TITLE 22.EXAMINING BOARDS

Part 9. TEXAS MEDICAL BOARD

Chapter 175. FEES, PENALTIES AND FORMS

22 TAC §175.2

The Texas Medical Board adopts an amendment to §175.2, concerning Registration and Renewal Fees, without changes to the proposed text as published in the February 24, 2006, issue of the Texas Register (31 TexReg 1161) and will not be republished.

The amendment to §175.2 increases PA Registration Fees.

No comments were received regarding adoption of the amendment.

The amendment is adopted under the authority of the Texas Occupations Code Annotated, §204.103, which provides the Texas Medical Board to adopt rules and bylaws as necessary to: govern its own proceedings; perform its duties; regulate the practice of medicine in this state; enforce this subtitle; and establish rules related to licensure.

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 April 11, 2006.

TRD-200602095

Donald W. Patrick, MD, JD

Executive Director

Texas Medical Board

Effective date: May 1, 2006

Proposal publication date: February 24, 2006

For further information, please call: (512) 305-7016


Chapter 183. ACUPUNCTURE

22 TAC §§183.1 - 183.4, 183.6, 183.12, 183.14, 183.16, 183.23

The Texas State Board of Acupuncture Examiners (Acupuncture board), with the approval of the Texas Medical Board, adopts amendments to §§183.1 - 183.4, 183.6, 183.12, 183.14 and 183.16 and new §183.23, concerning Acupuncture, without changes to the proposed text as published in the February 24, 2006, issue of the Texas Register (31 TexReg 1162) and will not be republished.

The amendment to §183.1 adds a more extensive list of functions of the Acupuncture board. The amendment to §183.2 updates the citation to the board rule regarding licensure; deletes references to provision of §183.4(g) that is being deleted; updates names of agencies; and provides the requirement to take the Biomedicine Module of the NCCAM, in accordance with statutory changes. The amendment to §183.3 revises functions of the licensure committee in accordance with statutory changes authorizing the acupuncture board to issue licenses. The amendment to §183.4 provides requirements for applicants to pass jurisprudence examination, in accordance with statutory changes; and revises the time period for expiration of an application from two years to one year. The amendment to §183.6 provides that Chapter 187 and Chapter 190 apply to acupuncturists; and adds "criminal convictions" to list of subjects relating to Chapter 190. Section 183.12 is amended to provide for adoption of rules by the acupuncture board with approval of the medical board. The amendment to §183.14 provides for advice by the acupuncture board to the medical board for Acudetox Specialist training programs. The amendment to §183.16 updates the name of the Texas Medical Board. New §183.23 is adopted in order to reference Chapter 196, regarding voluntary surrender of a license, to Acupuncturists.

No comments were received regarding adoption of the rules.

The amendments and new section are adopted under the authority of the Texas Occupations Code Annotated, §205.101 which provides the Texas State Board of Acupuncture Examiners, with the approval of the Texas Medical Board, to adopt rules and bylaws as necessary to administer and enforce Chapter 205, Texas Occupations Code.

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 April 11, 2006.

TRD-200602096

Donald W. Patrick, MD, JD

Executive Director

Texas Medical Board

Effective date: May 1, 2006

Proposal publication date: February 24, 2006

For further information, please call: (512) 305-7016


Part 17. TEXAS STATE BOARD OF PLUMBING EXAMINERS

Chapter 367. ENFORCEMENT

22 TAC §367.14

The Texas State Board of Plumbing Examiners adopts amendments to §367.14, without changes to the proposed text as published in the February 3, 2006, issue of the Texas Register (31 TexReg 634).

Contested cases referred to hearings before the State Office of Administrative Hearings (SOAH) must follow the requirements of SOAH Rules, the Administrative Procedure Act, the Plumbing License Law and Board Rules. The amendments to §367.14 are necessary to avoid any inconsistencies and unnecessary duplication that could exist between the requirements of §367.14, SOAH Rules and the Administrative Procedure Act. The amendments delete unnecessary language and add simplified new language to clearly specify that contested cases shall be conducted in accordance with SOAH Rules, the Administrative Procedure Act, the Plumbing License Law and Board Rules.

No comments were received regarding the proposed rule amendments.

The amendments to §367.14 are adopted under and affect Title 8, Chapter 1301, Occupations Code, as amended by the 78th Legislature ("Plumbing License Law" or "Law"), §1301.251, and the rule it amends. Section 1301.251 requires the Board to adopt and enforce rules necessary to administer the Plumbing License Law. The amendments are also adopted under Texas Government Code Annotated, Chapter 2001 (the Administrative Procedure Act) and Texas Administrative Code, Title 1, Part 7 (SOAH Rules). No other statute, article or code is affected by these amendments.

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 April 12, 2006.

