1 | 1 | | 88R12593 JCG-F |
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2 | 2 | | By: Guerra H.B. No. 4867 |
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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 health care transparency, including advertising, |
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8 | 8 | | identification, and notice requirements for certain health |
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9 | 9 | | facilities and health professionals; authorizing administrative |
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10 | 10 | | and civil penalties. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Title 2, Health and Safety Code, is amended by |
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13 | 13 | | adding Subtitle J to read as follows: |
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14 | 14 | | SUBTITLE J. PROVISION OF HEALTH CARE SERVICES |
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15 | 15 | | CHAPTER 185. IDENTIFICATION AND NOTICE REQUIREMENTS FOR HEALTH |
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16 | 16 | | FACILITIES AND HEALTH PROFESSIONALS |
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17 | 17 | | Sec. 185.001. DEFINITIONS. In this chapter: |
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18 | 18 | | (1) "Advertisement" means: |
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19 | 19 | | (A) any printed, electronic, or oral statement, |
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20 | 20 | | with respect to the provision of health care services by a health |
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21 | 21 | | care professional: |
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22 | 22 | | (i) that is communicated or disseminated to |
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23 | 23 | | the public; |
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24 | 24 | | (ii) that: |
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25 | 25 | | (a) is intended to encourage a person |
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26 | 26 | | to use the professional's services; or |
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27 | 27 | | (b) for a commercial purpose, names |
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28 | 28 | | the professional in connection with the practice, profession, or |
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29 | 29 | | institution in which the professional provides health care |
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30 | 30 | | services; and |
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31 | 31 | | (iii) the preparation, communication, or |
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32 | 32 | | dissemination of which is controlled by the professional or a group |
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33 | 33 | | to which the professional is affiliated; and |
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34 | 34 | | (B) any communication or statement not described |
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35 | 35 | | by Paragraph (A) but that is used in the regular course of the |
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36 | 36 | | professional's business for the purpose of promoting the |
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37 | 37 | | professional's services to the public, including: |
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38 | 38 | | (i) business cards; |
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39 | 39 | | (ii) letterhead; |
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40 | 40 | | (iii) signs; |
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41 | 41 | | (iv) pamphlets; |
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42 | 42 | | (v) brochures; |
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43 | 43 | | (vi) e-mails and any other communication or |
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44 | 44 | | statement transmitted through the Internet; or |
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45 | 45 | | (vii) audio or video communications, |
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46 | 46 | | including television or radio advertisements. |
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47 | 47 | | (2) "Commission" means the Health and Human Services |
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48 | 48 | | Commission. |
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49 | 49 | | (3) "Health facility" means: |
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50 | 50 | | (A) a solo or group medical practice; or |
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51 | 51 | | (B) an urgent care facility. |
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52 | 52 | | (4) "Health professional" and "professional" mean an |
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53 | 53 | | individual licensed under Title 3, Occupations Code. |
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54 | 54 | | (5) "Urgent care facility" means a facility providing |
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55 | 55 | | health care that: |
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56 | 56 | | (A) provides episodic ambulatory health care to |
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57 | 57 | | individuals outside of a hospital emergency room setting; |
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58 | 58 | | (B) does not require an individual to make an |
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59 | 59 | | appointment; |
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60 | 60 | | (C) provides some services typically provided in |
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61 | 61 | | a primary care physician's office or emergency room; and |
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62 | 62 | | (D) treats individuals requiring treatment of an |
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63 | 63 | | illness or injury that requires immediate care but is not |
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64 | 64 | | life-threatening. |
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65 | 65 | | Sec. 185.002. PHOTO IDENTIFICATION BADGE REQUIRED. (a) A |
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66 | 66 | | health facility shall adopt a policy requiring a health |
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67 | 67 | | professional providing direct patient care at the facility to wear |
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68 | 68 | | a photo identification badge during all patient encounters, unless |
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69 | 69 | | wearing the badge is precluded by isolation or sterilization |
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70 | 70 | | protocols adopted by the facility. The badge must be of sufficient |
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71 | 71 | | size, be prominently worn and clearly visible, and include: |
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72 | 72 | | (1) the professional's first and last name; |
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73 | 73 | | (2) the facility department with which the |
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74 | 74 | | professional is associated; |
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75 | 75 | | (3) the type of license held by the professional under |
