PRINTER'S NO. 2429
No. 1919 Session of 1987
INTRODUCED BY MARKOSEK, ITKIN, KUKOVICH, COHEN, COLAFELLA, DUFFY, ACOSTA, HERMAN, FARMER, CAPPABIANCA, PETRARCA, JAROLIN, MICOZZIE, STABACK, PRESTON AND CORRIGAN, OCTOBER 28, 1987
REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, OCTOBER 28, 1987
AN ACT 1 Regulating the practice and licensure of dietetics and 2 nutrition; creating the State Board of Dietitian-Nutritionist 3 Licensure and providing for its powers and duties; 4 prescribing penalties; and making an appropriation. 5 TABLE OF CONTENTS 6 Section 1. Short title. 7 Section 2. Declaration of purpose. 8 Section 3. Definitions. 9 Section 4. License required. 10 Section 5. Exemptions. 11 Section 6. State Board of Dietitian-Nutritionist Licensure. 12 Section 7. Powers and duties of board. 13 Section 8. Requirements for licensure. 14 Section 9. Examination for licensure. 15 Section 10. Waiver of certain requirements for licensure. 16 Section 11. Reciprocity. 17 Section 12. Use of title.
1 Section 13. Renewal of license; effect of license suspension or 2 revocation. 3 Section 14. Refusal, suspension, revocation or refusal to renew 4 licenses; injunctive relief. 5 Section 15. Reinstatement of license. 6 Section 16. Reporting of multiple licensure. 7 Section 17. Surrender of suspended or revoked license. 8 Section 18. Impaired professional. 9 Section 19. Penalties. 10 Section 20. Records. 11 Section 21. Fees. 12 Section 22. Subpoenas. 13 Section 23. Unlawful practice. 14 Section 24. Appropriation. 15 Section 25. Severability. 16 Section 26. Effective date. 17 The General Assembly of the Commonwealth of Pennsylvania 18 hereby enacts as follows: 19 Section 1. Short title. 20 This act shall be known and may be cited as the Dietitian- 21 Nutritionist Licensure Law. 22 Section 2. Declaration of purpose. 23 It is the purpose of this act to provide for the 24 establishment of standards for the practice of dietetics- 25 nutrition in this Commonwealth through the licensure and 26 regulation and control of persons engaged in offering dietetic- 27 nutrition services to the general public to safeguard the public 28 health, safety and welfare, to protect the public from being 29 harmed by unqualified persons, to assure the highest degree of 30 professional care and conduct on the part of dietitians- 19870H1919B2429 - 2 -
1 nutritionists, and to assure the availability of dietetic- 2 nutrition services of the highest quality to persons in need of 3 such services. 4 Section 3. Definitions. 5 The following words and phrases when used in this act shall 6 have the meanings given to them in this section unless the 7 context clearly indicates otherwise: 8 "Board." The State Board of Dietitian-Nutritionist Licensure 9 created by this act. 10 "Commissioner." The Commissioner of the Bureau of 11 Professional and Occupational Affairs in the Department of 12 State. 13 "Department." The Department of State of the Commonwealth. 14 "Dietetics-Nutrition Practice." The application and 15 integration of scientific principles of nutrition to the proper 16 nourishment, care and education of individuals or groups under 17 different health, social, cultural, physical, psychological and 18 economic conditions. The term includes the development, 19 management and provision of nutritional services. 20 "Dietetics-Nutrition Services for Individuals and Groups." 21 The term includes: 22 (1) Assessing and interpreting individual and community 23 food practice and nutritional status using anthropometric, 24 biochemical, clinical, dietary and demographic data for 25 clinical care and program planning purposes as a component of 26 nutrition counseling services. 27 (2) Developing, establishing and evaluating nutritional 28 care plans that establish priorities, goals and objectives 29 for meeting nutrient needs for individuals or groups. 30 (3) Nutrition counseling and education as a part of 19870H1919B2429 - 3 -
1 preventive, restorative and rehabilitative health care 2 throughout the life cycle. 3 (4) Development, utilization, coordination and 4 management of human resources, materials and facilities 5 relative to fiscal accountability and the maintenance of 6 accepted quality in the administration of food services 7 systems in health care facilities. 8 "Dietitian-Nutritionist." A person licensed under this act. 9 Section 4. License required. 10 No person shall practice or offer to practice, or represent 11 himself as a dietitian-nutritionist in this Commonwealth, or use 12 any title, abbreviation, sign, card or device to indicate such 13 person is a dietitian-nutritionist unless such person is 14 licensed under this act. 15 Section 5. Exemptions. 