TRD-200602124

Robert L. Maxwell

Executive Director

Texas State Board of Plumbing Examiners

Effective date: May 2, 2006

Proposal publication date: February 3, 2006

For further information, please call: (512) 936-5224


Part 30. TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

Chapter 681. PROFESSIONAL COUNSELORS

The Texas State Board of Examiners of Professional Counselors (board) adopts amendments to §§681.9, 681.91, 681.112, 681.162, and 681.166, concerning the licensing and regulation of professional counselors. Specifically, the amendments cover committees, temporary licenses, provisional licensing, and complaint processes. Section 681.166 is adopted with changes to the proposed text as published in the December 23, 2005, issue of the Texas Register (30 TexReg 8593). Sections 681.9, 681.91, 681.112, and 681.162 are adopted without changes, and the sections will not be republished.

BACKGROUND AND PURPOSE

The amendments are required by statutory changes to the Texas Occupations Code, Chapter 503, by House Bill 1283, passed during the 79th Legislature, Regular Session, 2005. The proposed amendments ensure that the rules reflect current and accurate legal, policy, and operational considerations; improve draftsmanship; and make the rules more accessible, understandable, and usable, to the extent possible.

SECTION-BY-SECTION SUMMARY

The amendment to §681.9 documents who may serve on a board committee.

New §681.91(i) clarifies that an intern may not provide counseling services unless under supervision.

The amendment to §681.112 clarifies examination requirements for license by reciprocity.

New §681.162(e) allows the board to issue a cease and desist order for persons violating the Act. A violation of an order constitutes grounds for the imposition of an administrative penalty by the board.

The amendment to §681.166 allows the board to order a license holder to issue a refund to a consumer resulting from an informal conference instead of, or in addition to, an administrative penalty.

COMMENTS

The board did not receive any comments regarding the proposed rules during the comment period. However, the board due to staff comments made the following changes.

Change: Concerning §681.166(w)(1) and (2) the word "consumer" was changed to the phrase "client or other payer" for consistency in terminology.

Subchapter A. THE BOARD

22 TAC §681.9

STATUTORY AUTHORITY

The amendment is authorized by Occupations Code, §503.203, which authorizes the board to adopt rules necessary for the performance of the board's 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 April 14, 2006.

TRD-200602163

Judy Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Effective date: May 4, 2006

Proposal publication date: December 23, 2005

For further information, please call: (512) 458-7111 x6972


Subchapter F. EXPERIENCE REQUIREMENTS FOR LICENSURE

22 TAC §681.91

STATUTORY AUTHORITY

The amendment is authorized by Occupations Code, §503.203, which authorizes the board to adopt rules necessary for the performance of the board's 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 April 14, 2006.

TRD-200602164

Judy Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Effective date: May 4, 2006

Proposal publication date: December 23, 2005

For further information, please call: (512) 458-7111 x6972


Subchapter H. LICENSING

22 TAC §681.112

STATUTORY AUTHORITY

The amendment is authorized by Occupations Code, §503.203, which authorizes the board to adopt rules necessary for the performance of the board's 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 April 14, 2006.

TRD-200602165

Judy Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Effective date: May 4, 2006

Proposal publication date: December 23, 2005

For further information, please call: (512) 458-7111 x6972


Subchapter K. COMPLAINTS AND VIOLATIONS

22 TAC §681.162, §681.166

STATUTORY AUTHORITY

The amendments are authorized by Occupations Code, §503.203, which authorizes the board to adopt rules necessary for the performance of the board's duties.

§681.166.Informal Disposition.

(a) Informal disposition of any complaint or contested case involving a licensee or an applicant for licensure may be made through an informal conference held to determine whether the matters in controversy can be resolved without further proceedings.

(b) The decision to hold a conference shall be within the discretion of the executive director or a member of the complaints committee.

(c) An informal conference shall be voluntary and shall not be a prerequisite to a formal hearing.

(d) The executive director shall establish the time, date and place of the informal conference, and provide written notice to the licensee or applicant. Notice shall be provided no less than 10 working days prior to the date of the informal conference by certified mail, return receipt requested to the last known address of the licensee or applicant. The licensee or applicant may waive the 10-day notice requirement.

(e) The notice shall inform the licensee or applicant of the nature of the alleged violation or the reason for application denial; that the licensee may be represented by legal counsel; that the licensee or applicant may offer the testimony of witnesses and present other evidence as may be appropriate; that a complaints committee member shall be present; that the board's legal counsel shall be present; that the licensee's or applicant's attendance and participation is voluntary; that the complainant and any client involved in the alleged violations may be present; and that the informal conference shall be canceled if the licensee or applicant notifies the executive director that he or she or his or her legal counsel will not attend. A copy of the board's rules concerning informal disposition shall be enclosed with the notice of the informal conference.

(f) The complainant may be informed that he or she may appear and testify or may submit a written statement for consideration at the informal conference.

(g) A member of the complaints committee shall be present at an informal conference.

