Bill Text: PA HB516 | 2011-2012 | Regular Session | Introduced


Bill Title: Regulating the licensure and practice of ophthalmic dispensing; establishing the State Board of Ophthalmic Dispensers; providing for its powers and duties; and providing penalties.

Spectrum: Moderate Partisan Bill (Democrat 5-1)

Status: (Introduced - Dead) 2011-02-08 - Referred to PROFESSIONAL LICENSURE [HB516 Detail]

Download: Pennsylvania-2011-HB516-Introduced.html

  

 

    

PRINTER'S NO.  483

  

THE GENERAL ASSEMBLY OF PENNSYLVANIA

  

HOUSE BILL

 

No.

516

Session of

2011

  

  

INTRODUCED BY HARKINS, CONKLIN, D. COSTA, DeLUCA, MURT, M. O'BRIEN AND JOSEPHS, FEBRUARY 8, 2011

  

  

REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, FEBRUARY 8, 2011  

  

  

  

AN ACT

  

1

Regulating the licensure and practice of ophthalmic dispensing;

2

establishing the State Board of Ophthalmic Dispensers;

3

providing for its powers and duties; and providing penalties.

4

The General Assembly of the Commonwealth of Pennsylvania

5

hereby enacts as follows:

6

Section 1.  Short title.

7

This act shall be known and may be cited as the Ophthalmic

8

Dispensing Practice and Licensure Act.

9

Section 2.  Definitions.

10

The following words and phrases when used in this act shall

11

have the meanings given to them in this section unless the

12

context clearly indicates otherwise:

13

"Advisory Committee on Continuing Professional Education" or

14

"advisory committee."  An advisory committee established under

15

section 4 to make recommendations to the State Board of

16

Ophthalmic Dispensers relating to continuing professional

17

education.

18

"Board."  The State Board of Ophthalmic Dispensers.

 


1

"Fitting of contact lenses."  A procedure in which a

2

prescribed contact lens is placed upon the eye of a patient and

3

the lens-cornea relationship is evaluated with the use of a

4

biomicroscope or slit-lamp.

5

"Ophthalmic dispensing."  The preparation and dispensing of

6

lenses, spectacles, eyeglasses or appurtenances thereto to the

7

intended wearers thereof on written prescriptions from

8

physicians, osteopaths or optometrists duly licensed to practice

9

their profession, and in accordance with such prescriptions,

10

interprets, measures, adapts, fits and adjusts such lenses,

11

spectacles, eyeglasses or appurtenances thereto to the human

12

face for the aid or correction of visual or ocular anomalies of

13

the human eye. The services and appliances relating to

14

ophthalmic dispensing shall be dispensed, furnished or supplied

15

to the intended wearer or user thereof only upon written

16

prescription issued by a physician, osteopath or optometrist;

17

but duplications, replacements, reproductions or repetitions may

18

be done without prescriptions, in which event any such act shall

19

be construed to be ophthalmic dispensing the same as if

20

performed on the basis of an original written prescription.

21

Section 3.  State Board of Ophthalmic Dispensers.

22

(a)  Establishment.--The State Board of Ophthalmic Dispensers

23

is established and shall consist of 13 members, all of whom

24

shall be residents of this Commonwealth. Eight members shall be

25

medical physicians or osteopaths experienced in the treatment

26

and examination of the human eye, who are licensed to practice

27

in this Commonwealth and who have been practicing in this

28

Commonwealth for at least the five-year period immediately

29

preceding their appointment. Three members shall be persons

30

representing the public at large, one member shall be the

- 2 -

 


1

Commissioner of Professional and Occupational Affairs and one

2

member shall be the Director of the Bureau of Consumer

3

Protection in the Office of Attorney General or the director's

4

designee. The professional and public members of the board shall

5

be appointed by the Governor with the advice and consent of a

6

majority of the members elected to the Senate.

7

(b)  Terms of office.--All professional and public members

8

shall serve for terms of four years. No member shall be eligible

9

for appointment to serve more than two consecutive terms. A

10

member may continue to serve for a period not to exceed six

11

months following the expiration of the member's term if a

12

successor has not been duly appointed and qualified according to

13

law.

14

(c)  Quorum.--A majority of the members of the board serving

15

in accordance with law shall constitute a quorum. Except for

16

temporary and automatic suspensions under section 12, a member

17

may not be counted as part of a quorum or vote on any issue

18

unless the member is physically in attendance at the meeting.

19

The board shall select, from among its membership, a

20

chairperson, a vice chairperson and a secretary.

21

(d)  Expenses of board members.--Each public and professional

22

member of the board shall be paid reasonable traveling, hotel

23

and other necessary expenses incurred in the performance of the

24

member's duties in accordance with Commonwealth regulations and

25

per diem compensation at the rate of $60 for each day of actual

26

service while on board business.

