1 | 1 | | 81R4390 BEF-F |
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2 | 2 | | By: Wentworth S.B. No. 1194 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to the licensing and regulation of hearing instrument |
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8 | 8 | | fitters and dispensers. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Section 402.003, Occupations Code, is amended to |
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11 | 11 | | read as follows: |
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12 | 12 | | Sec. 402.003. APPLICABILITY OF CHAPTER[; EXEMPTIONS]. |
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13 | 13 | | (a) This chapter does not apply to: |
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14 | 14 | | (1) a person engaged in the practice of measuring |
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15 | 15 | | human hearing as a part of the academic curriculum of an accredited |
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16 | 16 | | institution of higher learning if the person or the person's |
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17 | 17 | | employees do not sell hearing instruments; |
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18 | 18 | | (2) a physician licensed by the Texas Medical [State] |
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19 | 19 | | Board [of Medical Examiners]; [or] |
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20 | 20 | | (3) a person with a master's degree or doctorate in |
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21 | 21 | | audiology from an accredited college or university who does not |
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22 | 22 | | sell hearing instruments, to the extent the person engages in the |
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23 | 23 | | measurement of human hearing by the use of an audiometer or by any |
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24 | 24 | | other means to make selections and adaptations of or |
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25 | 25 | | recommendations for a hearing instrument and to make impressions |
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26 | 26 | | for earmolds to be used as part of a hearing instrument; [.] |
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27 | 27 | | (4) an [(b) An] audiologist or an audiology intern |
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28 | 28 | | licensed under Chapter 401, except as may otherwise be provided by |
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29 | 29 | | the following provisions which refer to Chapter 401: |
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30 | 30 | | (A) Section 402.051(a)(1); |
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31 | 31 | | (B) Section 402.202(b); |
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32 | 32 | | (C) Section 402.252; |
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33 | 33 | | (D) Section 402.255(a); |
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34 | 34 | | (E) Section 402.406(a); and |
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35 | 35 | | (F) Section 402.451(a)(6); and [is exempt from |
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36 | 36 | | this chapter.] |
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37 | 37 | | (5) a [(c) A] student of audiology in an accredited |
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38 | 38 | | college or university program, [is exempt from this chapter] if the |
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39 | 39 | | student's activities and services are part of the student's |
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40 | 40 | | supervised course of study or practicum experience. |
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41 | 41 | | (b) A [The] student described by Subsection (a)(5) is |
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42 | 42 | | subject to Chapter 401. |
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43 | 43 | | SECTION 2. Section 402.202(b), Occupations Code, is amended |
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44 | 44 | | to read as follows: |
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45 | 45 | | (b) A person licensed under Chapter 401 as an audiologist or |
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46 | 46 | | an audiology intern who is applying for a license under this chapter |
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47 | 47 | | is exempt from the examination required under this chapter but must |
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48 | 48 | | comply with all other requirements under this chapter. |
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49 | 49 | | SECTION 3. Sections 402.207(a) and (c), Occupations Code, |
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50 | 50 | | are amended to read as follows: |
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51 | 51 | | (a) The committee shall issue an apprentice permit to fit |
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52 | 52 | | and dispense hearing instruments to a temporary training permit |
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53 | 53 | | holder who has: |
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54 | 54 | | (1) passed all parts of the examination [with a score |
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55 | 55 | | of 70 percent or greater]; |
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56 | 56 | | (2) paid the required fees; and |
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57 | 57 | | (3) met all requirements of this chapter. |
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58 | 58 | | (c) An apprentice permit holder shall work under the |
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59 | 59 | | supervision of a licensed hearing instrument dispenser for at least |
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60 | 60 | | one year. During the apprentice year, the apprentice permit holder |
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61 | 61 | | shall complete 20 [18] hours of classroom continuing education as |
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62 | 62 | | required by Section 402.303 for a license holder [in subjects |
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63 | 63 | | required by the committee]. |
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64 | 64 | | SECTION 4. Section 402.209, Occupations Code, is amended to |
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65 | 65 | | read as follows: |
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66 | 66 | | Sec. 402.209. APPLICATION BY LICENSE HOLDER FROM ANOTHER |
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67 | 67 | | STATE [LICENSING BY RECIPROCITY]. (a) A person licensed to fit and |
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68 | 68 | | dispense hearing instruments in another state may apply for a |
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69 | 69 | | license under this chapter by submitting an application on a form |
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70 | 70 | | prescribed by the committee. [On application, the committee shall |
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71 | 71 | | waive the examination requirement and issue a license under this |
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72 | 72 | | chapter to a license holder from another state or territory whose |
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73 | 73 | | licensing requirements are equal to or greater than the licensing |
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74 | 74 | | requirements of this chapter.] |
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75 | 75 | | (b) An applicant for a license under this section must |
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76 | 76 | | complete the application form completely and accurately. The |
