6 | 4 | | AN ACT |
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7 | 5 | | relating to the registration of dental support organizations; |
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8 | 6 | | imposing a fee; requiring an occupational registration; providing a |
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9 | 7 | | civil penalty. |
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10 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 9 | | SECTION 1. Subtitle A, Title 5, Business & Commerce Code, is |
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12 | 10 | | amended by adding Chapter 73 to read as follows: |
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13 | 11 | | CHAPTER 73. REGISTRATION OF DENTAL SUPPORT ORGANIZATIONS |
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14 | 12 | | Sec. 73.001. DEFINITIONS. In this chapter: |
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15 | 13 | | (1) "Business support services" means business, |
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16 | 14 | | management, consulting, or administrative services, facilities, or |
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17 | 15 | | staff provided for a dentist, including: |
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18 | 16 | | (A) office space, furnishings, and equipment; |
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19 | 17 | | (B) staff employed by the dental support |
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20 | 18 | | organization; |
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21 | 19 | | (C) regulatory compliance; |
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22 | 20 | | (D) inventory or supplies, including dental |
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23 | 21 | | equipment and supplies; |
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24 | 22 | | (E) information systems; |
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25 | 23 | | (F) marketing and advertising; |
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26 | 24 | | (G) financial services; |
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27 | 25 | | (H) accounting, bookkeeping, or monitoring or |
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28 | 26 | | payment of accounts receivable; |
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29 | 27 | | (I) payroll or benefits administration; |
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30 | 28 | | (J) billing and collection for services and |
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31 | 29 | | products; |
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32 | 30 | | (K) reporting and payment of federal or state |
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33 | 31 | | taxes; |
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34 | 32 | | (L) administration of interest expense or |
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35 | 33 | | indebtedness incurred to finance the operation of a business; or |
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36 | 34 | | (M) insurance services. |
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37 | 35 | | (2) "Dental support organization" means an entity |
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38 | 36 | | that, under an agreement, provides two or more business support |
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39 | 37 | | services to a dentist. |
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40 | 38 | | (3) "Dentist" means an individual licensed to practice |
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41 | 39 | | dentistry in this state. |
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42 | 40 | | Sec. 73.002. REGISTRATION REQUIRED. (a) A dental support |
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43 | 41 | | organization shall annually register with the secretary of state. |
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44 | 42 | | (b) A dental support organization's registration under this |
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45 | 43 | | section is considered registration of any subsidiary, contractor, |
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46 | 44 | | or affiliate of the dental support organization through or with |
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47 | 45 | | which the dental support organization provides business support |
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48 | 46 | | services. |
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49 | 47 | | Sec. 73.003. EXEMPTIONS. This chapter does not require |
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50 | 48 | | registration by: |
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51 | 49 | | (1) an accountant providing only accounting services; |
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52 | 50 | | (2) an attorney providing only legal counsel; |
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53 | 51 | | (3) an insurance company or insurance agent providing |
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54 | 52 | | only insurance policies to a business; and |
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55 | 53 | | (4) entities providing only investment and financial |
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56 | 54 | | advisory services. |
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57 | 55 | | Sec. 73.004. CONTENTS OF REGISTRATION; FEE. (a) The |
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58 | 56 | | registration required by Section 73.002 must include: |
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59 | 57 | | (1) the name and business address of the dental |
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60 | 58 | | support organization; |
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61 | 59 | | (2) the name and business address of each dentist in |
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62 | 60 | | this state with which the dental support organization has entered |
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63 | 61 | | into an agreement to provide two or more business support services; |
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64 | 62 | | (3) the name of each dentist who owns 10 percent or |
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65 | 63 | | more of the dental support organization; |
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66 | 64 | | (4) the name of each person who is not a dentist and |
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67 | 65 | | owns 10 percent or more of the dental support organization; and |
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68 | 66 | | (5) a list of all business support services provided |
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69 | 67 | | to each dentist. |
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70 | 68 | | (b) A registration and each corrected registration must be |
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71 | 69 | | accompanied by a fee set by the secretary of state in an amount |
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72 | 70 | | necessary to recover the costs of administering this chapter. |
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73 | 71 | | (c) A registration or corrected registration is not |
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74 | 72 | | effective until the dental support organization pays the fee |
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75 | 73 | | required by this section. |
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76 | 74 | | Sec. 73.005. TIMING OF REGISTRATION; CORRECTION REQUIRED. |
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77 | 75 | | (a) Except as provided by Subsection (b), the registration |
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78 | 76 | | required by Section 73.002 must be filed with the secretary of state |
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79 | 77 | | not later than January 31 of each year for which the registration is |
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80 | 78 | | effective. |
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81 | 79 | | (b) A dental support organization that initially meets the |
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82 | 80 | | requirement for registration under Section 73.002 after January 31 |
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83 | 81 | | shall file the registration required by that section not later than |
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84 | 82 | | the 90th day after the date an agreement to provide business support |
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85 | 83 | | services is executed. |
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86 | 84 | | (c) A dental support organization shall file a corrected |
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87 | 85 | | registration each quarter as necessary. |
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88 | 86 | | Sec. 73.006. FAILURE TO FILE REGISTRATION OR CORRECTION. |
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89 | 87 | | (a) A person who fails to file a registration or a corrected |
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90 | 88 | | registration as required by this chapter is liable to the state for |
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91 | 89 | | a civil penalty in an amount not to exceed $1,000. |