27

(e)  Effect of absences.--A member who fails to attend three

28

consecutive meetings shall forfeit the member's seat unless the

29

Commissioner of Professional and Occupational Affairs, upon

30

written request from the member, finds that the member should be

- 3 -

 


1

excused from a meeting because of illness or the death of an

2

immediate family member.

3

(f)  Appointment of successors.--In the event that a member

4

of the board dies, resigns or otherwise becomes disqualified

5

during a term of office, a successor shall be appointed in the

6

same manner and with the same qualifications as set forth in

7

subsection (a) and shall hold office for the unexpired term.

8

(g)  Effect of absence at mandatory seminars.--A public

9

member who fails to attend two consecutive statutorily mandated

10

seminars in accordance with section 813(e) of the act of April

11

9, 1929 (P.L.177, No.175), known as The Administrative Code of

12

1929, shall forfeit his or her seat unless the Commissioner of

13

Professional and Occupational Affairs, upon written request from

14

the public member, finds that the public member should be

15

excused from a meeting because of illness or the death of a

16

family member.

17

Section 4.  Powers and duties of board.

18

(a)  General rule.--The board shall have the following

19

duties:

20

(1)  To meet at least four times annually at a place

21

within this Commonwealth determined by the board for the

22

transaction of its business.

23

(2)  To prescribe the subjects to be tested, authorize

24

written and practical portions of the examination and

25

contract with a professional testing organization for

26

examinations of qualified applicants for licensure at least

27

twice annually at such times and places as designated by the

28

board. All written, oral and practical examinations shall be

29

prepared and administered by a qualified and approved

30

professional testing organization in accordance with section

- 4 -

 


1

812.1 of the act of April 9, 1929 (P.L.177, No.175), known as

2

The Administrative Code of 1929.

3

(3)  To require every licensee to insure liability by

4

purchasing and maintaining professional liability insurance

5

coverage in accordance with the following provisions:

6

(i)  Beginning with the first license renewal period

7

at least two years after the effective date of this

8

paragraph or upon first making application for licensure,

9

whichever occurs earlier, a licensee shall obtain and

10

maintain, to the satisfaction of the board, professional

11

liability insurance coverage in the minimum amount of

12

$200,000 per occurrence and $600,000 per annual

13

aggregate. The professional liability insurance coverage

14

shall remain in effect as long as the licensee maintains

15

a current license.

16

(ii)  A licensee shall notify the board within 30

17

days of the licensee's failure to be covered by the

18

required insurance. Failure to notify the board shall be

19

actionable under section 9 or 11. The license to practice

20

shall automatically be suspended upon failure to be

21

covered by the required insurance and shall not be

22

restored until submission to the board of satisfactory

23

evidence that the licensee has the required professional

24

liability insurance coverage.

25

(iii)  The board shall accept from licensees as

26

satisfactory evidence of insurance coverage, under this

27

paragraph, proof of any or all of the following: self-

28

insurance, personally purchased professional liability

29

insurance, professional liability insurance coverage

30

provided by the licensee's employer or any similar type

- 5 -

 


1

of coverage.

2

(iv)  The board, after consultation with the

3

Insurance Commissioner, shall establish standards and

4

procedures by regulation for self-insurance under this

5

paragraph.

6

(4)  To record all licenses in its office.

7

(5)  To grant a license to practice ophthalmic dispensing

8

in this Commonwealth to any applicant for licensure who has

9

passed the prescribed examination and otherwise complied with

10

the provisions of this act.

11

(6)  To appoint an Advisory Committee on Continuing

12

Professional Education which shall consist of consultants who

13

are ophthalmic dispensing educators and ophthalmic dispensing

14

practitioners to serve with the Deputy Secretary for Higher

15

Education or the deputy secretary's designee.

16

(7)  To submit annually to the Department of State an

17

estimate of the financial requirements of the board for its

18

administrative, investigative, legal and miscellaneous

19

expenses.

20

(8)  To submit annually to the Appropriations Committee

21

of the Senate and the Appropriations Committee of the House

22

of Representatives, 15 days after the Governor has submitted

23

the annual budget to the General Assembly, a copy of the

24

budget request for the upcoming fiscal year which the board

25

previously submitted to the Department of State.

26

(9)  To submit annually to the Consumer Protection and

27

Professional Licensure Committee of the Senate and the

28

Professional Licensure Committee of the House of

29

Representatives a report containing a description of the

30

types of complaints received, status of cases, board action

- 6 -

 


1

which has been taken and the length of time from the initial

2

complaint to final board resolution.

3

(10)  To require all ophthalmic dispensers to provide to

4

their patients information on the existence, powers,

5

functions and duties of the board, including the procedure

6

for bringing a complaint to the board. If such information is

7

available through a publication of the Department of State,

8

providing a copy of such publication to the patient may

9

satisfy the requirements of this paragraph.

