PRINTER'S NO. 2799
No. 1998 Session of 2007
INTRODUCED BY WANSACZ, KOTIK, BENNINGTON, PASHINSKI, GERGELY, EACHUS, STABACK, SHIMKUS, SIPTROTH, SHAPIRO, PETRARCA, READSHAW, MYERS, MURT, MUNDY, WAGNER, WATSON, YOUNGBLOOD AND CURRY, OCTOBER 30, 2007
REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, OCTOBER 30, 2007
AN ACT 1 Licensing and regulating the practice of naturopathic medicine; 2 imposing penalties; and making an appropriation. 3 TABLE OF CONTENTS 4 Chapter 1. Preliminary Provisions 5 Section 101. Short title. 6 Section 102. Declaration of policy. 7 Section 103. Definitions. 8 Chapter 3. State Board of Naturopathic Medicine 9 Section 301. Board. 10 Section 302. Powers and duties of board. 11 Chapter 5. Licensure 12 Section 501. Qualifications for licensure. 13 Section 502. License status and continuing education. 14 Section 503. Examinations. 15 Section 504. Reciprocity. 16 Chapter 7. Practice of Naturopathic Medicine
1 Section 701. Scope of practice. 2 Chapter 9. Administration and Enforcement 3 Section 901. Refusal, suspension and revocation of licenses. 4 Section 902. Reinstatement of license. 5 Section 903. License renewal; records and fees. 6 Section 904. Duty of licensee. 7 Section 905. Other professions. 8 Section 906. Unlawful practice. 9 Section 907. Violation of act. 10 Chapter 21. Miscellaneous Provisions 11 Section 2101. Appropriation and repayment. 12 Section 2102. Regulations. 13 Section 2103. Effective date. 14 The General Assembly of the Commonwealth of Pennsylvania 15 hereby enacts as follows: 16 CHAPTER 1 17 PRELIMINARY PROVISIONS 18 Section 101. Short title. 19 This act shall be known and may be cited as the Naturopathic 20 Medicine Act. 21 Section 102. Declaration of policy. 22 The General Assembly finds and declares as follows: 23 (1) The practice of naturopathic medicine in this 24 Commonwealth is declared to affect the public health, safety 25 and welfare and to be subject to regulation and control in 26 the public interest. 27 (2) It is a matter of public interest that naturopathic 28 doctors and the practice of naturopathic medicine merit the 29 confidence of the public, that only qualified persons be 20070H1998B2799 - 2 -
1 authorized to practice naturopathic medicine in this 2 Commonwealth and that no person shall practice naturopathic 3 medicine without a valid existing license to do so. 4 (3) The General Assembly recognizes that naturopathic 5 doctors comprise a distinct health care profession that 6 affects the public health, safety and welfare and increases 7 freedom of choice in health care. 8 (4) This act shall be liberally construed to best carry 9 out these subjects and purposes. 10 Section 103. Definitions. 11 The following words and phrases when used in this act shall 12 have the meanings given to them in this section unless the 13 context clearly indicates otherwise: 14 "Board." The State Board of Naturopathic Medicine. 15 "Bureau." The Bureau of Professional and Occupational 16 Affairs. 17 "Commissioner." The Commissioner of Professional and 18 Occupational Affairs. 19 "Department." The Department of State of the Commonwealth. 20 "Minor office procedures." The methods for the repair and 21 care incidental to superficial lacerations and abrasions, 22 superficial lesions and the removal of foreign bodies located in 23 the superficial tissues. 24 "Naturopathic doctor." A practitioner of naturopathic 25 medicine who has been properly licensed for that purpose by the 26 State Board of Naturopathic Medicine. 27 "Naturopathic medicine." A system of primary health care for 28 the prevention, diagnosis and treatment of human health 29 conditions, injury and disease; the promotion or restoration of 30 health; and the support and stimulation of a patient's inherent 20070H1998B2799 - 3 -
1 self-healing process through patient education and the use of 2 naturopathic therapies and therapeutic substances. 3 CHAPTER 3 4 STATE BOARD OF NATUROPATHIC MEDICINE 5 Section 301. Board. 6 (a) Establishment.--There is established the State Board of 7 Naturopathic Medicine, an administrative board within the 8 department. The board shall consist of the following members: 9 (1) The Physician General or a designee. 10 (2) The commissioner or a designee. 11 (3) Two public members. 12 (4) Five members who meet the educational and experience 13 qualifications for licensure under section 501. 14 (b) Term of office and qualifications.--Except as provided 15 in subsection (c), the members of the board shall serve for 16 four-year terms and shall be appointed by the Governor by and 17 with the advice and consent of a majority of the members elected 18 to the Senate. Members appointed must be citizens of the United 19 States and must have been residents of this Commonwealth for at 20 least a two-year period. 21 (c) Initial appointments.--Within 90 days of the effective 22 date of this section, the Governor shall nominate two 23 professional members to serve four-year terms, one public member 24 and one professional member to serve three-year terms, one 25 public member and one professional member to serve two-year 26 terms and one professional member to serve a one-year term. For 27 the initial appointment of professional members, appointees must 28 have practiced naturopathic medicine for at least five 29 consecutive years immediately preceding the appointments and 30 must have passed an examination under section 503. 20070H1998B2799 - 4 -
