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H.B. 51
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7 LONG TITLE
8 Committee Note:
9 The Business and Labor Interim Committee recommended this bill.
10 General Description:
11 This bill modifies the responsibilities and duties of the Division of Occupational and
12 Professional Licensing (DOPL) and modifies certain provisions of Title 58,
13 Occupations and Professions.
14 Highlighted Provisions:
15 This bill:
16 . defines terms;
17 . modifies DOPL's oversight of factory built housing;
18 . modifies DOPL's ability to remove board members for certain conduct;
19 . provides DOPL access to criminal background information for applicants applying
20 for licensure, licensure renewal, licensure reinstatement, and relicensure;
21 . allows licensees to designate email addresses for correspondence with DOPL;
22 . provides that DOPL has the authority to place a license on probation and to issue
23 fines to enforce probation violations;
24 . modifies the provisions for diversion to align them with the provisions for
25 probation;
26 . modifies what constitutes unprofessional conduct by including the violation of the
27 terms of an order governing a license;
28 . modifies the requirements to qualify as an approved education program for nursing
29 education;
30 . clarifies who may have access to the Controlled Substance Database;
31 . reduces the statutory fee for manufactured housing dealers;
32 . modifies the supervision required for medical assistants to better align the
33 requirements with current practice;
34 . repeals the statute creating the Controlled Substance Precursor Advisory Board; and
35 . makes technical changes.
36 Money Appropriated in this Bill:
37 None
38 Other Special Clauses:
39 None
40 Utah Code Sections Affected:
41 AMENDS:
42 15A-1-306, as enacted by Laws of Utah 2011, Chapter 14
43 58-1-201, as last amended by Laws of Utah 2011, Chapter 367
44 58-1-301.5, as last amended by Laws of Utah 2010, Chapter 372
45 58-1-301.7, as enacted by Laws of Utah 2011, Chapter 367
46 58-1-302, as renumbered and amended by Laws of Utah 1993, Chapter 297
47 58-1-304, as enacted by Laws of Utah 1993, Chapter 297
48 58-1-401, as last amended by Laws of Utah 2011, Chapter 367
49 58-1-404, as last amended by Laws of Utah 2011, Chapter 367
50 58-1-501, as last amended by Laws of Utah 2011, Chapter 214
51 58-1-502, as last amended by Laws of Utah 2011, Chapter 367
52 58-17b-103, as enacted by Laws of Utah 2004, Chapter 280
53 58-17b-501, as enacted by Laws of Utah 2004, Chapter 280
54 58-17b-622, as enacted by Laws of Utah 2012, Chapter 265
55 58-22-305, as last amended by Laws of Utah 2008, Chapter 277
56 58-31b-601, as last amended by Laws of Utah 2012, Fourth Special Session, Chapter 4
57 58-37c-3, as last amended by Laws of Utah 2008, Chapter 382
58 58-37c-8, as last amended by Laws of Utah 2010, Chapter 240
59 58-37c-11, as last amended by Laws of Utah 1999, Chapter 21
60 58-37c-19, as last amended by Laws of Utah 2000, Chapter 1
61 58-37c-19.5, as last amended by Laws of Utah 2004, Chapter 280
62 58-37c-19.7, as enacted by Laws of Utah 2000, Chapter 272
63 58-37c-19.9, as enacted by Laws of Utah 2000, Chapter 272
64 58-37c-20, as last amended by Laws of Utah 2007, Chapter 358
65 58-37d-3, as last amended by Laws of Utah 2003, Chapter 115
66 58-37f-301, as last amended by Laws of Utah 2012, Chapters 174 and 239
67 58-40a-501, as enacted by Laws of Utah 2006, Chapter 206
68 58-56-17, as last amended by Laws of Utah 2009, Chapter 72
69 58-60-205, as last amended by Laws of Utah 2012, Chapter 113
70 58-60-206, as last amended by Laws of Utah 2010, Chapter 214
71 58-60-508, as last amended by Laws of Utah 2012, Chapter 179
72 58-61-201, as enacted by Laws of Utah 1994, Chapter 32
73 58-61-304, as last amended by Laws of Utah 2009, Chapter 183
74 58-67-102, as last amended by Laws of Utah 2012, Chapter 362
75 58-67-305, as last amended by Laws of Utah 2012, Chapter 267
76 58-67-806, as enacted by Laws of Utah 2012, Chapter 162
77 58-68-102, as last amended by Laws of Utah 2012, Chapter 362
78 58-68-305, as last amended by Laws of Utah 2012, Chapter 267
79 REPEALS:
80 58-37c-4, as last amended by Laws of Utah 1993, Chapter 297
81 58-61-303, as enacted by Laws of Utah 1994, Chapter 32
82
83 Be it enacted by the Legislature of the state of Utah:
84 Section 1. Section 15A-1-306 is amended to read:
85 15A-1-306. Factory built housing and modular units -- Division responsibility --
86 Unlawful conduct.
87 (1) The division:
88 (a) shall maintain current information on the HUD Code and the portions of the State
89 Construction Code relevant to manufactured housing installation and will provide at reasonable
90 cost the information to compliance agencies, local regulators, or state regulators requesting
91 such information;
92 (b) shall provide qualified personnel to advise compliance agencies, local regulators,
93 and state regulators regarding the standards for construction and setup, construction and setup
94 inspection, and additions or modifications to factory built housing;
95 (c) is designated as the state administrative agency for purposes of the HUD Code;
96 (d) may inspect [
97 the state during the construction process to determine compliance of the manufacturer with this
98 chapter for those units to be installed within the state, and upon a finding of substantive
99 deficiency, issue a corrective order to the manufacturer [
100 to the local regulator in the state's political subdivision [
101 installed;
102 (e) shall have rights of entry and inspection as specified under the HUD Code; and
103 (f) shall implement by rule [
104
105 contractors.