10

(b)  Additional powers.--The board shall have the following

11

powers:

12

(1)  To grant, refuse, revoke, limit or suspend any

13

license to practice ophthalmic dispensing in this

14

Commonwealth under the provisions of this act.

15

(2)  To conduct hearings, investigations and discovery

16

proceedings; to administer oaths or affirmations to

17

witnesses, take testimony, issue subpoenas to compel

18

attendance of witnesses or the production of records; and to

19

exercise all powers granted by law or regulation in

20

accordance with the general rules of administrative practice

21

and procedure. The board or its designated hearing examiner

22

may exercise the powers enumerated in this paragraph with

23

regard to both licensed ophthalmic dispensers and persons

24

practicing ophthalmic dispensing without a license.

25

(3)  To obtain injunctions from a court of competent

26

jurisdiction upon petition of the Commissioner of

27

Professional and Occupational Affairs or the board. In any

28

proceeding under this section, it shall not be necessary to

29

show that any person is individually injured by the actions

30

complained of. If the court finds that the respondent has

- 7 -

 


1

violated this subsection, it shall enjoin the person from so

2

practicing or holding himself out as an ophthalmic dispenser

3

until the person has been duly licensed or certified.

4

Procedure in such cases shall be the same as in any other

5

injunctive suit.

6

(4)  To recommend to the Commissioner of Professional and

7

Occupational Affairs such staff as is necessary to carry out

8

the provisions of this act.

9

(5)  To incur expenses, retain consultants, appoint

10

committees from its own membership and appoint advisory

11

committees which may include nonboard members.

12

(6)  To compensate at a rate fixed by the board

13

consultants and nonboard members of advisory committees.

14

(7)  To authorize the payment of special reimbursements

15

for the secretary of the board or any other designated member

16

of the board for rendering special services authorized by the

17

board.

18

(8)  To use qualified board hearing examiners to conduct

19

hearings and prepare adjudications for final review and

20

approval by the board, including disciplinary sanctions.

21

Nothing shall prohibit the board or a designated board member

22

from conducting such hearings.

23

(9)  To establish and administer a records system which

24

records shall be open to public inspection during the regular

25

business hours of the board.

26

(10)  To hold meetings, other than required by subsection

27

(a), for the conduct of its business upon giving public

28

notice of such meetings.

29

(11)  In consultation with a national accrediting body

30

recognized by the United States Department of Education and

- 8 -

 


1

the appropriate regional accrediting body recognized by the

2

United States Department of Education, to approve those

3

ophthalmic dispensing educational institutions in the United

4

States and Canada which are accredited for the purposes of

5

this act.

6

(12)  In consultation with the advisory committee, to

7

establish and approve by rule and regulation courses of

8

continuing professional ophthalmic dispensing education. Only

9

those educational programs as are available to all licensees

10

on a reasonable nondiscriminatory fee basis shall be

11

approved. Programs to be held within or outside this

12

Commonwealth may receive approval. The number of required

13

hours of study may not exceed those that are available at

14

approved courses held within this Commonwealth during the

15

applicable license renewal period. In cases of certified

16

illness or undue hardship, the board may waive the continuing

17

education requirement.

18

(13)  To certify, upon the written request of a licensee

19

and payment of the prescribed fee, that the licensee is

20

qualified for licensure and the practice of ophthalmic

21

dispensing in this Commonwealth.

22

(14)  To promulgate all rules and regulations necessary

23

to carry out the purposes of this act.

24

(15)  To administer and enforce the laws of this

25

Commonwealth relating to those activities involving

26

ophthalmic dispensing for which licensing is required under

27

this act and to instruct and require its agents to bring

28

prosecutions for unauthorized and unlawful practice.

29

(16)  To employ or contract, with the approval of the

30

Commissioner of Professional and Occupational Affairs, for

- 9 -

 


1

qualified ophthalmic dispensers to assist the board in the

2

conduct of the practical portions of the examinations

3

conducted by the board, for such reasonable compensation,

4

including expenses, as the board shall determine, in

5

accordance with section 812.1 of the act of April 9, 1929

6

(P.L.177, No.175), known as The Administrative Code of 1929.

7

(17)  To issue subpoenas upon application of an attorney

8

responsible for representing the Commonwealth in disciplinary

9

actions before the board for the purpose of investigating

10

alleged violations of the disciplinary provisions

11

administered by the board. The board shall have the power to

12

subpoena witnesses, to administer oaths, to examine witnesses

13

or to take testimony or compel the production of books,

14

records, papers and documents as it may deem necessary or

15

proper in and pertinent to any proceeding, investigation or

16

hearing held by the board. Ophthalmic dispensing records may

17

not be subpoenaed without consent of the patient or without

18

order of a court of competent jurisdiction on a showing that

19

the records are reasonably necessary for the conduct of the

20

investigation. The court may impose such limitations on the

21

scope of the subpoena as are necessary to prevent unnecessary

22

intrusion into patient confidential information. The board is

23

authorized to apply to Commonwealth Court to enforce its

24

subpoenas.

