2009 Regular Session

To: Public Health and Human Services

By: Representative Holland (By Request)

House Bill 458

(As Passed the House)



     SECTION 1.  This act shall be known and may be cited as the "Oriental Medicine Practice Act."  Whenever a reference is made to the Oriental Medicine Practice Act by the provisions of any statute, it is to be construed as referring to the provisions of this act.
     SECTION 2.  (1)  In its concern with the need to eliminate the fundamental causes of illness and with the need to treat the whole person, the Legislature intends to establish in this act a framework for the practice of the art and science of Oriental medicine.

     (2)  The purposes of this act are to encourage the effective utilization of the skills relative to practitioners of Oriental medicine by citizens desiring their services; to remove the existing legal constraints that unnecessarily hinder the effective provision of health care services; and to subject individuals practicing Oriental medicine to regulation and control as a primary and independent health care profession.
     SECTION 3.  As used in this act, unless the context otherwise requires, the following terms shall have the following meanings:                                                                                        (a)  "Accredited college of Oriental medicine" means any college, school or division of a university or college that offers the degree of Master of Science in Oriental Medicine (MSOM) or its equivalent and that is accredited by the Accreditation Commission of Acupuncture and Oriental medicine (ACAOM).

          (b)  "Acupuncturist" means a person who has received a professional degree from a college of Oriental medicine.

          (c)  "Acupuncturist-patient relationship" means that the acupuncturist has assumed the responsibility for making clinical judgments regarding the health of the patient and the need for medical treatment, and the patient has agreed to follow the acupuncturist's instructions.
          (d)  "Board" means the State Board of Oriental Medicine.                                                                                  (e)  "Complementary and integrative therapies" means a heterogeneous group of preventive, diagnostic, and therapeutic philosophies and practices, which at the time they are performed may differ from current scientific knowledge, or whose theoretical basis and techniques may diverge from western medicine routinely taught in accredited medical colleges, or both.  These therapies include, but are not limited to, acupuncture, acutherapy and acupressure.                                                                                                                  (f)  "Impaired practitioner" means a practitioner who is unable to practice Oriental medicine with reasonable skill and safety because of a physical or mental disability as evidenced by a written determination from a competent authority or written consent based on clinical evidence, including deterioration of mental capacity, loss of motor skills, or abuse of drugs or alcohol of sufficient degree to diminish the person's ability to deliver competent patient care.

          (g)  "Informed consent" means the Oriental medicine practitioner has informed the patient, in a manner that would be understood by a reasonable person, of the diagnostic and treatment options, risk assessment and prognosis and has provided the patient with an estimate of the charges for treatment to be rendered and the patient has consented to the recommended treatment.

          (h)  "NCCAOM" means the National Certification Commission for Acupuncture and Oriental Medicine.

          (i)  "Oriental medicine practitioner" means a practitioner licensed under this act to practice Oriental medicine in this state and includes the terms "acupuncture practitioner" and "acupuncturist."
          (j)  "Oriental medicine" means the distinct system of primary health care that uses all diagnostic and treatment techniques of Oriental medicine, both traditional and modern, for the prevention or correction of any disease, illness, injury, pain or other condition.

          (k)  "Physician" means a doctor of medicine or osteopathy who is legally authorized to practice medicine in the State of Mississippi.  

          (l)  "Practice of Oriental medicine" means:

               (i)  To treat, correct, change, alleviate or prevent disease, illness, pain, deformity, defect, injury or other physical or mental conditions by certain methods or modes, including:

                    1.  The prescribing, dispensing, administering or applying of an apparatus or other therapeutic technique; or

                    2.  The using of complementary and integrative therapies; or

                    3.  The rendering of advice or recommendation by any means including telephonic and other electronic communications with regard to any of the above.

               (ii)  To represent, directly or indirectly, publicly or privately, an ability and willingness to do an act described in this paragraph (l).

