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                                                       PRINTER'S NO. 271

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 243 Session of 1989


        INTRODUCED BY MARKOSEK, BOYES, RITTER, MORRIS, COY, VAN HORNE,
           MELIO, RAYMOND, COLAIZZO, TRELLO, OLASZ, CIVERA, LETTERMAN,
           STABACK, PRESTON, MAIALE, PISTELLA, MICHLOVIC, COWELL,
           FARMER, CORRIGAN, DeLUCA, BELARDI, ACOSTA, DONATUCCI,
           SERAFINI, WILLIAMS, VEON, LANGTRY, KENNEY, J. TAYLOR AND
           BILLOW, FEBRUARY 6, 1989

        REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE,
           FEBRUARY 6, 1989

                                     AN ACT

     1  Relating to the practice of opticianry and contact lens fitting;
     2     requiring licensing of persons; and providing for injunctions
     3     and penalties.

     4     It is the purpose of this act to provide for the regulation
     5  of persons in the practice of opticianry and contact lens
     6  fitting in order to safeguard public health, safety and welfare
     7  and to protect the public by assuring that persons engaged in
     8  the practice of opticianry and contact lens fitting meet minimum
     9  standards of competence.
    10                         TABLE OF CONTENTS
    11  Section 1.  Short title.
    12  Section 2.  Definitions.
    13  Section 3.  State Board of Opticians and Contacts Lens
    14                 Technicians.
    15  Section 4.  Powers and duties of board.
    16  Section 5.  License required.

     1  Section 6.  Persons and practices not affected.
     2  Section 7.  Requirements for licensure.
     3  Section 8.  Examinations.
     4  Section 9.  Waiver of written examination requirements.
     5  Section 10.  Licenses.
     6  Section 11.  Renewal of license; continuing education.
     7  Section 12.  Apprentices and other ancillary personnel.
     8  Section 13.  Temporary license.
     9  Section 14.  Special provision.
    10  Section 15.  Causes for denial, suspension or revocation of
    11                 license.
    12  Section 16.  Procedures in disciplinary actions.
    13  Section 17.  Reporting of multiple licensure.
    14  Section 18.  Display of license or certificate.
    15  Section 19.  Surrender of license.
    16  Section 20.  Unlawful acts.
    17  Section 21.  Civil penalty.
    18  Section 22.  Fees.
    19  Section 23.  Appropriation.
    20  Section 24.  General repeal.
    21  Section 25.  Effective date.
    22     The General Assembly of the Commonwealth of Pennsylvania
    23  hereby enacts as follows:
    24  Section 1.  Short title.
    25     This act shall be known and may be cited as the Opticians and
    26  Contact Lens Technicians Licensing Act.
    27  Section 2.  Definitions.
    28     The following words and phrases when used in this act shall
    29  have the meanings given to them in this section unless the
    30  context clearly indicates otherwise:
    19890H0243B0271                  - 2 -

     1     "Apprentice."  A person who holds a certificate of
     2  apprenticeship issued in accordance with this act.
     3     "Board."  The State Board of Opticians and Contact Lens
     4  Technicians.
     5     "Commissioner."  The Commissioner of Professional and
     6  Occupational Affairs.
     7     "Contact lens technician."  A person licensed in accordance
     8  with this act who fits an appropriate contact lens for a
     9  specific intended wearer and completely assists such wearer in
    10  the use of the contact lens if the following conditions are met:
    11         (1)  The fitting is based on prescription of a licensed
    12     physician or optometrist.
    13         (2)  The wearer is informed, in accordance with section
    14     14(b) of this act, to return to the prescribing physician or
    15     optometrist for periodic evaluation during the fit whenever
    16     the fitter believes professional judgment is needed, but at
    17     intervals not to exceed three months.
    18         (3)  No person licensed in accordance with this act shall
    19     fill a prescription or dispense contact lenses unless the
    20     prescribing physician or optometrist specifies that the
    21     prescriber intends it to be for contact lenses.
    22         (4)  No person licensed in accordance with this act shall
    23     fill a prescription beyond an expiration date specified by
    24     the prescribing physician or optometrist.
    25     "Fitting of contact lenses."  A procedure in which a
    26  prescribed contact lens is placed upon the eye of a wearer and
    27  the lens-cornea relationship is evaluated with the use of a
    28  biomicroscope or slit-lamp.
    29     "Optician."  A person licensed in accordance with this act to
    30  practice opticianry.
    19890H0243B0271                  - 3 -

