PRIOR PRINTER'S NO. 1365                      PRINTER'S NO. 3777

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1211 Session of 1995


        INTRODUCED BY CIVERA, MARKOSEK, ARMSTRONG, JOSEPHS, CLARK,
           E. Z. TAYLOR, DeLUCA, MELIO, SERAFINI, MERRY, BELFANTI,
           RUBLEY, CORNELL, COLAIZZO, RAYMOND, VAN HORNE, MICOZZIE,
           DURHAM, LAWLESS, ADOLPH AND WAUGH, MARCH 16, 1995

        AS REPORTED FROM COMMITTEE ON PROFESSIONAL LICENSURE, HOUSE OF
           REPRESENTATIVES, AS AMENDED, JUNE 18, 1996

                                     AN ACT

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

     1  Section 7.  Requirements for licensure.
     2  Section 8.  Examinations.
     3  Section 9.  Waiver of examination requirements.
     4  Section 10.  Licenses.
     5  Section 11.  Renewal of license; continuing education.
     6  Section 12.  Apprentices and other ancillary personnel.
     7  Section 13.  Special provisions.
     8  Section 14.  Causes for denial, suspension or revocation of
     9                 license.
    10  Section 15.  Procedures in disciplinary actions.
    11  Section 16.  Reporting of multiple licensure.
    12  Section 17.  Display of license or certificate.
    13  Section 18.  Surrender of license.
    14  Section 19.  Unlawful acts.
    15  Section 20.  Civil penalty.
    16  Section 21.  Fees.
    17  Section 22.  Appropriation.
    18  Section 23.  Repeals.
    19  Section 24.  Effective date.
    20  SECTION 3.  POWERS AND DUTIES OF BOARD.                           <--
    21  SECTION 4.  LICENSE REQUIRED.
    22  SECTION 5.  PERSONS AND PRACTICES NOT AFFECTED.
    23  SECTION 6.  REQUIREMENTS FOR LICENSURE.
    24  SECTION 7.  EXAMINATIONS.
    25  SECTION 8.  WAIVER OF EXAMINATION REQUIREMENTS.
    26  SECTION 9.  LICENSES.
    27  SECTION 10.  RENEWAL OF LICENSE; CONTINUING EDUCATION.
    28  SECTION 11.  APPRENTICES AND OTHER ANCILLARY PERSONNEL.
    29  SECTION 12.  SPECIAL PROVISIONS.
    30  SECTION 13.  CAUSES FOR DENIAL, SUSPENSION OR REVOCATION OF
    19950H1211B3777                  - 2 -

     1                 LICENSE.
     2  SECTION 14.  PROCEDURES IN DISCIPLINARY ACTIONS.
     3  SECTION 15.  REPORTING OF MULTIPLE LICENSURE.
     4  SECTION 16.  DISPLAY OF LICENSE OR CERTIFICATE.
     5  SECTION 17.  SURRENDER OF LICENSE.
     6  SECTION 18.  UNLAWFUL ACTS.
     7  SECTION 19.  APPROPRIATION.
     8  SECTION 20.  REPEALS.
     9  SECTION 21.  EFFECTIVE DATE.
    10     The General Assembly of the Commonwealth of Pennsylvania
    11  hereby enacts as follows:
    12  Section 1.  Short title.
    13     This act shall be known and may be cited as the Opticians and
    14  Contact Lens Technicians Licensing Act.
    15  Section 2.  Definitions.
    16     The following words and phrases when used in this act shall
    17  have the meanings given to them in this section unless the
    18  context clearly indicates otherwise:
    19     "Apprentice."  A person who holds a certificate of
    20  apprenticeship issued in accordance with this act.
    21     "Board."  The State Board of Opticians and Contact Lens        <--
    22  Technicians OPTOMETRY.                                            <--
    23     "Commissioner."  The Commissioner of Professional and
    24  Occupational Affairs.
    25     "Contact lens technician."  A person licensed in accordance
    26  with this act who fits an appropriate contact lens for a
    27  specific intended wearer and completely assists such wearer in
    28  the use of the contact lens if the following conditions are met:
    29         (1)  The fitting is based on prescription of a licensed
    30     physician or optometrist.
    19950H1211B3777                  - 3 -

     1         (2)  The wearer is informed, in accordance with section
     2     13(b), to return to the prescribing physician or optometrist
     3     for periodic evaluation during the fit whenever the contact
     4     lens technician believes professional judgment is needed, but
     5     at intervals not to exceed three months.
     6         (3)  No person licensed under this act shall fill a
     7     prescription or dispense contact lenses unless the
     8     prescribing physician or optometrist specifies that the
     9     prescriber intends it to be for contact lenses.
    10         (4)  No person licensed in accordance with this act shall
    11     fill a prescription beyond an expiration date specified by
    12     the prescribing physician or optometrist.
    13     "Fitting of contact lenses."  A procedure in which a contact
    14  lens is placed upon the eye of a wearer and the lens-cornea
    15  relationship is evaluated with the use of a biomicroscope or
    16  slit-lamp.
    17     "Optician."  A person licensed in accordance with this act to
    18  practice opticianry., including, but not limited to, those        <--
    19  persons listed by the State Board of Optometry under section
    20  6(h)(5) of the act of June 6, 1980 (P.L.197, No.57), known as
    21  the Optometric Practice and Licensure Act, to the extent that
    22  their activities fall within the scope of the practice of
    23  opticianry as defined in this act. Such person shall be a
    24  professional health care provider as defined in and subject to
    25  the provisions of the act of July 20, 1974 (P.L.564, No.193),
    26  known as the Peer Review Protection Act.
    27     "Practice of opticianry."  The practice of filling
    28  prescriptions of licensed physicians or optometrists for
    29  ophthalmic lenses; interpreting these prescriptions and taking
    30  measurements to determine size and shape of lenses, frames or
    19950H1211B3777                  - 4 -