1 (d) Continuation in office.--Each board member shall 2 continue in office until a successor is appointed and qualified 3 but no longer than six months after the expiration of the term. 4 If a board member dies, resigns or otherwise becomes 5 disqualified during the term of office, a successor shall be 6 appointed in the same way and with the same qualifications as 7 set forth in this section and shall hold office for the 8 unexpired portion of the term. 9 (e) Limit on terms.--No board member shall be eligible for 10 reappointment to serve more than two consecutive four-year 11 terms. 12 (f) Forfeiture of membership.--A board member who fails to 13 attend three consecutive meetings without permission of the 14 commissioner shall forfeit the member's seat unless the 15 commissioner, upon written request from the member, finds that 16 the member should be excused from a meeting because of illness 17 or the death of a family member. 18 (g) Compensation.--A member of the board, except the 19 Physician General and the commissioner, shall receive per diem 20 compensation at the rate of $60 when actually attending to the 21 work of the board. Members shall also receive reasonable travel, 22 hotel and other necessary expenses incurred in the performance 23 of their duties in accordance with regulations. 24 (h) Forfeiture for nonattendance.--A public member who fails 25 to attend two consecutive statutorily mandated training seminars 26 in accordance with section 813(e) of the act of April 9, 1929 27 (P.L.177, No.175), known as The Administrative Code of 1929, 28 shall forfeit the public member's seat unless the commissioner, 29 upon written request from the public member, finds that the 30 public member should be excused from a meeting because of 20070H1998B2799 - 5 -
1 illness or the death of a family member. 2 (i) Quorum.--A majority of the members of the board shall 3 constitute a quorum for the purposes of conducting the business 4 of the board. Except for automatic suspensions under section 5 901(e) and temporary suspensions under section 901(d), a member 6 may not be counted as part of a quorum or vote on any issue 7 unless the member is physically in attendance at the meeting. 8 (j) Chairperson.--The board shall annually select a 9 chairperson from among its members. 10 (k) Meetings.--The board shall meet at least four times a 11 year in Harrisburg and at other times and places as the board 12 shall determine is necessary to conduct board business. 13 (l) Notice.--Reasonable notice of all meetings shall be 14 given in conformity with 65 Pa.C.S. Ch. 7 (relating to open 15 meetings). 16 (m) Operating procedures.--The board shall meet within 30 17 days after the appointment of its initial members and shall 18 institute operating procedures and an application form for 19 licensing naturopathic doctors. The board shall educate the 20 public as to the requirements of licensing in order to hold 21 oneself out or to practice as a licensed naturopathic doctor 22 within this Commonwealth. 23 Section 302. Powers and duties of board. 24 The board has the following powers and duties: 25 (1) To pass upon the qualifications and fitness of 26 applicants for licenses and reciprocal licenses and to 27 promulgate regulations requiring applicants to pass 28 examinations relating to qualifications as a prerequisite to 29 the issuance of a license. 30 (2) To promulgate regulations not inconsistent with this 20070H1998B2799 - 6 -
1 act and only as necessary to carry out this act. 2 (3) To examine, deny, approve, issue, revoke, suspend or 3 renew licenses of naturopathic doctors under this act and to 4 conduct hearings in connection with those powers and duties. 5 (4) To conduct hearings upon complaints concerning 6 violations of this act and the regulations promulgated under 7 this act and to seek the prosecution and enjoinder of 8 violations. 9 (5) To promulgate regulations establishing requirements 10 for continuing education under this act. 11 (6) To expend money necessary to the proper carrying out 12 of its assigned duties. 