MISSISSIPPI LEGISLATURE

2004 Regular Session

To: Public Health and Human Services

By: Representative Holland

House Bill 1014

AN ACT TO AMEND SECTION 73-15-5, MISSISSIPPI CODE OF 1972, TO REVISE THE DEFINITION OF THE PRACTICE OF NURSING IN THE NURSING PRACTICE LAW TO INCLUDE THE ADMINISTRATION OF MEDICATIONS AND TREATMENTS PRESCRIBED BY LICENSED OPTOMETRISTS; TO AMEND SECTION 73-15-17, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT THE OFFICE OF THE BOARD OF NURSING SHALL BE LOCATED IN THE GREATER JACKSON AREA; TO AMEND SECTION 73-15-18, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT THE BOARD OF NURSING SHALL FACILITATE THE IMPLEMENTATION OF AN EDUCATIONAL PROGRAM FOR NURSING EDUCATORS REGARDING HEALTH CARE DELIVERY SYSTEM CHANGES AND THE IMPACT THAT THESE CHANGES WILL HAVE ON CURRICULUM AND ON THE SERVICE NEEDS OF NURSES; TO PROVIDE THAT THE BOARD SHALL DETERMINE THE CONTINUING EDUCATION NEEDS OF THE NURSING WORK FORCE AND FACILITATE THAT CONTINUING EDUCATION COURSEWORK THROUGH THE NURSING SCHOOLS AND PROGRAMS IN THE STATE; TO AMEND SECTIONS 73-15-19 AND 73-15-21, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT THE BOARD OF NURSING MAY REQUIRE APPLICANTS FOR LICENSURE AS A REGISTERED NURSE OR LICENSED PRACTICAL NURSE TO CONSENT TO A CRIMINAL HISTORY BACKGROUND CHECK BASED UPON FINGERPRINTS AND OTHER IDENTIFYING INFORMATION AND TO PAY A FEE FOR THE CRIMINAL HISTORY BACKGROUND CHECK; TO AMEND SECTION 73-15-29, MISSISSIPPI CODE OF 1972, TO INCREASE THE AMOUNT OF A FINE THAT THE BOARD MAY IMPOSE IN DISCIPLINARY ACTIONS AGAINST NURSING LICENSEES; TO AMEND SECTION 73-15-33, MISSISSIPPI CODE OF 1972, TO INCREASE THE MAXIMUM FINE THAT THE COURT MAY IMPOSE FOR CRIMINAL VIOLATIONS OF THE NURSING PRACTICE LAW; TO AMEND SECTION 73-15-35, MISSISSIPPI CODE OF 1972, TO CLARIFY CERTAIN LANGUAGE IN THE SECTION AUTHORIZING INJUNCTIONS TO PREVENT THE UNAUTHORIZED PRACTICE OF NURSING; AND FOR RELATED PURPOSES.

     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

     SECTION 1.  Section 73-15-5, Mississippi Code of 1972, is amended as follows:

     73-15-5.  (1)  "Board" means the Mississippi Board of Nursing.

     (2)  The "practice of nursing" by a registered nurse means the performance for compensation of services which require substantial knowledge of the biological, physical, behavioral, psychological and sociological sciences and of nursing theory as the basis for assessment, diagnosis, planning, intervention and evaluation in the promotion and maintenance of health; management of individuals' responses to illness, injury or infirmity; the restoration of optimum function; or the achievement of a dignified death.  "Nursing practice" includes, but is not limited to, administration, teaching, counseling, delegation and supervision of nursing, and execution of the medical regimen, including the administration of medications and treatments prescribed by any licensed or legally authorized physician, dentist or optometrist.  The foregoing shall not be deemed to include acts of medical diagnosis or prescriptions of medical, therapeutic or corrective measures, except as may be set forth by rules and regulations promulgated jointly by the State Board of Medical Licensure and the Mississippi Board of Nursing and implemented by the Mississippi Board of Nursing.

