1 | 1 | | 86R12545 JCG-F |
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2 | 2 | | By: Huffman S.B. No. 1782 |
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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 denial, suspension, or revocation of licenses |
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8 | 8 | | issued by the Texas Medical Board for certain offenses. |
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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. Chapter 108, Occupations Code, is amended to |
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11 | 11 | | read as follows: |
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12 | 12 | | CHAPTER 108. REQUIRED LICENSE DENIAL, SUSPENSION, OR REVOCATION BY |
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13 | 13 | | TEXAS MEDICAL BOARD [REQUIRED] FOR CERTAIN OFFENSES [DRUG FELONY |
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14 | 14 | | CONVICTIONS] |
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15 | 15 | | Sec. 108.001. DEFINITIONS [DEFINITION]. In this chapter: |
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16 | 16 | | (1) "Board" [, "board"] means the Texas [State Board |
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17 | 17 | | of] Medical Board [Examiners]. |
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18 | 18 | | (2) "License" means a license, certificate, |
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19 | 19 | | registration, permit, or other form of authorization issued by the |
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20 | 20 | | board and required by law to engage in an occupation or profession |
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21 | 21 | | regulated by the board. |
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22 | 22 | | Sec. 108.002. LICENSE SUSPENSION OR REVOCATION ON CERTAIN |
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23 | 23 | | PLEAS OR FINDING OF GUILT [CONVICTION; REVOCATION]. In accordance |
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24 | 24 | | with Section 108.004, the [(a) The] board shall: |
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25 | 25 | | (1) subject to Subdivision (2), suspend a license |
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26 | 26 | | [issued by the board] if the license holder during any court |
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27 | 27 | | proceeding pleads guilty or nolo contendere to or during the guilt |
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28 | 28 | | or innocence phase of the trial is found guilty of: |
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29 | 29 | | (A) a felony; or |
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30 | 30 | | (B) a misdemeanor: |
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31 | 31 | | (i) for which the actor is required to |
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32 | 32 | | register as a sex offender under Chapter 62, Code of Criminal |
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33 | 33 | | Procedure; or |
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34 | 34 | | (ii) under: |
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35 | 35 | | (a) Chapter 22, Penal Code, other than |
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36 | 36 | | a misdemeanor punishable by fine only; |
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37 | 37 | | (b) Section 25.07, Penal Code; |
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38 | 38 | | (c) Section 25.071, Penal Code; |
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39 | 39 | | (d) Chapter 481, Health and Safety |
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40 | 40 | | Code, other than an offense described by Article 42A.054(a)(14), |
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41 | 41 | | Code of Criminal Procedure; |
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42 | 42 | | (e) Chapter 483, Health and Safety |
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43 | 43 | | Code; |
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44 | 44 | | (f) Section 485.033, Health and |
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45 | 45 | | Safety Code; or |
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46 | 46 | | (g) the federal Comprehensive Drug |
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47 | 47 | | Abuse Prevention and Control Act of 1970 (21 U.S.C. Section 801 et |
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48 | 48 | | seq.) or its successor statute; or |
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49 | 49 | | (2) revoke a license if the license holder: |
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50 | 50 | | (A) during any court proceeding pleads guilty or |
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51 | 51 | | nolo contendere to or during the guilt or innocence phase of the |
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52 | 52 | | trial is found guilty of an offense: |
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53 | 53 | | (i) listed in Article 42A.054, Code of |
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54 | 54 | | Criminal Procedure; or |
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55 | 55 | | (ii) under Section 21.11, Penal Code; or |
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56 | 56 | | (B) is convicted of an offense described by |
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57 | 57 | | Subdivision (1), regardless of the status of any pending appeal [it |
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58 | 58 | | is determined at an administrative hearing that the license holder |
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59 | 59 | | has been convicted of a felony under Chapter 481 or 483, Health and |
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60 | 60 | | Safety Code, or Section 485.032 of that code]. |
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61 | 61 | | [(b) A hearing under Subsection (a) shall be conducted under |
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62 | 62 | | Chapter 2001, Government Code. |
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63 | 63 | | [(c) The board shall revoke the license of a person whose |
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64 | 64 | | license is suspended under Subsection (a) on the person's final |
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65 | 65 | | conviction.] |
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66 | 66 | | Sec. 108.003. TEMPORARY SUSPENSION FOR CERTAIN ARRESTS. |
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67 | 67 | | (a) In accordance with Section 108.004, the board shall suspend a |
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68 | 68 | | license if the license holder is arrested for an offense under: |
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69 | 69 | | (1) Section 22.011(a)(2), Penal Code; |
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70 | 70 | | (2) Section 22.021(a)(1)(B), Penal Code; |
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71 | 71 | | (3) Section 21.02, Penal Code; |
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72 | 72 | | (4) Section 21.11, Penal Code; |
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73 | 73 | | (5) Section 43.26, Penal Code; or |
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74 | 74 | | (6) Section 43.262, Penal Code. |
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75 | 75 | | (b) The board may suspend the license of a license holder |