13 (7) To submit annually to the Consumer Protection and 14 Professional Licensure Committee of the Senate and the 15 Professional Licensure Committee of the House of 16 Representatives a report containing a description of the 17 types of complaints received, status of the cases, board 18 action which has been taken and length of time from the 19 initial complaint to final board resolution. 20 (8) To submit annually to the Appropriations Committee 21 of the Senate and the Appropriations Committee of the House 22 of Representatives, within 15 days after the Governor has 23 submitted a budget to the General Assembly, a copy of the 24 budget request for the upcoming fiscal year which the board 25 previously submitted to the department. 26 CHAPTER 5 27 LICENSURE 28 Section 501. Qualifications for licensure. 29 (a) Applicants.--An applicant shall be considered to be 30 qualified for a license if the applicant submits proof 20070H1998B2799 - 7 -
1 satisfactory to the board of all of the following: 2 (1) The applicant is of good moral character. 3 (2) The applicant has completed a doctorate level 4 naturopathic medical program which is accredited or from an 5 accredited college recognized by the United States Department 6 of Education. 7 (3) The applicant has passed a competency-based national 8 naturopathic licensing examination administered by the North 9 American Board of Naturopathic Examiners or successor agency 10 that has been nationally recognized to administer a 11 naturopathic examination that represents Federal standards of 12 education and training. 13 (4) The application is accompanied by the application 14 fee as established by the board by regulation. 15 (5) The applicant is not addicted to the habitual use of 16 alcohol, narcotics or other habit-forming drugs. 17 (6) (i) The applicant has not been convicted of a 18 felony under the act of April 14, 1972 (P.L.233, No.64), 19 known as The Controlled Substance, Drug, Device and 20 Cosmetic Act, or of an offense under the laws of another 21 jurisdiction which, if committed in this Commonwealth, 22 would be a felony under The Controlled Substance, Drug, 23 Device and Cosmetic Act, unless the following apply: 24 (A) At least ten years have elapsed from the 25 date of conviction. 26 (B) The applicant satisfactorily demonstrates to 27 the board that the applicant has made significant 28 progress in personal rehabilitation since the 29 conviction and that licensure of the applicant should 30 not be expected to create a substantial risk of harm 20070H1998B2799 - 8 -
1 to the public or a substantial risk of further 2 criminal violations. 3 (C) The applicant otherwise satisfies the 4 qualifications required under this act. 5 (ii) As used in this paragraph, the term "convicted" 6 includes a judgment, admission of guilt or a plea of nolo 7 contendere, or receiving probation without verdict, 8 disposition in lieu of trial or an accelerated 9 rehabilitative disposition of the disposition of felony 10 charges. 11 (7) The applicant has not been convicted of an offense 12 under the law of another jurisdiction which, if committed in 13 this Commonwealth, would constitute a sexual offense or a 14 felony. Compliance with this paragraph must be documented by 15 a report of criminal history record information from the 16 Pennsylvania State Police or by a statement from the 17 Pennsylvania State Police that its central repository 18 contains no information relating to the applicant. The costs 19 associated with the report or statement shall be paid by the 20 applicant. 21 (b) Transferability.-- A license and a temporary practice 22 permit are not transferable. 23 Section 502. License status and continuing education. 24 (a) Duration of license.--A license shall be renewable on a 25 biennial basis. The biennial expiration date shall be 26 established by regulation of the board. Application for renewal 27 of a license shall biennially be forwarded to an individual 28 holding a current license prior to the expiration date of the 29 current renewal biennium. 30 (b) Procedure.--To renew a license, a licensee must do all 20070H1998B2799 - 9 -
1 of the following: 2 (1) File a renewal application with the board. The 3 license must provide all of the following: 4 (i) Current certification to administer 5 cardiopulmonary resuscitation. 6 (ii) Successful completion of a minimum of 24 hours 7 of continuing education in the field of naturopathic 8 medicine during the immediately preceding two years as 9 approved by the board. 10 (2) Pay a fee established by regulation of the board. 11 (c) Inactive status.