(h) The conference shall be informal and shall not follow the procedures established in this chapter for contested cases and formal hearings.

(i) The licensee, the licensee's attorney, the board's attorney, the executive director and the complaints committee member may question witnesses, make relevant statements, present statements of persons not in attendance, and present such other evidence as may be appropriate.

(j) The board's legal counsel may attend each informal conference. The complaints committee member or executive director may call upon the attorney at any time for assistance in the informal conference.

(k) The licensee shall be afforded the opportunity to make statements that are material and relevant.

(l) The complaints committee member or the executive director may exclude from the informal conference all persons except witnesses during their testimony, the licensee, the licensee's attorney, and board staff.

(m) Any written statement submitted by the complainant shall be reviewed at the conference.

(n) At the conclusion of the informal conference, the complaints committee member or the executive director may make recommendations for informal disposition of the complaint or contested case. The recommendations may include any disciplinary action authorized by the Act or this chapter. The complaints committee member may also conclude that the board lacks jurisdiction; conclude that a violation of the Act or this chapter has not been established; order that the investigation be closed; or refer the matter for further investigation.

(o) The licensee or applicant may either accept or reject the recommendations at the informal conference. If the recommendations are accepted, an agreed order shall be prepared by the board office or the board's legal counsel and forwarded to the licensee or applicant. The order may contain agreed findings of fact and conclusions of law. The licensee or applicant shall execute the order and return the signed order to the board office within 10 working days of his or her receipt of the order. If the licensee or applicant fails to return the signed order within the stated time period, the inaction shall constitute rejection of the recommendations.

(p) If the licensee or applicant signs and accepts the proposed recommendations, the agreed order shall be submitted to the complaints committee and the board for approval. Placement of the agreed order on the committee and board agendas shall constitute only a recommendation for approval by the board.

(q) The identity of the licensee or applicant shall not be made available to the board until after the board has reviewed and accepted the agreed order unless the licensee or applicant chooses to attend the board meeting. The licensee or applicant shall be notified of the date, time, and place of the board meeting at which the proposed agreed order will be considered. Attendance by the licensee or applicant is voluntary.

(r) Upon an affirmative majority vote, the board shall enter an agreed order approving the accepted recommendations. The board may not change the terms of a proposed order but may only approve or disapprove an agreed order unless the licensee or applicant is present at the board meeting and agrees to other terms proposed by the board.

(s) If the board does not approve a proposed agreed order, the licensee or applicant shall be so informed. The matter shall be referred to the executive director for other appropriate action.

(t) A proposed agreed order is not effective until the board has approved the agreed order and the order is signed by the board chair.

(u) A licensee's opportunity for an informal conference under this section shall satisfy the requirement of the Administrative Procedure Act, Texas Government Code, §2001.054(c).

(v) If a licensee who has requested an informal conference fails to appear at the conference and fails to provide notice of the licensee's inability to attend the conference at least 24 hours in advance of the time the conference is scheduled, such action may constitute a withdrawal of the request for a formal hearing.

(w) Refund Order.

(1) The board may order a license holder to pay a refund to a client or other payer as provided in an agreement resulting from an informal settlement conference instead of, or in addition, to imposing an administrative penalty under this chapter.

(2) The amount of a refund ordered as provided in an agreement resulting from an informal settlement conference may not exceed the amount the client or other payer paid to the license holder for a service regulated by this chapter. The board may not require payment of other damages or estimate harm in a refund order.

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 April 14, 2006.

TRD-200602166

Judy Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Effective date: May 4, 2006

Proposal publication date: December 23, 2005

For further information, please call: (512) 458-7111 x6972


Part 34. TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS

Chapter 781. SOCIAL WORKER LICENSURE

The Texas State Board of Social Worker Examiners (board) adopts amendments to §§781.102, 781.203, 781.209, 781.210, 781.217, 781.301, 781.302, 781.305, 781.306, 781.310, 781.311, 781.503, 781.508, 781.509, 781.514, 781.602, 781.607, 781.608, 781.701, 781.803, the repeal of §§781.702 - 781.707, new §781.318 and §§781.702 - 781.704, concerning the licensure and regulation of social workers. Amendments to §§781.503, 781.508, 781.509, and 781.514 are adopted with changes to the proposed text as published in the October 28, 2005, issue of the Texas Register (30 TexReg 6989). Amendments to §§781.102, 781.203, 781.209, 781.210, 781.217, 781.301, 781.302, 781.305, 781.306, 781.310, 781.311, 781.602, 781.607, 781.608, 781.701, 781.803, the repeal of §§781.702 - 781.707, new §781.318 and §§781.702 - 781.704 are adopted without changes, and the sections will not be republished.