25

Section 5.  Reports to board.

26

An attorney who represents the Commonwealth in disciplinary

27

matters before the board shall notify the board immediately upon

28

receiving notification of an alleged violation of this act. The

29

board shall maintain current records of all reported alleged

30

violations and periodically review the records for the purpose

- 10 -

 


1

of determining that each alleged violation has been resolved in

2

a timely manner.

3

Section 6.  General qualifications for licensure.

4

(a)  General rule.--A license as an ophthalmic dispenser

5

shall be issued by the board to any person who files an

6

application, pays a fee of $50 and submits evidence under oath

7

satisfactory to the board that the applicant:

8

(1)  Is more than 18 years of age and of good moral

9

character.

10

(2)  Has graduated from high school or possesses a

11

General Educational Development certificate.

12

(3)  Has at least two years of satisfactory training and

13

experience in ophthalmic dispensing under the supervision of

14

an ophthalmic dispenser, physician, osteopath or optometrist

15

or is a graduate of an accepted school of ophthalmic

16

dispensing.

17

(4)  Has passed a satisfactory examination in ophthalmic

18

dispensing approved by the board.

19

(5)  Is not addicted to the use of alcohol or narcotics

20

or other habit-forming drugs.

21

(b)  Other requirements.--The board may establish further

22

requirements to be met by applicants before granting them the

23

right to take an examination.

24

(c)  Penalties for false statements.--An applicant who

25

knowingly makes a false statement of fact in an application for

26

examination shall be deemed to have violated this act and shall

27

be subject to the penalties specified in this act.

28

(d)  Grounds for refusal of license.--The board shall not

29

issue a license to an applicant who has been convicted of a

30

felony under the act of April 14, 1972 (P.L.233, No.64), known

- 11 -

 


1

as The Controlled Substance, Drug, Device and Cosmetic Act, or

2

of an offense under the laws of another jurisdiction which, if

3

committed in this Commonwealth, would be a felony under The

4

Controlled Substance, Drug, Device and Cosmetic Act, unless:

5

(1)  at least ten years have elapsed from the date of

6

conviction;

7

(2)  the applicant satisfactorily demonstrates to the

8

board that the applicant has made significant progress in

9

personal rehabilitation since the conviction such that

10

licensure of the applicant should not be expected to create a

11

substantial risk of harm to the health and safety of the

12

applicant's patients or the public or a substantial risk of

13

further criminal violations; and

14

(3)  the applicant otherwise satisfies the requirements

15

of this act.

16

Section 7.  Renewal of license.

17

(a)  General rule.--A person licensed by the board must apply

18

for renewal of the license by such methods as the board shall

19

determine by regulation, provided that the renewal period shall

20

not exceed two years.

21

(b)  Continuing education.--Beginning with the year 2011, a

22

license shall not be renewed by the board unless the ophthalmic

23

dispenser applying for renewal submits proof to the board that

24

during the two calendar years immediately preceding filing of

25

the application, the ophthalmic dispenser has satisfactorily

26

completed a minimum of 30 hours of continuing professional

27

ophthalmic dispensing education approved by the board. No credit

28

shall be given for any course in office management or practice

29

building.

30

(c)  Activity in other states, territories and countries.--

- 12 -

 


1

(1)  Any licensee of this Commonwealth who is also

2

licensed to practice ophthalmic dispensing in any other

3

state, territory or country shall report this information to

4

the board on the biennial renewal application. Any

5

disciplinary action taken in other states shall be reported

6

to the board on the biennial renewal application or within 90

7

days of final disposition, whichever is sooner.

8

(2)  Multiple licensure shall be noted on the licensee's

9

record by the board, and that state, territory or country

10

shall be notified by the board of any disciplinary action

11

taken against the licensee in this Commonwealth.

12

(d)  Inactive status.--

13

(1)  An ophthalmic dispenser who requests in writing to

14

place his license on inactive status may reactivate the

15

license after paying the required fees and showing proof of

16

meeting the continuing education requirement for the biennial

17

renewal period immediately preceding the request for

18

reactivation.

19

(2)  An ophthalmic dispenser who seeks to renew an

20

inactive license shall file with the board an affidavit

21

affirming that the ophthalmic dispenser has not practiced

22

ophthalmic dispensing in this Commonwealth during such period

23

the license was inactive.

24

Section 8.  Exemptions and exceptions.