--A licensee may request an application 12 for inactive status. The application form must be completed and 13 returned to the board. Upon receipt of an application, the 14 individual shall be maintained on inactive status without fee 15 and shall be entitled to apply for licensure renewal at any 16 time. An individual who requests the board to activate the 17 individual's license and who has been on inactive status for a 18 period of five consecutive years must, prior to receiving an 19 active license, satisfy the requirements of the board's 20 regulations for ensuring continued education, including holding 21 current certification to administer cardiopulmonary 22 resuscitation and remitting the required fee. The board shall 23 promulgate regulations to carry into effect the provisions of 24 this subsection. 25 (d) Reporting of multiple licensure.--A licensee who is also 26 licensed to practice naturopathic medicine in another 27 jurisdiction shall report this information to the board on the 28 biennial registration application. Any disciplinary action taken 29 in another jurisdiction shall be reported to the board on the 30 biennial registration application or within 90 days of final 20070H1998B2799 - 10 -
1 disposition, whichever is sooner. Multiple licensures shall be 2 noted by the board on the licensee's record, and the other 3 licensing jurisdiction shall be notified by the board of any 4 disciplinary actions taken against the licensee in this 5 Commonwealth. 6 Section 503. Examinations. 7 The board shall contract with a professional testing 8 organization for the examination of qualified applicants for 9 licensure. The board must approve the examination before it is 10 administered. All written, oral and practical examinations shall 11 be prepared and administered by a qualified and approved 12 professional testing organization in the manner prescribed for 13 written examinations by section 812.1 of the act of April 9, 14 1929 (P.L.177, No.175), known as The Administrative Code of 15 1929. 16 Section 504. Reciprocity. 17 The board has the power to grant a reciprocal license to an 18 applicant who is licensed or certified as a naturopathic doctor 19 or similar practice in another state and has demonstrated 20 qualifications which equal or exceed those required under this 21 act in the determination of the board. No license shall be 22 granted under this section to an applicant unless the state in 23 which the applicant is licensed affords reciprocal treatment to 24 individuals who are residents of this Commonwealth and who are 25 licensed under this act. 26 CHAPTER 7 27 PRACTICE OF NATUROPATHIC MEDICINE 28 Section 701. Scope of practice. 29 (a) Scope.--If consistent with the education and training of 30 a naturopathic doctor, the following are deemed to be within the 20070H1998B2799 - 11 -
1 scope of practice for a naturopathic doctor: 2 (1) Order and perform physical and laboratory 3 examinations consistent with naturopathic education and 4 training, for diagnostic purposes, including phlebotomy, 5 clinical laboratory tests, orificial examinations and 6 physiological function tests. 7 (2) Order diagnostic imaging studies consistent with 8 naturopathic training. 9 (3) Dispense, administer, order, prescribe or perform 10 the following: 11 (i) Foods, extracts of food, neutraceuticals, 12 vitamins, amino acids, minerals, enzymes, botanicals and 13 their extracts, botanical medicines, homeopathic 14 medicines, dietary supplements and nonprescription drugs 15 as defined by the Federal Food, Drug, and Cosmetic Act 16 (52 Stat. 1040, 21 U.S.C. § 301 et seq.). 17 (ii) Hot and cold hydrotherapy, naturopathic 18 physical medicine, electromagnetic energy, colon 19 hydrotherapy and therapeutic exercise. 20 (iii) Devices, including therapeutic devices, 21 barrier contraception and durable medical equipment. 22 (iv) Health education and health counseling. 23 (v) Repair and care incidental to superficial 24 lacerations and abrasions. 25 (vi) Removal of foreign bodies located in the 26 superficial tissues. 27 (vii) Musculoskeletal manipulation. 28 (4) Utilize routes of administration that include oral, 29 nasal, auricular, ocular, rectal, vaginal, transdermal, 30 intradermal, subcutaneous, intravenous and intramuscular. 20070H1998B2799 - 12 -
1 (b) Prohibitions.--A naturopathic doctor licensed under this 2 act shall not: 3 (1) Prescribe, dispense or administer any controlled 4 substance or device identified in the Controlled Substances 5 Act (Public Law 91-513, 84 Stat. 1236), except as authorized 6 by this act. 7 (2) Perform surgical procedures except those minor 8 office procedures authorized by this act. 9 (3) Practice or claim to practice as any other licensed 10 health care professional not authorized in this act unless 11 licensed as such. 12 (4) Use general or spinal anesthetics. 13 (5) Administer ionizing radioactive substances for 14 therapeutic purposes. 15 (6) Perform surgical procedures using a laser device. 16 (7) Perform surgical procedures involving the eye, ear, 17 tendons, nerves, veins or arteries extending beyond 18 superficial tissue. 19 (8) Perform chiropractic adjustments or musculoskeletal 20 manipulation. 21 (9) Perform acupuncture, unless licensed as an 22 acupuncturist by the Commonwealth. 23 CHAPTER 9 24 ADMINISTRATION AND ENFORCEMENT 25 Section 901. Refusal, suspension and revocation of licenses. 26 (a) Grounds.--The board may refuse, suspend, revoke, limit 27 or restrict a license or reprimand a licensee for any of the 28 following: 29 (1) Being convicted under Federal law, under the law of 30 any state or under the law of any foreign jurisdiction of an 20070H1998B2799 - 13 -