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76 | 76 | | Title 3, Occupations Code, and no other title; and |
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77 | 77 | | (4) if applicable, the professional's status as a |
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78 | 78 | | student, intern, or trainee, or resident, but only if the |
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79 | 79 | | professional is registered with the Texas Medical Board. |
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80 | 80 | | (b) For purposes of Subsection (a)(3), the identification |
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81 | 81 | | badge of a health professional licensed under Title 3, Occupations |
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82 | 82 | | Code, must clearly state: |
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83 | 83 | | (1) "physician," if the professional holds a license |
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84 | 84 | | under Subtitle B of that title; |
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85 | 85 | | (2) "acupuncturist," "chiropractor," "midwife," |
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86 | 86 | | "physician assistant," "podiatrist," or "surgical assistant," as |
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87 | 87 | | applicable, if the professional holds a license under Subtitle C of |
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88 | 88 | | that title; |
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89 | 89 | | (3) "dental hygienist" or "dentist," as applicable, if |
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90 | 90 | | the professional holds a license under Subtitle D of that title; |
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91 | 91 | | (4) "advanced practice registered nurse," "licensed |
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92 | 92 | | vocational nurse," "registered nurse," "nurse practitioner," |
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93 | 93 | | "nurse midwife," "nurse anesthetist," or "clinical nurse |
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94 | 94 | | specialist," as applicable, if the professional holds a license |
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95 | 95 | | under Subtitle E of that title; |
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96 | 96 | | (5) "optometrist" or "therapeutic optometrist," as |
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97 | 97 | | applicable, if the professional holds a license under Subtitle F of |
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98 | 98 | | that title; |
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99 | 99 | | (6) "audiologist" or "speech-language pathologist," |
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100 | 100 | | as applicable, if the professional holds a license under Subtitle G |
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101 | 101 | | of that title; |
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102 | 102 | | (7) "athletic trainer," "massage therapist," |
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103 | 103 | | "occupational therapist," "occupational therapy assistant," |
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104 | 104 | | "physical therapist," or "physical therapist assistant," as |
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105 | 105 | | applicable, if the professional holds a license under Subtitle H of |
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106 | 106 | | that title; |
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107 | 107 | | (8) "pharmacist," if the professional holds a license |
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108 | 108 | | under Subtitle J of that title; |
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109 | 109 | | (9) "medical physicist," "medical radiologic |
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110 | 110 | | technologist," "orthotist," "orthotist assistant," |
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111 | 111 | | "perfusionist," "prosthetist," "prosthetist assistant," or |
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112 | 112 | | "respiratory care practitioner," as applicable, if the |
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113 | 113 | | professional holds a license under Subtitle K of that title; or |
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114 | 114 | | (10) "dietitian," if the professional holds a license |
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115 | 115 | | under Subtitle M of that title. |
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116 | 116 | | Sec. 185.003. NOTICE OF HEALTH PROFESSIONAL LICENSE. A |
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117 | 117 | | health facility shall post in a conspicuous location in each office |
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118 | 118 | | where a health professional provides health care services a written |
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119 | 119 | | notice stating the type of license the professional holds. The |
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120 | 120 | | notice must be printed using an easily readable font and type size. |
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121 | 121 | | Sec. 185.004. HEALTH CARE SERVICES PROVIDED BY NONPHYSICIAN |
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122 | 122 | | HEALTH PROFESSIONAL. (a) If a nonphysician health professional |
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123 | 123 | | provides health care services in a health facility under the |
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124 | 124 | | supervision of a physician, the facility shall post in a |
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125 | 125 | | conspicuous location in each office where the professional provides |
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126 | 126 | | health care services a written notice stating: |
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127 | 127 | | (1) the name of the supervising physician; |
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128 | 128 | | (2) the supervising physician's medical license |
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129 | 129 | | number; |
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130 | 130 | | (3) any board certification or specialty in which the |
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131 | 131 | | physician is certified; |
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132 | 132 | | (4) the physician's practice contact information, |
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133 | 133 | | including the telephone number and address of the practice; |
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134 | 134 | | (5) either: |
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135 | 135 | | (A) the hours the physician is scheduled to be |
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136 | 136 | | present at the practice location; or |
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137 | 137 | | (B) if the physician is not scheduled to be |
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138 | 138 | | present at the practice location, the statement: "No physician on |
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139 | 139 | | site"; and |
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140 | 140 | | (6) the statement: "Any patient may request treatment |