     1  lens forms best suited to the wearer's needs; providing
     2  duplicate or replacement lenses without prescription; repairing
     3  and reproducing previously prepared ophthalmic lenses and frames
     4  without prescription; preparing and delivering work orders to
     5  technicians engaged in grinding lenses and fabricating eyewear;
     6  verifying the accuracy of ophthalmic lenses; and adjusting and
     7  dispensing lenses, specially fabricated optical devices, frames
     8  and appurtenances thereof to the intended wearer. The practice
     9  of opticianry shall not include the fitting of contact lenses.
    10     "Prescription."  A written or oral direction from a licensed
    11  physician or optometrist for lenses, consisting of the
    12  refractive power and, when necessary, the vertex distance, the
    13  cylinder axis and prism. A prescription for contact lenses shall
    14  also specifically indicate approval for contact lens fitting.
    15  The neutralization of a spectacle lens shall not constitute a
    16  prescription for contact lenses. An oral or telephonically
    17  transmitted prescription shall be documented in the files of the
    18  optician or the contact lens technician.
    19     "Supervision."  The direction and control of work through
    20  personal inspection and evaluation of work and the provision of
    21  such consultation and instruction as may be needed.
    22  Section 3.  State Board of Opticians and Contact Lens             <--
    23                 Technicians.
    24     (a)  Creation.--There is hereby created a departmental
    25  administrative board to be known as the State Board of Opticians
    26  and Contact Lens Technicians which shall be in the Bureau of
    27  Professional and Occupational Affairs of the Department of
    28  State.
    29     (b)  Members.--The board shall consist of nine members, all
    30  of whom shall be residents of this Commonwealth and two of whom
    19950H1211B3777                  - 5 -

     1  shall be chosen as representatives of the public interest. The
     2  remaining seven members shall be two opticians, two contact lens
     3  technicians, one individual who is either an optician or a
     4  contact lens technician and who owns a retail place of business
     5  in which either opticianry or the fitting of contact lenses is
     6  practiced, the Commissioner of Professional and Occupational
     7  Affairs and the Director of the Bureau of Consumer Protection in
     8  the Office of Attorney General or his designee. The professional
     9  and public members of the board should be chosen so they are
    10  geographically representative.
    11     (c)  Appointment.--The professional and public members of the
    12  board shall be appointed by the Governor with the advice and
    13  consent of a majority of the members elected to the Senate.
    14     (d)  Terms of office.--The term of each professional and
    15  public member of the board shall be four years or until his
    16  successor has been appointed and qualified. In the event that
    17  any of the members shall die or resign or otherwise become
    18  disqualified during his term, a successor shall be appointed in
    19  the same way and with the same qualifications and shall hold
    20  office for the unexpired term. Of the optician members of the
    21  board first appointed, one optician shall serve a term of two
    22  years and the other optician shall serve a term of four years.
    23  Of the contact lens technician members of the board first
    24  appointed, one contact lens technician shall serve a term of
    25  four years and the other shall serve a term of two years. The
    26  individual first appointed who is either an optician or a
    27  contact lens technician and who owns a retail place of business
    28  in which either opticianry or the fitting of contact lenses is
    29  practiced shall serve a term of four years. Of the public
    30  members of the board first appointed, one public member shall
    19950H1211B3777                  - 6 -

     1  serve a term of two years and one public member shall serve a
     2  term of four years. The Governor shall nominate the initial
     3  professional and public members within 90 days of the effective
     4  date of this act.
     5     (e)  Reappointment.--A member of the board shall be eligible
     6  for reappointment. A member shall not be appointed to serve more
     7  than two consecutive terms.
     8     (f)  Compensation.--Each member of the board, except the
     9  commissioner and the Director of the Bureau of Consumer
    10  Protection, shall receive $60 per diem when actually attending
    11  to the work of the board in accordance with Commonwealth
    12  regulations. Members shall also receive the amount of reasonable
    13  traveling, hotel and other necessary expenses incurred in the
    14  performance of their duties in accordance with Commonwealth
    15  regulations.
    16     (g)  Meetings.--The board shall meet at least twice a year
    17  and may hold additional meetings whenever necessary to discharge
    18  its duties. A majority of the members of the board serving in
    19  accordance with law shall constitute a quorum. Except for
    20  temporary and automatic suspensions under section 15, a member
    21  may not be counted as part of a quorum or vote on any issue
    22  unless he is physically in attendance at the meeting.
    23     (h)  Attendance.--A member who fails to attend three
    24  consecutive meetings shall forfeit membership unless the
    25  commissioner, upon written request from the member, finds that
    26  the member should be excused from a meeting because of illness
    27  or the death of an immediate family member.
    28     (i)  Attendance at training seminars.--A public member who
    29  fails to attend two consecutive statutorily mandated training
    30  seminars in accordance with section 813(e) of the act of April
    19950H1211B3777                  - 7 -

