1 | 1 | | 84R11876 MAW-F |
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2 | 2 | | By: Lucio S.B. No. 1383 |
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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 medical laboratory |
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8 | 8 | | science professionals; providing penalties; imposing fees. |
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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. Subtitle M, Title 3, Occupations Code, is |
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11 | 11 | | amended by adding Chapter 703 to read as follows: |
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12 | 12 | | CHAPTER 703. MEDICAL LABORATORY SCIENCE PROFESSIONALS |
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13 | 13 | | SUBCHAPTER A. GENERAL PROVISIONS |
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14 | 14 | | Sec. 703.001. SHORT TITLE. This chapter may be cited as the |
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15 | 15 | | Medical Laboratory Science Practice Act. |
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16 | 16 | | Sec. 703.002. PUBLIC POLICY; LEGISLATIVE PURPOSE. (a) The |
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17 | 17 | | legislature declares as a policy of this state that: |
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18 | 18 | | (1) the practice of medical laboratory science by |
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19 | 19 | | health care professionals affects the public health, safety, and |
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20 | 20 | | welfare and is subject to control and regulation in the public |
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21 | 21 | | interest; and |
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22 | 22 | | (2) medical laboratories and medical laboratory |
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23 | 23 | | science professionals provide essential services to health care |
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24 | 24 | | professionals by furnishing vital information that may be used in |
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25 | 25 | | the diagnosis, prevention, and treatment of diseases or impairments |
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26 | 26 | | and the assessment of human health. |
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27 | 27 | | (b) The purpose of this chapter is to ensure better |
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28 | 28 | | protection of the public health by: |
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29 | 29 | | (1) requiring minimum qualifications for medical |
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30 | 30 | | laboratory science professionals; and |
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31 | 31 | | (2) ensuring that medical laboratory tests are |
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32 | 32 | | performed with the highest degree of professional competency by |
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33 | 33 | | individuals engaged in providing the services in this state. |
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34 | 34 | | Sec. 703.003. DEFINITIONS. In this chapter: |
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35 | 35 | | (1) "Advisory committee" means the Medical Laboratory |
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36 | 36 | | Science Advisory Committee. |
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37 | 37 | | (2) "Categorical medical laboratory scientist" means |
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38 | 38 | | an individual licensed under this chapter to perform medical |
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39 | 39 | | laboratory scientist services in one major practice area of a |
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40 | 40 | | laboratory under the supervision, control, and responsibility of a |
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41 | 41 | | laboratory director. |
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42 | 42 | | (3) "CLIA" means the federal Clinical Laboratory |
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43 | 43 | | Improvement Amendments of 1988 (42 C.F.R. Part 493). |
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44 | 44 | | (4) "Commission" means the Texas Commission of |
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45 | 45 | | Licensing and Regulation. |
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46 | 46 | | (5) "Department" means the Texas Department of |
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47 | 47 | | Licensing and Regulation. |
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48 | 48 | | (6) "Executive director" means the executive director |
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49 | 49 | | of the department. |
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50 | 50 | | (7) "Independent technical judgment" means the |
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51 | 51 | | performance of clinical laboratory tests and assumption of |
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52 | 52 | | responsibility for determining the validity of clinical laboratory |
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53 | 53 | | test results without intervention by or the direct supervision of a |
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54 | 54 | | health care professional. |
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55 | 55 | | (8) "Laboratory director" means a person who meets the |
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56 | 56 | | requirements of a laboratory director under CLIA. |
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57 | 57 | | (9) "Medical laboratory" means a facility in which a |
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58 | 58 | | medical laboratory test is performed for diagnosis, prevention, or |
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59 | 59 | | treatment of disease or impairment or assessment of human health. |
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60 | 60 | | (10) "Medical laboratory scientist" means an |
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61 | 61 | | individual who uses independent technical judgment in the |
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62 | 62 | | performance of tests and procedures under the supervision, control, |
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63 | 63 | | and responsibility of a laboratory director. |
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64 | 64 | | (11) "Medical laboratory scientist services" means: |
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65 | 65 | | (A) the use of independent technical judgment in |
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66 | 66 | | the performance of medical laboratory tests; |
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67 | 67 | | (B) the establishment and implementation of |
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68 | 68 | | protocols, quality assessment, method development and selection, |
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69 | 69 | | equipment selection and maintenance, and all activities related to |
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70 | 70 | | the pre-analytic, analytic, and post-analytic phases of medical |
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71 | 71 | | laboratory testing under the supervision, control, and |
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72 | 72 | | responsibility of a laboratory director; and |
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73 | 73 | | (C) the direction, supervision, consultation, |
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74 | 74 | | education, and performance of research functions related to medical |
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75 | 75 | | laboratory testing. |
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76 | 76 | | (12) "Medical laboratory technician" means an |
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77 | 77 | | individual licensed under this chapter to perform medical |
