PRINTER'S NO. 3643

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2757 Session of 1994


        INTRODUCED BY MARKOSEK, MIHALICH, CESSAR, MELIO, BAKER, TIGUE,
           COY, SERAFINI, VAN HORNE, STERN AND CIVERA, MAY 16, 1994

        REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, MAY 16, 1994

                                     AN ACT

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

     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.
    17  Section 6.  Persons and practices not affected.
    18  Section 7.  Requirements for licensure.


     1  Section 8.  Examinations.
     2  Section 9.  Waiver of examination requirements.
     3  Section 10.  Licenses.
     4  Section 11.  Renewal of license; continuing education.
     5  Section 12.  Apprentices and other ancillary personnel.
     6  Section 13.  Special provisions.
     7  Section 14.  Causes for denial, suspension or revocation of
     8                 license.
     9  Section 15.  Procedures in disciplinary actions.
    10  Section 16.  Reporting of multiple licensure.
    11  Section 17.  Display of license or certificate.
    12  Section 18.  Surrender of license.
    13  Section 19.  Unlawful acts.
    14  Section 20.  Civil penalty.
    15  Section 21.  Fees.
    16  Section 22.  Appropriation.
    17  Section 23.  Repeals.
    18  Section 24.  Effective date.
    19     The General Assembly of the Commonwealth of Pennsylvania
    20  hereby enacts as follows:
    21  Section 1.  Short title.
    22     This act shall be known and may be cited as the Opticians and
    23  Contact Lens Technicians Licensing Act.
    24  Section 2.  Definitions.
    25     The following words and phrases when used in this act shall
    26  have the meanings given to them in this section unless the
    27  context clearly indicates otherwise:
    28     "Apprentice."  A person who holds a certificate of
    29  apprenticeship issued in accordance with this act.
    30     "Board."  The State Board of Opticians and Contact Lens
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     1  Technicians.
     2     "Commissioner."  The Commissioner of Professional and
     3  Occupational Affairs.
     4     "Contact lens technician."  A person licensed in accordance
     5  with this act who fits an appropriate contact lens for a
     6  specific intended wearer and completely assists such wearer in
     7  the use of the contact lens if the following conditions are met:
     8         (1)  The fitting is based on prescription of a licensed
     9     physician or optometrist.
    10         (2)  The wearer is informed, in accordance with section
    11     13(b), to return to the prescribing physician or optometrist
    12     for periodic evaluation during the fit whenever the contact
    13     lens technician believes professional judgment is needed, but
    14     at intervals not to exceed three months.
    15         (3)  No person licensed under this act shall fill a
    16     prescription or dispense contact lenses unless the
    17     prescribing physician or optometrist specifies that the
    18     prescriber intends it to be for contact lenses.
    19         (4)  No person licensed in accordance with this act shall
    20     fill a prescription beyond an expiration date specified by
    21     the prescribing physician or optometrist.
    22     "Fitting of contact lenses."  A procedure in which a contact
    23  lens is placed upon the eye of a wearer and the lens-cornea
    24  relationship is evaluated with the use of a biomicroscope or
    25  slit-lamp.
    26     "Optician."  A person licensed in accordance with this act to
    27  practice opticianry, including, but not limited to, those
    28  persons listed by the State Board of Optometry under section
    29  6(h)(5) of the act of June 6, 1980 (P.L.197, No.57), known as
    30  the Optometric Practice and Licensure Act, to the extent that
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     1  their activities fall within the scope of the practice of
     2  opticianry as defined in this act. Such person shall be a
     3  professional health care provider as defined in and subject to
     4  the provisions of the act of July 20, 1974 (P.L.564, No.193),
     5  known as the Peer Review Protection Act.
     6     "Practice of opticianry."  The practice of filling
     7  prescriptions of licensed physicians or optometrists for
     8  ophthalmic lenses; interpreting these prescriptions and taking
     9  measurements to determine size and shape of lenses, frames or
    10  lens forms best suited to the wearer's needs; providing
    11  duplicate or replacement lenses without prescription; repairing
    12  and reproducing previously prepared ophthalmic lenses and frames
    13  without prescription; preparing and delivering work orders to
    14  technicians engaged in grinding lenses and fabricating eyewear;
    15  verifying the accuracy of ophthalmic lenses; and adjusting and
    16  dispensing lenses, specially fabricated optical devices, frames
    17  and appurtenances thereof to the intended wearer. The practice
    18  of opticianry shall not include the fitting of contact lenses.
    19     "Prescription."  A written or oral direction from a licensed
    20  physician or optometrist for lenses, consisting of the
    21  refractive power and, when necessary, the vertex distance, the
    22  cylinder axis and prism. A prescription for contact lenses shall
    23  also specifically indicate approval for contact lens fitting.
    24  The neutralization of a spectacle lens shall not constitute a
    25  prescription for contact lenses. An oral or telephonically
    26  transmitted prescription shall be documented in the files of the
    27  optician or the contact lens technician.
    28     "Supervision."  The direction and control of work through
    29  personal inspection and evaluation of work and the provision of
    30  such consultation and instruction as may be needed.
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     1  Section 3.  State Board of Opticians and Contact Lens
     2                 Technicians.
     3     (a)  Creation.--There is hereby created a departmental
     4  administrative board to be known as the State Board of Opticians
     5  and Contact Lens Technicians which shall be in the Bureau of
     6  Professional and Occupational Affairs of the Department of
     7  State.
     8     (b)  Members.--The board shall consist of nine members, all
     9  of whom shall be residents of this Commonwealth and two of whom
    10  shall be chosen as representatives of the public interest. The
    11  remaining seven members shall be two opticians, two contact lens
    12  technicians, one individual who is either an optician or a
    13  contact lens technician and who owns a retail place of business
    14  in which either opticianry or the fitting of contact lenses is
    15  practiced, the Commissioner of Professional and Occupational
    16  Affairs and the Director of the Bureau of Consumer Protection in
    17  the Office of Attorney General or his designee. The professional
    18  and public members of the board should be chosen so they are
    19  geographically representative.
    20     (c)  Appointment.--The professional and public members of the
    21  board shall be appointed by the Governor with the advice and
    22  consent of a majority of the members elected to the Senate.
    23     (d)  Terms of office.--The term of each professional and
    24  public member of the board shall be four years or until his
    25  successor has been appointed and qualified. In the event that
    26  any of the members shall die or resign or otherwise become
    27  disqualified during his term, a successor shall be appointed in
    28  the same way and with the same qualifications and shall hold
    29  office for the unexpired term. Of the optician members of the
    30  board first appointed, one optician shall serve a term of two