               (iii)  To use any title, words, abbreviation or letters in a manner or under circumstances that induce the belief that the person using them is qualified to do any act described in this paragraph (l).
          (m)  "Techniques of Oriental medicine" includes acupuncture, moxibustion or heating modalities, cupping, magnets, ion pumping cords, cold laser, electroacupuncture including electrodermal assessment, application of cold packs, dietary, nutritional and lifestyle counseling, manual therapy (Tui Na), massage, breathing and exercise techniques, the administration of any herb and nutritional supplement, meridian therapy, and the ordering of diagnostic imaging or laboratory testing.  The terms used in this paragraph (m) are defined as follows:

               (i)  "Acupuncture" means the insertion and manipulation of needles to the body, and the use of Oriental medicine and other modalities and procedures at specific locations on the body, for the prevention, cure, or correction of any disease, illness, injury, pain, or other condition.

               (ii)  "Cupping" means the heating of air or mechanical creation of suction in a cup, application to specific locations on the body to induce local vasodialation and mechanical expansion of underlying tissue.

               (iii)  "Ion pumping cords" means the application of wires containing diodes to acupuncture needles that have been placed on the body.

               (iv)  "Magnets" means the application of magnets to specific locations on the body.

               (v)  "Cold laser" means the noninvasive application of devices known as "light amplification by stimulated emission of radiation," or "laser," to specific locations on the body.

               (vi)  "Electroacupuncture including electrodermal assessment" means the use of electronic biofeedback, and electrostimulation instruments.

               (vii)  "Cold packs" means the application of cold packs and ice to specific locations on the body to reduce heat conditions or inflammation in surface tissues of the body.

               (viii)  "Dietary, nutritional, and lifestyle counseling" means in depth patient interviews and counseling to determine whether poor dietary, lifestyle, or nutritional practices are a factor in a patient's illness and to educate toward a healthier lifestyle.

               (ix)  "Manual therapy (Tui Na) and Massage" means manipulation of skeletal and soft tissues.

               (x)  "Breathing and exercise techniques" means the use of Qi Gong and other techniques of therapeutic breathing and exercise.

               (xi)  "Administration of herbal and botanical substances" means the administration of herbs of animal, vegetable, or mineral origin for health maintenance and the treatment of effects of disease.

               (xii)  "Vitamin, mineral, or nutritional supplement" means a nutritional substance, including a concentrate or extract of such a substance.

               (xiii)  "Devices for meridian therapy" means all assessment and/or treatment devices for use with acupuncture meridians.

               (xiv)  "Diagnostic imaging or laboratory testing" means modern diagnostic methods, including blood tests, urinalysis, x-ray, and thermography.

     SECTION 4.  (1)  All of the following shall apply to an Oriental medicine practitioner who is licensed to practice in Mississippi:

          (a)  The practitioner shall perform acupuncture for a patient only if the patient has received a written referral or prescription for acupuncture from a physician.  As specified in the referral or prescription, the acupuncturist shall provide reports to the physician on the patient's condition or progress in treatment and comply with the conditions or restrictions on the acupuncturist's course of treatment.

          (b)  The practitioner shall perform acupuncture under the general supervision of the patient's referring or prescribing physician.  General supervision does not require that the acupuncturist and physician practice in the same office.

          (c)  Before treating a patient, the practitioner shall advise the patient that acupuncture is not a substitute for conventional medical diagnosis and treatment and shall obtain the informed consent of the patient.

          (d)  On initially meeting a patient in person, the practitioner shall provide in writing the practitioner’s name, business address, and business telephone number, and information on acupuncture, including the techniques that are used.

          (e)  While treating a patient, the practitioner shall not make a diagnosis.  If a patient's condition is not improving or a patient requires emergency medical treatment, the practitioner shall consult promptly with a physician.

     (2)  This section shall stand repealed on July 1, 2013.

     SECTION 5.  (1)  All of the following shall apply to an Oriental medicine practitioner's supervising physician for a patient:

          (a)  Before making the referral or prescription for acupuncture, the physician shall perform a medical diagnostic examination of the patient or review the results of a medical diagnostic examination recently performed by another physician.

          (b)  The physician shall make the referral or prescription in writing and specify in the referral or prescription all of the following:

               (i)  The physician's diagnosis of the ailment or condition that is to be treated by acupuncture;

               (ii)  A time by which or the intervals at which the practitioner must provide reports to the physician regarding the patient's condition or progress in treatment; and

               (iii)  The conditions or restrictions placed on the practitioner's course of treatment.

