TITLE 22.EXAMINING BOARDS

Part 5. STATE BOARD OF DENTAL EXAMINERS

Chapter 102. FEES

The Texas State Board of Dental Examiners (Board) adopts the repeal of 22 TAC Chapter 102, §102.1, concerning fees charged by the Board, and adopts new §102.1 to replace it without changes to the proposal as published in the January 14, 2005, issue of the Texas Register (30 TexReg 69).

The new section contains language to enact certain fee requirements imposed by Senate Bills 1152 and 263, §10 and §19, 78th Legislature. The new section, compared to the previous iteration, also contains extensive revisions to clarify and standardize language, and to improve organization.

Section 102.1(a)(4)(A) reflects the addition of the statutorily required $5 online fee for dental licensees, changing the annual dental registration renewal fee from $111 to $116.

Section 102.1(b)(4)(A) reflects the addition of the statutorily required $3 online fee for dental hygiene licensees, changing the annual dental hygiene registration renewal fee from $66 to $69.

Section 102.1(c)(1) reflects the addition of fees for the new dental assistant registration program, in the amount of $50 for the initial registration, and $25 for the annual renewal.

Section 102.1(c)(2) reflects a reduction in the fees for a pit and fissure sealant certification, in order to help offset the cost to dental assistants who wish to hold both a dental assistant registration and a pit and fissure sealant certification. The initial registration fee has been reduced from $50 to $25, and the annual renewal fee has been reduced from $50 to $15.

Section 102.1(d)(2)(B) reflects the addition of the statutorily required annual $3.00 "e-pay" service fee for dental licensees.

There are no other substantive changes to the section.

No comments were received regarding either the adoption of the repeal or the new section.

22 TAC §102.1

The repeal of §102.1 is adopted under Texas Government Code §§2001.021, et seq; Texas Civil Statutes, Texas Occupations Code §254.001, which provides the Board with the authority to adopt and enforce rules necessary for it to perform its duties.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 6, 2005.

TRD-200501841

Fread Houston

General Counsel

State Board of Dental Examiners

Effective date: May 26, 2005

Proposal publication date: January 14, 2005

For further information, please call: (512) 475-0987


22 TAC §102.1

The section is adopted under Texas Government Code §§2001.021, et seq., Texas Civil Statutes, Texas Occupations Code §254.001, which provides the Board with the authority to adopt and enforce rules necessary for it to perform its duties.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 6, 2005.

TRD-200501840

Fread Houston

General Counsel

State Board of Dental Examiners

Effective date: May 26, 2005

Proposal publication date: January 14, 2005

For further information, please call: (512) 475-0987


Chapter 107. DENTAL BOARD PROCEDURES

Subchapter B. PROCEDURES FOR INVESTIGATING COMPLAINTS

22 TAC §107.102

The Texas State Board of Dental Examiners (Board) adopts amendments to 22 TAC Chapter 107, §107.102, concerning procedures for investigating complaints, with changes to the proposed text as published in the March 11, 2005, issue of the Texas Register (30 TexReg 1394). The amendments are to clarify and standardize language, and to improve organization.

The adopted amendments remove from §107.102 subsections (g) - (j). The language contained in those subsections addressed dismissal of cases, and have been relocated to a new §107.103. The Board is concurrently adopting new §107.103, the repeal of the current §107.103, and a new §107.110 to contain the language that previously resided in §107.103.

The adopted amendments also more accurately reflect that the director of enforcement may only recommend, and not dictate, the manner of disposition of complaints.

The section as adopted differs from the section as initially proposed only in that the title has been changed from "Procedures in Conduct of Investigation" to "Procedures for Investigating Complaints."

There are no other substantive changes to the section.

No comments were received regarding adoption of the amendment.

The amendments are adopted under Texas Government Code §§2001.021, et seq., Texas Civil Statutes; Texas Occupations Code §254.001, which provides the Board with the authority to adopt and enforce rules necessary for it to perform its duties.

§107.102.Procedures for Investigating Complaints.

(a) An investigative file accounting for each complaint filed with the SBDE shall be maintained under the supervision of the director of enforcement.

(b) Every complaint shall be reviewed by the director of enforcement to determine jurisdiction. If jurisdiction exists, a complaint shall be investigated to determine the facts concerning the complaint. All investigators shall be state employees.

(c) If, upon review, the investigation reveals an imminent threat to a person's welfare, the case shall be referred to the executive director, who shall determine whether or not to refer the case to the chairperson of the executive committee of the board for consideration of temporary suspension, pursuant to the Occupations Code, Chapter 263, §263.004.

(d) During the course of an investigation, the complainant shall be given an opportunity to explain or comment on the allegations made in the complaint. At the initiation of the investigation, the respondent shall be provided a copy of the complaint to facilitate a response, unless doing so would jeopardize an investigation.