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     1  years and the other optician shall serve a term of four years.
     2  Of the contact lens technician members of the board first
     3  appointed, one contact lens technician shall serve a term of
     4  four years and the other shall serve a term of two years. The
     5  individual first appointed who is either an optician or a
     6  contact lens technician and who owns a retail place of business
     7  in which either opticianry or the fitting of contact lenses is
     8  practiced shall serve a term of four years. Of the public
     9  members of the board first appointed, one public member shall
    10  serve a term of two years and one public member shall serve a
    11  term of four years. The Governor shall nominate the initial
    12  professional and public members within 90 days of the effective
    13  date of this act.
    14     (e)  Reappointment.--A member of the board shall be eligible
    15  for reappointment. A member shall not be appointed to serve more
    16  than two consecutive terms.
    17     (f)  Compensation.--Each member of the board, except the
    18  commissioner and the Director of the Bureau of Consumer
    19  Protection, shall receive $60 per diem when actually attending
    20  to the work of the board in accordance with Commonwealth
    21  regulations. Members shall also receive the amount of reasonable
    22  traveling, hotel and other necessary expenses incurred in the
    23  performance of their duties in accordance with Commonwealth
    24  regulations.
    25     (g)  Meetings.--The board shall meet at least twice a year
    26  and may hold additional meetings whenever necessary to discharge
    27  its duties. A majority of the members of the board serving in
    28  accordance with law shall constitute a quorum. Except for
    29  temporary and automatic suspensions under section 15, a member
    30  may not be counted as part of a quorum or vote on any issue
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     1  unless he is physically in attendance at the meeting.
     2     (h)  Attendance.--A member who fails to attend three
     3  consecutive meetings shall forfeit membership unless the
     4  commissioner, upon written request from the member, finds that
     5  the member should be excused from a meeting because of illness
     6  or the death of an immediate family member.
     7     (i)  Attendance at training seminars.--A public member who
     8  fails to attend two consecutive statutorily mandated training
     9  seminars in accordance with section 813(e) of the act of April
    10  9, 1929 (P.L.177, No.175), known as The Administrative Code of
    11  1929, shall forfeit his seat, unless the commissioner, upon
    12  written request from the public member, finds that the public
    13  member should be excused from a meeting because of illness or
    14  the death of a family member.
    15  Section 4.  Powers and duties of board.
    16     (a)  Electing officers.--The State Board of Opticians and
    17  Contact Lens Technicians shall elect annually from its
    18  membership a chairman, vice chairman and secretary.
    19     (b)  Reviewing applications.--The board shall pass upon the
    20  qualifications of applicants for licensure, insure the conduct
    21  of examinations and issue and renew licenses to opticians or
    22  contact lens technicians who qualify under this act.
    23     (c)  Disciplinary actions.--The board may refuse, revoke,
    24  suspend, limit or otherwise restrict a license of an optician or
    25  contact lens technician pursuant to this act, conduct
    26  investigations, including the power to issue subpoenas and hold
    27  hearings upon written charges indicating violation of this act
    28  or of regulations promulgated pursuant thereto.
    29     (d)  Maintaining records.--The board shall maintain a record
    30  listing the name of every living optician or contact lens
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     1  technician licensed to practice in this Commonwealth, the last
     2  known place of business, the last known place of residence and
     3  the date and number of the license of the licensee. The listing
     4  shall be available to any citizen of this Commonwealth after
     5  reimbursement for the actual cost of reproduction and mailing.
     6     (e)  Promulgating rules and regulations.--The board may
     7  promulgate rules and regulations not inconsistent with law which
     8  it deems necessary for the performance of its duties and the
     9  proper administration of this act.
    10     (f)  Filing reports.--The board shall submit annually:
    11         (1)  To the Department of State, an estimate of the
    12     financial requirements of the board for its administrative,
    13     investigative, legal and miscellaneous expenses.
    14         (2)  To the Appropriations Committee of the Senate and to
    15     the Appropriations Committee of the House of Representatives,
    16     15 days after the Governor has submitted his budget to the
    17     General Assembly, a copy of the budget request for the
    18     upcoming fiscal year which the board previously submitted to
    19     the Department of State.
    20         (3)  To the Consumer Protection and Professional
    21     Licensure Committee of the Senate and to the Professional
    22     Licensure Committee of the House of Representatives, a report
    23     containing a description of the types of complaints received,
    24     status of cases, board action which has been taken and the
    25     length of time from the initial complaint to final board
    26     resolution.
    27     (g)  Subpoenas.--The board shall have power to issue
    28  subpoenas, upon application of an attorney responsible for
    29  representing the Commonwealth in disciplinary matters before the
    30  board, for the purpose of investigating alleged violations of
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     1  the disciplinary provisions administered by the board. The board
     2  shall have the power to subpoena witnesses, to administer oaths,
     3  to examine witnesses and to take such testimony or compel the
     4  production of such books, records, papers and documents as it
     5  may deem necessary or proper in, and pertinent to, any
     6  proceeding, investigation or hearing held or had by it.
     7     (h)  Court action.--The board shall have power to take
     8  appropriate actions to initiate injunctive and criminal
     9  prosecution proceedings in connection with the lawful or
    10  unauthorized practice of opticianry or contact lens fitting or
    11  other violations of this act. Injunctive and criminal
    12  proceedings shall be instituted in accordance with the act of
    13  October 15, 1980 (P.L.950, No.164), known as the Commonwealth
    14  Attorneys Act.
    15     (i)  Reports to board.--An attorney responsible for
    16  representing the Commonwealth in disciplinary matters before the
    17  board shall notify the board immediately upon receiving
    18  notification of an alleged violation of this act. The board
    19  shall maintain current records of all reports of alleged
    20  violations and periodically review the records for the purpose
    21  of determining that each alleged violation has been resolved in
    22  a timely manner.
    23  Section 5.  License required.
    24     (a)  Grace period.--It shall be unlawful, beginning one year
    25  from the appointment of the professional and public members of
    26  the State Board of Opticians and Contact Lens Technicians, for
    27  any person to engage in the practice of opticianry or the
    28  fitting of contact lenses or to offer or attempt to do so or to
    29  hold himself out to the public by any title or description of
    30  services incorporating the words "optician," "contact lens
    19940H2757B3643                  - 9 -