25

(a)  General rule.--The licensure requirements of this act

26

shall not apply to ophthalmic dispensing officers in the medical

27

service of the armed forces of the United States, the United

28

States Public Health Service, the Veterans' Administration or

29

ophthalmic dispensers employed in Federal service, while in

30

discharge of their official duties.

- 13 -

 


1

(b)  Eligibility for exemption from examination.--The board

2

may, upon written application and payment of the regular

3

examination fee, issue a license without an examination to an

4

applicant who:

5

(1)  Is at least 21 years of age.

6

(2)  (i)  Has passed a standard examination in ophthalmic

7

dispensing in any other state or all parts of the

8

examination given by the National Board of Examiners in

9

Optometry, provided that the standards of the other state

10

or the National Board are equal to or exceed the

11

standards of this Commonwealth.

12

(ii)  Is licensed in another state and has practiced

13

in that state for a minimum of four years immediately

14

preceding the application.

15

(c)  Additional requirements.--The board may impose

16

additional uniform educational requirements as a requisite for

17

licensure.

18

(d)  Nonapplicability.--The provisions of this act shall not

19

apply to physicians licensed under the laws of this

20

Commonwealth.

21

(e)  Contact lens fittings.--

22

(1)  Nothing in this act shall be construed to prohibit

23

the fitting of contact lenses by a person acting under the

24

direction, personal supervision and control of a physician or

25

an optometrist within the standards of practice of that

26

respective profession.

27

(2)  Nothing in this act shall be construed to prohibit

28

any individual from fitting an appropriate contact lens for a

29

specific intended wearer and the complete assisting of such

30

wearer in the use of the contact lens, provided that:

- 14 -

 


1

(i)  The individual who fits the contact lens

2

successfully passed the examination administered by the

3

National Contact Lens Examiners as of July 14, 1986, and

4

is currently certified by the National Contact Lens

5

Examiners.

6

(ii)  The fitting is based on prescription of a

7

licensed physician or optometrist.

8

(iii)  The wearer is informed in writing to return to

9

the prescribing physician or optometrist for periodic

10

evaluation during the fit, at intervals not to exceed

11

three months or whenever the fitter feels professional

12

judgment is needed.

13

(iv)  The individual who passed the examination

14

administered by the National Contact Lens Examiners as of

15

July 14, 1986, submitted evidence of such successful

16

examination to the board by September 12, 1986.

17

(v)  The board shall compile and publish a list of

18

individuals who meet the requirements of this subsection

19

and shall enforce the provisions of this subsection.

20

(f)  Leasing space and franchise payments.--Nothing in this

21

act shall prohibit any optometrist from leasing space from an

22

establishment or from paying for franchise fees or other

23

services on a percentage of gross receipts basis.

24

Section 9.  Reasons for refusal, suspension, revocation or other

25

corrective actions.

26

(a)  General rule.--The board may refuse, revoke, limit or

27

suspend a license or take other corrective action authorized

28

under this act against an ophthalmic dispenser licensed to

29

practice ophthalmic dispensing in this Commonwealth for any or

30

all of the following reasons:

- 15 -

 


1

(1)  Failure of an applicant for licensure to demonstrate

2

the necessary qualifications as provided in this act or the

3

rules and regulations of the board.

4

(2)  Failure to permanently display in any location in

5

which he practices a license or a certified copy of a license

6

issued by the board.

7

(3)  Use of deceit or fraud in obtaining a license or in

8

the practice of ophthalmic dispensing.

9

(4)  Making misleading, deceptive, untrue or fraudulent

10

representations or advertisements in the practice of

11

ophthalmic dispensing.

12

(5)  Conviction of a felony or a crime involving moral

13

turpitude. Conviction shall include a finding or verdict of

14

guilt, an admission of guilt or a plea of nolo contendere.

15

(6)  Revocation, suspension or refusal to grant a license

16

to practice ophthalmic dispensing, or imposition of other

17

disciplinary action, by the proper licensing authority of

18

another state, territory or country.

19

(7)  (i)  Being unable to practice the profession with

20

reasonable skill and safety to patients by reason of

21

illness, addiction to drugs or alcohol, having been

22

convicted of a felonious act prohibited under the act of

23

April 14, 1972 (P.L.233, No.64), known as The Controlled

24

Substance, Drug, Device and Cosmetic Act, or convicted of

25

a felony relating to a controlled substance in a court of

26

law of the United States or any other state, territory,

27

possession or country, or if the applicant is or shall

28

become mentally incompetent.

29

(ii)  An applicant's statement on the application

30

declaring the absence of a conviction shall be deemed

- 16 -

 


1

satisfactory evidence of the absence of a conviction

2

unless the board has some evidence to the contrary.

3

(iii)  In enforcing this paragraph, the board shall,

4

upon probable cause, have authority to compel an

5

ophthalmic dispenser to submit to a mental or physical

6

examination by a physician or a psychologist approved by

7

the board.

