathology, Physical Therapy, and Occupational 792
	1034	+	Therapy one year of the effective date of the Health Occupations Revision General Amendment 793
	1035	+	Act of 2024, as approved by the Committee on Health on March 21, 2024 (Committee Print of 794
	1036	+	Bill 25-545), or once the following appointments are made, whichever is earlier: 795
	1037	+	“(1) 2 members licensed to practice physical therapy; 796
	1038	+	“(2) 2 members licensed to practice occupational therapy; 797
	1039	+	“(3) One member authorized to practice speech-language pathology or audiology; 798
	1040	+	and 799
	1041	+	“(4) One consumer member. 800
	1042	+	“Sec. 224. Board of Integrative Healthcare. 801
	1043	+	“(a) There is established a Board of Integrative Healthcare to consist of 9 members 802
	1044	+	appointed by the Mayor with the advice and consent of the Council. 803
	1045	+	“(b) The Board shall regulate the practice of acupuncture, chiropractic, and naturopathic 804
	1046	+	medicine. 805
	1047	+	“(c) Of the members of the Board, 2 shall be acupuncturists licensed in the District, 2 806
	1048	+	shall be doctors of chiropractic licensed in the District, 2 shall be naturopathic physicians 807
	1049	+	licensed in the District, one shall be a medical physician licensed in the District who works with 808 ENGROSSED ORIGINAL
1781	1050
1782	1051
1783	1052
1784	1053
1785	1054		41
1786	1055
1787		-	“(b) An individual applying for a registration to practice school psychology shall meet
1788		-	such education and training requirements as may be established by the Mayor through
1789		-	rulemaking.
1790		-	“(c) An individual applying for registration as a psychology associate shall have
1791		-	graduated from an accredited college or university with at least a master’s degree based on a
1792		-	program of studies focusing on psychology, or a program judged by the Board to be substantially
1793		-	equivalent in subject matter and extent of training to a master’s or doctoral degree in psychology.
1794		-	“(d) Notwithstanding subsections (a) and (b) of this section, individuals currently
1795		-	practicing as general applied psychologists or school psychologists who do not meet the
1796		-	qualifications of this section shall be eligible for licensure or registration if they apply for a
1797		-	license or registration within 24 months after the effective date of the Health Occupations
1798		-	Revision General Amendment Act of 2024, passed on 2nd reading on May 7, 2024 (Enrolled
1799		-	version of Bill 25-545).
1800		-	“Sec. 883. Limitations.
1801		-	“(a) A registered school psychologist shall not practice psychology as defined under
1802		-	section 102(16)(A)(i) or (ii) without the authorization required for such practice.
1803		-	“(b) A psychology associate shall not practice psychology except under the supervision
1804		-	of a licensed health services psychologist.
1805		-	“TITLE VIII-G.
1806		-	“CATEGORIES AND QUALIFICATIONS REQUIRED FOR THE PRACTICE OF MEDICAL
1807		-	RADIATION TECHNOLOGY.
1808		-
1809		-	“Sec. 891. Qualifications for licensure.
1810		-	“(a) The categories of licensure for the practice of medical radiation technology shall be
1811		-	as follows:
1812		-	“(1) Cardiovascular-interventional technologist;
1813		-	“(2) Computed tomography technologist or radiographer;
1814		-	“(3) Magnetic resonance technologist;
1815		-	“(4) Mammographer;
1816		-	“(5) Nuclear medicine technologist;
1817		-	“(6) Radiation therapist;
1818		-	“(7) Radiologist assistant;
1819		-	“(8) Radiographer; and
1820		-	“(9) Ultrasound technologist.
1821		-	“(b) The Board of Medicine shall issue a license to practice medical radiation technology,
1822		-	in a category established by this section to an individual who, in addition to meeting the
1823		-	requirements of Title V, has:
1824		-	“(1) Graduated from an accredited program in diagnostic medical sonography,
1825		-	radiologic technology, magnetic resonance imaging, nuclear medicine or radiologist assistant ENROLLED ORIGINAL
	1056	+	acupuncturists, doctors of chiropractic or naturopathic physicians, and 2 shall be consumer 809
	1057	+	members. 810
	1058	+	“(d) Except as provided in subsection (e) of this section, members of the Board shall be 811
	1059	+	appointed for terms of 3 years. 812
	1060	+	“(e) Of the members initially appointed under this section, 3 shall be appointed for a term 813
	1061	+	of 1 year, 3 shall be appointed for a term of 2 years, and 3 shall be appointed for a term of 3 814
	1062	+	years. The terms of the members first appointed shall begin on the date that a majority of the first 815
	1063	+	members are sworn in, which shall become the anniversary date for all subsequent appointments. 816
	1064	+	“(f) The Board shall commence operation and assume regulatory authority from the 817
	1065	+	Board of Medicine for the practices of acupuncture and naturopathic medicine and the Board of 818
	1066	+	Chiropractic one year of the effective date of the Health Occupations Revision General 819
	1067	+	Amendment Act of 2024, as approved by the Committee on Health on March 21, 2024 820
	1068	+	(Committee Print of Bill 25-545), or once the following appointments are made, whichever is 821
	1069	+	earlier: 822
	1070	+	(1) One member licensed to practice acupuncture; 823
	1071	+	(2) One member licensed to practice chiropractic; 824
	1072	+	(3) One member licensed to practice naturopathic medicine; 825
	1073	+	(4) One member licensed to practice medicine who works with an acupuncturist, a 826
	1074	+	doctor of chiropractic, or a doctor of naturopathic medicine; and 827
	1075	+	(5) One consumer member.”. 828 ENGROSSED ORIGINAL
1826	1076
1827	1077
1828	1078
1829	1079
1830	1080		42
1831	1081
1832		-	that incorporates the academic coursework and minimum of hours of supervised clinical training
1833		-	required by regulations issued by the Mayor and that is accredited by the Commission on
1834		-	Accreditation of Allied Health Education Programs, Joint Review Committee on Education in
1835		-	Radiologic Technology, Joint Review Committee on Diagnostic Medical Sonography, Joint
1836		-	Review Committee on Nuclear Medicine Technology or a successor organization, as recognized
1837		-	by the U.S. Department of Education;
1838		-	“(2) Passed a national certification examination from a body recognized by the
1839		-	Board; and
1840		-	“(3) Satisfied all other requirements established by the Mayor through
1841		-	rulemaking.
1842		-	“Sec. 892. Limitations on practice.
1843		-	“(a) A person licensed under this title may only practice under the supervision of a
1844		-	licensed physician or a licensed advanced practice registered nurse.
1845		-	“(b) The practices of a cardiovascular-interventional technologist, computed tomography
1846		-	technologist, magnetic resonance technologist, mammographer, nuclear medicine technologist,
1847		-	radiation therapist, radiographer, radiologist assistant, or ultrasound technologist shall be limited
1848		-	to those procedures, operations, preparations, and practices determined by regulation.
1849		-	“Sec. 893. Transition of licensed and registered medical radiation practitioners.
1850		-	“For a period of one year after the effective date of implementing regulations issued
1851		-	pursuant to this title, unless further time is granted by the Mayor through rulemaking, a person
1852		-	who has received appropriate training for the tasks assigned may, regardless of licensure status,
1853		-	practice as a medical radiation practitioner, cardiovascular-interventional technologist, computed
1854		-	tomography technologist, magnetic resonance technologist, mammographer, nuclear medicine
1855		-	technologist, radiographer, radiologist assistant, or ultrasound technologist. After a period of one
1856		-	year or additional time authorized by the Mayor, a license shall be required for any person to
1857		-	work or identify themselves as a medical radiation practitioner, cardiovascular-interventional
1858		-	technologist, computed tomography technologist, magnetic resonance technologist,
1859		-	mammography technologist, nuclear medicine technologist, radiographer, radiologist assistant,
1860		-	or ultrasound technologist.”.
1861		-	(qqq) Section 902 (D.C. Official Code § 3-1209.02) is amended as follows:
1862		-	(1) The section heading is amended by striking the phrase “and recreation
1863		-	therapy.” and inserting the phrase “therapy.” in its place.
1864		-	(2) Subsection (a) is amended by striking the phrase “dance therapy or recreation
1865		-	therapy” and inserting the phrase “dance therapy” in its place.
1866		-	(3) Subsection (b) is amended by striking the phrase “dance therapy or recreation
1867		-	therapy” and inserting the phrase “dance therapy” in its place.
1868		-	(4) Subsection (c) is amended as follows:
1869		-	(A) Strike the phrase “dance therapist or recreation therapist” and insert
1870		-	the phrase “dance therapist” in its place. ENROLLED ORIGINAL
	1082	+	(u) Section 302 (D.C. Official Code § 3-1203.02) is amended as follows: 829
	1083	+	(1) A new paragraph (10A) is added to read as follows: 830
	1084	+	“(10A) Creating and maintaining an online complaint form for the public to 831
	1085	+	submit a complaint regarding any health care professional registered or licensed by any Board 832
	1086	+	pursuant to this act or any unlicensed activity;”. 833
	1087	+	(2) Paragraph (12) is amended by striking the phrase “, except the Mayor may 834
	1088	+	provide for the issuance of temporary licenses to applicants for licensure to practice social work 835
	1089	+	and marriage and family therapy for a period not to exceed 1 year, and to applicants for licensure 836
	1090	+	to practice as anesthesiologist assistants for a period not to exceed 2 years;” and inserting a 837
	1091	+	semicolon in its place. 838
	1092	+	(v) Section 401(b)(2) (D.C. Official Code § 3-1204.01(b)(2)) is amended by striking the 839
	1093	+	phrase “the trauma technologist member initially appointed to the Advisory Committee on 840
	1094	+	Trauma Technologists,” and inserting the phrase “the trauma technologist member initially 841
	1095	+	appointed to the Advisory Committee on Trauma Technologists, the athletic trainers initially 842
	1096	+	appointed to the Advisory Committee on Athletic Trainers, the certified professional midwives 843
	1097	+	and the doula initially appointed to the Advisory Committee on Maternal Care Professionals, the 844
	1098	+	practitioners of medical radiation technology initially appointed to the Advisory Committee on 845
	1099	+	Medical Radiation Technologists,” in its place. 846
	1100	+	(w) Section 404(b) (D.C. Official Code § 3-1204.04(b)) is amended to read as follows: 847 ENGROSSED ORIGINAL
1871	1101
1872	1102
1873	1103
1874	1104
1875	1105		43
1876	1106
1877		-	(B) Strike the phrase “dance therapists or recreation therapists.” and insert
1878		-	the phrase “dance therapists.” in its place.
1879		-	(rrr) Section 903 (D.C. Official Code § 3-1209.03) is repealed.
1880		-	(sss) Section 905 (D.C. Official Code § 3-1209.05) is amended as follows:
1881		-	(1) Subsection (a) is amended as follows:
1882		-	(A) Paragraph (1) is amended as follows.
1883		-	(i) Strike the phrase “assist a licensed dentist” and insert the phrase
1884		-	“assist a licensed dentist or a licensed dental hygienist” in its place.
1885		-	(ii) Strike the phrase “direct supervision” and insert the word
1886		-	“supervision” in its place.
1887		-	(B) Paragraph (2) is repealed.
1888		-	(2) Subsection (b) is amended to read as follows:
1889		-	“(b) A person who is engaged as a dental assistant to assist a dentist in the performance
1890		-	of dental procedures, or to assist a dental hygienist in the performance of dental hygiene
1891		-	procedures, in any area of or specialty area of dentistry, including oral and maxillofacial surgery,
1892		-	or who performs the duties of a dental assistant in any area of or specialty area of dentistry,
1893		-	including oral and maxillofacial surgery, in the District shall be registered with the Board, renew
1894		-	the registration as required by rule, and pay the required registration fee established by the
1895		-	Board.”.
1896		-	(3) Subsection (d) is amended as follows.
1897		-	(A) Strike the phrase “A person shall not engage in the practice, or use the
1898		-	title, of dental assistant” and insert after the phrase “A person shall not engage in the practice of
1899		-	dental assisting or use the title of dental assistant” in its place.
1900		-	(B) Strike the phrase “direct supervision” and insert the word
1901		-	“supervision” in its place.
1902		-	(4) Subsection (e) is repealed.
1903		-	(5) Subsection (g) is amended by striking the phrase “and the duties that may be
1904		-	performed by a dental assistant.” And inserting the phrase “, the duties that may be performed by
1905		-	a dental assistant, and the required level of supervision.” in its place.
1906		-	(6) A new subsection (h) is added to read as follows:
1907		-	“(h) The Mayor shall create a Level III dental assistant designation to authorize dental
1908		-	assistants with appropriate training and experience, as determined by the Board, to conduct the
1909		-	application pit and fissure sealants, coronal polishing to remove stain and biofilm, and glucose
1910		-	testing, as well as all functions authorized by this section and any other services authorized by
1911		-	rule.”.
1912		-	(ttt) Section 906 (D.C. Official Code § 3-1209.06) is repealed.
1913		-	(uuu) Section 907 (D.C. Official Code § 3-1209.07) is amended to read as follows:
1914		-	“Sec. 907. Nursing assistive personnel; registration or certification required. ENROLLED ORIGINAL
	1107	+	“(b) The failure of a member of a board or advisory committee to attend at least 1/2 of the 848
	1108	+	regular, scheduled meetings of a board or advisory committee within a 12-month period shall 849
	1109	+	constitute neglect of duty. Notwithstanding subsection (a), the Mayor may remove a member of a 850
	1110	+	board or advisory committee for such neglect of duty without a hearing.”. 851
	1111	+	(x) Section 405 (D.C. Official Code § 3-1204.05) is amended by adding a new 852
	1112	+	subsection (a-1) to read as follows: 853
	1113	+	“(a-1) Each board and advisory committee may elect a vice chairperson from among its 854
	1114	+	members.”. 855
	1115	+	(y) Section 408 (D.C. Official Code § 3-1204.08) is amended as follows: 856
	1116	+	(1) Paragraph (2) is amended by striking the word “licenses” and inserting the 857
	1117	+	phrase “a license, registration, or certification,” in its place. 858
	1118	+	(2) Paragraph (4) is amended by striking the word “licenses” and inserting the 859
	1119	+	phrase “licenses, registrations, or certifications” in its place. 860
	1120	+	(z) A new section 413 is added to read as follows: 861
	1121	+	“Sec. 413. Immunity. 862
	1122	+	“A person who is a member of a board, a staff member supporting a board, or a legally 863
	1123	+	authorized agent of a board acting without malice and in the furtherance of their duties shall have 864
	1124	+	immunity from civil liability for investigating, prosecuting, participating in a hearing, or 865
	1125	+	otherwise acting on an allegation of a ground for board action.”. 866
	1126	+	(aa) The designation for Title V is amended to read as follows: 867 ENGROSSED ORIGINAL
1915	1127
1916	1128
1917	1129
1918	1130
1919	1131		44
1920	1132
1921		-	“(a) A registration or certification is required for a person seeking to practice as nursing
1922		-	assistive personnel in the District in accordance with the rules issued by the Mayor.
