FIRSTREGULARSESSION
HOUSEBILLNO.91
103RDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVEGRIFFITH.
0554H.01I DANARADEMANMILLER,ChiefClerk
ANACT
Toamendchapter324,RSMo,byaddingtheretofifteennewsectionsrelatingtonaturopathic
medicine.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Chapter324,RSMo,isamendedbyaddingtheretofifteennewsections,to
2beknownassections324.1900,324.1905,324.1910,324.1915,324.1920,324.1925,
3324.1930,324.1935,324.1940,324.1945,324.1950,324.1955,324.1960,324.1965,and
4324.1970,toreadasfollows:
324.1900.Sections324.1900to324.1970shallbeknownandmaybecitedasthe
2"NaturopathicPracticeAct".
324.1905.Asusedinsections324.1900to324.1970,thefollowingtermsmean:
2 (1)"Approvednaturopathicmedicaleducationprogram",aneducation
3programthattheboardhasapprovedasmeetingtherequirementsofsection
4324.1930andthatpreparesnaturopathicdoctorsforthepracticeofnaturopathic
5medicine;
6 (2)"Board",theboardofnaturopathicmedicine;
7 (3)"Commondiagnosticprocedure",anydiagnosticprocedurecommonly
8performedbyhealthcareprofessionalsincluding,butnotlimitedto,thefollowing
9diagnosticprocedures:
10 (a)Takingandrecordingapatient'shealthhistory;
11 (b)Performingaphysicalexamination;
12 (c)Performingvenipuncture;
13 (d)Ordering,butnotinterpreting,radiographyexaminations;
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 14 (e)Performinglaboratorymedicine;and
15 (f)Obtainingsamplesofhumantissues,exceptsurgicalexcisionbeyondsurgical
16excisionthatisauthorizedasaminorofficeprocedure;
17 (4)"Controlledsubstance",adrug,substance,orimmediateprecursor
18enumeratedinSchedulesIthroughVofsection195.017;
19 (5)"Division",thedivisionofprofessionalregistrationofthedepartmentof
20commerceandinsurance;
21 (6)"Drug",thesamemeaninggiventotheterminsection195.010;
22 (7)"Laboratorymedicine",thecollectionandanalysisofbodyfluidstoprovide
23informationtohelpaidthediagnosisandtreatmentofpatients;
24 (8)"Legenddrug",thesamemeaninggiventotheterminsection338.330;
25 (9)"License",alicenseissuedbytheboardtoanindividualinaccordancewith
26sections324.1900to324.1970andrulesoftheboardauthorizingthatindividualto
27practicenaturopathicmedicineinthisstate;
28 (10)"Licensee",anindividualwhoholdsalicensetopracticenaturopathic
29medicine;
30 (11)"Minorofficeprocedure",anyminorofficeprocedureincluding,butnot
31limitedto,thefollowing:
32 (a)Careandproceduresincidenttheretoofsuperficiallacerations,lesions,or
33abrasionsandtheremovalofforeignbodieslocatedinsuperficialstructures,notto
34includetheeye;
35 (b)Theuseofantisepticsandtopicalorlocalanestheticsinconnectionwiththe
36proceduredescribedinparagraph(a)ofthissubdivision;
37 (c)Intramuscular,intravenous,subcutaneous,andintradermalinjectionsof
38substancesconsistentwiththepracticeofnaturopathicmedicine;
39 (d)Triggerpointtherapy;
40 (e)Noninvasiveandminimallyinvasiveaestheticlasersthatcannotbeusedfor
41majorsurgeriesorcutting;
42 (f)Dermalstimulation;and
43 (g)Allergytesting.