     1  technician," "opticianry" or "the fitting of contact lenses,"
     2  without first obtaining a license pursuant to this act.
     3     (b)  Limitation on grant of license.--The licensure of
     4  opticians or contact lens technicians shall extend only to
     5  individuals. A license shall not be issued to a partnership,
     6  unincorporated association, corporation or similar business
     7  organization.
     8  Section 6.  Persons and practices not affected.
     9     This act shall not be construed to prevent or restrict:
    10         (1)  A person licensed in this Commonwealth in accordance
    11     with the provisions of another law of this Commonwealth from
    12     engaging in the profession or occupation for which licensed.
    13     Licensed persons may employ unlicensed persons to provide
    14     contact lens services, except those services which require
    15     licensure under this act, under the direct, personal
    16     supervision and control of such licensee within the standards
    17     of his profession.
    18         (2)  The sale or manufacture of ready-to-wear eyeglasses,
    19     which sale or manufacturing is hereby specifically excluded
    20     from this act.
    21         (3)  A person pursuing a course of study leading to a
    22     degree or certificate in opticianry or contact lens fitting
    23     in an accredited and approved educational program, provided
    24     that the activities and services are part of a supervised
    25     course of study and the person is designated by a title which
    26     clearly indicates the status of student or trainee and not
    27     licensed optician or licensed contact lens technician.
    28         (4)  A person fulfilling the apprenticeship requirements
    29     of this act, provided that the activities and services
    30     constitute a part of the apprenticeship necessary to meet the
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     1     requirements of the program.
     2         (5)  Any individual, firm or corporation from employing
     3     persons licensed under this act to engage in the practice of
     4     opticianry or the fitting of contact lenses.
     5  Section 7.  Requirements for licensure.
     6     Upon filing timely application with the State Board of
     7  Opticians and Contact Lens Technicians upon forms approved by
     8  the board and payment of an examination fee determined by the
     9  board, any person desiring to qualify for licensing as an
    10  optician or as a contact lens technician shall be permitted to
    11  take an examination for licensing, provided that the individual
    12  submits with the application evidence satisfactory to the board
    13  that:
    14         (1)  The individual is a citizen of the United States of
    15     America or has applied for citizenship.
    16         (2)  The individual is 18 years of age or older.
    17         (3)  The individual is of good moral character.
    18         (4)  The individual is a graduate of an accredited high
    19     school or has completed the full equivalent of a grammar
    20     school and a four year high school course.
    21         (5)  In the case of an applicant for licensing as an
    22     optician, the individual has had at least two years of
    23     practical training and experience in opticianry immediately
    24     prior to the end of one year from the effective date of this
    25     act, has completed an apprenticeship in accordance with
    26     section 12 or has successfully completed the prescribed
    27     course in opticianry for opticians in a college, university
    28     or other institution of learning, which course shall have
    29     been accredited by an accrediting agency recognized and
    30     approved by the United States Department of Education or the
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     1     Council of Post-Secondary Education and officially approved
     2     by the board.
     3         (6)  In the case of an applicant for licensing as a
     4     contact lens technician, he has successfully completed the
     5     prescribed course of study for an associates degree in
     6     ophthalmic sciences in a college, university or other
     7     institution of learning, which course shall have been
     8     accredited by an accrediting agency recognized and approved
     9     by the United States Department of Education or the Council
    10     of Post-Secondary Education and officially approved by the
    11     board. The course shall include clinical training covering
    12     the competencies required in fitting, adapting and dispensing
    13     of contact lenses and shall include at least nine credit
    14     hours in contact lens courses. The board may require a more
    15     extensive course of study.
    16  Section 8.  Examinations.
    17     (a)  Administration.--The examination for licensing shall be
    18  conducted at least twice a year, and at other times the State
    19  Board of Opticians and Contact Lens Technicians may determine as
    20  necessary, at the times and places the board determines. The
    21  examination shall be prepared and administered by a qualified
    22  and approved professional testing organization in accordance
    23  with section 812.1 of the act of April 9, 1929 (P.L.177,
    24  No.175), known as The Administrative Code of 1929.
    25     (b)  Substance of optician examination.--The license
    26  examination for an optician shall be confined to the knowledge
    27  that is essential to practice as an optician and, at a minimum,
    28  shall show proficiency in the following subjects: prescription
    29  interpretation and analysis; fitting, design and dispensing of
    30  eyeglass lenses, frames and accessories; the use of standard
    19940H2757B3643                 - 12 -