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76 | 76 | | who is arrested for an offense in which the victim of the offense |
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77 | 77 | | was: |
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78 | 78 | | (1) a child, elderly individual, or disabled |
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79 | 79 | | individual, as those terms are defined by Section 22.04, Penal |
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80 | 80 | | Code; or |
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81 | 81 | | (2) a patient in a hospital or health care facility at |
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82 | 82 | | the time the offense was committed. |
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83 | 83 | | (c) A suspension under this section remains in effect until |
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84 | 84 | | the final disposition of the case. |
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85 | 85 | | (d) The board shall adopt rules to implement this section, |
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86 | 86 | | including rules regarding evidence that serves as proof of final |
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87 | 87 | | disposition of a case. |
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88 | 88 | | Sec. 108.004. HEARING; INFORMAL SETTLEMENT CONFERENCE; |
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89 | 89 | | JUDICIAL REVIEW. (a) As soon as practicable after the board |
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90 | 90 | | discovers or receives notice that grounds exist under Section |
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91 | 91 | | 108.002 or 108.003 requiring the board to suspend or revoke a |
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92 | 92 | | license holder's license, the president of the board shall: |
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93 | 93 | | (1) appoint a three-member disciplinary panel |
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94 | 94 | | consisting of board members, at least one of whom must be a |
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95 | 95 | | physician and one of whom must be a public member; and |
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96 | 96 | | (2) schedule a hearing before the disciplinary panel |
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97 | 97 | | on the suspension or revocation for the earliest possible date |
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98 | 98 | | after providing 10 days' notice of the hearing to the license |
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99 | 99 | | holder. |
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100 | 100 | | (b) At a hearing under Subsection (a), the disciplinary |
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101 | 101 | | panel shall: |
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102 | 102 | | (1) provide the respondent the opportunity to be heard |
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103 | 103 | | and present evidence; |
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104 | 104 | | (2) determine whether grounds exist under Section |
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105 | 105 | | 108.002 or 108.003 requiring the board to suspend or revoke the |
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106 | 106 | | license holder's license; and |
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107 | 107 | | (3) if the panel finds that grounds exist under |
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108 | 108 | | Subdivision (2), enter an order immediately suspending or revoking |
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109 | 109 | | the license, as appropriate. |
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110 | 110 | | (c) In a hearing under Subsection (a), a disciplinary panel |
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111 | 111 | | may not probate the suspension of a license. |
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112 | 112 | | (d) Immediately following a hearing under Subsection (a), |
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113 | 113 | | the disciplinary panel may convene and conduct, according to board |
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114 | 114 | | rules, an informal settlement conference with the respondent to: |
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115 | 115 | | (1) propose an agreed order regarding the suspension |
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116 | 116 | | or revocation, as appropriate, including the probation of |
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117 | 117 | | suspension, that, if the respondent signs the agreed order, will be |
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118 | 118 | | presented to the board for board approval; or |
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119 | 119 | | (2) if agreement under Subdivision (1) cannot be |
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120 | 120 | | reached between the disciplinary panel and the respondent, refer |
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121 | 121 | | the suspension or revocation for formal proceedings before an |
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122 | 122 | | administrative law judge at the State Office of Administrative |
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123 | 123 | | Hearings. |
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124 | 124 | | (e) An agreed order under Subsection (d): |
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125 | 125 | | (1) is not effective unless the board approves the |
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126 | 126 | | order; and |
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127 | 127 | | (2) supersedes any order entered by a disciplinary |
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128 | 128 | | panel at a hearing under Subsection (a). |
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129 | 129 | | (f) A license holder whose license is suspended or revoked |
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130 | 130 | | under this section is entitled to judicial review of the suspension |
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131 | 131 | | or revocation under the substantial evidence rule. A petition for |
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132 | 132 | | judicial review under this subsection must be filed not later than |
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133 | 133 | | the 30th day after the date the order suspending or revoking the |
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134 | 134 | | license is entered. |
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135 | 135 | | Sec. 108.005. DENIAL OF LICENSE APPLICATION. The board |
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136 | 136 | | shall deny an application for a license if grounds would exist under |
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137 | 137 | | Section 108.002 or 108.003 requiring the board to suspend or revoke |
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138 | 138 | | the applicant's license if the applicant were a license holder. |
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139 | 139 | | Sec. 108.006 [108.003]. LICENSE REINSTATEMENT OR |
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140 | 140 | | REISSUANCE. (a) Except as provided by Subsection (b), the [The] |
