TITLE 22.EXAMINING BOARDS

Part 3. TEXAS BOARD OF CHIROPRACTIC EXAMINERS

Chapter 75. RULES OF PRACTICE

The Texas Board of Chiropractic Examiners proposes to repeal §75.5, relating to witness fees, amend §§75.6, 75.8, 75.9, 75.11, and add a new §75.4, relating to undercover investigations. These changes are being proposed in conjunction with the board's review of chapter 75, pursuant to the requirements of the Appropriations Act of 1997, House Bill 1, Article IX, §167. In accordance with §167, the board has reviewed this chapter and has determined that it should be readopted, with changes to §§75.6, 75.8, 75.9, 75.11. The board finds that the reasons for this chapter, with the proposed changes, continues to exist. The board is proposing to repeal §75.5 and transfer its subject matter to chapter 76, which is being amended by separate rulemaking in this issue of the Texas Register . Proposed new §75.4 contains the text of current §76.5, which is being repealed and new language added relating to SOAH proceedings. In conjunction with the board's review and proposed amendments to chapter 75, chapter 76 has also been revised. Some of its provisions have been moved to Chapters 75 and 80 as a more appropriate location in terms of subject matter. Chapter 76 has been changed to contain procedures relating specifically to the SOAH hearing process. Accordingly, some provisions in Chapter 75, such as §75.5, have been moved to Chapter 76 because they relate to the hearing process.

Primary changes being proposed for Chapter 75 make chiropractic facilities and CRTs, not just chiropractors, subject to certain rules, provide missing steps in the enforcement process, delete procedures controlled by SOAH rules or the APA, and provide additional authority to the board to regulate certain conduct. Section 75.6, relating to responding to complaints has been revised to better tie in with rest of this section and chapter 76. The heading has been changed to "Duty to Respond to Complaint." A specific deadline to respond is proposed instead of the current requirement to respond "promptly," as well as an express general duty to cooperate with board investigations. A presumption that the current address on file with the board is the last known address, which will be used by the board to give notice of a complaint and a SOAH hearing, has been further clarified. Section 75.8, relating to display of consumer information, is amended to place equal duties on licensees and facility owners to have the required information properly displayed. Further clarification has been provided as to the location where the information has to be displayed. A new subsection (c) requires a licensee, CRT, and facility to display their annual registration. These requirements are designed to make available to the public essential information about filing complaints with the board and the authority of those providing services regulated by the board.

Section 75.9 sets out the board's complaint investigation and disposition procedure, in conjunction with §75.10 and §75.11. Proposed changes to subsection (b) add information from Chapter 76 about filing a report or a violation, initiation of an investigation, and treatment of anonymous complaints. Subsection (c), which covers the responsibilities of the enforcement committee, is amended to clarify that informal conferences are discretionary depending on the nature of a case and whether, in the committee's opinion, a conference would be beneficial. Several provisions in subsection (d) are deleted as they relate to matters after a case is referred to SOAH for hearing. Those matters are either covered by the APA or SOAH rules and do not need to be repeated in board rules, or they have been addressed in the amendments being proposed to Chapter 76. Other changes in format and text have been made for clarification and for consistency, both internally and with the Chiropractic Act, the APA, and SOAH rules, and to delete redundant or unnecessary provisions.

Dr. Cynthia Vaughn, D. C., Chair, Rules Committee, has determined that for the first five-year period the proposed sections and the repeals are in effect, there will be no fiscal implications for state or local government as a result of enforcing or administering the sections and the repeals of the existing sections.

Dr. Vaughn has also determined that for each year of the first five years, the sections and the repeals are in effect, the public benefit anticipated as a result of enforcing the chapter as amended will be better notice to licensees and the public of procedures and requirements relating to the filing, investigation and disposition of complaints. The purpose of these rules is to provide notice of board policy and to set out necessary procedures within its jurisdiction as well as to give notice generally of each step in the complaint resolution and disciplinary process. The rules, with the proposed amendments, along with the proposed amendments to Chapter 76, are designed to complement SOAH rules and the Administrative Procedure Act, providing procedures for matters not covered by SOAH rules or the APA or for which jurisdiction resides, entirely or partially, with the board. There is no anticipated economic effect on small or micro businesses or economic cost to persons who are required to comply with the proposed sections as a result of the proposed repeals.

Written comments may be submitted, no later than 30 days from the date of this publication, to Joyce Kershner, Rules Committee, Texas Board of Chiropractic Examiners, 333 Guadalupe, Tower III, Suite 825, Austin, Texas 78701.

22 TAC §§75.4, 75.6, 75.8, 75.9, 75.11

The new section and amendments are proposed under the Occupations Code, §201.152, which the board interprets as authorizing it to adopt rules necessary for the performance of its duties, the regulation of the practice of chiropractic, and the enforcement of the Chiropractic Act, and Chapter 201, Subchapters E and K, which the board interprets as authorizing or requiring it to adopt rules relating to the complaint process and disciplinary procedures.

The following are the statutes, articles, or codes affected by the repeal, the new section and the amendments: Chapter 75-Occupations Code, §§201.152, Subchapters E, K.