8

(iv)  Failure of an ophthalmic dispenser to submit to

9

an examination when directed by the board, unless such

10

failure is due to circumstances beyond the ophthalmic

11

dispenser's control, shall constitute an admission of the

12

allegations against the ophthalmic dispenser, consequent

13

upon which a default and final order may be entered

14

without the taking of testimony or presentation of

15

evidence.

16

(v)  An ophthalmic dispenser affected under this

17

paragraph shall at reasonable intervals be afforded an

18

opportunity to demonstrate that the ophthalmic dispenser

19

can resume a competent practice of the profession with

20

reasonable skill and safety to patients.

21

(8)  Violation of a regulation promulgated or order

22

issued by the board in a previous disciplinary proceeding

23

against that licensee or applicant for licensure.

24

(9)  Knowingly aiding, assisting, procuring or advising

25

an unlicensed person or person who is in violation of this

26

act or the rules and regulations of the board to practice

27

ophthalmic dispensing.

28

(10)  Failure to conform to the acceptable and prevailing

29

standards of ophthalmic dispensing practice in rendering

30

professional service to a patient. Actual injury to a patient

- 17 -

 


1

need not be established.

2

(11)  Neglect of duty in the practice of ophthalmic

3

dispensing, which may include failure to refer a patient,

4

when appropriate, to a physician for consultation or further

5

treatment when an examination determines the presence of a

6

pathology.

7

(b)  Action authorized.--When the board finds that the

8

license of a person may be refused, revoked or suspended the

9

board may:

10

(1)  Refuse, revoke or suspend a license.

11

(2)  Administer a public reprimand.

12

(3)  Limit or otherwise restrict the licensee's practice

13

under this act.

14

(4)  Suspend any enforcement under this subsection and

15

place the licensee on probation, with the right to vacate the

16

probationary order and impose the enforcement.

17

(5)  Require a licensee to submit to the care, counseling

18

or treatment of a physician or a psychologist designated by

19

the board.

20

(6)  Restore or reissue, in its discretion, a suspended

21

license to practice ophthalmic dispensing and impose any

22

disciplinary or corrective measure which it might originally

23

have imposed.

24

(c)  Opportunity to defend.--A person affected by any action

25

of the board under this section shall be afforded an opportunity

26

to demonstrate that the person is no longer in violation of this

27

section.

28

(d)  Written complaints to be filed with board.--

29

(1)  A person may complain of a violation of the

30

provisions of this act or the rules and regulations of the

- 18 -

 


1

board by filing a written complaint with the board.

2

(2)  The board shall decide to dismiss the case, issue an

3

injunction or hold a hearing in accordance with the general

4

rules of administrative practice and procedure.

5

(3)  If the person filing the complaint is a member of

6

the board, the person shall disqualify himself from

7

participating as a member of the board in all procedures

8

related to the complaint.

9

(e)  Procedure and appeal.--Actions of the board shall be

10

taken subject to the right of notice, hearing, adjudication and

11

appeal accorded by law.

12

(f)  Waiting period for reinstatement.--

13

(1)  Unless ordered to do so by a court, the board shall

14

not reinstate the license of a person to practice as an

15

ophthalmic dispenser which has been revoked until at least

16

five years have elapsed from the effective date of the

17

revocation.

18

(2)  A person must apply for a license after such five-

19

year period in accordance with section 6 if the person

20

desires to practice ophthalmic dispensing at any time after

21

the revocation.

22

(g)  Automatic suspension.--

23

(1)  A license issued under this act shall automatically

24

be suspended upon:

25

(i)  the legal commitment of a licensee to an

26

institution because of mental incompetency from any cause

27

upon filing with the board a certified copy of such

28

commitment;

29

(ii)  conviction of a felony under The Controlled

30

Substance, Drug, Device and Cosmetic Act; or

- 19 -

 


1

(iii)  conviction of an offense under the laws of

2

another jurisdiction which, if committed in this

3

Commonwealth, would be a felony under The Controlled

4

Substance, Drug, Device and Cosmetic Act.

5

(2)  As used in this section the term "conviction" shall

6

include a judgment, an admission of guilt or a plea of nolo

7

contendere.

8

(3)  Automatic suspension under this subsection shall not

9

be stayed pending any appeal of a conviction. Restoration of

10

the license shall be made as provided in this act for

11

revocation or suspension of the license.

12

(h)  Temporary suspension.--

13

(1)  The board shall temporarily suspend a license under

14

circumstances as determined by the board to be an immediate

15

and clear danger to the public health or safety. The board

16

shall issue an order to that effect without a hearing, but

17

upon due notice to the licensee concerned, at the licensee's

18

last known address, shall include a written statement of all

19

allegations against the licensee.

20

(2)  The provisions of subsection (f) shall not apply to

21

temporary suspension.