     1  9, 1929 (P.L.177, No.175), known as The Administrative Code of
     2  1929, shall forfeit his seat, unless the commissioner, upon
     3  written request from the public member, finds that the public
     4  member should be excused from a meeting because of illness or
     5  the death of a family member.
     6  Section 4 3.  Powers and duties of board.                         <--
     7     (a)  Electing officers.--The State Board of Opticians and      <--
     8  Contact Lens Technicians shall elect annually from its
     9  membership a chairman, vice chairman and secretary.
    10     (b) (A)  Reviewing applications.--The board shall pass upon    <--
    11  the qualifications of applicants for licensure, insure the
    12  conduct of examinations and issue and renew licenses to
    13  opticians or contact lens technicians who qualify under this
    14  act.
    15     (c) (B)  Disciplinary actions.--The board may refuse, revoke,  <--
    16  suspend, limit or otherwise restrict a license of an optician or
    17  contact lens technician pursuant to this act, conduct
    18  investigations, including the power to issue subpoenas and hold
    19  hearings upon written charges indicating violation of this act
    20  or of regulations promulgated pursuant thereto.
    21     (d) (C)  Maintaining records.--The board shall maintain a      <--
    22  record listing the name of every living optician or contact lens
    23  technician licensed to practice in this Commonwealth, the last
    24  known place of business, the last known place of residence and
    25  the date and number of the license of the licensee. The listing
    26  shall be available to any citizen of this Commonwealth after
    27  reimbursement for the actual cost of reproduction and mailing.
    28     (e) (D)  Promulgating rules and regulations.--The board may    <--
    29  promulgate rules and regulations not inconsistent with law which
    30  it deems necessary for the performance of its duties and the
    19950H1211B3777                  - 8 -

     1  proper administration of this act.
     2     (f)  Filing reports.--The board shall submit annually:         <--
     3         (1)  To the Department of State, an estimate of the
     4     financial requirements of the board for its administrative,
     5     investigative, legal and miscellaneous expenses.
     6         (2)  To the Appropriations Committee of the Senate and to
     7     the Appropriations Committee of the House of Representatives,
     8     15 days after the Governor has submitted his budget to the
     9     General Assembly, a copy of the budget request for the
    10     upcoming fiscal year which the board previously submitted to
    11     the Department of State.
    12         (3)  To the Consumer Protection and Professional
    13     Licensure Committee of the Senate and to the Professional
    14     Licensure Committee of the House of Representatives, a report
    15     containing a description of the types of complaints received,
    16     status of cases, board action which has been taken and the
    17     length of time from the initial complaint to final board
    18     resolution.
    19     (g)  Subpoenas.--The board shall have power to issue
    20  subpoenas, upon application of an attorney responsible for
    21  representing the Commonwealth in disciplinary matters before the
    22  board, for the purpose of investigating alleged violations of
    23  the disciplinary provisions administered by the board. The board
    24  shall have the power to subpoena witnesses, to administer oaths,
    25  to examine witnesses and to take such testimony or compel the
    26  production of such books, records, papers and documents as it
    27  may deem necessary or proper in, and pertinent to, any
    28  proceeding, investigation or hearing held or had by it.
    29     (h)  Court action.--The board shall have power to take
    30  appropriate actions to initiate injunctive and criminal
    19950H1211B3777                  - 9 -

     1  prosecution proceedings in connection with the lawful or
     2  unauthorized practice of opticianry or contact lens fitting or
     3  other violations of this act. Injunctive and criminal
     4  proceedings shall be instituted in accordance with the act of
     5  October 15, 1980 (P.L.950, No.164), known as the Commonwealth
     6  Attorneys Act.
     7     (i)  Reports to board.--An attorney responsible for
     8  representing the Commonwealth in disciplinary matters before the
     9  board shall notify the board immediately upon receiving
    10  notification of an alleged violation of this act. The board
    11  shall maintain current records of all reports of alleged
    12  violations and periodically review the records for the purpose
    13  of determining that each alleged violation has been resolved in
    14  a timely manner.
    15  Section 5 4.  License required.                                   <--
    16     (a)  Grace period.--It shall be unlawful, beginning one year
    17  from the appointment of the professional and public members of    <--
    18  the State Board of Opticians and Contact Lens Technicians
    19  EFFECTIVE DATE OF THIS ACT, for any person to engage in the       <--
    20  practice of opticianry or the fitting of contact lenses or to
    21  offer or attempt to do so or to hold himself out to the public
    22  by any title or description of services incorporating the words
    23  "optician," "contact lens technician," "opticianry" or "the
    24  fitting of contact lenses," without first obtaining a license
    25  pursuant to this act.
    26     (b)  Limitation on grant of license.--The licensure of
    27  opticians or contact lens technicians shall extend only to
    28  individuals. A license shall not be issued to a partnership,
    29  unincorporated association, corporation or similar business
    30  organization.
    19950H1211B3777                 - 10 -