§75.4.Undercover Investigations.

(a)

Undercover investigations will be conducted only when other investigative techniques have failed or are not efficient or appropriate. Undercover investigations shall NOT be used indiscriminately.

(b)

If the board investigator determines an undercover investigation is needed on a specific complaint, the investigator shall submit, to the Enforcement Committee chair and the executive director of the board, a written recommendation for an undercover investigation that will contain:

(1)

the specific complaint addressed;

(2)

the information which the investigator has determined that an undercover investigation may reveal;

(3)

the investigator's opinion regarding the relevance of the information listed in paragraphs (1) and (2) of this subsection;

(4)

the investigator's opinion regarding the reasons all previous attempts to gather the information in paragraphs (1)-(3) of this subsection by alternate techniques have not been successful or alternative techniques are not appropriate or efficient;

(5)

the undercover investigative acts that will be performed and by whom.

(c)

The Enforcement Committee chair and executive director will evaluate the need and appropriateness of the recommendation and, if possible, will consult with the Enforcement Committee prior to a decision to authorize an undercover investigation.

(d)

The Enforcement Committee chair and executive director will assume direct responsibility for an investigation while undercover activities are being conducted.

Duty to Respond to Complaint [ Failure To Respond to Board Inquiries ].

(a)

An individual or facility regulated by the board shall cooperate with the board in its investigation of a complaint filed against the individual or facility. Upon receipt of a notice of a complaint from the board, an individual or facility shall, [ Each licensee shall promptly ] respond to the complaint and any request by the board for information or records concerning the complaint [ Board inquiries concerning complaints of professional misconduct by the licensee ]. A notice of a complaint [ All Board inquiries ] will be sent "Certified Return Receipt Requested" and must be accepted by the individual or facility or their designee [ doctor against whom the complaint is lodged or the doctor's designee ]. A duplicate copy of the complaint will be sent by the United States mail , and so doing raises a presumption of delivery. The original notice and the copy will be sent to the respondent's current business or mailing [ to the doctor's last known ] address on file with the board, which the respondent is required to maintain with the board by §73.1 of this title (relating to Notification and Change of Business Address), §74.1 of this title (relating to Chiropractic Facilities), or §78.1 of this title (relating to Registration of CRTs) [ , so doing raises a presumption of delivery ]. For the purposes of this chapter and Chapter 76 of this title (relating to Formal SOAH Proceedings), the last known address of a respondent is presumed to be the current business or mailing address on file with the board.

(b)

The response shall be in writing, sent no later than the 15th day after receipt of the notice from the board, [ Responses shall be in writing ] and shall be directed to the attention of the board's Enforcement Committee [ enforcement committee ].

(c)

Failure to timely respond to a complaint shall be an independent ground for disciplinary action by the board [ proceedings ].

§75.8.Public Interest Information.

(a)

In order for the public to have access to the board and the board's procedures by which complaints are filed with and resolved by the board, each chiropractic facility [ licensee ] is required to: display a placard or sign furnished by the board containing the name of the board, mailing address, and telephone number for the purpose of directing complaints to the board. Each licensee practicing at a facility and each owner required to be registered with the board is equally responsible for compliance with this section.

(b)

The placard or sign shall be conspicuously and prominently displayed in a place in the facility in public view, such as the public reception area [ location where it may be seen by all patients ].

(c)

Each licensee and CRT registrant shall display their original current annual registration, in a prominent and conspicuous place in each facility in which the individual practices, in public view, such as the public reception area. Each chiropractic facility shall display its original current annual registration in a conspicuous and prominent place in the facility, in public view, such as the public reception area. Any reproduction of a facility registration displayed in lieu of the original is not permitted. A licensee or CRT may display a copy of his or her annual registration if he or she works in more than one facility, however, the original registration must displayed in the facility in which the licensee or CRT provides the majority of his or her services.

§75.9.Complaint and Disciplinary Procedures.

(a)

Filing complaints [ Complaints ]. A person who has a complaint about a licensee, facility or CRT may file a complaint [ Complaints may be filed ] with the board [ agency ] in person at the board's office, or in any written form, including submission of a completed complaint form. The board adopts the following form in both English and Spanish as its official complaint form which shall be available from the board upon request [ maintained at the board's office for use at the request of any complainant ]. A complaint [ At a minimum, all complaints ] shall contain information necessary for the proper processing of the complaint by the board, including[ , but not limited to ]:

Figure 22 TAC §75.9(a)(No change.)

(1)

complainant's name, address and phone number;

(2)

name, address and phone number of the chiropractor, chiropractic facility , CRT or other person, firm or corporation, if known , against whom the complaint is made ;

(3)

date, time and place of occurrence of alleged violation; and

(4)

complete description of incident giving rise to the complaint.

(b)

Categories of complaints and investigation [ Complaint Investigation and Disposition ].