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92 | 90 | | (b) Each day a violation continues or occurs is a separate |
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93 | 91 | | violation for the purpose of imposing the civil penalty. |
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94 | 92 | | (c) The attorney general shall file suit to collect the |
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95 | 93 | | civil penalty provided by this section. The suit may be filed in |
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96 | 94 | | Travis County or any county where the dental support organization |
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97 | 95 | | provides business support services. |
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98 | 96 | | Sec. 73.007. INTERAGENCY MEMORANDUM. The secretary of |
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99 | 97 | | state and the State Board of Dental Examiners shall enter into an |
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100 | 98 | | interagency memorandum to share the information collected by the |
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101 | 99 | | secretary of state under this chapter with the board. |
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102 | 100 | | Sec. 73.008. APPLICABILITY. This chapter does not limit |
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103 | 101 | | nonclinical business support services that may be provided to a |
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104 | 102 | | dentist by a dental support organization. |
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105 | 103 | | SECTION 2. Sections 254.019(a), (b), and (c), Occupations |
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106 | 104 | | Code, are amended to read as follows: |
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107 | 105 | | (a) In this section: |
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108 | 106 | | (1) "Business support services" has the meaning |
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109 | 107 | | assigned by Section 73.001, Business & Commerce Code ["Dental |
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110 | 108 | | service agreement" means an agreement between a dental service |
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111 | 109 | | organization and a dentist under which the dental service |
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112 | 110 | | organization will: |
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113 | 111 | | [(A) provide services related to the nonclinical |
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114 | 112 | | business aspects of a dental practice, including arranging or |
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115 | 113 | | providing financing, performing billing or payroll tasks, |
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116 | 114 | | processing patient insurance claims, scheduling or otherwise |
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117 | 115 | | interacting with patients, and performing other administrative |
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118 | 116 | | tasks; |
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119 | 117 | | [(B) supervise or manage the employees or |
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120 | 118 | | contractors of the dentist; or |
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121 | 119 | | [(C) employ or otherwise contract with a dentist |
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122 | 120 | | in the dentist's capacity as a dentist]. |
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123 | 121 | | (2) "Dental support [service] organization" has the |
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124 | 122 | | meaning assigned by Section 73.001, Business & Commerce Code [means |
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125 | 123 | | an entity that: |
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126 | 124 | | [(A) is owned wholly or partly by a person who is |
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127 | 125 | | or is not a dentist; and |
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128 | 126 | | [(B) under a dental service agreement, provides |
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129 | 127 | | or offers to provide services to a dentist or employs or otherwise |
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130 | 128 | | contracts with a dentist in the dentist's capacity as a dentist]. |
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131 | 129 | | (b) The board shall collect the following information from |
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132 | 130 | | dentists licensed by the board in conjunction with the issuance and |
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133 | 131 | | renewal of each dental license: |
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134 | 132 | | (1) the number and type of dentists employed by the |
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135 | 133 | | license holder, if any; |
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136 | 134 | | (2) the name under which the license holder provides |
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137 | 135 | | dental services and each location at which those services are |
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138 | 136 | | provided by that license holder; |
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139 | 137 | | (3) whether the license holder is a participating |
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140 | 138 | | provider under the Medicaid program operated under Chapter 32, |
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141 | 139 | | Human Resources Code, or the child health plan program operated |
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142 | 140 | | under Chapter 62, Health and Safety Code; |
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143 | 141 | | (4) whether the license holder [is employed by or] |
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144 | 142 | | contracts or enters into an agreement for business support services |
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145 | 143 | | with a dental support [service] organization and, if so, the name |
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146 | 144 | | and address of the dental support [service] organization; |
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147 | 145 | | (5) whether the license holder owns all or part of a |
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148 | 146 | | dental support [service] organization and, if so, the name and |
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149 | 147 | | address of the dental support [service] organization and of each |
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150 | 148 | | dental office at which the dental support [service] organization |
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151 | 149 | | provides services to patients; |
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152 | 150 | | (6) whether the license holder is a party to a dental |
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153 | 151 | | support [service] agreement and, if so, the name and address of the |
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154 | 152 | | dental support [service] organization that provides services under |
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155 | 153 | | the agreement; and |
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156 | 154 | | (7) if the license holder owns all or part of a dental |
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157 | 155 | | support [service] organization, whether the license holder's |
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158 | 156 | | [that] practice is a party to a dental support [service] agreement |
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159 | 157 | | and, if so, the name and address of the dental support [service] |
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160 | 158 | | organization that provides services under the agreement. |
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161 | 159 | | (c) If requested by the board, a dental support [service] |
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162 | 160 | | organization shall provide to the board the address of the |
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163 | 161 | | locations where the organization provides business support |
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164 | 162 | | [dental] services in this state and the name of each dentist |
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165 | 163 | | providing dental services at each location. |
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166 | 164 | | SECTION 3. Notwithstanding Section 73.002, Business & |
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167 | 165 | | Commerce Code, as added by this Act, a dental support organization |
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168 | 166 | | is not required to register under that section before February 1, |
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169 | 167 | | 2016. |
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170 | 168 | | SECTION 4. This Act takes effect September 1, 2015. |
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