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141 | 141 | | by a physician. Notify a staff member at this location if you want |
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142 | 142 | | to request this option." |
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143 | 143 | | (b) A patient may choose to be treated by the supervising |
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144 | 144 | | physician of a nonphysician health professional. If the patient |
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145 | 145 | | requests treatment by the supervising physician, the physician must |
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146 | 146 | | see the patient not later than the 30th day after the date the |
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147 | 147 | | patient makes the request. The physician may see the patient in |
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148 | 148 | | person or through an acceptable telemedicine medical services |
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149 | 149 | | platform. |
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150 | 150 | | Sec. 185.005. PROHIBITED CONDUCT. A health professional |
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151 | 151 | | may not: |
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152 | 152 | | (1) knowingly aid, abet, permit, advise, or solicit a |
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153 | 153 | | person who is not licensed to practice the health profession in |
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154 | 154 | | which the professional is licensed to engage in an act contrary to |
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155 | 155 | | that professional licensure; or |
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156 | 156 | | (2) delegate to or contract with another health |
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157 | 157 | | professional to provide health care services if the professional |
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158 | 158 | | knows, or has reason to know, that the other professional is not |
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159 | 159 | | authorized for delegation of or to contract for those services |
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160 | 160 | | under the professional's license. |
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161 | 161 | | Sec. 185.006. ADMINISTRATIVE PENALTY. (a) The commission |
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162 | 162 | | or the regulatory agency for a health professional, including the |
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163 | 163 | | Texas Medical Board, the Texas Physician Assistant Board, and the |
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164 | 164 | | Texas Board of Nursing, may impose an administrative penalty |
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165 | 165 | | against a health facility or professional regulated by the |
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166 | 166 | | commission or agency who violates this chapter or a rule adopted |
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167 | 167 | | under this chapter. |
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168 | 168 | | (b) The amount of the penalty imposed may not exceed $1,000 |
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169 | 169 | | for each violation, and each day a violation continues or occurs is |
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170 | 170 | | a separate violation for the purpose of imposing a penalty. The |
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171 | 171 | | amount shall be based on: |
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172 | 172 | | (1) the seriousness of the violation, including the |
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173 | 173 | | nature, circumstances, extent, and gravity of the violation; |
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174 | 174 | | (2) the history of previous violations; |
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175 | 175 | | (3) the amount necessary to deter a future violation; |
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176 | 176 | | (4) the efforts to correct the violation; and |
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177 | 177 | | (5) any other matter that justice may require. |
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178 | 178 | | (c) The enforcement of the penalty may be stayed during the |
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179 | 179 | | time the order is under judicial review if the health facility or |
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180 | 180 | | professional pays the penalty to the clerk of the court or files a |
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181 | 181 | | supersedeas bond with the court in the amount of the penalty. A |
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182 | 182 | | facility or professional that cannot afford to pay the penalty or |
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183 | 183 | | file the bond may stay the enforcement by filing an affidavit in the |
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184 | 184 | | manner required by the Texas Rules of Civil Procedure for a party |
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185 | 185 | | who cannot afford to file security for costs, subject to the right |
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186 | 186 | | of the commission or regulatory agency to contest the affidavit as |
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187 | 187 | | provided by those rules. |
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188 | 188 | | (d) The attorney general may sue to collect the penalty. |
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189 | 189 | | The attorney general may recover reasonable expenses incurred in |
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190 | 190 | | obtaining relief under this subsection, including court costs, |
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191 | 191 | | reasonable attorney's fees, investigation costs, witness fees, and |
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192 | 192 | | deposition expenses. |
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193 | 193 | | (e) A proceeding to impose the penalty is considered to be a |
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194 | 194 | | contested case under Chapter 2001, Government Code. |
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195 | 195 | | Sec. 185.007. CIVIL PENALTY. (a) A health facility that |
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196 | 196 | | violates this chapter is liable to the state for a civil penalty of |
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197 | 197 | | not more than $1,000 for each violation. Each day of a continuing |
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198 | 198 | | violation constitutes a separate ground for recovery. |
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199 | 199 | | (b) The attorney general may sue to collect a civil penalty |
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200 | 200 | | under this section. The attorney general may recover reasonable |
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201 | 201 | | expenses incurred in obtaining relief under this section, including |