44
45Thedefinitionof"minorofficeprocedures"doesnotincludegeneralanestheticsor
46surgery;
47 (12)"Naturopathicdoctor",anindividuallicensedinaccordancewithsections
48324.1900to324.1970asanaturopathicdoctortopracticenaturopathicmedicineinthis
49state;
HB91 2 50 (13)"Naturopathicmedicine",asystemofhealthcarefortheprevention,
51diagnosis,andtreatmentofhumanhealthconditions,injury,anddisease;thepromotion
52orrestorationofhealth;andthesupportandstimulationofapatient'sinherentself-
53healingprocessesthroughpatienteducationandtheuseofnaturopathictherapies;
54 (14)"Naturopathicphysicalmedicine",theuseofoneormoreofthefollowing
55physicalagentsortreatmentsinamannerconsistentwithnaturopathicmedicalpractice
56onapartorthewholeofthebody,byhandorbymechanicalmeans,intheresolutionof
57ahumanailmentorcondition:air,water,heat,cold,sound,light,electromagnetism,
58nondiagnosticultrasound,coldlaser,colonhydrotherapy,softtissuetherapy,joint
59mobilization,therapeuticexercise,andtreatmentstaughtinanyapprovednaturopathic
60medicaleducationprogramthatarenototherwiseprohibitedbysections324.1900to
61324.1970;
62 (15)"Naturopathictherapies",anyofthefollowingexemplifiedinastandard
63naturopathicmedicaltext,journal,orpharmacopeia:food;extractsoffood;vitamins;
64minerals;nutraceuticals;oxygen;botanicals;enzymes;aminoacids;homeopathics;
65hormones;hormonalorpharmaceuticalcontraceptives;alldietarysupplementsand
66nonprescriptiondrugsasdefinedbytheFederalFood,Drug,andCosmeticAct,21
67U.S.C.Section301etseq.;humancellularandtissue-basedproductsthatarenot
68regulatedasdrugs;suchlegenddrugsandcontrolledsubstancesthatareconsistentwith
69naturopathicmedicalpractice;andanyotherphysiologicsubstances;
70 (16)"Nutritionalcounseling",thepreventionandtreatmentofdiseaseorother
71humanconditionsthroughtheuseoffood,water,herbs,roots,bark,ornaturalfood
72elements;
73 (17)"Prescription",thesamemeaninggiventotheterminsection338.095;
74 (18)"Professionalexamination",acompetency-basednationallicensing
75examinationadministeredbytheNorthAmericanBoardofNaturopathicExaminers
76oritssuccessoragency,whichboardhasbeennationallyrecognizedtoadministera
77naturopathicexaminationthatrepresentsfederalstandardsofeducationandtraining;
78 (19)"Radiography",radiographicdiagnosticandotherimagingstudies
79including,butnotlimitedto,x-ray,diagnosticultrasound,mammogram,bone
80densitometry,computedtomography,positronemissiontomography,andmagnetic
81resonanceimaging;
82 (20)"Therapeuticdevice",aninstrumentoranapparatusintendedforusein
83diagnosisortreatmentandinthepreventionofdiseaseormaintenanceorrestorationof
84health.
324.1910.1.Thereisherebycreatedwithinthedivisionaboardtobeknownas
2the"BoardofNaturopathicMedicine".
HB91 3 3 2.Theboardofnaturopathicmedicineshallconsistoffivemembersappointed
4bythegovernor,allofwhomshallberesidentsofthisstate.Threemembersshallbe
5naturopathicdoctorsasdescribedinsubsection5ofthissection,onemembershallbea
6physicianlicensedunderchapter334,andonemembershallbeapublicmemberas
7describedinsubsection6ofthissection.
8 3.Theinitialmembersoftheboardshallbeappointedforstaggeredterms,the
9longestofwhichshallnotexceedfouryears.Followingtheinitialappointments,all
10termsshallbeforthreeyears,andnomemberoftheboardshallservemorethanthree
11terms.
12 4.Theinitialphysicianmemberlicensedunderchapter334shallhaveatleast
13fouryearsofexperienceinthepracticeofmedicineorosteopathicmedicine.
14 5.(1)Theinitialthreenaturopathicdoctormembersshallhaveatleastfour
15yearsofexperienceinthepracticeofnaturopathicmedicineandshallbeeligibleto
16becomelicensedundersections324.1900to324.1970.
