1 | 1 | | 87R6351 JCG-D |
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2 | 2 | | By: Alvarado S.B. No. 1452 |
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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 music therapists; |
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8 | 8 | | requiring an occupational license; authorizing 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 H, Title 3, Occupations Code, is |
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11 | 11 | | amended by adding Chapter 456 to read as follows: |
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12 | 12 | | CHAPTER 456. MUSIC THERAPISTS |
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13 | 13 | | SUBCHAPTER A. GENERAL PROVISIONS |
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14 | 14 | | Sec. 456.001. DEFINITIONS. In this chapter: |
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15 | 15 | | (1) "Advisory committee" means the advisory committee |
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16 | 16 | | created under Subchapter B. |
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17 | 17 | | (2) "Board" means the Texas Medical Board. |
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18 | 18 | | (3) "Music therapist" means a person who holds a music |
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19 | 19 | | therapist license issued by the board under this chapter. |
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20 | 20 | | (4) "Music therapy" means the clinical and |
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21 | 21 | | evidence-based use of music interventions by a person for an |
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22 | 22 | | individual who is in a therapeutic relationship with the person to |
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23 | 23 | | assist the individual in accomplishing particular goals. The music |
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24 | 24 | | interventions may include music improvisation, receptive music |
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25 | 25 | | listening, songwriting, lyric discussion, music and imagery, |
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26 | 26 | | singing, music performance, learning through music, music combined |
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27 | 27 | | with other arts, music-assisted relaxation, music-based patient |
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28 | 28 | | education, electronic music technology, adapted music |
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29 | 29 | | intervention, and movement to music. The practice of music therapy |
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30 | 30 | | does not include the diagnosis or assessment of any physical, |
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31 | 31 | | mental, or communication disorder. The term includes: |
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32 | 32 | | (A) accepting referrals for music therapy |
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33 | 33 | | services from health professionals and collaborating as necessary |
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34 | 34 | | with a referring health professional on a treatment plan to provide |
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35 | 35 | | music therapy addressing the individual's clinical or |
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36 | 36 | | developmental needs; |
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37 | 37 | | (B) conducting an assessment of an individual to |
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38 | 38 | | determine whether music therapy is recommended or necessary for the |
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39 | 39 | | individual, including the collection of information to determine |
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40 | 40 | | the recommended or necessary manner of music therapy services; |
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41 | 41 | | (C) developing an individualized music therapy |
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42 | 42 | | treatment plan based on an assessment described by Paragraph (B), |
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43 | 43 | | including specific goals for the individual, specific methods to be |
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44 | 44 | | used to achieve the goals, and a plan to ensure that the individual |
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45 | 45 | | receives music therapy in the least restrictive environment; |
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46 | 46 | | (D) implementing a treatment plan that is |
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47 | 47 | | consistent with any other health or educational service being |
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48 | 48 | | provided to an individual; |
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49 | 49 | | (E) evaluating an individual's response to a |
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50 | 50 | | music therapy treatment plan, documenting progress, and |
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51 | 51 | | recommending changes, including terminating treatment, as |
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52 | 52 | | appropriate; |
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53 | 53 | | (F) collaborating with any appropriate person |
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54 | 54 | | with regard to an individual receiving music therapy services, |
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55 | 55 | | including the individual's caretakers or family, to ensure that the |
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56 | 56 | | music therapy services are appropriate; and |
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57 | 57 | | (G) researching and applying best practices as |
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58 | 58 | | applicable to each clinical setting. |
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59 | 59 | | Sec. 456.002. APPLICABILITY. (a) A person is not required |
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60 | 60 | | to hold a license under this chapter if the person is: |
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61 | 61 | | (1) a person whose training and certification, or |
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62 | 62 | | other accreditation, in a particular occupation attests to the |
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63 | 63 | | person's ability to practice that occupation and who acts within |