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202 | 202 | | court costs, reasonable attorney's fees, investigation costs, |
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203 | 203 | | witness fees, and deposition expenses. |
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204 | 204 | | SECTION 2. The heading to Subchapter E, Chapter 101, |
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205 | 205 | | Occupations Code, is amended to read as follows: |
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206 | 206 | | SUBCHAPTER E. CERTAIN PRACTICES RELATED TO ADVERTISING AND BILLING |
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207 | 207 | | PROHIBITED [GROUNDS FOR LICENSE REVOCATION OR DENIAL] |
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208 | 208 | | SECTION 3. Section 101.201, Occupations Code, is amended by |
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209 | 209 | | amending Subsection (b) and adding Subsections (c) and (d) to read |
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210 | 210 | | as follows: |
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211 | 211 | | (b) False, misleading, or deceptive advertising or |
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212 | 212 | | advertising not readily subject to verification includes |
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213 | 213 | | advertising that: |
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214 | 214 | | (1) makes a material misrepresentation of fact or |
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215 | 215 | | omits a fact necessary to make the statement as a whole not |
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216 | 216 | | materially misleading; |
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217 | 217 | | (2) makes a representation likely to create an |
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218 | 218 | | unjustified expectation about the results of a health care service |
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219 | 219 | | or procedure; |
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220 | 220 | | (3) compares a health care professional's services |
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221 | 221 | | with another health care professional's services unless the |
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222 | 222 | | comparison can be factually substantiated; |
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223 | 223 | | (4) contains a testimonial; |
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224 | 224 | | (5) causes confusion or misunderstanding as to the |
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225 | 225 | | credentials, education, or licensing of a health care professional, |
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226 | 226 | | including using a title, term, or other words that misstate, |
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227 | 227 | | falsely describe, falsely hold out, or falsely detail the health |
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228 | 228 | | care professional's: |
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229 | 229 | | (A) professional skills; |
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230 | 230 | | (B) training; |
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231 | 231 | | (C) expertise; |
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232 | 232 | | (D) educational degree; |
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233 | 233 | | (E) specialty certification; or |
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234 | 234 | | (F) licensure; |
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235 | 235 | | (6) represents that health care insurance deductibles |
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236 | 236 | | or copayments may be waived or are not applicable to health care |
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237 | 237 | | services to be provided if the deductibles or copayments are |
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238 | 238 | | required; |
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239 | 239 | | (7) represents that the benefits of a health benefit |
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240 | 240 | | plan will be accepted as full payment when deductibles or |
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241 | 241 | | copayments are required; |
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242 | 242 | | (8) makes a representation that is designed to take |
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243 | 243 | | advantage of the fears or emotions of a particularly susceptible |
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244 | 244 | | type of patient; or |
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245 | 245 | | (9) represents in the use of a professional name a |
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246 | 246 | | title or professional identification that is associated with |
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247 | 247 | | another profession and the health care professional is not licensed |
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248 | 248 | | or otherwise authorized to practice that profession [expressly or |
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249 | 249 | | commonly reserved to or used by another profession or |
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250 | 250 | | professional]. |
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251 | 251 | | (c) For purposes of this section, advertising that does not |
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252 | 252 | | include the name of the health care professional and the |
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253 | 253 | | professional identification required by Section 104.003 is |
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254 | 254 | | considered false, misleading, deceptive, or not readily subject to |
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255 | 255 | | verification. |
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256 | 256 | | (d) In this section, "advertising" includes: |
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257 | 257 | | (1) any printed, electronic, or oral statement, with |
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258 | 258 | | respect to the provision of health care services by a health care |
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259 | 259 | | professional: |
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260 | 260 | | (A) that is communicated or disseminated to the |
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261 | 261 | | public; |
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262 | 262 | | (B) that: |
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263 | 263 | | (i) is intended to encourage a person to use |
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264 | 264 | | the professional's services; or |
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265 | 265 | | (ii) for a commercial purpose, names the |
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266 | 266 | | professional in connection with the practice, profession, or |
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267 | 267 | | institution in which the professional provides health care |
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268 | 268 | | services; and |
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269 | 269 | | (C) the preparation, communication, or |