17 (2)Anynaturopathicdoctormemberappointedfollowingtheinitial
18appointmentstotheboardshallbelicensedundersections324.1900to324.1970and
19shallactivelypracticenaturopathicmedicineinthisstateforthedurationofhisorher
20appointment.
21 6.Thepublicmembershallbe,atthetimeofthemember'sappointment,a
22citizenoftheUnitedStates,aresidentofthisstateforaperiodofoneyear,anda
23registeredvoter.Thepublicmembershallnothavebeenamemberofanyprofession
24licensedorregulatedundersections324.1900to324.1970oranimmediatefamily
25memberofsuchaperson.Thepublicmembershallnothavehadamaterialfinancial
26interestintheprovisionofnaturopathicmedicineorinanactivityororganization
27directlyrelatedtoanyprofessionlicensedorregulatedundersections324.1900to
28324.1970.Thedutiesofthepublicmembershallnotincludeanydeterminationofthe
29technicalrequirementstobemetforlicensureorwhetheranycandidateforlicensure
30meetssuchtechnicalrequirementsoranydeterminationofthetechnicalcompetenceor
31technicaljudgmentofalicenseeorcandidateforlicensure.
32 7.Intheeventofdeath,resignation,orremovalofanymemberoftheboard
33beforetheexpirationofthetermtowhichheorshewasappointed,thevacancyshallbe
34filledfortheunexpiredportionoftheterminthesamemannerastheoriginal
35appointment.
36 8.Theboardshall,withinthirtydaysaftertheappointmentofallmembers,and
37atleastannuallythereafter,holdameetingandelectfromitsmembershipachair,avice
38chair,andasecretary.Theboardmayholdadditionalmeetingsasmayberequiredin
39theperformanceofitsdutiesatthecallofthechairoruponthewrittenrequestofany
HB91 4 40twomembersoftheboard.Noticeofeverymeetingshallbegiventoeachmemberat
41leastthreedaysbeforethedateofthemeeting.
42 9.Theboardmayappointsuchcommitteesasitconsidersnecessarytocarryout
43itsduties.
44 10.Aquorumoftheboardshallconsistofamajorityofitsvotingmembers.The
45affirmativevoteofamajorityofaquorumoftheboardshallberequiredtocarrya
46motionorresolution,toadoptarule,ortopassameasure.
47 11.Thegovernormayremoveaboardmemberformisconduct,incompetence,
48orneglectofofficialdutiesaftergivingtheboardmemberwrittennoticeofthecharges
49andanopportunitytobeheard.
50 12.Notwithstandinganyotherprovisionoflaw,anyappointedmemberofthe
51boardshallreceiveascompensationanamountestablishedbythedirectorofthe
52division,nottoexceedseventy-fivedollarspermemberperdayforcommissionbusiness
53plusactualandnecessaryexpensesincluding,butnotlimitedto,travelexpenses.The
54directorofthedivisionshallestablishbyruleguidelinesforpayment.Allstaffforthe
55boardshallbeprovidedbythedivision.