     1     "Practice of opticianry."  The practice of filling
     2  prescriptions of licensed physicians or optometrists for
     3  ophthalmic lenses; interpreting these prescriptions and taking
     4  measurements to determine size and shape of lenses, frames or
     5  lens forms best suited to the wearer's needs; providing
     6  duplicate or replacement lenses without prescription; repairing
     7  and reproducing previously prepared ophthalmic lenses and frames
     8  without prescription; preparing and delivering work orders to
     9  technicians engaged in grinding lenses and fabricating eyewear;
    10  verifying the accuracy of ophthalmic lenses; and adjusting and
    11  dispensing lenses, specially fabricated optical devices, frames
    12  and appurtenances thereof to the intended wearer. The practice
    13  of opticianry shall not include the fitting of contact lenses.
    14     "Prescription."  A written or oral direction from a licensed
    15  physician or optometrist for lenses, consisting of the
    16  refractive power and, when necessary, the vertex distance, the
    17  cylinder axis and prism. A prescription for contact lenses shall
    18  also specifically indicate approval for contact lens fitting.
    19  The neutralization of a spectacle lens shall not constitute a
    20  prescription for contact lenses. An oral or telephonically
    21  transmitted prescription shall be documented in the files of the
    22  optician or the contact lens technician.
    23     "Supervision."  The direction and control of work through
    24  personal inspection and evaluation of work and the provision of
    25  such consultation and instruction as may be needed.
    26  Section 3.  State Board of Opticians and Contact Lens
    27                 Technicians.
    28     (a)  Creation.--There is hereby created a departmental
    29  administrative board to be known as the State Board of Opticians
    30  and Contact Lens Technicians which shall be in the Bureau of
    19890H0243B0271                  - 4 -

     1  Professional and Occupational Affairs of the Department of
     2  State.
     3     (b)  Members.--The board shall consist of nine members, all
     4  of whom shall be residents of this Commonwealth and two of whom
     5  shall be chosen as representatives of the public interest. The
     6  remaining seven members shall be two opticians, two contact lens
     7  technicians, one individual who is either an optician or a
     8  contact lens technician and who owns a retail place of business
     9  in which either opticianry or the fitting of contact lenses is
    10  practiced, the commissioner and the Director of the Bureau of
    11  Consumer Protection in the Office of Attorney General or his
    12  designee. The professional and public members of the board
    13  should be chosen so they are geographically representative.
    14     (c)  Appointment.--The professional and public members of the
    15  board shall be appointed by the Governor with the advice and
    16  consent of a majority of the members elected to the Senate.
    17     (d)  Terms of office.--The term of each professional and
    18  public member of the board shall be four years or until his
    19  successor has been appointed and qualified, but not longer than
    20  six months beyond the four-year period. In the event that any of
    21  the members shall die or resign or otherwise become disqualified
    22  during his term, a successor shall be appointed in the same way
    23  and with the same qualifications and shall hold office for the
    24  unexpired term. Of the optician members of the board first
    25  appointed, one optician shall serve a term of two years and the
    26  other optician shall serve a term of four years. Of the contact
    27  lens technician members of the board first appointed, one
    28  contact lens technician shall serve a term of four years and the
    29  other shall serve a term of two years. The individual first
    30  appointed who is either an optician or a contact lens technician
    19890H0243B0271                  - 5 -

     1  and who owns a retail place of business in which either
     2  opticianry or the fitting of contact lenses is practiced shall
     3  serve a term of four years. Of the public members of the board
     4  first appointed, one public member shall serve a term of two
     5  years and one public member shall serve a term of four years.
     6  The Governor shall nominate the initial professional and public
     7  members within 90 days of the effective date of this act.
     8     (e)  Reappointment.--A member of the board shall be eligible
     9  for reappointment. A member shall not be appointed to serve more
    10  than two consecutive terms.
    11     (f)  Compensation.--Each member of the board, except the
    12  commissioner and the Director of the Bureau of Consumer
    13  Protection, shall receive $60 per diem when actually attending
    14  to the work of the board. Members shall also receive the amount
    15  of reasonable traveling, hotel and other necessary expenses
    16  incurred in the performance of their duties in accordance with
    17  Commonwealth regulations.
    18     (g)  Meetings.--The board shall meet at least twice a year
    19  and may hold additional meetings whenever necessary to discharge
    20  its duties. A majority of the members of the board serving in
    21  accordance with law shall constitute a quorum. Except for
    22  temporary and automatic suspensions under section 16, a member
    23  may not be counted as part of a quorum or vote on any issue
    24  unless he is physically in attendance at the meeting.
    25     (h)  Attendance.--A member who fails to attend three
    26  consecutive meetings shall forfeit membership unless the
    27  commissioner, upon written request from the member, finds that
    28  the member should be excused from a meeting because of illness
    29  or the death of an immediate family member.
    30     (i)  Attendance at training seminars.--A public member who
    19890H0243B0271                  - 6 -