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78 | 78 | | laboratory technician services. |
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79 | 79 | | (13) "Medical laboratory technician services" means |
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80 | 80 | | the performance of medical laboratory tests in accordance with |
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81 | 81 | | established and approved protocols that require the limited |
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82 | 82 | | exercise of independent technical judgment and are performed under |
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83 | 83 | | the supervision of a medical laboratory scientist, laboratory |
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84 | 84 | | supervisor, or laboratory director. |
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85 | 85 | | (14) "Medical laboratory test" means a |
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86 | 86 | | microbiological, serological, chemical, biological, |
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87 | 87 | | hematological, immunological, immunohematological, immunoassay, |
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88 | 88 | | cytochemical, or genetic test or procedure performed on material |
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89 | 89 | | derived from or existing in a human body that provides information |
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90 | 90 | | for the diagnosis, prevention, or monitoring of a disease or |
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91 | 91 | | impairment or assessment of a medical condition. The term includes |
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92 | 92 | | the pre-analytic, analytic, and post-analytic phases of testing. |
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93 | 93 | | (15) "Point-of-care testing" means analytical patient |
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94 | 94 | | testing activities provided at a health care facility but performed |
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95 | 95 | | outside the central medical laboratory facilities that do not |
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96 | 96 | | require permanent dedicated space, including testing using |
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97 | 97 | | analytical instruments at a temporary patient care location. |
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98 | 98 | | (16) "Practice of medical laboratory science" means |
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99 | 99 | | practice by an individual who manages, supervises, educates, |
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100 | 100 | | consults, researches, or performs medical laboratory testing or |
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101 | 101 | | technical procedures in a medical laboratory. The term does not |
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102 | 102 | | include an activity that constitutes the practice of medicine or |
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103 | 103 | | the activities of a person performing only clerical duties or other |
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104 | 104 | | duties not directly related to the performance of medical |
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105 | 105 | | laboratory testing. |
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106 | 106 | | (17) "Waived test" means a simple laboratory |
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107 | 107 | | examination or procedure that, under a federal interpretation of |
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108 | 108 | | CLIA, employs a simple and accurate methodology that renders the |
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109 | 109 | | likelihood of erroneous results negligible or poses no reasonable |
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110 | 110 | | risk of harm to the patient if performed incorrectly. |
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111 | 111 | | Sec. 703.004. EXEMPTIONS. This chapter does not apply to: |
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112 | 112 | | (1) a physician licensed to practice medicine in this |
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113 | 113 | | state; |
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114 | 114 | | (2) an individual licensed under another law of this |
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115 | 115 | | state and engaged in health care services within the scope of the |
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116 | 116 | | license holder's licensed practice; |
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117 | 117 | | (3) an individual engaged in the practice of medical |
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118 | 118 | | laboratory science in the employ of the federal government or a |
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119 | 119 | | federal bureau, division, or agency and in the discharge of the |
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120 | 120 | | employee's official duties; |
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121 | 121 | | (4) an individual engaged in the practice of medical |
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122 | 122 | | laboratory science and engaged exclusively in research, provided |
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123 | 123 | | that the results of an examination performed are not used in health |
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124 | 124 | | maintenance, diagnosis, or treatment of disease; |
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125 | 125 | | (5) an intern, student, or trainee enrolled in a |
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126 | 126 | | medical laboratory science education program, provided that: |
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127 | 127 | | (A) the activities constitute a part of a planned |
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128 | 128 | | course in the program; |
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129 | 129 | | (B) the individual is designated by title as an |
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130 | 130 | | intern, student, or trainee; and |
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131 | 131 | | (C) the individual works directly under an |
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132 | 132 | | individual licensed by this state to practice medical laboratory |
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133 | 133 | | science or an individual exempt from this chapter under Subdivision |
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134 | 134 | | (4); |
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135 | 135 | | (6) an individual solely performing waived or |
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136 | 136 | | provider-performed microscopy tests under CLIA; |
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137 | 137 | | (7) an individual performing point-of-care testing |
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138 | 138 | | categorized under CLIA as moderate complexity in an acute care |
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139 | 139 | | facility, if the facility complies with the following requirements: |
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140 | 140 | | (A) in the laboratory, a laboratory director is |
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141 | 141 | | responsible for: |
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142 | 142 | | (i) designing and providing or supervising |
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143 | 143 | | the training programs for the point-of-care testing personnel; |
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144 | 144 | | (ii) supervising and monitoring the quality |
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145 | 145 | | assurance and quality control activities of the testing site; |
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146 | 146 | | (iii) assisting in the selection of |