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64 | 64 | | the scope of that occupation, including a licensed health care |
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65 | 65 | | worker or other professional acting within the scope of the |
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66 | 66 | | person's license; |
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67 | 67 | | (2) a student who is performing activities under the |
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68 | 68 | | supervision of a license holder as part of a degree program |
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69 | 69 | | described by Section 456.153(2); or |
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70 | 70 | | (3) a person employed in the service of the federal |
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71 | 71 | | government while performing duties related to that employment. |
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72 | 72 | | (b) Section 456.151(b) applies to a person described by |
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73 | 73 | | Subsection (a). |
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74 | 74 | | SUBCHAPTER B. ADVISORY COMMITTEE |
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75 | 75 | | Sec. 456.051. ADVISORY COMMITTEE. (a) The advisory |
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76 | 76 | | committee is an informal advisory committee to the board and is not |
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77 | 77 | | subject to Chapter 2110, Government Code. |
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78 | 78 | | (b) The advisory committee does not have independent |
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79 | 79 | | rulemaking authority. |
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80 | 80 | | Sec. 456.052. APPOINTMENT OF ADVISORY COMMITTEE; TERMS. |
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81 | 81 | | (a) The advisory committee consists of five members appointed by |
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82 | 82 | | the board as follows: |
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83 | 83 | | (1) three members, each of whom has been licensed |
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84 | 84 | | under this chapter for at least three years; |
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85 | 85 | | (2) one member who is a licensed health care provider |
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86 | 86 | | but who is not licensed under this chapter; and |
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87 | 87 | | (3) one public member. |
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88 | 88 | | (a-1) Notwithstanding Subsection (a)(1), a person is |
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89 | 89 | | eligible for appointment as a member of the advisory committee |
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90 | 90 | | under Subsection (a)(1) if the person has practiced music therapy |
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91 | 91 | | for the period required under Subsection (a)(1), regardless of |
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92 | 92 | | whether the person has held a music therapy license continuously |
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93 | 93 | | during that period. This subsection expires January 31, 2025. |
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94 | 94 | | (b) Members of the advisory committee serve staggered |
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95 | 95 | | three-year terms with the terms of one or two members expiring on |
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96 | 96 | | February 1 of each year. |
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97 | 97 | | (c) Appointments to the advisory committee shall be made |
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98 | 98 | | without regard to the race, color, disability, sex, religion, age, |
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99 | 99 | | or national origin of the appointee. |
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100 | 100 | | Sec. 456.053. MEMBERSHIP RESTRICTIONS. (a) In this |
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101 | 101 | | section, "Texas trade association" means a cooperative and |
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102 | 102 | | voluntarily joined statewide association of business or |
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103 | 103 | | professional competitors in this state designed to assist its |
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104 | 104 | | members and its industry or profession in dealing with mutual |
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105 | 105 | | business or professional problems and in promoting their common |
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106 | 106 | | interest. |
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107 | 107 | | (b) A person may not be a member of the advisory committee |
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108 | 108 | | if: |
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109 | 109 | | (1) the person is an officer, employee, or paid |
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110 | 110 | | consultant of a Texas trade association in the field of music |
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111 | 111 | | therapy; or |
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112 | 112 | | (2) the person's spouse is an officer, manager, or paid |
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113 | 113 | | consultant of a Texas trade association in the field of music |
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114 | 114 | | therapy. |
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115 | 115 | | (c) A person may not be a member of the advisory committee if |
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116 | 116 | | the person is required to register as a lobbyist under Chapter 305, |
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117 | 117 | | Government Code, because of the person's activities for |
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118 | 118 | | compensation on behalf of a profession related to the field of music |
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119 | 119 | | therapy. |
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120 | 120 | | Sec. 456.054. VACANCY. If a vacancy occurs during a |
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121 | 121 | | member's term, the board shall appoint a new member to fill the |
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122 | 122 | | unexpired term. |