16 This act shall not be construed as preventing or restricting 17 the following practices, services and activities: 18 (1) A person licensed in this Commonwealth in accordance 19 with the provisions of another law of this Commonwealth, from 20 engaging in the profession or occupation for which licensed. 21 (2) A student enrolled in an approved academic dietetics 22 or nutrition program recognized by the board, from 23 participating in the practice of dietetics or nutrition as 24 part of the program. 25 (3) Any person employed by an agency, bureau or division 26 of the Federal Government, or bound by the regulations of the 27 Federal Government when discharging official duties, 28 provided, however, that if the person engages in the practice 29 of dietetics or nutrition in this Commonwealth outside the 30 scope of such official duty, the person must be licensed as 19870H1919B2429 - 4 -
1 provided in this act. 2 (4) Activities and services of an educator in an 3 elementary or secondary school, or accredited degree granting 4 educational institution insofar as such activities and 5 services are part of a salaried position. 6 (5) A person may offer weight control classes and 7 services without a licensed dietitian-nutritionist on the 8 person's staff if the classes and services have been 9 developed with the assistance of, and have been approved by, 10 the dietitian-nutritionist. The dietitian-nutritionist who 11 has approved the program must be licensed either in this 12 Commonwealth or in some other state within the United States. 13 Section 6. State Board of Dietitian-Nutritionist Licensure. 14 (a) Creation.--There is hereby created a departmental 15 administrative board to be known as a State Board of Dietitian- 16 Nutritionist Licensure, which shall be in the Bureau of 17 Professional and Occupational Affairs of the Department of 18 State. It shall consist of seven members, all of whom shall be 19 residents of this Commonwealth and one of whom shall be a 20 representative of the public interest. The public member may not 21 have financial interest in provision of goods and services to 22 consumers; may not have financial interest in provision of goods 23 and services for dietitian-nutritionist; and may not be a 24 dietitian-nutritionist or have a household member who is a 25 dietitian-nutritionist. One member shall be the Director of the 26 Bureau of Consumer Protection in the Office of the Attorney 27 General. One member shall be an individual exempted from the 28 licensure requirements of this act in accordance with section 29 5(1) through (5). The remaining four members shall be 30 dietitians-nutritionists licensed to practice in this 19870H1919B2429 - 5 -
1 Commonwealth, except that those first appointed shall be 2 qualified to receive licensure under the terms of this act, 3 provided they have had at least five years' working experience 4 in Pennsylvania as dietitians-nutritionists immediately 5 preceding appointment. 6 (b) Appointments by Governor.--The Governor shall appoint 7 the members to serve on the board. The commissioner shall serve 8 as an ex officio member of the board. The Pennsylvania Dietetic 9 Association shall submit a list of names and addresses of 10 qualified dietitians-nutritionists willing to serve on the board 11 for the Governor's consideration. 12 (c) Term of office.--The members shall serve for four-year 13 terms, except as provided in subsection (c), and shall be 14 appointed by the Governor by and with the advice and consent of 15 a majority of the members elected to the Senate. 16 (d) Initial appointments.--Within 90 days of the effective 17 date of this act, the Governor shall nominate one dietitian- 18 nutritionist member to serve a four-year term; the public member 19 and one dietitian-nutritionist member to serve three-year terms; 20 one dietitian-nutritionist member to serve a two-year term; and 21 one dietitian-nutritionist member to serve a one-year term. 22 (e) Continuation in office.--Each board member shall 23 continue in office until a successor is duly appointed and 24 qualified but no longer than six months after the expiration of 25 the term. In the event that a board member shall die, resign or 26 otherwise become disqualified during the term of office, a 27 successor shall be appointed in the same way and with the same 28 qualifications as set forth in this section and shall hold 29 office for the unexpired portion of the unexpired term. 30 (f) Reappointment.--A member of the board shall be eligible 19870H1919B2429 - 6 -
