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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| HOUSE BILL |
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| INTRODUCED BY HARKINS, CONKLIN, D. COSTA, DeLUCA, MURT, M. O'BRIEN AND JOSEPHS, FEBRUARY 8, 2011 |
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| REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, FEBRUARY 8, 2011 |
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| AN ACT |
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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. |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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.-- |
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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. |
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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: |
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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: |
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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 |
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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 |
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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 |
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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 |
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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. |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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. |
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