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147 | 147 | | technology; |
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148 | 148 | | (iv) reviewing the results of proficiency |
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149 | 149 | | testing and recommending corrective action, if necessary; and |
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150 | 150 | | (v) monitoring the continued competency of |
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151 | 151 | | the testing personnel; and |
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152 | 152 | | (B) processes are in place at the facility and |
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153 | 153 | | are acceptable to the department to ensure and document the |
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154 | 154 | | continued competency of the point-of-care testing personnel; |
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155 | 155 | | (8) an individual solely performing histopathology |
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156 | 156 | | testing or performing or interpreting the results of molecular |
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157 | 157 | | testing on histological specimens, as described by CLIA; |
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158 | 158 | | (9) an individual solely performing or interpreting |
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159 | 159 | | cytology testing, including the performance or interpretation of |
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160 | 160 | | molecular testing on cytological specimens, as described by CLIA, |
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161 | 161 | | provided that this chapter may not be construed as a limitation on |
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162 | 162 | | the scope of work permitted under CLIA for qualified |
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163 | 163 | | cytotechnologists; |
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164 | 164 | | (10) a medical laboratory assistant who performs |
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165 | 165 | | non-testing pre-analytical duties, including processing specimens, |
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166 | 166 | | accessioning, loading specimens into analyzers, or preparing |
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167 | 167 | | specimens for referral testing; |
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168 | 168 | | (11) an individual solely performing or interpreting |
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169 | 169 | | histocompatibility testing for transplantation services; |
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170 | 170 | | (12) an individual solely performing or interpreting |
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171 | 171 | | testing by mass spectrometry, provided the individual has a |
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172 | 172 | | bachelor's degree in a chemical science and meets the CLIA |
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173 | 173 | | requirements for testing personnel performing high complexity |
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174 | 174 | | testing; or |
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175 | 175 | | (13) an individual performing testing on |
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176 | 176 | | plasmapheresis specimens in a laboratory regulated by the federal |
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177 | 177 | | Food and Drug Administration. |
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178 | 178 | | Sec. 703.005. APPLICATION OF SUNSET ACT. The Medical |
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179 | 179 | | Laboratory Science Advisory Committee is subject to Chapter 325, |
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180 | 180 | | Government Code (Texas Sunset Act). Unless continued in existence |
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181 | 181 | | as provided by that chapter, the advisory committee is abolished |
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182 | 182 | | and this chapter expires September 1, 2027. |
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183 | 183 | | SUBCHAPTER B. POWERS AND DUTIES |
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184 | 184 | | Sec. 703.051. RULES. (a) The commission shall adopt rules |
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185 | 185 | | to administer this chapter and as necessary to protect the public |
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186 | 186 | | health, safety, and welfare, including rules on: |
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187 | 187 | | (1) the qualifications to obtain a license under each |
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188 | 188 | | category of medical laboratory science professional; |
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189 | 189 | | (2) the renewal of a license; |
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190 | 190 | | (3) standards of professional conduct; |
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191 | 191 | | (4) authorization or approval of nationally |
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192 | 192 | | recognized and validated certification examinations for medical |
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193 | 193 | | laboratory science professionals; and |
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194 | 194 | | (5) criteria for the continuing education of medical |
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195 | 195 | | laboratory science professionals as required for license renewal. |
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196 | 196 | | (b) The commission by rule shall prescribe the activities |
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197 | 197 | | that may be performed by each category of license holder under this |
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198 | 198 | | chapter. |
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199 | 199 | | (c) The commission by rule may exempt a medical laboratory |
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200 | 200 | | science professional who is employed by a certification agency |
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201 | 201 | | approved by the executive director from licensing and continuing |
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202 | 202 | | education fees. |
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203 | 203 | | (d) This chapter may not be construed as providing the |
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204 | 204 | | department, commission, or executive director authority to: |
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205 | 205 | | (1) regulate the activities of a physician who is |
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206 | 206 | | directing a clinical laboratory; or |
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207 | 207 | | (2) establish by rule an academic, educational, or |
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208 | 208 | | testing requirement that is not expressly prescribed or required by |
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209 | 209 | | this chapter. |
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210 | 210 | | Sec. 703.052. FEES. The commission by rule shall establish |
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211 | 211 | | and collect reasonable and necessary fees in amounts sufficient to: |
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212 | 212 | | (1) cover the costs of administering this chapter; and |
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213 | 213 | | (2) provide reasonable funding for medical laboratory |
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214 | 214 | | personnel education. |
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215 | 215 | | Sec. 703.053. DEPARTMENT POWERS AND DUTIES. (a) The |
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216 | 216 | | department may authorize disbursements necessary to implement this |
