TITLE 22.EXAMINING BOARDS

Part 24. TEXAS BOARD OF VETERINARY MEDICAL EXAMINERS

Chapter 573. RULES OF PROFESSIONAL CONDUCT

Subchapter A. GENERAL PROFESSIONAL ETHICS

22 TAC §573.9

The Texas Board of Veterinary Medical Examiners ("Board") proposes amendments to §573.9 concerning Nonresident Consultants. Under §801.004 of the Texas Occupations Code (Veterinary Licensing Act), a person licensed by, and residing in, another state, may consult with Texas veterinarians without having to obtain a Texas license. This section defines the term "consultation" and sets out the conditions under which a non-resident veterinarian can consult in Texas. The amendments remove references to the previous Veterinary License Act and refine the definition of "consultation." Other non-substantive word changes are also proposed.

Mr. Ron Allen, Executive Director, has determined that for the first five-year period the amended section is in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the section. Mr. Allen has also determined that for the first five years the section is in effect the public benefit anticipated as a result of enforcing the amended section will be to enhance the public's knowledge of the conditions under which non-resident veterinarians can consult on cases in Texas. There will be no effect on small businesses. There will be no economic cost to persons required to comply with the amended section as proposed.

Comments on the proposed amendments may be submitted in writing to Julie Barker, Texas Board of Veterinary Medical Examiners, 333 Guadalupe, Suite 3-810, Austin, Texas 78701, phone (512) 305-7555, fax (512) 305-7556, and must be received by April 30, 2003.

The amendments are proposed under the authority of the Veterinary Licensing Act, Texas Occupations Code, §801.151 (a) which states that the Board may adopt rules necessary to administer the chapter. The amendments affect the Veterinary Licensing Act, Texas Occupations Code, §801.004 which pertains to veterinary consultations.

§573.9.Nonresident Consultants.

[ Pursuant to the Act, 3 (e), consultation is defined as the act of rendering professional advice about a specific case. Consultations are limited to diagnosis and prognosis, and do not include treatment or surgery. ] Veterinarians licensed in [ Licensed veterinary practitioners from ] other states may enter the State of Texas for purposes of consultation [ on an individual case basis for a specific purpose ]. For purposes of this section, "consultation" means the act of rendering professional advice (diagnosis and prognosis) about a specific veterinary medical case, but does not include treatment or surgery. Nonresident consultants may not establish a routine visit schedule of consultations [ consults ] in Texas. Consultants must, at all times, consult under the direct supervision of a Texas veterinarian [ licensed in this State ].

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 February 24, 2003.

TRD-200301360

Ron Allen

Executive Director

Texas Board of Veterinary Medical Examiners

Earliest possible date of adoption: April 6, 2003

For further information, please call: (512) 305-7563


Subchapter C. RESPONSIBILITIES TO CLIENTS

22 TAC §573.29

The Texas Board of Veterinary Medical Examiners ("Board") proposes amendments to §573.29 concerning Complaint Information and Notice to Clients. This proposed amendment sets out the new address and zip code of the Board. The section also clarifies a listing of the acceptable ways that a veterinarian can use to inform clients on how to file complaints with the Board. The amendments provide the public with up-to-date information on how to contact the Board and how the public can file complaints with the Board.

Mr. Ron Allen, Executive Director, has determined that for the first five-year period the amended section is in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the section. Mr. Allen has also determined that for the first five years the section is in effect the public benefit anticipated as a result of enforcing the amended section will be to enhance the public's knowledge of how to communicate with the Board. There will be no effect on small businesses. There will be no economic cost to persons required to comply with the amended section as proposed.

Comments on the proposed amendments may be submitted in writing to Julie Barker, Texas Board of Veterinary Medical Examiners, 333 Guadalupe, Suite 3-810, Austin, Texas 78701, phone (512) 305-7555, fax (512) 305-7556, and must be received by April 30, 2003.

The amendments are proposed under the authority of the Veterinary Licensing Act, Texas Occupations Code, §801.151 (a) which states that the Board may adopt rules necessary to administer the chapter. The amendments affect the Veterinary Licensing Act, Texas Occupations Code, §801.203 relating to filing of complaints.

§573.29.Complaint Information and Notice to Clients.

(a) A licensee shall provide an effective way to inform clients and other visitors to the veterinary clinic or hospital of [ his/her consumers and recipients of services about ] how to file complaints with the Board [ about his/her services ]. The licensee [ notification ] must provide : [ contain ]

(1) the following specific address: Texas State Board of Veterinary Medical Examiners [ , ] 333 Guadalupe, Suite 3-810 [ 2-330 ], Austin, Texas 78701- 3942 [ 1998 ];

(2) the Board's telephone numbers: (512) 305-7555 ; [ , ] fax: (512) 305-7556; and

(3) a toll-free complaint information number : [ Toll-free Complaint Information Number ] 1-800-821-3205.