     1  ophthalmic equipment; the taking of pupillary and facial
     2  measurements; administrative recordkeeping; and professional and
     3  ethical conduct. The examination shall be in written form.
     4     (c)  Substance of contact lens technician examination.--The
     5  license examination for a contact lens technician shall be
     6  confined to the knowledge that is essential to practice as a
     7  contact lens technician and, at a minimum, shall show
     8  proficiency in the following subjects: prefit evaluation;
     9  prescription interpretation and analysis; use of instrumentation
    10  consistent with contact lens fitting; determination of lens type
    11  and design of contact lens specifications; instructions on
    12  application and care of lenses; follow-up procedures; practice
    13  management; and professional and ethical conduct. This
    14  examination shall include both written and practical portions.
    15  Section 9.  Waiver of examination requirements.
    16     (a)  Requirements to waive optician examination.--The State
    17  Board of Opticians and Contact Lens Technicians shall waive the
    18  optician examination requirement and grant an optician license
    19  to any applicant who meets any one of the following:
    20         (1)  Is currently licensed to practice opticianry in
    21     another state if the state's qualifications are equivalent to
    22     those qualifications required in this Commonwealth and if
    23     that state offers similar privileges to licensees of the
    24     board.
    25         (2)  Holds a currently valid certificate as a certified
    26     optician from the American Board of Opticianry on the
    27     effective date of this act.
    28         (3)  Has been engaged in the practice of opticianry for a
    29     period of three years immediately prior to the effective date
    30     of this act.
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     1     (b)  Requirements to waive contact lens technician
     2  examination.--The board shall waive the contact lens examination
     3  requirement and grant a contact lens technician license to any
     4  applicant who, within three months of the effective date of this
     5  act, meets one of the following criteria:
     6         (1)  Is currently licensed to fit contact lenses in
     7     another state if that state's qualifications are equivalent
     8     to those qualifications required in this Commonwealth and if
     9     that state offers similar privileges to licensees of the
    10     board.
    11         (2)  Is currently certified by the National Committee of
    12     Contact Lens Examiners on the effective date of this act.
    13  Section 10.  Licenses.
    14     Each applicant who successfully completes the examination for
    15  licensing as an optician or a contact lens technician or who is
    16  exempt from either such examination in accordance with section 9
    17  shall, upon payment of the required fee established by the State
    18  Board of Opticians and Contact Lens Technicians, receive a
    19  license as an optician or as a contact lens technician, as the
    20  case may be, from the board. The license shall be recorded in
    21  the office of the Commissioner of Professional and Occupational
    22  Affairs in a record book to be properly kept for that purpose
    23  and shall be open to public inspection.
    24  Section 11.  Renewal of license; continuing education.
    25     (a)  Application.--Licenses under this act shall be subject
    26  to renewal every two years and shall expire unless the licensee
    27  submits an application for renewal in the manner prescribed by
    28  the State Board of Opticians and Contact Lens Technicians.
    29     (b)  Continuing education.--The application shall be
    30  accompanied by a renewal fee and evidence that the applicant
    19940H2757B3643                 - 14 -