1 for reappointment. A member shall not be appointed to serve more 2 than two consecutive terms and shall continue to serve until a 3 successor is appointed and qualified, but in no event more than 4 six months beyond the end of the appointed term. 5 (g) Compensation.--Each member of the board, except the 6 commissioner, shall receive per diem compensation at the rate of 7 $60 per diem when actually attending to the work of the board. 8 Members shall also receive reasonable traveling, hotel and other 9 necessary expenses incurred in the performance of their duties 10 in accordance with Commonwealth regulations. 11 (h) Forfeiture for nonattendance.--If the public member 12 fails to attend two consecutive statutorily mandated training 13 seminars in accordance with section 813(e) of the act of April 14 9, 1929 (P.L.177, No.175), known as The Administrative Code of 15 1929, he shall forfeit his seat unless the commissioner, upon 16 written request from the public member, finds that the public 17 member should be excused from a meeting because of illness or 18 the death of a family member. 19 (i) Meetings.--The board shall meet at least twice a year 20 and may hold additional meetings whenever necessary, subject to 21 the approval of the commissioner. The location of the meetings 22 shall be determined by the board, subject to the approval of the 23 commissioner, but shall be within this Commonwealth. 24 (1) A majority of the members of the board serving in 25 accordance with law shall constitute a quorum for purposes of 26 conducting the business of the board. Except for temporary 27 and automatic suspensions under section 11(d) and (e), a 28 member may not be counted as part of a quorum or vote on any 29 issue unless he or she is physically in attendance at the 30 meeting. 19870H1919B2429 - 7 -
1 (2) Reasonable notice of all meetings shall be given in 2 conformity with the act of July 3, 1986 (P.L.388, No.84), 3 known as the Sunshine Act. 4 Section 7. Powers and duties of board. 5 (a) Powers and duties.--The board shall elect annually from 6 its membership a chairman, a vice chairman and a secretary. It 7 shall be the duty of the board to pass upon the qualifications 8 of applicants for licensure, to insure the conduct of 9 examinations, to issue and renew licenses to dietitians- 10 nutritionists who qualify under this act, and, in proper cases, 11 to suspend or revoke the license of a dietitian-nutritionist. 12 The board shall be authorized and empowered to refuse, revoke or 13 suspend a license of a dietitian-nutritionist pursuant to this 14 act, to conduct investigations, including the power to issue 15 subpoenas, and to hold hearings upon charges or information 16 indicating a violation of the provisions of this act, or the 17 regulations promulgated pursuant thereto. 18 (1) The board shall maintain a record listing the name 19 of every living dietitian-nutritionist licensed to practice 20 in this Commonwealth, the last known place of business, the 21 last known place of residence and the date and number of the 22 license of the licensee. 23 (2) The board shall submit annually a report to the 24 Professional Licensure Committee of the House of 25 Representatives and the Consumer Protection and Professional 26 Licensure Committee of the Senate containing a description of 27 the types of complaints received, status of the cases, board 28 action which has been taken and length of time from the 29 initial complaint to final board resolution. 30 (3) The board shall submit annually to the 19870H1919B2429 - 8 -
1 Appropriations Committees of the House of Representatives and 2 the Senate, 15 days after the Governor has submitted his 3 budget to the General Assembly, a copy of the budget request 4 for the upcoming fiscal year which the board previously 5 submitted to the Department of State. 6 (b) Rules and regulations.--The board shall have the power 7 to promulgate and adopt rules and regulations not inconsistent 8 with this act as it deems necessary for the performance of its 9 duties and the proper administration of this act. 10 Section 8. Requirements for licensure. 11 An applicant applying for licensure as a dietitian- 12 nutritionist shall submit a written application on forms 13 provided by the board evidencing and insuring to the 14 satisfaction of the board that the applicant: 15 (1) Is of good moral character. 16 (2) Has satisfactorily completed the academic 17 requirements for the profession of dietetics as established 18 in regulation by the board and has received a baccalaureate 19 or higher degree from an accredited college or university 20 approved by the board. 21 (3) Has completed a minimum number of hours of dietetic- 22 nutrition experience satisfactory to the board and in 23 accordance with the board's regulations. 24 (4) Has satisfactorily completed an examination approved 25 by the board. 26 (5) Has not been convicted of a felony under the act of 27 April 14, 1972 (P.L.233, No.64), known as The Controlled 28 Substance, Drug, Device and Cosmetic Act, or of an offense 29 under the laws of another jurisdiction, which, if committed 30 in this Commonwealth, would be a felony under The Controlled 19870H1919B2429 - 9 -