          (c)  The physician shall be personally available for consultation with the practitioner.  If the physician is not on the premises at which acupuncture is performed, the physician shall be readily available to the practitioner through some means of telecommunication and be in a location that under normal circumstances is not more than sixty (60) minutes travel time away from the location where the practitioner is practicing.

     (2)  This section shall stand repealed on July 1, 2013.

     SECTION 6.  There is created the "State Board of Oriental Medicine," which shall have authority to administer and enforce the provisions of this act as an arm of the State Board of Medical Licensure.  The board's authority and responsibility include the following:

          (a)  Grant, deny, renew, restrict, suspend, or revoke licenses to practice Oriental medicine in accordance with the provisions of this act or other applicable state law.

          (b)  Examine by established protocol the qualifications and fitness of applicants for a license to practice Oriental medicine in this state.

          (c)  Conduct investigations of suspected violations of this act to determine whether there are sufficient grounds to initiate disciplinary proceedings.         

          (d)  Adopt and use a seal.

          (e)  Administer oaths, take testimony and issue subpoenas on any matters within the board's jurisdiction as an arm of the State Board of Medical Licensure.

          (f)  Inspect premises and equipment, on a triennial basis and assess an inspection fee in the amount of One Hundred Dollars ($100.00) per inspection and an additional fee of Fifty Dollars ($50.00) for each licensed acupuncturist employed by the inspected establishment.

          (g)  Hold hearings on all matters properly brought before the board, to administer oaths, receive evidence, make necessary determinations and enter orders consistent with the findings.  The board may require by subpoena the attendance and testimony of witnesses and the production of papers, records or other documentary evidence and commission depositions.  The board may designate one or more of its members to serve as its hearing officer.  The board shall adopt rules and regulations for hearings before the board and the rules shall afford any person appearing before the board the safeguards of procedural due process.  Formal rules of evidence shall not apply.

          (h)  Contract with independent consultants or other appropriate agencies to administer examinations for licensure, according to the provisions of this act; and

          (i)  Establish and publish annually a schedule of fees for licensing and certification.

          (j)  Keep and maintain accurate records of all board business in accordance with state law.

     The powers enumerated in this section are granted for the purpose of enabling the board to supervise effectively the practice of Oriental medicine and are to be construed liberally to accomplish this objective.

     SECTION 7.  (1)  The board shall consist of seven (7) persons appointed by the Governor, with one (1) member appointed from each congressional district and one (1) member appointed from each Supreme Court district.  Three (3) members of the board shall be Oriental medicine practitioners who are not medical, osteopathic, or chiropractic doctors or surgeons, and who have practiced Oriental medicine for at least five (5) years and are licensed in accordance with this act, except that those Oriental medicine practitioners first appointed to the board need not be licensed, but shall be persons who would qualify for licensure under this act.  Two (2) members of the board shall be medical doctors, one (1) of whom must be registered to practice acupuncture or qualify as an Oriental medicine practitioner.  Two (2) members of the board shall be appointed to represent the public and shall not have practiced any form of medicine previously in this or any other jurisdiction, nor have any financial interest in any health care field.
     (2)  The initial members of the board shall be appointed by the Governor for staggered terms as follows:  two (2) members shall be appointed for terms ending on July 1, 2010, two (2) members shall be appointed for terms ending on July 1, 2011, and three (3) members shall be appointed for terms ending on July 1, 2012.  After the expiration of the initial terms, each successor member shall be appointed for a term of three (3) years from the expiration date of the previous term.  A vacancy shall be filled by appointment by the Governor for the remainder of the unexpired term.  Board members shall serve until their successors have been appointed and qualified.
     (3)  No board member shall serve more than two (2) consecutive full terms, and any member failing to attend three (3) consecutive meetings after proper notice has been given by the board shall automatically be removed as a board member, unless excused for reasons set forth in board regulations.
     (4)  A person who is required to register with the state as a lobbyist may not serve on the board.
     (5)  A person who is, or has been in the preceding two (2) years, on the faculty of an educational institute or commission that is subject to review by the board, may not serve on the board.
     (6)  The Governor may remove any member from the board for neglect of any duty required by law, for incompetence, for improper or unprofessional conduct as defined by board regulations, for conflict of interest, or for any reason that would justify the suspension or revocation of his or her license to practice Oriental medicine.
     SECTION 8.  (1)  The board may adopt, amend or repeal, in accordance with the provisions of the Mississippi Administrative Procedures Law (Section 25-43-1.101 et seq.), any regulations as may be necessary to enable it to carry into effect the provisions of law relating to the practice of Oriental medicine.
     (2)  A majority of the members of the board shall constitute a quorum to conduct business.
     (3)  It shall require an affirmative vote of a majority of those members present at a meeting to take any action or pass any motion.
     (4)  Members of the board shall receive per diem as provided in Section 25-3-69 and shall be reimbursed for expenses and mileage as provided in Section 25-3-41, and shall receive no other compensation, perquisite or allowance for service on the board.