1923		-	“(b) The Mayor shall, pursuant to the District of Columbia Administrative Procedure Act,
1924		-	approved October 21, 1968 (82 Stat. 1204; D.C. Official Code § 2-501 et seq.), issue rules
1925		-	setting forth the standards of education and experience required to qualify as nursing assistive
1926		-	personnel.
1927		-	“(c) The Mayor shall allow for a registration or certification of an applicant who is at
1928		-	least 16 years of age; provided, that the applicant shall have obtained or be enrolled and is
1929		-	actively pursuing a high school diploma or high school equivalency diploma as that term is
1930		-	defined in section 561(6) of the District of Columbia Public Assistance Act of 1982, effective
1931		-	October 27, 1995 (D.C. Law 11-72; D.C. Official Code § 4-205.61(6)).”.
1932		-	(vvv) Section 908 (D.C. Official Code § 3-1209.08) is repealed.
1933		-	(www) Section 909 (D.C. Official Code § 3-1209.09) is amended as follows:
1934		-	(1) Subsection (a)(1) is amended by striking the phrase “Audiology and Speech-
1935		-	Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its place.
1936		-	(2) A new subsection (i) is added to read as follows:
1937		-	“(i) For purposes of this section, references to the Board on Rehabilitative Therapies prior
1938		-	to its commencement of operations pursuant to section 223(e) shall refer to the Board of
1939		-	Audiology and Speech-Language Pathology.”.
1940		-	(xxx) Section 910 (D.C. Official Code § 3-1209.10) is amended as follows:
1941		-	(1) Subsection (a)(2) is amended by striking the phrase “Audiology and Speech-
1942		-	Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its place.
1943		-	(2) A new subsection (i) is added to read as follows:
1944		-	“(i) For purposes of this section, references to the Board on Rehabilitative Therapies prior
1945		-	to its commencement of operations pursuant to section 223(e) shall refer to the Board of
1946		-	Audiology and Speech-Language Pathology.”.
1947		-	(yyy) Section 911 (D.C. Official Code § 3-1209.11) is amended as follows:
1948		-	(1) Subsection (a)(1) is amended by striking the phrase “Audiology and Speech-
1949		-	Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its place.
1950		-	(2) A new subsection (h) is added to read as follows:
1951		-	“(h) For purposes of this section, references to the Board on Rehabilitative Therapies
1952		-	prior to its commencement of operations pursuant to section 223(e) shall refer to the Board of
1953		-	Audiology and Speech-Language Pathology.”.
1954		-	(zzz) Section 912 (D.C. Official Code § 3-1209.12) is repealed.
1955		-	(aaaa) A new section 913 is added to read as follows:
1956		-	“Sec. 913. Doula.
1957		-	“(a) A certified doula may:
1958		-	“(1) Provide support to pregnant individuals and their families, including
1959		-	surrogates and adoptive parents; ENROLLED ORIGINAL
	1133	+	“TITLE V. 868
	1134	+	“LICENSING, REGISTRATION, CERTIFICATION , OR APPROVAL REQUIRED.” 869
	1135	+	870
	1136	+	(bb) Section 501 (D.C. Official Code § 3-1205.01) is amended as follows: 871
	1137	+	(1) The section heading is amended to read as follows: 872
	1138	+	“Sec. 501. License, registration, certification, or approval required.”. 873
	1139	+	(2) Subsection (a) is amended as follows: 874
	1140	+	(A) Paragraph (1) is amended to read as follows: 875
	1141	+	“(1) A license issued pursuant to this act is required to practice acupuncture, 876
	1142	+	advanced practice registered nursing, assisted living administration, audiology, cardiovascular-877
	1143	+	interventionist technology, chiropractic, certified midwifery, certified professional midwifery, 878
	1144	+	computed tomography technology, dental hygiene, dentistry, dietetics, health services 879
	1145	+	psychology, general applied psychology, home health care administration, magnetic resonance 880
	1146	+	technology, mammography, marriage and family therapy, massage therapy, medicine, 881
	1147	+	naturopathic medicine, nuclear medicine technology, nursing home administration, nutrition, 882
	1148	+	occupational therapy, optometry, pharmaceutical detailing, pharmacy, physical therapy, podiatry, 883
	1149	+	practical nursing, professional art therapy, professional counseling, radiography, recreational 884
	1150	+	therapy, registered nursing, respiratory care, social work, speech-language pathology, ultrasound 885
	1151	+	technology or sonography, veterinary medicine, or to practice as an anesthesiologist assistant, 886
	1152	+	athletic trainer, graduate marriage and family therapist, graduate professional art therapist, 887
	1153	+	physician assistant, physical therapist assistant, polysomnographic technologist, occupational 888 ENGROSSED ORIGINAL
1960	1154
1961	1155
1962	1156
1963	1157
1964	1158		45
1965	1159
1966		-	“(2) Conduct prenatal and postpartum visits;
1967		-	“(3) Accompany pregnant individuals to health care and social service
1968		-	appointments;
1969		-	“(4) Connect individuals to medical, community-based, or government-funded
1970		-	resources, including those addressing social determinants of health; and
1971		-	“(5) Provide support to individuals following either the loss of pregnancy or birth
1972		-	of a child for up to one year.
1973		-	“(b) A doula shall not:
1974		-	“(1) Perform clinical tasks or replace trained licensed medical professionals; or
1975		-	“(2) Engage in the practice of medicine as defined in section 102(7).”.
1976		-	(bbbb) Section 1003 (D.C. Official Code § 3-1210.03) is amended as follows:
1977		-	(1) Subsection (a) is amended by striking the phrase ““acupuncturist,”” and
1978		-	inserting the phrase ““acupuncturist, L.Ac.,” in its place.
1979		-	(2) Subsection (m-1) is amended by striking the word “therapy” wherever it
1980		-	appears and inserting the word “therapist” in its place.
1981		-	(3) Subsection (q) is amended to read as follows:
1982		-	“(q) Unless authorized to practice psychology under this act, a person shall not use the
1983		-	words or terms “psychology,” “psychologist,” “health services psychologist,” “general applied
1984		-	psychologist,” “school psychologist,” “psychology associate,” or similar title or description of
1985		-	services with the intent to represent that the person practices psychology.”.
1986		-	(4) Subsection (v) is amended to read as follow:
1987		-	“(v) Unless authorized to practice massage therapy under this act, a person shall not use
1988		-	or imply the use of the words or terms “massage therapy,” “therapeutic massage,” “myotherapy,”
1989		-	“bodyrub,” “licensed massage therapist,” or “licensed massage practitioner,” or similar title or
1990		-	description of services, or the initials “LMT” or “LMP,” with the intent to represent that the
1991		-	person practices massage therapy.”.
1992		-	(5) Subsection (hh) is repealed.
1993		-	(6) Subsection (jj) is repealed.
1994		-	(7) New subsections (ll), (mm), (nn), and (oo) are added to read as follows:
1995		-	“(ll) Unless authorized to practice certified professional midwifery under this act, a
1996		-	person shall not use or imply the use of the words or terms “certified professional midwife,”
1997		-	“licensed midwife,” or any similar title or description of services with the intent to represent that
1998		-	the person practices midwifery as a certified professional midwife.
1999		-	“(mm) Unless authorized to practice recreational therapy under this act, a person shall not
2000		-	use the words or terms “recreational therapy,” “recreational therapist,” “licensed recreational
2001		-	therapist,” “RT,” “L.R.T.,” “CTRS/L,” “certified therapeutic recreation specialist licensed,”
2002		-	“registered recreational therapist licensed (RRT/L),” or any similar title or description of services
2003		-	with the intent to represent that the person practices recreational therapy. ENROLLED ORIGINAL
	1160	+	therapy assistant, radiation therapist, radiologist assistant, surgical assistant, or as a trauma 889
	1161	+	technologist in the District, except as otherwise provided in this act.”. 890
	1162	+	(B) Paragraph (2) is amended to read as follows: 891
	1163	+	“(2) Registration is required to practice as an audiology assistant, dance therapist, 892
	1164	+	dental assistant, psychology associate, polysomnographic technician or trainee, school 893
	1165	+	psychologist, speech-language pathology assistant, or speech-language pathology clinical 894
	1166	+	fellow.”. 895
	1167	+	(C) New paragraphs (6) and (7) are added to read as follows: 896
	1168	+	“(6) Registration or certification under section 907 or rules promulgated by the 897
	1169	+	Mayor is required for any person to engage in the role or function of nursing assistive personnel. 898
	1170	+	“(7) Approval by the Board of Nursing is required to operate nursing education 899
	1171	+	programs and training programs for nursing assistive personnel in the District.”. 900
	1172	+	(cc) Section 502(a) (D.C. Official Code § 3-1205.02(a)) is amended as follows: 901
	1173	+	(1) Paragraph (2) is amended to read as follows: 902
	1174	+	“(2) To an individual employed by the federal government, while he or she is 903
	1175	+	acting in the official discharge of the duties of employment in the District;”. 904
	1176	+	(2) Paragraph (3) is amended to read as follows: 905
	1177	+	“(3) To an individual, licensed, registered, or certified to practice a health 906
	1178	+	occupation in a state, who is providing care to an individual, an animal, or a group (“client or 907
	1179	+	patient”) for a limited period of time, if: 908 ENGROSSED ORIGINAL
2004	1180
2005	1181
2006	1182
2007	1183
2008	1184		46
2009	1185
2010		-	“(nn) Unless authorized to practice as a doula under this act, a person shall not use the
2011		-	word or term “doula” or any similar title or description of services with the intent to represent
2012		-	that the person practices as a doula or provides any type of doula services.
2013		-	“(oo) Unless authorized to practice medical radiation technology under this act, a person
2014		-	shall not use or imply the use of the words or terms “cardiovascular-interventional technologist,”
2015		-	“computed tomography technologist,” “radiographer,” “magnetic resonance technologist,”
2016		-	“MRI technologist,” “mammography technologist,” “mammographer,” “medical radiation
2017		-	technologist,” “nuclear medicine technologist,” “radiologist assistant,” “sonographer,”
2018		-	“ultrasound technologist,” or any similar title or description of service with the intent to
2019		-	represent that the person practices as a medical radiation technology practitioner.”.
2020		-	(cccc) Section 1204 (D.C. Official Code § 3-1212.04) is amended by striking the word
2021		-	“therapy” both times it appears and inserting the word “therapist” in its place.
2022		-	(dddd) Section 1205 (D.C. Official Code § 3-1212.05) is amended by striking the phrase
2023		-	“personal fitness trainer, veterinary technician” and inserting the phrase “veterinary technician”
2024		-	in its place.
2025		-
2026		-	TITLE II- TECHNICAL AND CONFORMING AMENDMENTS .
2027		-	Sec. 201. Section 2(f) of the Confirmation Act of 1978, effective March 3, 1979 (D.C.
2028		-	Law 2-142; D.C. Code § 1-523.01(f)), is amended as follows:
2029		-	(a) Paragraphs (7) and (43) are repealed.
2030		-	(b) Paragraph (70) is amended by striking the phrase “; and” and inserting a semicolon in
2031		-	its place.
2032		-	(c) New paragraphs (72) and (73) are added to read as follows:
2033		-	“(72) Board of Rehabilitative Therapies established by section 223 of the District
2034		-	of Columbia Health Occupations Revision Act of 1985, passed on 2nd reading on May 7, 2024
2035		-	(Enrolled version of Bill 25-545); and
2036		-	“(73) Board of Integrative Healthcare established by section 224 of the District of
2037		-	Columbia Health Occupations Revision Act of 1985, passed on 2nd reading on May 7, 2024
2038		-	(Enrolled version of Bill 25-545).”.
2039		-
2040		-	Sec. 202. The Department of Health Functions Clarification Act of 2001, effective
2041		-	October 3, 2001 (D.C. Law 14-28; D.C. Official Code § 7-731 et seq.), is amended as follows:
2042		-	(a) Section 4942 (D.C. Official Code § 7-743.02) is repealed.
2043		-	(b) Section 4944 (D.C. Official Code § 7-743.04) is repealed.
2044		-	(c) Section 4945 (D.C. Official Code § 7-743.05) is repealed.
2045		-	(d) A new section 4949a is added to read as follows:
2046		-	“Sec. 4949a. Advisory Committee on Medical Radiation Technologists.
2047		-	“(a) There is established an Advisory Committee on Medical Radiation Technologists
2048		-	(“Committee”), which shall consist of the following 5 members: ENROLLED ORIGINAL
	1186	+	“(A) The individual has been providing care to the client or patient located 909
	1187	+	in a state and is accompanying the client or patient to the District for a visit not exceeding 30 910
	1188	+	days; 911
	1189	+	“(B) The individual is called from a state in professional consultation by 912
	1190	+	or on behalf of a client or patient to visit, examine, treat, or provide advice regarding the specific 913
	1191	+	client or patient in the District; or 914
	1192	+	“(C) The individual is invited to give a demonstration of a procedure or 915
	1193	+	clinic in the District; provided, that the individual engages in the provision of care, consultation, 916
	1194	+	demonstration, or clinic in affiliation with a comparable health professional licensed, registered, 917
	1195	+	or certified pursuant to this act;”. 918
	1196	+	(3) Paragraph (3A) is amended by striking the phrase “retained to testify as an 919
	1197	+	expert witness” and inserting the phrase “retained to assess or evaluate a subject and to testify as 920
	1198	+	an expert witness” in its place. 921
	1199	+	(dd) Section 503 (D.C. Official Code § 3-1205.03) is amended as follows: 922
	1200	+	(1) Subsection (a) is amended as follows: 923
	1201	+	(A) Paragraph (2) is amended by striking the phrase “age;” and inserting 924
	1202	+	the phrase “age; except that individuals applying for certification as nursing assistive personnel 925
	1203	+	shall be at least 16 years of age;” in its place. 926 ENGROSSED ORIGINAL
2049	1204
2050	1205
2051	1206
2052	1207
2053	1208		47
2054	1209
2055		-	“(1) A physician licensed in the District whose practice consists mostly of the
2056		-	type of medicine that requires significant interaction with medical radiation technologists;
2057		-	“(2) Three individuals who work as medical radiation technologists; and
2058		-	“(3) A consumer member with no direct affiliation with medical radiation
2059		-	technology or a member of another health profession.