     (3)  The "practice of nursing" by a licensed practical nurse means the performance for compensation of services requiring basic knowledge of the biological, physical, behavioral, psychological and sociological sciences and of nursing procedures which do not require the substantial skill, judgment and knowledge required of a registered nurse.  These services are performed under the direction of a registered nurse or a licensed physician, * * * dentist or optometrist, and utilize standardized procedures in the observation and care of the ill, injured and infirm; in the maintenance of health; in action to safeguard life and health; and in the administration of medications and treatments prescribed by any licensed physician, * * * dentist or optometrist authorized by state law to prescribe.  On a selected basis, and within safe limits, the role of the licensed practical nurse shall be expanded by the board under its rule-making authority to more complex procedures and settings commensurate with additional preparation and experience.

     (4)  A "license" means an authorization to practice nursing as a registered nurse or a licensed practical nurse designated herein.

     (5)  A "registered nurse" is a person who is licensed or holds the privilege to practice under the provisions of this chapter and who practices nursing as defined herein.  "R.N." is the abbreviation for the title of Registered Nurse.

     (6)  A "licensed practical nurse" is a person who is licensed or holds the privilege to practice under this chapter and who practices practical nursing as defined herein.  "L.P.N." is the abbreviation for the title of Licensed Practical Nurse.

     (7)  A "registered nurse in clinical practice" is one who functions in any health care delivery system which provides nursing services.

     (8)  A "nurse educator" is a registered nurse who meets the criteria for faculty as set forth in a state accredited program of nursing for registered nurses, or a state approved program of nursing for licensed practical nurses, and who functions as a faculty member.

     (9)  A "consumer representative" is a person representing the interests of the general public, who may use services of a health agency or health professional organization or its members but who is neither a provider of health services, nor employed in the health services field, nor holds a vested interest in the provision of health services at any level, nor has an immediate family member who holds vested interests in the provision of health services at any level.

     (10)  "Privilege to practice" means the authorization to practice nursing in the state as described in the Nurse Licensure Compact provided for in Section 73-15-22.

     (11)  "Licensee" is a person who has been issued a license to practice nursing in the state or who holds the privilege to practice nursing in the state.

     SECTION 2.  Section 73-15-17, Mississippi Code of 1972, is amended as follows:

     73-15-17.  The Mississippi Board of Nursing is  authorized and empowered to:

          (a)  Adopt and from time to time revise such rules and regulations consistent with the law as shall be necessary to govern its proceedings and carry into effect the provisions of this chapter.

          (b)  Require the secretary to keep records of all meetings of the board and keep a record of all proceedings, and to prepare a register of registered nurses and a register of licensed practical nurses, all nurses appearing thereon to be duly licensed under this chapter, and which registers shall be open for public inspection at all reasonable times.

          (c)  Issue subpoenas, require attendance of witnesses, and administer oaths of persons giving testimony.

          (d)  Cause the prosecution of all persons violating the provisions of this chapter, and incur such necessary expenses therefor.

          (e)  Conduct hearings upon charges calling for discipline of a licensee or revocation of a license or of the privilege to practice.

          (f)  Present a true and full report to the Governor and the Legislature, together with statement of receipts and disbursements on or before February 1 of each year.

          (g)  Maintain an office in the greater Jackson area for the administration of this chapter.

          (h)  File an annual list of all certificates of registration issued by the board with the Secretary of State's office for both registered nurses and licensed practical nurses.

          (i)  File an annual list of all certificates of registration issued by the board to registered nurses, including addresses of the persons with the Mississippi Nurses' Association; and file a similar list of all certificates of registration issued to licensed practical nurses, including addresses of the persons, with the Mississippi Federation of Licensed Practical Nurses and the Mississippi Licensed Practical Nurses Association.

          (j)  Adopt a seal which shall be in the form of a circle with the image of an eagle in the center, and around the margin the words "Mississippi Board of Nursing," and under the image of the eagle the word "Official."  The seal shall be affixed to certificates and warrants issued by the board, and to all records sent up on appeal from its decisions.

