HLS 12RS-247 ENGROSSED Page 1 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2012 HOUSE BILL NO. 349 BY REPRESENTATIVE DIXON DENTISTRY: Amends the Dental Practice Act AN ACT1 To amend and reenact R.S. 37:757(B), 760(A)(4)(b) and (9), 780(B)(1) and (3), 786(G), and2 786.1(A)(1) and to enact R.S. 37:760(A)(16), relative to the Dental Practice Act; to3 provide for the provision of dental records in compliance with statutory law; to4 clarify the board's powers and duties to impose fines under certain circumstances;5 to authorize the board to defend employees, agents, or contractors in a lawsuit under6 certain circumstances; to clarify that the committee's administrative fine covers all7 of the board's costs from the start of the investigation through administrative8 hearings, judicial review, and appeals; to specify that the issuance of a stay of a9 board decision does not harm the Louisiana State Board of Dentistry; and to provide10 for related matters.11 Be it enacted by the Legislature of Louisiana:12 Section 1. R.S. 37:757(B), 760(A)(4)(b) and (9), 780(B)(1) and (3), 786(G), and13 786.1(A)(1) are hereby amended and reenacted and R.S. 37:760(A)(16) is hereby enacted14 to read as follows: 15 §757. Patient records16 * * *17 B. The dentist shall maintain, and preserve, and provide copies of the dental18 treatment records in conformity with R.S. 40:1299.96.19 * * *20 HLS 12RS-247 ENGROSSED HB NO. 349 Page 2 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. §760. Powers and duties of the board1 A. The board shall exercise, subject to the provisions of this Chapter, the2 following powers and duties:3 * * *4 (4)5 * * *6 (b) In addition to the power powers and duties granted in Subparagraph (a)7 of this Paragraph, the board may, in its discretion, impose a fine , but shall impose8 liability for all of the board's costs generated by its investigation, prosecution,9 judicial review, and appeal of the proceedings, including but not limited to attorney10 fees, investigative fees and expenses, witness fees and expenses, stenographic costs,11 and the per diem and expenses of the committee members, against any person12 licensed under pursuant to this Chapter or any unlicensed person when evidence has13 been presented showing the person is in violation of any of the provisions of this14 Chapter.15 * * *16 (9) The president, or in his discretion, any member of the board may execute,17 on a case-by-case basis, any affidavit, petition, or subpoena necessary to the issuance18 of any injunction, declaratory judgment, or other legal process authorized under19 pursuant to this Part, including but not limited to a petition in any court of competent20 jurisdiction for a money judgment for any and all fines and costs payable pursuant21 to a final administrative adjudication decision or ratified consent decree. This22 authorization is remedial and shall have retroactive effect.23 * * *24 (16) Undertake the defense of any employee, agent, or contractor in any25 lawsuit that arises from the performance of the individual's employment or26 fulfillment of their contract with the board provided that the complained of action27 that is the subject of the lawsuit arises from any action approved by the board and28 undertaken or performed by such person within the scope of the duties, powers, and29 HLS 12RS-247 ENGROSSED HB NO. 349 Page 3 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. functions of the board and when such person is acting without malice and in the1 reasonable belief that the action is warranted. The defense obligation described in2 this Paragraph shall not occur unless and until the Louisiana attorney general has3 been notified of the pending action in accordance with R.S. 13:5108.1 and has4 determined that the state of Louisiana will not provide a defense to the employee,5 agent, or contractor.6 * * *7 §780. Hearing; notice; penalty; interest8 * * *9 B.(1) The committee hearing the charge may cause the testimony adduced10 to be reduced to writing or stenographic record. Should the committee after due11 hearing find that the charges filed against the licensee or the unlicensed person are12 sustained by clear and convincing evidence, it may revoke, suspend, restrict, fine,13 place on probation, reprimand, or admonish, or any or all of the above, the licensed14 dentist or licensed dental hygienist. The committee may levy an administrative fine,15 but it shall assess all of the board's costs of the committee, from the start of the16 investigation through an administrative hearing, judicial review, and any appeals,17 including but not limited to attorney fees, investigative fees and expenses, witness18 fees and expenses, and stenographic costs as set forth in the following Paragraph in19 this Section, against the licensee or the unlicensed person.20 * * *21 (3) After the a hearing wherein a charge, or a number of charges, is proven22 by clear and convincing evidence, and even if there is no fine imposed, the23 unlicensed person, the licensed dentist, or licensed dental hygienist shall pay, not24 later than the thirtieth day after the decision is made by the committee, all costs, from25 the start of the investigation through an administrative hearing, judicial review, and26 any appeals, of the committee proceedings, including but not limited to stenographer27 fees, attorney fees, investigative fees and expenses, witness fees and expenses, and28 the per diem and expenses of the committee members. If, for any reason, the money29 HLS 12RS-247 ENGROSSED HB NO. 349 Page 4 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. portion of the committee's decision is not paid by the unlicensed person, licensed1 dentist, or licensed dental hygienist for fines and costs imposed pursuant to this2 Section, the board may recover any and all reasonable attorney fees in association3 with the collection of them.4 * * *5 §786. Judicial review of adjudication6 * * *7 G. If before the date set for hearing application is made to the court for leave8 to present additional evidence, and it is shown to the satisfaction of the court that the9 additional evidence is material and that there were good reasons for failure to present10 it in the proceeding before the board, the court may order that