2060		-	“(b) To remain qualified to serve as a member of the Committee, the medical radiation
2061		-	technologist members who serve as initial appointees shall become licensed or registered in their
2062		-	profession within 180 days of the Department of Health’s implementation of the licensure or
2063		-	registration requirements.
2064		-	“(c) The Committee shall develop and submit to the Board of Medicine guidelines and
2065		-	proposed regulations for the licensure and regulation of cardiovascular-interventional
2066		-	technologists, computed tomography technologists, magnetic resonance technologists,
2067		-	mammographers, nuclear medicine technologists, radiation therapists, radiographers, ultrasound
2068		-	technologists, and radiologist assistants.”.
2069		-	(e) Section 4952(d)(1) D.C. Official Code § 7-744.02(d)(1)), is amended by striking the
2070		-	phrase “certificate, which shall be notarized and provided to” and inserting the phrase “certificate
2071		-	to” in its place.
2072		-
2073		-	Sec. 203. Section 2(7) of the Health-care Facility Unlicensed Personnel Criminal
2074		-	Background Check Act of 1998, effective April 20, 1999 (D.C. Law 12-238; D.C. Official Code
2075		-	§ 44-551(7)), is amended to read as follows:
2076		-	“(7) “Unlicensed person” means a person not required to be licensed pursuant to
2077		-	the District of Columbia Health Occupations Revision Act of 1985, effective March 25, 1986
2078		-	(D.C. Law 6-99; D.C. Official Code § 3-1201.01 et seq.), who functions in a complementary or
2079		-	assistance role to licensed health care professionals in providing direct patient care or in
2080		-	performing common nursing tasks. The term “unlicensed person” includes housekeeping,
2081		-	maintenance, and administrative staff for whom it is foreseeable that the prospective employee or
2082		-	contract worker will come in direct contact with patients.”.
2083		-
2084		-	Sec. 204. Section 702(c)(3) of the Assisted Living Residence Regulatory Act of 2000,
2085		-	effective June 24, 200 (D.C. Law 13-127; D.C. Official Code § 44-107.02), is amended to read
2086		-	as follows:
2087		-	“(3) Four hours covering cognitive impairments in an in-service training in
2088		-	accordance with the dementia training for direct care workers requirements established by
2089		-	section 4952 of the Department of Health Functions Clarification Act of 2001, effective March
2090		-	16, 2021 (D.C. Law 23-201; D.C. Official Code § 7-744.02); and”.
2091		-
2092		-	Sec. 205. Section 47-2853.76e(b) of the District of Columbia Official Code is amended to
2093		-	read as follows: ENROLLED ORIGINAL
	1210	+	(B) Paragraph (3) is amended by striking the phrase “and Titles VI, VII, 927
	1211	+	VIII and VIII-A” and inserting the phrase “and Titles VI, VII, VIII, VIII-A, VIII-B, VIII-C, 928
	1212	+	VIII-D, VIII-E, VIII-F, or VIII-G” in its place. 929
	1213	+	(C) Paragraph (4) is amended by striking the phrase “; and” and inserting a 930
	1214	+	semicolon in its place. 931
	1215	+	(D) Paragraph (5) is amended by striking the period at the end and 932
	1216	+	inserting a semicolon in its place. 933
	1217	+	(E) New paragraphs (6) and (7) are added to read as follows: 934
	1218	+	“(6) Has not had a license, registration, or certification to practice a health 935
	1219	+	occupation revoked or suspended in another state if: 936
	1220	+	“(A) The basis of the license revocation or suspension would have 937
	1221	+	caused a similar result in the District; and 938
	1222	+	“(B) The revocation or suspension has not been terminated or the 939
	1223	+	applicant’s license has not been restored to good standing in the relevant state; and 940
	1224	+	“(7) Is not currently the subject of a pending disciplinary action regarding 941
	1225	+	the individual’s right to practice in another state.”. 942
	1226	+	(2) Subsection (c) is repealed. 943
	1227	+	(3) Subsection (d) is amended by striking the phrase “and Titles VI, VII, VIII and 944
	1228	+	VIII-A” and inserting the phrase “and Titles VI, VII, VIII, VIII-A, VIII-B, VIII-C, VIII-D, VIII-945
	1229	+	E, VIII-F, and VIII-G” in its place.”. 946 ENGROSSED ORIGINAL
2094	1230
2095	1231
2096	1232
2097	1233
2098	1234		48
2099	1235
2100		-	“(b) No body artist shall perform body art procedures on a person under 18 years of age;
2101		-	except, that, if a parent or legal guardian has provided their written consent:
2102		-	“(1) Ear piercing with a sterilized hollow needle or a mechanized, pre-sterilized
2103		-	single-use stud and clasp ear piercing gun is permitted for persons under 18 years of age; and
2104		-	“(2) Tattooing services are permitted for persons 16 years of age and older.”.
2105		-
2106		-	Sec. 206. Section 204(a) of the Freedom of Information Act of 1976, effective March 29,
2107		-	1977 (D.C. 1-96; D.C. Official Code § 2-534(a)), is amended as follows:
2108		-	(a) Paragraph (19) is amended by striking the phrase “; and” and inserting a semicolon in
2109		-	its place.
2110		-	(b) Paragraph (20) is amended by striking the period and inserting the phrase “; and” in
2111		-	its place.
2112		-	(c) A new paragraph (21) is added to read as follows:
2113		-	“(21) Information exempt from disclosure under section 525 of the District of
2114		-	Columbia Health Occupations Revision Act of 1985, passed on 2nd reading on May 7, 2024
2115		-	(Enrolled version of Bill 25-545).
2116		-
2117		-	TITLE III. FISCAL IMPACT STATEMENT ; EFFECTIVE DATE.
2118		-	Sec. 301. Fiscal impact statement.
2119		-	The Council adopts the fiscal impact statement in the committee report as the fiscal
2120		-	impact statement required by section 4a of the General Legislative Procedures Act of 1975,
2121		-	approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a).
2122		-
2123		-	Sec. 302. Effective date.
2124		-	This act shall take effect following approval by the Mayor (or in the event of veto by the
2125		-	Mayor, action by the Council to override the veto) and a 30-day period of congressional review
2126		-
2127		-
2128		-
2129		-
2130		-
2131		-
2132		-
2133		-
2134		-
2135		-
2136		-
2137		-	ENROLLED ORIGINAL
	1236	+	(ee) Section 504 (D.C. Official Code § 3-1205.04) is amended as follows: 947
	1237	+	(1) Subsection (a) is amended by striking the phrase “Board of Medicine” and 948
	1238	+	inserting the phrase “Board of Integrative Healthcare” in its place. 949
	1239	+	(2) Subsection (b) is amended by striking the phrase “Board of Chiropractic” both 950
	1240	+	times it appears and inserting the phrase “Board of Integrative Healthcare” in its place. 951
	1241	+	(3) Subsection (d-2) is amended by striking the phrase “completed a minimum of 952
	1242	+	500 hours of training in massage therapy.” and inserting the phrase “completed the training in 953
	1243	+	massage therapy required pursuant to rules promulgated by the Mayor.” in its place. 954
	1244	+	(4) Subsection (e-1) is amended by striking the phrase “Board of Medicine” 955
	1245	+	wherever it appears and inserting the phrase “Board of Integrative Healthcare” in its place. 956
	1246	+	(5) Subsection (f)(1) is amended by striking the phrase “Board of Long-Term 957
	1247	+	Care Administration” and inserting “Board of Nursing” in its place. 958
	1248	+	(6) Subsection (g) is amended by striking the phrase “Board of Occupational 959
	1249	+	Therapy” both times it appears and inserting the phrase “Board of Rehabilitative Therapies” in 960
	1250	+	its place. 961
	1251	+	(7) Subsection (j) is amended as follows: 962
	1252	+	(A) Strike the phrase “physical therapy assistant” both times it appears and 963
	1253	+	insert the phrase “physical therapist assistant” in its place. 964
	1254	+	(B) Strike the phrase “Board of Physical Therapy” wherever it appears and 965
	1255	+	insert the phrase “Board of Rehabilitative Therapies” in its place. 966 ENGROSSED ORIGINAL
2138	1256
2139	1257
2140	1258
2141	1259
2142	1260		49
2143	1261
2144		-	as provided in section 602(c)(1) of the District of Columbia Home Rule Act, approved December
2145		-	24, 1973 (87 Stat. 813; D. C. Official Code § 1-206.02(c)(1)).
2146		-
2147		-
2148		-
2149		-
2150		-	______________________________
2151		-	Chairman
2152		-	Council of the District of Columbia
2153		-
2154		-
2155		-
2156		-
2157		-
2158		-	_________________________________
2159		-	Mayor
2160		-	District of Columbia
2161		-
2162		-
2163		-
2164		-
	1262	+	(8) Subsection (o) is repealed. 967
	1263	+	(9) Subsection (p) is amended as follows: 968
	1264	+	(A) Strike the phrase “respiratory therapy” and insert the phrase 969
	1265	+	“respiratory care” in its place. 970
	1266	+	(B) Strike the phrase “Board of Respiratory Therapy” and insert the phrase 971
	1267	+	“Board of Respiratory Care” in its place. 972
	1268	+	(10) Subsection (t) is amended as follows: 973
	1269	+	(A) Paragraph (1) is amended by striking the word “midwifery” and 974
	1270	+	inserting the phrase “certified professional midwifery” in its place. 975
	1271	+	(B) Paragraph (2) is amended by striking the word “midwifery” and 976
	1272	+	inserting the phrase “certified professional midwifery” in its place. 977
	1273	+	(11) A new subsection (v) is added to read as follows: 978
	1274	+	“(v) For purposes of this section, references to the Board on Rehabilitative Therapies and 979
	1275	+	Board of Integrative Healthcare prior to their commencement of operations pursuant to sections 980
	1276	+	223(e) and 224(f), respectively, shall refer to the board with regulatory authority over the 981
	1277	+	respective health care profession prior to the effective date of the Health Occupations Revision 982
	1278	+	General Amendment Act of 2024, as approved by the Committee on Health on March 21, 2024 983
	1279	+	(Committee Print of Bill 25-545).”. 984
	1280	+	(ff) Section 505 (D.C. Official Code § 3-1205.05) is amended as follows: 985 ENGROSSED ORIGINAL
	1281	+
	1282	+
	1283	+
	1284	+
	1285	+	50
	1286	+
	1287	+	(1) Subsection (b) is amended by adding a new sentence at the end to read as 986
	1288	+	follows “An individual who does not have a social security number shall submit with the 987
	1289	+	application a sworn affidavit, under penalty of perjury, stating that he or she does not have a 988
	1290	+	social security number.”. 989
	1291	+	(2) New subsections (c), (d), and (e) are added to read as follows: 990
	1292	+	“(c) While a post office box may be provided as the applicant’s preferred mailing 991
	1293	+	address, an applicant shall provide their actual physical residential or business address for the 992
	1294	+	record. 993
	1295	+	“(d) An applicant shall have the burden of establishing that they meet the requirements 994
	1296	+	for the license, registration, or certification sought. 995
	1297	+	“(e) Any document or information required by this act or rule issued pursuant to this act 996
	1298	+	to be submitted for the issuance or renewal of a license, registration, or certification may be 997
	1299	+	submitted in electronic form in accordance with rules established by the Mayor.”. 998
	1300	+	(gg) Section 507 (D.C. Official Code § 3-1205.07) is amended by adding a new 999
	1301	+	subsection (c) to read as follows: 1000
	1302	+	“(c) The Mayor may issue rules establishing standards and requirements by which a 1001
	1303	+	board may assess and determine that an endorsement applicant possesses current competency 1002
	1304	+	substantially equivalent to the competency standards required in the District, notwithstanding 1003
	1305	+	that the applicant may not have been licensed, registered, certified, or accredited by an 1004 ENGROSSED ORIGINAL
	1306	+
	1307	+
	1308	+
	1309	+
	1310	+	51
	1311	+
	1312	+	accrediting association or a state board under the standards that were substantially equivalent to 1005
	1313	+	the District’s standards at the time of their licensure, registration, certification, or accreditation.”. 1006
	1314	+	(hh) Section 508a (D.C. Official Code § 3-1205.08a) is amended to read as follows: 1007
	1315	+	“Sec. 508a. Temporary license, registration, or certification. 1008
	1316	+	“(a) A board may, in situations established by the Mayor through rulemaking, issue a 1009
	1317	+	temporary license, registration, or certification for a health care profession to an applicant if the 1010
	1318	+	applicant is licensed, registered, or certified and in good standing in another jurisdiction to 1011
	1319	+	practice the same profession. 1012
	1320	+	“(b) A temporary license, registration, or certification issued pursuant to this section shall 1013
	1321	+	be valid for a fixed period of time established by the issuing board, subject to any limits as may 1014
	1322	+	be established by the Mayor by rule. 1015
	1323	+	“(c) For the purposes of this section, the term “in good standing” means that the applicant 1016
	1324	+	has an active license and is not subject to any current public or private discipline, including 1017
	1325	+	probation, suspension, revocation, or any other public or private practice restriction. 1018
	1326	+	“(d) An applicant who previously held a license, registration or certification in the 1019
	1327	+	District that was revoked or suspended shall be not eligible for a temporary license, registration, 1020
	1328	+	or certification under this section.”. 1021
	1329	+	(ii) Subsection 509(a)(2) (D.C. Official Code § 3-1205.09(a)(2)) is repealed. 1022
	1330	+	(jj) Section 509a (D.C. Official Code § 3-1205.09a) is amended as follows: 1023 ENGROSSED ORIGINAL
	1331	+
	1332	+
	1333	+
	1334	+
	1335	+	52
	1336	+
	1337	+	(1) Subsection (a) is amended by striking the phrase “the Board” and inserting the 1024
	1338	+	phrase “the Board of Medicine” in its place. 1025
	1339	+	(2) Subsection (b) is amended by striking the phrase “in any single year” and 1026
	1340	+	inserting “in any single calendar year” in its place. 1027
	1341	+	(3) Subsection (e)(4) is amended to read as follows: 1028
	1342	+	“(4) All initial applicants shall pay a license fee of a minimum of $500.”. 1029
	1343	+	(4) Subsection (g)(2) is amended by striking the phrase “a fee of $1,000,” and 1030
	1344	+	inserting the phrase “a minimum fee of $1,000,” in its place. 1031