          (k)  Schedule dates and locations for state board examinations for examining qualified applicants for licensure.

          (l)  Examine, license and renew licenses of duly qualified applicants.

          (m)  Appoint and employ a qualified person who shall not be a member of the board to serve as executive director, define the duties, fix the compensation, and delegate to him or her those activities that will expedite the functions of the board.  The executive director shall meet all the qualifications for board members, and shall in addition:

              (i)  Have had at least a master's degree in nursing, eight (8) years' experience as a registered nurse, five (5) of which shall be in teaching or in administration, or a combination thereof; and

              (ii)  Have been actively engaged in nursing for at least five (5) years immediately preceding appointment.

          (n)  Employ, discharge, define duties, and fix compensation of such other persons as may be necessary to carry out the provisions of this chapter.

          (o)  Secure the services of research consultants as deemed necessary who shall receive a per diem, travel and other necessary expenses incurred while engaged by the board.

          (p)  To enter into contracts with any other state or federal agency or with any private person, organization or group capable of contracting, if it finds such action to be in the public interest and in the furtherance of its responsibilities.

     SECTION 3.  Section 73-15-18, Mississippi Code of 1972, is amended as follows:

     73-15-18.  (1)  The Mississippi Board of Nursing is designated as the state agency responsible for the administration and supervision of the Nursing Workforce Program as an educational curriculum in the State of Mississippi.  It is the intent of the Legislature to develop a nursing work force able to carry out the scope of service and leadership tasks required of the profession by promoting a strong educational infrastructure between nursing practice and nursing education.  

     (2)  The Mississippi Board of Nursing is authorized to establish an Office of Nursing Workforce within the administrative framework of the board for the purpose of providing coordination and consultation to nursing education and practice.  The Nursing Workforce Program shall encompass five (5) interdependent components:

          (a)  Develop and facilitate implementation of a state educational program directed toward nursing educators regarding health care delivery system changes * * * and the impact that these changes will have on curriculum and on the service needs of nurses.

          (b)  Determine the continuing education needs of the nursing work force * * * and facilitate that continuing education coursework through the university/college schools of nursing in the state and the community/junior college nursing programs in the state.

          (c)  Promote and coordinate through the schools of nursing opportunities for nurses prepared at the associate degree and bachelor degree levels to obtain higher degrees.

          (d)  Apply for and administer grants from public and private sources for the development of the Nursing Workforce Program prescribed in this section.

          (e)  Establish systems to ensure an adequate supply of nurses to meet the health care needs of the citizens of Mississippi.  This will include, but is not limited to, gathering and quantifying dependable data on current nursing work force capacities and forecasting future requirements.  The Office of Nursing Workforce will report its findings annually to the Mississippi Legislature.

     (3)  Pursuant to the provisions of subsections (1) and (2), the Board of Nursing is authorized to provide for the services of an Office of Nursing Workforce Director and such other professional and nonprofessional staff as may be needed and as funds are available to the Board of Nursing to implement the Nursing Workforce Program prescribed in this section.  It shall be the responsibility of such professional staff to coordinate efforts of the bachelor degree schools of nursing, the associate degree schools of nursing and other appropriate agencies in the State of Mississippi to implement the Nursing Workforce Program.

     (4)  The Board of Nursing shall appoint a Nursing Workforce Advisory Committee composed of health care professionals, health agency administrators, nursing educators and other appropriate individuals to provide technical advice to the Office of Nursing Workforce created in this section.  The members of the committee shall be appointed by the Board of Nursing from a list of nominees submitted by appropriate nursing and health care organizations in the State of Mississippi.  The members of the committee shall receive no compensation for their services, but may be reimbursed for actual travel expenses and mileage authorized by law for necessary committee business.

     (5)  All funds made available to the Board of Nursing for the purpose of nursing work force shall be administered by the board office for that purpose.  The Board of Nursing is authorized to enter into contract with any private person, organization or entity capable of contracting for the purpose of administering this section.