1 offense of moral turpitude or of an offense which, if 2 committed in this Commonwealth, would constitute a sexual 3 offense or a felony. As used in this paragraph, the term 4 "convicted" includes a finding or verdict of guilt, an 5 admission of guilt or a plea of nolo contendere or receiving 6 probation without verdict, disposition in lieu of trial or an 7 accelerated rehabilitative disposition in the disposition of 8 felony charges. 9 (2) Being found to have engaged in immoral or 10 unprofessional conduct. In proceedings based on this 11 paragraph, actual injury to the patient need not be 12 established. As used in this paragraph, the term 13 "unprofessional conduct" includes: 14 (i) a departure from or failure to conform to the 15 standards of acceptable and prevailing practice; and 16 (ii) sexual exploitation of a patient. 17 (3) Violating standards of professional practice or 18 conduct adopted by the board. 19 (4) Presenting false credentials or documents or making 20 a false statement of fact in support of the applicant's 21 application for a license. 22 (5) Submitting a false or deceptive biennial renewal to 23 the board. 24 (6) Having a license suspended, revoked or refused or 25 receiving other disciplinary action by the proper licensing 26 authority of any other jurisdiction. 27 (7) Violating a regulation promulgated by the board, 28 including standards of professional practice and conduct or 29 violating an order of the board previously entered in a 30 disciplinary proceeding. 20070H1998B2799 - 14 -
1 (8) Failing to refer a patient to a physician when the 2 patient is presenting a contradiction to naturopathic 3 medicine. 4 (9) Incompetence, negligence or misconduct in carrying 5 out the practice of naturopathic medicine. 6 (10) Practicing beyond the licensee's defined scope of 7 practice. 8 (11) Knowingly aiding, assisting, hiring or advising 9 someone in the unlawful practice of naturopathic medicine. 10 (12) Being unable to practice with reasonable skill and 11 safety by reason of illness; drunkenness; excessive use of 12 drugs, narcotics, chemicals or any other type of material; or 13 as a result of any mental or physical condition. In enforcing 14 this paragraph, the board, upon probable cause, has authority 15 to compel a licensee to submit to a mental or physical 16 examination by a physician approved by the board. Failure of 17 a licensee to submit to an examination when directed by the 18 board, unless the failure is due to circumstances beyond the 19 licensee's control, shall constitute an admission of the 20 allegations against the licensee, consequent upon which a 21 default and final order may be entered without the taking of 22 testimony or presentation of evidence. A licensee affected 23 under this paragraph shall, at reasonable intervals as 24 determined by the board, be afforded an opportunity to 25 demonstrate that the licensee can resume competent practice 26 with reasonable skill and safety. 27 (b) Board action.--If the board finds that the license or 28 application for license may be refused, revoked, restricted or 29 suspended under the terms of subsection (a), the board may do 30 any of the following: 20070H1998B2799 - 15 -
1 (1) Deny the application for license. 2 (2) Administer a public reprimand. 3 (3) Revoke, suspend, limit or otherwise restrict a 4 license. 5 (4) Require a licensee to submit to the care, counseling 6 or treatment of a physician designated by the board. 7 (5) Restore a suspended license and impose any 8 disciplinary or corrective measure which it might originally 9 have imposed. 10 (c) Administrative Agency Law.--Actions of the board under 11 subsections (a) and (b) are subject to 2 Pa.C.S. Chs. 5 Subch. A 12 (relating to practice and procedure of Commonwealth agencies) 13 and 7 Subch. A (relating to judicial review of Commonwealth 14 agency action). 15 (d) Temporary suspension.--The board shall temporarily 16 suspend a license under circumstances as determined by the board 17 to be an immediate and clear danger to the public health and 18 safety. The board shall issue an order to that effect without a 19 hearing, but upon notice to the licensee concerned at the 20 licensee's last known address, which must include a written 21 statement of all allegations against the licensee. Subsection 22 (c) shall not apply to temporary suspension. Upon issuance of an 23 order under this subsection, the board shall commence formal 24 action to suspend, revoke or restrict the license as otherwise 25 provided for in this act. All actions shall be taken promptly. 26 Within 30 days following the issuance of an order temporarily 27 suspending a license, the board shall conduct a preliminary 28 hearing to determine that there is a prima facie case supporting 29 the suspension. The licensee whose license has been temporarily 30 suspended may be present at the preliminary hearing and may be 20070H1998B2799 - 16 -