     1  has, during the preceding two-year period, completed continuing
     2  education as follows:
     3         (1)  An optician must complete eight hours of continuing
     4     education in opticianry approved by the board.
     5         (2)  A contact lens technician must complete 12 hours of
     6     continuing education in contact lens fitting approved by the
     7     board.
     8         (3)  An individual who is licensed as an optician and
     9     also as a contact lens technician must complete 12 hours of
    10     continuing education in contact lens fitting approved by the
    11     board and four hours of continuing education in opticianry
    12     approved by the board.
    13         (4)  No credit shall be given for courses in office
    14     management or sales.
    15  Section 12.  Apprentices and other ancillary personnel.
    16     (a)  Employment of apprentices.--Persons licensed under this
    17  act may utilize apprentices to engage in opticianry when the
    18  apprentices are under their direct supervision and at the same
    19  location where the licensed person dispenses, but no licensed
    20  optician may supervise more than two apprentices. Apprentices
    21  may be employed upon the issuance of a certificate of
    22  apprenticeship by the State Board of Opticians and Contact Lens
    23  Technicians.
    24     (b)  Certificate of apprenticeship.--Applications for a
    25  certificate of apprenticeship shall be made to the board in
    26  writing upon forms provided by the board and shall contain such
    27  information as the board requires. A certificate shall be issued
    28  for a maximum of two years. Upon completion of the two-year
    29  apprenticeship, which shall include a minimum of 3,500 hours of
    30  employment during the apprenticeship, the apprentice shall take
    19940H2757B3643                 - 15 -

     1  the first scheduled licensing examination except for reasons of
     2  health or hardship. If the examination is failed, the apprentice
     3  shall take it again on the next scheduled date. If the
     4  apprentice is unsuccessful in passing three consecutive
     5  examinations, he shall return his certificate. While the
     6  apprentice is waiting to take a licensing examination, his
     7  certificate of apprenticeship shall remain in effect. An
     8  individual shall only be permitted to obtain another
     9  apprenticeship certificate under exceptional circumstances
    10  approved by the board.
    11     (c)  Rules and regulations.--The board shall promulgate rules
    12  and regulations to insure that the apprentice is tested
    13  periodically as to his progress.
    14     (d)  Employment of others.--Persons licensed under this act
    15  may employ other ancillary personnel to assist in fashion
    16  consulting, to perform clerical and office duties, to assist in
    17  making minor repairs and to perform laboratory work. Those
    18  personnel need not be registered as apprentices.
    19  Section 13.  Special provisions.
    20     (a)  Duplicated lenses.--Subsequent to the completion of
    21  contact lens fitting and evaluation of the fit by a licensed
    22  physician or optometrist, contact lenses may be duplicated and
    23  dispensed by a licensed contact lens technician. The
    24  specifications of such duplicated contact lenses shall be
    25  obtained from the original fitter, physician or optometrist and
    26  may not be determined by measurement of the contact lens or from
    27  parameters listed on contact lens packaging.
    28     (b)  Duty to inform.--The contact lens technician shall
    29  inform each individual for whom he fits any form or kind of
    30  contact lens that the wearer should return to the prescribing
    19940H2757B3643                 - 16 -