     (6)  The Nursing Workforce Program and the Office of Nursing Workforce provided for in this section will be established and implemented only if sufficient funds are appropriated to or otherwise available to the Board of Nursing for that purpose.

     SECTION 4.  Section 73-15-19, Mississippi Code of 1972, is amended as follows:

     73-15-19.  (1)  Registered nurse applicant qualifications. Any applicant for a license to practice as a registered nurse shall submit to the board:

          (a)  An attested written application on a board of nursing form;

          (b)  Written official evidence of completion of a nursing program approved by the Board of Trustees of State Institutions of Higher Learning, or one approved by a legal accrediting agency of another state, territory or possession of the United States, the District of Columbia, or a foreign country which is satisfactory to this board;

          (c)  Evidence of competence in English related to nursing, provided the first language is not English;

          (d)  Written consent to a criminal history background check by the Mississippi Department of Public Safety and the United States Department of Justice based upon fingerprints and other identifying information required by these entities or state or national registries.  The applicant shall pay a fee not to exceed One Hundred Dollars ($100.00) for the criminal history background check; and

          (e)  Any other official records required by the board.

     The board may, in its discretion, refuse to accept the application of any person who has been convicted of a criminal offense under any provision of Title 97 of the Mississippi Code of 1972, as now or hereafter amended, or any provision of this chapter.

     (2)  Licensure by examination.

          (a)  Upon the board being satisfied that an applicant for a license as a registered nurse has met the qualifications set forth in subsection (1) of this section, the board shall proceed to examine such applicant in such subjects as the board shall, in its discretion, determine.  The subjects in which applicants shall be examined shall be in conformity with curricula in schools of nursing approved by the Board of Trustees of State Institutions of Higher Learning, or one approved by a legal accrediting agency of another state, territory or possession of the United States, the District of Columbia, or a foreign country which is satisfactory to the board.

          (b)  The applicant shall be required to pass the written examination as selected by the board.

          (c)  Upon successful completion of such examination, the board shall issue to the applicant a license to practice as a registered nurse.

          (d)  The board may use any part or all of the state board test pool examination for registered nurse licensure, its successor examination, or any other nationally standardized examination identified by the board in its rules.  The passing score shall be established by the board in its rules.

          (e)  The board may require the applicant for licensure by examination to submit written consent to a criminal history background check by the Mississippi Department of Public Safety and the United States Department of Justice based upon fingerprints and other identifying information required by these entities or state or national registries.  The applicant shall pay a fee not to exceed One Hundred Dollars ($100.00) for the criminal history background check.

     (3)  Licensure by endorsement.  The board may issue a license to practice nursing as a registered nurse without examination to an applicant who has been duly licensed as a registered nurse under the laws of another state, territory or possession of the United States, the District of Columbia, or a foreign country if, in the opinion of the board, the applicant meets the qualifications required of licensed registered nurses in this state and has previously achieved the passing score or scores on the licensing examination required by this state, at the time of his or her graduation.  The board may require the applicant for licensure by endorsement to submit written consent to a criminal history background check by the Mississippi Department of Public Safety and the United States Department of Justice based upon fingerprints and other identifying information required by these entities or state or national registries.  The applicant shall pay a fee not to exceed One Hundred Dollars ($100.00) for the criminal history background check.

     (4)  Requirements for rewriting the examination.  The board shall establish in its rules the requirements for rewriting the examination for those persons failing the examination on the first writing or subsequent rewriting.

     (5)  Fee.  The applicant applying for a license by  examination or by endorsement to practice as a registered nurse shall pay a fee * * * to the board.

     (6)  Temporary permit.

          (a)  The board may issue a temporary permit to practice nursing to a graduate of an approved school of nursing pending the results of the examination in Mississippi, and to a qualified applicant from another state, territory or possession of the United States, or District of Columbia, or pending licensure procedures as provided for elsewhere in this chapter. * * *

          (b)  The board may issue a temporary permit for a period of ninety (90) days to a registered nurse who is currently licensed in another state, territory or possession of the United States or the District of Columbia and who is an applicant for licensure by endorsement.  Such permit is not renewable except by board action.