1 represented by counsel, cross-examine witnesses, inspect 2 physical evidence, call witnesses, offer evidence and testimony 3 and make a record of the proceedings. If it is determined that 4 there is not a prima facie case, the suspended license shall be 5 immediately restored. The temporary suspension shall remain in 6 effect until vacated by the board, but in no event longer than 7 180 days. 8 (e) Automatic suspension.-- 9 (1) A license shall automatically be suspended upon the 10 legal commitment of a licensee to an institution because of 11 mental incompetence from any cause upon filing with the board 12 a certified copy of the commitment. 13 (2) A license shall automatically be suspended upon 14 conviction of a felony under the act of April 14, 1972 (P.L. 15 233, No. 64), known as The Controlled Substance, Drug, Device 16 and Cosmetic Act, or conviction of an offense under the laws 17 of another jurisdiction, which, if committed in this 18 Commonwealth, would be a felony under The Controlled 19 Substance, Drug, Device and Cosmetic Act. As used in this 20 paragraph, the term "conviction" includes a judgment, an 21 admission of guilt or a plea of nolo contendere. 22 (3) Automatic suspension under this section shall not be 23 stayed pending an appeal. 24 (4) Reinstatement of a license shall be made under 25 section 902. 26 (5) Subsection (c) shall not apply to automatic 27 suspension. 28 Section 902. Reinstatement of license. 29 Unless ordered to do so by a court of competent jurisdiction, 30 the board shall not reinstate the license of an individual which 20070H1998B2799 - 17 -
1 has been revoked. An individual whose license has been revoked 2 may reapply for a license after a period of at least five years 3 but must meet all of the licensing requirements of this act. 4 Section 903. License renewal; records and fees. 5 (a) Records.--A record of all licensees shall be kept in the 6 office of the board and shall be open to public inspection and 7 copying upon payment of a reasonable fee for copying the record. 8 (b) Fees.-- 9 (1) All fees required under this act shall be fixed by 10 the board by regulation. If the revenue raised by fees, fines 11 and civil penalties imposed under this act are not sufficient 12 to meet expenditures over a two-year period, the board shall 13 increase those fees by regulation so that the projected 14 revenues will meet or exceed projected expenditures. 15 (2) If the bureau determines that the fees established 16 by the board under paragraph (1) are inadequate to meet the 17 minimum enforcement efforts required by this act, the bureau, 18 after consultation with the board, shall increase the fees by 19 regulation in an amount so that adequate revenues are raised 20 to meet the required enforcement effort. 21 Section 904. Duty of licensee. 22 A licensee shall refer a patient to a physician when the 23 patient is presenting a contraindication to the practice of 24 naturopathic medicine. 25 Section 905. Other professions. 26 Nothing in this act shall be construed as preventing, 27 restricting or requiring licensure of any of the following 28 activities: 29 (1) The practice of a profession by an individual who is 30 licensed, certified or registered by a Commonwealth agency 20070H1998B2799 - 18 -
1 under other law and who is performing services or advertising 2 within the authorized scope of practice. 3 (2) The practice of naturopathic medicine by an 4 individual employed by the Federal Government while the 5 individual is engaged in the performance of duties under 6 Federal law. 7 (3) The practice of naturopathic medicine by an 8 individual licensed, registered or certified in another 9 jurisdiction when incidentally called into this Commonwealth 10 to teach a course related to the practice of naturopathic 11 medicine or to consult with a licensee. 12 Section 906. Unlawful practice. 13 (a) General rule.--An individual may not practice 14 naturopathic medicine or hold himself out as a naturopathic 15 doctor unless licensed by the board. 16 (b) Title.--An individual who holds a license or is 17 maintained on inactive status may use the title "Licensed 18 Naturopathic Doctor" and the abbreviation " N.D." No other 19 individual may use the title "Licensed Naturopathic Doctor" or 20 hold himself out to others as a naturopathic doctor. This 21 subsection includes advertising as a naturopathic doctor and 22 adopting or using any title or description, including 23 naturopathic doctor, naturopath, doctor of naturopathic 24 medicine, naturopathic health care, naturopathic medicine or a 25 derivative of those terms and their related abbreviations, which 26 implies directly or indirectly that naturopathic services are 27 being provided. 28 (c) Employment.--An individual, corporation, partnership, 29 firm or other entity may not employ an individual in 30 naturopathic medicine unless the individual is licensed by the 20070H1998B2799 - 19 -