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123 | 123 | | Sec. 456.055. COMPENSATION. An advisory committee member |
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124 | 124 | | may not receive compensation for service on the advisory committee. |
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125 | 125 | | Sec. 456.056. MEETINGS. (a) The advisory committee shall |
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126 | 126 | | meet at least twice every year and at other times as requested by |
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127 | 127 | | the board. |
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128 | 128 | | (b) A meeting may be held by telephone conference call. |
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129 | 129 | | Sec. 456.057. DUTIES OF ADVISORY COMMITTEE. The advisory |
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130 | 130 | | committee shall: |
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131 | 131 | | (1) advise the board on the practice of music therapy |
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132 | 132 | | and on matters pertaining to licensure and continuing education |
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133 | 133 | | requirements for music therapy under this chapter; |
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134 | 134 | | (2) facilitate the development of materials to educate |
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135 | 135 | | the public on the practice of music therapy, the licensing of music |
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136 | 136 | | therapists, and the benefits of music therapy as provided in an |
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137 | 137 | | individual setting and in an institutional setting; |
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138 | 138 | | (3) coordinate the dissemination of information to and |
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139 | 139 | | the exchange of information among music therapists in this state, |
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140 | 140 | | the American Music Therapy Association or any successor |
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141 | 141 | | organization, the Certification Board for Music Therapists or any |
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142 | 142 | | successor organization, and the board; |
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143 | 143 | | (4) advise and assist the board with any disciplinary |
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144 | 144 | | proceeding instituted under this chapter; and |
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145 | 145 | | (5) at least annually, provide an analysis to the |
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146 | 146 | | board of disciplinary actions taken by the board under this |
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147 | 147 | | chapter, including appeals, denials, and revocations. |
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148 | 148 | | SUBCHAPTER C. POWERS AND DUTIES OF BOARD |
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149 | 149 | | Sec. 456.101. GENERAL POWERS AND DUTIES. The board shall: |
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150 | 150 | | (1) establish qualifications for a music therapist to |
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151 | 151 | | practice in this state; |
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152 | 152 | | (2) establish requirements for an examination for a |
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153 | 153 | | license to practice as a music therapist; |
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154 | 154 | | (3) establish minimum education and training |
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155 | 155 | | requirements necessary for a license to practice as a music |
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156 | 156 | | therapist; |
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157 | 157 | | (4) prescribe the application form for a license to |
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158 | 158 | | practice as a music therapist; |
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159 | 159 | | (5) develop an approved program of mandatory |
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160 | 160 | | continuing education and the manner in which attendance at approved |
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161 | 161 | | courses, clinics, forums, lectures, programs, and seminars is |
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162 | 162 | | monitored and recorded; and |
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163 | 163 | | (6) consult with the advisory committee in performing |
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164 | 164 | | the duties described by this section. |
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165 | 165 | | Sec. 456.102. FEES. The board, in consultation with the |
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166 | 166 | | advisory committee, shall set and collect fees in amounts that are |
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167 | 167 | | reasonable and necessary to cover the costs of administering and |
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168 | 168 | | enforcing this chapter. |
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169 | 169 | | SUBCHAPTER D. LICENSE REQUIREMENTS |
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170 | 170 | | Sec. 456.151. LICENSE REQUIRED. (a) Except as provided by |
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171 | 171 | | Section 456.002, a person may not practice music therapy unless the |
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172 | 172 | | person holds a license issued under this chapter. |
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173 | 173 | | (b) Unless the person holds a license issued under this |
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174 | 174 | | chapter, a person may not use in connection with the person's name, |
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175 | 175 | | including in advertisements: |
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176 | 176 | | (1) the title "music therapist"; or |
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177 | 177 | | (2) any other designation that would imply that the |
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178 | 178 | | person is a music therapist. |
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179 | 179 | | Sec. 456.152. LICENSE APPLICATION. An applicant for a |