     1  physician or optometrist for a final evaluation of the fit of
     2  the contact lens. Each wearer shall be provided with a form in
     3  accordance with this subsection and shall also be informed
     4  orally that he should return to the prescribing practitioner.
     5  The form shall be signed and dated by the contact lens wearer,
     6  who shall receive a copy of the form. The form shall include the
     7  following statement:
     8         I have been advised that I should return to my physician
     9         or optometrist for a final evaluation of the fit of my
    10         contact lenses within three months of their delivery to
    11         me.
    12                    (Signature)                   (Date)
    13  The contact lens technician shall retain a copy of the form for
    14  two years.
    15     (c)  Prescriptions.--
    16         (1)  A physician or optometrist shall provide to the
    17     patient, at no charge, a copy of the patient's prescription
    18     immediately after a refraction.
    19         (2)  A physician or optometrist shall provide a person
    20     upon whom he performed a refraction with a copy of the
    21     prescription, at no charge, upon the patient's request.
    22  Section 14.  Causes for denial, suspension or revocation of
    23                 license.
    24     (a)  General rule.--The State Board of Opticians and Contact
    25  Lens Technicians may deny, suspend, revoke, limit or otherwise
    26  restrict a license for any of the following causes:
    27         (1)  Obtaining a license by fraud or deceit.
    28         (2)  Use of the term "doctor," "physician" or "clinic,"
    29     or any derivation thereof, as part of the firm name under
    30     which the licensee fits and sells ophthalmic devices unless
    19940H2757B3643                 - 17 -

     1     authorized by law.
     2         (3)  Holding oneself out by or using the title "Doctor."
     3         (4)  Fraud or misrepresentation in the repair, fitting or
     4     selling of ophthalmic devices, including advertising, by
     5     publication, transmission or otherwise, which has the
     6     tendency to mislead or is deceptive or fraudulent on its
     7     face, by inference, or by effect.
     8         (5)  The employment, to perform any act covered by this
     9     act, of a person known to the employer whose license is
    10     suspended or who does not possess a valid license issued
    11     under this act.
    12         (6)  Violating or permitting, with notice or knowledge of
    13     its commission, the violation by any licensed employee of any
    14     provision of this act or any rules or regulations promulgated
    15     under this act.
    16         (7)  Being convicted of a felony or receiving probation
    17     without verdict, disposition in lieu of trial or an
    18     Accelerated Rehabilitative Disposition in the courts of this
    19     Commonwealth, a Federal court or a court of any state,
    20     territory, possession or country.
    21         (8)  Having a license or other authorization to practice
    22     the profession revoked or suspended or having other
    23     disciplinary action taken, or an application for a license or
    24     other authorization refused, revoked or suspended by a proper
    25     licensing authority of another state, territory, possession
    26     or country, or a branch of the Federal Government.
    27         (9)  Being unable to practice the profession with
    28     reasonable skill and safety to patients by reason of illness,
    29     addiction to drugs or alcohol, having been convicted of a
    30     felonious act prohibited by the act of April 14, 1972
    19940H2757B3643                 - 18 -

     1     (P.L.233, No.64), known as The Controlled Substance, Drug,
     2     Device and Cosmetic Act, or convicted of a felony relating to
     3     a controlled substance in a court of law of the United States
     4     or any other state, territory, possession or country, or if
     5     he is or shall become mentally incompetent. An applicant's
     6     statement on the application declaring the absence of a
     7     conviction shall be deemed satisfactory evidence of the
     8     absence of a conviction unless the board has some evidence to
     9     the contrary. In enforcing this paragraph, the board shall,
    10     upon probable cause, have authority to compel a practitioner
    11     to submit to a mental or physical examination by a physician
    12     or a psychologist approved by the board. Failure of a
    13     practitioner to submit to such examination when directed by
    14     the board, unless such failure is due to circumstances beyond
    15     his control, shall constitute an admission of the allegations
    16     against him consequent upon which a default and final order
    17     may be entered without the taking of testimony or
    18     presentation of evidence. A practitioner affected under this
    19     paragraph shall at reasonable intervals be afforded an
    20     opportunity to demonstrate that he can resume a competent
    21     practice of his profession with reasonable skill and safety
    22     to patients.
    23         (10)  Violating a lawful regulation promulgated by the
    24     board or violating a lawful order of the board previously
    25     entered by the board in a disciplinary proceeding.
    26         (11)  Being guilty of malpractice, immoral or
    27     unprofessional conduct. Unprofessional conduct shall include
    28     departure from or failing to conform to the standards of
    29     acceptable and prevailing practice of opticianry or contact
    30     lens fitting. In proceedings based on this paragraph, actual
    19940H2757B3643                 - 19 -