324.1915.1.Theboardshalladoptrulesthatarenecessaryorproperforthe
2administrationofsections324.1900to324.1970including,butnotlimitedto,ruleson:
3 (1)Regulatingthelicensureofnaturopathicdoctorsanddeterminingthehours
4ofcontinuingeducationunitsrequiredformaintaininglicensureasanaturopathic
5doctor;
6 (2)Establishingthemannerinwhichrecordsofexaminationsandtreatments
7shallbekeptandmaintained;
8 (3)Establishingstandardsforprofessionalresponsibilityandconduct;
9 (4)Identifyingdisciplinaryactionsandcircumstancesthatrequiredisciplinary
10action;
11 (5)Developingameanstoprovideinformationtoalllicenseesinthestate;
12 (6)Providingfortheinvestigationofcomplaintsagainstlicenseesorpersons
13holdingthemselvesoutasnaturopathicdoctorsinthisstate;
14 (7)Providingforthepublicationofinformationforthepublicaboutlicensees
15andthepracticeofnaturopathicmedicineinthisstate;
16 (8)Providingforanorderlyprocessforreinstatementofalicense;
17 (9)Establishingcriteriaforadvertisingorpromotionalmaterials;
18 (10)Establishingcontinuingeducationrequirementsrelatedtohoursand
19acceptablecontent;
20 (11)Establishingstandardsforthestatejurisprudenceexamination;
HB91 5 21 (12)Establishingproceduresandstandardsforreviewinglicensingexamination
22scores;
23 (13)Establishingproceduresforreviewingtranscriptsdemonstrating
24completionoftheapprovednaturopathicmedicaleducationprogram;
25 (14)Establishingtherequirementsforissuanceandrenewaloflicenses;and
26 (15)Regulatinganyothermatternecessarytoimplementsections324.1900to
27324.1970.
28 2.Theboardshallestablishandmaintainalistofnaturopathicmedical
29educationprogramsthatmeettherequirementsofsection324.1930.
30 3.Theboardshalladministerandenforceallprovisionsofsections324.1900to
31324.1970andallrulesadoptedbytheboardundertheauthoritygrantedinsections
32324.1900to324.1970.
33 4.Theboardshallsettheamountofthefeesthatsections324.1900to324.1970
34authorizeandrequirebyrulesandregulationspromulgatedundersection536.021.The
35feesshallbesetataleveltoproducerevenuethatshallnotsubstantiallyexceedthecost
36andexpenseofadministeringsections324.1900to324.1970.
37 5.Allfeespayableundersections324.1900to324.1970shallbecollectedbythe
38divisionandtransmittedtothedepartmentofrevenuefordepositinthestatetreasury
39tothecreditoftheboardofnaturopathicmedicinefundestablishedundersection
40324.1920.
41 6.Theboardshallemploypermanentortemporarypersonnelitdeems
42necessarytocarryoutthepurposesofsections324.1900to324.1970anddesignatetheir
43duties.
44 7.Anyruleorportionofarule,asthattermisdefinedinsection536.010,thatis
45createdundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifit
46complieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,
47section536.028.Thissectionandchapter536arenonseverableandifanyofthepowers
48vestedwiththegeneralassemblypursuanttochapter536toreview,todelaythe
49effectivedate,ortodisapproveandannularulearesubsequentlyheldunconstitutional,
50thenthegrantofrulemakingauthorityandanyruleproposedoradoptedafterAugust
5128,2025,shallbeinvalidandvoid.
324.1920.1.Thereisherebycreatedinthestatetreasurythe"Boardof
2NaturopathicMedicineFund".Allfeesauthorizedtobechargedbytheboardshallbe
3collectedbythedirectorofthedivisionandshallbetransmittedtothedepartmentof
4revenuefordepositinthestatetreasuryforcredittothisfund.Thestatetreasurershall
5becustodianofthefund.Inaccordancewithsections30.170and30.180,thestate
6treasurermayapprovedisbursements.Thefundshallbeadedicatedfundand,upon
HB91 6 7appropriation,moneysinthisfundshallbeusedsolelyinpaymentofexpensesof
8maintainingtheboardandfortheenforcementoftheprovisionsoflawconcerningthe
9practiceofnaturopathicmedicine.
10 2.Notwithstandingtheprovisionsofsection33.080tothecontrary,moneysin
11thisfundshallnotbetransferredandplacedtothecreditofgeneralrevenueuntilthe
12amountinthefundattheendofthebienniumexceedsthreetimestheamountofthe
13appropriationfromthefundfortheprecedingfiscalyear.Theamount,ifany,inthe
14fundthatshalllapseisthatamountinthefundthatexceedstheappropriatemultipleof
15theappropriationsfromthefundfortheprecedingfiscalyear.