     1     (C)  CONTACT LENS TECHNICIANS.--THOSE PERSONS LISTED BY THE    <--
     2  STATE BOARD OF OPTOMETRY UNDER SECTION 6(H)(5) OF THE ACT OF
     3  JUNE 6, 1980 (P.L.197, NO.57), KNOWN AS THE OPTOMETRIC PRACTICE
     4  AND LICENSURE ACT, SHALL BE SUBJECT TO LICENSURE AS CONTACT LENS
     5  TECHNICIANS UNDER THIS ACT.
     6  Section 6 5.  Persons and practices not affected.                 <--
     7     This act shall not be construed to prevent or restrict:
     8         (1)  A person licensed in this Commonwealth in accordance
     9     with the provisions of another law of this Commonwealth from
    10     engaging in the profession or occupation for which licensed.
    11     Licensed persons may employ unlicensed persons to provide
    12     contact lens services, except those services which require
    13     licensure under this act, under the direct, personal
    14     supervision and control of such licensee within the standards
    15     of his profession.
    16         (2)  The sale or manufacture of ready-to-wear eyeglasses,
    17     which sale or manufacturing is hereby specifically excluded
    18     from this act.
    19         (3)  A person pursuing a course of study leading to a
    20     degree or certificate in opticianry or contact lens fitting
    21     in an accredited and approved educational program, provided
    22     that the activities and services are part of a supervised
    23     course of study and the person is designated by a title which
    24     clearly indicates the status of student or trainee and not
    25     licensed optician or licensed contact lens technician.
    26         (4)  A person fulfilling the apprenticeship requirements
    27     of this act, provided that the activities and services
    28     constitute a part of the apprenticeship necessary to meet the
    29     requirements of the program.
    30         (5)  Any individual, firm or corporation from employing
    19950H1211B3777                 - 11 -

     1     persons licensed under this act to engage in the practice of
     2     opticianry or the fitting of contact lenses.
     3  Section 7 6.  Requirements for licensure.                         <--
     4     (A)  GENERAL RULE.--Upon filing timely application with the    <--
     5  State Board of Opticians and Contact Lens Technicians BOARD upon  <--
     6  forms approved by the board and payment of an examination fee
     7  determined by the board, any person desiring to qualify for
     8  licensing as an optician or as a contact lens technician shall
     9  be permitted to take an examination for licensing, provided that
    10  the individual submits with the application evidence
    11  satisfactory to the board that:
    12         (1)  The individual is a citizen of the United States of
    13     America or has applied for citizenship.
    14         (2)  The individual is 18 years of age or older.
    15         (3)  The individual is of good moral character.
    16         (4)  The individual is a graduate of an accredited high
    17     school or has completed the full equivalent of a grammar
    18     school and a four-year high school course.
    19         (5)  In the case of an applicant for licensing as an
    20     optician, the individual has had at least two years of
    21     practical training and experience in opticianry immediately
    22     prior to the end of one year from the effective date of this
    23     act, has completed an apprenticeship in accordance with
    24     section 12 or has successfully completed the prescribed
    25     course in opticianry for opticians in a college, university
    26     or other institution of learning, which course shall have
    27     been accredited by an accrediting agency recognized and
    28     approved by the United States Department of Education or the
    29     Council of Post-Secondary Education and officially approved
    30     by the board.
    19950H1211B3777                 - 12 -

     1         (6)  In the case of an applicant for licensing as a
     2     contact lens technician, he has successfully completed the
     3     prescribed course of study for an associates degree in
     4     ophthalmic sciences in a college, university or other
     5     institution of learning, which course shall have been
     6     accredited by an accrediting agency recognized and approved
     7     by the United States Department of Education or the Council
     8     of Post-Secondary Education and officially approved by the
     9     board. The course shall include clinical training covering
    10     the competencies required in fitting, adapting and dispensing
    11     of contact lenses and shall include at least nine credit
    12     hours in contact lens courses. The board may require a more
    13     extensive course of study.
    14     (B)  EXCEPTION.--THE BOARD SHALL GRANT A CONTACT LENS          <--
    15  TECHNICIAN LICENSE TO THOSE PERSONS LISTED BY THE STATE BOARD OF
    16  OPTOMETRY UNDER SECTION 6(H)(5) OF THE ACT OF JUNE 6, 1980
    17  (P.L.197, NO.57), KNOWN AS THE OPTOMETRIC PRACTICE AND LICENSURE
    18  ACT, UPON COMPLETION OF THE APPLICATION FORM AND PAYMENT OF THE
    19  APPLICABLE FEE.
    20  Section 8 7.  Examinations.                                       <--
    21     (a)  Administration.--The examination for licensing shall be
    22  conducted at least twice a year, and at other times the State     <--
    23  Board of Opticians and Contact Lens Technicians BOARD may         <--
    24  determine as necessary, at the times and places the board
    25  determines. The examination shall be prepared and administered
    26  by a qualified and approved professional testing organization in
    27  accordance with section 812.1 of the act of April 9, 1929
    28  (P.L.177, No.175), known as The Administrative Code of 1929.
    29     (b)  Substance of optician examination.--The license
    30  examination for an optician shall be confined to the knowledge
    19950H1211B3777                 - 13 -