BACKGROUND AND PURPOSE

The adopted amendments, repeals, and new sections are necessary to comply with Senate Bill 415, 79th Texas Legislature, 2005 (Sunset legislation), which amended Occupations Code, Chapter 505, the board's enabling statute, as part of the review of the board by the Sunset Advisory Commission. The bill modified requirements relating to the board's licensing and enforcement authority and applied certain across-the-board standards and requirements for regulatory boards. The rule adoption implements the requirements of the bill.

Additionally, the Texas Legislature passed the General Appropriations Act, House Bill 1, 79th Regular Session (2005). Article 2 of the General Appropriations Act, Rider 85 Contingent Appropriation of Additional Fee Revenues authorized the collection of additional revenue in the form of fees, which would then be appropriated to pay for expenses of Health Care Professional programs, including licensed social workers.

Additionally, the board adopts the amendments and repeals to correct minor errors, improve the rules, and ensure that the rules reflect current legal, policy, and operational considerations.

SECTION-BY-SECTION SUMMARY

The amendment to §781.102 is adopted to add a new definition of AMEC; to eliminate obsolete definitions of LMSW-ACP, LSW, and SWA; and to renumber the definitions accordingly.

The amendment to §781.203 is adopted to clarify that the board's training program must meet the requirements of Occupations Code, Chapter 505. The amendment to §781.209 is adopted to reflect requirements of the Sunset legislation. The amendment to §781.210 is adopted to eliminate the obsolete reference to the executive director as an appointee of the Commissioner of Health. The amendment to §781.217(a) is adopted based on the provisions for contingent appropriation of additional fee revenue authorized by the General Appropriations Act, 79th Regular Session (2005), by increasing the amount of the fee for renewal of a license. The amendment to §781.217(b) is adopted to correct a minor error.

The amendment to §781.301 is adopted to reflect the jurisprudence examination requirement of the Sunset legislation. The amendment to §781.302 is adopted to clarify that only one supervisory plan may be in place at any time. Amendments to §781.305 and §781.306 are adopted to clarify that accredited institutions must be accredited by CSWE, to update license level terminology, and to reflect the jurisprudence examination requirement of the Sunset legislation. Amendments to §781.310 and §781.311 are adopted to update license level terminology and delete obsolete license terms. New §781.318 is adopted to reflect new language regarding issuance of licenses to certain out-of-state applicants. This language reflects the requirements of the Sunset legislation.

The amendment to §781.503 is adopted to reflect the requirements of the Sunset legislation relating to the refusal to renew a license for failure to pay an administrative penalty; and to require that licensed social workers who renew during calendar years 2007 and 2008 must complete the board's jurisprudence examination in order to renew the license. This requirement is intended to increase knowledge of, and compliance with, Texas social work law and rules among the board's license holders. Amendments to §781.508 and §781.509 are adopted to clarify the number of continuing education hours required as a result of the move to two-year license terms; to improve draftsmanship and understanding; and to reflect the requirement for license holders to take the jurisprudence examination during calendar years 2007 and 2008. The amendment to §781.514 is adopted to reflect the requirement for license holders to take the jurisprudence examination during calendar years 2007 and 2008.

The amendment to §781.602 is adopted to reflect the board's authority to issue a cease and desist order, as added by the Sunset legislation. The amendment to §781.607 is adopted to reflect the board's authority to refuse to renew a license for failure to pay an administrative penalty, as added by the Sunset legislation. The amendment to §781.608 is adopted to reflect the board's authority to order a license holder to pay a refund to a consumer as provided in an agreement resulting from an informal settlement conference, as added by the Sunset legislation.

The amendment to §781.701 is adopted to update and clarify the subchapter's purpose. New §781.702 is adopted to reflect current operational and legal considerations relating to notice of formal hearings and informal conferences, and to eliminate obsolete or unnecessary language. New §781.703 is adopted to reflect current operational and legal considerations relating to default and to eliminate obsolete or unnecessary language. New §781.704 is adopted to reflect current operational and legal considerations relating to action after a hearing and to eliminate obsolete or unnecessary language.

The repeal of §§781.702 - 781.707 is adopted as those sections are deemed obsolete or unnecessary, and they no longer reflect current legal and operational considerations.

The amendment to §781.803 is adopted to implement the requirement of the Sunset legislation to establish an administrative penalty schedule.

COMMENTS

The following comments were received concerning the proposed amendments, repeals and new sections. Following each comment is the board's response and any resulting change(s).

Comment: Two commenters expressed opposition to the proposed rule amendments that would require social workers to complete the board's jurisprudence examination as part of the biennial license renewal process. The commenters stated that this proposal is inconsistent with Sunset Advisory Commission recommendations, is not required by the social worker licensing statute, and would be unnecessary and overly burdensome to license holders. Concerns were also expressed about the use of the term "examination" as opposed to "training course."