          (c)  The board may issue a temporary permit to a graduate of an approved school of nursing pending the results of the first licensing examination scheduled after application.  Such permit is not renewable except by board action.

          (d)  The board may issue a temporary permit for a period of thirty (30) days to any registered nurse during the time enrolled in a nursing reorientation program.  This time period may be extended by board action. * * *

          (e)  The applicant shall pay a fee to the board for the temporary permit.

          (f)  The board may require the applicant for a temporary permit to submit written consent to a criminal history background check by the Mississippi Department of Public Safety and the United States Department of Justice based upon fingerprints and other identifying information required by these entities or state or national registries.  The applicant shall pay a fee not to exceed One Hundred Dollars ($100.00) for the criminal history background check.

          (g)  The board may adopt such regulations as are necessary to limit the practice of persons to whom temporary permits are issued.

     (7)  Temporary license.  The board may issue a temporary license to practice nursing at a youth camp licensed by the State Board of Health to nonresident registered nurses and retired resident registered nurses under the provisions of Section 75-48-8.

     (8)  Title and abbreviation.  Any person who holds a license or holds the privilege to practice as a registered nurse in this state shall have the right to use the title "registered nurse" and the abbreviation "R.N."  No other person shall assume such title or use such abbreviation, or any words, letters, signs or devices to indicate that the person using the same is a registered nurse.

     (9)  Registered nurses licensed under a previous law.  Any person holding a license to practice nursing as a registered nurse issued by this board which is valid on July 1, 1981, shall thereafter be deemed to be licensed as a registered nurse under the provisions of this chapter upon payment of the fee provided in Section 73-15-27.

     (10)  Each application or filing made under this section shall include the social security number(s) of the applicant in accordance with Section 93-11-64.

     SECTION 5.  Section 73-15-21, Mississippi Code of 1972, is amended as follows:

     73-15-21.  (1)  Licensed practical nurse applicant qualifications.  Any applicant for a license to practice practical nursing as a licensed practical nurse shall submit to the board:

          (a)  An attested written application on a Board of Nursing form;

          (b)  A diploma from an approved high school or the equivalent thereof, as determined by the appropriate educational agency;

          (c)  Written official evidence of completion of a practical nursing program approved by the State Department of Education through its Division of Vocational Education, or one approved by a legal accrediting agency of another state, territory or possession of the United States, the District of Columbia, or a foreign country which is satisfactory to this board;

          (d)  Evidence of competence in English related to nursing, provided the first language is not English;

          (e)  Written consent to a criminal history background check by the Mississippi Department of Public Safety and the United States Department of Justice based upon fingerprints and other identifying information required by these entities or state or national registries.  The applicant shall pay a fee not to exceed One Hundred Dollars ($100.00) for the criminal history background check; and

          (f)  Any other official records required by the board.

     The board may, in its discretion, refuse to accept the application of any person who has been convicted of a criminal offense under any provision of Title 97 of the Mississippi Code of 1972, as now or hereafter amended, or any provision of this chapter.

     (2)  Licensure by examination.

          (a)  Upon the board being satisfied that an applicant for a license as a practical nurse has met the qualifications set forth in subsection (1) of this section, the board shall proceed to examine such applicant in such subjects as the board shall, in its discretion, determine.  The subjects in which applicants shall be examined shall be in conformity with curricula in schools of practical nursing approved by the State Department of Education.

          (b)  The applicant shall be required to pass the written examination selected by the board.

          (c)  Upon successful completion of such examination, the board shall issue to the applicant a license to practice as a licensed practical nurse.

          (d)  The board may use any part or all of the state board test pool examination for practical nurse licensure, its successor examination, or any other nationally standardized examination identified by the board in its rules.  The passing score shall be established by the board in its rules.