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180 | 180 | | license must: |
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181 | 181 | | (1) file a written application with the board on a form |
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182 | 182 | | prescribed by the board; and |
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183 | 183 | | (2) pay any application fee set by the board. |
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184 | 184 | | Sec. 456.153. LICENSE ELIGIBILITY. To be eligible for a |
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185 | 185 | | license, a person must: |
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186 | 186 | | (1) be at least 18 years of age; |
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187 | 187 | | (2) hold a bachelor's or graduate degree in music |
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188 | 188 | | therapy, or an equivalent field of study, from a program approved by |
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189 | 189 | | the American Music Therapy Association, or a successor |
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190 | 190 | | organization, within an accredited public or private institution of |
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191 | 191 | | higher education; |
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192 | 192 | | (3) successfully complete at least 1,200 hours of |
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193 | 193 | | clinical training consisting of at least: |
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194 | 194 | | (A) 180 hours in pre-internship experiences; and |
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195 | 195 | | (B) 900 hours in internship experiences; |
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196 | 196 | | (4) if applicable, be in good standing with any other |
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197 | 197 | | jurisdiction from which the applicant holds a music therapy |
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198 | 198 | | license; and |
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199 | 199 | | (5) hold a music therapy certification from the |
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200 | 200 | | Certification Board for Music Therapists or any successor |
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201 | 201 | | organization. |
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202 | 202 | | Sec. 456.154. RECIPROCAL LICENSE. The board may waive any |
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203 | 203 | | license requirement for an applicant who is licensed in another |
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204 | 204 | | state that has license requirements substantially equivalent to |
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205 | 205 | | those of this state. |
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206 | 206 | | Sec. 456.155. ISSUANCE AND RENEWAL OF LICENSE. The board |
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207 | 207 | | shall issue a music therapist license to a person who meets the |
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208 | 208 | | requirements of this chapter and rules adopted under this chapter. |
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209 | 209 | | Sec. 456.156. LICENSE RENEWAL. (a) A music therapist |
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210 | 210 | | license expires on the second anniversary of the date of issuance. |
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211 | 211 | | The board by rule shall provide requirements and procedures for the |
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212 | 212 | | renewal of a music therapist license, including requiring a license |
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213 | 213 | | holder to provide proof of the license holder's continuing |
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214 | 214 | | certification in music therapy by the Certification Board for Music |
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215 | 215 | | Therapists or any successor organization. |
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216 | 216 | | (b) The board by rule may adopt a system under which |
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217 | 217 | | licenses expire on various dates during the year. |
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218 | 218 | | Sec. 456.157. INACTIVE STATUS. The board may adopt rules |
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219 | 219 | | and set reasonable fees relating to placing license holders on |
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220 | 220 | | inactive status not to exceed two years from the date the license |
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221 | 221 | | holder is placed on inactive status. |
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222 | 222 | | Sec. 456.158. LICENSE HOLDER INFORMATION. A license holder |
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223 | 223 | | shall: |
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224 | 224 | | (1) notify the board of a change of the license |
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225 | 225 | | holder's residence or business address; and |
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226 | 226 | | (2) provide the board with the license holder's new |
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227 | 227 | | address not later than the 30th day after the date the address |
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228 | 228 | | change occurs. |
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229 | 229 | | SUBCHAPTER E. PRACTICE BY LICENSE HOLDER |
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230 | 230 | | Sec. 456.201. REFERRALS REQUIRED FOR CERTAIN SERVICES. (a) |
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231 | 231 | | A music therapist may provide the following music therapy services |
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232 | 232 | | without a referral from a health professional: |
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233 | 233 | | (1) consultation and evaluation; |
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234 | 234 | | (2) preventative care; |
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235 | 235 | | (3) wellness care; |
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236 | 236 | | (4) education; and |
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237 | 237 | | (5) specialized support. |
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238 | 238 | | (b) Providing music therapy services for a specific health |