     SECTION 9.  (1)  The board shall employ personnel as necessary for the administration of this act.
     (2)  The board shall, not later than September 1, 2009, and annually thereafter in the month of July, hold a meeting and elect from its membership a chairman and vice chairman.  The board shall meet at any other times as it deems necessary or advisable by the chairman, a majority of its members, or the Governor.  Reasonable notice of all meetings shall be given in the manner prescribed by the Open Meetings Law (Section 25-3-41 et seq.).
     (3)  Members of the board are not liable to civil action for any act performed in good faith in the execution of duties as a board member.
     (4)  The board shall report annually to the Legislature statistics regarding the number of licensees, results of the licensing examinations, and violations investigated during the previous year.  The report also shall contain recommendations for legislation if the board deems it necessary.

     SECTION 10.  Unless licensed as an Oriental medicine practitioner under this act, or exempt from licensure under the provisions of this act, no person shall practice or hold himself or herself out as practicing or engaging in the practice of Oriental medicine, either for compensation or gratuitously.
     SECTION 11.  (1)  An Oriental medicine practitioner license authorizes the holder to engage in the practice of Oriental medicine.
     (2)  This act shall not be construed to limit, interfere with, or prevent any other class of licensed health care professionals from practicing within the scope of their licenses as defined by each profession's state licensing statute.
     (3)  This act shall not be construed to make unlawful the activities of persons involved in research performed under the auspices of a federal or state regulated research institution.
     SECTION 12.  (1)  No person shall be licensed to practice Oriental medicine unless he or she has passed an examination and/or has been found to have the necessary qualifications as prescribed in the regulations adopted by the board.
     (2)  Before any applicant is eligible for an examination or qualification, he or she shall furnish satisfactory proof that he or she:

          (a)  Is a citizen or permanent resident of the United States;

          (b)  Has demonstrated proficiency in the English language;

          (c)  Is at least twenty-one (21) years of age;

          (d)  Is of good moral character;

          (e)  Has completed a program of Oriental medicine and has received a certificate or diploma from an institute approved by the board, according to the provisions of this act;

          (f)  Has completed a clinical internship training as approved by the board; and

          (g)  Has received training in cardiopulmonary resuscitation (CPR).

     (3)  The board may hold an examination at least once a year, and all applicants shall be notified in writing of the date and time of all examinations.  The board may use a NCCAOM examination if it deems that national examination to be sufficient to qualify a practitioner for licensure in this state.  In no case shall the state's own examination be less rigorous than the nationally recognized examination.
     (4)  In addition to the written examination, if the nationally recognized examination does not provide a suitable practical examination comparable to board standards, the board shall examine each applicant in the practical application of Oriental medical diagnostic and treatment techniques in a manner and by methods that reveal the applicant's skill and knowledge.
     (5)  The board shall require all qualified applicants to be examined in the following subjects:

          (a)  Anatomy and physiology;

          (b)  Pathology;

          (c)  Diagnosis;

          (d)  Hygiene, sanitation and sterilization techniques;

          (e)  All major Oriental medicine principles, practices and techniques; and

          (f)  Clean Needle Technique Exam.