Response: The board both agrees and disagrees with the commenters. The commenters were present and participated fully in the Rules Committee meeting and the board meeting at which their comments were considered and the proposal was finally adopted. The board and the commenters engaged in significant dialogue about the proposed requirement and its perceived advantages and disadvantages. The commenters and the board agreed that there is value in requiring all social workers to complete the jurisprudence examination once, during calendar years 2007 and 2008 at the time of renewal. After that two-year period, the board and its stakeholders will discuss whether an ongoing requirement is necessary. The board agrees that, in the context of requirements and options for currently licensed social workers, the term "training course" is preferable to "examination."

As a result of these discussions, the following changes were made. Section 781.503(l) is modified to read "For all licenses renewed between January 1, 2007, and December 31, 2008, the jurisprudence training course must be completed in order to renew the license. Completion of the jurisprudence training course shall count as 3 hours of the continuing education requirement for professional ethics and social work values, as referenced in §781.508(b) of this title."

Section 781.509(6) is modified to replace the term "examination" with the term "training course." Section 781.514(8) is modified to repeat the language of §781.503(l).

Comment: One commenter wrote the board and addressed the proposed jurisprudence examination requirement for licensed social workers. The commenter expressed neither support nor opposition for the rule proposal, but did make observations and ask questions.

Response: These observations and questions were examined as part of the dialogue with stakeholders who were present at the Rules Committee and board meetings. No change was made as a result.

Comment: One commenter addressed §781.508(b), and stated that the rule as proposed is unclear, and provided suggested language.

Response: The board agrees that the rule could be improved. The board and the commenter, who was present at the Rules Committee and board meetings, discussed this matter at length. The following change to the rule was adopted at the meeting, with the commenter's support: "As part of the required 30 clock-hours, a licensee must complete a minimum of six clock-hours of continuing education in professional ethics and social work values during the biennial renewal period." Additionally, it was agreed that §781.508(c) should be deleted and the remainder of the section relettered accordingly.

Comment: One commenter addressed §781.209(c) and expressed concern that the rule not be used to prevent valuable vehicles for input to the board, such as the appointment of a statewide task force to consider issues of importance.

Response: The board agrees. The rule as proposed will apply to standing board committees, in compliance with the board's enabling statute. The board will continue to seek broad-based input from the regulated community in a variety of ways, as the need arises, such as the formation of a statewide task force to study important issues and make recommendations to the board. No change was made as a result of the comment.

Comment: One commenter expressed opposition to the proposal to increase licensing and renewal fees.

Response: The board disagrees. A fee increase is necessary in order to maintain current levels of service by the board office. The Texas Legislature passed the General Appropriations Act, House Bill 1, 79th Regular Session (2005). Article 2 of the General Appropriations Act, Rider 85 Contingent Appropriation of Additional Fee Revenues, authorized the collection of additional revenue in the form of fees, which would then be appropriated to pay for expenses of Health Care Professional programs, including licensed social workers. No change was made as a result of the comment.

Comment: One commenter expressed support for §781.301(c) as an excellent additional educational requirement for new license holders.

Response: The board agrees and appreciates the comment. No change was made as a result of the comment.

Comment: One commenter did not indicate opposition or support for the rule proposal, but did express concerns about continuing education in general, noting that he has no computer or internet access to complete automated training course, expressing concerns about the high cost of traveling to workshops, and recommending that all continuing education be available through the completion of correspondence courses.

Response: The board disagrees. The board's continuing education requirements are flexible and provide for a variety of learning platforms to meet individual needs. Board-approved continuing education providers offer both in-person and independent study programs throughout the state. Computers with internet access are widely available in public libraries and other venues, including in the city of the commenter's residence. No change was made as a result of the comment.

Four comment letters were received. One commenter was an individual. Other commenters were National Association of Social Workers--Texas Chapter, Texas Society for Clinical Social Work, and Texas Association of Social Work Deans and Directors. Commenters were generally in favor of the rule proposal, but expressed concerns, asked questions, and made recommendations. Some commenters did express opposition to specific provisions, as described in this preamble.

Subchapter A. GENERAL PROVISIONS

22 TAC §781.102

The amendment is authorized by Occupations Code, §505.201, which authorizes the board to adopt rules necessary to perform the board's duties, and to establish standards of conduct and ethics for license holders; by Occupations Code, §505.203, which authorizes the board to set fees; and by Occupations Code, §505.404, which requires the board to establish mandatory continuing education requirements for license holders.

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 April 14, 2006.

TRD-200602155

Charles Horton

Executive Director

Texas State Board of Social Worker Examiners

Effective date: May 4, 2006

Proposal publication date: October 28, 2005

For further information, please call: (512) 458-7111 x6972


Subchapter B. THE BOARD

22 TAC §§781.203, 781.209, 781.210, 781.217

The amendments are authorized by Occupations Code, §505.201, which authorizes the board to adopt rules necessary to perform the board's duties, and to establish standards of conduct and ethics for license holders; by Occupations Code, §505.203, which authorizes the board to set fees; and by Occupations Code, §505.404, which requires the board to establish mandatory continuing education requirements for license holders.