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217 | 217 | | chapter, including disbursements for office expenses, equipment |
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218 | 218 | | costs, and other necessary facilities. |
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219 | 219 | | (b) The department may examine any criminal conviction or |
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220 | 220 | | guilty plea of an applicant for issuance or renewal of a license, |
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221 | 221 | | including by obtaining any criminal history record information |
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222 | 222 | | authorized by law. |
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223 | 223 | | Sec. 703.054. PERSONNEL. The department may employ |
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224 | 224 | | personnel necessary to administer this chapter. |
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225 | 225 | | Sec. 703.055. REGISTRY OF LICENSE HOLDERS. (a) The |
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226 | 226 | | department shall maintain a registry of the name and address of each |
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227 | 227 | | individual licensed under this chapter and each individual whose |
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228 | 228 | | license has been suspended or revoked. |
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229 | 229 | | (b) The department shall post the registry on the |
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230 | 230 | | department's Internet website and make copies of the registry |
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231 | 231 | | available to the public on request. |
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232 | 232 | | Sec. 703.056. CONSUMER INTEREST INFORMATION. (a) The |
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233 | 233 | | department shall prepare information of consumer interest |
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234 | 234 | | describing: |
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235 | 235 | | (1) the functions performed by the department under |
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236 | 236 | | this chapter; and |
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237 | 237 | | (2) the rights of a consumer affected by this chapter. |
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238 | 238 | | (b) The information must describe the procedure by which a |
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239 | 239 | | consumer complaint is filed with and resolved by the department. |
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240 | 240 | | (c) The department shall make the information available to |
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241 | 241 | | the public. |
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242 | 242 | | SUBCHAPTER C. MEDICAL LABORATORY SCIENCE ADVISORY COMMITTEE |
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243 | 243 | | Sec. 703.101. ADVISORY COMMITTEE. (a) The Medical |
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244 | 244 | | Laboratory Science Advisory Committee is an advisory body to the |
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245 | 245 | | department and executive director. |
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246 | 246 | | (b) The advisory committee consists of nine members |
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247 | 247 | | appointed by the department as follows: |
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248 | 248 | | (1) three members who are medical laboratory science |
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249 | 249 | | professionals who are not physicians, at least one of whom is a |
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250 | 250 | | medical laboratory scientist and at least one of whom is not a |
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251 | 251 | | laboratory director; |
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252 | 252 | | (2) three members who are pathologists certified by |
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253 | 253 | | The American Board of Pathology, the American Osteopathic Board of |
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254 | 254 | | Pathology, or another certification board the department |
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255 | 255 | | determines has certification requirements at least as stringent as |
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256 | 256 | | those of The American Board of Pathology or the American |
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257 | 257 | | Osteopathic Board of Pathology; |
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258 | 258 | | (3) one member who is a physician and is not a |
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259 | 259 | | laboratory director or pathologist; |
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260 | 260 | | (4) one member who is a medical laboratory science |
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261 | 261 | | educator and is not a physician; and |
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262 | 262 | | (5) one public member. |
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263 | 263 | | (c) The department may make appointments to the advisory |
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264 | 264 | | committee from lists submitted by organizations of medical |
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265 | 265 | | laboratory science professionals and organizations of physician |
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266 | 266 | | pathologists. |
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267 | 267 | | (d) Chapter 2110, Government Code, does not apply to the |
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268 | 268 | | advisory committee. |
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269 | 269 | | Sec. 703.102. TERMS; VACANCIES. (a) Members serve |
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270 | 270 | | staggered six-year terms and until their successors are appointed |
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271 | 271 | | and qualified. |
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272 | 272 | | (b) A vacancy shall be filled for the remainder of the |
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273 | 273 | | unexpired term in the same manner as an original appointment. |
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274 | 274 | | (c) A member may not serve more than two consecutive terms. |
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275 | 275 | | Sec. 703.103. PUBLIC MEMBER ELIGIBILITY. A member who |
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276 | 276 | | represents the public may not be: |
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277 | 277 | | (1) an officer, director, or employee of an individual |
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278 | 278 | | regulated under this chapter; |
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279 | 279 | | (2) an individual required to register as a lobbyist |
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280 | 280 | | under Chapter 305, Government Code; or |
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281 | 281 | | (3) an individual related to an individual described |
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282 | 282 | | by Subdivision (1) or (2) within the second degree by affinity or |
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283 | 283 | | consanguinity. |
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284 | 284 | | Sec. 703.104. COMPENSATION; REIMBURSEMENT. A member of the |
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285 | 285 | | advisory committee serves without compensation. If authorized by |
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286 | 286 | | the department, an advisory committee member is entitled to |
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287 | 287 | | reimbursement for actual and necessary expenses incurred in |