     1     injury to a patient need not be established.
     2         (12)  Acting in such manner as to present an immediate
     3     and clear danger to public health or safety.
     4         (13)  Acting outside the scope of a license.
     5         (14)  Making a false or deceptive biennial registration
     6     with the board.
     7         (15)  Intentionally submitting to any third-party payor a
     8     claim for a service which was not actually provided to a
     9     wearer.
    10         (16)  Being enjoined from violating any provision of the
    11     act of December 17, 1968 (P.L.1224, No.387), known as the
    12     Unfair Trade Practices and Consumer Protection Law, or being
    13     subject to a final order of the Federal Trade Commission, the
    14     Pennsylvania Department of Health or the Food and Drug
    15     Administration of the United States Department of Health and
    16     Human Services concerning the sale or offering for sale of
    17     unsafe, unhealthful or worthless ophthalmic devices or for
    18     engaging in conduct which has the tendency to mislead or
    19     deceive.
    20     (b)  Five-year revocation period.--Unless ordered to do so by
    21  a court, the board shall not reinstate the license of a person
    22  to practice as an optician or contact lens technician which has
    23  been revoked, and such person shall be required to apply for
    24  licensure after a five-year period in accordance with the
    25  provisions of this act, including the examination requirement,
    26  if he desires to practice at any time after such revocation.
    27  Section 15.  Procedures in disciplinary actions.
    28     (a)  Procedure.--All disciplinary actions of the State Board
    29  of Opticians and Contact Lens Technicians shall be taken subject
    30  to the right of notice, hearing and adjudication, and the right
    19940H2757B3643                 - 20 -

     1  of appeal therefrom in accordance with Title 2 of the
     2  Pennsylvania Consolidated Statutes (relating to administrative
     3  law and procedure).
     4     (b)  Temporary suspension.--A license issued under this act
     5  may be temporarily suspended under circumstances as determined
     6  by the board to be an immediate and clear danger to the public
     7  health and safety. The board shall issue an order to that effect
     8  without a hearing, but upon due notice, to the licensee
     9  concerned at his last known address, which shall include a
    10  written statement of all allegations against the licensee. The
    11  provisions of subsection (a) shall not apply to temporary
    12  suspension. The board shall thereupon commence formal action to
    13  suspend, revoke or restrict the license of the person concerned
    14  as otherwise provided for in this act. All actions shall be
    15  taken promptly and without delay. Within 30 days following the
    16  issuance of an order temporarily suspending a license, the board
    17  shall conduct or cause to be conducted a preliminary hearing to
    18  determine that there is a prima facie case supporting the
    19  suspension. The licensee whose license has been temporarily
    20  suspended may be present at the preliminary hearing, may be
    21  represented by counsel and may cross-examine witnesses, inspect
    22  physical evidence, call witnesses, offer evidence and testimony,
    23  and make a record of the proceedings. If it is determined that
    24  there is not a prima facie case, the suspended license shall be
    25  immediately restored. The temporary suspension shall remain in
    26  effect until vacated by the board, but in no event longer than
    27  180 days.
    28     (c)  Automatic suspension.--A license issued under this act
    29  shall automatically be suspended upon the legal commitment to an
    30  institution of a licensee because of mental incompetency from
    19940H2757B3643                 - 21 -

     1  any cause upon filing with the board a certified copy of such
     2  commitment, conviction of a felony under the act of April 14,
     3  1972 (P.L.233, No.64), known as The Controlled Substance, Drug,
     4  Device and Cosmetic Act, or conviction of an offense under the
     5  laws of another jurisdiction, which, if committed in this
     6  Commonwealth, would be a felony.
     7  Section 16.  Reporting of multiple licensure.
     8     Any licensed optician or licensed contact lens technician of
     9  this Commonwealth who is also licensed to practice opticianry or
    10  contact lens fitting in any other state, territory, possession
    11  or country shall report this information to the State Board of
    12  Opticians and Contact Lens Technicians on the biennial
    13  registration application. Any disciplinary action taken in such
    14  other jurisdiction shall be reported to the board on the
    15  biennial registration application or within 90 days of final
    16  disposition, whichever is sooner. Multiple licensure shall be
    17  noted by the board on the optician's or contact lens
    18  technician's record and such state, territory, possession or
    19  country shall be notified by the board of any disciplinary
    20  actions taken against the optician or contact lens technician in
    21  this Commonwealth.
    22  Section 17.  Display of license or certificate.
    23     Every holder of a license or certificate granted by the State
    24  Board of Opticians and Contact Lens Technicians under this act
    25  shall display the license or certificate in a conspicuous place
    26  in the office where such person practices opticianry or the
    27  fitting of contact lenses or is serving as an apprentice.
    28  Section 18.  Surrender of license.
    29     The State Board of Opticians and Contact Lens Technicians
    30  shall require a person whose license has been suspended or
    19940H2757B3643                 - 22 -

