PRINTER'S NO. 2429

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

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-
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     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
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     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
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     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
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     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
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     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.
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     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
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     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
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     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.
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     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
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     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
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     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
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     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
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     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.
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     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
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     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
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     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.




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