(1)

[ All complaints received shall be sent to the Texas Board of Chiropractic Examiners. ] The board shall distinguish between categories of complaints as follows:

(A)

consumer and patient complaints against chiropractors , CRTs, or chiropractic facilities regarding alleged violations of state law, including the Texas Chiropractic Act, or board [ duly promulgated ] rules or orders;

(B)

alleged unauthorized practice of chiropractic by unlicensed individuals, unregistered facilities or CRTs, or by a licensee , facility or CRT while a suspension order or restrictive sanction by the board is in effect;

(C)

licensure , registration or reinstatement applications;

(D)

alleged advertising violations by chiropractors or chiropractic facilities[ , persons, or firms ].

(2)

All complaints or reports of alleged violations will be investigated by the board. However, anonymous complaints may not be investigated if insufficient information is provided or the allegations are vague, appear to lack a credible or factual foundation, or cannot be proved for lack of a witness or other evidence. The executive director of the board will determine whether or not an anonymous report will be logged in as a complaint for investigation. A complaint shall not be dismissed without appropriate consideration. The board and a complainant shall be advised of a dismissal of a complaint [ dismissals ].

(3)

The board staff may initiate an investigation, including the filing of a complaint, on an individual or facility regulated by the board for compliance with the law or board rules or order.

(c)

Enforcement Committee.

(1)

The President shall appoint an Enforcement Committee [ a committee as statutorily constituted ] to consider all complaints filed with the board.[ The committee shall be known as the Enforcement Committee. ] The Executive Director under the direction of the Enforcement Committee chair [ Chairperson ] shall supervise all investigations.

(2)

[ Copies of the complaint and the respondents' response shall be sent to the members of the enforcement committee. ] The Enforcement Committee shall have the power to issue subpoenas and subpoenas duces tecum to compel the attendance of witnesses and the production of books, records, and documents, to issue commissions to take depositions, to administer oaths and to take testimony concerning all matters within the assigned jurisdiction.

(3)

[ On receipt of a complaint, the members of the ] The Enforcement Committee shall determine the disposition of a complaint [ the case ] as provided in this subsection and §75.10 and §75.11 of this title (relating to Disciplinary Guidelines and Sanctions, respectively) [ using procedures approved by the board ].

(4)

The Enforcement Committee may schedule an informal conference in a case in order to hear from the complainant and the respondent, in person, or if it believes a conference may facilitate the resolution of the case. [ Informal conferences shall be conducted by the Enforcement Committee as statutorily established. ] A respondent, although not required, is urged to [ The licensee and/or the licensee's authorized representative should ] attend the informal conference [ and will be provided an opportunity to be heard ]. A complainant will be given notice of the conference and invited to attend.

[ (5)

In any case where charges are based upon information provided by a person who filed a complaint with the board (complainant), the complainant may attend the informal conference, and shall be provided with an opportunity to be heard with regard to charges based upon the information provided. Nothing herein requires a ] A complainant is not required to attend an informal conference.

(5)

[ (6) ] Informal conferences shall not be deemed to be meetings of the board and no formal record of the proceedings at the conferences shall be made or maintained.

(6)

[ (7) ] In a case where the Enforcement Committee has made a finding of a violation for which a sanction should be imposed, the committee may direct staff to offer an agreed order to the respondent in an effort to resolve the case informally. If an agreed order is not accepted by the respondent or no agreed order is offered, the case will be referred to the SOAH for formal hearing. The Enforcement Committee shall present an agreed order to the board for its approval once it has been signed by the respondent. [ Any proposed order shall be presented to the board for its review. At the conclusion of its review, the board shall approve, amend, or disapprove the proposed order. Should the Board approve the proposed order, the appropriate notation shall be made in the minutes of the board and the proposed order shall be entered as an official action of the board ]. Should the board amend the proposed order, the executive director shall contact the respondent to seek concurrence. If the respondent does not concur, the Enforcement Committee shall determine whether negotiations on an agreed order should continue or to refer the case for formal hearing. [ provisions of the next sentence shall apply. Should the board disapprove the proposed order, the case shall be rescheduled for purposes of reaching an agreed order, or in the alternative forwarded to the State Office of Administrative Hearings for formal action. ]

(d)

Commencement of formal hearing proceedings [ Formal Disposition of a Contested Case ]. Board staff shall commence formal hearing proceedings by filing the case with the SOAH and by giving notice to the respondent as provided §76.3 of this title (relating to Commencement of Enforcement Proceedings). [ All contested cases not resolved by informal conference shall be referred to the State Office of Administrative Hearings. ]

[ (1)

Notice. The respondent shall be entitled to reasonable notice of not less than ten days. Notice shall include the matters specifically required by the Administrative Procedures Act (APA), Chapter 2001, Government Code, to wit:]

[ (A)

a statement of the time, place, and nature of the hearing; ]

[ (B)

a statement of the legal authority and jurisdiction under which the hearing is being held; ]

[ (C)

a reference to the particular sections of the Act and rules involved; and]

[ (D)

a short and plain statement of the matters asserted.]

[ (2)

Notice of Service. The notice of hearing and a copy of the formal complaint shall be served on the respondent's last known address at least ten days prior to the hearing. Service on the respondent shall be complete and effective if the document to be served is sent by registered or certified mail and by regular mail to the respondent at the address shown on the respondent's annual renewal certificate.]