     1  revoked to return the license in such manner as the board
     2  directs. A person who fails to do so commits a misdemeanor of
     3  the third degree.
     4  Section 19.  Unlawful acts.
     5     A person commits a misdemeanor of the third degree and shall,
     6  upon conviction, be sentenced to pay a fine of not more than
     7  $2,500 or to imprisonment for not more than six months, or both,
     8  if he commits any act declared unlawful by any other provision
     9  of this act, or if he:
    10         (1)  Makes misleading, deceptive, untrue or fraudulent
    11     representations in the practice of opticianry or contact lens
    12     fitting.
    13         (2)  Practices fraud or deceit in obtaining a license as
    14     an optician or contact lens technician.
    15         (3)  Displays gross incompetence, negligence or
    16     misconduct in carrying on the practice of opticianry or
    17     contact lens fitting.
    18         (4)  Makes a false or deceptive biennial registration
    19     with the State Board of Opticians and Contact Lens
    20     Technicians.
    21         (5)  Violates a lawful regulation promulgated by the
    22     board or a lawful order of the board previously entered in a
    23     disciplinary proceeding.
    24         (6)  Knowingly aids, assists, procures or advises any
    25     unlicensed person to practice opticianry or contact lens
    26     fitting contrary to this act or regulations of the board.
    27         (7)  Commits immoral or unprofessional conduct.
    28     Unprofessional conduct shall include any departure from, or
    29     failure to conform to, the standards of acceptable and
    30     prevailing practice of opticianry or contact lens fitting.
    19940H2757B3643                 - 23 -

     1         (8)  Engages in the practice of opticianry or the fitting
     2     of contact lenses in this Commonwealth without having at the
     3     time of so doing a valid, unrevoked and unexpired license or
     4     temporary license.
     5  Section 20.  Civil penalty.
     6     In addition to any other civil or criminal penalty provided
     7  for in this act, the State Board of Opticians and Contact Lens
     8  Technicians, by a vote of the majority of the maximum number of
     9  the authorized membership of the board as provided by law, or by
    10  a vote of the majority of the duly qualified and confirmed
    11  membership or a minimum of four members, whichever is greater,
    12  may levy a civil penalty of up to $1,000 on any current licensee
    13  who violates any provision of this act or on any person who
    14  practices opticianry or fits contact lenses without being
    15  properly licensed to do so under this act. The board shall levy
    16  this penalty only after affording the accused party the
    17  opportunity for a hearing, as provided in Title 2 of the
    18  Pennsylvania Consolidated Statutes (relating to administrative
    19  law and procedure). All fines and civil penalties imposed in
    20  accordance with this section shall be paid into the Professional
    21  Licensure Augmentation Account.
    22  Section 21.  Fees.
    23     (a)  Imposition and increases.--All fees required under this
    24  act shall be fixed by the State Board of Opticians and Contact
    25  Lens Technicians by regulation and shall be subject to the act
    26  of June 25, 1982 (P.L.633, No.181), known as the Regulatory
    27  Review Act. If the revenues raised by fees, fines and civil
    28  penalties imposed pursuant to this act are not sufficient to
    29  meet expenditures over a two-year period, the board shall
    30  increase those fees by regulation so that the projected revenues
    19940H2757B3643                 - 24 -

     1  will meet or exceed projected expenditures.
     2     (b)  Additional increases.--If the Bureau of Professional and
     3  Occupational Affairs determines that the fees established by the
     4  board under subsection (a) are inadequate to meet the minimum
     5  enforcement efforts required by this act, then the bureau, after
     6  consultation with the board and subject to the Regulatory Review
     7  Act, shall increase the fees by regulation in an amount that
     8  adequate revenues are raised to meet the required enforcement
     9  effort.
    10  Section 22.  Appropriation.
    11     The sum of $75,000, or as much thereof as may be necessary,
    12  is hereby appropriated from the Professional Licensure
    13  Augmentation Account within the General Fund to the Bureau of
    14  Professional and Occupational Affairs in the Department of State
    15  for the establishment and operation of the State Board of
    16  Opticians and Contact Lens Technicians. The appropriation
    17  granted shall be repaid by the board within three years of the
    18  beginning of issuance of licenses by the board.
    19  Section 23.  Repeals.
    20     All acts and parts of acts are repealed insofar as they are
    21  inconsistent with this act.
    22  Section 24.  Effective date.
    23     This act shall take effect in 60 days.





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