(b) Acceptable forms of providing the information in subsection (a) of this section may include a: [ Some examples of acceptable forms of notification are: a ]

(1) written notice form, with print size of at least 14 point, prominently displayed in the area of each clinic or hospital [ each business location in the area ] that is most frequented by the public;

(2) [ a ] brochure available in the area of each clinic or hospital [ each business location in the area ] that is most frequented by the public; or [ and/or ]

(3) [ a ] statement on each written bill, invoice or receipt.

[ (c) Failure to have an effective means for providing the information required in this section, or failing to provide the information to a member of the public, is a violation of this rule and the Act.]

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 February 24, 2003.

TRD-200301363

Ron Allen

Executive Director

Texas Board of Veterinary Medical Examiners

Earliest possible date of adoption: April 6, 2003

For further information, please call: (512) 305-7563


Subchapter F. RECORDS KEEPING

22 TAC §573.51

The Texas Board of Veterinary Medical Examiners ("Board") proposes amendments to §573.51 concerning Rabies Control. Requirements for rabies control and vaccinations are established by the Texas Health Department. Since veterinarians administer rabies vaccinations, the Board has established §573.51 to include the Health Department's requirements for issuing rabies certificates, and set out the conditions under which a non-licensed person may administer a rabies vaccine. The section is amended to say that a non-licensed person may administer a rabies vaccine and use a veterinarian's signature stamp on a vaccination certificate only under the direct supervision of a veterinarian.

The Health Department is amending its rules to require that each veterinarian issuing a rabies vaccination certificate must retain a copy of the certificate for five years from the date of issuance. Accordingly, §573.51 is amended to change the Board's retention requirement from three to five years.

Mr. Ron Allen, Executive Director, has determined that for the first five-year period the amended section is in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the section. Mr. Allen has also determined that for the first five years the section is in effect the public benefit anticipated as a result of enforcing the amended section will be to assure the public safety by directing that all vaccinations must be done by a veterinarian or under the direct supervision of a veterinarian. Extending the records retention time provides a longer history of an animal's vaccinations in case the need for this knowledge ever arises. There will be no effect on small businesses. There will be no economic cost to persons required to comply with the amended section as proposed.

Comments on the proposed amendments may be submitted in writing to Julie Barker, Texas Board of Veterinary Medical Examiners, 333 Guadalupe, Suite 3-810, Austin, Texas 78701, phone (512) 305-7555, fax (512) 305-7556, and must be received by April 30, 2003.

The amendments are proposed under the authority of the Veterinary Licensing Act, Texas Occupations Code, §801.151 (a) which states that the Board may adopt rules necessary to administer the chapter. The amendments affect the Veterinary Licensing Act, Texas Occupations Code, §801.002 which defines the practice of veterinary medicine.

§573.51.Rabies Control.

(a) Only the vaccinating veterinarian shall issue official rabies vaccination certificates. Each certificate shall contain [ The veterinarian will ensure that each rabies vaccination certificate contains ] the information required by 25 TAC §169.29 adopted by the Texas Department of Health, including:

(1) owner's name, address and telephone number ; [ . ]

(2) animal identification species, sex (including neutered if applicable), approximate age (three months to 12 months, 12 months or older), size (pounds), predominant breed, and colors; [ (species, sex, age, size (pounds), predominate breed and color. ]

(3) vaccine used [ , ] producer, expiration date and serial number ; [ . ]

(4) date vaccinated ; [ . ]

(5) date vaccination expires (re-vaccination due date); [ rabies tag number if a tag is issued. ]

(6) rabies tag number if a tag is issued; and [ veterinarian's signature or signature stamp and license number. A veterinarian shall only allow use of his/her signature stamp on a rabies vaccination certificate by a non-licensed employee under his/her direct supervision. Use of a veterinarian's signature stamp on a rabies vaccination certificate by any other person not under the veterinarian's direct supervision may be grounds for disciplinary action. ]

(7) veterinarian's signature or signature stamp and license number. Use of a veterinarian's signature stamp on a vaccination certificate by a non-licensed person shall be authorized only under the direct supervision of the vaccinating veterinarian.

(b) A veterinarian may allow a non-licensed person [ employee ] to administer a rabies vaccine, provided the non-licensed person [ employee ] is under the direct supervision of the veterinarian.