     (6)  The board shall issue a license to every applicant whose application has been filed with and approved by the board and who has paid the required fees and who either:

          (a)  Has passed the board's written examination and practical examination, with a score of not less than seventy percent (70%) on each examination; or

          (b)  Has achieved a passing score on a board approved nationally recognized examination, which examination includes a written and practical portion, as determined by the board; or

          (c)  Has received certification from a board approved national certification process; or

          (d)  Has achieved a passing score on a board approved nationally recognized written examination and has passed the board's practical examination with a score of not less than seventy percent (70%).

     (7)  The board shall keep a record of all examinations held, together with the names and addresses of all persons taking examinations, and the examination results.  Within forty-five (45) days after the examination, the board shall give written notice of the results of the examination to each applicant.

     SECTION 13.  The board may, at its discretion, issue a license without examination to an Oriental medicine practitioner who has been licensed, certified, or otherwise formally legally recognized as an acupuncturist or Oriental medicine practitioner in any state or territory if all three (3) of the following conditions are met to its satisfaction:
          (a)  The applicant meets the requirements of practice in the state or territory in which the applicant is licensed, certified, or registered as an acupuncturist or Oriental medicine practitioner;
          (b)  The requirements for practice in the state or territory in which the applicant is licensed, certified, or registered as an acupuncturist or Oriental medicine practitioner are at least as stringent as those of this state; and
          (c)  The state or territory in which the applicant is licensed, certified, or legally recognized as an acupuncturist or Oriental medicine practitioner permits an Oriental medicine practitioner licensed in this state to practice acupuncture or Oriental medicine in that jurisdiction by credentials examination.
     SECTION 14.  (1)  The board shall establish, by regulation, mandatory continuing education requirements for Oriental medicine practitioners licensed in this state, including the following:

          (a)  Each person licensed under this act, whether or not residing within the state, shall complete thirty (30) hours of continuing education within each biennial renewal period, except during the initial biennial renewal period; and
          (b)  Each person not obtaining the required number of hours of continuing education may have his or her license renewed for just cause, as determined by the board, so long as the board requires that the deficient hours of continuing education, and all unpaid fees, are made up during the following renewal period in addition to the current continuing education requirements for the renewal period.  If any Oriental medicine practitioner fails to make up the deficient hours and complete the later renewal period, or, fails to make up any unpaid fees, then his or her license shall not be renewed until all fees are paid and all of the required hours are completed and documented to the board.
     (2)  The board shall establish by regulation education standards and record keeping requirements for continuing education providers.  A provider of continuing education courses shall apply to the board for approval to offer continuing education courses for credit toward this requirement on a form developed by the board, shall pay a fee covering the cost of approval and for monitoring of the provider by the board.  Institutions, associations, and individuals providing continuing education shall maintain records of attendance, including sign-in sheets, for a period of three (3) years.
     SECTION 15.  (1)  The board shall establish standards for approval of schools and colleges offering education and training in the practice of Oriental medicine.
     (2)  Before approval of an institute of Oriental medicine, the board shall determine that the institute meets standards of professional education.  These standards shall provide that the institute:

          (a)  Require, as a prerequisite to graduation, a program of study of at least two thousand five hundred (2,500) hours;

          (b)  Meet the minimum requirements of a board approved national accrediting body;

          (c)  Require participation in a carefully supervised clinical or internship program; and

          (d)  Confer a certificate, diploma, or degree in Oriental medicine only after personal attendance in classes and clinics.

     SECTION 16.  (1)  Any acupuncturist validly licensed, certified, or registered under prior law of this state shall be deemed as licensed under the provisions of this act.
     (2)  All acupuncturists licensed under this section shall not accept or perform professional responsibilities that the licensee knows or has reason to know that the person is not qualified by training, experience or certification to perform.  Violation of this section shall subject the licensee to the revocation or suspension of his or her license.  The board shall make regulations on those requirements and shall grant previously licensed, certified, or registered acupuncturists qualification on a case-by-case basis.
     (3)  The board shall require each licensee to obtain and maintain an adequate amount of professional liability insurance and provide proof of that insurance to the board.