16 3.Thestatetreasurershallinvestmoneysinthefundinthesamemanneras
17otherfundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbe
18creditedtothefund.
324.1925.Theboardshallissuealicensetoanapplicantwho:
2 (1)Isofgoodmoralcharacter,inaccordancewithstandardsestablishedbyrules
3oftheboard;
4 (2)Submits,inaccordancewithrulesoftheboard,thefollowingitemstothe
5board:
6 (a)Anapplicationforlicensuredesignedandapprovedbytheboardand
7submittedinaccordancewithrulesoftheboard;
8 (b)Anapplicationfeesubmittedinanamountandmannerestablishedbyrules
9oftheboard;
10 (c)Evidencethattheapplicanthasgraduatedfromanapprovednaturopathic
11medicaleducationprogram;
12 (d)Evidencethattheapplicanthassuccessfullycompletedaprofessional
13examinationor,forgraduatesofapprovednaturopathicmedicaleducationprogramsin
14theUnitedStatespriortotheexistenceoftheCouncilonNaturopathicMedical
15Education,acompetency-basedstatenaturopathicmedicinelicensingexaminationor
16equivalentCanadianprovinciallicensingexaminationforthepracticeofnaturopathic
17medicineapprovedbytheboard;
18 (e)Evidencethattheapplicanthaspassedapharmacyexaminationauthorized
19byrulesoftheboardandadministeredbytheNorthAmericanBoardofNaturopathic
20Examiners;
21 (f)Evidencethattheapplicanthaspassedastatejurisprudenceexamination
22thatmeetsstandardsestablishedinrulesoftheboard;and
23 (g)Evidenceofprofessionalliabilityinsurance;
24 (3)Isdeterminedbytheboardtobephysicallyandmentallycapableofsafely
25practicingnaturopathicmedicinewithorwithoutreasonableaccommodation;and
HB91 7 26 (4)Hasnothadalicensetopracticenaturopathicmedicineorotherhealthcare
27license,registration,orcertificaterefused,revoked,orsuspendedbyanyother
28jurisdictionforreasonsthatrelatetotheapplicant'sabilitytoskillfullyandsafely
29practicenaturopathicmedicineunlessthatlicense,registration,orcertificationhasbeen
30restoredtogoodstandingbythatjurisdiction.
324.1930.1.Theboardshallestablishbyruleguidelinesforthelicensure
2requirementsdescribedinsection324.1925relatingtograduationfromanapproved
3naturopathicmedicaleducationprogram.Theguidelinesshallmeettherequirementsof
4thissectionandtheboard'sspecificationsfortheeducationofnaturopathicdoctors.
5 2.Therequirementforgraduationfromanapprovednaturopathicmedical
6educationprogramshallbeinterpretedintheguidelinesasrequiring,ataminimum,
7graduationfrom:
8 (1)AnaturopathicmedicaleducationprogramintheUnitedStatesproviding
9thedegreeofdoctorofnaturopathicmedicine,whichshall:
10 (a)Offergraduate-level,full-timedidacticandsupervisedclinicaltraining;
11 (b)Beaccreditedorhaveachievedcandidacystatusforaccreditationbythe
12CouncilonNaturopathicMedicalEducationoranequivalentfederallyrecognized
13accreditingbodyfornaturopathicmedicalprogramsalsorecognizedbytheboard;and
14 (c)Beaninstitutionofhighereducationorpartofaninstitutionofhigher
15educationthatiseitheraccreditedorisacandidateforaccreditationbyaregionalor
16nationalinstitutionalaccreditingagencyrecognizedbytheUnitedStatesSecretaryof
17Education;
18 (2)Adegree-grantinginstitutionofhighereducationthat,priortotheexistence
19oftheCouncilonNaturopathicMedicalEducation,offeredafull-time,structured
20curriculuminbasicsciencesandsupervisedpatientcarecomprisingadoctoral