	1345	+	(kk) Section 510 (D.C. Official Code § 3-1205.10) is amended as follows: 1032
	1346	+	(1) Subsection (a) is amended to read as follows: 1033
	1347	+	“(a) The term of a license, registration, or certification shall not exceed 2 years; 1034
	1348	+	except, that the Mayor may by rule provide for a period of licensure, registration, or certification 1035
	1349	+	of not more than 3 years. An expiring license, registration, or certification may be renewed in 1036
	1350	+	accordance with rules issued by the Mayor.”. 1037
	1351	+	(2) A new subsection (a-1) is added to read as follows: 1038
	1352	+	“(a-1) The Mayor may require a health professional to maintain the required 1039
	1353	+	qualifications for licensure, registration, or certification during the period of licensure, 1040
	1354	+	registration, or certification or for the renewal of the license, registration, or certification.”. 1041
	1355	+	(3) Subsection (b)(1) is repealed. 1042
	1356	+	(4) Subsection (c) is amended as follows: 1043 ENGROSSED ORIGINAL
	1357	+
	1358	+
	1359	+
	1360	+
	1361	+	53
	1362	+
	1363	+	(A) The lead-in language is amended by striking the phrase “by first class 1044
	1364	+	mail” and inserting the phrase “by first class mail or electronic mail” in its place. 1045
	1365	+	(B) Paragraph (2) is amended by striking the phrase “issued and mailed” 1046
	1366	+	and inserting the word “issued” in its place. 1047
	1367	+	(5) Subsection (d)(2) is amended by striking the semicolon and inserting the 1048
	1368	+	phrase “pursuant to this act or rules promulgated under this act;” in its place. 1049
	1369	+	(ll) Section 511 (D.C. Official Code § 3-1205.11) is amended as follows: 1050
	1370	+	(1) Subsection (a) is amended by striking the phrase “on inactive status.” and 1051
	1371	+	inserting the phrase “on inactive status; except, that, the license, registration, or certification of a 1052
	1372	+	nursing assistive personnel, medical training licensee, medical training registrant, 1053
	1373	+	polysomnographic technician, polysomnographic trainee, speech-language pathology clinical 1054
	1374	+	fellow, or any health care professional as determined by the Mayor through rulemaking shall not 1055
	1375	+	be eligible to be placed on inactive status.” in its place. 1056
	1376	+	(2) Subsection (c) is amended to read as follows: 1057
	1377	+	“(c) Each board shall, subject to the limitations specified in subsection (a) of this 1058
	1378	+	section, issue a license, registration, or certification to an individual who is on inactive status and 1059
	1379	+	who desires to resume the practice of a health occupation, if the individual: 1060
	1380	+	“(1) Pays the fee established by the Mayor; 1061
	1381	+	“(2) Seeks reactivation of the license, registration, or certification in 1062
	1382	+	accordance with the rules governing the profession and complies with the continuing education 1063 ENGROSSED ORIGINAL
	1383	+
	1384	+
	1385	+
	1386	+
	1387	+	54
	1388	+
	1389	+	and criminal background check requirements in effect when the licensee, registrant, or person 1064
	1390	+	certified seeks to reactivate their license, registration, or certification; and 1065
	1391	+	“(3) Establishes to the satisfaction of the board that regulates the 1066
	1392	+	profession that they possess the current competency to practice their health profession safely and 1067
	1393	+	effectively, which may include compliance with a re-entry plan for individuals who have not 1068
	1394	+	actively practiced their profession for a period of time as established by rule.”. 1069
	1395	+	(3) A new subsection (d) is added to read as follows: 1070
	1396	+	“(d) The Mayor may establish by rule a maximum amount of time that a license, 1071
	1397	+	registration, or certification may remain inactive in accordance with each health care 1072
	1398	+	profession’s standards.”. 1073
	1399	+	(mm) A new section 511a is added to read as follows: 1074
	1400	+	“Sec. 511a. Emeritus status. 1075
	1401	+	“(a) The Mayor may issue rules permitting emeritus status for a licensee, registrant, or 1076
	1402	+	certificate holder who meets the following requirements: 1077
	1403	+	“(1) The person has at least 10 years of relevant licensed, registered, or certified 1078
	1404	+	practice in the District; 1079
	1405	+	“(2) The person provides a declaration of retirement from active practice in all 1080
	1406	+	jurisdictions in which the person is licensed, registered, or certified; 1081
	1407	+	“(3) The person is not the subject of disciplinary action in any jurisdiction; and 1082 ENGROSSED ORIGINAL
	1408	+
	1409	+
	1410	+
	1411	+
	1412	+	55
	1413	+
	1414	+	“(4) The person has had no prior revocation or suspension of their license, 1083
	1415	+	registration, or certification in any jurisdiction. 1084
	1416	+	“(b) An individual holding emeritus status permits the holder to refer to themself by the 1085
	1417	+	title of their license, registration, or certification but may not: 1086
	1418	+	“(1) Engage in active practice of that health profession in the District or any other 1087
	1419	+	jurisdiction; or 1088
	1420	+	“(2) Either explicitly or implicitly hold themself out to others as a person permitted 1089
	1421	+	to engage in active practice of that health profession. 1090
	1422	+	“(c) The board may cancel an emeritus license, registration, or certificate for failure to 1091
	1423	+	meet the requirements of subsections (a) or (b) of this section. 1092
	1424	+	“(d) The board may take disciplinary action against an emeritus status holder for 1093
	1425	+	violations of sections 501 or 514. 1094
	1426	+	“(e) An emeritus status holder may apply to change to an active license, registration, or 1095
	1427	+	certification status within 5 years after the date emeritus status was granted by: 1096
	1428	+	“(1) Paying the fee established by the Mayor; 1097
	1429	+	“(2) Complying with the continuing education requirements in effect when the 1098
	1430	+	emeritus holder seeks to return to active license, registration, or certification status; 1099
	1431	+	“(3) Complying with any other current requirements for the reactivation of a 1100
	1432	+	license, registration, or certification; and 1101 ENGROSSED ORIGINAL
	1433	+
	1434	+
	1435	+
	1436	+
	1437	+	56
	1438	+
	1439	+	“(4) Establishing to the board’s satisfaction that they possess the current 1102
	1440	+	competency to practice their health profession. 1103
	1441	+	“(f) An emeritus status holder may not return to active license, registration, or 1104
	1442	+	certification more than 5 years after the grant of the emeritus status except by submitting an 1105
	1443	+	application for a new license, registration, or certification and establishing to the satisfaction of 1106
	1444	+	the board that they qualify for the license, registration, or certification and possess current 1107
	1445	+	competency to practice that profession.”. 1108
	1446	+	(nn) Section 512 (D.C. Official Code § 3-1205.12) is amended as follows: 1109
	1447	+	(1) Subsection (a) is amended as follows: 1110
	1448	+	(A) The lead-in language to subsection (a) is amended to read as follows 1111
	1449	+	“(a) Except as otherwise provided in subsections (b), (c), and (d) of this section, if a 1112
	1450	+	health professional fails for any reason to renew the license, registration, or certification issued 1113
	1451	+	under this title prior to the expiration date or during the period of late renewal, the board 1114
	1452	+	regulating the health occupation shall reinstate the license, registration, or certification, if the 1115
	1453	+	health professional:”. 1116
	1454	+	(B) Paragraph (2) is amended to read as follows: 1117
	1455	+	“(2) Complies with the current requirements for reinstatement of a license, 1118
	1456	+	registration, or certification as specified by this act and rules;”. 1119
	1457	+	(2) Subsection (b) is amended to read as follows: 1120 ENGROSSED ORIGINAL
	1458	+
	1459	+
	1460	+
	1461	+
	1462	+	57
	1463	+
	1464	+	“(b) The board shall not reinstate the license, registration, or certification of a health 1121
	1465	+	professional who fails to apply for reinstatement of a license, registration, or certification within 1122
	1466	+	5 years after the license, registration, or certification expires. The health professional may 1123
	1467	+	become licensed, registered, or certified by meeting the requirements for a new application as 1124
	1468	+	specified by rule.”. 1125
	1469	+	(3) New subsections (c) and (d) are added to read as follows: 1126
	1470	+	“(c) Any individual who has not been in the active practice of his or her health profession 1127
	1471	+	for more than 2 years preceding the date of the reinstatement application may be required, 1128
	1472	+	pursuant to rule, to submit proof satisfactory to the board of their competency to practice, which 1129
	1473	+	may include training, testing, or practice monitoring as determined by the board. 1130
	1474	+	“(d) A registration or certification of a nursing assistive personnel that has expired and is 1131
	1475	+	not renewed may not be reinstated except as may be provided in rules issued by the Mayor.”. 1132
	1476	+	(oo) Section 513(a)(4) (D.C. Official Code § 3-1205.13(a)(4)) is amended as follows: 1133
	1477	+	(1) Subparagraph (A) is amended to read as follows: 1134
	1478	+	“(A) Change of email address, address of the place of residence, or 1135
	1479	+	address of the place of business or employment within 30 days after the relevant change;”. 1136
	1480	+	(2) Subparagraph (C) is amended to read as follows: 1137
	1481	+	“(C) Adverse event meeting the requirements of section 9 of the Health-1138
	1482	+	Care and Community Residence Facility Hospice and Home Care Licensure Act of 1983, 1139 ENGROSSED ORIGINAL
	1483	+
	1484	+
	1485	+
	1486	+
	1487	+	58
	1488	+
	1489	+	effective February 24, 1984 (D.C. Law 5-48; D.C. Official Code § 44-508), within the time 1140
	1490	+	specified by that section.”. 1141
	1491	+	(pp) Section 514 (D.C. Official Code § 3-1205.14) is amended as follows: 1142
	1492	+	(1) Subsection (a) is amended as follows: 1143
	1493	+	(A) The lead-in language is amended by striking the phrase “, an applicant 1144
	1494	+	to establish or operate a school of nursing or nursing program,” and inserting a comma in its 1145
	1495	+	place. 1146
	1496	+	(B) Paragraph (3) is amended to read as follows: 1147
	1497	+	“(3) Is disciplined by a licensing, disciplinary, or regulatory authority, 1148
	1498	+	professional interstate compact, or peer review body, has entered into a Corporate Integrity 1149
	1499	+	Agreement or other agreement with the federal government in lieu of legal sanction, or is 1150
	1500	+	convicted or disciplined by a court of any jurisdiction for conduct that would be grounds for 1151
	1501	+	disciplinary action under this section; for the purposes of this paragraph, the term “convicted” 1152
	1502	+	means the entry of a finding of guilt by a judge or jury, or the acceptance or entry of a guilty 1153
	1503	+	plea, a judgment, or any admission of guilt, including a plea of nolo contendere, an Alford plea, 1154
	1504	+	deferred sentence, or deferred judgment;”. 1155
	1505	+	(C) Paragraph (19) is amended to read as follows: 1156
	1506	+	“(19) Prescribes, dispenses, takes, acquires, appropriates for one’s own or 1157
	1507	+	another’s use, or administers drugs when not authorized to do so;”. 1158
	1508	+	(D) Paragraph (20) is amended to read as follows: 1159 ENGROSSED ORIGINAL
	1509	+
	1510	+
	1511	+
	1512	+
	1513	+	59
	1514	+
	1515	+	“(20) Fails to exercise appropriate supervision over persons who are authorized to 1160
	1516	+	practice only under the supervision of the licensee, registrant, or certificate holder;”. 1161
	1517	+	(E) Paragraph (25) is amended by striking the phrase “, or fails to conduct 1162
	1518	+	business with honesty and fair dealing with employees or students in his or her school of nursing 1163
	1519	+	or nursing program, the District of Columbia, a state, the federal government, or the public;” and 1164
	1520	+	inserting a semicolon in its place. 1165
	1521	+	(F) A new paragraph (26A) is added to read as follows: 1166
	1522	+	“(26A) Performs treatments or services without informed consent by the patient, 1167
	1523	+	client, or his or her legal representative, except as provided under section 1 of An Act to relieve 1168
	1524	+	physicians of liability negligent medical treatment at the scene of an accident in the District of 1169
	1525	+	Columbia, approved November 8, 1965 (79 Stat. 1302; D.C. Official Code § 7-401);”. 1170
	1526	+	(G) Paragraph (27) is amended by striking the phrase “negotiated 1171
	1527	+	settlement” and inserting the phrase “negotiated settlement agreement” in its place. 1172
	1528	+	(H) Paragraph (30) is amended by striking the semicolon and inserting the 1173
	1529	+	phrase “, or without the withdrawing health professional providing a referral or list of alternative 1174
	1530	+	providers;” in its place. 1175
	1531	+	(I) A new paragraph (30A) is added to read as follows: 1176
	1532	+	“(30A) Neglects or verbally or physically abuses a patient or client; for the 1177
	1533	+	purposes of this paragraph, the term “verbal abuse” includes yelling, screaming, shouting, 1178
	1534	+	threats, intimidation, insulting, or name calling by the health professional or by his or her staff;”. 1179 ENGROSSED ORIGINAL
	1535	+
	1536	+
	1537	+
	1538	+
	1539	+	60
	1540	+
	1541	+	(J) Paragraph (32) is amended by striking the phrase “HIV positive;” and 1180
	1542	+	inserting the phrase “HIV positive or is regarded as HIV positive;” in its place. 1181
	1543	+	(K) Paragraph (51) is amended by striking the phrase “; or” and inserting a 1182
	1544	+	semicolon in its place. 1183
	1545	+	(L) Paragraph (52) is amended by striking the period at the end and 1184
	1546	+	inserting a semicolon in its place. 1185
	1547	+	(M) New paragraphs (53), (54), and (55) are added to read as follows: 1186
	1548	+	“(53) Engages in conduct in their practice that is unprofessional or creates a 1187
	1549	+	deleterious impact on the public’s impression of the profession, or that denies a patient or client 1188