1 Substance, Drug, Device and Cosmetic Act, unless: 2 (i) at least ten years have elapsed from the date of 3 conviction; 4 (ii) the applicant satisfactorily demonstrates to 5 the board that he or she has made significant progress in 6 personal rehabilitation since the conviction, such that 7 licensure of the applicant should not be expected to 8 create a substantial risk of harm to the health and 9 safety of his or her clients or the public or a 10 substantial risk of further criminal violations; and 11 (iii) the applicant otherwise satisfies the 12 qualifications contained in or authorized by this act. 13 As used in this paragraph, the term "convicted" shall include 14 a judgment, an admission of guilt or a plea of nolo 15 contendere. 16 Section 9. Examination for licensure. 17 (a) Examinations required.--An individual applying for 18 licensure in accordance with this act shall be required to pass 19 a written examination approved by the board which is designed to 20 test the knowledge and experience necessary for safe, effective 21 and professional practice of dietetics-nutrition in this 22 Commonwealth. The examination shall test the applicant's 23 knowledge of the basic and clinical sciences relating to 24 dietetics-nutrition theory and practice, including the 25 applicant's professional skill and judgment in the utilization 26 of dietetics-nutrition techniques and methods, and such other 27 subjects as the board deems useful to determine the applicant's 28 fitness to practice. 29 (b) Time and place.--Applicants for licensure shall be 30 examined at a time and place determined by the board. 19870H1919B2429 - 10 -
1 Examinations shall be given at least twice a year. The board 2 shall notify applicants by mail of the time and place of 3 scheduled examinations. 4 (c) Applications and fees.--Individuals applying for 5 licensure shall remit as examination fee an amount to be 6 determined by the board prior to admission to take the written 7 examination, using forms provided by the board. A person who 8 fails an examination may submit an application for reexamination 9 to the board, accompanied by the prescribed fee. 10 (d) Subsequent examinations.--The board may adopt rules and 11 regulations governing the eligibility of applicants who have 12 failed to pass two examinations concerning their admittance to 13 subsequent examinations. 14 Section 10. Waiver of certain requirements for licensure. 15 A person who, on the effective date of this act, meets the 16 requirements of section 8, and who, in addition, has been 17 engaged in the practice of dietetics-nutrition for a period of 18 three years during the ten years immediately preceding the 19 effective date of this act, or persons who provide evidence of 20 current registration as a Registered Dietitian-Nutritionist by 21 the Commission of Dietetic Registration of the American Dietetic 22 Association on the effective date of this act, shall be 23 considered to have met the requirements of this act, and shall 24 be licensed without the necessity of taking the examination; 25 provided that an application is made to the board within six 26 months of the effective date of this act and the appropriate fee 27 is paid. 28 Section 11. Reciprocity. 29 A person paying the appropriate fee and filing an application 30 who presents evidence satisfactory to the board of licensure as 19870H1919B2429 - 11 -
1 a dietitian-nutritionist by another state, territory of the 2 United States or the District of Columbia, may be licensed to 3 practice in this Commonwealth; provided that the standards for 4 licensure in the other jurisdiction are at least equal to those 5 provided for in this act. 6 Section 12. Use of title. 7 The board shall issue a license to any person who has met the 8 requirements of this act, upon payment of the applicable license 9 fee. A person who is issued a license as a dietitian- 10 nutritionist under the provision of this act may use the title 11 "dietitian" or "nutritionist," or use the letters "L.D." in 12 connection with the title of place or business, to denote the 13 licensure of that person. 