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270 | 270 | | dissemination of which is controlled by the professional or a group |
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271 | 271 | | to which the professional is affiliated; and |
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272 | 272 | | (2) any communication or statement not described by |
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273 | 273 | | Subdivision (1) but that is used in the regular course of the |
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274 | 274 | | professional's business for the purpose of promoting the |
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275 | 275 | | professional's services to the public, including: |
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276 | 276 | | (A) business cards; |
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277 | 277 | | (B) letterhead; |
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278 | 278 | | (C) signs; |
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279 | 279 | | (D) pamphlets; |
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280 | 280 | | (E) brochures; |
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281 | 281 | | (F) e-mails and any other communication or |
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282 | 282 | | statement transmitted through the Internet; or |
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283 | 283 | | (G) audio or video communications, including |
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284 | 284 | | television or radio advertisements. |
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285 | 285 | | SECTION 4. Subchapter E, Chapter 101, Occupations Code, is |
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286 | 286 | | amended by adding Section 101.205 to read as follows: |
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287 | 287 | | Sec. 101.205. ADMINISTRATIVE PENALTY. (a) A health |
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288 | 288 | | licensing agency that issues a license, certificate, or other |
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289 | 289 | | authorization under this title, may impose an administrative |
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290 | 290 | | penalty on a person who: |
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291 | 291 | | (1) holds a license, certificate, or other |
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292 | 292 | | authorization issued by the health licensing agency; and |
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293 | 293 | | (2) violates Section 101.201. |
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294 | 294 | | (b) The amount of an administrative penalty may not exceed |
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295 | 295 | | $1,000 for each violation. Each day a violation continues or occurs |
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296 | 296 | | is a separate violation for purposes of imposing a penalty. |
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297 | 297 | | (c) A proceeding to impose an administrative penalty under |
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298 | 298 | | this section is subject to Chapter 2001, Government Code. |
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299 | 299 | | SECTION 5. Section 104.003, Occupations Code, is amended by |
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300 | 300 | | amending Subsections (b) and (c) and adding Subsection (h) to read |
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301 | 301 | | as follows: |
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302 | 302 | | (b) A person who is licensed by the Texas Medical [State] |
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303 | 303 | | Board [of Medical Examiners] and holds a doctor of medicine degree |
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304 | 304 | | shall use: |
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305 | 305 | | (1) physician or surgeon, M.D.; |
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306 | 306 | | (2) doctor, M.D.; [or] |
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307 | 307 | | (3) doctor of medicine, M.D.; or |
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308 | 308 | | (4) a designation indicating that the person is |
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309 | 309 | | certified or eligible for certification, as applicable, by a |
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310 | 310 | | certifying board of the American Board of Medical Specialties, the |
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311 | 311 | | American Board of Oral and Maxillofacial Surgery, the National |
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312 | 312 | | Board of Physicians and Surgeons, or a successor organization to |
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313 | 313 | | those organizations. |
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314 | 314 | | (c) A person who is licensed by the Texas Medical [State] |
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315 | 315 | | Board [of Medical Examiners] and holds a doctor of osteopathy |
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316 | 316 | | degree shall use: |
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317 | 317 | | (1) physician or surgeon, D.O.; |
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318 | 318 | | (2) osteopathic physician or surgeon; |
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319 | 319 | | (3) doctor, D.O.; |
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320 | 320 | | (4) doctor of osteopathy; |
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321 | 321 | | (5) doctor of osteopathic medicine; |
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322 | 322 | | (6) osteopath; [or] |
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323 | 323 | | (7) D.O.; or |
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324 | 324 | | (8) a designation indicating that the person is |
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325 | 325 | | certified or eligible for certification, as applicable, by a |
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326 | 326 | | certifying board of the American Osteopathic Association, the |
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327 | 327 | | American Board of Oral and Maxillofacial Surgery, the National |
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328 | 328 | | Board of Physicians and Surgeons, or a successor organization to |
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329 | 329 | | those organizations. |
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330 | 330 | | (h) A person licensed under this title and not described by |
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331 | 331 | | Subsection (b), (c), (d), (e), (f), or (g) may only use a title |
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332 | 332 | | authorized by the law under which the person is licensed. |
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333 | 333 | | SECTION 6. Chapter 104, Occupations Code, is amended by |
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334 | 334 | | adding Section 104.0035 to read as follows: |
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335 | 335 | | Sec. 104.0035. FALSE AND DECEPTIVE ADVERTISING. A healing |