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239 | 239 | | condition, other than consultation and evaluation, requires a |
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240 | 240 | | referral from a physician or other health professional acting |
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241 | 241 | | within the scope of the person's license. |
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242 | 242 | | SUBCHAPTER F. DISCIPLINARY PROCEEDINGS |
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243 | 243 | | Sec. 456.251. DISCIPLINARY ACTIONS BY BOARD. On a |
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244 | 244 | | determination that an applicant or license holder committed an act |
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245 | 245 | | described by Section 456.252, the board by order may take |
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246 | 246 | | disciplinary action against the applicant or license holder under |
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247 | 247 | | Section 164.001 in the same manner as the board takes disciplinary |
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248 | 248 | | action against a person regulated under Subtitle B, Title 3. |
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249 | 249 | | Sec. 456.252. GROUNDS FOR DISCIPLINARY ACTION. The board |
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250 | 250 | | may take disciplinary action against an applicant or license holder |
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251 | 251 | | for: |
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252 | 252 | | (1) treating or attempting to treat an individual's |
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253 | 253 | | specific health condition by means other than music therapy; |
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254 | 254 | | (2) failing to refer a patient to a health care |
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255 | 255 | | provider for treatment if a music therapist recognizes symptoms for |
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256 | 256 | | which treatment by music therapy is inadvisable or which warrant |
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257 | 257 | | treatment that is outside the scope of music therapy, as specified |
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258 | 258 | | by the American Music Therapy Association or the Certification |
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259 | 259 | | Board for Music Therapists or any successor organizations; |
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260 | 260 | | (3) being unable to practice music therapy with |
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261 | 261 | | reasonable skill and safety because of excessive use of alcohol, |
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262 | 262 | | drugs, narcotics, chemicals, or another substance; |
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263 | 263 | | (4) being convicted of a felony that directly relates |
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264 | 264 | | to the duties and responsibilities of a music therapist or that |
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265 | 265 | | indicates that the person poses a continued threat to public |
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266 | 266 | | safety; |
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267 | 267 | | (5) obtaining or attempting to obtain a music |
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268 | 268 | | therapist license by fraud; |
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269 | 269 | | (6) practicing music therapy in a grossly negligent |
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270 | 270 | | manner; |
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271 | 271 | | (7) being adjudicated as an incapacitated person by a |
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272 | 272 | | court; |
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273 | 273 | | (8) being convicted of an offense indicating that the |
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274 | 274 | | music therapist's continued practice of music therapy is |
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275 | 275 | | detrimental to the best interests of the public or profession, |
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276 | 276 | | including an offense that constitutes a violation of any applicable |
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277 | 277 | | ethical rule of the profession; or |
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278 | 278 | | (9) being subject to the suspension or revocation of a |
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279 | 279 | | music therapy license in another jurisdiction. |
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280 | 280 | | SECTION 2. Not later than February 1, 2022, the Texas |
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281 | 281 | | Medical Board shall: |
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282 | 282 | | (1) adopt rules necessary to implement Chapter 456, |
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283 | 283 | | Occupations Code, as added by this Act; and |
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284 | 284 | | (2) appoint the members of the advisory committee |
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285 | 285 | | established under Subchapter B, Chapter 456, Occupations Code, as |
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286 | 286 | | added by this Act. |
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287 | 287 | | SECTION 3. Not later than March 1, 2022, the Texas Medical |
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288 | 288 | | Board shall begin accepting applications for and issuing music |
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289 | 289 | | therapist licenses under Chapter 456, Occupations Code, as added by |
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290 | 290 | | this Act. |
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291 | 291 | | SECTION 4. (a) Except as provided by Subsection (b) of this |
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292 | 292 | | section, this Act takes effect September 1, 2021. |
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293 | 293 | | (b) Section 456.151 and Subchapter F, Chapter 456, |
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294 | 294 | | Occupations Code, as added by this Act, take effect September 1, |
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295 | 295 | | 2022. |
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