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being repealed and new language added relating to SOAH proceedings.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
[
(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,
[
(b)
The response shall be in writing, sent no later than
the 15th day after receipt of the notice from the board,
[
(c)
Failure to timely respond to a complaint shall be an independent
ground for disciplinary
action by the board
[
§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
[
(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
[
(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
[
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
[
(1)
[
(A)
consumer and patient complaints against chiropractors
, CRTs,
or chiropractic facilities regarding alleged violations of
state law, including
the Texas Chiropractic Act,
or board
[
(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[
(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 [
(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
[
(2)
[
(3)
[
(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.
[
[
(5)
[
(6)
[
(d)
Commencement of formal hearing proceedings
[
[
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 statement of the time, place, and nature
of the hearing; ]
[
a statement of the legal authority and jurisdiction
under which the hearing is being held; ]
[
a reference to the particular sections of the
Act and rules involved; and]
[
a short and plain statement of the matters
asserted.]
[
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.]
[
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.]
[
Motion for Continuance.
Continuances may be granted by the State Office of Administrative Hearings
in accordance with procedural rules established by that agency.]
[
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.]
[
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
[
(1)
The [
(2)
The
board
[
(f)
Reinstatement.
An individual or chiropractic facility
[
(1)
deny reinstatement [
(2)
grant reinstatement
[
(A)
without condition;
(B)
with probation
[
(C)
[
(g)
Temporary suspension upon threat to public.
The Enforcement Committee or
the board, with
a two-thirds vote
,
[
(1)
Such suspension may occur without notice or hearing [
[
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.
[
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[
(2)
The licensee will be notified of
a suspension
and any hearing scheduled under this subsection
[
[
(3)
[
(4)
[
(5)
[
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)
[
(3)
[
(4)
[
(5)
[
(6)
[
(7)
[
(8)
[
(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)
[
(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
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.
Failure To Respond to Board Inquiries
].
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.
Responses
shall be in writing
] and shall be directed to the attention of the board's
Enforcement Committee
[
enforcement committee
].
proceedings
].
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.
location where it may be seen by all patients
].
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
]:
Complaint Investigation and Disposition
].
All complaints received shall be sent to the Texas
Board of Chiropractic Examiners.
] The board shall distinguish between
categories of complaints as follows:
duly promulgated
] rules or orders;
, persons, or firms
].
dismissals
].
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.
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.
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
].
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.
(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.
(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.
]
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)
(A)
(B)
(C)
(D)
(2)
(3)
(4)
(5)
(6)
Probation
].
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.
]
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
].
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:
of a revoked license
];
or
reinstate a revoked
license
]
:
and probate
the practitioner
] for a specified period of time under specified conditions;
or
(3) authorize reinstatement of the revoked
license
]
with or without reexamination or additional training
.
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.
at such time as:
]
(A)
]
(B)
]
.
]
without further action of the board or committee.
A hearing held under this paragraph shall be conducted by the SOAH.
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.
]
(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.
]
(5)
] The licensee
shall
[
will
] not practice chiropractic during the duration of
the suspension.
(6)
] During the suspension
the enforcement and investigatory processes will continue.
(1)
] Board-Texas Board of
Chiropractic Examiners;
(2)
] Chiropractic Act or CA-
Occupations Code, Chapter 201 (formerly
Texas Civil Statutes, Article
4512b
)
;
(3)
] HPCA-Health Professions
Council Act,
Occupations Code, Chapter 101
[
Texas Civil Statutes,
Article 4512p
];
(4)
] HRS-Human Resources Code;
(5)
] H&S Health and Safety
Code;
(6)
] Licensee-A person who
is licensed by the board to practice chiropractic in the State of Texas;
(7)
] MRTCA-Medical Radiologic
Technologist Certification Act,
Occupations Code, Chapter 601
[
Texas Civil Statutes, Article 4512m
]; and
(8)
] TDH-Texas Department
of Health.
Chapter 76.
FORMAL SOAH PROCEEDINGS
[
INVESTIGATIONS
]