[ (3)

Filing of documents. All pleadings and motions relating to any contested case pending before the State Office of Administrative Hearings shall be filed with the State Office of Administrative Hearings. They shall be deemed filed only when actually received.]

[ (4)

Motion for Continuance. Continuances may be granted by the State Office of Administrative Hearings in accordance with procedural rules established by that agency.]

[ (5)

Transcription. Proceedings, all or any part of them, must be transcribed on the written request of any party. The agency may pay the cost of the transcript or assess the cost to one or more parties.]

[ (6)

Discovery. Requests for the issuance of subpoenas, requests for depositions and for production of documents, and other discovery matters shall be governed by the APA.]

(e)

Recission of probation [ Probation ].

(1)

The [ Board shall have the right and may, upon majority vote, rule that an order canceling, suspending, or revoking any license be probated so long as the probated practitioner conforms to such orders and rules as the board may set out in the terms of the probation. The board, at the time of its decision to probate the practitioner, shall set out the period of time of its decision to probate the practitioner, shall set out the period of time which shall constitute the probationary period; provided, however, that the ] board may at any time while an individual or facility is [ the practitioner remains ] on probation upon majority vote rescind the probation and enforce the board's original action suspending [ or revoking ] such license or registration for violation of the terms of the probation or for other good cause as the board in its discretion may determine. Violations of probation shall be referred to the Enforcement Committee for action under this section. Probation shall not be rescinded without notice and an opportunity for a hearing on whether or not the probation has been violated. [ To rescind the probation shall require a formal disciplinary hearing and be conducted as a contested case within the meaning of the APA. ]

(2)

The board [ Texas Board of Chiropractic Examiners ] shall maintain a chronological and alphabetical listing of licensees , facilities, and CRTs, who have had their license or registration [ canceled, ] suspended[ , ] or revoked, and shall monitor compliance with each [ consent ] order [ in respect to each license holder's specific sanction ]. Any noncompliance observed as a result of monitoring shall be referred to the Enforcement Committee for action under this section [ board ].

(f)

Reinstatement. An individual or chiropractic facility [ Any practitioner ] whose license or registration [ to practice ] has been revoked for a period of more than one year may, after the expiration of at least one year from the date that such revocation became final, apply to the board, on forms provided by the board, [ to have the revocation order withdrawn and ] for reinstatement [ to have the board reinstate a license to practice chiropractic ]. In considering the reinstatement of a revoked license or registration , the board in its discretion may:

(1)

deny reinstatement [ of a revoked license ]; or

(2)

grant reinstatement [ reinstate a revoked license ] :

(A)

without condition;

(B)

with probation [ and probate the practitioner ] for a specified period of time under specified conditions; or

(C)

[ (3) authorize reinstatement of the revoked license ] with or without reexamination or additional training .

(g)

Temporary suspension upon threat to public. The Enforcement Committee or the board, with a two-thirds vote , [ of the Board ] may temporarily suspend a license to practice chiropractic in the State of Texas if the committee or the board determines from the evidence or information presented to it [ clearly indicates ] that continued practice by the licensee constitutes a continuing [ continued ] or imminent threat to the public welfare.

(1)

Such suspension may occur without notice or hearing [ at such time as: ]

[ (A) ]

if at the time the suspension is ordered, a hearing on whether a disciplinary proceeding should be initiated is scheduled not later than the 14th day after the date of suspension.

[ (B) ]

A second hearing on the suspended license shall be held not later than the 60th day after the date the suspension was ordered. If the second hearing is not held in the time required, the license is reinstated[ . ] without further action of the board or committee. A hearing held under this paragraph shall be conducted by the SOAH.

(2)

The licensee will be notified of a suspension and any hearing scheduled under this subsection [ actions taken against his license ] by certified mail.

[ (3)

The licensee may present information at the hearing which gives the committee or Board appropriate information to continue or disregard the suspension. ]

(3)

[ (4) ] The suspension shall remain in effect pending a final decision of the board unless the committee or the board orders the suspension rescinded after hearing. [ license will remain suspended until such time as the committee shall take further disciplinary action. ]

(4)

[ (5) ] The licensee shall [ will ] not practice chiropractic during the duration of the suspension.

(5)

[ (6) ] During the suspension the enforcement and investigatory processes will continue.

Definitions and Schedule of Sanctions.

(a)

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise:

(1)

APA-Administrative Procedure Act, Government Code, Chapter 2001.