14 Section 13. Renewal of license; effect of license suspension or 15 revocation. 16 (a) Biennial renewal.--A license issued under this act shall 17 be renewed biennially upon payment of the renewal fee prescribed 18 by the board. It shall expire unless renewed in the manner 19 prescribed by the board. The board may provide for the late 20 renewal of a license upon the payment of a late fee. A late 21 renewal of a license shall not be granted more than four years 22 after its expiration. A license shall be renewed after the four- 23 year period only by complying with all the licensure provisions 24 of this act. The board may establish additional requirements for 25 license renewal designed to insure continued competency of the 26 applying dietitian-nutritionist. 27 (b) Continuing education.--A license issued under this act 28 shall not be renewed unless the licensee applying for renewal 29 submits proof to the board that, during the two calendar years 30 immediately preceding the application for renewal, the licensee 19870H1919B2429 - 12 -
1 has satisfactorily completed a minimum of 30 hours of continuing 2 dietetic-nutrition education approved by the board. 3 (c) Suspended licenses.--A suspended license shall expire at 4 the end of its term and may be renewed as provided in this act. 5 A renewal shall not authorize a licensee, while the license 6 remains suspended, to engage in the licensed activity, or any 7 other activity in violation of the order or judgment by which 8 the license was suspended. Whenever a license revoked on 9 disciplinary grounds is reinstated, the licensee, as a condition 10 of reinstatement, shall pay a renewal fee and any late fee that 11 may be applicable. 12 Section 14. Refusal, suspension, revocation or refusal to renew 13 licenses; injunctive relief. 14 (a) Unprofessional conduct.--The board shall refuse to issue 15 a license to a person, and after a notice and hearing in 16 accordance with law, may suspend or revoke a license, or refuse 17 to renew a license, or may impose probationary conditions where 18 the licensee or applicant for license is guilty of 19 unprofessional conduct which has endangered or is likely to 20 endanger the health, welfare or safety of the public. 21 Unprofessional conduct shall include, but not be limited to, the 22 following: 23 (1) Obtaining a license by means of fraud, 24 misrepresentation or concealment of material facts. 25 (2) Being found guilty of immoral or unprofessional 26 conduct. Unprofessional conduct shall include any departure 27 from or failure to conform to acceptable and prevailing 28 standards. In proceedings based on this paragraph, actual 29 injury to the client need not be established. 30 (3) Being convicted of, or pleading guilty of, or nolo 19870H1919B2429 - 13 -
1 contendere to a crime which was found by the board to have a 2 direct bearing on whether the person should be entrusted to 3 serve the public as a dietitian-nutritionist. 4 (b) Board action.--When the board finds that the license or 5 application for license of any person may be refused, revoked, 6 restricted or suspended under the terms of subsection (a), the 7 board may: 8 (1) Deny the application for a license. 9 (2) Administer a public reprimand. 10 (3) Revoke, suspend, limit or otherwise restrict a 11 license as determined by the board. 12 (4) Require a licensee to submit to the care, counseling 13 or treatment of a physician designated by the board. 14 (5) Suspend enforcement of its findings and place a 15 licensee on probation with the right to vacate the 16 probationary order for noncompliance. 17 (6) Restore a suspended license and impose any 18 disciplinary or corrective measure which it might originally 19 have imposed. 20 (c) Hearing.--All actions of the board shall be taken 21 subject to the right of notice, hearing and adjudication and the 22 right of appeal therefrom in accordance with Title 2 of the 23 Pennsylvania Consolidated Statutes (relating to administrative 24 law and procedure). 25 (d) Temporary suspension.--The board shall temporarily 26 suspend a license under circumstances as determined by the board 27 to be an immediate and clear danger to the public health and 28 safety. The board shall issue an order to that effect without a 29 hearing, but upon due notice to the licensee concerned at his or 30 her last known address, which shall include a written statement 19870H1919B2429 - 14 -