          (e)  The board may require the applicant for licensure by examination to submit written consent to a criminal history background check by the Mississippi Department of Public Safety and the United States Department of Justice based upon fingerprints and other identifying information required by these entities or state or national registries.  The applicant shall pay a fee not to exceed One Hundred Dollars ($100.00) for the criminal history background check.

     (3)  Licensure by endorsement.  The board may issue a license to practice practical nursing as a licensed practical nurse without examination to an applicant who has been duly licensed as a licensed practical nurse under the laws of another state, territory or possession of the United States, the District of Columbia, or a foreign country if, in the opinion of the board, the applicant meets the qualifications required of licensed practical nurses in this state and has previously achieved the passing score or scores on the licensing examination required by this state at the time of his or her graduation.  The board may require the applicant for licensure by endorsement to submit written consent to a criminal history background check by the Mississippi Department of Public Safety and the United States Department of Justice based upon fingerprints and other identifying information required by these entities or state or national registries.  The applicant shall pay a fee not to exceed One Hundred Dollars ($100.00) for the criminal history background check.

     (4)  Licensure by equivalent amount of theory and clinical experience.  In the discretion of the board, former students of a state accredited school preparing students to become registered nurses may be granted permission to take the examination for licensure to practice as a licensed practical nurse, provided the applicant's record or transcript indicates the former student completed an equivalent amount of theory and clinical experiences as required of a graduate of a practical nursing program, and provided the school attended was, at the time of the student's attendance, an accredited school of nursing.

     (5)  Requirements for rewriting the examination.  The board shall establish in its rules the requirements for rewriting the examination for those persons failing the examination on the first writing or subsequent writing.

     (6)  Fee.  The applicant applying for a license by examination or by endorsement to practice as a licensed practical nurse shall pay a fee * * * to the board.

     (7)  Temporary permit.

          (a)  The board may issue a temporary permit to practice practical nursing to a graduate of an approved school of practical nursing pending the results of the examination in Mississippi, and to a qualified applicant from another state, territory or possession of the United States, or the District of Columbia, pending licensing procedures as provided for elsewhere in this chapter. * * *

          (b)  The board may issue a temporary permit for a period of ninety (90) days to a licensed practical nurse who is currently licensed in another state, territory or possession of the United States or the District of Columbia and who is an applicant for licensure by endorsement.  Such permit is not renewable except by board action.

          (c)  The board may issue a temporary permit to a graduate of an approved practical nursing education program or an equivalent program satisfactory to the board pending the results of the first licensing examination scheduled after application.  Such permit is not renewable except by board action.

          (d)  The board may issue a temporary permit for a period of thirty (30) days to any licensed practical nurse during the time enrolled in a nursing reorientation program.  This time period may be extended by board action. * * *

          (e)  The applicant shall pay a fee to the board for the temporary permit.

          (f) The board may require the applicant for a temporary permit to submit written consent to a criminal history background check by the Mississippi Department of Public Safety and the United States Department of Justice based upon fingerprints and other identifying information required by these entities or state or national registries.  The applicant shall pay a fee not to exceed One Hundred Dollars ($100.00) for the criminal history background check.

          (g)  The board may adopt such regulations as are necessary to limit the practice of persons to whom temporary permits are issued.

     (8)  Title and abbreviation.  Any person who holds a license or holds the privilege to practice as a licensed practical nurse in this state shall have the right to use the title "licensed practical nurse" and the abbreviation "L.P.N."  No other person shall assume such title or use such abbreviation, or any words, letters, signs or devices to indicate that a person using the same is a licensed practical nurse.

     (9)  Licensed practical nurses licensed under a previous law.  Any person holding a license to practice nursing as a practical nurse issued by this board which is valid on July 1, 1981, shall thereafter be deemed to be licensed as a practical nurse under the provisions of this chapter upon payment of the fee prescribed in Section 73-15-27.

     (10)  Each application or filing made under this section shall include the Social Security number(s) of the applicant in accordance with Section 93-11-64.