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77 | 77 | | committee may not consider an incomplete application. If an |
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78 | 78 | | applicant fails to provide any information required on the |
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79 | 79 | | application form, the committee shall send the applicant a notice |
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80 | 80 | | of deficiency that explains the additional information that must be |
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81 | 81 | | submitted before the committee may review the application. [An |
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82 | 82 | | application for a license under this section must: |
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83 | 83 | | [(1) be in writing and on a form prescribed by the |
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84 | 84 | | committee; |
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85 | 85 | | [(2) be accompanied by documentation showing that the |
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86 | 86 | | state, territory, or other authority under which the applicant was |
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87 | 87 | | practicing has minimum requirements equal to or greater than the |
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88 | 88 | | requirements of this chapter; and |
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89 | 89 | | [(3) be filed with the committee.] |
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90 | 90 | | (c) The committee shall require an applicant for a license |
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91 | 91 | | under this section to provide as part of the application: |
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92 | 92 | | (1) written verification that the applicant is |
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93 | 93 | | licensed in good standing as a fitter and dispenser of hearing |
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94 | 94 | | instruments in another state and has held the license for at least |
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95 | 95 | | three years preceding the date of application; |
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96 | 96 | | (2) written verification that: |
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97 | 97 | | (A) the requirements to obtain a license to fit |
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98 | 98 | | and dispense hearing instruments in the state in which the |
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99 | 99 | | applicant is licensed include passing an examination approved by |
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100 | 100 | | the committee by rule; or |
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101 | 101 | | (B) the applicant holds a certification from a |
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102 | 102 | | professional organization approved by the committee by rule; |
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103 | 103 | | (3) affirmation that the applicant is a resident of |
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104 | 104 | | this state; |
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105 | 105 | | (4) a written statement from the licensing entity in |
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106 | 106 | | the state in which the applicant is licensed that details any |
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107 | 107 | | disciplinary action taken by the entity against the applicant; and |
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108 | 108 | | (5) a statement of the applicant's criminal history |
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109 | 109 | | acceptable to the committee [In addition to any other documentation |
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110 | 110 | | required by the committee, the committee shall request all written |
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111 | 111 | | records regarding the applicant from the state, territory, or other |
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112 | 112 | | authority under which the applicant was practicing, including: |
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113 | 113 | | [(1) a copy of the written examination; |
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114 | 114 | | [(2) the practicum examination; |
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115 | 115 | | [(3) the outline of the oral examination; and |
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116 | 116 | | [(4) any other information necessary for the |
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117 | 117 | | committee's decision]. |
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118 | 118 | | (d) The committee may deny an application under this section |
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119 | 119 | | based on the applicant's criminal history or history of |
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120 | 120 | | disciplinary action. |
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121 | 121 | | (e) If the committee approves an application, on the next |
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122 | 122 | | regularly scheduled examination date the applicant may take the |
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123 | 123 | | practical section of the examination required under Section 402.202 |
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124 | 124 | | and a written examination of Texas law administered by the |
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125 | 125 | | committee. If the applicant passes the examinations required under |
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126 | 126 | | this section, the committee shall issue to the applicant a license |
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127 | 127 | | under this chapter. |
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128 | 128 | | (f) The committee may allow an applicant under this section |
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129 | 129 | | who satisfies all application requirements other than the |
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130 | 130 | | requirement under Subsection (c)(2) to take all sections of the |
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131 | 131 | | examination required under Section 402.202. If the applicant passes |
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132 | 132 | | the examination, the committee shall issue to the applicant a |
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133 | 133 | | license under this chapter. |
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134 | 134 | | (g) An applicant under this section who fails an examination |
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135 | 135 | | may request in writing, not later than the 30th day after the date |
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136 | 136 | | the committee sends the applicant notice of the examination |
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137 | 137 | | results, that the committee furnish the applicant with an analysis |
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138 | 138 | | of the applicant's performance on the examination. |
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139 | 139 | | (h) An applicant under this section who fails an examination |
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140 | 140 | | may not retake the examination under this section. The person must |
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141 | 141 | | comply with the requirements for an applicant for an original |
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142 | 142 | | license under this chapter. |
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143 | 143 | | (i) The committee may not issue a license under this section |