1 of all allegations against the licensee. The provisions of 2 subsection (c) shall not apply to temporary suspension. The 3 board shall thereupon commence formal action to suspend, revoke 4 or restrict the license of the person concerned as otherwise 5 provided for in this act. All actions shall be taken promptly 6 and without delay. Within 30 days following the issuance of an 7 order temporarily suspending a license, the board shall conduct, 8 or cause to be conducted, a preliminary hearing to determine 9 that there is a prima facie case supporting the suspension. The 10 licensee whose license has been temporarily suspended may be 11 present at the preliminary hearing and may be represented by 12 counsel, cross-examine witnesses, inspect physical evidence, 13 call witnesses, offer evidence and testimony and make a record 14 of the proceedings. If it is determined that there is not a 15 prima facie case, the suspended license shall be immediately 16 restored. The temporary suspension shall remain in effect until 17 vacated by the board, but in no event longer than 180 days. 18 (e) Injunctions.--The Attorney General may, on behalf of the 19 board, apply for injunctive relief in any court of competent 20 jurisdiction, to enjoin a person from committing an act in 21 violation of this act. Injunctive proceedings shall be in 22 addition to, and not in lieu of, all penalties and other 23 remedies in this act. 24 (f) Hearings.--Any person who is licensed by the board, or 25 who is an applicant for examination for licensure by the board, 26 against whom any charges are preferred which would cause the 27 revocation or suspension of a license, shall be cited by the 28 board, and shall have a hearing before the board, or by a 29 hearing examiner as determined by the board. 30 Section 15. Reinstatement of license. 19870H1919B2429 - 15 -
1 Unless ordered to do so by Commonwealth Court or an appeal 2 therefrom, the board shall not reinstate a license which has 3 been revoked. Any person whose license has been revoked may 4 apply for reinstatement, after a period of at least five years, 5 but must meet all of the licensing qualifications of this act, 6 including the examination requirement, if he or she desires to 7 practice as a dietitian-nutritionist pursuant to this act at any 8 time after such revocation. 9 Section 16. Reporting of multiple licensure. 10 Any licensed dietitian-nutritionist of this Commonwealth who 11 is also licensed to practice in any other state, territory or 12 country shall report this information to the board on the 13 biennial renewal application. Any disciplinary action taken in 14 any other state, territory or country shall be reported to the 15 board on the biennial renewal application, or within 90 days of 16 disposition, whichever is sooner. Multiple licensure shall be 17 noted by the board on the licensee's record, and such state, 18 territory or country shall be notified by the board of any 19 disciplinary actions taken against the licensee in this 20 Commonwealth. 21 Section 17. Surrender of suspended or revoked license. 22 The board shall require a person whose license or 23 registration has been suspended or revoked to return the license 24 or registration in such manner as the board directs. Failure to 25 do so shall be a misdemeanor of the third degree. 26 Section 18. Impaired professional. 27 (a) Appointment of professional consultant.--The board, with 28 the approval of the commissioner, shall appoint and fix the 29 compensation of a professional consultant who is a licensee of 30 the board, or such other professional consultant as the board 19870H1919B2429 - 16 -
1 may determine with education and experience in the 2 identification, treatment and rehabilitation of persons with 3 physical or mental impairments. The professional consultant 4 shall be accountable to the board and shall act as a liaison 5 between the board and treatment programs, such as alcohol and 6 drug treatment programs licensed by the Department of Health, 7 psychological counseling, and impaired professional support 8 groups, which are approved by the board and which provide 9 services to licensees under this act. 10 (b) Subsequent action by board.--The board may defer and 11 ultimately dismiss any of the types of corrective action set 12 forth in this act for an impaired professional so long as the 13 professional is progressing satisfactorily in an approved 14 treatment program, provided that the provisions of this 15 subsection shall not apply to a professional who has been 16 convicted of, pleaded guilty to or entered a plea of nolo 17 contendere to a felonious act prohibited by the act of April 14, 18 1972 (P.L.233, No.64), known as The Controlled Substance, Drug, 19 Device and Cosmetic Act, or has been convicted of, pleaded 20 guilty to or entered a plea of nolo contendere to a felony 21 relating to a controlled substance in a court of law of the 22 United States or any other state, territory or country. An 23 approved program provider shall, upon request, disclose to the 24 consultant such information in its possession regarding any 25 impaired professional in treatment which the program provider is 26 not prohibited from disclosing by an act of this Commonwealth, 27 another state or the United States. The requirement of 28 disclosure by an approved program provider shall apply in the 29 case of impaired professionals who enter an agreement in 30 accordance with this section, impaired professionals who are the 19870H1919B2429 - 17 -