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 April 14, 2006.

TRD-200602156

Charles Horton

Executive Director

Texas State Board of Social Worker Examiners

Effective date: May 4, 2006

Proposal publication date: October 28, 2005

For further information, please call: (512) 458-7111 x6972


Subchapter C. LICENSES AND LICENSING PROCESS

22 TAC §§781.301, 781.302, 781.305, 781.306, 781.310, 781.311, 781.318

The amendments and new section are authorized by Occupations Code, §505.201, which authorizes the board to adopt rules necessary to perform the board's duties, and to establish standards of conduct and ethics for license holders; by Occupations Code, §505.203, which authorizes the board to set fees; and by Occupations Code, §505.404, which requires the board to establish mandatory continuing education requirements for license holders.

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 April 14, 2006.

TRD-200602157

Charles Horton

Executive Director

Texas State Board of Social Worker Examiners

Effective date: May 4, 2006

Proposal publication date: October 28, 2005

For further information, please call: (512) 458-7111 x6972


Subchapter E. LICENSE RENEWAL AND CONTINUING EDUCATION

22 TAC §§781.503, 781.508, 781.509, 781.514

The amendments are authorized by Occupations Code, §505.201, which authorizes the board to adopt rules necessary to perform the board's duties, and to establish standards of conduct and ethics for license holders; by Occupations Code, §505.203, which authorizes the board to set fees; and by Occupations Code, §505.404, which requires the board to establish mandatory continuing education requirements for license holders.

§781.503.License Renewal.

(a) At least 45 days prior to the expiration of a license, the board will send notice to a licensee that includes the expiration date of the license, a schedule of the renewal and penalty fees, and continuing competency activities needed to complete the renewal requirements.

(b) A license renewal form shall be furnished to licensees eligible for renewal. The form shall require the licensee to provide current addresses; telephone numbers; continuing education completed; a signed statement regarding any civil lawsuits, criminal cases and convictions or any complaints against, investigations involving, or actions against the licensee by any licensing or certification body; and a statement of continuing compliance with the Act and this chapter.

(c) The executive director will respond in writing to the application for renewal within 15 working days of initial receipt and of receipt of a completed application (if the initial application is deficient) notifying the applicant that his or her license is renewed, that the application is deficient, or that renewal is proposed for denial. Failure to process a renewal application in the time periods stated shall be governed by §781.305(h) and (i) of this title (relating to Application for Licensure).

(d) The board shall renew the license of a social worker whom has met all requirements for renewal including payment of all fees and submission of documentation of completion of all required continuing education.

(e) If a licensee has made timely and sufficient application for renewal, the license does not expire until the board has acted on the renewal. If the licensee claims to have made timely and sufficient application and is otherwise eligible for license renewal, his or her license will be considered to be current until the renewal is issued or until the board office receives the information that timely and sufficient application was not made.

(f) A licensee who has been recommended for disciplinary action must file a timely and complete application for license renewal. If the licensee fails to pay all fees or to document completion of required continuing education he or she must cease all social work practice until all requirements for license renewal are complete.

(g) The board may deny the renewal of a license if the licensee is a party to a formal disciplinary action. A formal action commences when the notice described in §781.602(c) of this title (relating to Disciplinary Action and Notices) is mailed by the board.

(h) A license that is not revoked or suspended as a result of formal proceedings shall be renewed provided that all other requirements are met.

(i) In the case of delay in the license renewal process because of formal disciplinary action, penalty fees shall not apply.

(j) If a complaint against a licensee is in process on the date that his or her license renewal is due:

(1) a notice will be sent to the licensee, certified mail return receipt requested to the mailing address on file with the board, requiring the licensee to renew his or her license or return his or her license to the board;

(2) the notice will state that the complaint process will continue until its final resolution or if the license is renewed; and

(3) unless the return receipt is received by the board, receipt of the notice will be presumed to have occurred as provided in §781.602 of this title.

(k) The board may refuse to renew the license of a person who fails to pay an administrative penalty imposed in accordance with the Act unless the enforcement of the penalty is stayed or a court has ordered that the administrative penalty is not owed.

(l) For all licenses renewed between January 1, 2007 and December 31, 2008, the jurisprudence training course must be completed each renewal period in order to renew the license. Completion of the jurisprudence training course shall count as three hours of the continuing education requirement for professional ethics and social work values, as referenced in §781.508(b) of this title (relating to Hour Requirements for Continuing Education).

§781.508.Hour Requirements for Continuing Education.

(a) A licensee must complete a total of 30 clock-hours of continuing education biennially obtained from board approved continuing education providers.