(2)

[ (1) ] Board-Texas Board of Chiropractic Examiners;

(3)

[ (2) ] Chiropractic Act or CA- Occupations Code, Chapter 201 (formerly Texas Civil Statutes, Article 4512b ) ;

(4)

[ (3) ] HPCA-Health Professions Council Act, Occupations Code, Chapter 101 [ Texas Civil Statutes, Article 4512p ];

(5)

[ (4) ] HRS-Human Resources Code;

(6)

[ (5) ] H&S Health and Safety Code;

(7)

[ (6) ] Licensee-A person who is licensed by the board to practice chiropractic in the State of Texas;

(8)

[ (7) ] MRTCA-Medical Radiologic Technologist Certification Act, Occupations Code, Chapter 601 [ Texas Civil Statutes, Article 4512m ]; and

(9)

Respondent-An individual or facility regulated by the board against whom a complaint has been filed;

(10)

SOAH-State Office of Administrative Hearings;

(11)

[ (8) ] TDH-Texas Department of Health.

(b)

The following table contains maximum sanctions that may be assessed for each category of violation listed in the table:

Figure: 22 TAC §75.11(b)(No change.)

(c)

In a case where the licensee has committed multiple violations or multiple occurrences of the same violation, board staff, the enforcement committee or an administrative law judge may recommend and the board may impose sanctions in excess of a maximum sanction specified in the maximum sanction table provided by subsection (b) of this section, if otherwise authorized by law. For the fourth and subsequent offenses of any violation listed in the maximum sanction table with three levels of sanctions, the maximum sanction is revocation and/or $1,000 administrative penalty.

(d)

An administrative penalty may not exceed $1,000 per day for each violation. Each day a violation continues or occurs is a separate violation for the purposes of imposing an administrative penalty.

(e)

For violation of a statute which is not listed in the maximum sanction table and for which the board is authorized to take disciplinary action, the maximum sanction is revocation and/or $1,000 administrative penalty.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on January 31, 2000.

TRD-200000676

Gary K. Cain, Ed.D.

Executive Director

Texas Board of Chiropractic Examiners

Earliest possible date of adoption: March 12, 2000

For further information, please call: (512) 305-6709


§75.11.22 TAC §75.5

(Editor's note: The text of the following section proposed for repeal will not be published. The section may be examined in the offices of the Texas Board of Chiropractic Examiners or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The repeal is proposed under the Occupations Code, §201.152, which the board interprets as authorizing it to adopt rules necessary for the performance of its duties, the regulation of the practice of chiropractic, and the enforcement of the Chiropractic Act, and Chapter 201, Subchapters E and K, which the board interprets as authorizing or requiring it to adopt rules relating to the complaint process and disciplinary procedures.

The following are the statutes, articles, or codes affected by the repeal, the new section and the amendments: Chapter 75-Occupations Code, §§201.152, Subchapters E, K.

§75.5.Witness Fees.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on January 31, 2000.

TRD-200000677

Gary K. Cain, Ed.D.

Executive Director

Texas Board of Chiropractic Examiners

Earliest possible date of adoption: March 12, 2000

For further information, please call: (512) 305-6709


Chapter 76. FORMAL SOAH PROCEEDINGS [ INVESTIGATIONS ]

The Texas Board of Chiropractic Examiners proposes an amendment to §76.1, repeal of §§76.3-76.6, and new §§76.3, 76.5, 76.7, 76.9, 76.11, 76.13, 76.15, 76.17, and 76.19, concerning Investigations. Chapter 75 of the board's rules partially covers the same subject matter of the current §§76.4-76.6. These sections, therefore, are being merged with revisions to Chapter 75. Section 76.3, relating to release of patient records and other information from licensees, is being transferred to Chapter 80 as new §80.3. These changes are made in conjunction with the board's review of Chapter 75, which covers complaint and disciplinary matters, and Chapter 80, which contains miscellaneous provisions. These and other proposed amendments to Chapters 75 and 80 are published in this issue of the Texas Register .

In this rulemaking, Chapter 76 is re-titled "Formal SOAH Proceedings," and new sections relating to procedures applicable to hearings held by the State Office of Administrative Hearings (SOAH) are proposed. SOAH rules or the APA govern most of the actual hearing process for contested disciplinary and licensure matters when a formal hearing is required. As a result, the board needs only minimal rules relating to the hearing process, on matters within its jurisdiction. The review of Chapter 75 revealed the need to update the boards rules to reflect the respective authorities of the board, the SOAH and the APA. The proposed sections reference the applicability of the APA and SOAH rules and cover procedural matters leading up to a hearing, such as filing a case with the SOAH, pleadings, a party's appearance or lack of appearance, and issuance of deposition commissions and subpoenas, and post-hearing matters, such as the proposal for decision, exceptions and replies to the proposal, and the preparation and cost of the administrative record, concluding with the board's decision in a matter. Current §75.5, relating to witness fees, is merged with new §76.13, relating to depositions, subpoenas, and witness expenses. The costs associated with the appearance of a witness have been revised to comport with the rates provided by the APA, §2001.103. Section 75.5's subject matter is more appropriately placed in Chapter 76.

Dr. Cynthia Vaughn, D. C., Chair, Rules Committee, has determined that for the first five-year period the proposed amendment, new sections and repeals are in effect, there will be no fiscal implications for state or local government as a result of enforcing or administering the amendment, new sections and repeal of the existing sections. The proposed revised rates for witness expenses in §76.13 represent an increase of $25 in the overall rate when compared to the current board rule, §75.5; that increase is due to the fact that the current rule does not provide for reimbursement for meals. However, the APA requires that witnesses be reimbursed meals at actual cost, not to exceed $25; therefore, this cost is currently in effect, regardless of the board rule.