	1550	+	an atmosphere of safety and health while undergoing treatment; 1189
	1551	+	“(54) Allows staff or persons under their supervision or employment to engage in 1190
	1552	+	conduct that is unprofessional in their interaction with patients or clients; or 1191
	1553	+	“(55) Fails to maintain the minimum requirements for licensure, registration, or 1192
	1554	+	certification during the period of licensure, registration or certification.”. 1193
	1555	+	(2) Subsection (c) is amended as follows: 1194
	1556	+	(A) Paragraph (1) is amended by striking the phrase “or an application to 1195
	1557	+	establish a school of nursing or nursing program;” and inserting a semicolon in its place. 1196
	1558	+	(B) Paragraph (4) is amended by striking the semicolon and inserting the 1197
	1559	+	phrase “; provided, that the reprimand may subsequently be removed from the individual’s 1198
	1560	+	record upon approval by the board as authorized by rule;” in its place. 1199 ENGROSSED ORIGINAL
	1561	+
	1562	+
	1563	+
	1564	+
	1565	+	61
	1566	+
	1567	+	(C) Paragraph (7) is amended by striking the phrase “; or” and inserting a 1200
	1568	+	semicolon in its place. 1201
	1569	+	(D) Paragraph (8) is amended by striking the period at the end and 1202
	1570	+	inserting the phrase “; or” in its place. 1203
	1571	+	(E) A new paragraph (9) is added to read as follows: 1204
	1572	+	“(9) Limit or restrict the practice of the person.”. 1205
	1573	+	(qq) New sections 514a and 514b are added to read as follows: 1206
	1574	+	“Sec. 514a. Negotiated settlement agreement. 1207
	1575	+	“(a) A board may, in its discretion, enter into a non-disciplinary settlement agreement 1208
	1576	+	with a person in lieu of disciplinary action; provided, that the conduct underlying the agreement 1209
	1577	+	meets the following requirements: 1210
	1578	+	“(1) The board is satisfied that there is little or no harm or substantive possibility 1211
	1579	+	of future harm to a client, patient, or the public; 1212
	1580	+	“(2) The board determines that the conduct involves issues of minor concern; and 1213
	1581	+	“(3) The matter does not involve gross negligence, intentional misconduct, or 1214
	1582	+	criminal conduct by the party or entity. 1215
	1583	+	“(b) A non-disciplinary settlement agreement shall not constitute a disciplinary action, 1216
	1584	+	but the conduct underlying the agreement may be considered in the board’s review of future 1217
	1585	+	conduct of a similar nature.”. 1218 ENGROSSED ORIGINAL
	1586	+
	1587	+
	1588	+
	1589	+
	1590	+	62
	1591	+
	1592	+	“Sec. 514b. Disciplinary or adverse action against nursing education or nursing assistive 1219
	1593	+	personnel training programs. 1220
	1594	+	“(a) The Board of Nursing, subject to the right to a hearing provided by section 519, may 1221
	1595	+	deny or withdraw approval of a nursing education program or a nursing assistive personnel 1222
	1596	+	training program, if: 1223
	1597	+	“(1) The program fails to meet the standards established by the Mayor through 1224
	1598	+	rulemaking; 1225
	1599	+	“(2) The program, or an individual responsible for the program, fails to conduct 1226
	1600	+	its business with honesty and fair dealing toward its employees, its students, the government, or 1227
	1601	+	the public; 1228
	1602	+	“(3) The program, or an individual responsible for the program, has engaged or 1229
	1603	+	attempted to engage in falsification of documents or records; 1230
	1604	+	“(4) The program, or an individual responsible for the program, fraudulently or 1231
	1605	+	deceptively obtains or attempts to obtain approval of a program; or 1232
	1606	+	“(5) The program, or an individual responsible for the program, has violated any 1233
	1607	+	applicable District law or regulation.”. 1234
	1608	+	(rr) Section 517(b) (D.C. Official Code § 3-1205.17(b)) is amended by striking the phrase 1235
	1609	+	“revoking or suspending the license,” and inserting the phrase “revoking, suspending, or 1236
	1610	+	accepting the surrender of the license,” in its place. 1237
	1611	+	(ss) Section 519 (D.C. Official Code § 3-1205.19) is amended as follows: 1238 ENGROSSED ORIGINAL
	1612	+
	1613	+
	1614	+
	1615	+
	1616	+	63
	1617	+
	1618	+	(1) A new subsection (a-2) is added to read as follows: 1239
	1619	+	“(a-2) Before the Board of Nursing takes an action pursuant to section 514b, it 1240
	1620	+	shall give the program or operator of the program an opportunity for a hearing before the Board 1241
	1621	+	in accordance with this section.”. 1242
	1622	+	(2) Subsection (b) is amended by striking the phrase “or person certified” and 1243
	1623	+	inserting the phrase “person certified, or person or entity operating a nursing education or 1244
	1624	+	nursing assistive personnel training program” in its place. 1245
	1625	+	(tt) Section 522(a) (D.C. Official Code § 3-1205.22(a)) is amended to read as follows: 1246
	1626	+	“(a) No initial, reactivated, or reinstated license, registration, or certification shall be 1247
	1627	+	issued to a health professional before a criminal background check has been conducted for that 1248
	1628	+	person. The applicant for a license, registration, or certification shall pay the fee established by 1249
	1629	+	the Mayor for the criminal background check. The Mayor may require, by rule, that a criminal 1250
	1630	+	background check be conducted for the renewal of a license, registration, or certification, and a 1251
	1631	+	fee for such criminal background check.”. 1252
	1632	+	(uu) A new section 525 is added to read as follows: 1253
	1633	+	“Sec. 525. Disciplinary records. 1254
	1634	+	“(a) Consent Orders, Final Orders, and Notices of Summary Suspensions issued pursuant 1255
	1635	+	to this act shall be considered public documents and posted on the Department of Health’s 1256
	1636	+	website; provided that these documents may be redacted for purposes of protecting private or 1257 ENGROSSED ORIGINAL
	1637	+
	1638	+
	1639	+
	1640	+
	1641	+	64
	1642	+
	1643	+	otherwise confidential information and may only be disclosed in unredacted form in accordance 1258
	1644	+	with a District or federal law or regulation. 1259
	1645	+	“(b) Medical records, Orders for Fitness to Practice Evaluations, or other types of 1260
	1646	+	physical and mental evaluations, and the resulting reports, shall not be disclosed and shall be 1261
	1647	+	exempt from disclosure under the Freedom of Information Act of 1976, effective March 31, 1977 1262
	1648	+	(D.C. Law 1-96; D.C. Official Code § 2-531 et seq.). 1263
	1649	+	“(c) Notwithstanding any other provision of law, the Director of the Department of 1264
	1650	+	Health may provide information regarding a past or pending investigation of, or disciplinary 1265
	1651	+	action against, any licensee, registrant, or certificate holder, or applicant for licensure, 1266
	1652	+	registration, or certification by that board to any District licensing authority or a licensing 1267
	1653	+	authority of any jurisdiction, upon request; except, that this authorization shall not apply to 1268
	1654	+	information that is deemed confidential under subsection (b) of this section. Nothing in this act 1269
	1655	+	shall limit the authority of the Director to disclose to any person or entity information concerning 1270
	1656	+	the existence of any investigation for unlicensed practice being conducted against any person 1271
	1657	+	who is neither licensed, registered, or certified, nor an applicant for licensure, registration, or 1272
	1658	+	certification.”. 1273
	1659	+	(vv) Section 601(a) (D.C. Official Code § 3-1206.01(a)) is amended by striking the 1274
	1660	+	phrase “by this title.” and inserting the phrase “by this title and any rules promulgated pursuant 1275
	1661	+	to this title.” in its place. 1276
	1662	+	(ww) Section 603 (D.C. Official Code § 3-1206.03) is repealed. 1277 ENGROSSED ORIGINAL
	1663	+
	1664	+
	1665	+
	1666	+
	1667	+	65
	1668	+
	1669	+	(xx) Subsection 604(4) (D.C. Official Code § 3-1206.04(4)) is amended by striking the 1278
	1670	+	word “board” and inserting the word “Mayor” in its place. 1279
	1671	+	(yy) A new section 605a is added to read as follows: 1280
	1672	+	“Sec. 605a. Certified registered nurse anesthetist. 1281
	1673	+	“In addition to the functions authorized in section 604, a certified registered nurse 1282
	1674	+	anesthetist may plan and deliver anesthesia, pain management, and related care to patients or 1283
	1675	+	clients of all health complexities across the lifespan. This practice incorporates the use of 1284
	1676	+	independent judgement as well as collaborative interaction with other health care professionals.”. 1285
	1677	+	(zz) A new section 606a is added to read as follows: 1286
	1678	+	“Sec. 606a. Certified nurse-midwife. 1287
	1679	+	“In addition to the functions authorized section 604, a certified nurse-midwife may 1288
	1680	+	provide primary care, gynecologic and family planning services, preconception care, care during 1289
	1681	+	pregnancy, childbirth, and the post-partum period, care of the healthy newborn during the first 28 1290
	1682	+	days of the newborn’s life, and treatment of partners for sexually transmitted infections.”. 1291
	1683	+	(aaa) New sections 607a and 607b are added to read as follows: 1292
	1684	+	“Sec. 607a. Certified nurse practitioner. 1293
	1685	+	“In addition to the functions authorized under section 604, a certified nurse practitioner 1294
	1686	+	may provide a full range of primary, acute, and specialty healthcare services, including: 1295
	1687	+	“(1) Ordering, performing and interpreting diagnostic tests such as lab work and 1296
	1688	+	x-rays; 1297 ENGROSSED ORIGINAL
	1689	+
	1690	+
	1691	+
	1692	+
	1693	+	66
	1694	+
	1695	+	“(2) Diagnosing and treating acute and chronic conditions such as diabetes, high 1298
	1696	+	blood pressure, infections, and injuries; 1299
	1697	+	“(3) Prescribing medications and other treatments; 1300
	1698	+	“(4) Managing patients’ or clients’ overall care; 1301
	1699	+	“(5) Counseling; 1302
	1700	+	“(6) Educating patients on disease prevention and positive health and lifestyle 1303
	1701	+	choices; and 1304
	1702	+	“(7) Any other functions and roles as may be prescribed by rules. 1305
	1703	+	“Sec. 607b. Certified clinical nurse specialist. 1306
	1704	+	“(a) In addition to the functions authorized under section 604, a certified clinical nurse 1307
	1705	+	specialist may provide the services described in subsection (b) of this section related to specific 1308
	1706	+	specialties, including: 1309
	1707	+	“(1) Populations, such as pediatrics, geriatrics, or women’s health; 1310
	1708	+	“(2) Settings, such as critical care or the emergency room; 1311
	1709	+	“(3) Diseases or medical subspecialties, such as diabetes or oncology; 1312
	1710	+	“(4) Types of care, such as psychiatric or rehabilitation; and 1313
	1711	+	“(5) Types of problem, such as pain, wounds, and stress. 1314
	1712	+	“(b) A clinical nurse specialist may provide diagnosis, treatment, and ongoing 1315
	1713	+	management of patients or clients, through: 1316 ENGROSSED ORIGINAL
	1714	+
	1715	+
	1716	+
	1717	+
	1718	+	67
	1719	+
	1720	+	“(1) Providing for the continuous improvement of patient or client outcomes and 1317
	1721	+	nursing care; 1318
	1722	+	“(2) Practicing within the core competencies and behaviors specified by the 1319
	1723	+	National Association of Clinical Nurse Specialists or other national certifying body recognized 1320
	1724	+	by the Board; 1321
	1725	+	“(3) Creating therapeutic environments through mentoring and system changes; 1322
	1726	+	“(4) Practicing with individual clients, families, groups, and populations of 1323
	1727	+	clients; and 1324
	1728	+	“(5) Any other functions and roles prescribed by rules.”. 1325
	1729	+	(bbb) A new section 608a is added to read as follows: 1326
	1730	+	“Sec. 608a. Qualifications, certification. 1327
	1731	+	“(a) In addition to the general qualifications for licensure set forth in Title V, and any 1328
	1732	+	requirements the Mayor may establish by rule, a certified registered nurse anesthetist shall: 1329
	1733	+	“(1) Be a registered nurse holding a current, valid license pursuant to this act and 1330
	1734	+	be in good standing with no action pending or in effect against his or her license; 1331
	1735	+	“(2) Possess at least a master’s degree from a program accredited by the Council 1332
	1736	+	on Accreditation of Nurse Anesthesia Educational Programs; and 1333
	1737	+	“(3) Successfully complete the National Certification Examination administered 1334
	1738	+	by the National Board of Certification and Recertification for Nurse-Anesthetists (“NBCRNA”) 1335
	1739	+	and hold current NBCRNA certification. 1336 ENGROSSED ORIGINAL
	1740	+
	1741	+
	1742	+
	1743	+
	1744	+	68
	1745	+
	1746	+	“(b) In addition to the general qualifications for licensure set forth in Title V, and any 1337
	1747	+	requirements the Mayor may establish by rule, a certified nurse-midwife shall: 1338
	1748	+	“(1) Be a registered nurse holding a current, valid license pursuant to this act and 1339
	1749	+	be in good standing with no action pending or in effect against his or her license; 1340
	1750	+	“(2) Possess at least a master’s degree from a program accredited by the 1341
	1751	+	Accreditation Commission for Midwifery Education; and 1342
	1752	+	“(3) Successfully complete the certification examination administered by the 1343
	1753	+	American Midwifery Certification Board (“AMBC”) and hold current AMBC certification as a 1344
	1754	+	Certified Nurse-Midwife. 1345
	1755	+	“(c) In addition to the general qualifications for licensure set forth in Title V, and any 1346
	1756	+	requirements the Mayor may establish by rule, a certified nurse practitioner shall: 1347
	1757	+	“(1) Be a registered nurse holding a current, valid license pursuant to this act and 1348
	1758	+	be in good standing with no action pending or in effect against his or her license; 1349
	1759	+	“(2) Possess at least a Master of Science in Nursing from a program accredited by 1350