     1  fails to attend two consecutive statutorily mandated training
     2  seminars in accordance with section 813(e) of the act of April
     3  9, 1929 (P.L.177, No.175), known as The Administrative Code of
     4  1929, shall forfeit his seat, unless the commissioner, upon
     5  written request from the public member, finds that the public
     6  member should be excused from a meeting because of illness or
     7  the death of a family member.
     8  Section 4.  Powers and duties of board.
     9     (a)  Electing officers.--The board shall elect annually from
    10  its membership a chairman, vice chairman and secretary.
    11     (b)  Reviewing applications.--The board shall pass upon the
    12  qualifications of applicants for licensure, insure the conduct
    13  of examinations and issue and renew licenses to opticians or
    14  contact lens technicians who qualify under this act.
    15     (c)  Disciplinary actions.--The board may refuse, revoke,
    16  suspend, limit or otherwise restrict a license of an optician or
    17  contact lens technician pursuant to this act, conduct
    18  investigations, including the power to issue subpoenas, and hold
    19  hearings upon written charges indicating violation of this act
    20  or of regulations promulgated pursuant thereto.
    21     (d)  Maintaining records.--The board shall maintain a record
    22  listing the name of every living optician or contact lens
    23  technician licensed to practice in this Commonwealth, the last
    24  known place of business, the last known place of residence and
    25  the date and number of the license of the licensee. The listing
    26  shall be available to any citizen of this Commonwealth after
    27  reimbursement for the actual cost of reproduction and mailing.
    28     (e)  Promulgating rules and regulations.--The board may
    29  promulgate rules and regulations not inconsistent with law which
    30  it deems necessary for the performance of its duties and the
    19890H0243B0271                  - 7 -

     1  proper administration of this act.
     2     (f)  Filing reports.--The board shall submit annually:
     3         (1)  To the Department of State, an estimate of the
     4     financial requirements of the board for its administrative,
     5     investigative, legal and miscellaneous expenses.
     6         (2)  To the House and Senate Appropriations Committees,
     7     15 days after the Governor has submitted his budget to the
     8     General Assembly, a copy of the budget request for the
     9     upcoming fiscal year which the board previously submitted to
    10     the Department of State.
    11         (3)  To the Professional Licensure Committee of the House
    12     of Representatives and to the Consumer Protection and
    13     Professional Licensure Committee of the Senate, a report
    14     containing a description of the types of complaints received,
    15     status of cases, board action which has been taken and the
    16     length of time from the initial complaint to final board
    17     resolution.
    18     (g)  Subpoenas.--The board shall have power to issue
    19  subpoenas, upon application of an attorney responsible for
    20  representing the Commonwealth in disciplinary matters before the
    21  board, for the purpose of investigating alleged violations of
    22  the disciplinary provisions administered by the board. The board
    23  shall have the power to subpoena witnesses, to administer oaths,
    24  to examine witnesses and to take such testimony or compel the
    25  production of such books, records, papers and documents as it
    26  may deem necessary or proper in, and pertinent to, any
    27  proceeding, investigation or hearing held or had by it.
    28     (h)  Court action.--The board shall have power to take
    29  appropriate actions to initiate injunctive and criminal
    30  prosecution proceedings in connection with the lawful or
    19890H0243B0271                  - 8 -

     1  unauthorized practice of opticianry or contact lens fitting or
     2  other violations of this act. Injunctive and criminal
     3  proceedings shall be instituted in accordance with the act of
     4  October 15, 1980 (P.L.950, No.164), known as the Commonwealth
     5  Attorneys Act.
     6     (i)  Reports to the board.--An attorney responsible for
     7  representing the Commonwealth in disciplinary matters before the
     8  board shall notify the board immediately upon receiving
     9  notification of an alleged violation of this act. The board
    10  shall maintain current records of all reports of alleged
    11  violations and periodically review the records for the purpose
    12  of determining that each alleged violation has been resolved in
    13  a timely manner.
    14  Section 5.  License required.
    15     (a)  Grace period.--It shall be unlawful, beginning one year
    16  from the appointment of the professional and public members of
    17  the board, for any person to engage in the practice of
    18  opticianry or the fitting of contact lenses or to offer or
    19  attempt to do so or to hold himself out to the public by any
    20  title or description of services incorporating the words
    21  "optician," "contact lens technician," "opticianry" or "the
    22  fitting of contact lenses," without first obtaining a license
    23  pursuant to this act.
    24     (b)  Limitation on grant of license.--The licensure of
    25  opticians or contact lens technicians shall extend only to
    26  individuals. A license shall not be issued to a partnership,
    27  unincorporated association, corporation or similar business
    28  organization.
    29  Section 6.  Persons and practices not affected.
    30     This act shall not be construed to prevent or restrict:
    19890H0243B0271                  - 9 -

