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                                                      PRINTER'S NO. 2799

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

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
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     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
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     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
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     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
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     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.









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