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288 | 288 | | performing the functions of the advisory committee, subject to the |
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289 | 289 | | General Appropriations Act. |
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290 | 290 | | Sec. 703.105. MEETINGS. The advisory committee shall meet |
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291 | 291 | | annually and may meet at other times at the call of the executive |
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292 | 292 | | director. |
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293 | 293 | | Sec. 703.106. ADVISORY COMMITTEE DUTIES. The advisory |
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294 | 294 | | committee shall provide advice and recommendations to the |
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295 | 295 | | department and executive director on technical matters relevant to |
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296 | 296 | | the administration and enforcement of this chapter, including |
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297 | 297 | | certification agency approval, licensing standards and |
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298 | 298 | | qualifications, renewal requirements, standards of professional |
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299 | 299 | | conduct, and continuing education requirements. |
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300 | 300 | | SUBCHAPTER D. LICENSE REQUIREMENTS |
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301 | 301 | | Sec. 703.151. LICENSE REQUIRED. Except as provided by |
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302 | 302 | | Section 703.004, an individual may not perform or offer to perform |
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303 | 303 | | medical laboratory tests or represent that the individual is a |
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304 | 304 | | medical laboratory science professional unless the individual |
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305 | 305 | | holds an appropriate license issued under this chapter. |
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306 | 306 | | Sec. 703.152. APPLICATION REQUIREMENTS. (a) An applicant |
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307 | 307 | | for a license under this chapter must: |
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308 | 308 | | (1) submit to the department a completed application |
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309 | 309 | | on a form prescribed by the executive director; |
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310 | 310 | | (2) submit to the department any other information |
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311 | 311 | | required by rule; |
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312 | 312 | | (3) demonstrate to the satisfaction of the department |
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313 | 313 | | the qualifications required by this chapter and by rule; |
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314 | 314 | | (4) demonstrate the applicant's honesty, |
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315 | 315 | | trustworthiness, and integrity; and |
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316 | 316 | | (5) pay the application fee. |
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317 | 317 | | (b) The department shall issue the appropriate license to |
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318 | 318 | | each individual who meets the qualifications required by this |
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319 | 319 | | chapter and by rule. |
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320 | 320 | | (c) The department may conduct an examination of any |
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321 | 321 | | criminal conviction of an applicant, including obtaining any |
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322 | 322 | | criminal history record information authorized by law. |
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323 | 323 | | (d) Criminal history record information obtained by the |
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324 | 324 | | department may not be released or disclosed to any person except on |
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325 | 325 | | court order or with the written consent of the applicant who is the |
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326 | 326 | | subject of the criminal history record information. |
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327 | 327 | | Sec. 703.153. MEDICAL LABORATORY SCIENTIST. An applicant |
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328 | 328 | | for a medical laboratory scientist license must: |
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329 | 329 | | (1) hold at least a bachelor's degree from a regionally |
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330 | 330 | | accredited college or university; |
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331 | 331 | | (2) have successfully completed the medical |
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332 | 332 | | laboratory experience or training required by rule; |
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333 | 333 | | (3) be certified by a nationally recognized |
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334 | 334 | | certification organization approved by the executive director; |
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335 | 335 | | (4) pay the application fee and license fee; and |
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336 | 336 | | (5) comply with any other requirements established by |
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337 | 337 | | rule. |
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338 | 338 | | Sec. 703.154. CATEGORICAL MEDICAL LABORATORY SCIENTIST. An |
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339 | 339 | | applicant for a categorical medical laboratory scientist license |
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340 | 340 | | must: |
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341 | 341 | | (1) hold at least a bachelor's degree from a regionally |
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342 | 342 | | accredited college or university; |
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343 | 343 | | (2) have successfully completed the medical |
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344 | 344 | | laboratory experience or training required by rule; |
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345 | 345 | | (3) be certified by a nationally recognized |
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346 | 346 | | certification organization approved by the executive director; |
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347 | 347 | | (4) pay the application fee and license fee; and |
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348 | 348 | | (5) comply with any other requirements established by |
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349 | 349 | | rule. |
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350 | 350 | | Sec. 703.155. MEDICAL LABORATORY TECHNICIAN. (a) An |
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351 | 351 | | applicant for a medical laboratory technician license must: |
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352 | 352 | | (1) hold at least an associate degree from a |
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353 | 353 | | regionally accredited college or university; |
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354 | 354 | | (2) have successfully completed the medical |
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355 | 355 | | laboratory experience or training required by rule; |
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356 | 356 | | (3) be certified by a nationally recognized |
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357 | 357 | | certification organization approved by the executive director; |