1 subject of a board investigation or disciplinary proceeding and 2 impaired professionals who voluntarily enter a treatment program 3 other than under the provisions of this section but who fail to 4 complete the program successfully or to adhere to an aftercare 5 plan developed by the program provider. 6 (c) Agreement.--An impaired professional who enrolls in an 7 approved treatment program shall enter into an agreement with 8 the board under which the professional's license shall be 9 suspended or revoked but enforcement of the suspension or 10 revocation may be stayed for the length of time the professional 11 remains in the program, makes satisfactory progress, complies 12 with the terms of the agreement and adheres to any limitations 13 on his practice, imposed by the board to protect the public. 14 Failure to enter into such an agreement shall disqualify the 15 professional from the impaired professional program and shall 16 activate an immediate investigation and disciplinary proceeding 17 by the board. 18 (d) Report by provider.--If, in the opinion of the 19 consultant after consultation with the provider, an impaired 20 professional who is enrolled in an approved treatment program 21 has not progressed satisfactorily, the consultant shall disclose 22 to the board all information in his or her possession relevant 23 to the issue of impairment regarding the professional, and the 24 board shall institute proceedings to determine if the stay of 25 enforcement of the suspension or revocation of the impaired 26 professional's license shall be vacated. 27 (e) Immunity.--An approved program provider who makes a 28 disclosure pursuant to this section shall not be subject to 29 civil liability for the disclosure or its consequences. 30 (f) Reports by others.--Any hospital or health care 19870H1919B2429 - 18 -
1 facility, peer or colleague who has substantial evidence that a 2 professional has an active addictive disease for which the 3 professional is not receiving treatment, is diverting a 4 controlled substance or is mentally or physically incompetent to 5 carry out the duties of his or her license shall make or cause 6 to be made a report to the board, provided that any person who 7 or facility which acts in a treatment capacity to an impaired 8 professional in an approved treatment program is exempt from the 9 mandatory reporting requirements of this subsection. Any person 10 or facility who reports pursuant to this section in good faith 11 and without malice shall be immune from any civil or criminal 12 liability arising from the report. Failure to provide a report 13 within a reasonable time from receipt of knowledge of impairment 14 shall subject the person or facility to a fine of not more than 15 $1,000. The board shall levy this penalty only after affording 16 the accused party the opportunity for a hearing, as provided in 17 Title 2 of the Pennsylvania Consolidated Statutes (relating to 18 administrative law and procedure). 19 Section 19. Penalties. 20 (a) Criminal penalties.--A person who violates this act 21 commits a misdemeanor of the third degree and shall, upon 22 conviction, be sentenced to pay a fine of not more than $1,000 23 or to imprisonment for not more than 90 days, or both. 24 (b) Civil penalty.--In addition to any other civil remedy or 25 criminal penalty provided for in this act, the board, by a vote 26 of the majority of the maximum number of the authorized 27 membership of the board as provided by law, or by a vote of the 28 majority of the duly qualified and confirmed membership or a 29 minimum of three members, whichever is greater, may levy a civil 30 penalty of not more than $1,000 on any current licensee who 19870H1919B2429 - 19 -
