Texas 2015 - 84th Regular

Texas House Bill HB1413 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	84R8850 EES-D
2	2	By: Goldman H.B. No. 1413
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the practice of therapeutic optometry.
8	8	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
9	9	SECTION 1. Section 351.002(7), Occupations Code, is amended
10	10	to read as follows:
11	11	(7) "Practice of therapeutic optometry" means using
12	12	objective or subjective means, [not] including surgery except as
13	13	prohibited under Section 351.4521 [or laser surgery], to:
14	14	(A) determine or measure the powers of vision of
15	15	the human eye as provided by Section 351.355;
16	16	(B) examine or diagnose visual defects, abnormal
17	17	conditions, or diseases of the human eye or adnexa;
18	18	(C) prescribe or fit lenses or prisms to correct
19	19	or remedy a defect or abnormal condition of vision as provided by
20	20	Section 351.356;
21	21	(D) administer or prescribe a drug or physical
22	22	treatment in the manner authorized by this chapter; or
23	23	(E) treat the visual system, including the eye or
24	24	adnexa as authorized by this chapter.
25	25	SECTION 2. Sections 351.358(b) and (c), Occupations Code,
26	26	are amended to read as follows:
27	27	(b) A therapeutic optometrist may:
28	28	(1) administer, perform, or prescribe ophthalmic
29	29	devices, procedures, and appropriate medications administered by
30	30	topical, subconjunctival, or oral means[, in accordance with this
31	31	section and Section 351.3581,] to diagnose or treat visual defects,
32	32	abnormal conditions, or diseases of the human vision system,
33	33	including the eye and adnexa; or
34	34	(2) administer medication by parenteral means for a
35	35	purpose and in a manner prescribed by Subsection (e).
36	36	(c) A therapeutic optometrist may administer or prescribe
37	37	oral analgesic medications only in the following classifications of
38	38	oral pharmaceuticals:
39	39	(1) [one 10-day supply of oral antibiotics;
40	40	[(2) one 72-hour supply of oral antihistamines;
41	41	[(3) one seven-day supply of oral nonsteroidal
42	42	anti-inflammatories;
43	43	[(4)] one three-day supply of any analgesic medication
44	44	classified as a controlled substance under Schedule [identified in
45	45	Schedules] III, IV, or [and] V of 21 U.S.C. Section 812; and
46	46	(2) one three-day supply of hydrocodone or of a
47	47	hydrocodone combination medication classified as a controlled
48	48	substance under Schedule II of 21 U.S.C. Section 812
49	49	[(5) any other oral pharmaceutical recommended by the
50	50	Optometric Health Care Advisory Committee and approved by the board
51	51	and the Texas State Board of Medical Examiners].
52	52	SECTION 3. The heading to Section 351.3581, Occupations
53	53	Code, is amended to read as follows:
54	54	Sec. 351.3581. [DIAGNOSIS AND] TREATMENT OF GLAUCOMA.
55	55	SECTION 4. Section 351.3581(a), Occupations Code, is
56	56	amended to read as follows:
57	57	(a) A therapeutic optometrist may not administer or
58	58	prescribe an oral or parenteral medication or treat glaucoma unless
59	59	the therapeutic optometrist holds a certificate issued by the
60	60	board. A therapeutic optometrist certified under this section
61	61	[subsection] shall be known as an optometric glaucoma specialist.
62	62	To obtain a certificate, a therapeutic optometrist must [as
63	63	required under Section 351.165(c)]:
64	64	(1) complete an instructional clinical review course;
65	65	and
66	66	(2) pass an examination approved by the board.
67	67	SECTION 5. Section 351.4521, Occupations Code, is amended
68	68	to read as follows:
69	69	Sec. 351.4521. PERFORMANCE OF CERTAIN SURGICAL PROCEDURES
70	70	BY THERAPEUTIC OPTOMETRISTS [SURGERY] PROHIBITED. (a) A
71	71	therapeutic optometrist may not perform the following surgical
72	72	procedures:
73	73	(1) retinal laser procedures, laser-assisted in situ
74	74	keratomileusis (LASIK), photorefractive keratectomy (PRK), or
75	75	laser epithelial keratomileusis (LASEK);
76	76	(2) penetrating keratoplasty, corneal transplant, or
77	77	lamellar keratoplasty;
78	78	(3) a surgical procedure that requires the
79	79	administration of general anesthesia;
80	80	(4) intraocular injection;
81	81	(5) a surgical procedure relating to the removal of
82	82	the eye from a living person;
83	83	(6) a surgical procedure requiring full-thickness
84	84	incision or excision of the cornea or sclera other than
85	85	paracentesis in an emergency situation requiring immediate
86	86	reduction of the pressure inside of the eye;
87	87	(7) a surgical procedure requiring incision or
88	88	excision of the iris and ciliary body, including iris diathermy and
89	89	cryotherapy;
90	90	(8) a surgical procedure requiring incision or
91	91	excision of the vitreous;
92	92	(9) a surgical procedure requiring incision or
93	93	excision of the retina;
94	94	(10) surgical extraction of the crystalline lens;
95	95	(11) surgical intraocular implants;
96	96	(12) incisional or excisional surgery of the
97	97	extraocular muscles;
98	98	(13) surgery of the eyelid for a suspected eyelid
99	99	malignancy;
100	100	(14) surgery of the eyelid, including the incisional,
101	101	excisional, or mechanical repair of blepharochalasis,
102	102	dermatochalasis, or ptosis;
103	103	(15) tarsorrhaphy;
104	104	(16) surgery of the bony orbit, including orbital
105	105	implants;
106	106	(17) incisional or excisional surgery of the lacrimal
107	107	system other than lacrimal probing and related procedures;
108	108	(18) a surgical procedure requiring full-thickness
109	109	conjunctivoplasty with graft or flap;
110	110	(19) retrobulbar injection or injection into the
111	111	extraocular orbital space; and
112	112	(20) pterygium surgery [or laser surgery].
113	113	(b) This section does not prevent a therapeutic optometrist
114	114	from providing preoperative or postoperative care relating to a
115	115	surgical procedure listed in Subsection (a).
116	116	SECTION 6. The following provisions of the Occupations Code
117	117	are repealed:
118	118	(1) Section 351.358(d); and
119	119	(2) Sections 351.3581(b), (c), (d), (e), (f), (g),
120	120	(h), (i), and (j).
121	121	SECTION 7. This Act takes effect September 1, 2015.