     1         (1)  A person licensed in this Commonwealth in accordance
     2     with the provisions of another law of this Commonwealth from
     3     engaging in the profession or occupation for which licensed.
     4     Licensed persons may employ unlicensed persons to provide
     5     optician services under the direct, personal supervision and
     6     control of such licensee within the standards of his or her
     7     profession. Licensed persons may employ unlicensed persons to
     8     provide contact lens services, except those services which
     9     require licensure under this act, under the direct, personal
    10     supervision and control of such licensee within the standards
    11     of his or her profession.
    12         (2)  The sale or manufacture of ready-to-wear eyeglasses
    13     or spectacles, which sale or manufacturing is hereby
    14     specifically excluded from this act.
    15         (3)  A person pursuing a course of study leading to a
    16     degree or certificate in opticianry or contact lens fitting
    17     in an accredited and approved educational program, provided
    18     that the activities and services are part of a supervised
    19     course of study and the person is designated by a title which
    20     clearly indicates the status of student or trainee and not
    21     licensed optician or licensed contact lens technician.
    22         (4)  A person fulfilling the apprenticeship requirements
    23     of this act, provided that the activities and services
    24     constitute a part of the apprenticeship necessary to meet the
    25     requirements of the program.
    26         (5)  Any individual, firm or corporation from employing
    27     persons licensed under this act to engage in the practice of
    28     opticianry or the fitting of contact lenses.
    29  Section 7.  Requirements for licensure.
    30     Upon filing timely application with the board upon forms
    19890H0243B0271                 - 10 -

     1  approved by the board and payment of an examination fee
     2  determined by the board, any person desiring to qualify for
     3  licensing as an optician or as a contact lens technician shall
     4  be permitted to take an examination for licensing, provided that
     5  the individual submits with the application evidence
     6  satisfactory to the board that:
     7         (1)  The individual is a citizen of the United States of
     8     America or has applied for citizenship.
     9         (2)  The individual is at least 18 years of age.
    10         (3)  The individual is of good moral character.
    11         (4)  The individual is a graduate of an accredited high
    12     school or has completed the full equivalent of a grammar
    13     school and a four year high school course.
    14         (5)  In the case of an applicant for licensing as an
    15     optician, the individual has had at least one year of
    16     practical training and experience in opticianry under the
    17     direct supervision and control of a licensed physician or
    18     optometrist or a licensed optician prior to the end of one
    19     year from the effective date of this act; or he has had one
    20     year as an apprentice in accordance with section 12; or he
    21     has successfully completed the prescribed course in
    22     opticianry for opticians in a college, university or other
    23     institution of learning, which course shall have been
    24     accredited by an accrediting agency recognized and approved
    25     by the United States Department of Education or the Council
    26     of Post-Secondary Education, and officially approved by the
    27     board.
    28         (6)  In the case of an applicant for licensing as a
    29     contact lens technician, he has successfully completed the
    30     prescribed course of study for contact lens technicians in a
    19890H0243B0271                 - 11 -

     1     college, university or other institution of learning, which
     2     course shall have been accredited by an accrediting agency
     3     recognized and approved by the United States Department of
     4     Education or the Council of Post-Secondary Education, and
     5     officially approved by the board. The course shall include
     6     clinical training covering the competencies required in
     7     fitting, adapting and dispensing of contact lenses and shall
     8     be a minimum of 20 clock hours. The board may require a
     9     longer course of study if necessary for accreditation.
    10  Section 8.  Examinations.
    11     (a)  Administration.--The examination for licensing shall be
    12  conducted at least twice a year, and at other times the board
    13  may determine as necessary, at the times and places the board
    14  determines. The examination shall be prepared and administered
    15  by a qualified and approved professional testing organization in
    16  accordance with section 812.1 of the act of April 9, 1929
    17  (P.L.177, No.175), known as The Administrative Code of 1929.
    18     (b)  Substance of optician examination.--The license
    19  examination for an optician shall be confined to the knowledge
    20  that is essential to practice as an optician and shall show
    21  proficiency in the following subjects: prescription
    22  interpretation and analysis; selection of frames; adjustment of
    23  spectacles and eyeglasses; the use of lensometers, distometers
    24  and equivalent instruments; and the taking of pupillary and
    25  facial measurements. The examination shall be in written form.
    26     (c)  Substance of contact lens technician examination.--The
    27  license examination for a contact lens technician shall be
    28  confined to the knowledge that is essential to practice as a
    29  contact lens technician and shall show proficiency in the
    30  following subjects: contact lens practice and theory; the use of
    19890H0243B0271                 - 12 -