     SECTION 6.  Section 73-15-29, Mississippi Code of 1972, is amended as follows:

     73-15-29.  (1)  The board shall have power to revoke, suspend or refuse to renew any license issued by the board, or to revoke or suspend any privilege to practice, or to deny an application for a license, or to fine, place on probation and/or discipline a licensee, in any manner specified in this chapter, upon proof that such person:

          (a)  Has committed fraud or deceit in securing or attempting to secure such license;

          (b)  Has been convicted of felony, or a crime involving moral turpitude or has had accepted by a court a plea of nolo contendere to a felony or a crime involving moral turpitude (a certified copy of the judgment of the court of competent jurisdiction of such conviction or pleas shall be prima facie evidence of such conviction);

          (c)  Has negligently or willfully acted in a manner inconsistent with the health or safety of the persons under the licensee's care;

          (d)  Has had a license or privilege to practice as a registered nurse or a licensed practical nurse suspended or revoked in any jurisdiction, has voluntarily surrendered such license or privilege to practice in any jurisdiction, has been placed on probation as a registered nurse or licensed practical nurse in any jurisdiction or has been placed under a disciplinary order(s) in any manner as a registered nurse or licensed practical nurse in any jurisdiction, (a certified copy of the order of suspension, revocation, probation or disciplinary action shall be prima facie evidence of such action);

          (e)  Has negligently or willfully practiced nursing in a manner that fails to meet generally accepted standards of such nursing practice;

          (f)  Has negligently or willfully violated any order, rule or regulation of the board pertaining to nursing practice or licensure;

          (g)  Has falsified or in a repeatedly negligent manner made incorrect entries or failed to make essential entries on records;

          (h)  Is addicted to or dependent on alcohol or other habit-forming drugs or is a habitual user of narcotics, barbiturates, amphetamines, hallucinogens, or other drugs having similar effect, or has misappropriated any medication;

          (i)  Has a physical, mental or emotional disability that renders the licensee unable to perform nursing services or duties with reasonable skill and safety;

          (j)  Has engaged in any other conduct, whether of the same or of a different character from that specified in this chapter, that would constitute a crime as defined in Title 97 of the Mississippi Code of 1972, as now or hereafter amended, and that relates to such person's employment as a registered nurse or licensed practical nurse;

          (k)  Engages in conduct likely to deceive, defraud or harm the public;

          (l)  Engages in any unprofessional conduct as identified by the board in its rules; or

          (m)  Has violated any provision of this chapter.

     (2)  When the board finds any person unqualified because of any of the grounds set forth in subsection (1) of this section, it may enter an order imposing one or more of the following penalties:

          (a)  Denying application for a license or other authorization to practice nursing or practical nursing;

          (b)  Administering a reprimand;

          (c)  Suspending or restricting the license or other authorization to practice as a registered nurse or licensed practical nurse for up to two (2) years without review;

          (d)  Revoking the license or other authorization to practice nursing or practical nursing;

          (e)  Requiring the disciplinee to submit to care, counseling or treatment by persons and/or agencies approved or designated by the board as a condition for initial, continued or renewed licensure or other authorization to practice nursing or practical nursing;

          (f)  Requiring the disciplinee to participate in a program of education prescribed by the board as a condition for initial, continued or renewed licensure or other authorization to practice;

          (g)  Requiring the disciplinee to practice under the supervision of a registered nurse for a specified period of time; or

          (h)  Imposing a fine not to exceed One Thousand Five Hundred Dollars ($1,500.00).

     (3)  In addition to the grounds specified in subsection (1) of this section, the board shall be authorized to suspend the license or privilege to practice of any licensee for being out of compliance with an order for support, as defined in Section 93-11-153.  The procedure for suspension of a license or privilege to practice for being out of compliance with an order for support, and the procedure for the reissuance or reinstatement of a license or privilege to practice suspended for that purpose, and the payment of any fees for the reissuance or reinstatement of a license or privilege to practice suspended for that purpose, shall be governed by Section 93-11-157 or 93-11-163, as the case may be.  If there is any conflict between any provision of Section 93-11-157 or 93-11-163 and any provision of this chapter, the provisions of Section 93-11-157 or 93-11-163, as the case may be, shall control.