     SECTION 17.  (1)  Persons licensed under this act shall be subject to the following reporting requirements:

          (a)  All morbidity, mortality, infectious disease, abuse and neglect reporting requirements of this state;

          (b)  Reporting completion of the required continuing education study to the board with his or her license renewal;

          (c)  Notification of the board in writing of any change of address within thirty (30) days of the change;

          (d)  Notification of the board in writing of termination or temporary closing of the licensee's practice if the cessation of business is expected to be over ninety (90) days, or otherwise limit access to patient records.  The licensee shall notify the board upon resuming practice; and

          (e)  Posting his or her license in a conspicuous location in his or her place of practice at all times.

     (2)  Persons licensed under this act shall be subject to the following record keeping requirements:

          (a)  Maintenance of accurate records of each patient that he or she treats.  The records shall include the name of the patient, medical history, subjective symptoms, objective findings, and treatment rendered;

          (b)  Maintenance of patient records for a period of seven (7) years; and

          (c)  Maintenance of documents proving completion of required continuing education study for a period of three (3)  years.

     SECTION 18.  (1)  Oriental medicine practitioners shall comply with all applicable public health laws of this state.
     (2)  Sanitation practices shall include:

          (a)  Hands shall be washed with soap and water or other disinfectant between treatment of different patients;

          (b)  Skin in the area of penetration shall be swabbed with alcohol or other germicidal solution before inserting needles;

          (c)  Needles and other equipment used in the practice of Oriental medicine shall be sterilized before using;

          (d)  Needles and other hazardous waste shall be disposed of in a manner prescribed by law; and

          (e)  Other sanitation practices shall be observed to insure health and safety of patients, as prescribed by the board.

     SECTION 19.  The following acts constitute grounds for which the board may initiate disciplinary actions:
          (a)  Attempting to obtain, or renewing a license to practice Oriental medicine by bribery or misinterpretation;
          (b)  Having a license to practice Oriental medicine revoked, suspended, or otherwise acted against, including the denial of licensure by the licensing authority of another state or territory for reasons that would preclude licensure in this state;
          (c)  Being convicted or found guilty, regardless of adjudication, in any jurisdiction of a felony, or a crime of moral turpitude, or a crime that directly relates to Oriental medicine.  For the purposes of this paragraph, a plea of guilty or a plea of nolo contendere accepted by the court shall be considered as a conviction.

          (d)  Advertising, practicing, or attempting to practice under a name other than one's own;

          (e)  The use of advertising or solicitation that is false or misleading;

          (f)  Aiding, assisting, procuring, employing, or advertising an unlicensed person to practice Oriental medicine contrary to this act or a rule of the board;
          (g)  Failing to perform any statutory or legal obligation placed upon an Oriental medicine practitioner;

          (h)  Making or filing a report that the licensee knows to be false, intentionally or negligently failing to file a report required by state or federal law, willfully impeding or obstructing that filing or inducing another person to do so;  Those reports shall include only those that are signed in the capacity of an Oriental medicine practitioner;
          (i)  Exercising coercion, intimidation, or undue influence in entering into sexual relations with a patient, or continuing the patient-practitioner relationship with a patient with whom the licensee has sexual relations, if those sexual relations cause the licensee to perform services incompetently. This paragraph shall not apply to sexual relations between Oriental medicine practitioners and their spouses;
          (j)  Making deceptive, untrue, or fraudulent misrepresentations in the practice of Oriental medicine;
          (k)  Soliciting patients, either personally or through an agent, through the use of fraud, intimidation, or undue influence, or a form of overreaching conduct;
          (l)  Failing to keep written medical records justifying the course of treatment of the patient;
          (m)  Exercising undue influence on the patient to exploit the patient for financial gain of the licensee or of a third party;
          (n)  Being unable to practice Oriental medicine with reasonable skill and safety to patients by reason of illness or intemperate use of alcohol, drugs, narcotics, chemicals, or any other type of material or as a result of any mental or physical condition;
          (o)  Malpractice or the failure to practice Oriental medicine to that level of care, skill and treatment that is recognized by a reasonably prudent similar practitioner of Oriental medicine as being acceptable under similar conditions and circumstances;
          (p)  Practicing or offering to practice beyond the scope permitted by law or accepting or performing professional responsibilities that the licensee knows or has reason to know that he or she is not qualified by training, experience or certification to perform;
          (q)  Delegating professional responsibilities to a person when the licensee delegating that responsibilities knows, or has reason to know, that the person is not qualified by training, experience, or licensure to perform them;
          (r)  Violating any provision of this act, a rule of the board, or a lawful order of the board previously entered in a disciplinary hearing or failing to comply with a lawfully issued subpoena of the board;
          (s)  Conspiring with another to commit an act, or committing an act, that coerces, intimidates, or precludes another licensee from lawfully advertising or providing his or her services;