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141 | 141 | | board may not reinstate or reissue a license suspended or revoked |
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142 | 142 | | under Section 108.002 [unless an express determination is made that |
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143 | 143 | | the reinstatement or reissuance of the license is in the best |
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144 | 144 | | interests of the public and the person whose license was suspended |
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145 | 145 | | or revoked]. |
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146 | 146 | | (b) A person whose license is suspended or revoked under |
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147 | 147 | | Section 108.002 may apply for reinstatement or reissuance of the |
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148 | 148 | | license if the conviction on which the suspension or revocation is |
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149 | 149 | | based is set aside, vacated, or otherwise overturned on appeal [The |
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150 | 150 | | board must base its determination under Subsection (a) on |
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151 | 151 | | substantial evidence contained in an investigative report]. |
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152 | 152 | | SECTION 2. Section 151.002(a)(3), Occupations Code, is |
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153 | 153 | | amended to read as follows: |
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154 | 154 | | (3) "Disciplinary order" means an action taken under |
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155 | 155 | | Section 164.001, 164.053, [164.058,] or 164.101. |
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156 | 156 | | SECTION 3. Sections 164.001(a) and (b), Occupations Code, |
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157 | 157 | | are amended to read as follows: |
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158 | 158 | | (a) Except for good cause shown, the board, on determining a |
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159 | 159 | | violation of this subtitle or a board rule or for any cause for |
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160 | 160 | | which the board may refuse to admit a person to its examination or |
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161 | 161 | | to issue or renew a license, [including an initial conviction or the |
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162 | 162 | | initial finding of the trier of fact of guilt of a felony or |
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163 | 163 | | misdemeanor involving moral turpitude,] shall: |
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164 | 164 | | (1) revoke or suspend a license; |
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165 | 165 | | (2) place on probation a person whose license is |
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166 | 166 | | suspended; or |
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167 | 167 | | (3) reprimand a license holder. |
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168 | 168 | | (b) The [Except as otherwise provided by Sections 164.057 |
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169 | 169 | | and 164.058, the] board, on determining that a person committed an |
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170 | 170 | | act described by Sections 164.051 through 164.054, shall enter an |
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171 | 171 | | order to: |
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172 | 172 | | (1) deny the person's application for a license or |
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173 | 173 | | other authorization to practice medicine; |
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174 | 174 | | (2) administer a public reprimand; |
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175 | 175 | | (3) suspend, limit, or restrict the person's license |
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176 | 176 | | or other authorization to practice medicine, including: |
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177 | 177 | | (A) limiting the practice of the person to or |
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178 | 178 | | excluding one or more specified activities of medicine; or |
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179 | 179 | | (B) stipulating periodic board review; |
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180 | 180 | | (4) revoke the person's license or other authorization |
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181 | 181 | | to practice medicine; |
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182 | 182 | | (5) require the person to submit to care, counseling, |
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183 | 183 | | or treatment of physicians designated by the board as a condition |
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184 | 184 | | for: |
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185 | 185 | | (A) the issuance or renewal of a license or other |
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186 | 186 | | authorization to practice medicine; or |
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187 | 187 | | (B) continued practice under a license; |
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188 | 188 | | (6) require the person to participate in an |
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189 | 189 | | educational or counseling program prescribed by the board; |
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190 | 190 | | (7) require the person to practice under the direction |
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191 | 191 | | of a physician designated by the board for a specified period; |
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192 | 192 | | (8) require the person to perform public service |
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193 | 193 | | considered appropriate by the board; or |
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194 | 194 | | (9) assess an administrative penalty against the |
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195 | 195 | | person as provided by Section 165.001. |
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196 | 196 | | SECTION 4. Section 204.303(a), Occupations Code, is amended |
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197 | 197 | | to read as follows: |
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198 | 198 | | (a) The physician assistant board may take action under |
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199 | 199 | | Section 204.301 against an applicant or license holder who: |
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200 | 200 | | (1) violates this chapter or a rule adopted under this |
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201 | 201 | | chapter; |
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202 | 202 | | (2) [is convicted of a felony, placed on deferred |
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203 | 203 | | adjudication, or placed in a pretrial diversion program; |
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204 | 204 | | [(3)] violates state law if the violation is connected |
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205 | 205 | | with practice as a physician assistant; |
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206 | 206 | | (3) [(4)] fails to keep complete and accurate records |