(b) As part of the required 30 clock-hours, a licensee must complete a minimum of six clock-hours of continuing education in professional ethics and social work values during the biennial renewal period.

(c) A clock-hour is defined as 60 minutes of standard time.

(d) A licensee may earn credit for ethics as a presenter or a participant.

(e) On petition by a licensee, the executive director may waive part, but not all, of the continuing education renewal requirements for good and just cause or may permit the licensee an additional period of time in which to complete all continuing education requirements. In all cases, the decision of the executive director may be appealed to the Professional Development Committee of the board. Should the committee overturn the decision of the executive director, the committee may elect to waive the late fees accrued or determine that the late fees should be paid by the licensee. Should the decision of the executive director be upheld by the committee and the licensee be denied in the appeal, all late fees accrued will apply.

§781.509.Types of Acceptable Continuing Education.

Continuing education undertaken by a licensee shall be acceptable to the board as credit hours if the education falls in one or more of the following categories:

(1) participating in institutes, seminars, workshops, conferences, independent study programs, post graduate training programs, college academic or continuing education courses which are related to or enhance the practice of social work and are offered or sponsored by a board approved provider;

(2) teaching or presenting the activities described in paragraph (1) of this section;

(3) writing a published work or making a presentation directed toward or applicable to the profession of social work;

(4) providing professional guidance as a field instructor for social work interns in connection with a college or university accredited by or in candidacy status with CSWE;

(5) providing supervision to a social worker participating in the program in accordance with §781.313 of this title (relating to the Alternative Method of Examining Competency (AMEC) Program); or

(6) completion of the board's jurisprudence training course no more than once per renewal period, unless the board directs otherwise.

§781.514.Credit Hours Granted.

The board will grant the following credit hours toward the continuing education requirements for license renewal.

(1) One credit hour will be given for each hour of participation in a continuing education program by an approved provider.

(2) Credit may be earned, post-licensure, through successfully completing postgraduate training programs (e.g., intern, residency, or fellowship programs) or successfully completing social work related courses which are part of the curriculum of a graduate school of social work at a rate of five credit hours per each semester hour or its equivalent not to exceed 10 hours per renewal period. A licensee may complete the ethics requirement in §781.508(a)(2) of this title (relating to Hour Requirements for Continuing Education) only through a course specifically designated as an ethics course.

(3) Credit may be earned for teaching social work courses in an accredited college or university. Credit will be applied at the rate of five credit hours for every course taught, not to exceed 15 hours per renewal period. A licensee may complete the ethics requirement in §781.508(a)(2) of this title only through teaching a course specifically designated as an ethics course.

(4) A field instructor for a social work intern will be granted five credit hours for each college semester completed, not to exceed 20 credit hours per renewal period.

(5) A presenter of a continuing education program or an author of a published work, which imparts social work knowledge and skills, may be granted five credit hours for each original or substantially revised presentation or publication, not to exceed 10 credit hours per renewal period.

(6) Credit hours may be earned by successful completion of an independent study program directly related to social work offered or approved by an approved provider. With the exception of persons residing outside the United States, a maximum of 10 credit hours for independent study programs will be accepted per renewal period.

(7) A licensee may carry over to the next renewal period up to 10 credit hours earned in excess of the continuing education renewal requirements. Continuing education earned during the licensee's birth month may be used for the current renewal or for the following year.

(8) For all licenses renewed between January 1, 2007 and December 31, 2008, the jurisprudence training course must be completed in order to renew the license. Completion of the jurisprudence training course shall count as three hours of the continuing education requirement in professional ethics and social work values, as referenced in §781.508(b) of this title.

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 April 14, 2006.

TRD-200602158

Charles Horton

Executive Director

Texas State Board of Social Worker Examiners

Effective date: May 4, 2006

Proposal publication date: October 28, 2005

For further information, please call: (512) 458-7111 x6972


Subchapter F. COMPLAINTS AND VIOLATIONS

22 TAC §§781.602, 781.607, 781.608

The amendments are authorized by Occupations Code, §505.201, which authorizes the board to adopt rules necessary to perform the board's duties, and to establish standards of conduct and ethics for license holders; by Occupations Code, §505.203, which authorizes the board to set fees; and by Occupations Code, §505.404, which requires the board to establish mandatory continuing education requirements for license holders.

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 April 14, 2006.

TRD-200602159

Charles Horton

Executive Director

Texas State Board of Social Worker Examiners

Effective date: May 4, 2006

Proposal publication date: October 28, 2005

For further information, please call: (512) 458-7111 x6972


Subchapter G. FORMAL HEARINGS

22 TAC §§781.701 - 781.704

The amendment and new sections are authorized by Occupations Code, §505.201, which authorizes the board to adopt rules necessary to perform the board's duties, and to establish standards of conduct and ethics for license holders; by Occupations Code, §505.203, which authorizes the board to set fees; and by Occupations Code, §505.404, which requires the board to establish mandatory continuing education requirements for license holders.