     1  a keratometer and other devices necessary to interpret, fit and
     2  dispense the physician's or optometrist's prescription for
     3  contact lenses; and ocular anatomy. This examination shall
     4  include both written and practical portions.
     5  Section 9.  Waiver of written examination requirements.
     6     (a)  Requirements to waive optician examination.--The board
     7  shall waive the written optician examination requirement and
     8  grant an optician license to any applicant who meets any one of
     9  the following:
    10         (1)  Is currently licensed to practice opticianry in
    11     another state if the state's qualifications are equivalent to
    12     those qualifications required in this Commonwealth.
    13         (2)  Holds a currently valid certificate as a certified
    14     optician from the American Board of Opticianry on the
    15     effective date of this act.
    16         (3)  Has been engaged in the practice of opticianry for a
    17     period of one year prior to the effective date of this act.
    18     (b)  Requirements to waive contact lens technician
    19  examination.--The board shall waive the contact lens examination
    20  requirement and grant a contact lens technician license to any
    21  applicant who:
    22         (1)  Is currently licensed to fit contact lenses in
    23     another state if that state's qualifications are equivalent
    24     to those qualifications required in this Commonwealth.
    25         (2)  Has passed the Contact Lens Registry Examination of
    26     the National Committee of Contact Lens Examiners prior to the
    27     effective date of this act.
    28  Section 10.  Licenses.
    29     Each applicant who successfully completes the examination for
    30  licensing as an optician or a contact lens technician or who is
    19890H0243B0271                 - 13 -

     1  exempt from either such examination in accordance with section 9
     2  shall, upon payment of the required fee, receive a license as an
     3  optician or as a contact lens technician, as the case may be,
     4  from the board. The license shall be recorded in the office of
     5  the commissioner in a record book to be properly kept for that
     6  purpose and shall be open to public inspection.
     7  Section 11.  Renewal of license; continuing education.
     8     (a)  Application.--Licenses under this act shall be subject
     9  to renewal every two years and shall expire unless the licensee
    10  submits an application for renewal in the manner prescribed by
    11  the board.
    12     (b)  Continuing education.--The application shall be
    13  accompanied by a renewal fee and evidence that the applicant
    14  has, during the preceding two-year period, completed continuing
    15  education as follows:
    16         (1)  An optician must complete nine hours of continuing
    17     education in opticianry approved by the board.
    18         (2)  A contact lens technician must complete 15 hours of
    19     continuing education in contact lens fitting approved by the
    20     board.
    21         (3)  Individuals who are licensed as an optician and also
    22     as a contact lens technician must complete 15 hours of
    23     continuing education in contact lens fitting approved by the
    24     board and four hours of continuing education in opticianry
    25     approved by the board. No credit shall be given for courses
    26     in office management or sales.
    27  Section 12.  Apprentices and other ancillary personnel.
    28     (a)  Employment of apprentices.--Persons licensed under this
    29  act may utilize apprentices to engage in opticianry when the
    30  apprentices are under their direct supervision and at the same
    19890H0243B0271                 - 14 -

     1  location where the licensed person dispenses, but no licensed
     2  optician may supervise more than three apprentices. Apprentices
     3  may be employed upon the issuance of a certificate of
     4  apprenticeship by the board. Optician apprentices must be
     5  supervised by a licensed optician.
     6     (b)  Certificate of apprenticeship.--Applications for a
     7  certificate of apprenticeship shall be made to the board in
     8  writing upon forms provided by the board and shall contain such
     9  information as the board requires. A certificate shall be issued
    10  for a maximum of two years. No more than two certificates may be
    11  issued to any apprentice, except in circumstances deemed
    12  exceptional by the board, provided that the apprentice has not
    13  failed the license examination. An apprentice shall be eligible
    14  to take the license examination after serving a minimum of one
    15  year as an apprentice. An apprentice who passes the license
    16  examination after serving less than the full two years of
    17  apprenticeship shall, upon the publication of the examination
    18  scores, return the certificate in such manner as the board
    19  directs.
    20     (c)  Employment of others.--Persons licensed under this act
    21  may employ other ancillary personnel to assist in fashion
    22  consulting, to perform clerical and office duties, to assist in
    23  making minor repairs and to perform laboratory work. Those
    24  personnel need not be licensed as apprentices.
    25  Section 13.  Temporary license.
    26     The board may authorize the issuance of a temporary license
    27  to qualified opticians or contact lens technicians who are
    28  licensed in another jurisdiction and would immediately qualify
    29  for the taking of an examination for a license in this
    30  Commonwealth, but are in this Commonwealth on a temporary basis,
    19890H0243B0271                 - 15 -