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358 | 358 | | (4) pay the application fee and license fee; and |
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359 | 359 | | (5) comply with any other requirements established by |
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360 | 360 | | rule. |
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361 | 361 | | (b) The department shall accept as satisfying the |
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362 | 362 | | requirement of Subsection (a)(1) evidence that the applicant has: |
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363 | 363 | | (1) successfully completed a course in procedures for |
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364 | 364 | | a military laboratory of not less than 50 weeks in length; and |
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365 | 365 | | (2) served as a medical laboratory specialist or |
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366 | 366 | | laboratory technician in the military. |
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367 | 367 | | Sec. 703.156. TEMPORARY LICENSE. (a) The commission by |
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368 | 368 | | rule may establish a procedure for issuance of temporary licenses |
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369 | 369 | | to individuals under this chapter who intend to engage in the |
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370 | 370 | | practice of medical laboratory science in this state for a limited |
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371 | 371 | | period not to exceed six months. |
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372 | 372 | | (b) Unless otherwise noted on the license, a temporary |
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373 | 373 | | license is valid for not more than six months after the date of |
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374 | 374 | | issuance and may be renewed once. |
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375 | 375 | | Sec. 703.157. PROVISIONAL LICENSE. The department may |
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376 | 376 | | issue a provisional license under this chapter to an applicant who |
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377 | 377 | | holds a license in another state, submits a proper application, and |
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378 | 378 | | pays the required fees if the department determines that the |
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379 | 379 | | applicant is licensed in a state in which the requirements for |
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380 | 380 | | issuance of the license are at least as stringent as the |
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381 | 381 | | requirements under this chapter and by rule. A provisional license |
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382 | 382 | | under this section is valid for not more than 90 days. |
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383 | 383 | | Sec. 703.158. LICENSE TERM AND RENEWAL. (a) A license |
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384 | 384 | | issued under this chapter expires on the second anniversary of the |
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385 | 385 | | date of issuance. The commission by rule may adopt a system under |
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386 | 386 | | which licenses expire on various dates during the year. |
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387 | 387 | | (b) A license holder may renew the license by paying the |
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388 | 388 | | required renewal fee and: |
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389 | 389 | | (1) successfully completing at least 10 hours each |
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390 | 390 | | year of continuing education courses, clinics, lectures, training |
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391 | 391 | | programs, seminars, or other programs related to medical laboratory |
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392 | 392 | | practice that are approved or accepted by the executive director; |
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393 | 393 | | or |
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394 | 394 | | (2) successfully completing recertification by a |
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395 | 395 | | national certifying organization recognized by the executive |
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396 | 396 | | director that mandates at least 10 hours each year of continuing |
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397 | 397 | | education for recertification. |
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398 | 398 | | (c) The commission by rule may require additional evidence |
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399 | 399 | | of competency to practice medical laboratory science as reasonably |
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400 | 400 | | appropriate as a prerequisite to the renewal of any license under |
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401 | 401 | | this chapter if the requirements are: |
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402 | 402 | | (1) uniformly applied; |
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403 | 403 | | (2) reasonably related to the measurement of |
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404 | 404 | | qualification, performance, or competence; and |
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405 | 405 | | (3) desirable and necessary for the protection of the |
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406 | 406 | | public health. |
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407 | 407 | | SUBCHAPTER E. LICENSE DENIAL AND DISCIPLINARY ACTION |
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408 | 408 | | Sec. 703.201. GROUNDS FOR DISCIPLINARY ACTION. The |
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409 | 409 | | executive director may refuse to issue or renew, revoke, or suspend |
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410 | 410 | | a license, place on probation, censure, or reprimand a license |
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411 | 411 | | holder, or take any other disciplinary action, including the |
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412 | 412 | | imposition of a civil penalty under Section 703.202 or the |
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413 | 413 | | imposition of an administrative penalty under Section 703.204, the |
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414 | 414 | | department considers appropriate for: |
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415 | 415 | | (1) a material misstatement in furnishing information |
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416 | 416 | | to the department; |
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417 | 417 | | (2) a violation or negligent or intentional disregard |
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418 | 418 | | of this chapter or a rule adopted under this chapter; |
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419 | 419 | | (3) a conviction for any crime under the laws of the |
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420 | 420 | | United States or any state of the United States that is a felony or a |
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421 | 421 | | misdemeanor, an essential element of which is dishonesty, or of any |
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422 | 422 | | crime that is directly related to the practice of the profession; |
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423 | 423 | | (4) a misrepresentation made to obtain a license; |
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424 | 424 | | (5) a violation of any standard of professional |
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425 | 425 | | conduct adopted by the commission; |
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426 | 426 | | (6) dishonorable, unethical, or unprofessional |