21naturopathicmedicaleducationrequiringnotlessthanonehundredthirty-twoweeksof
22courseworktobecompletedwithinaperiodofnotlessthanthirty-fivemonths,which
23wasreputableandingoodstandinginthejudgmentoftheboardandwhichifstillin
24existencehascurrentprogrammaticaccreditationbytheCouncilonNaturopathic
25MedicalEducationorafederallyrecognizedequivalentaccreditingagency;
26 (3)Adiploma-granting,degree-equivalentinstitutionofhighereducation
27locatedinCanadathat,priortotheexistenceoftheCouncilonNaturopathicMedical
28Education,hadprovincialapprovalforparticipationingovernment-fundedstudentaid
29programs,offeredafull-time,structuredcurriculuminbasicsciencesandsupervised
30patientcarecomprisingadoctoralnaturopathicmedicaleducationrequiringnotless
31thanonehundredthirty-twoweeksofcourseworktobecompletedwithinaperiodof
32notlessthanthirtymonths,wasreputableandingoodstandinginthejudgmentofthe
HB91 8 33board,andifstillinexistence,hascurrentprogrammaticaccreditationbytheCouncil
34onNaturopathicMedicalEducationorafederallyrecognizedequivalentaccrediting
35agencyandcurrentlyhasprovincialapprovalforparticipationingovernment-funded
36studentaidprograms;or
37 (4)Adiploma-granting,degree-equivalentinstitutionofhighereducation
38locatedinCanadathathasprovincialapprovalforparticipationingovernment-funded
39studentaidprograms,offersgraduate-level,full-timedidacticandsupervisedclinical
40training,andisaccreditedorhasachievedcandidacystatusforaccreditationbythe
41CouncilonNaturopathicMedicalEducationoranequivalentfederallyrecognized
42accreditingbodyfornaturopathicmedicalprogramsalsorecognizedbytheboard.
324.1935.1.Apersonwhoholdsalicenseundersections324.1900to324.1970
2shalldisplaythelicensee'slicenseinthelicensee'splaceofbusinessinalocationclearly
3visibletothelicensee'spatientsandshallalsodisplayevidenceofthelicenseehaving
4completedanapprovednaturopathicmedicaleducationprogram.
5 2.Apersonwhopractices,conductsaffairs,orisemployedatmorethanone
6locationandwhomaintainsacontinuingactivityasauthorizedbythelicenseshall
7displayaduplicateofsuchdocumentissuedbytheboardateachlocation.
324.1940.Alicenseemaypracticenaturopathicmedicinetoprovideprimary
2careinalignmentwithnaturopathicmedicaleducationby:
3 (1)Performingcommondiagnosticprocedures;
4 (2)Administering,dispensing,andorderingnaturopathictherapies;
5 (3)Recommending,prescribing,administering,dispensing,andordering:
6 (a)Alllegenddrugsandover-the-counterdrugs;
7 (b)ControlledsubstanceswithinSchedulesIII,IV,andVofsection195.017,
8excludingallopioidsandopioidderivatives;and
9 (c)Durablemedicalequipmentanddevices;
10 (4)Administeringsubstancesauthorizedforintradermal,subcutaneous,
11intramuscular,intravenous,ligamentous,tendinous,periarticular,intra-articular,
12intravaginal,andintrauterineadministrationconsistentwiththeeducationand
13trainingofanaturopathicdoctor;
14 (5)Performingnaturopathicphysicalmedicine;
15 (6)Recommending,ordering,andusingtherapeuticdevices;
16 (7)Recommending,ordering,andusingbarriercontraceptionandcontraceptive
17devices,includingintrauterinedevices;
18 (8)Performingminorofficeprocedures;
19 (9)Providingbiofeedbackandneurofeedbacktherapies;and
HB91 9 20 (10)Providinghealthcarecounseling,nutritionalcounseling,anddietary
21therapy.