the additional evidence11 be taken before the board upon conditions determined by the court. The board may12 modify its findings and decisions by reason of the additional evidence and shall file13 that evidence and any modifications, new findings, or decisions with the review 14 reviewing court.15 * * *16 §786.1. Stay of board decision17 A. Absent agreement of counsel for all parties, no stay of enforcement of a18 decision issued under R.S. 37:780 or for a violation of R.S. 37:788, during the19 pendency of an appeal under R.S. 37:786 shall be granted unless the civil district20 court for the parish of Orleans finds that the applicant has established:21 (1) That the issuance of the stay does not threaten harm to other interested22 parties, including the Louisiana State Board of Dentistry, and persons for whom the23 applicant may render dental or dental hygiene services.24 * * *25 Section 2. This Act shall become effective upon signature by the governor or, if not26 signed by the governor, upon expiration of the time for bills to become law without signature27 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If28 HLS 12RS-247 ENGROSSED HB NO. 349 Page 5 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. vetoed by the governor and subsequently approved by the legislature, this Act shall become1 effective on the day following such approval.2 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Dixon HB No. 349 Abstract: Revises the Dental Practice Act relative to the provision of dental treatment records, the imposition of fines, the defense of employees, and the application of stay orders. Present law (R.S. 37:757(B)) requires a dentist to maintain and preserve dental treatment records in conformity with state law. Proposed law further requires a dentist to provide copies of the dental treatment records in accordance with state law. Present law (R.S. 37:760(A)(4)(b)) authorizes the board to impose a fine against any licensee or unlicensed person. Proposed law specifies that the fine in present law must include liability for all of the board's costs resulting from the investigation, prosecution, judicial review, and appeal of the proceedings, including but not limited to attorney fees, investigative fees and expenses, witness fees and expenses, stenographic costs, and the per diem and expenses of the committee members. Present law (R.S. 37:760(A)(9)) authorizes the board president or his board assignee to execute an affidavit, petition, or subpoena necessary for the issuance of any injunction or other legal process authorized under the law, including but not limited to a petition in any court of competent jurisdiction for a money judgment for any and all fines and costs payable pursuant to a final administrative adjudication decision or ratified consent decree. Proposed law adds authority for the board president or his board assignee to execute a declaratory judgment in addition to the other legal processes available under present law. Proposed law (R.S. 37:760(A)(16)) authorizes the board to defend any employee, agent, or contractor in any lawsuit that arises from the performance of the individual's employment or fulfillment of their contract with the board provided that the complained of action that is the subject of the lawsuit arises from any action approved by the board and undertaken or performed by such person within the scope of the duties, powers, and functions of the board and when such person is acting without malice and in the reasonable belief that the action was warranted. Further, provides that the defense obligation described cannot occur until the La. attorney general has been notified of the pending action in accordance with state law and has determined that the state will not provide a defense to the employee, agent, or contractor. Present law (R.S. 37:780(B)(1)) authorizes the committee hearing a charge to levy an administrative fine which includes all costs of the committee, including attorney fees, investigative fees and expenses, witness fees and expenses, and stenographic costs against the licensee or unlicensed person. HLS 12RS-247 ENGROSSED HB NO. 349 Page 6 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law modifies present law by specifying that the administrative fine levied by the committee must cover all the board's costs from the start of the investigation through an administrative hearing, judicial review, and any appeals. Present law (R.S. 37:780(B)(3)) provides that once charges are proven, the unlicensed person, the licensed dentist, or licensed dental hygienist must pay all costs of the committee proceedings, including but not limited to stenographer fees, attorney fees, investigative fees and expenses, witness fees and expenses, and the per diem and expenses of committee members. Proposed law specifies that the person adjudged guilty is responsible for all costs from the start of the investigation through an administrative hearing, judicial review, and any appeals. Present law (R.S. 37:780(G)) provides that if before the date set for hearing application is made to the court for leave to present additional evidence, and it is shown to the satisfaction of the court that the additional evidence is material and that there were good reasons for failure to present it in the proceeding before the board, the court may order that the additional evidence be taken before the board upon conditions determined by the court. Further, allows the board to modify its findings and decisions by reason of the additional evidence and requires that they file that evidence and any modifications, new findings, or decisions with the review court. Proposed law makes a technical change to present law. Present law (R.S. 37:786.1(A)(1)) provides that the issuance of a stay of enforcement of a board decision does not threaten harm to other interested parties, including persons for whom the applicant may render dental or dental hygiene services. Proposed law specifies that the stay of enforcement does not threaten harm to the La. State Board of Dentistry. Effective upon signature of governor or lapse of time for gubernatorial action. (Amends R.S. 37:757(B), 760(A)(4)(b) and (9), 780(B)(1) and (3), 786(G), and 786.1(A)(1); Adds R.S. 37:760(A)(16))