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144 | 144 | | to an applicant who is a licensed audiologist in another state. The |
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145 | 145 | | committee shall refer the applicant to the State Board of Examiners |
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146 | 146 | | for Speech-Language Pathology and Audiology. |
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147 | 147 | | SECTION 5. Section 402.251, Occupations Code, is amended to |
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148 | 148 | | read as follows: |
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149 | 149 | | Sec. 402.251. TEMPORARY TRAINING PERMIT QUALIFICATIONS. |
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150 | 150 | | (a) The committee shall issue a temporary training permit to a |
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151 | 151 | | person who: |
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152 | 152 | | (1) has never taken the examination administered under |
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153 | 153 | | this chapter; |
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154 | 154 | | (2) possesses the qualifications required under |
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155 | 155 | | Section 402.203(a); |
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156 | 156 | | (3) submits a written application on a form provided |
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157 | 157 | | by the committee furnishing sworn evidence that the applicant[: |
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158 | 158 | | [(A)] satisfies the requirements of Subdivisions |
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159 | 159 | | (1) and (2); and |
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160 | 160 | | [(B) has never held a temporary training permit |
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161 | 161 | | in this state; and] |
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162 | 162 | | (4) pays the temporary training permit fee. |
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163 | 163 | | (b) The committee may issue a new temporary training permit |
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164 | 164 | | under this section to a person on or after the 365th day after the |
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165 | 165 | | person's previous temporary training permit expired. |
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166 | 166 | | SECTION 6. Section 402.252, Occupations Code, is amended to |
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167 | 167 | | read as follows: |
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168 | 168 | | Sec. 402.252. SUPERVISION AFFIDAVIT. (a) An application |
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169 | 169 | | for a temporary training permit must be accompanied by the |
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170 | 170 | | affidavit of a person licensed to fit and dispense hearing |
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171 | 171 | | instruments under this chapter or Chapter 401, other than a person |
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172 | 172 | | licensed under Section 401.311 or 401.312 [in this state]. |
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173 | 173 | | (b) The affidavit must state that: |
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174 | 174 | | (1) the applicant, if granted a temporary training |
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175 | 175 | | permit, will be supervised by the affiant in all work done by the |
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176 | 176 | | applicant under the temporary training permit; [and] |
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177 | 177 | | (2) the affiant will notify the committee not later |
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178 | 178 | | than the 10th day after the date of the applicant's termination of |
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179 | 179 | | supervision by the affiant; and |
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180 | 180 | | (3) if the affiant is licensed under Chapter 401, the |
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181 | 181 | | affiant will comply with all provisions of this chapter and rules |
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182 | 182 | | adopted under this chapter that relate to the supervision and |
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183 | 183 | | training of a temporary training permit holder. |
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184 | 184 | | SECTION 7. Section 402.255(a), Occupations Code, is amended |
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185 | 185 | | to read as follows: |
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186 | 186 | | (a) A supervisor of a temporary training permit holder must: |
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187 | 187 | | (1) be [a] licensed to fit and dispense hearing |
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188 | 188 | | instruments under [instrument dispenser having the qualifications |
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189 | 189 | | established by] this chapter or Chapter 401, other than Section |
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190 | 190 | | 401.311 or 401.312; |
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191 | 191 | | (2) currently practice in [and: |
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192 | 192 | | [(1) have] an established place of business; and |
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193 | 193 | | (3) [(2)] be responsible for the direct supervision |
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194 | 194 | | and education of a temporary training permit holder. |
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195 | 195 | | SECTION 8. Section 402.301, Occupations Code, is amended by |
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196 | 196 | | amending Subsections (a) and (e) and adding Subsection (f) to read |
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197 | 197 | | as follows: |
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198 | 198 | | (a) A license under this chapter is valid for two years [one |
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199 | 199 | | year]. The committee shall renew the license every two years |
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200 | 200 | | [annually] on payment of the renewal fee unless the license is |
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201 | 201 | | suspended or revoked. |
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202 | 202 | | (e) A person whose license has been expired for two years or |
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203 | 203 | | more may not renew the license. The person may obtain a new license |
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204 | 204 | | by [submitting to reexamination and] complying with the |
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205 | 205 | | requirements and procedures for obtaining an original license. |
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206 | 206 | | (f) The committee may not renew a license unless the license |
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207 | 207 | | holder provides proof that all equipment that is used by the license |
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208 | 208 | | holder to produce a measurement in the testing of hearing acuity has |
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209 | 209 | | been properly calibrated or certified by a qualified technician. |
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210 | 210 | | SECTION 9. Section 402.403, Occupations Code, is amended to |