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427 | 427 | | conduct of a character likely to deceive, defraud, or harm the |
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428 | 428 | | public; |
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429 | 429 | | (7) the provision of professional services while |
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430 | 430 | | mentally incompetent or under the influence of alcohol, a narcotic, |
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431 | 431 | | or a controlled dangerous substance that is in excess of |
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432 | 432 | | therapeutic amounts or without valid medical indication; |
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433 | 433 | | (8) directly or indirectly contracting to perform |
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434 | 434 | | medical laboratory tests in a manner that offers or implies an offer |
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435 | 435 | | of rebate, fee-splitting inducements or arrangements, or other |
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436 | 436 | | remuneration; |
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437 | 437 | | (9) aiding or assisting another individual in |
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438 | 438 | | violating any provision of this chapter or a rule adopted under this |
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439 | 439 | | chapter; or |
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440 | 440 | | (10) a misrepresentation with regard to the existence |
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441 | 441 | | or category of license or other certification or professional |
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442 | 442 | | qualification held in connection with any employment application. |
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443 | 443 | | Sec. 703.202. CIVIL PENALTY. (a) A person who violates |
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444 | 444 | | this chapter or a rule adopted under this chapter is liable to this |
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445 | 445 | | state for a civil penalty of not more than $500 for each violation. |
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446 | 446 | | (b) The amount of the penalty shall be based on: |
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447 | 447 | | (1) the seriousness of the violation; |
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448 | 448 | | (2) the history of previous violations; |
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449 | 449 | | (3) the amount necessary to deter a future violation; |
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450 | 450 | | and |
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451 | 451 | | (4) any other matter that justice may require. |
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452 | 452 | | (c) The attorney general may sue to collect a civil penalty |
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453 | 453 | | under this section. In the suit the attorney general may recover, |
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454 | 454 | | on behalf of the state, the reasonable expenses incurred in |
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455 | 455 | | obtaining the penalty, including investigation and court costs, |
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456 | 456 | | reasonable attorney's fees, witness fees, and other expenses. |
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457 | 457 | | Sec. 703.203. HEARINGS; ADMINISTRATIVE PROCEDURE. (a) If |
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458 | 458 | | the department proposes to deny a license or take disciplinary |
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459 | 459 | | action against a license holder, the license holder is entitled to a |
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460 | 460 | | hearing. |
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461 | 461 | | (b) The proceedings relating to a license denial and |
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462 | 462 | | disciplinary action by the department under this chapter are |
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463 | 463 | | governed by Chapter 2001, Government Code. A hearing under this |
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464 | 464 | | chapter shall be conducted by the State Office of Administrative |
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465 | 465 | | Hearings. |
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466 | 466 | | Sec. 703.204. ADMINISTRATIVE PENALTY. (a) The commission |
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467 | 467 | | or executive director may impose an administrative penalty on an |
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468 | 468 | | individual licensed under this chapter who violates this chapter or |
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469 | 469 | | a rule or order adopted under this chapter. |
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470 | 470 | | (b) The amount of the penalty may not exceed $500. Each day |
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471 | 471 | | a violation continues or occurs is a separate violation for the |
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472 | 472 | | purpose of imposing a penalty. The amount shall be based on: |
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473 | 473 | | (1) the seriousness of the violation, including the |
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474 | 474 | | nature, circumstances, extent, and gravity of the violation; |
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475 | 475 | | (2) the economic harm caused by the violation; |
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476 | 476 | | (3) the history of previous violations; |
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477 | 477 | | (4) the amount necessary to deter a future violation; |
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478 | 478 | | (5) efforts to correct the violation; and |
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479 | 479 | | (6) any other matter that justice may require. |
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480 | 480 | | (c) The individual may stay enforcement during the time the |
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481 | 481 | | order is under judicial review if the individual pays the penalty to |
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482 | 482 | | the court clerk or files a supersedeas bond with the court in the |
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483 | 483 | | amount of the penalty. An individual who cannot afford to pay the |
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484 | 484 | | penalty or file the bond may stay enforcement by filing an affidavit |
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485 | 485 | | in the manner required by the Texas Rules of Civil Procedure for a |
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486 | 486 | | party who cannot afford to file security for costs, except that the |
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487 | 487 | | department may contest the affidavit as provided by those rules. |
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488 | 488 | | (d) The attorney general may sue to collect the penalty. |
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489 | 489 | | (e) A proceeding to impose an administrative penalty is |
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490 | 490 | | subject to Chapter 2001, Government Code. |
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491 | 491 | | SUBCHAPTER F. TRANSITIONAL LICENSING |
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492 | 492 | | Sec. 703.251. TEMPORARY PROVISION; LICENSING. (a) This |
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493 | 493 | | subchapter expires September 1, 2021. The department may not issue |
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494 | 494 | | a license under this subchapter after August 31, 2019. |