(c) Each veterinarian that issues a rabies vaccination certificate shall retain a copy of the certificate for a period of not less than five years from the date of issuance. [ Each Texas licensed veterinarian shall keep a copy of each rabies vaccination certification he/she has issued for a minimum of three years. ]

(d) A veterinarian having knowledge of an animal bite to a human shall immediately report the incident to the local health authority. A veterinarian preparing an animal's body for rabies diagnosis shall comply with all requirements of 25 TAC §169.33 adopted by the Texas Department of Health.

(e) A veterinarian who ceases the practice of veterinary medicine shall deliver to the local health authority all duplicate rabies vaccination certificates issued by the veterinarian within the preceding five [ three ]-year period. A veterinarian who sells or leases his [ /her ] practice to another [ licensed ] veterinarian may transfer duplicate rabies certificates with the records of the practice which are transferred to a new owner.

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 February 24, 2003.

TRD-200301364

Ron Allen

Executive Director

Texas Board of Veterinary Medical Examiners

Earliest possible date of adoption: April 6, 2003

For further information, please call: (512) 305-7563


22 TAC §573.52

The Texas Board of Veterinary Medical Examiners ("Board") proposes amendments to §573.52 concerning Patient Record Keeping. This section requires that veterinarians retain patient records for a period of three years. The Board is proposing to amend §573.51 of this Title (Relating to Rabies Control) to require that rabies vaccination certificates be retained for a period of five years. Thus, this section is amended to require retention of rabies certificates for five years and maintain the retention period of three years for all other patient records.

Mr. Ron Allen, Executive Director, has determined that for the first five-year period the amended section is in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the section. Mr. Allen has also determined that for the first five years this section is in effect the public benefit anticipated as a result of enforcing the amended section will be to assure the public of internal consistency of the Board's regulations and external consistency with the regulations of the Texas Health Department relating to rabies control. There will be no effect on small businesses. There will be no economic cost to persons required to comply with the amended section as proposed.

Comments on the proposed amendments may be submitted in writing to Julie Barker, Texas Board of Veterinary Medical Examiners, 333 Guadalupe, Suite 3-810, Austin, Texas 78701, phone (512) 305-7555, fax (512) 305- 7556, and must be received by April 30, 2003.

The amendments are proposed under the authority of the Veterinary Licensing Act, Texas Occupations Code, §801.151 (a) which states that the Board may adopt rules necessary to administer the chapter. The amendments affect the Veterinary Licensing Act, Texas Occupations Code, 801.002 which defines the practice of veterinary medicine.

§573.52.Patient Record Keeping.

(a) (No change.)

(b) Except as provided in §573.51(c) of this Title (Relating to Rabies Control), patient [ Patient ] records shall be current and maintained on the business premises for a period of three years . Patient records [ and ] are the responsibility and property of the veterinarian or veterinarians who own the veterinary practice, provided however, the client is entitled to a copy of the patient records pertaining to the client's [ his/her ] animals.

(c) - (d) (No change.)

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 February 24, 2003.

TRD-200301362

Ron Allen

Executive Director

Texas Board of Veterinary Medical Examiners

Earliest possible date of adoption: April 6, 2003

For further information, please call: (512) 305-7563


Subchapter G. OTHER PROVISIONS

22 TAC §573.65

The Texas Board of Veterinary Medical Examiners ("Board") proposes amendments to §573.65 concerning Definitions. This section contains several definitions contained in the Veterinary Licensing Act and the Board's rules. Several of the definitions relate to activities that are exempt from regulation by the Board. The definition of one such activity, "accepted livestock management practices," has been re-written to be more inclusive and eliminate redundancy. The definition of "livestock" has been broadened to include equidae since many practices applicable to cattle and other animals also apply to equidae. The exempted practices have been listed for easier reading. The term "designated caretaker" is expanded to include all types of animals, not just food production animals as is now the case. Other terms are defined without substantive change. The amended definitions are intended to reflect actual veterinarian practices.

Mr. Ron Allen, Executive Director, has determined that for the first five-year period the amended section is in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the section. Mr. Allen has also determined that for the first five years the section is in effect the public benefit anticipated as a result of enforcing the amended section will be to better inform the public of those types of activities that are not subject to regulation by the Board. There will be no effect on small businesses. There will be no economic cost to persons required to comply with the amended section as proposed.

Comments on the proposed amendments may be submitted in writing to Julie Barker, Texas Board of Veterinary Medical Examiners, 333 Guadalupe, Suite 3-810, Austin, Texas 78701, phone (512) 305-7555, fax (512) 305-7556, and must be received by April 30, 2003.