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211 | 211 | | read as follows: |
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212 | 212 | | Sec. 402.403. WRITTEN CONTRACT [BILL OF SALE]. The owner of |
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213 | 213 | | a hearing instrument fitting and dispensing practice [(a) A |
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214 | 214 | | license holder] shall ensure that each client receives a written |
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215 | 215 | | contract at the time of purchase of a hearing instrument that |
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216 | 216 | | contains [provide a bill of sale to each person supplied with a |
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217 | 217 | | hearing instrument by the license holder or under the license |
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218 | 218 | | holder's direction. |
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219 | 219 | | [(b) The bill of sale must contain]: |
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220 | 220 | | (1) the [license holder's] signature of the license |
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221 | 221 | | holder who dispensed the hearing instrument; |
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222 | 222 | | (2) the [license holder's] printed name of the license |
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223 | 223 | | holder who dispensed the hearing instrument; |
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224 | 224 | | (3) the address of the [license holder's] principal |
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225 | 225 | | office of the license holder who dispensed the hearing instrument; |
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226 | 226 | | (4) the [license holder's] license number of the |
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227 | 227 | | license holder who dispensed the hearing instrument; |
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228 | 228 | | (5) a description of the make and model of the hearing |
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229 | 229 | | instrument; |
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230 | 230 | | (6) the amount charged for the hearing instrument; |
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231 | 231 | | [and] |
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232 | 232 | | (7) a statement of whether the hearing instrument is |
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233 | 233 | | new, used, or rebuilt; |
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234 | 234 | | (8) notice of the 30-day trial period under Section |
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235 | 235 | | 402.401; and |
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236 | 236 | | (9) the name, mailing address, and telephone number of |
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237 | 237 | | the committee. |
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238 | 238 | | SECTION 10. Section 402.406, Occupations Code, is amended |
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239 | 239 | | by adding Subsection (c) to read as follows: |
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240 | 240 | | (c) All of the business's records and contracts are solely |
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241 | 241 | | the property of the person who owns the business. |
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242 | 242 | | SECTION 11. Section 402.501, Occupations Code, is amended |
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243 | 243 | | to read as follows: |
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244 | 244 | | Sec. 402.501. GROUNDS FOR LICENSE DENIAL AND DISCIPLINARY |
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245 | 245 | | ACTION. The committee may refuse to issue or renew a license, |
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246 | 246 | | revoke or suspend a license or permit, place on probation a person |
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247 | 247 | | whose license or permit has been suspended, or reprimand a license |
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248 | 248 | | or permit holder who: |
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249 | 249 | | (1) makes a material misstatement in furnishing |
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250 | 250 | | information to the committee or to another state or federal agency; |
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251 | 251 | | (2) violates this chapter or a rule adopted under this |
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252 | 252 | | chapter; |
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253 | 253 | | (3) is convicted of a felony or misdemeanor that |
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254 | 254 | | includes dishonesty as an essential element or of a crime directly |
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255 | 255 | | related to the practice of fitting and dispensing hearing |
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256 | 256 | | instruments; |
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257 | 257 | | (4) makes a misrepresentation for the purpose of |
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258 | 258 | | obtaining or renewing a license, including falsifying the |
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259 | 259 | | educational requirements under this chapter; |
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260 | 260 | | (5) is professionally incompetent or engages in |
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261 | 261 | | malpractice or dishonorable, unethical, or unprofessional conduct |
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262 | 262 | | that is likely to deceive, defraud, or harm the public; |
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263 | 263 | | (6) aids or assists another person in violating this |
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264 | 264 | | chapter or a rule adopted under this chapter; |
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265 | 265 | | (7) does not provide information in response to a |
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266 | 266 | | written request made by the board within 60 days; |
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267 | 267 | | (8) directly or indirectly knowingly employs, hires, |
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268 | 268 | | procures, or induces a person not licensed under this chapter to fit |
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269 | 269 | | and dispense hearing instruments unless the person is exempt under |
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270 | 270 | | this chapter; |
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271 | 271 | | (9) aids a person not licensed under this chapter in |
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272 | 272 | | the fitting or dispensing of hearing instruments unless the person |
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273 | 273 | | is exempt under this chapter; |
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274 | 274 | | (10) is habitually intoxicated or addicted to a |
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275 | 275 | | controlled substance; |
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276 | 276 | | (11) directly or indirectly gives to or receives from |
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277 | 277 | | a person a fee, commission, rebate, or other form of compensation |
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278 | 278 | | for a service not actually provided; |
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279 | 279 | | (12) violates a term of probation; |
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280 | 280 | | (13) wilfully makes or files a false record or report; |