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336 | 336 | | art practitioner may not use advertising that is false, misleading, |
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337 | 337 | | or deceptive, or not readily subject to verification as provided by |
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338 | 338 | | Section 101.201. |
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339 | 339 | | SECTION 7. Chapter 104, Occupations Code, is amended by |
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340 | 340 | | adding Section 104.008 to read as follows: |
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341 | 341 | | Sec. 104.008. ADMINISTRATIVE PENALTY. (a) A healing art |
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342 | 342 | | licensing board that issues a license, certificate, or other |
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343 | 343 | | authorization described by Section 104.003, may impose an |
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344 | 344 | | administrative penalty on a person who: |
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345 | 345 | | (1) holds a license, certificate, or other |
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346 | 346 | | authorization issued by the healing art licensing board; and |
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347 | 347 | | (2) violates this chapter. |
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348 | 348 | | (b) The amount of an administrative penalty may not exceed |
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349 | 349 | | $1,000 for each violation. Each day a violation continues or occurs |
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350 | 350 | | is a separate violation for purposes of imposing a penalty. |
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351 | 351 | | (c) A proceeding to impose an administrative penalty under |
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352 | 352 | | this section is subject to Chapter 2001, Government Code. |
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353 | 353 | | SECTION 8. Section 165.156, Occupations Code, is amended to |
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354 | 354 | | read as follows: |
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355 | 355 | | Sec. 165.156. MISREPRESENTATION REGARDING ENTITLEMENT TO |
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356 | 356 | | PRACTICE MEDICINE. A person, partnership, trust, association, or |
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357 | 357 | | corporation commits an offense if the person, partnership, trust, |
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358 | 358 | | association, or corporation, through the use of any title, |
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359 | 359 | | abbreviation, description of services, designation, letters, |
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360 | 360 | | words, or terms, alone or in combination with any other title, |
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361 | 361 | | affixed on stationery or on advertisements, or in any other manner, |
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362 | 362 | | including oral or written communications, indicates or induces |
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363 | 363 | | another to believe that the person, partnership, trust, |
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364 | 364 | | association, or corporation is entitled to practice medicine if the |
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365 | 365 | | person, partnership, trust, association, or corporation is not |
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366 | 366 | | licensed to do so. |
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367 | 367 | | SECTION 9. Subchapter D, Chapter 165, Occupations Code, is |
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368 | 368 | | amended by adding Section 165.1565 to read as follows: |
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369 | 369 | | Sec. 165.1565. USE OF TITLE. (a) In this section, "medical |
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370 | 370 | | or medical specialty title" means: |
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371 | 371 | | (1) "doctor of medicine" or "M.D."; |
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372 | 372 | | (2) "doctor of osteopathy" or "D.O."; |
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373 | 373 | | (3) "physician"; |
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374 | 374 | | (4) "surgeon"; |
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375 | 375 | | (5) "osteopathic physician"; |
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376 | 376 | | (6) "osteopathic surgeon"; |
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377 | 377 | | (7) "doctor"; |
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378 | 378 | | (8) "aesthetic surgeon"; |
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379 | 379 | | (9) "age management medicine physician"; |
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380 | 380 | | (10) "allergist"; |
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381 | 381 | | (11) "anesthesiologist"; |
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382 | 382 | | (12) "associate physician"; |
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383 | 383 | | (13) "cosmetic surgeon"; |
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384 | 384 | | (14) "dermatologist"; |
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385 | 385 | | (15) "emergency medicine doctor"; |
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386 | 386 | | (16) "emergency medicine physician"; |
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387 | 387 | | (17) "endocrinologist"; |
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388 | 388 | | (18) "environmental medicine physician"; |
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389 | 389 | | (19) "family medicine doctor"; |
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390 | 390 | | (20) "family medicine physician"; |
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391 | 391 | | (21) "family practice doctor"; |
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392 | 392 | | (22) "family practice physician"; |
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393 | 393 | | (23) "functional medicine doctor"; |
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394 | 394 | | (24) "functional medicine physician"; |
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395 | 395 | | (25) "gastroenterologist"; |
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396 | 396 | | (26) "general practitioner"; |
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397 | 397 | | (27) "geriatrician"; |
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398 | 398 | | (28) "graduate physician"; |
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399 | 399 | | (29) "gynecologist"; |
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400 | 400 | | (30) "hematologist"; |
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401 | 401 | | (31) "hepatologist"; |
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402 | 402 | | (32) "hospitalist"; |
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403 | 403 | | (33) "house officer"; |
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404 | 404 | | (34) "intensivist"; |
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405 | 405 | | (35) "internal medicine physician"; |