324.1945.Anaturopathicdoctorwhoprescribesinaccordancewithsection
2324.1940shall:
3 (1)Recordeachprescriptionorderinwriting,whichmayincludean
4electronicallyrecordedandtransmittedcommunication.Theordershallincludethe
5name,address,andtelephonenumberofthenaturopathicdoctor;
6 (2)Prescribeonlywhenthenaturopathicdoctorhasadequateeducation,
7training,andexperiencetosafelymanagethemedicalregimen;and
8 (3)RegisterwiththeUnitedStatesDrugEnforcementAdministration(DEA)in
9ordertoprescribecontrolledsubstancesauthorizedbysections324.1900to324.1970.
324.1950.Alicenseeshallrefertoaphysicianlicensedandauthorizedtoengage
2inthepracticeofmedicineasdescribedinsection334.010anypatientwhosemedical
3conditionshould,atthetimeofevaluationortreatment,bedeterminedtobebeyondthe
4scopeofpracticeofthelicensee.
324.1955.Alicenseeshallnot:
2 (1)Performmajorsurgery;
3 (2)Usegeneralorspinalanesthetics;
4 (3)Administerionizingradioactivesubstancesfortherapeuticpurposes;
5 (4)Performasurgicalprocedureusingalaserdevice;
6 (5)Performasurgicalprocedureinvolvinganyofthefollowingareasofthebody
7thatextendsbeyondsuperficialtissue:eyes,ears,tendons,nerves,veins,orarteries;
8 (6)Performasurgicalormedicalabortion;
9 (7)Treatanylesionsuspectedofmalignancyorrequiringsurgicalremoval;
10 (8)Practicechiropracticmedicine;
11 (9)Practiceacupuncture;or
12 (10)Practicephysicaltherapy.
324.1960.Nothinginsections324.1900to324.1970shallbeconstruedtoprohibit
2ortorestrict:
3 (1)Thepracticeofahealthcareprofessionbyanindividualwhoislicensed,
4certified,orregisteredunderotherlawsofthisstateandwhoisperformingservices
5withintheindividual'sauthorizedscopeofpractice;
6 (2)Thepracticeofnaturopathicmedicinebyastudentenrolledinanapproved
7naturopathicmedicaleducationprogram,providedthatthepracticeofnaturopathic
8medicinebyastudentisperformedasspecifiedbyacourseofinstructionoran
9assignmentfromaninstructorandunderthesupervisionofaninstructorwhoisa
10licenseeoradulylicensedprofessionalintheinstructedfield;
HB91 10 11 (3)Anypersonwhosellsavitaminorherbfromprovidinginformationabout
12thevitaminorherb;
13 (4)Thepracticeofnaturopathicmedicinebypersonswhoarelicensedto
14practiceinanyotherstateordistrictintheUnitedStatesandwhoenterthisstateto
15consultwithanaturopathicdoctorofthisstate,providedthattheconsultationislimited
16toexamination,recommendation,ortestimonyinlitigation;or
17 (5)Anypersonorpractitionerwhoisnotlicensedasanaturopathicdoctorfrom
18recommendingayurvedicmedicine,herbalremedies,nutritionaladvice,homeopathy,or
19othertherapythatiswithinthescopeofpracticeofnaturopathicmedicine,provided
20thatthepersonorpractitionershallnot:
21 (a)Useatitleprotectedundersection324.1965;
22 (b)Representorassumethecharacterorappearanceofalicensee;or
23 (c)Otherwiseuseaname,title,orotherdesignationthatindicatesorimpliesthat
24thepersonisalicensee.
324.1965.1.Alicenseeshallusethetitle"naturopathicphysician"or
2"naturopathicdoctor"andtherecognizedabbreviation"N.D.".
3 2.Alicenseehastheexclusiverighttousethefollowingtermsinreferencetothe
4licensee'sself:"naturopathicphysician","naturopathicdoctor","doctorof
5naturopathicmedicine","N.D.","ND","NMD",and"N.M.D.".