     1  that is essential to practice as an optician and, at a minimum,
     2  shall show proficiency in the following subjects: prescription
     3  interpretation and analysis; fitting, design and dispensing of
     4  eyeglass lenses, frames and accessories; the use of standard
     5  ophthalmic equipment; the taking of pupillary and facial
     6  measurements; administrative recordkeeping; and professional and
     7  ethical conduct. The examination shall be in written form.
     8     (c)  Substance of contact lens technician examination.--The
     9  license examination for a contact lens technician shall be
    10  confined to the knowledge that is essential to practice as a
    11  contact lens technician and, at a minimum, shall show
    12  proficiency in the following subjects: prefit evaluation,
    13  prescription interpretation and analysis, use of instrumentation
    14  consistent with contact lens fitting, determination of lens type
    15  and design of contact lens specifications, instructions on
    16  application and care of lenses, follow-up procedures, practice
    17  management, and professional and ethical conduct. This
    18  examination shall include both written and practical portions.
    19  Section 9 8.  Waiver of examination requirements.                 <--
    20     (a)  Requirements to waive optician examination.--The State    <--
    21  Board of Opticians and Contact Lens Technicians BOARD shall       <--
    22  waive the optician examination requirement and grant an optician
    23  license to any applicant who meets any one of the following:
    24         (1)  Is currently licensed to practice opticianry in
    25     another state if the state's qualifications are equivalent to
    26     those qualifications required in this Commonwealth and if
    27     that state offers similar privileges to licensees of the
    28     board.
    29         (2)  Holds a currently valid certificate as a certified
    30     optician from the American Board of Opticianry on the
    19950H1211B3777                 - 14 -

     1     effective date of this act.
     2         (3)  Has been engaged in the practice of opticianry for a
     3     period of three years immediately prior to the effective date
     4     of this act.
     5     (b)  Requirements to waive contact lens technician
     6  examination.--The board shall waive the contact lens examination
     7  requirement and grant a contact lens technician license to any
     8  applicant who, within three months of the effective date of this
     9  act, meets one of the following criteria:
    10         (1)  Is currently licensed to fit contact lenses in
    11     another state if that state's qualifications are equivalent
    12     to those qualifications required in this Commonwealth and if
    13     that state offers similar privileges to licensees of the
    14     board.
    15         (2)  Is currently certified by the National Committee of
    16     Contact Lens Examiners on the effective date of this act.
    17  Section 10 9.  Licenses.                                          <--
    18     Each applicant who successfully completes the examination for
    19  licensing as an optician or a contact lens technician or who is
    20  exempt from either such examination in accordance with section 9  <--
    21  8 shall, upon payment of the required fee established by the
    22  State Board of Opticians and Contact Lens Technicians BOARD,      <--
    23  receive a license as an optician or as a contact lens
    24  technician, as the case may be, from the board. The license
    25  shall be recorded in the office of the Commissioner of
    26  Professional and Occupational Affairs in a record book to be
    27  properly kept for that purpose and shall be open to public
    28  inspection.
    29  Section 11 10.  Renewal of license; continuing education.         <--
    30     (a)  Application.--Licenses under this act shall be subject
    19950H1211B3777                 - 15 -

     1  to renewal every two years and shall expire unless the licensee
     2  submits an application for renewal in the manner prescribed by
     3  the State Board of Opticians and Contact Lens Technicians. THE    <--
     4  BOARD.
     5     (b)  Continuing education.--The application shall be
     6  accompanied by a renewal fee and evidence that the applicant
     7  has, during the preceding two-year period, completed continuing
     8  education as follows:
     9         (1)  An optician must complete eight hours of continuing
    10     education in opticianry approved by the board.
    11         (2)  A contact lens technician must complete 12 hours of
    12     continuing education in contact lens fitting approved by the
    13     board.
    14         (3)  An individual who is licensed as an optician and
    15     also as a contact lens technician must complete 12 hours of
    16     continuing education in contact lens fitting approved by the
    17     board and four hours of continuing education in opticianry
    18     approved by the board.
    19         (4)  No credit shall be given for courses in office
    20     management or sales.
    21  Section 12 11.  Apprentices and other ancillary personnel.        <--
    22     (a)  Employment of apprentices.--Persons licensed under this
    23  act may utilize apprentices to engage in opticianry when the
    24  apprentices are under their direct supervision and at the same
    25  location where the licensed person dispenses, but no licensed
    26  optician may supervise more than two apprentices. Apprentices
    27  may be employed upon the issuance of a certificate of
    28  apprenticeship by the State Board of Opticians and Contact Lens   <--
    29  Technicians BOARD.                                                <--
    30     (b)  Certificate of apprenticeship.--Applications for a
    19950H1211B3777                 - 16 -