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495 | 495 | | (b) The department shall issue a license to a qualified |
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496 | 496 | | applicant under this subchapter who: |
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497 | 497 | | (1) submits to the department the information required |
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498 | 498 | | by rule, including, as applicable: |
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499 | 499 | | (A) the job description of the medical laboratory |
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500 | 500 | | position the applicant most recently held and a sworn statement by |
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501 | 501 | | the applicant's employer attesting to the applicant's job |
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502 | 502 | | description; or |
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503 | 503 | | (B) proof that the applicant is certified by a |
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504 | 504 | | nationally recognized certification agency approved by the |
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505 | 505 | | executive director; and |
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506 | 506 | | (2) pays the application and licensing fee. |
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507 | 507 | | Sec. 703.252. MEDICAL LABORATORY SCIENTIST. To qualify for |
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508 | 508 | | a license under this subchapter as a medical laboratory scientist, |
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509 | 509 | | an applicant must: |
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510 | 510 | | (1) be currently certified to perform medical |
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511 | 511 | | laboratory scientist services by a certification agency approved by |
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512 | 512 | | the executive director; or |
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513 | 513 | | (2) have performed the duties of a medical laboratory |
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514 | 514 | | scientist for at least three years during the five years preceding |
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515 | 515 | | the date of application. |
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516 | 516 | | Sec. 703.253. CATEGORICAL MEDICAL LABORATORY SCIENTIST. To |
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517 | 517 | | qualify for a license under this subchapter as a categorical |
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518 | 518 | | medical laboratory scientist, an applicant must: |
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519 | 519 | | (1) be currently certified to perform medical |
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520 | 520 | | laboratory scientist services in one major practice area by a |
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521 | 521 | | certification agency approved by the executive director; or |
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522 | 522 | | (2) have performed the duties of a categorical medical |
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523 | 523 | | laboratory scientist for at least three years during the five years |
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524 | 524 | | preceding the date of application. |
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525 | 525 | | Sec. 703.254. MEDICAL LABORATORY TECHNICIAN. To qualify |
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526 | 526 | | for a license under this subchapter as a medical laboratory |
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527 | 527 | | technician, an applicant must: |
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528 | 528 | | (1) be currently certified to perform medical |
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529 | 529 | | laboratory technician services by a certification agency approved |
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530 | 530 | | by the executive director; or |
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531 | 531 | | (2) have performed the duties of a medical laboratory |
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532 | 532 | | technician for at least three years during the five years preceding |
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533 | 533 | | the date of application. |
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534 | 534 | | Sec. 703.255. EFFECT OF LICENSE. The holder of a license |
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535 | 535 | | issued under this subchapter is entitled to practice to the same |
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536 | 536 | | extent as the holder of a license under Subchapter D. |
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537 | 537 | | Sec. 703.256. RENEWAL. A license issued under this |
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538 | 538 | | subchapter expires on the second anniversary of the date of |
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539 | 539 | | issuance. Notwithstanding the qualifications for an initial |
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540 | 540 | | license under Section 703.153, 703.154, or 703.155, the license may |
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541 | 541 | | be renewed as a license under Section 703.158. |
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542 | 542 | | SECTION 2. As soon as possible after the effective date of |
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543 | 543 | | this Act, the Texas Department of Licensing and Regulation shall |
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544 | 544 | | appoint the members of the Medical Laboratory Science Advisory |
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545 | 545 | | Committee in accordance with Chapter 703, Occupations Code, as |
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546 | 546 | | added by this Act. In making the initial appointments, the |
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547 | 547 | | department shall designate: |
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548 | 548 | | (1) three members for terms expiring February 1, 2017; |
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549 | 549 | | (2) three members for terms expiring February 1, 2019; |
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550 | 550 | | and |
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551 | 551 | | (3) three members for terms expiring February 1, 2021. |
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552 | 552 | | SECTION 3. The Texas Commission of Licensing and Regulation |
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553 | 553 | | and the executive director of the Texas Department of Licensing and |
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554 | 554 | | Regulation, as appropriate, shall adopt the rules, standards, |
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555 | 555 | | procedures, and fees necessary to implement Chapter 703, |
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556 | 556 | | Occupations Code, as added by this Act, not later than August 31, |
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557 | 557 | | 2016. |
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558 | 558 | | SECTION 4. Notwithstanding Chapter 703, Occupations Code, |
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559 | 559 | | as added by this Act, an individual engaged in the practice of |
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560 | 560 | | medical laboratory science is not required to hold a license under |
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561 | 561 | | that chapter to engage in the practice of medical laboratory |
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562 | 562 | | science before September 1, 2017. |
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563 | 563 | | SECTION 5. This Act takes effect September 1, 2015. |
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