6 3.Anindividualrepresentstheindividual'sselftobeanaturopathicphysicianor
7anaturopathicdoctorwhentheindividualusesoradoptsanyofthefollowingtermsin
8referencetotheindividual'sself:"naturopathicphysician","naturopathicdoctor",
9"doctorofnaturopathicmedicine","N.D.","ND","NMD",and"N.M.D.".
10 4.Anindividualshallnotrepresenttheindividual'sselftothepublicasa
11naturopathicphysician,anaturopathicdoctor,oradoctorofnaturopathicmedicine,or
12asbeingotherwiseauthorizedtopracticenaturopathicmedicineinthisstate,unlessthe
13individualisalicensee.
324.1970.1.Theboardmayrefusetoissue,renew,orreinstateanylicense
2requiredbysections324.1900to324.1970foroneoranycombinationofcausesstatedin
3subsection2ofthissection.Theboardshallnotifytheapplicantinwritingofthe
4reasonsfortherefusalandshalladvisetheapplicantofhisorherrighttofilea
5complaintwiththeadministrativehearingcommissionasprovidedinchapter621.
6 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
7commissionasprovidedbychapter621againstanyholderofalicenseissuedunder
8sections324.1900to324.1970oranypersonwhohasfailedtoreneworhassurrendered
9hisorherlicenseforanyoneoranycombinationofthefollowingcauses:
HB91 11 10 (1)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
11guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystate,ofthe
12UnitedStates,orofanycountryforanyoffensedirectlyrelatedtothedutiesand
13responsibilitiesoftheoccupation,assetforthinsection324.012,regardlessofwhethera
14sentenceisimposed;
15 (2)Useoffraud,deception,misrepresentation,orbriberyinsecuringanylicense
16issuedundersections324.1900to324.1970orinobtainingpermissiontotakeany
17examinationgivenorrequiredundersections324.1900to324.1970;
18 (3)Obtainingorattemptingtoobtainanyfee,charge,tuition,orother
19compensationbyfraud,deception,ormisrepresentation;
20 (4)Incompetency,misconduct,grossnegligence,fraud,misrepresentation,or
21dishonestyintheperformanceofthefunctionsordutiesoftheprofessionregulatedby
22sections324.1900to324.1970;
23 (5)Violationof,orassistingorenablinganypersontoviolate,anyprovisionof
24sections324.1900to324.1970orofanylawfulruleorregulationadoptedundersections
25324.1900to324.1970;
26 (6)Impersonationofanypersonholdingalicenseorallowinganyotherperson
27tousehisorherdiplomafromanyschool;
28 (7)Disciplinaryactionagainsttheholderofalicenseorotherrighttopractice
29theprofessionregulatedbysections324.1900to324.1970grantedbyanotherstate,
30territory,federalagency,orcountryupongroundsforwhichrevocationorsuspensionis
31authorizedinthisstate;
32 (8)Apersonisfinallyadjudgedinsaneorincompetentbyacourtofcompetent
33jurisdiction;
34 (9)Issuanceofalicensebaseduponamaterialmistakeoffact;or
35 (10)Useofanyadvertisementorsolicitationthatisfalse,misleading,or
36deceptivetothegeneralpublicorpersonstowhomtheadvertisementorsolicitationis
37primarilydirected.
38 3.Anyperson,organization,association,orcorporationthatreportsorprovides
39informationtotheboardordivisioninaccordancewiththeprovisionsofsections
40324.1900to324.1970andthatdoessoingoodfaithandwithoutnegligenceshallnotbe
41subjecttoanactionforcivildamagesasaresultthereof.
42 4.Afterthefilingofacomplaintundersubsection2ofthissection,the
43proceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upon
44afindingbytheadministrativehearingcommissionthatoneormoreofthegroundsfor
45disciplinaryactionprovidedinsubsection2ofthissectionaremet,theboardmay,
46singlyorincombination,censureorplacethepersonnamedinthecomplainton
HB91 12 47probationorsuspensionorrevokethelicenseofthepersononsuchtermsand
48conditionsastheboarddeemsappropriate.
âś”
HB91 13