     1  certificate of apprenticeship shall be made to the board in
     2  writing upon forms provided by the board and shall contain such
     3  information as the board requires. A certificate shall be issued
     4  for a maximum of two years. Upon completion of the two-year
     5  apprenticeship, which shall include a minimum of 3,500 2,000      <--
     6  hours of employment during the apprenticeship, the apprentice
     7  shall take the first scheduled licensing examination except for
     8  reasons of health or hardship. If the examination is failed, the
     9  apprentice shall take it again on the next scheduled date. If
    10  the apprentice is unsuccessful in passing three consecutive
    11  examinations, he shall return his certificate. While the
    12  apprentice is waiting to take a licensing examination, his
    13  certificate of apprenticeship shall remain in effect. An
    14  individual shall only be permitted to obtain another
    15  apprenticeship certificate under exceptional circumstances
    16  approved by the board.
    17     (c)  Rules and regulations.--The board shall promulgate rules
    18  and regulations to insure that the apprentice is tested
    19  periodically as to his progress.
    20     (d)  Employment of others.--Persons licensed under this act
    21  may employ other ancillary personnel to assist in fashion
    22  consulting, to perform clerical and office duties, to assist in
    23  making minor repairs and to perform laboratory work. Those
    24  personnel need not be registered as apprentices.
    25  Section 13 12.  Special provisions.                               <--
    26     (a)  Duplicated lenses.--Subsequent to the completion of
    27  contact lens fitting and evaluation of the fit by a licensed
    28  physician or optometrist, contact lenses may be duplicated and
    29  dispensed by a licensed contact lens technician. The
    30  specifications of such duplicated contact lenses shall be
    19950H1211B3777                 - 17 -

     1  obtained from the original fitter, physician or optometrist and
     2  may not be determined by measurement of the contact lens or from
     3  parameters listed on contact lens packaging.
     4     (b)  Duty to inform.--The contact lens technician shall
     5  inform each individual for whom he fits any form or kind of
     6  contact lens that the wearer should return to the prescribing
     7  physician or optometrist for a final evaluation of the fit of
     8  the contact lens. Each wearer shall be provided with a form in
     9  accordance with this subsection and shall also be informed
    10  orally that he should return to the prescribing practitioner.
    11  The form shall be signed and dated by the contact lens wearer,
    12  who shall receive a copy of the form. The form shall include the
    13  following statement:
    14         I have been advised that I should return to my physician
    15         or optometrist for a final evaluation of the fit of my
    16         contact lenses within three months of their delivery to
    17         me.
    18                    (Signature)                   (Date)
    19  The contact lens technician shall retain a copy of the form for
    20  two years.
    21     (c)  Prescriptions.--
    22         (1)  A physician or optometrist shall provide to the
    23     patient, at no charge, a copy of the patient's prescription
    24     immediately after a refraction.
    25         (2)  A physician or optometrist shall provide a person
    26     upon whom he previously performed a refraction with a copy of
    27     the prescription, at no charge, upon the patient's request.
    28  Section 14 13.  Causes for denial, suspension or revocation of    <--
    29                 license.
    30     (a)  General rule.--The State Board of Opticians and Contact   <--
    19950H1211B3777                 - 18 -

     1  Lens Technicians BOARD may deny, suspend, revoke, limit or        <--
     2  otherwise restrict a license for any of the following causes:
     3         (1)  Obtaining a license by fraud or deceit.
     4         (2)  Use of the term "doctor," "physician" or "clinic,"
     5     or any derivation thereof, as part of the firm name under
     6     which the licensee fits and sells ophthalmic devices unless
     7     authorized by law.
     8         (3)  Holding oneself out by or using the title "Doctor."
     9         (4)  Fraud or misrepresentation in the repair, fitting or
    10     selling of ophthalmic devices, including advertising, by
    11     publication, transmission or otherwise, which has the
    12     tendency to mislead or is deceptive or fraudulent on its
    13     face, by inference, or by effect.
    14         (5)  The employment, to perform any act covered by this
    15     act, of a person known to the employer whose license is KNOWN  <--
    16     BY THE EMPLOYER TO BE suspended or who does not possess a
    17     valid license issued under this act.
    18         (6)  Violating or permitting, with notice or knowledge of
    19     its commission, the violation by any licensed employee of any
    20     provision of this act or any rules or regulations promulgated
    21     under this act.
    22         (7)  Being convicted of a felony or receiving probation
    23     without verdict, disposition in lieu of trial or an
    24     Accelerated Rehabilitative Disposition in the courts of this
    25     Commonwealth, a Federal court or a court of any state,
    26     territory, possession or country.
    27         (8)  Having a license or other authorization to practice
    28     the profession revoked or suspended or having other
    29     disciplinary action taken, or an application for a license or
    30     other authorization refused, revoked or suspended by a proper
    19950H1211B3777                 - 19 -

     1     licensing authority of another state, territory, possession
     2     or country, or a branch of the Federal Government.
     3         (9)  Being unable to practice the profession with
     4     reasonable skill and safety to patients by reason of illness,
     5     addiction to drugs or alcohol, having been convicted of a
     6     felonious act prohibited by the act of April 14, 1972
     7     (P.L.233, No.64), known as The Controlled Substance, Drug,
     8     Device and Cosmetic Act, or convicted of a felony relating to
     9     a controlled substance in a court of law of the United States
    10     or any other state, territory, possession or country, or if
    11     he is or shall become mentally incompetent. An applicant's
    12     statement on the application declaring the absence of a
    13     conviction shall be deemed satisfactory evidence of the
    14     absence of a conviction unless the board has some evidence to
    15     the contrary. In enforcing this paragraph, the board shall,
    16     upon probable cause, have authority to compel a practitioner
    17     to submit to a mental or physical examination by a physician
    18     or a psychologist approved by the board. Failure of a
    19     practitioner to submit to such examination when directed by
    20     the board, unless such failure is due to circumstances beyond
    21     his control, shall constitute an admission of the allegations
    22     against him consequent upon which a default and final order
    23     may be entered without the taking of testimony or
    24     presentation of evidence. A practitioner affected under this
    25     paragraph shall at reasonable intervals be afforded an
    26     opportunity to demonstrate that he can resume a competent
    27     practice of his profession with reasonable skill and safety
    28     to patients.
    29         (10)  Violating a lawful regulation promulgated by the
    30     board or violating a lawful order of the board previously
    19950H1211B3777                 - 20 -