     1  or have not yet had an opportunity to take the examination to
     2  procure a license, and whose immediate employment depends upon
     3  having a license issued by the board. The license shall be valid
     4  only until the deadline for registering for the next examination
     5  if the applicant registers for the examination and, thereafter,
     6  only until the results of that examination are published. A
     7  temporary license shall expire if the applicant fails the
     8  examination.
     9  Section 14.  Special provision.
    10     (a)  Dispensing.--Contact lenses may be fitted and dispensed
    11  only upon the prescription of a licensed physician or
    12  optometrist except that contact lenses may be duplicated on the
    13  original prescription of record.
    14     (b)  Technician.--The contact lens technician shall inform
    15  each individual for whom he fits any form or kind of contact
    16  lens that the wearer should return to the prescribing physician
    17  or optometrist for periodic evaluation. Each wearer shall be
    18  provided with a form in accordance with this subsection and
    19  shall also be informed orally that he should return to the
    20  prescribing practitioner. The form shall be signed and dated by
    21  the contact lens wearer who shall receive a copy of the form.
    22  The form shall include the following statement:
    23         I have been advised that I should return to my physician
    24         or optometrist for periodic evaluation, not to exceed
    25         three months, for an evaluation of the condition of my
    26         eyes. I understand and agree that, if I fail to return to
    27         the prescribing physician or optometrist for this
    28         evaluation, the prescriber will not be held responsible
    29         for any damages or injury resulting from the fitting of
    30         the prescribed lens. I have read this statement and
    19890H0243B0271                 - 16 -

     1         received an oral explanation.
     2                                       __________________________
     3                                       Signature              Date
     4  The contact lens technician shall retain a copy of the form for
     5  two years and shall return a copy of the form to the prescribing
     6  optometrist or physician.
     7  Section 15.  Causes for denial, suspension or revocation of
     8                 license.
     9     (a)  General rule.--The board may deny, suspend, revoke,
    10  limit or otherwise restrict a license for any of the following
    11  causes:
    12         (1)  Obtaining a license by fraud or deceit.
    13         (2)  Use of the term "doctor," "physician" or "clinic,"
    14     or any derivation thereof, as part of the firm name under
    15     which the licensee fits and sells ophthalmic devices unless
    16     authorized by law.
    17         (3)  Holding oneself out by or using the title "Doctor,"
    18     unless the licensee is authorized by law to do so.
    19         (4)  Fraud or misrepresentation in the repair, fitting or
    20     selling of ophthalmic devices, including advertising, by
    21     publication, transmission or otherwise, which has the
    22     tendency to mislead or is deceptive or fraudulent on its
    23     face, by inference, or by effect.
    24         (5)  The employment, to perform any act covered by this
    25     act, of a person known to the employer whose license is
    26     suspended or who does not possess a valid license issued
    27     under this act.
    28         (6)  Violating or permitting, with notice or knowledge of
    29     its commission, the violation by any licensed employee of any
    30     provision of this act or any rules or regulations promulgated
    19890H0243B0271                 - 17 -

     1     under this act.
     2         (7)  Being convicted of a felony or receiving probation
     3     without verdict, disposition in lieu of trial or an
     4     Accelerated Rehabilitative Disposition in the courts of this
     5     Commonwealth, a Federal court or a court of any state,
     6     territory, possession or country.
     7         (8)  Having a license or other authorization to practice
     8     the profession revoked or suspended or having other
     9     disciplinary action taken, or an application for a license or
    10     other authorization refused, revoked or suspended by a proper
    11     licensing authority of another state, territory, possession
    12     or country, or a branch of the Federal Government.
    13         (9)  Being unable to practice the profession with
    14     reasonable skill and safety to patients by reason of illness,
    15     addiction to drugs or alcohol, having been convicted of a
    16     felonious act prohibited by the act of April 14, 1972
    17     (P.L.233, No.64), known as The Controlled Substance, Drug,
    18     Device and Cosmetic Act, or convicted of a felony relating to
    19     a controlled substance in a court of law of the United States
    20     or any other state, territory, possession or country, or if
    21     he is or shall become mentally incompetent. An applicant's
    22     statement on the application declaring the absence of a
    23     conviction shall be deemed satisfactory evidence of the
    24     absence of a conviction unless the board has some evidence to
    25     the contrary. In enforcing this paragraph, the board shall,
    26     upon probable cause, have authority to compel a practitioner
    27     to submit to a mental or physical examination by a physician
    28     or a psychologist approved by the board. Failure of a
    29     practitioner to submit to such examination when directed by
    30     the board, unless such failure is due to circumstances beyond
    19890H0243B0271                 - 18 -