	1760	+	a national nursing organization recognized by the Board of Nursing; and 1351
	1761	+	“(3) Successfully complete a national certification examination administered by a 1352
	1762	+	national nurse practitioner certifying organization recognized by the Board of Nursing and hold a 1353
	1763	+	current certification in the relevant population focus. 1354
	1764	+	“(d) In addition to the general qualifications for licensure set forth in Title V, and any 1355
	1765	+	requirements the Mayor may establish by rule, a clinical nurse specialist shall: 1356 ENGROSSED ORIGINAL
	1766	+
	1767	+
	1768	+
	1769	+
	1770	+	69
	1771	+
	1772	+	“(1) Be a registered nurse holding a current, valid license pursuant to this act and 1357
	1773	+	be in good standing with no action pending or in effect against his or her license; 1358
	1774	+	“(2) Possess at least a Master of Science in Nursing from a program accredited by 1359
	1775	+	a national nursing organization recognized by the Board of Nursing; and 1360
	1776	+	“(3) Successfully complete a national certification examination administered by a 1361
	1777	+	national nurse practitioner certifying organization recognized by the Board of Nursing and hold 1362
	1778	+	current certification in the relevant population focus.”. 1363
	1779	+	(ccc) Section 621 (D.C. Official Code § 3-1206.21) is amended as follows: 1364
	1780	+	(1) Subsection (a) is amended as follows: 1365
	1781	+	(A) Paragraph (2) is amended by striking the phrase “physiological 1366
	1782	+	function tests.” and inserting the phrase “physiological function tests; and” in its place. 1367
	1783	+	(B) A new paragraph (3) is added to read as follows: 1368
	1784	+	“(3) Prescribe from a formulary listing of natural remedies to be used in the 1369
	1785	+	practice of naturopathic medicine that has been approved by the Board of Integrative Healthcare 1370
	1786	+	and the Board of Medicine.”. 1371
	1787	+	(2) Subsection (b)(4) is amended as follows: 1372
	1788	+	(A) Subparagraph (A) is amended by striking the phrase “Advisory 1373
	1789	+	Committee on Naturopathic Medicine, Board of Medicine,” and inserting the phrase “Board of 1374
	1790	+	Integrative Healthcare,” in its place. 1375 ENGROSSED ORIGINAL
	1791	+
	1792	+
	1793	+
	1794	+
	1795	+	70
	1796	+
	1797	+	(B) Subparagraph (B) is amended by striking the phrase “Advisory 1376
	1798	+	Committee on Naturopathic Medicine;” and inserting the phrase “Board of Integrative 1377
	1799	+	Healthcare;” in its place. 1378
	1800	+	(ddd) Section 701 (D.C. Official Code § 3-1207.01) is amended as follows: 1379
	1801	+	(1) Subsection (a) is amended as follows: 1380
	1802	+	(A) The lead-in language is amended by striking the phrase “a dietitian 1381
	1803	+	shall:” and inserting the phrase “a person may qualify for a dietitian license under this section 1382
	1804	+	by:” in its place. 1383
	1805	+	(B) Paragraphs (1) and (2) are amended to read as follows: 1384
	1806	+	“(1) Being credentialed in good standing by the Commission on Dietetic 1385
	1807	+	Registration as a registered dietitian before the effective date of the Health Occupations Revision 1386
	1808	+	General Amendment Act of 2024, as approved by the Committee on Health on March 21, 2024 1387
	1809	+	(Committee Print of Bill 25-545); or 1388
	1810	+	“(2) Meeting the following requirements: 1389
	1811	+	“(A) Holding a master’s or higher degree from a school, college, or 1390
	1812	+	university that was approved by the accrediting body recognized by the Council on 1391
	1813	+	Postsecondary Accreditation or the United States Department of Education at the time the degree 1392
	1814	+	was conferred with completion of a program of study accredited by the Accreditation Council for 1393
	1815	+	Education in Nutrition and Dietetics; 1394 ENGROSSED ORIGINAL
	1816	+
	1817	+
	1818	+
	1819	+
	1820	+	71
	1821	+
	1822	+	“(B) Successfully completing the dietitian certification examination of the 1395
	1823	+	Commission on Dietetic Registration of the Academy of Nutrition and Dietetics and be 1396
	1824	+	credentialed in good standing by the Commission on Dietetic Registration as a registered 1397
	1825	+	dietitian; and 1398
	1826	+	“(C) Successfully completing a supervised practice experience in dietetics 1399
	1827	+	and nutrition accredited by the Accreditation Council for Education in Nutrition and Dietetics.”. 1400
	1828	+	(2) Subsection (c) is amended as follows: 1401
	1829	+	(A) The lead-in language is amended to read as follows: 1402
	1830	+	“(c) A person may qualify for a nutritionist license if, in addition to the general 1403
	1831	+	qualifications for licensure set forth in Title V, and any requirements the Mayor may establish by 1404
	1832	+	rule, the person:”. 1405
	1833	+	(B) Paragraph (1) is amended by striking the word “Hold” and inserting 1406
	1834	+	the word “Holds” in its place. 1407
	1835	+	(C) Paragraph (2) is amended to read as follows: 1408
	1836	+	“(2) Has successfully completed the Certification Examination for Nutrition 1409
	1837	+	Specialists offered by the Board for Certification of Nutrition Specialists or another examination 1410
	1838	+	designated by the Mayor through rules.”. 1411
	1839	+	(eee) Section 710 (D.C. Official Code § 3-1207.10) is amended to read as follows: 1412
	1840	+	“Sec. 710. Qualifications for licensure. 1413 ENGROSSED ORIGINAL
	1841	+
	1842	+
	1843	+
	1844	+
	1845	+	72
	1846	+
	1847	+	“(a) The Board of Professional Counseling shall license as a professional counselor a 1414
	1848	+	person who, in addition to meeting the requirements of Title V and any requirements the Mayor 1415
	1849	+	may establish by rule, has satisfactorily passed the national examination adopted by the Board, 1416
	1850	+	possesses a master’s degree in counseling or a related subject from an accredited college or 1417
	1851	+	university consisting of at least 60 hours of postgraduate education, and has completed 2 years of 1418
	1852	+	supervised counseling experience. 1419
	1853	+	“(b) The Board of Professional Counseling shall license as a graduate professional 1420
	1854	+	counselor a person who, in addition to meeting the requirements of Title V and any requirements 1421
	1855	+	the Mayor may establish by rule, has satisfactorily completed the national examination adopted 1422
	1856	+	by the Board and possesses a master’s degree in counseling or a related subject from an 1423
	1857	+	accredited college or university, consisting of at least 48 hours of graduate education. 1424
	1858	+	“(c) The Board of Professional Counseling may license, by endorsement, a professional 1425
	1859	+	counselor who, in addition to meeting the requirements of Title V and any requirements the 1426
	1860	+	Mayor may establish by rule, is currently licensed in another state in good standing and has: 1427
	1861	+	“(1) Engaged in independent professional counseling practice providing clinical 1428
	1862	+	counseling for at least 5 years pursuant to such license; or 1429
	1863	+	“(2) Held an independent professional counseling license for at least 3 years and 1430
	1864	+	possesses the National Certified Counseling credential issued by the National Board of Certified 1431
	1865	+	Counselors.”. 1432
	1866	+	(fff) Section 755 (D.C. Official Code § 3-1207.55) is amended as follows: 1433 ENGROSSED ORIGINAL
	1867	+
	1868	+
	1869	+
	1870	+
	1871	+	73
	1872	+
	1873	+	(1) A new subsection (a-1) is added to read as follows: 1434
	1874	+	“(a-1) A registered pharmacy technician may administer immunizations and vaccinations 1435
	1875	+	in accordance with the Centers for Disease Control and Prevention’s published guidelines and 1436
	1876	+	recommended immunization schedules for adults aged 18 and older with valid identification, 1437
	1877	+	adolescents and children aged 3 through 17 with written informed parental consent or without 1438
	1878	+	consent if authorized by District law, and the administration of immunizations and vaccinations 1439
	1879	+	to any individual pursuant to a valid prescription under the direct supervision of a pharmacist 1440
	1880	+	licensed under this act; provided, that the registered pharmacy technician complies with all 1441
	1881	+	requirements under the rules issued by the Mayor.”. 1442
	1882	+	(2) Subsection (b) is amended by striking paragraph (7). 1443
	1883	+	(ggg) Title VII-F is repealed. 1444
	1884	+	(hhh) A new Title VII-G is added to read as follows: 1445
	1885	+	“TITLE VII-G 1446
	1886	+	“QUALIFICATIONS FOR LICENSURE TO PRACTICE AS A BEHAVIOR 1447
	1887	+	ANALYST. 1448
	1888	+	“Sec. 771. Eligibility requirements and education. 1449
	1889	+	“The Board of Psychology shall license as a behavior analyst a person who, in addition to 1450
	1890	+	meeting the requirements of Title V and any requirements the Mayor may establish by rule, has: 1451
	1891	+	“(1) Successfully completed a criminal background check; 1452 ENGROSSED ORIGINAL
	1892	+
	1893	+
	1894	+
	1895	+
	1896	+	74
	1897	+
	1898	+	“(2) Obtained a current certification issued by the Behavior Analyst Certification 1453
	1899	+	Board; and 1454
	1900	+	“(3) Received a master’s degree or higher from a behavior analysis educational 1455
	1901	+	program that is accredited by the Behavior Analyst Certification Board; provided, that the Board 1456
	1902	+	shall waive this educational requirement if the applicant was certified by the Behavior Analyst 1457
	1903	+	Certification Board on or before the effective date of this title. 1458
	1904	+	(iii) A new section 804a is added to read as follows: 1459
	1905	+	“Sec. 804a. Exceptions for non-clinical practice. 1460
	1906	+	“(a) Nothing in this act shall be construed as preventing or restricting an individual who 1461
	1907	+	has successfully completed a bachelor’s degree in social work, a master’s degree in social work, 1462
	1908	+	or a doctorate degree in social work through a program accredited by the Council on Social 1463
	1909	+	Work Education from engaging in non-clinical practice; provided, that no such persons shall 1464
	1910	+	represent by title or description of services that they are social workers. 1465
	1911	+	“(b) For the purposes of this section, “non-clinical practice” means competencies and 1466
	1912	+	activities commonly included in a social work education program that do not involve clinical 1467
	1913	+	assessment, diagnosis, or treatment of mental health conditions, including: 1468
	1914	+	“(1) Non-clinical case management, including coordinating social services, 1469
	1915	+	conducting non-clinical assessments of service needs, and facilitating client access to resources; 1470
	1916	+	“(2) Community organization, including public education campaigns, information 1471
	1917	+	dissemination, and connecting individuals with social services; 1472 ENGROSSED ORIGINAL
	1918	+
	1919	+
	1920	+
	1921	+
	1922	+	75
	1923	+
	1924	+	“(3) Advocacy, including advocating for clients and communities, advocating for 1473
	1925	+	policy changes, and representing clients' policy interests; and 1474
	1926	+	“(4) Administrative tasks, including handling client documentation, record-1475
	1927	+	keeping, and program coordination.”. 1476
	1928	+	(jjj) Section 831 (D.C. Official Code § 3-1208.31) is amended as follows: 1477
	1929	+	(1) Subsection (a) is amended by striking the phrase “Marriage and Family 1478
	1930	+	Therapy” and inserting the phrase “Board of Professional Counseling” in its place. 1479
	1931	+	(2) Subsection (b)(1) is amended to read as follows: 1480
	1932	+	“(1) A graduate degree in marriage and family therapy from a program accredited 1481
	1933	+	by the Commission on Accreditation for Marriage and Family Therapy Education, or a graduate 1482
	1934	+	degree from a regionally accredited educational institution and an equivalent course of study 1483
	1935	+	consisting of at least 60 semester hours or 90 quarter credits as approved by the Board; and”. 1484
	1936	+	(kkk) Section 841 (D.C. Official Code § 3-1208.41) is amended as follows: 1485
	1937	+	(1) Subsection (a) is amended as follows: 1486
	1938	+	(A) The lead-in language is amended by striking the phrase “Audiology 1487
	1939	+	and Speech-Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its 1488
	1940	+	place. 1489
	1941	+	(B) Paragraph (3) is amended by striking the phrase “supervised 1490
	1942	+	postgraduate professional practice” and inserting the phrase “supervised practice” in its place. 1491 ENGROSSED ORIGINAL
	1943	+
	1944	+
	1945	+
	1946	+
	1947	+	76
	1948	+
	1949	+	(2) Subsection (b) is amended by striking the phrase “Audiology and Speech-1492
	1950	+	Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its place. 1493
	1951	+	(3) Subsection (c) is amended to read as follows: 1494
	1952	+	“(c) For purposes of this section, references to the Board on Rehabilitative Therapies 1495
	1953	+	prior to its commencement of operations pursuant to section 223(e) shall refer to the Board of 1496
	1954	+	Audiology and Speech-Language Pathology.”. 1497
	1955	+	(lll) Section 853 (D.C. Official Code § 3-1208.53) is repealed. 1498
	1956	+	(mmm) Section 854 (D.C. Official Code § 3-1208.54) is repealed. 1499
	1957	+	(nnn) Section 871 (D.C. Official Code § 3-1208.71) is amended as follows: 1500
	1958	+	(1) Subsection (a)(1) is amended as follows: 1501
	1959	+	(A) Subparagraph (A) is amended by striking the word “or” and inserting 1502
	1960	+	a period in its place. 1503
	1961	+	(B) Subparagraph (B) is repealed. 1504
	1962	+	(C) Paragraph (2) is amended by striking the phrase “direct supervision” 1505
	1963	+	and inserting the phrase “immediate supervision” in its place. 1506
	1964	+	(2) Subsection (b)(1) is amended as follows: 1507
	1965	+	(A) Subparagraph (A) is amended by striking the phrase “; or” and 1508
	1966	+	inserting a period in its place. 1509
	1967	+	(B) Subparagraph (B) is repealed. 1510 ENGROSSED ORIGINAL
	1968	+
	1969	+
	1970	+
	1971	+
	1972	+	77
	1973	+
	1974	+	(ooo) Section 872 (D.C. Official Code § 3-1208.72) is amended by striking the period at 1511
	1975	+	the end and inserting the phrase “, unless further time is granted by the Mayor through 1512
	1976	+	rulemaking.” in its place. 1513