Dr. Vaughn has also determined that for each year of the first five years, the proposed amendment, new sections and repeals are in effect, the public benefit anticipated as a result of enforcing the chapter as amended will be better notice to licensees and the public of procedures and requirements relating to licensure and disciplinary hearing matters. The purpose of these rules is to provide notice of board policy and to set out necessary procedures within the board's jurisdiction as well as to give notice generally of each step in the complaint resolution and disciplinary process. These proposed rules along with the amendments to Chapter 75 are designed to complement SOAH rules and the APA, providing procedures for matters not covered by SOAH rules or the APA or for which jurisdiction resides, entirely or partially, with the board. There is no anticipated economic effect on small or micro businesses or economic cost to persons who are required to comply with the proposed sections as a result of the proposed repeal or amendments. For the reason indicated previously, parties responsible for their witness fees, including the board, under proposed §76.13 will not experience any increase in total cost for which they are not currently responsible under board rules and state law.

Comments may be submitted, in writing, no later than 30 days after the date of publication of this proposed rulemaking, to Joyce Kershner, Rules Committee, Texas Board of Chiropractic Examiners, 333 Guadalupe, Tower III, Suite 825, Austin, Texas 78701.

22 TAC §§76.1, 76.3, 76.5, 76.7, 76.9, 76.11, 76.13, 76.15, 76.17, 76.19

The amendment and new sections are proposed under the Occupations Code, §201.152, which the board interprets as authorizing it to adopt rules necessary for the performance of its duties, the regulation of the practice of chiropractic, and the enforcement of the Chiropractic Act, which includes its disciplinary and licensing duties under the Code.

The following are the statutes, articles, or codes affected by the repeals, amendment, and new sections: §76.7 -- Occupations Code, §201.152.

§76.1.Definitions.

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.

(1)

ALJ-Administrative law judge;

[ (1)

Act - Texas Civil Statutes, Article 4512b, Practice of Chiropractic.]

(2)

APA- Administrative Procedure Act, [ The ] Government Code, Chapter 2001 ; [ . ]

(3)

Chiropractic Act-Occupations Code, Chapter 201 (formerly Texas Civil Statutes, Article 4512b);

(4)

[ (3) ] Board-[ The ] Texas Board of Chiropractic Examiners;

[ (4)

Board member---One of the appointed members of the decision-making body defined in this section as the board.]

(5)

Licensee--An individual who has been granted a license by the board to practice chiropractic in the State of Texas; [ by the Texas Board of Chiropractic Examiners and whose license is active and not under suspension. ]

(6)

SOAH-State Office of Administrative Hearings.

[ (6)

Practitioner--A doctor of chiropractic, who is licensed and authorized to practice under the Act.]

§76.3.Commencement of Enforcement Proceedings.

(a)

Filing with SOAH. Board staff will file a Request to Docket Case Form, as required by SOAH rules, with the SOAH for an enforcement case referred for formal hearing under §75.9(c) of this title (relating to Rules of Practice).

(b)

Notice. The respondent shall be entitled to reasonable notice of a hearing of not less than ten days prior to the hearing as provided by the APA, §2001.052. The notice shall contain a citation to 1 TAC Chapter 155 (relating to SOAH Rules of Procedure) and include the matters specifically required by §2001.052, as follows:

(1)

a statement of the time, place, and nature of the hearing;

(2)

a statement of the legal authority and jurisdiction under which the hearing is being held;

(3)

a reference to the particular sections of the Chiropractic Act, other law or rules which the respondent is alleged to have violated; and

(4)

a short and plain statement of the acts relied on by the board as a violation of the cited law and rules.

(c)

Service. The notice of hearing and the formal complaint by the board shall be served on the respondent, at the last known address of the respondent. Service on the respondent shall be complete and effective if service is by registered or certified mail and by regular mail, at the current business or mailing address of the respondent on file with board.

§76.5.Denial of Application.

A person whose application for licensure or registration has been denied may ask for a hearing by filing a petition with the executive director within 30 days of notice of the denial. The petition shall set out the legal basis and supporting facts for challenging the board's decision and the relief sought by the petitioner. Upon receipt of the petition, if the executive director determines that the petition is within the jurisdiction of the board, the executive director shall file the case with the SOAH and request a hearing.

§76.7.SOAH Hearings.

(a)

Hearings shall be conducted in accordance with the APA, this chapter, and SOAH rules, 1 TAC Chapter 155, by an Administrative Law Judge (ALJ) assigned by the SOAH. Jurisdiction over a case is acquired by the SOAH when the board staff files a Request to Docket Case Form as required by SOAH rules.

(b)

In an enforcement case where the board has the burden of proof, the board, through its staff, is the petitioner and the individual or facility against whom a complaint has been filed is the respondent. In a licensure or other case where the board does not have the burden of proof, the applicant shall be the petitioner, and the board, through its staff, the respondent.