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 April 14, 2006.

TRD-200602160

Charles Horton

Executive Director

Texas State Board of Social Worker Examiners

Effective date: May 4, 2006

Proposal publication date: October 28, 2005

For further information, please call: (512) 458-7111 x6972


22 TAC §§781.702 - 781.707

The repeals are authorized by Occupations Code, §505.201, which authorizes the board to adopt rules necessary to perform the board's duties, and to establish standards of conduct and ethics for license holders; by Occupations Code, §505.203, which authorizes the board to set fees; and by Occupations Code, §505.404, which requires the board to establish mandatory continuing education requirements for license holders.

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 April 14, 2006.

TRD-200602161

Charles Horton

Executive Director

Texas State Board of Social Worker Examiners

Effective date: May 4, 2006

Proposal publication date: October 28, 2005

For further information, please call: (512) 458-7111 x6972


Subchapter H. SANCTION GUIDELINES

22 TAC §781.803

The amendment is authorized by Occupations Code, §505.201, which authorizes the board to adopt rules necessary to perform the board's duties, and to establish standards of conduct and ethics for license holders; by Occupations Code, §505.203, which authorizes the board to set fees; and by Occupations Code, §505.404, which requires the board to establish mandatory continuing education requirements for license holders.

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 April 14, 2006.

TRD-200602162

Charles Horton

Executive Director

Texas State Board of Social Worker Examiners

Effective date: May 4, 2006

Proposal publication date: October 28, 2005

For further information, please call: (512) 458-7111 x6972


Part 37. TEXAS BOARD OF ORTHOTICS AND PROSTHETICS

Chapter 821. ORTHOTICS AND PROSTHETICS

The Texas Board of Orthotics and Prosthetics (board) adopts amendments to §§821.1, 821.2, 821.5 - 821.7, 821.9, 821.15, 821.17, 821.23, 821.27 - 821.29, 821.33 and 821.35, and the repeal of §821.25, concerning the licensure and regulation of orthotists, prosthetists, assistants, technicians, students, and orthotic and prosthetic facilities without changes to the proposed text as published in the December 23, 2005, issue of the Texas Register (30 TexReg 8614) and, therefore, the sections will not be republished.

The changes were made necessary by House Bill 2292, 78th Legislature, Regular Session, (2003), which changed the name of the "Texas Department of Health" to the "Department of State Health Services"; by the expiration of time for the filing and processing of applications under the grandfather provisions of Occupations Code, Chapter 605; by the need to establish guidelines for determining unique qualifications under Occupations Code, §605.254(a)(2); and to correct and simplify the rules.

The sections delete all references to provisional licensing; change "comprehensive orthotic care" to "extensive orthotic practice"; change "comprehensive prosthetic care" to "extensive prosthetic practice"; correctly identifies the agency, the "Department of State Health Services", to which the board is administratively attached; correct citations; allow applicants to submit professional references from practitioners who are licensed or certified by another state or national organization; disallow for renewal of a temporary license if the licensee has failed an examination administered by the board; require applicants to receive prior approval from the executive director before completing the required 80-hour planned, structured, and personalized tutorial after failing the examination three times; require applicants to wait a period of three years before reapplying for licensure and examination if they fail the examination six times; remove the language that allows applicants to qualify for licensure and examination as an orthotist and prosthetist with an associate's degree; require a bachelor's degree for student registration renewal; require accredited facilities to have the equipment and capabilities to provide casting, measuring, fitting, repairs and adjustments; and require accredited facilities to have a mirror that is attached to the wall or on a freestanding base for patient ambulation. The repeal deletes the sections pertaining to the provisional license.

No comments were received during the comment period concerning the proposed rules.

22 TAC §§821.1, 821.2, 821.5 - 821.7, 821.9, 821.15, 821.17, 821.23, 821.27 - 821.29, 821.33, 821.35

The amendments are adopted under Texas Occupations Code, Chapter 605, which provides the Texas Board of Orthotics and Prosthetics with the authority to adopt rules concerning the regulation of orthotists and prosthetists.

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 April 14, 2006.

TRD-200602181

Wanda Furgason

Presiding Officer

Texas Board of Orthotics and Prosthetics

Effective date: May 4, 2006

Proposal publication date: December 23, 2005

For further information, please call: (512) 458-7111 x6972


22 TAC §821.25

The repeal is adopted under Texas Occupations Code, Chapter 605, which provides the Texas Board of Orthotics and Prosthetics with the authority to adopt rules concerning the regulation of orthotists and prosthetists.

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 April 14, 2006.

TRD-200602182

Wanda Furgason

Presiding Officer

Texas Board of Orthotics and Prosthetics

Effective date: May 4, 2006

Proposal publication date: December 23, 2005

For further information, please call: (512) 458-7111 x6972