     1     his control, shall constitute an admission of the allegations
     2     against him consequent upon which a default and final order
     3     may be entered without the taking of testimony or
     4     presentation of evidence. A practitioner affected under this
     5     paragraph shall at reasonable intervals be afforded an
     6     opportunity to demonstrate that he can resume a competent
     7     practice of his profession with reasonable skill and safety
     8     to patients.
     9         (10)  Violating a lawful regulation promulgated by the
    10     board or violating a lawful order of the board previously
    11     entered by the board in a disciplinary proceeding.
    12         (11)  Being guilty of malpractice, immoral or
    13     unprofessional conduct. Unprofessional conduct shall include
    14     departure from or failing to conform to the standards of
    15     acceptable and prevailing practice of opticianry or contact
    16     lens fitting. In proceedings based on this paragraph, actual
    17     injury to a patient need not be established.
    18         (12)  Acting in such manner as to present an immediate
    19     and clear danger to public health or safety.
    20         (13)  Acting outside the scope of a license.
    21         (14)  Making a false or deceptive biennial registration
    22     with the board.
    23         (15)  Intentionally submitting to any third-party payor a
    24     claim for a service which was not actually provided to a
    25     wearer.
    26         (16)  Being enjoined from violating any provision of the
    27     act of December 17, 1968 (P.L.1224, No.387), known as the
    28     Unfair Trade Practices and Consumer Protection Law, or being
    29     subject to a final order of the Federal Trade Commission, the
    30     Pennsylvania Department of Health or the Food and Drug
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     1     Administration of the United States Department of Health and
     2     Human Services concerning the sale or offering for sale of
     3     unsafe, unhealthful or worthless ophthalmic devices or for
     4     engaging in conduct which has the tendency to mislead or
     5     deceive.
     6     (b)  Five-year revocation period.--Unless ordered to do so by
     7  a court, the board shall not reinstate the license of a person
     8  to practice as an optician or contact lens technician which has
     9  been revoked, and such person shall be required to apply for
    10  licensure after a five-year period in accordance with the
    11  provisions of this act, including the examination requirement,
    12  if he desires to practice at any time after such revocation.
    13  Section 16.  Procedures in disciplinary actions.
    14     (a)  Procedure.--All disciplinary actions of the board shall
    15  be taken subject to the right of notice, hearing and
    16  adjudication, and the right of appeal therefrom in accordance
    17  with Title 2 of the Pennsylvania Consolidated Statutes (relating
    18  to administrative law and procedure).
    19     (b)  Temporary suspension.--A license issued under this act
    20  may be temporarily suspended under circumstances as determined
    21  by the board to be an immediate and clear danger to the public
    22  health and safety. The board shall issue an order to that effect
    23  without a hearing, but upon due notice, to the licensee
    24  concerned at his last known address, which shall include a
    25  written statement of all allegations against the licensee. The
    26  provisions of subsection (a) shall not apply to temporary
    27  suspension. The board shall thereupon commence formal action to
    28  suspend, revoke or restrict the license of the person concerned
    29  as otherwise provided for in this act. All actions shall be
    30  taken promptly and without delay. Within 30 days following the
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     1  issuance of an order temporarily suspending a license, the board
     2  shall conduct or cause to be conducted a preliminary hearing to
     3  determine that there is a prima facie case supporting the
     4  suspension. The licensee whose license has been temporarily
     5  suspended may be present at the preliminary hearing, may be
     6  represented by counsel and may cross-examine witnesses, inspect
     7  physical evidence, call witnesses, offer evidence and testimony,
     8  and make a record of the proceedings. If it is determined that
     9  there is not a prima facie case, the suspended license shall be
    10  immediately restored. The temporary suspension shall remain in
    11  effect until vacated by the board, but in no event longer than
    12  180 days.
    13     (c)  Automatic suspension.--A license issued under this act
    14  shall automatically be suspended upon the legal commitment to an
    15  institution of a licensee because of mental incompetency from
    16  any cause upon filing with the board a certified copy of such
    17  commitment, conviction of a felony under the act of April 14,
    18  1972 (P.L.233, No.64), known as The Controlled Substance, Drug,
    19  Device and Cosmetic Act, or conviction of an offense under the
    20  laws of another jurisdiction, which, if committed in this
    21  Commonwealth, would be a felony.
    22  Section 17.  Reporting of multiple licensure.
    23     Any licensed optician or licensed contact lens technician of
    24  this Commonwealth who is also licensed to practice opticianry or
    25  contact lens fitting in any other state, territory, possession
    26  or country shall report this information to the board on the
    27  biennial registration application. Any disciplinary action taken
    28  in such other jurisdiction shall be reported to the board on the
    29  biennial registration application or within 90 days of final
    30  disposition, whichever is sooner. Multiple licensure shall be
    19890H0243B0271                 - 21 -