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281 | 281 | | (14) has a physical illness that results in the |
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282 | 282 | | inability to practice the profession with reasonable judgment, |
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283 | 283 | | skill, or safety, including the deterioration or loss of motor |
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284 | 284 | | skills through aging; |
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285 | 285 | | (15) solicits a service by advertising that is false |
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286 | 286 | | or misleading; |
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287 | 287 | | (16) participates in subterfuge or misrepresentation |
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288 | 288 | | in the fitting or dispensing of a hearing instrument; |
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289 | 289 | | (17) knowingly advertises for sale a model or type of |
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290 | 290 | | hearing instrument that cannot be purchased; |
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291 | 291 | | (18) falsely represents that the service of a licensed |
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292 | 292 | | physician or other health professional will be used or made |
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293 | 293 | | available in the fitting, adjustment, maintenance, or repair of a |
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294 | 294 | | hearing instrument; |
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295 | 295 | | (19) falsely uses the term "doctor," "audiologist," |
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296 | 296 | | "clinic," "clinical audiologist," "state licensed," "state |
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297 | 297 | | certified," "licensed hearing instrument dispenser," "board |
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298 | 298 | | certified hearing instrument specialist," "hearing instrument |
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299 | 299 | | specialist," or "certified hearing aid audiologist," or uses any |
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300 | 300 | | other term, abbreviation, or symbol that falsely gives the |
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301 | 301 | | impression that: |
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302 | 302 | | (A) a service is being provided by a person who is |
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303 | 303 | | licensed or has been awarded a degree or title; or |
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304 | 304 | | (B) the person providing a service has been |
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305 | 305 | | recommended by a government agency or health provider; |
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306 | 306 | | (20) advertises a manufacturer's product or uses a |
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307 | 307 | | manufacturer's name or trademark in a way that implies a |
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308 | 308 | | relationship between a license or permit holder and a manufacturer |
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309 | 309 | | that does not exist; |
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310 | 310 | | (21) directly or indirectly gives or offers to give, |
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311 | 311 | | or permits or causes to be given, money or another thing of value to |
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312 | 312 | | a person who advises others in a professional capacity as an |
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313 | 313 | | inducement to influence the person to influence the others to: |
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314 | 314 | | (A) purchase or contract to purchase products |
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315 | 315 | | sold or offered for sale by the license or permit holder; or |
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316 | 316 | | (B) refrain from purchasing or contracting to |
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317 | 317 | | purchase products sold or offered for sale by another license or |
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318 | 318 | | permit holder under this chapter; |
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319 | 319 | | (22) with fraudulent intent fits and dispenses a |
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320 | 320 | | hearing instrument under any name, including a false name or alias; |
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321 | 321 | | (23) does not adequately provide for the service or |
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322 | 322 | | repair of a hearing instrument fitted and sold by the license |
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323 | 323 | | holder; or |
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324 | 324 | | (24) violates a regulation of the federal Food and |
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325 | 325 | | Drug Administration or the Federal Trade Commission relating to |
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326 | 326 | | hearing instruments. |
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327 | 327 | | SECTION 12. Section 402.302, Occupations Code, is repealed. |
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328 | 328 | | SECTION 13. The changes in law made by this Act to Section |
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329 | 329 | | 402.207(c), Occupations Code, apply only to the holder of an |
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330 | 330 | | apprentice permit issued on or after the effective date of this Act. |
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331 | 331 | | The holder of an apprentice permit issued before the effective date |
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332 | 332 | | of this Act is governed by the law in effect immediately before that |
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333 | 333 | | date, and the former law is continued in effect for that purpose. |
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334 | 334 | | SECTION 14. The changes in law made by this Act to Section |
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335 | 335 | | 402.209, Occupations Code, apply only to an application submitted |
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336 | 336 | | on or after the effective date of this Act. An application submitted |
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337 | 337 | | before the effective date of this Act is governed by the law in |
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338 | 338 | | effect immediately before that date, and the former law is |
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339 | 339 | | continued in effect for that purpose. |
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340 | 340 | | SECTION 15. The changes in law made by this Act to Section |
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341 | 341 | | 402.301(a), Occupations Code, apply only to a license that is |
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342 | 342 | | issued on or after the effective date of this Act. A license issued |
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343 | 343 | | before the effective date of this Act is governed by the law in |
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344 | 344 | | effect immediately before that date, and the former law is |
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345 | 345 | | continued in effect for that purpose. |
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346 | 346 | | SECTION 16. This Act takes effect September 1, 2009. |
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