          (t)  Fraud or deceit, or gross negligence, incompetence, or misconduct in the operation of a course of study;
          (u)  Faili
ng to comply with state, county, or municipal regulations or reporting requirements relating to public health and the control of contagious and infectious disease;
          (v)  Failing to comply with any rule of the board relating to health and safety, including, but not limited to, sterilization of equipment and the disposal of potentially infectious materials;

          (w)  Incompetence, gross negligence or other malpractice in the practice of veterinary medicine;

          (x)  Aiding the unlawful practice of Oriental medicine;

          (y)  Fraud or dishonesty in the application or reporting of any test for disease;

          (z)  Failure to report, as required by law, or making false or misleading report of, any contagious or infectious disease;

          (aa)  Failure to keep accurate patient records; or

          (bb)  Failure to permit the board or its agents to enter and inspect acupuncture premises and equipment as set by rules promulgated by the board.

     SECTION 20.  (1)  Disciplinary proceedings under this act shall be conducted in the same manner as disciplinary proceedings are conducted by the State Board of Medical Licensure.
     (2)  When the board finds any person guilty of any of the acts set forth in Section 19 of this act, it may then enter an order imposing one or more of the following penalties:

          (a)  Refusal to certify to the board an application for licensure;

          (b)  Revocation or suspension of a license;

          (c)  Restriction of practice;

          (d)  Imposition of an administrative fine not to exceed One Thousand Dollars ($1,000.00) for each count or separate offense;

          (e)  Issuance of a reprimand;

          (f)  Placement of the Oriental medicine practitioner on probation for a period of time and subject to the conditions as the board may specify.

     (3)  In enforcing this act, upon finding of the board that probable cause exists to believe that the licensee is unable to serve as an Oriental medicine practitioner because of committing any of the acts set forth in Section 19 of this act or any of the crimes set forth in Section 21 of this act, the board shall have to issue an order to compel the licensee to submit to a mental or physical examination by a physician designated by the board.  If the licensee refuses to comply with the order, the board's order directing the examination may be enforced by filing a petition for enforcement in any court of competent jurisdiction.  The licensee against whom the petition is filed shall not be named or identified by initials in any public court record or document, and the proceedings shall be closed to the public unless the licensee stipulates otherwise.  The board shall be entitled to the summary procedure provided in applicable state law.  An Oriental medicine practitioner affected under this subsection shall at reasonable intervals be afforded an opportunity to demonstrate that he or she can resume the competent practice of Oriental medicine with reasonable skill and safety of the patients.  In any proceeding under this subsection, neither the record of proceedings nor the orders entered by the board shall be used against the Oriental medicine practitioner in any other proceeding.
     (4)  The board shall not reinstate the license of an Oriental medicine practitioner, or cause a license to be issued to a person it has deemed to be unqualified, until such time as the board is satisfied that he or she has complied with all the terms and conditions set forth in the final order and that he or she is capable of safely engaging in the practice of Oriental medicine.

     SECTION 21.  (1)  It is unlawful for any person to:

          (a)  Hold himself or herself out as an Oriental medicine practitioner unless licensed as provided in this act;

          (b)  Practice Oriental medicine, or attempt to practice Oriental medicine, without an active license or as otherwise permitted by board rule established under the authority of this act;

          (c)  Obtain, or attempt to obtain, a license to practice Oriental medicine by fraud or misrepresentation; or

          (d)  Permit an employed person to engage in the practice of Oriental medicine unless the person holds an active license as a practitioner of Oriental medicine, except as provided by this act.

     (2)  Any person who violates any provision of this section is guilty of a misdemeanor and, upon conviction, shall be punished by a fine of not more than One Thousand Dollars ($1,000.00), or by imprisonment in the county jail for not more than six (6) months, or both.

     SECTION 22.  (1)  The board shall establish a program of care, counseling or treatment for impaired acupuncturists.