     1     entered by the board in a disciplinary proceeding.
     2         (11)  Being guilty of malpractice, immoral or
     3     unprofessional conduct. Unprofessional conduct shall include
     4     departure from or failing to conform to the standards of
     5     acceptable and prevailing practice of opticianry or contact
     6     lens fitting. In proceedings based on this paragraph, actual
     7     injury to a patient need not be established.
     8         (12)  Acting in such manner as to present an immediate
     9     and clear danger to public health or safety.
    10         (13)  Acting outside the scope of a license.
    11         (14)  Making a false or deceptive biennial registration
    12     with the board.
    13         (15)  Intentionally submitting to any third-party payor a
    14     claim for a service which was not actually provided to a
    15     wearer.
    16         (16)  Being enjoined from violating any provision of the
    17     act of December 17, 1968 (P.L.1224, No.387), known as the
    18     Unfair Trade Practices and Consumer Protection Law, or being
    19     subject to a final order of the Federal Trade Commission, the
    20     Pennsylvania Department of Health or the Food and Drug
    21     Administration of the United States Department of Health and
    22     Human Services concerning the sale or offering for sale of
    23     unsafe, unhealthful or worthless ophthalmic devices or for
    24     engaging in conduct which has the tendency to mislead or
    25     deceive.
    26     (b)  Five-year revocation period.--Unless ordered to do so by
    27  a court, the board shall not reinstate the license of a person
    28  to practice as an optician or contact lens technician which has
    29  been revoked, and such person shall be required to apply for
    30  licensure after a five-year period in accordance with the
    19950H1211B3777                 - 21 -

     1  provisions of this act, including the examination requirement,
     2  if he desires to practice at any time after such revocation.
     3  Section 15 14.  Procedures in disciplinary actions.               <--
     4     (a)  Procedure.--All disciplinary actions of the State Board   <--
     5  of Opticians and Contact Lens Technicians BOARD shall be taken    <--
     6  subject to the right of notice, hearing and adjudication, and
     7  the right of appeal therefrom in accordance with 2 Pa.C.S.
     8  (relating to administrative law and procedure).
     9     (b)  Temporary suspension.--A license issued under this act
    10  may be temporarily suspended under circumstances as determined
    11  by the board to be an immediate and clear danger to the public
    12  health and safety. The board shall issue an order to that effect
    13  without a hearing, but upon due notice, to the licensee
    14  concerned at his last known address, which shall include a
    15  written statement of all allegations against the licensee. The
    16  provisions of subsection (a) shall not apply to temporary
    17  suspension. The board shall thereupon commence formal action to
    18  suspend, revoke or restrict the license of the person concerned
    19  as otherwise provided for in this act. All actions shall be
    20  taken promptly and without delay. Within 30 days following the
    21  issuance of an order temporarily suspending a license, the board
    22  shall conduct or cause to be conducted a preliminary hearing to
    23  determine that there is a prima facie case supporting the
    24  suspension. The licensee whose license has been temporarily
    25  suspended may be present at the preliminary hearing, may be
    26  represented by counsel and may cross-examine witnesses, inspect
    27  physical evidence, call witnesses, offer evidence and testimony,
    28  and make a record of the proceedings. If it is determined that
    29  there is not a prima facie case, the suspended license shall be
    30  immediately restored. The temporary suspension shall remain in
    19950H1211B3777                 - 22 -

     1  effect until vacated by the board, but in no event longer than
     2  180 days.
     3     (c)  Automatic suspension.--A license issued under this act
     4  shall automatically be suspended upon the legal commitment to an
     5  institution of a licensee because of mental incompetency from
     6  any cause upon filing with the board a certified copy of such
     7  commitment, conviction of a felony under the act of April 14,
     8  1972 (P.L.233, No.64), known as The Controlled Substance, Drug,
     9  Device and Cosmetic Act, or conviction of an offense under the
    10  laws of another jurisdiction, which, if committed in this
    11  Commonwealth, would be a felony.
    12  Section 16 15.  Reporting of multiple licensure.                  <--
    13     Any licensed optician or licensed contact lens technician of
    14  this Commonwealth who is also licensed to practice opticianry or
    15  contact lens fitting in any other state, territory, possession
    16  or country shall report this information to the State Board of    <--
    17  Opticians and Contact Lens Technicians BOARD on the biennial      <--
    18  registration application. Any disciplinary action taken in such
    19  other jurisdiction shall be reported to the board on the
    20  biennial registration application or within 90 days of final
    21  disposition, whichever is sooner. Multiple licensure shall be
    22  noted by the board on the optician's or contact lens
    23  technician's record and such state, territory, possession or
    24  country shall be notified by the board of any disciplinary
    25  actions taken against the optician or contact lens technician in
    26  this Commonwealth.
    27  Section 17 16.  Display of license or certificate.                <--
    28     Every holder of a license or certificate granted by the State  <--
    29  Board of Opticians and Contact Lens Technicians BOARD under this  <--
    30  act shall display the license or certificate in a conspicuous
    19950H1211B3777                 - 23 -