(e) The parties to the complaint shall receive notice of the complaint's status, at least quarterly, until final disposition of the complaint, unless such notice would jeopardize an investigation.

(f) Upon completion of the investigation, the director of enforcement shall review the case. The director of enforcement may:

(1) recommend dismissal of the complaint;

(2) recommend the case be taken before the State Office of Administrative Hearings;

(3) recommend the case be taken before an informal settlement conference;

(4) recommend that the legal division prepare a proposed board order;

(5) refer the case for review by the board or a committee of the board;

(6) direct further investigation;

(7) refer the case for review by a board member; or,

(8) take other appropriate action or consideration in accordance with SBDE rules and the Dental Practice Act.

(g) The director of enforcement will not make a recommendation in cases involving standard of care issues. Such cases shall be reviewed by one board member, who must be a dentist.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 6, 2005.

TRD-200501816

Fread Houston

General Counsel

State Board of Dental Examiners

Effective date: May 26, 2005

Proposal publication date: March 11, 2005

For further information, please call: (512) 475-0987


22 TAC §107.103

The Texas State Board of Dental Examiners (Board) adopts the repeal of 22 TAC Chapter 107, §107.103, concerning compliance, without changes to the proposal as published in the February 18, 2005, issue of the Texas Register (30 TexReg 800).

The repeal allows for a new §107.103, regarding dismissal of complaints. The Board is concurrently adopting a new §107.110 to contain the language previously residing in §107.103. This restructuring will provide for better structure and flow in the chapter.

No comments were received regarding adoption of the repeal.

The repeal is adopted under Texas Government Code §§2001.021, et seq., Texas Civil Statutes; Texas Occupations Code §254.001, which provides the Board with the authority to adopt and enforce rules necessary for it to perform its duties.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 6, 2005.

TRD-200501817

Fread Houston

General Counsel

State Board of Dental Examiners

Effective date: May 26, 2005

Proposal publication date: February 18, 2005

For further information, please call: (512) 475-0987


22 TAC §107.103

The Texas State Board of Dental Examiners (Board) adopts new 22 TAC Chapter 107, §107.103, concerning dismissal of complaints, with changes to the proposed text as published in the February 18, 2005, issue of the Texas Register (30 TexReg 800).

The new section relocates language regarding dismissal that was previously contained in §107.102, as well as to enact certain requirements imposed by Senate Bill 263, §12, 78th Legislature, that amended Texas Occupations Code §255.006.

Texas Occupations Code §255.006(d)(7) requires that the Board establish procedures for the expunction of dismissed complaints. Section 107.103(d) as adopted describes such a procedure.

The Board is concurrently adopting amendments to §107.102, the repeal of the current §107.103, and a new §107.110 to contain the language previously residing in §107.103.

The section as adopted differs from the section as initially proposed only in that the title has been changed from "Dismissal of Cases" to "Dismissal of Complaints," to be more consistent with the language of this and neighboring sections.

No comments were received regarding adoption of the new section.

The section is adopted under Texas Government Code §§2001.021, et seq., Texas Civil Statutes; Texas Occupations Code §254.001, which provides the Board with the authority to adopt and enforce rules necessary for it to perform its duties.

§107.103.Dismissal of Complaints.

(a) Dismissal.

(1) The director of enforcement may recommend dismissal of a complaint if an investigation fails to reveal a violation.

(2) If the director of enforcement recommends dismissal of a complaint, he or she shall state, with specificity, the reason or reasons for the recommended dismissal.

(3) A complaint recommended for dismissal by the director of enforcement shall be reviewed by a member of the enforcement committee. For complaints involving patient morbidity, professional conduct, or minimum standard of care, the reviewer must be a dentist member of the committee.

(4) If the committee member does not recommend dismissal, the complaint shall be forwarded to an informal settlement conference. If the committee member agrees that the complaint should be dismissed, then the dismissal shall be final.

(5) All jurisdictional complaints shall be investigated. No complaint shall be dismissed without appropriate consideration.

(6) If a complaint is dismissed, the SBDE shall notify the complainant within ten days of the date of the dismissal. The notice of dismissal must be in writing, include the reason(s) for the dismissal and inform the complainant of the right to appeal the dismissal. An appeal under this section shall be considered a request for reconsideration of the dismissed complaint.

(7) All complaints dismissed under this section must be reported to the full board in a public meeting of the board.

(b) Appeal.

(1) The SBDE may hear an appeal in a dismissed complaint only if new information or evidence is presented, the acceptance of such, if taken as true, supports the original complaint.

(2) The complainant must request reconsideration of a dismissed complaint in writing, postmarked no later than twenty days from the date of receipt of the SBDE's dismissal letter. The complainant is presumed and deemed to be in receipt of the dismissal letter on the third day after the date on which the dismissal letter is mailed.

(3) A request for reconsideration of a dismissed complaint shall not be considered by the SBDE unless it is timely submitted.

(4) A request for reconsideration must contain the requirements specified in this subsection.