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406 | 406 | | (36) "intern"; |
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407 | 407 | | (37) "internist"; |
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408 | 408 | | (38) "laryngologist"; |
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409 | 409 | | (39) "neonatologist"; |
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410 | 410 | | (40) "nephrologist"; |
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411 | 411 | | (41) "neurologist"; |
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412 | 412 | | (42) "nocturnist"; |
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413 | 413 | | (43) "obstetrician"; |
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414 | 414 | | (44) "occupational health physician"; |
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415 | 415 | | (45) "occupational medicine doctor"; |
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416 | 416 | | (46) "occupational medicine physician"; |
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417 | 417 | | (47) "oncologist"; |
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418 | 418 | | (48) "ophthalmologist"; |
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419 | 419 | | (49) "orthopedic surgeon"; |
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420 | 420 | | (50) "orthopedist"; |
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421 | 421 | | (51) "osteopath"; |
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422 | 422 | | (52) "otolaryngologist"; |
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423 | 423 | | (53) "otologist"; |
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424 | 424 | | (54) "otorhinolaryngologist"; |
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425 | 425 | | (55) "pathologist"; |
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426 | 426 | | (56) "pediatrician"; |
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427 | 427 | | (57) "physiatrist"; |
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428 | 428 | | (58) "physical medicine and rehabilitation |
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429 | 429 | | physician"; |
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430 | 430 | | (59) "physician associate"; |
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431 | 431 | | (60) "physician graduate"; |
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432 | 432 | | (61) "plastic surgeon"; |
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433 | 433 | | (62) "primary care doctor"; |
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434 | 434 | | (63) "primary care physician"; |
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435 | 435 | | (64) "proctologist"; |
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436 | 436 | | (65) "psychiatrist"; |
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437 | 437 | | (66) "radiologist"; |
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438 | 438 | | (67) "resident"; |
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439 | 439 | | (68) "rheumatologist"; |
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440 | 440 | | (69) "rhinologist"; |
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441 | 441 | | (70) "urogynecologist"; |
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442 | 442 | | (71) "urologist"; or |
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443 | 443 | | (72) another title specified by board rule. |
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444 | 444 | | (b) Except as provided by Section 104.004, a person who is |
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445 | 445 | | not licensed to practice medicine by the board may not: |
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446 | 446 | | (1) use or publicly display a medical or medical |
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447 | 447 | | specialty title in connection with the person's name either alone |
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448 | 448 | | or in combination with another word or title; or |
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449 | 449 | | (2) indicate or induce another to believe that the |
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450 | 450 | | person is an attending doctor or attending physician or practices |
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451 | 451 | | medicine. |
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452 | 452 | | (c) In a clinical setting, the terms "fellowship" and |
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453 | 453 | | "residency" are reserved for postgraduate medical, dental, |
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454 | 454 | | podiatric, and pharmacologic education and training. The terms may |
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455 | 455 | | not be used to describe nursing or any nonmedical postgraduate |
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456 | 456 | | training. |
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457 | 457 | | (d) In a clinical setting, the terms "attending," |
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458 | 458 | | "attending doctor," and "attending physician" are reserved for |
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459 | 459 | | physicians who are licensed to practice medicine and who have |
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460 | 460 | | completed a postgraduate medical residency training program. |
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461 | 461 | | (e) In a clinical setting, "physician associate," |
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462 | 462 | | "associate physician," and "physician graduate" are reserved for |
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463 | 463 | | physicians licensed to practice medicine who: |
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464 | 464 | | (1) are graduates of a board-approved medical school |
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465 | 465 | | or osteopathic medical school; and |
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466 | 466 | | (2) have passed the second component of the United |
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467 | 467 | | States Medical Licensing Examination or the equivalent component of |
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468 | 468 | | another board-approved licensing examination. |
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469 | 469 | | SECTION 10. Section 204.203, Occupations Code, is amended |
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470 | 470 | | to read as follows: |
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471 | 471 | | Sec. 204.203. IDENTIFICATION REQUIREMENTS. A physician |
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472 | 472 | | assistant shall: |
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473 | 473 | | (1) keep the physician assistant's license available |
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474 | 474 | | for inspection at the physician assistant's primary place of |
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475 | 475 | | business; and |
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476 | 476 | | (2) when engaged in the physician assistant's |
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477 | 477 | | professional activities, wear a name tag identifying the license |