§76.9.Appearance.

(a)

A respondent shall enter an appearance by filing a written answer or other responsive pleading with the SOAH, with a copy to the other party, within 20 days of the date on which the notice of hearing and formal complaint or petition is served on the respondent.

(b)

The failure of the respondent in an enforcement case to timely enter an appearance as provided in this section shall entitle the board to a continuance at the time of the hearing for such reasonable period of time as determined by the Administrative Law Judge (ALJ). The notice of hearing must contain the following language in capital letters in 10-point bold face type: FAILURE TO ENTER AN APPEARANCE BY FILING A WRITTEN ANSWER OR OTHER RESPONSIVE PLEADING TO THE FORMAL COMPLAINT WITHIN 20 DAYS OF THE DATE THIS NOTICE WAS MAILED SHALL ENTITLE THE BOARD STAFF TO A CONTINUANCE AT THE TIME OF THE HEARING.

§76.11.Default Judgment.

(a)

If a respondent in an enforcement case fails to appear in person or by legal representative on the day and at the time set for hearing, regardless of whether an appearance has been entered, the Administrative Law Judge (ALJ), pursuant to the SOAH's rules, on the motion of the petitioner, and adequate proof that proper notice under the APA and the SOAH rules was served upon the defaulting party, shall enter a default judgment in the matter adverse to the respondent.

(b)

A default judgment granted under this section will be entered on the basis of the factual allegations contained in the notice of hearing and upon proof of proper notice to the respondent. For purposes of this section, proper notice means notice sufficient to meet the provisions of the APA, §§2001.051, 2001.052, and 2001.054. In order for a default judgment to be entered under this section, the notice of hearing shall include the following language in capital letters in 10-point boldface type: FAILURE TO APPEAR AT THE HEARING IN PERSON OR BY LEGAL REPRESENTATIVE, REGARDLESS OF WHETHER AN APPEARANCE HAS BEEN ENTERED, WILL RESULT IN THE FACTUAL ALLEGATIONS CONTAINED IN THE NOTICE OF HEARING BEING ADMITTED AS TRUE AND THE PROPOSED RELIEF REQUESTED BY BOARD STAFF SHALL BE GRANTED BY DEFAULT.

§76.13.Depositions, Subpoenas, and Witness Expenses.

(a)

Upon the written request of any party, the executive director may issue a commission for a deposition or a subpoena to require the attendance of witnesses or the production of books, records, papers, or other objects as may be necessary and proper in a contested case hearing held under this chapter.

(b)

If the commission or subpoena is for the attendance of a witness at a deposition or at a hearing, the written request shall contain the name, address, and title, if any, of the witness and the date upon which and the location at which the attendance of the witness is sought. If the subpoena is for the production of books, records, writings, or other tangible items, the written request shall contain a description of the item sought; the name, address, and title, if any, of the individual or entity who has custody or control over the items and the date on which and the location at which the items are sought to be produced. Each request for a subpoena, whether for a witness or for production of items, shall contain a statement of the reasons why the subpoena should be issued.

(c)

Upon a finding that a party has shown good cause for the issuance of a subpoena, the executive director shall issue the subpoena in the form described in the APA, §2001.089.

(d)

The executive director, with the approval of the Enforcement Committee, may issue a commission or subpoena prior to the filing of a formal complaint under §75.9(d) of this title (relating to Rules of Practice), if, in the opinion of the executive director, such a commission or subpoena is necessary to preserve evidence and testimony or to investigate any potential violation or lack of compliance with the law or board rules or orders. The commission or subpoena may be to compel the attendance of any person to appear for the purposes of giving sworn testimony and/or to compel the production of books, records, papers, or other objects.

(e)

A witness who is not a party to the proceeding and who is subpoenaed to appear at a deposition or hearing or to produce books, papers, or other objects, shall be entitled to receive reimbursement for expenses incurred in complying with the commission or subpoena, as provided by either the APA, §2001.103, or the State of Texas Travel Allowance Guide for state employees issued by the comptroller of public accounts, whichever is greater.

(f)

At the time, a party, other than the board, requests that a commission or subpoena be issued, the party shall submit to the board an amount of money sufficient to cover the amount of anticipated expenses incurred in complying with the subpoena, as determined by the executive director. No subpoena or commission will be issued until such funds are deposited. The board shall pay a witness or deponent who is entitled to reimbursement under this section from the funds deposited by the party or from its own funds if the person is subpoenaed by the board, on presentation of proper vouchers sworn by the witness and approved by the board. All monies not paid out shall be returned to the party who submitted the funds for deposit.

(g)

Payment of expenses under this section is governed by the APA, §2001.103.

§76.15.Hearing Exhibits and Record.

(a)

Because of the often voluminous nature of the records properly received into evidence by the Administrative Law Judge (ALJ), the party introducing such documentary evidence may paginate each such exhibit or flag pertinent pages in each such exhibit in order to expedite the hearing and the decision-making process.