(5) Requests meeting the requirements of this subsection shall be heard by the professional evaluation committee no later than sixty days after the date the SBDE receives the request from the complainant requesting reconsideration. This time frame may be extended upon good cause shown by the SBDE. If the professional evaluation committee meets to reconsider the complaint after this sixty-day period, the SBDE shall notify the complainant in writing.

(6) This subsection does not apply to complaints dismissed by the full board pursuant to a recommendation from an informal settlement conference panel.

(7) All complaints dismissed by the full board may be appealed in accordance with the Government Code.

(c) Professional evaluation committee.

(1) The professional evaluation committee shall consist of three board members appointed by the presiding officer of the board, one of whom must be a public member.

(2) Complaints referred to the professional evaluation committee by the board secretary or the board secretary's designee may be dismissed, referred to an informal settlement conference or returned to the director of enforcement for further investigation. The professional evaluation committee may also propose an agreed board order imposing sanctions. All board orders proposed by the professional evaluation committee shall include a statement that the respondent should not agree to the order if he or she wants to explain any part of his or her conduct in connection with the complaint.

(A) Meetings of the professional evaluation committee are open meetings as defined by the Open Meetings Act;

(B) Only professional evaluation committee members and SBDE staff may participate in discussions concerning any complaint. The members may review and consider all information in the investigative file.

(C) All determinations reached by the professional evaluation committee involving reconsideration of an earlier dismissal by the SBDE are final.

(d) Expunging dismissed complaints.

(1) The director of enforcement may, at his or her discretion, recommend that a complaint be expunged from SBDE records on written request from the respondent if:

(A) The complaint has been dismissed under this section;

(B) There has been no successful appeal;

(C) There is no pending appeal;

(D) At least 30 days has passed since the dismissal notice letter was sent to the complainant; and,

(E) The executive director has determined that the complaint was clearly groundless and completely without merit.

(2) A recommendation that a complaint be expunged shall be reviewed by a member of the enforcement committee. For complaints involving patient morbidity, professional conduct, or minimum standard of care, the reviewer must be a dentist member of the committee. The determination of this reviewer shall be final.

(3) The expunging of any complaint under this subsection must be reported to the full board at a public meeting of the board.

(4) This subsection does not apply to complaints dismissed by the full board pursuant to a recommendation from an informal settlement conference panel.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 6, 2005.

TRD-200501819

Fread Houston

General Counsel

State Board of Dental Examiners

Effective date: May 26, 2005

Proposal publication date: February 18, 2005

For further information, please call: (512) 475-0987


22 TAC §107.110

The Texas State Board of Dental Examiners (Board) adopt new 22 TAC Chapter 107, §107.110, concerning compliance, without changes to the proposed text as published in the February 18, 2005, issue of the Texas Register (30 TexReg 802).

The new section relocates the language previously residing in §107.103, the repeal of which the Board is concurrently adopting. This restructuring provides for better structure and flow in the chapter.

The adopted text differs from the previous text in that it removes language that has proven extraneous and over-specific in its description of the computer database system to be employed for compliance purposes. The adopted language also eliminates the need for the director of enforcement to coordinate with the executive director and board secretary before initiating a complaint against a licensee for non-compliance with a board order.

All other changes to the relocated language are solely for clarity and grammatical purposes.

No comments were received regarding adoption of the section.

The section is adopted under Texas Government Code §§2001.021, et seq., Texas Civil Statutes; Texas Occupations Code §254.001, which provides the Board with the authority to adopt and enforce rules necessary for it to perform its duties.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 6, 2005.

TRD-200501818

Fread Houston

General Counsel

State Board of Dental Examiners

Effective date: May 26, 2005

Proposal publication date: February 18, 2005

For further information, please call: (512) 475-0987


Chapter 116. DENTAL LABORATORIES

22 TAC §116.10

The Texas State Board of Dental Examiners (Board) adopts new §116.10, concerning prosthetic identification, without changes to the proposed text as published in the February 18, 2005, issue of the Texas Register (30 TexReg 802). The new section reinstates the language of previous §116.11, which was repealed effective May 10, 2004. The language was to be simultaneously moved to a new §116.10, but due to an oversight, the new section was not proposed.

The adopted section contains no substantive changes from the language of the previous §116.11, except that the requirement of a full name in a suitable prosthetic marking has been changed to last name and first initial. The language also contains revisions to clarify and standardize language, and to improve organization.

No comments were received regarding adoption of the new section.

The section is adopted under Texas Government Code §§2001.021, et seq., Texas Civil Statutes; Texas Occupations Code §254.001, which provides the Board with the authority to adopt and enforce rules necessary for it to perform its duties.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 6, 2005.

TRD-200501815

Fread Houston

General Counsel

State Board of Dental Examiners

Effective date: May 26, 2005

Proposal publication date: February 18, 2005

For further information, please call: (512) 475-0987