     SECTION 7.  Section 73-15-33, Mississippi Code of 1972, is amended as follows:

     73-15-33.  It is unlawful for any person, including a corporation or association, to:

          (a)  Sell, fraudulently obtain or furnish any nursing diploma, license, renewal of license, or record, or to aid or abet therein;

          (b)  Practice nursing as defined by this chapter under cover of any diploma, license, renewal of license, or record illegally or fraudulently obtained or signed or issued unlawfully or under fraudulent representation;

          (c)  Practice or offer to practice nursing as defined by this chapter unless duly licensed or privileged to practice under the provisions of this chapter;

          (d)  Use any designation by which a person presents to the public that he or she is a registered nurse or a licensed practical nurse unless duly licensed or privileged to practice under the provisions of this chapter;

          (e)  Practice as a registered nurse or a licensed practical nurse during the time his or her license or privilege to practice issued under the provisions of this chapter is under suspension or revocation;

          (f)  Conduct a nursing education program for the preparation of registered nurses, unless the program has been accredited by the Board of Trustees of State Institutions of Higher Learning, or conduct a nursing education program for the preparation of licensed practical nurses unless the program has been accredited by the Department of Education through the Division of Vocational Education;

          (g)  Willfully employ unlicensed persons or persons not holding the privilege to practice, to practice as registered nurses or licensed practical nurses; or

          (h)  Willfully aid or abet any person who violates any provisions of this chapter.

     Any person, firm or corporation who violates any provisions of this chapter shall be guilty of a misdemeanor and, upon conviction thereof, shall be punished by a fine not less than One Hundred Dollars ($100.00) nor more than Two Thousand Dollars ($2,000.00) or by imprisonment in the county jail for not less than twelve (12) months, or by both such fine and imprisonment.  It shall be necessary to prove, in any prosecution under this chapter, only a single act prohibited by law, or a single holding out or an attempt without proving a general course of conduct in order to constitute a violation.  Each violation may constitute a separate offense.  It shall be the duty of the Attorney General to advise with the board in preparing charges, to assist in conducting board disciplinary hearings, to provide assistance with appropriate affidavits and other charges for filing in the appropriate court, and to assist the county or district attorney in prosecution, if any.

     SECTION 8.  Section 73-15-35, Mississippi Code of 1972, is amended as follows:

     73-15-35.  The practice of nursing as a registered nurse or the practice of nursing as a licensed practical nurse by any person who has not been issued a license or who does not hold the privilege to practice under the provisions of this chapter, or whose license or privilege to practice has been suspended or revoked, or has expired and not been reinstated, or has negligently or willfully practiced nursing in a manner that fails to meet generally accepted standards of such nursing practice, is declared to be a danger to the public health and welfare and shall be enjoined through appropriate court action.  In addition to and not in lieu of any other civil, criminal or disciplinary remedy, the Attorney General, the Board of Nursing or the prosecuting attorney of any county where a person is practicing or purporting to practice as a registered nurse or as a licensed practical nurse in violation of this chapter may, in accordance with the laws of this state governing injunctions, maintain an action to enjoin that person from practicing as a registered nurse or a licensed practical nurse until in compliance with this chapter.  The court may issue a temporary injunction without notice or without bond enjoining a defendant from further practicing as a registered nurse or a licensed practical nurse.  If it is established to the satisfaction of the court that the defendant has been or is practicing as a registered nurse or a licensed practical nurse without being licensed or privileged to practice and in good standing as provided herein, the court may enter a decree perpetually enjoining the defendant from such further activities, and a subsequent violation of which may be considered as contempt of court by any court of competent jurisdiction.  Such injunction and contempt proceedings may be in addition to and not in lieu of any other penalties and remedies provided by this chapter.

     SECTION 9.  This act shall take effect and be in force from and after July 1, 2004.