22

(3)  The board shall commence formal action to suspend,

23

revoke or restrict the license of the person concerned as

24

otherwise provided for in this act.

25

(4)  All actions shall be taken promptly and without

26

delay. Within 30 days following the issuance of an order

27

temporarily suspending a license, registration or

28

certificate, the board shall conduct or cause to be conducted

29

a preliminary hearing to determine that there is a prima

30

facie case supporting the suspension.

- 20 -

 


1

(5)  The licensee whose license has been temporarily

2

suspended may be present at the preliminary hearing and may

3

be represented by counsel, cross-examine witnesses, inspect

4

physical evidence, call witnesses, offer evidence and

5

testimony and make a record of the proceedings.

6

(6)  If it is determined that there is not a prima facie

7

case, the suspended license shall be immediately restored.

8

The temporary suspension shall remain in effect until vacated

9

by the board but in no event longer than 180 days.

10

(i)  Penalty for refusal to return license.--The board shall

11

require a person whose license has been suspended or revoked to

12

return the license in such manner as the board directs. Failure

13

to surrender the license shall be a misdemeanor of the third

14

degree.

15

Section 10.  Impaired professionals.

16

(a)  Professional consultant to be appointed.--The board,

17

with the approval of the Commissioner of Professional and

18

Occupational Affairs, shall appoint and fix the compensation of

19

a professional consultant who is a licensee of the board or such

20

other professional as the board may determine with education and

21

experience in the identification, treatment and rehabilitation

22

of persons with physical or mental impairments. The consultant

23

shall be accountable to the board and treatment programs, such

24

as alcohol and drug treatment programs licensed by the

25

Department of Health, psychological counseling and impaired

26

professional support groups, which are approved by the board and

27

which provide services to licensees under this act.

28

(b)  Deferral or dismissal of corrective action.--

29

(1)  The board may defer and ultimately dismiss any of

30

the types of corrective action set forth under this act for

- 21 -

 


1

an impaired professional so long as the professional is

2

progressing satisfactorily in an approved treatment program,

3

provided that the provisions of this subsection shall not

4

apply to a professional convicted of a felonious act

5

prohibited under the act of April 14, 1972 (P.L.233, No.64),

6

known as The Controlled Substance, Drug, Device and Cosmetic

7

Act, or convicted of a felony relating to a controlled

8

substance in a court of law of the United States or any other

9

state, territory or country.

10

(2)  An approved program provider shall, upon request,

11

disclose to the consultant such information in its possession

12

regarding an impaired professional in treatment which the

13

program provider is not prohibited from disclosing by an act

14

of the Commonwealth, another state or the United States.

15

(3)  The duty of disclosure by an approved program

16

provider under paragraph (2) shall apply in the case of

17

impaired professionals who are the subject of a board

18

investigation or disciplinary proceeding and impaired

19

professionals who voluntarily enter a treatment program other

20

than under the provisions of this section but fail to

21

complete the program successfully or to adhere to an

22

aftercare plan developed by the program provider.

23

(c)  Agreement between board and impaired professional.--

24

(1)  An impaired professional who enrolls in an approved

25

treatment program shall enter into an agreement with the

26

board under which the professional's license shall be

27

suspended or revoked, but enforcement of that suspension or

28

revocation may be stayed for the length of time the

29

professional remains in the program and makes satisfactory

30

progress, complies with the terms of the agreement and

- 22 -

 


1

adheres to any limitations on his practice imposed by the

2

board to protect the public.

3

(2)  Failure to enter into such an agreement shall

4

disqualify the professional from the impaired professional

5

program and shall activate an immediate investigation and

6

disciplinary proceeding by the board.

7

(d)  Effect of unsatisfactory progress.--If, in the opinion

8

of the consultant after consultation with the provider, an

9

impaired professional who is enrolled in an approved treatment

10

program has not progressed satisfactorily, the consultant shall

11

disclose to the board all information in his possession

12

regarding said professional, and the board shall institute

13

proceedings to determine if the stay of the enforcement of the

14

suspension or revocation of the impaired professional's license

15

shall be vacated.

16

(e)  Civil immunity.--An approved program provider who makes

17

disclosure under this section shall not be subject to civil

18

liability for such disclosure or its consequences.

19

(f)  Duty to report.--

20

(1)  Any hospital or health care facility, peer or

21

colleague who has substantial evidence that a professional

22

has an active addictive disease for which the professional is

23

not receiving treatment, is diverting a controlled substance

24

or is mentally or physically incompetent to carry out the

25

duties of the professional's license shall make or cause to

26

be made a report to the board, provided that any person or

27

facility which acts in a treatment capacity to an impaired

28

professional in an approved treatment program is exempt from

29

the mandatory reporting requirements of this subsection.