     1  place in the office where such person practices opticianry or
     2  the fitting of contact lenses or is serving as an apprentice.
     3  Section 18 17.  Surrender of license.                             <--
     4     The State Board of Opticians and Contact Lens Technicians THE  <--
     5  BOARD shall require a person whose license has been suspended or
     6  revoked to return the license in such manner as the board
     7  directs. A person who fails to do so commits a misdemeanor of
     8  the third degree.
     9  Section 19 18.  Unlawful acts.                                    <--
    10     A person commits a misdemeanor of the third degree and shall,
    11  upon conviction, be sentenced to pay a fine of not more than
    12  $2,500 $2,000 or to imprisonment for not more than six months,    <--
    13  or both, if he commits any act declared unlawful by any other
    14  provision of this act, or if he:
    15         (1)  Makes misleading, deceptive, untrue or fraudulent
    16     representations in the practice of opticianry or contact lens
    17     fitting.
    18         (2)  Practices fraud or deceit in obtaining a license as
    19     an optician or contact lens technician.
    20         (3)  Displays gross incompetence, negligence or
    21     misconduct in carrying on the practice of opticianry or
    22     contact lens fitting.
    23         (4)  Makes a false or deceptive biennial registration
    24     with the State Board of Opticians and Contact Lens             <--
    25     Technicians BOARD.                                             <--
    26         (5)  Violates a lawful regulation promulgated by the
    27     board or a lawful order of the board previously entered in a
    28     disciplinary proceeding.
    29         (6)  Knowingly aids, assists, procures or advises any
    30     unlicensed person to practice opticianry or contact lens
    19950H1211B3777                 - 24 -

     1     fitting contrary to this act or regulations of the board.
     2         (7)  Commits immoral or unprofessional conduct.
     3     Unprofessional conduct shall include any departure from, or
     4     failure to conform to, the standards of acceptable and
     5     prevailing practice of opticianry or contact lens fitting.
     6         (8)  Engages in the practice of opticianry or the fitting
     7     of contact lenses in this Commonwealth without having at the
     8     time of so doing a valid, unrevoked and unexpired license or
     9     temporary license.
    10  Section 20.  Civil penalty.                                       <--
    11     In addition to any other civil or criminal penalty provided
    12  for in this act, the State Board of Opticians and Contact Lens
    13  Technicians, by a vote of the majority of the maximum number of
    14  the authorized membership of the board as provided by law, or by
    15  a vote of the majority of the duly qualified and confirmed
    16  membership or a minimum of four members, whichever is greater,
    17  may levy a civil penalty of up to $1,000 on any current licensee
    18  who violates any provision of this act or on any person who
    19  practices opticianry or fits contact lenses without being
    20  properly licensed to do so under this act. The board shall levy
    21  this penalty only after affording the accused party the
    22  opportunity for a hearing, as provided in 2 Pa.C.S. (relating to
    23  administrative law and procedure). All fines and civil penalties
    24  imposed in accordance with this section shall be paid into the
    25  Professional Licensure Augmentation Account.
    26  Section 21.  Fees.
    27     (a)  Imposition and increases.--All fees required under this
    28  act shall be fixed by the State Board of Opticians and Contact
    29  Lens Technicians by regulation and shall be subject to the act
    30  of June 25, 1982 (P.L.633, No.181), known as the Regulatory
    19950H1211B3777                 - 25 -

     1  Review Act. If the revenues raised by fees, fines and civil
     2  penalties imposed pursuant to this act are not sufficient to
     3  meet expenditures over a two-year period, the board shall
     4  increase those fees by regulation so that the projected revenues
     5  will meet or exceed projected expenditures.
     6     (b)  Additional increases.--If the Bureau of Professional and
     7  Occupational Affairs determines that the fees established by the
     8  board under subsection (a) are inadequate to meet the minimum
     9  enforcement efforts required by this act, then the bureau, after
    10  consultation with the board and subject to the Regulatory Review
    11  Act, shall increase the fees by regulation in an amount that
    12  adequate revenues are raised to meet the required enforcement
    13  effort.
    14  Section 22 19.  Appropriation.                                    <--
    15     The sum of $75,000, or as much thereof as may be necessary,
    16  is hereby appropriated from the Professional Licensure
    17  Augmentation Account within the General Fund to the Bureau of
    18  Professional and Occupational Affairs in the Department of State
    19  for the establishment and operation of the State Board of
    20  Opticians and Contact Lens Technicians. The appropriation
    21  granted shall be repaid by the board within three years of the
    22  beginning of issuance of licenses by the board.
    23  Section 23 20.  Repeals.                                          <--
    24     All acts and parts of acts are repealed insofar as they are
    25  inconsistent with this act.
    26  Section 24 21.  Effective date.                                   <--
    27     This act shall take effect in 60 days.


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