1 violates any provision of this act or on any person who holds 2 himself out as a licensed dietitian-nutritionist without being 3 so licensed pursuant to this act. The board shall levy this 4 penalty only after affording the accused party the opportunity 5 for a hearing, as provided in Title 2 of the Pennsylvania 6 Consolidated Statutes (relating to administrative law and 7 procedure). 8 (c) Disposition.--All fines and civil penalties imposed in 9 accordance with this section shall be paid into the Professional 10 Licensure Augmentation Account. Records.--A record of all 11 persons licensed to practice as board and shall be open to 12 public inspection and copying upon payment of a nominal fee for 13 copying the record. 14 Section 20. Records. 15 A record of all persons licensed to practice as dietitian- 16 nutritionist in Pennsylvania shall be kept in the office of the 17 board and shall be open to public inspection and copying upon 18 payment of a nominal fee for copying the record. 19 Section 21. Fees. 20 (a) General rule.--All fees required pursuant to this act 21 shall be fixed by the board by regulation and shall be subject 22 to the act of June 25, 1982 (P.L.633, No.181), known as the 23 Regulatory Review Act. If the revenues raised by fees, fines and 24 civil penalties imposed pursuant to this act are not sufficient 25 to meet expenditures over a two-year period, the board shall 26 increase those fees by regulation so that the projected revenues 27 will meet or exceed projected expenditures. 28 (b) Bureau of Professional and Occupational Affairs.--If the 29 Bureau of Professional and Occupational Affairs determines that 30 the fees established by the board pursuant to paragraph (c)(1) 19870H1919B2429 - 20 -
1 are inadequate to meet the minimum enforcement efforts required 2 by this act, then the bureau, after consultation with the board 3 and subject to the Regulatory Review Act, shall increase the 4 fees by regulation in an amount so that adequate revenues are 5 raised to meet the required enforcement effort. 6 Section 22. Subpoenas. 7 (a) Power to issue.--The board shall have the authority to 8 issue subpoenas, upon application of an attorney responsible for 9 representing the Commonwealth in disciplinary matters before the 10 board, for the purpose of investigating alleged violations of 11 the disciplinary provisions administered by the board. The board 12 shall have the power to subpoena witnesses, to administer oaths, 13 to examine witnesses and to take such testimony or compel the 14 production of such books, records, papers and documents as it 15 may deem necessary or proper in, and pertinent to, any 16 proceeding, investigation or hearing, held or had by it. The 17 board is authorized to apply to the Commonwealth Court to 18 enforce its subpoenas. 19 (b) Notification of board.--An attorney responsible for 20 representing the Commonwealth in disciplinary matters before the 21 board shall notify the board immediately upon receiving 22 notification of an alleged violation of this act. The board 23 shall maintain current records of all reports of alleged 24 violations and periodically review the records for the purpose 25 of determining that each alleged violation has been resolved in 26 a timely manner. 27 Section 23. Unlawful practice. 28 (a) Injunction.--Unlawful practice may be enjoined by the 29 courts upon petition of the commissioner or the board. In any 30 proceeding under this section, it shall not be necessary to show 19870H1919B2429 - 21 -
1 that any person is individually injured by the actions 2 complained of. If the court finds that the respondent has 3 violated this section, it shall enjoin him or her from so 4 practicing until he or she has been duly licensed. Procedure in 5 such cases shall be the same as in any other injunction suit. 6 (b) Remedy cumulative.--The injunctive remedy provided in 7 this section shall be in addition to any other civil or criminal 8 prosecution and punishment. 9 Section 24. Appropriation. 10 The sum of $75,000, or as much thereof as may be necessary, 11 is hereby appropriated from the Professional Licensure 12 Augmentation Account in the General Fund to the Bureau of 13 Professional and Occupational Affairs in the Department of State 14 for the establishment and operation of the State Board of 15 Dietitian-Nutritionist Licensure. The appropriation granted 16 shall be repaid by the board within three years of the beginning 17 of issuance of licenses by the board. 18 Section 25. Severability. 19 The provisions of this act are severable. If any provision of 20 this act or its application to any person or circumstance is 21 held invalid, the invalidity shall not affect other provisions 22 or applications of this act which can be given effect without 23 the invalid provision or application. 24 Section 26. Effective date. 25 This act shall take effect in 90 days. J20L63MRD/19870H1919B2429 - 22 -