30

(2)  Any person or facility that reports under this

- 23 -

 


1

section in good faith and without malice shall be immune from

2

any civil or criminal liability arising from such report.

3

(3)  Failure to provide such report within a reasonable

4

time from receipt of knowledge of impairment shall subject

5

the person or facility to a fine of not more than $1,000. The

6

board shall levy this penalty only after affording the

7

accused party the opportunity for a hearing as provided in 2

8

Pa.C.S. (relating to administrative law and procedure).

9

Section 11.  Violations and penalties.

10

(a)  General rule.--

11

(1)  It is unlawful for any person in this Commonwealth

12

to engage in the practice of ophthalmic dispensing or pretend

13

to have knowledge of any branch or branches of the practice

14

of ophthalmic dispensing or to hold himself forth as a

15

practitioner of ophthalmic dispensing, unless the person has

16

fulfilled the requirements of this act and received a license

17

to practice ophthalmic dispensing in this Commonwealth.

18

(2)  A person convicted of practicing ophthalmic

19

dispensing without a license commits a misdemeanor and shall,

20

on first offense, be subject to a fine of not more than

21

$1,000 or imprisonment of not more than six months, or both.

22

Conviction on each additional offense shall result in a fine

23

of not less than $2,000 and imprisonment of not less than six

24

months or more than one year.

25

(b)  Penalty for other violations.--A person convicted of

26

violating a provision of this act, other than of subsection (a),

27

commits a summary offense and shall be fined not more than $500.

28

(c)  Civil penalty.--

29

(1)  In addition to any other civil remedy or criminal

30

penalty provided for in this act, the board, by a vote of the

- 24 -

 


1

majority of the maximum number of the authorized membership

2

of the board as provided for by this act or by a vote of the

3

majority of the qualified and confirmed membership or a

4

minimum of six members, whichever is greater, may levy a

5

civil penalty of up to $1,000 on any current licensee who

6

violates any provision of this act or on any person who

7

practices ophthalmic dispensing without being properly

8

licensed to do so under this act.

9

(2)  The board shall levy this penalty only after

10

affording the accused party the opportunity for a hearing, as

11

provided in 2 Pa.C.S. (relating to administrative law and

12

procedure).

13

(d)  Injunctive relief.--

14

(1)  It shall be unlawful for any person to practice or

15

attempt to offer to practice ophthalmic dispensing without

16

having at the time of so doing a valid, unexpired, unrevoked

17

and unsuspended license issued under this act.

18

(2)  The unlawful practice of ophthalmic dispensing may

19

be enjoined by the courts on petition of the board or the

20

Commissioner of Professional and Occupational Affairs.

21

(3)  In any such proceeding, it shall not be necessary to

22

show that any person is individually injured by the actions

23

complained of.

24

(4)  If it is found that the respondent has engaged in

25

the unlawful practice of ophthalmic dispensing, the court

26

shall enjoin the respondent from so practicing unless the

27

respondent has been duly licensed.

28

(5)  Procedure in such cases shall be the same as in any

29

other injunction suit. The remedy by injunction hereby given

30

is in addition to any other civil or criminal prosecution and

- 25 -

 


1

punishment.

2

(e)  Deposit of fines and civil penalties.--All fines and

3

civil penalties imposed in accordance with this section shall be

4

paid into the Professional Licensure Augmentation Account.

5

Section 12.  Fees and other moneys.

6

(a)  General rule.--The board shall fix or change fees for

7

initial licensure, examination, biennial license renewal,

8

verification of licensure or grades to other jurisdictions,

9

initial and renewal certified copies of licenses and biennial

10

renewal of branch offices.

11

(b)  Deposit of collected moneys.--Moneys collected under the

12

provisions of this act shall be paid into the Professional

13

Licensure Augmentation Account and disbursed according to law.

14

(c)  Fixing of fees.--

15

(1)  All fees required under this act shall be fixed by

16

the board by regulation and shall be subject to the act of

17

June 25, 1982 (P.L.633, No.181), known as the Regulatory

18

Review Act.

19

(2)  If the revenues raised by fees, fines and civil

20

penalties imposed under this act are insufficient to meet

21

expenditures over a two-year period, the board shall increase

22

those fees by regulation so that the projected revenues will

23

meet or exceed projected expenditures.

24

(d)  Increase of fees by Bureau of Professional and

25

Occupational Affairs.--If the Bureau of Professional and

26

Occupational Affairs determines that the fees established by the

27

board under subsection (c) are inadequate to meet the minimum

28

enforcement efforts required by this act, then the bureau, after

29

consultation with the board and subject to the Regulatory Review

30

Act, shall increase the fees by regulation in an amount that

- 26 -

 


1

adequate revenues are raised to meet the required enforcement

2

effort.

3

Section 30.  Effective date.

4

This act shall take effect in 60 days.

- 27 -

 


feedback