	1977	+	(ppp) New Titles VIII-F and VIII-G are added to read as follows: 1514
	1978	+	“TITLE VIII-F. 1515
	1979	+	“CATEGORIES AND QUALIFICATIONS REQUIRED FOR THE PRACTICE OF 1516
	1980	+	“PSYCHOLOGY. 1517
	1981	+	1518
	1982	+	“Sec. 881. License and registration requirements. 1519
	1983	+	“(a) No person may practice psychology in the District without one of the following 1520
	1984	+	authorizations: 1521
	1985	+	“(1) A health services psychology license, which is required for the practice of 1522
	1986	+	psychology as defined in section 102(16)(A); 1523
	1987	+	“(2) A general applied psychology license, which is required for the practice of 1524
	1988	+	psychology within the scope of section 102(16)(A)(ii); 1525
	1989	+	“(3) A school psychology registration, which is required for the practice of 1526
	1990	+	psychology within the scope of section 102(16)(A)(iii); and 1527
	1991	+	“(4) A psychology associate registration, which is required for the practice of 1528
	1992	+	psychology within the scope of section 102(16)(A)(iv). 1529
	1993	+	“(b) All active psychology licenses issued before the effective date of the Health 1530
	1994	+	Occupations Revision General Amendment Act of 2024, as approved by the Committee on 1531 ENGROSSED ORIGINAL
	1995	+
	1996	+
	1997	+
	1998	+
	1999	+	78
	2000	+
	2001	+	Health on March 21, 2024 (Committee Print of Bill 25-545) (“2024 Act”), shall, upon renewal, 1532
	2002	+	be issued as health services psychology licenses. 1533
	2003	+	“(c) Notwithstanding subsection (a) of this section, for 2 years after the effective date of 1534
	2004	+	the 2024 Act, or such longer period of time which may be established by the Mayor through 1535
	2005	+	rulemaking, a person who has been practicing general applied psychology or school psychology 1536
	2006	+	before the effective date of the 2024 Act may continue to practice without the licensure or 1537
	2007	+	registration required pursuant to section 501(a)(1) or (2); provided, that such person applies for 1538
	2008	+	the relevant license or registration within 2 years after the effective date of the 2024 Act. 1539
	2009	+	“Sec. 882. Qualifications. 1540
	2010	+	“(a) In addition to the general qualifications for licensure set forth in Title V, and any 1541
	2011	+	requirements the Mayor may establish by rule, an individual applying for a license to practice 1542
	2012	+	health services psychology or general applied psychology shall establish to the satisfaction of the 1543
	2013	+	Board of Psychology that the individual has: 1544
	2014	+	“(1) Earned a doctoral degree in psychology from an accredited college or 1545
	2015	+	university; and 1546
	2016	+	“(2) Completed at least 2 years of experience in such areas of practice as shall be 1547
	2017	+	required by the Mayor through rulemaking, at least one year of which shall be postdoctoral 1548
	2018	+	experience. 1549 ENGROSSED ORIGINAL
	2019	+
	2020	+
	2021	+
	2022	+
	2023	+	79
	2024	+
	2025	+	“(b) An individual applying for a registration to practice school psychology shall meet 1550
	2026	+	such education and training requirements as may be established by the Mayor through 1551
	2027	+	rulemaking. 1552
	2028	+	“(c) An individual applying for registration as a psychology associate shall have 1553
	2029	+	graduated from an accredited college or university with at least a master’s degree based on a 1554
	2030	+	program of studies focusing on psychology, or a program judged by the Board to be substantially 1555
	2031	+	equivalent in subject matter and extent of training to a master’s or doctoral degree in psychology. 1556
	2032	+	“(d) Notwithstanding subsections (a) and (b) of this section, individuals currently 1557
	2033	+	practicing as general applied psychologists or school psychologists who do not meet the 1558
	2034	+	qualifications of this section shall be eligible for licensure or registration if they apply for a 1559
	2035	+	license or registration within 24 months after the effective date of the Health Occupations 1560
	2036	+	Revision General Amendment Act of 2024, as approved by the Committee on Health on March 1561
	2037	+	21, 2024 (Committee Print of Bill 25-545). 1562
	2038	+	“Sec. 883. Limitations. 1563
	2039	+	“(a) A registered school psychologist shall not practice psychology as defined under 1564
	2040	+	section 102(16)(A)(i) or (ii) without an authorization required for such practice. 1565
	2041	+	“(b) A psychology associate shall not practice psychology except under the supervision 1566
	2042	+	of a licensed health services psychologist.”. 1567
	2043	+	“TITLE VIII-G. 1568
	2044	+	“CATEGORIES AND QUALIFICATIONS REQUIRED FOR THE PRACTICE OF MEDICAL 1569
	2045	+	RADIATION TECHNOLOGY. 1570 ENGROSSED ORIGINAL
	2046	+
	2047	+
	2048	+
	2049	+
	2050	+	80
	2051	+
	2052	+	1571
	2053	+	“Sec. 891. Qualifications for licensure. 1572
	2054	+	“(a) The categories of licensure for the practice of medical radiation technology shall be 1573
	2055	+	as follows: 1574
	2056	+	“(1) Cardiovascular-interventional technologist; 1575
	2057	+	“(2) Computed tomography technologist or radiographer; 1576
	2058	+	“(3) Magnetic resonance technologist; 1577
	2059	+	“(4) Mammographer; 1578
	2060	+	“(5) Nuclear medicine technologist; 1579
	2061	+	“(6) Radiation therapist; 1580
	2062	+	“(7) Radiologist assistant; 1581
	2063	+	“(8) Radiographer; and 1582
	2064	+	“(9) Ultrasound technologist. 1583
	2065	+	“(b) The Board of Medicine shall issue a license to practice medical radiation technology, 1584
	2066	+	in a category established by this section to an individual who, in addition to meeting the 1585
	2067	+	requirements of Title V, has: 1586
	2068	+	“(1) Graduated from an accredited program in diagnostic medical sonography, 1587
	2069	+	radiologic technology, magnetic resonance imaging, nuclear medicine or radiologist assistant 1588
	2070	+	that incorporates the academic coursework and minimum of hours of supervised clinical training 1589
	2071	+	required by regulations issued by the Mayor and that is accredited by the Commission on 1590 ENGROSSED ORIGINAL
	2072	+
	2073	+
	2074	+
	2075	+
	2076	+	81
	2077	+
	2078	+	Accreditation of Allied Health Education Programs, Joint Review Committee on Education in 1591
	2079	+	Radiologic Technology, Joint Review Committee on Diagnostic Medical Sonography, Joint 1592
	2080	+	Review Committee on Nuclear Medicine Technology or a successor organization, as recognized 1593
	2081	+	by the U.S. Department of Education; 1594
	2082	+	“(2) Passed a national certification examination from a body recognized by the 1595
	2083	+	Board; and 1596
	2084	+	“(3) Satisfied all other requirements established by the Mayor through 1597
	2085	+	rulemaking. 1598
	2086	+	“Sec. 892. Limitations on practice. 1599
	2087	+	“(a) A person licensed under this title may only practice under the supervision of a 1600
	2088	+	licensed physician or a licensed advanced practice registered nurse. 1601
	2089	+	“(b) The practices of a cardiovascular-interventional technologist, computed tomography 1602
	2090	+	technologist, magnetic resonance technologist, mammographer, nuclear medicine technologist, 1603
	2091	+	radiation therapist, radiographer, radiologist assistant, or ultrasound technologist shall be limited 1604
	2092	+	to those procedures, operations, preparations, and practices determined by regulation. 1605
	2093	+	“Sec. 893. Transition of licensed and registered medical radiation practitioners. 1606
	2094	+	“For a period of one year after the effective date of implementing regulations issued 1607
	2095	+	pursuant to this title, unless further time is granted by the Mayor through rulemaking, a person 1608
	2096	+	who has received appropriate training for the tasks assigned may, regardless of licensure status, 1609
	2097	+	practice as a medical radiation practitioner, cardiovascular-interventional technologist, computed 1610 ENGROSSED ORIGINAL
	2098	+
	2099	+
	2100	+
	2101	+
	2102	+	82
	2103	+
	2104	+	tomography technologist, magnetic resonance technologist, mammographer, nuclear medicine 1611
	2105	+	technologist, radiographer, radiologist assistant, or ultrasound technologist. After a period of one 1612
	2106	+	year or additional time authorized by the Mayor, a license shall be required for any person to 1613
	2107	+	work or identify themselves as a medical radiation practitioner, cardiovascular-interventional 1614
	2108	+	technologist, computed tomography technologist, magnetic resonance technologist, 1615
	2109	+	mammography technologist, nuclear medicine technologist, radiographer, radiologist assistant, 1616
	2110	+	or ultrasound technologist.”. 1617
	2111	+	(qqq) Section 902 (D.C. Official Code § 3-1209.02) is amended as follows: 1618
	2112	+	(1) The section heading is amended by striking the phrase “and recreation 1619
	2113	+	therapy.” and inserting the phrase “therapy.” in its place. 1620
	2114	+	(2) Subsection (a) is amended by striking the phrase “dance therapy or recreation 1621
	2115	+	therapy” and inserting the phrase “dance therapy.” in its place. 1622
	2116	+	(3) Subsection (b) is amended by striking the phrase “dance therapy or recreation 1623
	2117	+	therapy” and inserting the phrase “dance therapy.” in its place. 1624
	2118	+	(4) Subsection (c) is amended as follows: 1625
	2119	+	(A) Strike the phrase “dance therapist or recreation therapist” and insert 1626
	2120	+	the phrase “dance therapist” in its place. 1627
	2121	+	(B) Strike the phrase “dance therapists or recreation therapists.” and insert 1628
	2122	+	the phrase “dance therapists.” in its place. 1629
	2123	+	(rrr) Section 903 (D.C. Official Code § 3-1209.03) is repealed. 1630 ENGROSSED ORIGINAL
	2124	+
	2125	+
	2126	+
	2127	+
	2128	+	83
	2129	+
	2130	+	(sss) Section 905 (D.C. Official Code § 3-1209.05) is amended as follows: 1631
	2131	+	(1) Subsection (a) is amended as follows: 1632
	2132	+	(A) Paragraph (1) is amended as follows. 1633
	2133	+	(i) Strike the phrase “assist a licensed dentist” and insert the phrase 1634
	2134	+	“assist a licensed dentist or a licensed dental hygienist” in its place. 1635
	2135	+	(ii) Strike the phrase “direct supervision” and insert the word 1636
	2136	+	“supervision” in its place. 1637
	2137	+	(B) Paragraph (2) is repealed. 1638
	2138	+	(2) Subsection (b) is amended to read as follows: 1639
	2139	+	“(b) A person who is engaged as a dental assistant to assist a dentist in the performance 1640
	2140	+	of dental procedures, or to assist a dental hygienist in the performance of dental hygiene 1641
	2141	+	procedures, in any area of or specialty area of dentistry, including oral and maxillofacial surgery, 1642
	2142	+	or who performs the duties of a dental assistant in any area of or specialty area of dentistry, 1643
	2143	+	including oral and maxillofacial surgery, in the District shall be registered with the Board, renew 1644
	2144	+	the registration as required by rule, and pay the required registration fee established by the 1645
	2145	+	Board.”. 1646
	2146	+	(3) Subsection (d) is amended as follows. 1647
	2147	+	(A) Strike the phrase “A person shall not engage in the practice, or use the 1648
	2148	+	title, of dental assistant” and insert after the phrase “A person shall not engage in the practice of 1649
	2149	+	dental assisting or use the title of dental assistant” in its place. 1650 ENGROSSED ORIGINAL
	2150	+
	2151	+
	2152	+
	2153	+
	2154	+	84
	2155	+
	2156	+	(B) Strike the phrase “direct supervision” and insert the word 1651
	2157	+	“supervision” in its place. 1652
	2158	+	(4) Subsection (e) is repealed. 1653
	2159	+	(5) Subsection (g) is amended by striking the phrase “and the duties that may be 1654
	2160	+	performed by a dental assistant.” And inserting the phrase “, the duties that may be performed by 1655
	2161	+	a dental assistant, and the required level of supervision.” in its place. 1656
	2162	+	(6) A new subsection (h) is added to read as follows: 1657
	2163	+	“(h) The Mayor shall create a Level III dental assistant designation to authorize dental 1658
	2164	+	assistants with appropriate training and experience, as determined by the Board, to conduct the 1659
	2165	+	application pit and fissure sealants, coronal polishing to remove stain and biofilm, and glucose 1660
	2166	+	testing, as well as all functions authorized by this section and any other services authorized by 1661
	2167	+	rule.”. 1662
	2168	+	(ttt) Section 906 (D.C. Official Code § 3-1209.06) is repealed. 1663
	2169	+	(uuu) Section 907 (D.C. Official Code § 3-1209.07) is amended to read as follows: 1664
	2170	+	“Sec. 907. Nursing assistive personnel; registration or certification required. 1665
	2171	+	“(a) A registration or certification is required for a person seeking to practice as nursing 1666
	2172	+	assistive personnel in the District in accordance with the rules issued by the Mayor. 1667
	2173	+	“(b) The Mayor shall, pursuant to the District of Columbia Administrative Procedure Act, 1668
	2174	+	approved October 21, 1968 (82 Stat. 1204; D.C. Official Code § 2-501 et seq.), issue rules 1669 ENGROSSED ORIGINAL
	2175	+
	2176	+
	2177	+
	2178	+
	2179	+	85
	2180	+
	2181	+	setting forth the standards of education and experience required to qualify as nursing assistive 1670
	2182	+	personnel. 1671
	2183	+	“(c) The Mayor shall allow for a registration or certification of an applicant who is at 1672
	2184	+	least 16 years of age; provided, that the applicant shall have obtained or be enrolled and actively 1673
	2185	+	pursuing a high school diploma or high school equivalency diploma as that term is defined in 1674
	2186	+	section 561(6) of the District of Columbia Public Assistance Act of 1982, effective October 27, 1675
	2187	+	1995 (D.C. Law 11-72; D.C. Official Code § 4-205.61(6)).”. 1676
	2188	+	(vvv) Section 908 (D.C. Official Code § 3-1209.08) is repealed. 1677
	2189	+	(www) Section 909 (D.C. Official Code § 3-1209.09) is amended as follows: 1678
	2190	+	(1) Subsection (a)(1) is amended by striking the phrase “Audiology and Speech-1679
	2191	+	Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its place. 1680
	2192	+	(2) A new subsection (i) is added to read as follows: 1681