     1  noted by the board on the optician's or contact lens
     2  technician's record and such state, territory, possession or
     3  country shall be notified by the board of any disciplinary
     4  actions taken against the optician or contact lens technician in
     5  this Commonwealth.
     6  Section 18.  Display of license or certificate.
     7     Every holder of a license or certificate granted by the board
     8  under this act shall display the license or certificate in a
     9  conspicuous place in the office where such person practices
    10  opticianry or the fitting of contact lenses or is serving as an
    11  apprentice.
    12  Section 19.  Surrender of license.
    13     The board shall require a person whose license has been
    14  suspended or revoked to return the license in such manner as the
    15  board directs. A person who fails to do so commits a misdemeanor
    16  of the third degree.
    17  Section 20.  Unlawful acts.
    18     A person commits a misdemeanor of the third degree and shall
    19  upon conviction, be sentenced to pay a fine of not more than
    20  $2,500 or to imprisonment for not more than six months, or both,
    21  if he commits any act declared unlawful by any other provision
    22  of this act, or if he:
    23         (1)  Makes misleading, deceptive, untrue or fraudulent
    24     representations in the practice of opticianry or contact lens
    25     fitting.
    26         (2)  Practices fraud or deceit in obtaining a license as
    27     an optician or contact lens technician.
    28         (3)  Displays gross incompetence, negligence or
    29     misconduct in carrying on the practice of opticianry or
    30     contact lens fitting.
    19890H0243B0271                 - 22 -

     1         (4)  Makes a false or deceptive biennial registration
     2     with the board.
     3         (5)  Violates a lawful regulation promulgated by the
     4     board or a lawful order of the board previously entered in a
     5     disciplinary proceeding.
     6         (6)  Knowingly aids, assists, procures or advises any
     7     unlicensed person to practice opticianry or contact lens
     8     fitting contrary to this act or regulations of the board.
     9         (7)  Commits immoral or unprofessional conduct.
    10     Unprofessional conduct shall include any departure from, or
    11     failure to conform to, the standards of acceptable and
    12     prevailing practice of opticianry or contact lens fitting.
    13         (8)  Engages in the practice of opticianry or the fitting
    14     of contact lenses in this Commonwealth without having at the
    15     time of so doing a valid, unrevoked and unexpired license or
    16     temporary license.
    17  Section 21.  Civil penalty.
    18     In addition to any other civil remedy or criminal penalty
    19  provided for in this act, the board, by a vote of the majority
    20  of the maximum number of the authorized membership of the board
    21  as provided by law, or by a vote of the majority of the duly
    22  qualified and confirmed membership or a minimum of four members,
    23  whichever is greater, may levy a civil penalty of up to $1,000
    24  on any current licensee who violates any provision of this act
    25  or on any person who practices opticianry or fits contact lenses
    26  without being properly licensed to do so under this act. The
    27  board shall levy this penalty only after affording the accused
    28  party the opportunity for a hearing, as provided in Title 2 of
    29  the Pennsylvania Consolidated Statutes (relating to
    30  administrative law and procedure). All fines and civil penalties
    19890H0243B0271                 - 23 -

     1  imposed in accordance with this section shall be paid into the
     2  Professional Licensure Augmentation Account.
     3  Section 22.  Fees.
     4     (a)  Imposition and increases.--All fees required under this
     5  act shall be fixed by the board by regulation and shall be
     6  subject to the act of June 25, 1982 (P.L.633, No.181), known as
     7  the Regulatory Review Act. If the revenues raised by fees, fines
     8  and civil penalties imposed pursuant to this act are not
     9  sufficient to meet expenditures over a two-year period, the
    10  board shall increase those fees by regulation so that the
    11  projected revenues will meet or exceed projected expenditures.
    12     (b)  Additional increases.--If the Bureau of Professional and
    13  Occupational Affairs determines that the fees established by the
    14  board under subsection (a) are inadequate to meet the minimum
    15  enforcement efforts required by this act, then the bureau, after
    16  consultation with the board and subject to the Regulatory Review
    17  Act, shall increase the fees by regulation in an amount that
    18  adequate revenues are raised to meet the required enforcement
    19  effort.
    20  Section 23.  Appropriation.
    21     The sum of $75,000, or as much thereof as may be necessary,
    22  is hereby appropriated from the Professional Licensure
    23  Augmentation Account within the General Fund to the Bureau of
    24  Professional and Occupational Affairs in the Department of State
    25  for the establishment and operation of the State Board of
    26  Opticians and Contact Lens Technicians. The appropriation
    27  granted shall be repaid by the board within three years of the
    28  beginning of issuance of licenses by the board.
    29  Section 24.  General repeal.
    30     All acts and parts of acts are repealed insofar as they are
    19890H0243B0271                 - 24 -

     1  inconsistent with this act.
     2  Section 25.  Effective date.
     3     This act shall take effect in 60 days.


















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