     (2)  The program of care, counseling or treatment shall include a written schedule of organized treatment, care, counseling, activities or education satisfactory to the board designed for the purposes of restoring an impaired person to a condition by which the impaired person can practice Oriental medicine with reasonable skill and safety of a sufficient degree to deliver competent patient care.

     (3)  All persons authorized to practice by the board shall report in good faith any acupuncturist they reasonably believe to be an impaired practitioner as defined in Section 2 of this act.

     SECTION 23.  (1)  No licensed acupuncturist shall disclose any information concerning the licensed acupuncturist's care of a patient except on written authorization or by waiver by the licensed acupuncturist's patient or by court order, by subpoena, or as otherwise provided in this section.

     (3)  Any licensed acupuncturist releasing information under written authorization or other waiver by the patient or under court order, by subpoena, or as otherwise provided by this section shall not be liable to the patient or any other person.

     (4)  The privilege provided by this section shall be waived to the extent that the licensed acupuncturist's patient places the licensed acupuncturist's care and treatment of the patient or the nature and extent of injuries to the patient at issue in any civil criminal proceeding.

     SECTION 24.  Each licensee shall be required to pay biennial license renewal fees and meet continuing education requirements as provided in this act.
     SECTION 25.  (1)  A license that has expired may be renewed at any time within ninety (90) days after its expiration upon filing of an application for renewal on a form provided by the board and payment of the renewal fee in effect on the last regular renewal date.  If the license is not renewed within ninety (90) days after its expiration, the Oriental medicine practitioner, as a condition precedent to renewal, shall pay the renewal fees plus a late fee to be set by the board.
     (2)  A person who fails to renew his or her license within four (4) years after its expiration may not renew that license, and it may not be restored, reissued, or reinstated after that time; but that person may apply for and obtain a new license if he or she meets the following requirements:
          (a)  Takes and passes a suitable examination, or demonstrates continued practice and continuing education acceptable to the board; and
          (b)  Pays all fees that would be required if an initial application for licensure were being made.
     SECTION 26.  At any time while a license is valid, or expired but not lapsed, the licensee may request that his or her license be placed on inactive status.  While on inactive status, the licensee is not subject to fees or continuing education requirements.  As a condition of reinstatement, the licensee must satisfy the following requirements:

          (a)  Demonstrate that he or she has not committed any acts or crimes constituting grounds for denial of licensure under any provisions of this act;

          (b)  Pay fees to reactivate status as designated by the board;

          (c)  Meet continuing education requirements equivalent to those that would have been met in the preceding two (2) years; and

          (d)  Establish to the satisfaction of the board that, with due regard for the public interest, he or she is qualified to practice as an Oriental medicine practitioner.

     SECTION 27.  (1)  A suspended license is subject to expiration and shall be renewed as provided in this act, but while the license remains suspended, and until it is reinstated, the renewal does not entitle the practice of Oriental medicine, or any other activity or conduct in violation of the order of the board by which the license was suspended.
     (2)  A revoked license is subject to expiration as provided in this act but it may not be renewed.  If it is reinstated after its expiration, the former licensee, as a condition of reinstatement, shall pay a reinstatement fee in an amount equal to the renewal fee in effect on the last regular renewal fee date, if any, accrued at the time of its expiration.

     SECTION 28.  (1)  The board may charge reasonable fees for the following:

          (a)  Initial application fee for licensing;

          (b)  Written and practical examination not including the cost of the nationally recognized examination;

          (c)  Biennial licensing renewal for Oriental medicine practitioners;

          (d)  Late renewal more than thirty (30) days, but not later than one (1) year, after expiration of a license, which late fee is in addition to any other fees;

          (e)  Reciprocal licensing fee;

          (f)  Annual continuing education provider registration fee; and

          (g)  Any and all fees to cover reasonable and necessary administrative expenses.

     (2)  All fees shall be set forth in regulations duly adopted by the board.

     (3)  All fees and other funds collected under this act shall be deposited into a special fund that is created in the State Treasury to the account of the board, which shall use the same to defray the costs of administration of this act.

     SECTION 29.  This act shall take effect and be in force from and after July 1, 2009.