1 board. 2 (d) Terminology.--A business entity may not utilize in 3 connection with a business name or activity the words 4 naturopathic doctor, naturopath, doctor of naturopathic 5 medicine, naturopathic health care, naturopathic medicine or a 6 derivative of those terms and their related abbreviations, which 7 imply directly or indirectly that naturopathic services are 8 being provided, unless the services of the business are provided 9 by licensees. 10 (e) Injunction.--Unlawful practice may be enjoined by the 11 courts upon petition of the commissioner or the board. In a 12 proceeding under this section, it shall not be necessary to show 13 that an individual has been injured. If the court finds that the 14 respondent has violated this section, it shall enjoin the 15 respondent from practicing until the respondent has been 16 licensed. Procedure in such cases shall be the same as in any 17 other injunction suit. 18 (f) Remedy cumulative.--The injunctive remedy provided in 19 this section shall be in addition to any other civil or criminal 20 prosecution and punishment. 21 Section 907. Violation of act. 22 (a) General rule.--A person that violates a provision of 23 this act or a regulation of the board commits a misdemeanor of 24 the third degree and shall, upon conviction, be sentenced to pay 25 a fine of not more than $1,000 or to imprisonment for not more 26 than six months for the first violation and to pay a fine of not 27 more than $2,000 or to imprisonment for not less than six months 28 or more than one year, or both, for each subsequent violation. 29 (b) Civil penalty.--In addition to any other civil remedy or 30 criminal penalty provided for in this act, the board, by a vote 20070H1998B2799 - 20 -
1 of the majority of the maximum number of the authorized 2 membership of the board or by a vote of the majority of the 3 qualified and confirmed membership or a minimum of five members, 4 whichever is greater, may levy a civil penalty of up to $1,000 5 on any of the following: 6 (1) A naturopathic doctor who violates a provision of 7 this act. 8 (2) A person that employs a naturopathic doctor in 9 violation of this act. 10 (3) An individual who holds himself out as a licensee 11 without being properly licensed as provided in this act. 12 (4) The responsible officers or employees of a 13 corporation, partnership, firm or other entity that violates 14 a provision of this act. 15 (c) Administrative Agency Law.--Action of the board under 16 subsection (b) is subject to 2 Pa.C.S. Chs. 5 Subch. A (relating 17 to practice and procedure of Commonwealth agencies) and 7 Subch. 18 A (relating to judicial review of Commonwealth agency action). 19 CHAPTER 21 20 MISCELLANEOUS PROVISIONS 21 Section 2101. Appropriation and repayment. 22 (a) Appropriation.--The sum of $85,000, or as much thereof 23 as may be necessary, is hereby appropriated from the 24 Professional Licensure Augmentation Account to the department 25 for the payment of costs associated with processing licenses and 26 renewing licenses, for the operation of the board and for other 27 costs associated with this act. 28 (b) Repayment.--The appropriation shall be repaid by the 29 board to the Professional Licensure Augmentation Account within 30 three years of the beginning of issuance of licenses by the 20070H1998B2799 - 21 -
1 board. 2 Section 2102. Regulations. 3 The board shall promulgate regulations to carry out this act. 4 Publication of the final-form regulations under this section 5 shall take place within 18 months of the effective date of this 6 section. The board shall report, within 60 days of the effective 7 date of this section, and every 30 days thereafter, on the 8 status of the regulations to the Consumer Protection and 9 Professional Licensure Committee of the Senate and the 10 Professional Licensure Committee of the House of 11 Representatives. 12 Section 2103. Effective date. 13 This act shall take effect as follows: 14 (1) Chapter 3 and this chapter shall take effect 15 immediately. 16 (2) The remainder of this act shall take effect in two 17 years. J19L63BIL/20070H1998B2799 - 22 -