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478 | 478 | | holder as a physician assistant by title or the initials "P.A.". |
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479 | 479 | | SECTION 11. Subchapter E, Chapter 204, Occupations Code, is |
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480 | 480 | | amended by adding Section 204.2035 to read as follows: |
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481 | 481 | | Sec. 204.2035. FALSE AND DECEPTIVE ADVERTISING. A |
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482 | 482 | | physician assistant may not use advertising that is false, |
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483 | 483 | | misleading, deceptive, or not readily subject to verification as |
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484 | 484 | | provided by Section 101.201. |
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485 | 485 | | SECTION 12. Sections 301.351(a), (b), and (c), Occupations |
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486 | 486 | | Code, are amended to read as follows: |
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487 | 487 | | (a) A person who holds a license [as a registered nurse] |
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488 | 488 | | under this chapter[: |
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489 | 489 | | [(1)] is referred to as: |
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490 | 490 | | (1) a registered nurse or[; and |
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491 | 491 | | [(2) may use the abbreviation] "R.N."; |
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492 | 492 | | (2) a licensed vocational nurse or "L.V.N."; |
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493 | 493 | | (3) an advanced practice registered nurse or |
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494 | 494 | | "A.P.R.N."; |
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495 | 495 | | (4) a nurse practitioner or "N.P."; |
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496 | 496 | | (5) a nurse midwife; |
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497 | 497 | | (6) a certified registered nurse anesthetist or |
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498 | 498 | | "C.R.N.A."; or |
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499 | 499 | | (7) a clinical nurse specialist or "C.N.S.". |
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500 | 500 | | (b) Except as provided by Section 104.004, a [A] person who |
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501 | 501 | | holds a license [as a vocational nurse] under this chapter may not |
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502 | 502 | | use the title "doctor" unless the person also holds a license issued |
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503 | 503 | | by the Texas Medical Board under Subtitle B, as provided by Section |
---|
504 | 504 | | 165.1565.[: |
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505 | 505 | | [(1) is referred to as a licensed vocational nurse or |
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506 | 506 | | vocational nurse; and |
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507 | 507 | | [(2) may use the abbreviation "L.V.N." or "V.N."] |
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508 | 508 | | (c) While interacting with the public in a nursing role, |
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509 | 509 | | each nurse shall wear a clearly legible insignia identifying the |
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510 | 510 | | nurse in accordance with Subsection (a) [as a registered or |
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511 | 511 | | vocational nurse]. The insignia may not contain information other |
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512 | 512 | | than: |
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513 | 513 | | (1) the appropriate [registered or vocational nurse] |
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514 | 514 | | designation; |
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515 | 515 | | (2) the nurse's name, certifications, academic |
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516 | 516 | | degrees, or practice position; |
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517 | 517 | | (3) the name of the employing facility or agency, or |
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518 | 518 | | other employer; |
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519 | 519 | | (4) a picture of the nurse; or |
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520 | 520 | | (5) any other information authorized by the board. |
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521 | 521 | | SECTION 13. Subchapter H, Chapter 301, Occupations Code, is |
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522 | 522 | | amended by adding Section 301.3515 to read as follows: |
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523 | 523 | | Sec. 301.3515. FALSE AND DECEPTIVE ADVERTISING. A nurse |
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524 | 524 | | may not use advertising that is false, misleading, deceptive, or |
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525 | 525 | | not readily subject to verification as provided by Section 101.201. |
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526 | 526 | | SECTION 14. Section 104.007, Occupations Code, is repealed. |
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527 | 527 | | SECTION 15. Each state regulatory agency that issues a |
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528 | 528 | | license to a health professional or health facility, including the |
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529 | 529 | | Texas Medical Board, Texas Physician Assistant Board, Texas Board |
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530 | 530 | | of Nursing, and Health and Human Services Commission, shall adopt |
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531 | 531 | | rules necessary to implement Chapter 185, Health and Safety Code, |
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532 | 532 | | as added by this Act, and Chapters 101 and 104, Occupations Code, as |
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533 | 533 | | amended by this Act, not later than January 1, 2024. |
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534 | 534 | | SECTION 16. Chapter 185, Health and Safety Code, as added by |
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535 | 535 | | this Act, applies to the provision of health care services on or |
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536 | 536 | | after January 1, 2024. |
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537 | 537 | | SECTION 17. The changes in law made by this Act apply only |
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538 | 538 | | to conduct that occurs on or after the effective date of this Act. |
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539 | 539 | | Conduct that occurs before that date is governed by the law in |
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540 | 540 | | effect on the date the conduct occurred, and the former law is |
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541 | 541 | | continued in effect for that purpose. |
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542 | 542 | | SECTION 18. This Act takes effect September 1, 2023. |
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