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207 | 207 | | of the purchase and disposal of drugs as required by Chapter 483, |
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208 | 208 | | Health and Safety Code, or any subsequent rules; or |
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209 | 209 | | (4) [(5)] writes a false or fictitious prescription |
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210 | 210 | | for a dangerous drug as defined by Chapter 483, Health and Safety |
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211 | 211 | | Code. |
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212 | 212 | | SECTION 5. Section 205.351(a), Occupations Code, is amended |
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213 | 213 | | to read as follows: |
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214 | 214 | | (a) A license to practice acupuncture may be denied or, |
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215 | 215 | | after notice and hearing, a license holder may be subject to |
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216 | 216 | | disciplinary action under Section 205.352 if the license applicant |
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217 | 217 | | or license holder: |
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218 | 218 | | (1) intemperately uses drugs or intoxicating liquors |
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219 | 219 | | to an extent that, in the opinion of the board, could endanger the |
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220 | 220 | | lives of patients; |
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221 | 221 | | (2) obtains or attempts to obtain a license by fraud or |
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222 | 222 | | deception; |
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223 | 223 | | (3) has been adjudged mentally incompetent by a court; |
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224 | 224 | | (4) has a mental or physical condition that renders |
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225 | 225 | | the person unable to perform safely as an acupuncturist; |
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226 | 226 | | (5) fails to practice acupuncture in an acceptable |
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227 | 227 | | manner consistent with public health and welfare; |
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228 | 228 | | (6) violates this chapter or a rule adopted under this |
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229 | 229 | | chapter; |
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230 | 230 | | (7) [has been convicted of a crime involving moral |
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231 | 231 | | turpitude or a felony or is the subject of deferred adjudication or |
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232 | 232 | | pretrial diversion for such an offense; |
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233 | 233 | | [(8)] holds the person out as a physician or surgeon or |
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234 | 234 | | any combination or derivative of those terms unless the person is |
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235 | 235 | | also licensed by the medical board as a physician or surgeon; |
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236 | 236 | | (8) [(9)] fraudulently or deceptively uses a license; |
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237 | 237 | | (9) [(10)] engages in unprofessional or dishonorable |
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238 | 238 | | conduct that is likely to deceive, defraud, or injure a member of |
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239 | 239 | | the public; |
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240 | 240 | | (10) [(11)] commits an act in violation of state law |
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241 | 241 | | if the act is connected with the person's practice as an |
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242 | 242 | | acupuncturist; |
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243 | 243 | | (11) [(12)] fails to adequately supervise the |
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244 | 244 | | activities of a person acting under the supervision of the license |
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245 | 245 | | holder; |
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246 | 246 | | (12) [(13)] directly or indirectly aids or abets the |
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247 | 247 | | practice of acupuncture by any person not licensed to practice |
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248 | 248 | | acupuncture by the acupuncture board; |
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249 | 249 | | (13) [(14)] is unable to practice acupuncture with |
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250 | 250 | | reasonable skill and with safety to patients because of illness, |
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251 | 251 | | drunkenness, or excessive use of drugs, narcotics, chemicals, or |
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252 | 252 | | any other type of material or because of any mental or physical |
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253 | 253 | | condition; |
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254 | 254 | | (14) [(15)] is the subject of repeated or recurring |
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255 | 255 | | meritorious health-care liability claims that in the opinion of the |
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256 | 256 | | acupuncture board evidence professional incompetence likely to |
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257 | 257 | | injure the public; |
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258 | 258 | | (15) [(16)] has had a license to practice acupuncture |
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259 | 259 | | suspended, revoked, or restricted by another state or has been |
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260 | 260 | | subject to other disciplinary action by another state or by the |
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261 | 261 | | uniformed services of the United States regarding practice as an |
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262 | 262 | | acupuncturist; or |
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263 | 263 | | (16) [(17)] sexually abuses or exploits another |
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264 | 264 | | person through the license holder's practice as an acupuncturist. |
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265 | 265 | | SECTION 6. Section 206.203(a), Occupations Code, is amended |
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266 | 266 | | to read as follows: |
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267 | 267 | | (a) Except as provided by Section 206.206, to be eligible |
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268 | 268 | | for a license, a person must: |
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269 | 269 | | (1) be of good moral character; |
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270 | 270 | | (2) [have not been convicted of a felony or a crime |
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271 | 271 | | involving moral turpitude; |
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272 | 272 | | [(3)] not use drugs or alcohol to an extent that |