The amendments are proposed under the authority of the Veterinary Licensing Act, Texas Occupations Code, §801.151 (a) which states that the Board may adopt rules necessary to administer the chapter. The amendments affect the Veterinary Licensing Act, Texas Occupations Code, §801.004 which pertains to activities that are exempt from coverage of the Veterinary Licensing Act.

§573.65.Definitions.

The following words and terms, when used in the Veterinary Licensing Act ( Chapter 801, Texas Occupations Code) or the Rules of the Board ( Texas Administrative Code, Title 22, Part 24, Chapters 571 - 577) shall have the following meanings, unless the context clearly indicates otherwise:

(1) Accepted livestock management practices those practices involving animals raised or produced primarily for food, fiber, or other products for human consumption, and equidae, and may include the following:

(A) branding, tattooing, ear tags or identifying marks of any kind;

(B) tail docking, except cosmetic tail docking that is performed for appearance purposes only;

(C) earmarking;

(D) routine dehorning, except cosmetic dehorning that reshapes or alters the poll area for appearance purposes;

(E) castration;

(F) non-surgical assistance with birthing;

(G) implantation with approved implant products;

(H) administration of a biologic, except where restricted by law to administration by a veterinarian, and not including deworming by use of stomach tubing;

(I) artificial insemination;

(J) shoeing and trimming hooves; and

(K) application or administration of parasiticides, except where restricted by law.

(2) Designated caretaker - a person to whom the owner of an animal has given specific authority to care for the animal, and who has not been designated, by using the pretext of being a designated caretaker, to circumvent the Veterinary Licensing Act (Chapter 801, Occupations Code) by engaging in any aspect of the practice of veterinary medicine (including alternate therapies). A designated caretaker who treats an animal for a condition that the animal was known or suspected of having prior to the person being named a designated caretaker, is presumed to be attempting to circumvent the Veterinary Licensing Act unless the designated caretaker is following the instruction of a veterinarian. In this situation, the designated caretaker may present evidence to rebut the presumption.

(3) Food production animals - any mammalians, poultry, fowl, fish or other animals that are raised primarily for human food consumption.

(4) Biologic - any serum, vaccine, antitoxin, or antigen used in the prevention or treatment of disease.

(5) Pregnancy testing - the diagnosis of the physical condition of pregnancy by any method other than the gross visual observation of the animal.

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

[ (1) Accepted livestock management practices (Article 8890, §3(a)(2)) Accepted livestock management practices are defined as those involving animals raised or produced primarily for food, fiber, or other products for human consumption. Those practices consist of branding, tattooing, or identifying in any manner; tail docking of lambs (excludes cosmetic tail docking that is performed for appearance purposes only); earmarking; routine dehorning (excludes "cosmetic dehorning" that reshapes or alters the poll area for appearance purposes); castration; son-surgical assistance of the birth process; implantation with approved implant products; administration of vaccines and biologicals (unless restricted to administration by a veterinarian);artificial insemination; application of ear tags (excluding official USDA tags);and application or administration of parasiticides (unless otherwise restricted by other agencies). Accepted equine management practices include tattooing or branding; artificial insemination, ; shoeing and trimming hooves; aiding in non-surgical birth process; administration of vaccines, biologicals, and parasiticides (excluding deworming by use of stomach tubing).]

[ (2) Designated caretaker (Article 8890, §3(a)(1) An individual to whom the owner of a food production animal has given specific authority to care for such food production animal, and who has not been employed, by using the pretext of being a designated caretaker, to circumvent the Veterinary Licensing Act by engaging in any aspect of veterinary medicine or alternative therapies. It shall be presumed that a designated caretaker who treats a food production animal for a condition that the animal was known or suspected of having prior to the individual being named a designated caretaker is attempting to circumvent the Veterinary Licensing Act unless the designated caretaker is following the instructions of a veterinarian. This presumption is a rebuttable presumption.]

[ (3) Consultation The act of rendering professional advice about a specific case. Consultations are limited to diagnosis and prognosis, and does not include treatment or surgery.]

[ (4) Food production animals (Article 8890, §3(a)(4) Any mammalians, poultry, fowl, fish, or other animals that are raised primarily for human food consumption.]

[ (5) Biologic (Article 8890, §2(A)) Any serum, vaccine, antitoxin, or antigen used in the prevention or treatment of disease.]

[ (6) Pregnancy testing (Article 8890, §2(D)(11) Pregnancy testing is the diagnosis of the physical condition of pregnancy by any method other than the gross visual observation of the animal.]

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 February 24, 2003.

TRD-200301361

Ron Allen

Executive Director

Texas Board of Veterinary Medical Examiners

Earliest possible date of adoption: April 6, 2003

For further information, please call: (512) 305-7563