	2193	+	“(i) For purposes of this section, references to the Board on Rehabilitative Therapies prior 1682
	2194	+	to its commencement of operations pursuant to section 223(e) shall refer to the Board of 1683
	2195	+	Audiology and Speech-Language Pathology.”. 1684
	2196	+	(xxx) Section 910 (D.C. Official Code § 3-1209.10) is amended as follows: 1685
	2197	+	(1) Subsection (a)(2) is amended by striking the phrase “Audiology and Speech-1686
	2198	+	Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its place. 1687
	2199	+	(2) A new subsection (i) is added to read as follows: 1688 ENGROSSED ORIGINAL
	2200	+
	2201	+
	2202	+
	2203	+
	2204	+	86
	2205	+
	2206	+	“(i) For purposes of this section, references to the Board on Rehabilitative Therapies prior 1689
	2207	+	to its commencement of operations pursuant to section 223(e) shall refer to the Board of 1690
	2208	+	Audiology and Speech-Language Pathology.”. 1691
	2209	+	(yyy) Section 911 (D.C. Official Code § 3-1209.11) is amended as follows: 1692
	2210	+	(1) Subsection (a)(1) is amended by striking the phrase “Audiology and Speech-1693
	2211	+	Language Pathology” and inserting the phrase “Rehabilitative Therapies” in its place. 1694
	2212	+	(2) A new subsection (h) is added to read as follows: 1695
	2213	+	“(h) For purposes of this section, references to the Board on Rehabilitative Therapies 1696
	2214	+	prior to its commencement of operations pursuant to section 223(e) shall refer to the Board of 1697
	2215	+	Audiology and Speech-Language Pathology.”. 1698
	2216	+	(zzz) Section 912 (D.C. Official Code § 3-1209.12) is repealed. 1699
	2217	+	(aaaa) A new section 913 is added to read as follows: 1700
	2218	+	“Sec. 913. Doula. 1701
	2219	+	“(a) A certified doula may: 1702
	2220	+	“(1) Provide support to pregnant individuals and their families, including 1703
	2221	+	surrogates and adoptive parents; 1704
	2222	+	“(2) Conduct prenatal and postpartum visits; 1705
	2223	+	“(3) Accompany pregnant individuals to health care and social service 1706
	2224	+	appointments; 1707 ENGROSSED ORIGINAL
	2225	+
	2226	+
	2227	+
	2228	+
	2229	+	87
	2230	+
	2231	+	“(4) Connect individuals to medical, community-based, or government-funded 1708
	2232	+	resources, including those addressing social determinants of health; and 1709
	2233	+	“(5) Provide support to individuals following either the loss of pregnancy or birth 1710
	2234	+	of a child for up to one year. 1711
	2235	+	“(b) A doula shall not: 1712
	2236	+	“(1) Perform clinical tasks or replace trained licensed medical professionals; or 1713
	2237	+	“(2) Engage in the practice of medicine as defined in section 102(7).”. 1714
	2238	+	(bbbb) Section 1003 (D.C. Official Code § 3-1210.03) is amended as follows: 1715
	2239	+	(1) Subsection (a) is amended by striking the phrase ““acupuncturist,”” and 1716
	2240	+	inserting the phrase ““acupuncturist”, “L.Ac.,”” in its place. 1717
	2241	+	(2) Subsection (m-1) is amended by striking the word “therapy” wherever it 1718
	2242	+	appears and inserting the word “therapist” in its place. 1719
	2243	+	(3) Subsection (q) is amended to read as follows: 1720
	2244	+	“(q) Unless authorized to practice psychology under this act, a person shall not 1721
	2245	+	use the words or terms “psychology,” “psychologist,” “health services psychologist,” “general 1722
	2246	+	applied psychologist,” “school psychologist,” “psychology associate,” or similar title or 1723
	2247	+	description of services with the intent to represent that the person practices psychology.”. 1724
	2248	+	(4) Subsection (v) is amended to read as follow: 1725
	2249	+	“(v) Unless authorized to practice massage therapy under this act, a person shall 1726
	2250	+	not use or imply the use of the words or terms “massage therapy,” “therapeutic massage,” 1727 ENGROSSED ORIGINAL
	2251	+
	2252	+
	2253	+
	2254	+
	2255	+	88
	2256	+
	2257	+	“myotherapy,” “bodyrub,” “licensed massage therapist,” or “licensed massage practitioner,” or 1728
	2258	+	similar title or description of services, or the initials “LMT” or “LMP,” with the intent to 1729
	2259	+	represent that the person practices massage therapy.”. 1730
	2260	+	(5) Subsection (hh) is repealed. 1731
	2261	+	(6) Subsection (jj) is repealed. 1732
	2262	+	(7) New subsections (ll), (mm), (nn), and (oo) are added to read as follows: 1733
	2263	+	“(ll) Unless authorized to practice certified professional midwifery under this act, 1734
	2264	+	a person shall not use or imply the use of the words or terms “certified professional midwife,” 1735
	2265	+	“licensed midwife,” or any similar title or description of services with the intent to represent that 1736
	2266	+	the person practices midwifery as a certified professional midwife. 1737
	2267	+	“(mm) Unless authorized to practice recreational therapy under this act, a person 1738
	2268	+	shall not use the words or terms “recreational therapy,” “recreational therapist,” “licensed 1739
	2269	+	recreational therapist,” “RT,” “L.R.T.,” “CTRS/L,” “certified therapeutic recreation specialist 1740
	2270	+	licensed,” “registered recreational therapist licensed (RRT/L),” or any similar title or description 1741
	2271	+	of services with the intent to represent that the person practices recreational therapy. 1742
	2272	+	“(nn) Unless authorized to practice as a doula under this act, a person shall not use 1743
	2273	+	the word or term “doula” or any similar title or description of services with the intent to represent 1744
	2274	+	that the person practices as a doula or provides any type of doula services. 1745
	2275	+	“(oo) Unless authorized to practice medical radiation technology under this act, a 1746
	2276	+	person shall not use or imply the use of the words or terms “cardiovascular-interventional 1747 ENGROSSED ORIGINAL
	2277	+
	2278	+
	2279	+
	2280	+
	2281	+	89
	2282	+
	2283	+	technologist,” “computed tomography technologist,” “radiographer,” “magnetic resonance 1748
	2284	+	technologist,” “MRI technologist,” “mammography technologist,” “mammographer,” “medical 1749
	2285	+	radiation technologist,” “nuclear medicine technologist,” “radiologist assistant,” “sonographer,” 1750
	2286	+	“ultrasound technologist,” or any similar title or description of service with the intent to 1751
	2287	+	represent that the person practices as a medical radiation technology practitioner.”. 1752
	2288	+	(cccc) Section 1204 (D.C. Official Code § 3-1212.04) is amended by striking the word 1753
	2289	+	“therapy” both times it appears and inserting the word “therapist” in its place. 1754
	2290	+	(dddd) Section 1205 (D.C. Official Code § 3-1212.05) is amended by striking the phrase 1755
	2291	+	“personal fitness trainer, veterinary technician” and inserting the phrase “veterinary technician” 1756
	2292	+	in its place. 1757
	2293	+	TITLE II- TECHNICAL AND CONFORMING AMENDMENTS . 1758
	2294	+	Sec. 201. Section 2(f) of the Confirmation Act of 1978, effective March 3, 1979 (D.C. 1759
	2295	+	Law 2-142; D.C. Code § 1-523.01(f)), is amended as follows: 1760
	2296	+	(a) Paragraphs (7) and (43) are repealed. 1761
	2297	+	(b) Paragraph (70) is amended by striking the phrase “; and” and inserting a semicolon in 1762
	2298	+	its place. 1763
	2299	+	(c) New paragraphs (72) and (73) are added to read as follows: 1764
	2300	+	“(72) Board of Rehabilitative Therapies established by section 223 of the District 1765
	2301	+	of Columbia Health Occupations Revision Act of 1985, approved by the Committee on Health 1766
	2302	+	on March 21, 2024 (Committee Print of Bill 25-545); and 1767 ENGROSSED ORIGINAL
	2303	+
	2304	+
	2305	+
	2306	+
	2307	+	90
	2308	+
	2309	+	“(73) Board of Integrative Healthcare established by section 224 of the District of 1768
	2310	+	Columbia Health Occupations Revision Act of 1985, approved by the Committee on Health on 1769
	2311	+	March 21, 2024 (Committee Print of Bill 25-545).”. 1770
	2312	+	Sec. 202. The Department of Health Functions Clarification Act of 2001, effective 1771
	2313	+	October 3, 2001 (D.C. Law 14-28; D.C. Official Code § 7-731 et seq.), is amended as follows: 1772
	2314	+	(a) Section 4941 (D.C. Official Code § 7-743.02) is repealed. 1773
	2315	+	(b) Section 4944 (D.C. Official Code § 7-743.04) is repealed. 1774
	2316	+	(c) Section 4945 (D.C. Official Code § 7-743.05) is repealed. 1775
	2317	+	(d) A new section 4949a is added to read as follows: 1776
	2318	+	“Sec. 4949a. Advisory Committee on Medical Radiation Technologists. 1777
	2319	+	“(a) There is established an Advisory Committee on Medical Radiation Technologists 1778
	2320	+	(“Committee”), which shall consist of the following 5 members: 1779
	2321	+	“(1) A physician licensed in the District whose practice consists mostly of the 1780
	2322	+	type of medicine that requires significant interaction with medical radiation technologists; 1781
	2323	+	“(2) Three individuals who work as medical radiation technologists; and 1782
	2324	+	“(3) A consumer member with no direct affiliation with medical radiation 1783
	2325	+	technology or a member of another health profession. 1784
	2326	+	“(b) To remain qualified to serve as a member of the Committee, the medical radiation 1785
	2327	+	technologist members who serve as initial appointees shall become licensed or registered in their 1786 ENGROSSED ORIGINAL
	2328	+
	2329	+
	2330	+
	2331	+
	2332	+	91
	2333	+
	2334	+	profession within 180 days of the Department of Health’s implementation of the licensure or 1787
	2335	+	registration requirements. 1788
	2336	+	“(c) The Committee shall develop and submit to the Board of Medicine guidelines and 1789
	2337	+	proposed regulations for the licensure and regulation of cardiovascular-interventional 1790
	2338	+	technologists, computed tomography technologists, magnetic resonance technologists, 1791
	2339	+	mammographers, nuclear medicine technologists, radiation therapists, radiographers, ultrasound 1792
	2340	+	technologists, and radiologist assistants.”. 1793
	2341	+	(e) Section 4952(d)(1) D.C. Official Code § 7-744.02(d)(1)), is amended by striking the 1794
	2342	+	phrase “certificate, which shall be notarized and provided to” and inserting the phrase certificate 1795
	2343	+	to” in its place. 1796
	2344	+	Sec. 203. Section 2(7) of The Health-care Facility Unlicensed Personnel Criminal 1797
	2345	+	Background Check Act of 1998, effective April 20, 1999 (D.C. Law 12-238; D.C. Official Code 1798
	2346	+	§ 44-551(7)), is amended to read as follows: 1799
	2347	+	“(7) “Unlicensed person” means a person not required to be licensed pursuant to 1800
	2348	+	the District of Columbia Health Occupations Revision Act of 1985, March 25, 1986 (D.C. Law 1801
	2349	+	6-99; D.C. Official Code § 3-1201.01 et seq.), who functions in a complementary or assistance 1802
	2350	+	role to licensed health care professionals in providing direct patient care or in performing 1803
	2351	+	common nursing tasks. The term “unlicensed person” includes housekeeping, maintenance, and 1804
	2352	+	administrative staff for whom it is foreseeable that the prospective employee or contract worker 1805
	2353	+	will come in direct contact with patients.”. 1806 ENGROSSED ORIGINAL
	2354	+
	2355	+
	2356	+
	2357	+
	2358	+	92
	2359	+
	2360	+	Sec. 204. Section 702(c)(3) of the Assisted Living Residence Regulatory Act of 2000, 1807
	2361	+	effective June 24, 200 (D.C. Law 13-127; D.C. Official Code § 44-107.02), is amended to read 1808
	2362	+	as follows: 1809
	2363	+	“(3) Four hours covering cognitive impairments in an in-service training in accordance 1810
	2364	+	with the dementia training for direct care workers requirements established by section 4952 of 1811
	2365	+	the Department of Health Functions Clarification Act of 2001, effective March 16, 2021 (D.C. 1812
	2366	+	Law 23-201; D.C. Official Code § 7-744.02); and”. 1813
	2367	+	Sec. 205. Section 47-2853.76e(b) of the District of Columbia Official Code is amended to 1814
	2368	+	read as follows: 1815
	2369	+	“(b) No body artist shall perform body art procedures on a person under 18 years of age; 1816
	2370	+	except, that, if a parent or legal guardian has provided their written consent: 1817
	2371	+	“(1) Ear piercing with a sterilized hollow needle or a mechanized, pre-sterilized 1818
	2372	+	single-use stud and clasp ear piercing gun is permitted for persons under 18 years of age; and 1819
	2373	+	“(2) Tattooing services are permitted for persons 16 years of age and older.”. 1820
	2374	+	Sec. 206. Section 204(a) of the Freedom of Information Act of 1976, effective March 29, 1821
	2375	+	1977 (D.C. 1-96; D.C. Official Code § 2-534(a)), is amended as follows: 1822
	2376	+	(a) Paragraph (19) is amended by striking the phrase “; and” and inserting a semicolon in 1823
	2377	+	its place. 1824
	2378	+	(b) Paragraph (20) is amended by striking the period and inserting the phrase “; and” in 1825
	2379	+	its place. 1826 ENGROSSED ORIGINAL
	2380	+
	2381	+
	2382	+
	2383	+
	2384	+	93
	2385	+
	2386	+	(c) A new paragraph (21) is added to read as follows: 1827
	2387	+	“(21) Information exempt from disclosure under section 525 of the District of 1828
	2388	+	Columbia Health Occupations Revision Act of 1985, as approved by the Committee on Health 1829
	2389	+	on March 21, 2024 (Committee Print of Bill 25-545). 1830
	2390	+	TITLE III. FISCAL IMPACT STATEMENT ; EFFECTIVE DATE. 1831
	2391	+	Sec. 301. Fiscal impact statement. 1832
	2392	+	The Council adopts the fiscal impact statement in the committee report as the fiscal 1833
	2393	+	impact statement required by section 4a of the General Legislative Procedures Act of 1975, 1834
	2394	+	approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a). 1835
	2395	+	Sec. 302. Effective date. 1836
	2396	+	This act shall take effect following approval by the Mayor (or in the event of veto by the 1837
	2397	+	Mayor, action by the Council to override the veto) and a 30-day period of congressional review 1838
	2398	+	as provided in section 602(C)(1) of the District of Columbia Home Rule Act, approved 1839
	2399	+	December 24, 1973 (87 Stat. 813; D. C. Official Code § 1-2067.02(C)(1)). 1840