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273 | 273 | | affects the applicant's professional competency; |
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274 | 274 | | (3) [(4)] not have had a license or certification |
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275 | 275 | | revoked by a licensing agency or by a certifying professional |
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276 | 276 | | organization; and |
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277 | 277 | | (4) [(5)] not have engaged in fraud or deceit in |
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278 | 278 | | applying for a license under this chapter. |
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279 | 279 | | SECTION 7. Section 206.303(a), Occupations Code, is amended |
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280 | 280 | | to read as follows: |
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281 | 281 | | (a) The medical board may take action under Section 206.301 |
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282 | 282 | | against an applicant or license holder who: |
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283 | 283 | | (1) violates this chapter or a rule adopted under this |
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284 | 284 | | chapter; or |
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285 | 285 | | (2) [is convicted of a felony, placed on deferred |
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286 | 286 | | adjudication, or placed in a pretrial diversion program; or |
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287 | 287 | | [(3)] violates state law if the violation is connected |
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288 | 288 | | with practice as a surgical assistant. |
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289 | 289 | | SECTION 8. Section 602.251, Occupations Code, is amended to |
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290 | 290 | | read as follows: |
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291 | 291 | | Sec. 602.251. GROUNDS FOR LICENSE DENIAL OR DISCIPLINARY |
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292 | 292 | | ACTION. The medical board may refuse to issue or renew a license, |
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293 | 293 | | suspend, restrict, or revoke a license, or reprimand a license |
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294 | 294 | | holder for: |
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295 | 295 | | (1) obtaining or renewing a license by means of fraud, |
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296 | 296 | | misrepresentation, or concealment of a material fact; |
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297 | 297 | | (2) having previously applied for or held a license |
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298 | 298 | | issued by the licensing authority of another state, territory, or |
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299 | 299 | | jurisdiction that was denied, suspended, or revoked by that |
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300 | 300 | | licensing authority; |
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301 | 301 | | (3) engaging in unprofessional conduct that |
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302 | 302 | | endangered or is likely to endanger the health, safety, or welfare |
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303 | 303 | | of the public as defined by medical board rule; |
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304 | 304 | | (4) violating this chapter, a lawful order or rule of |
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305 | 305 | | the medical board, or the medical board's code of ethics; or |
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306 | 306 | | (5) being convicted of an offense [: |
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307 | 307 | | [(A) a felony; or |
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308 | 308 | | [(B) a misdemeanor involving moral turpitude or] |
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309 | 309 | | that directly relates to the person's duties as a licensed medical |
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310 | 310 | | physicist. |
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311 | 311 | | SECTION 9. The following provisions of the Occupations Code |
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312 | 312 | | are repealed: |
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313 | 313 | | (1) Section 164.057; |
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314 | 314 | | (2) Section 164.058; |
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315 | 315 | | (3) Section 164.0595; |
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316 | 316 | | (4) Section 204.310; |
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317 | 317 | | (5) Section 206.311; |
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318 | 318 | | (6) Section 601.310; and |
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319 | 319 | | (7) Section 604.208. |
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320 | 320 | | SECTION 10. Section 108.005, Occupations Code, as added by |
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321 | 321 | | this Act, applies only to an application for a license, as defined |
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322 | 322 | | by Section 108.001, Occupations Code, as amended by this Act, |
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323 | 323 | | pending on or submitted on or after the effective date of this Act. |
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324 | 324 | | SECTION 11. Chapter 108, Occupations Code, as amended by |
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325 | 325 | | this Act, applies only to an offense committed on or after the |
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326 | 326 | | effective date of this Act. An offense committed before the |
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327 | 327 | | effective date of this Act is governed by the law in effect on the |
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328 | 328 | | date the offense was committed, and the former law is continued in |
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329 | 329 | | effect for that purpose. For purposes of this section, an offense |
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330 | 330 | | was committed before the effective date of this Act if any element |
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331 | 331 | | of the offense was committed before that date. |
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332 | 332 | | SECTION 12. The changes in law made by this Act to Chapters |
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333 | 333 | | 108, 164, 204, 205, 206, 601, 602, and 604, Occupations Code, do not |
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334 | 334 | | affect the validity of a disciplinary action or other |
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335 | 335 | | administrative proceeding that was initiated before the effective |
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336 | 336 | | date of this Act and that is pending before a court or other |
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337 | 337 | | governmental entity on the effective date of this Act. |
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338 | 338 | | SECTION 13. This Act takes effect September 1, 2019. |
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