(b)

Each hearing will be recorded by a court reporter unless the parties agree otherwise and not required by the SOAH rules. The cost of the transcription of the statement of facts shall be borne by the party requesting the transcript. The request shall be sent directly to the court reporter, with written notice to the other party of the request.

(c)

A party who appeals a final decision of the board shall pay all of the costs of preparation of the original and any certified copy of the administrative record of the proceeding that is required to be transmitted to the reviewing court.

(1)

The record in a contested case shall include the following listed in subparagraphs (A)-(I) of this paragraph:

(A)

all pleadings filed with the board or the ALJ;

(B)

all exhibits admitted by the ALJ;

(C)

a statement of the matters officially noticed;

(D)

questions and offers of proof, objections, and rulings thereon;

(E)

the proposal for decision of the ALJ;

(F)

all written rulings or orders by the ALJ;

(G)

all party correspondence filed with the ALJ in connection with his or her consideration of the case;

(H)

the transcribed statement of facts (Q & A testimony) from the hearing unless the parties have stipulated to all or part of the statement of facts; and

(I)

the final order of the board.

(2)

Calculation of costs for preparation of the administrative record is governed by the same procedure utilized by the board in preparing documents responsive to open records requests pursuant to the Public Information Act. These costs shall include the cost of research, document retrieval, copying, and labor.

§76.17.Proposal for Decision.

(a)

Within a reasonable time after the conclusion of the hearing, the Administrative Law Judge (ALJ) shall prepare and serve on the parties a proposal for decision that includes the ALJ's findings of fact and conclusions of law.

(b)

In the proposal for decision, the ALJ may recommend to the board as an appropriate disciplinary sanction, either the relief sought by board staff or another sanction, upon a finding of a violation in accordance with §75.10 and §75.11 of this title (relating to Disciplinary Guidelines and Sanctions, respectively). In a licensure case, the ALJ's recommendation shall be either the relief sought by the board staff, or other action in accordance with Chapter 75 of this title (relating to Rules of Practice), the Chiropractic Act or other applicable law.

(c)

Any party of record who is adversely affected by the proposal for decision of the ALJ may file exceptions and a supporting brief to the proposal for decision within 15 days after the date of service of the proposal for decision. A reply to the exceptions may be filed by the other party within 15 days of the filing of exceptions. Exceptions and replies shall be filed with the ALJ, with a copy served on the opposing party.

§76.19.Decision of the Board.

(a)

The board shall render the final decision in all cases, including the denial of a license or registration, revocation, temporary suspension, reprimand, or administrative penalties. The final order of the board shall be in writing. A party or the Administrative Law Judge (ALJ) may submit to the board a proposed order based on the proposal for decision for consideration by the board. The board, with the advice of its legal counsel, will determine the form and content of the board's final order.

(b)

The proposal for decision may be acted on by the board after the expiration of 10 business days after the filing of replies to exceptions to the proposal for decision.

(c)

It is the policy of the board that it may change recommended findings of fact or conclusions of law in a proposal for decision, or vacate or modify an order issued by the ALJ when the board determines:

(1)

that the ALJ did not properly apply or interpret applicable law or rules, board policies or prior administrative decisions;

(2)

that a prior administrative decision of the board on which the ALJ relied is incorrect or should be changed; or

(3)

that a technical error in a finding of fact should be changed.

(d)

If the board modifies, amends, or changes a recommended finding of fact or conclusion of law, or order of the ALJ, the board's final order shall state the legal basis and the specific reasons for the change.

(e)

A copy of the final order shall be mailed to all parties.

(f)

The decision of the board is immediate, final and appealable upon the signing of the written order by the board where:

(1)

the board finds and states in the order that an imminent peril to the public health, safety, and welfare requires immediate effect of the order; and

(2)

the order states it is final and effective on the date rendered.

(g)

Motions for rehearing are governed by the APA, Subchapter F. A motion for rehearing and replies to a motion shall be filed with the board, with a copy to the opposing party and the ALJ.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on January 31, 2000.

TRD-200000679

Gary K. Cain, Ed.D.

Executive Director

Texas Board of Chiropractic Examiners

Earliest possible date of adoption: March 12, 2000

For further information, please call: (512) 305-6709


22 TAC §§76.3 - 76.6

(Editor's note: The text of the following sections proposed for repeal will not be published. The sections may be examined in the offices of the Texas Board of Chiropractic Examiners or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The repeals are proposed under the Occupations Code, §201.152, which the board interprets as authorizing it to adopt rules necessary for the performance of its duties, the regulation of the practice of chiropractic, and the enforcement of the Chiropractic Act, which includes its disciplinary and licensing duties under the Code.

The following are the statutes, articles, or codes affected by the repeals, amendment, and new sections: §76.7 -- Occupations Code, §201.152.

§76.3.Request for Information and Records from Practitioners.

§76.4.Initiation of Investigations.

§76.5.Undercover Investigation.

§76.6.Other Reports.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on January 31, 2000.

TRD-200000678

Gary K. Cain, Ed.D.

Executive Director

Texas Board of Chiropractic Examiners

Earliest possible date of adoption: March 12, 2000

For further information, please call: (512) 305-6709