106 (2) The division may assess civil penalties payable to the state for violation of the
107 HUD Code in an amount identical to those set forth in Section 611 of the National
108 Manufactured Housing Construction and Safety Standards Act of 1974, 42 U.S.C. Sec. 5410.
109 (3) The state may impose criminal sanctions for violations of the HUD Code identical
110 to those set forth in Section 611 of the National Manufactured Housing Construction and
111 Safety Standards Act of 1974, 42 U.S.C. Sec. 5410, provided that if the criminal sanction is a
112 fine, the fine shall be payable to the state.
113 Section 2. Section 58-1-201 is amended to read:
114 58-1-201. Boards -- Appointment -- Membership -- Terms -- Vacancies --
115 Quorum -- Per diem and expenses -- Chair -- Financial interest or faculty position in
116 professional school that teaches continuing education prohibited.
117 (1) (a) (i) The executive director shall appoint the members of the boards established
118 under this title.
119 (ii) In appointing these members the executive director shall give consideration to
120 recommendations by members of the respective occupations and professions and by their
121 organizations.
122 (b) Each board shall be composed of five members, four of whom shall be licensed or
123 certified practitioners in good standing of the occupation or profession the board represents,
124 and one of whom shall be a member of the general public, unless otherwise provided under the
125 specific licensing chapter.
126 (c) (i) The [
127 shall be submitted to the governor for confirmation or rejection.
128 (ii) If an appointee is rejected by the governor, the executive director shall appoint
129 another person in the same manner as set forth in Subsection (1)(a).
130 (2) (a) (i) Except as required by Subsection (2)(b), as terms of current board members
131 expire, the executive director shall appoint each new member or reappointed member to a
132 four-year term.
133 (ii) Upon the expiration of the term of a board member, the board member shall
134 continue to serve until a successor is appointed, but for a period not to exceed six months from
135 the expiration date of the member's term.
136 (b) Notwithstanding the requirements of Subsection (2)(a), the executive director shall,
137 at the time of appointment or reappointment, adjust the length of terms to ensure that the terms
138 of board members are staggered so that approximately half of the board is appointed every two
139 years.
140 (c) A board member may not serve more than two consecutive terms, and a board
141 member who ceases to serve on a board may not serve again on that board until after the
142 expiration of a two-year period beginning from that cessation of service.
143 (d) (i) When a vacancy occurs in the membership for any reason, the replacement shall
144 be appointed for the unexpired term.
145 (ii) After filling that term, the replacement member may be appointed for only one
146 additional full term.
147 (e) [
148
149 the approval of the [
150 the member in accordance with this section[
151 (i) the member fails or refuses to fulfill the responsibilities and duties of a board
152 member, including attendance at board meetings;
153 (ii) the member engages in unlawful or unprofessional conduct; or
154 (iii) if appointed to the board position as a licensed member of the board, the member
155 fails to maintain a license that is active and in good standing.
156 (3) A majority of the board members constitutes a quorum. A quorum is sufficient
157 authority for the board to act.
158 (4) A member may not receive compensation or benefits for the member's service, but
159 may receive per diem and travel expenses in accordance with:
160 (a) Section 63A-3-106 ;
161 (b) Section 63A-3-107 ; and
162 (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
163 63A-3-107 .
164 (5) Each board shall annually designate one of its members to serve as chair for a
165 one-year period.
166 (6) A board member may not be a member of the faculty of, or have [
167 interest in [
168 continuing education to any licensee if that continuing education is required by statute or rule.
169 Section 3. Section 58-1-301.5 is amended to read:
170 58-1-301.5. Division access to Bureau of Criminal Identification records.
171 (1) The division shall have direct access to criminal background information
172 maintained by the Bureau of Criminal Identification under Title 53, Chapter 10, Part 2, Bureau
173 of Criminal Identification, for background screening of [
174 applying for licensure, licensure renewal, licensure reinstatement, or relicensure, as required in:
175 (a) Section 58-17b-307 of Title 58, Chapter 17b, Pharmacy Practice Act;
176 (b) Section 58-31b-302 of Title 58, Chapter 31b, Nurse Practice Act;
177 (c) Section 58-47b-302 of Title 58, Chapter 47b, Massage Therapy Practice Act;
178 (d) Section 58-55-302 of Title 58, Chapter 55, Utah Construction Trades Licensing
179 Act, as it applies to alarm companies and alarm company agents;
180 (e) Section 58-63-302 of Title 58, Chapter 63, Security Personnel Licensing Act; and
181 (f) Section 58-64-302 of Title 58, Chapter 64, Deception Detection Examiners
182 Licensing Act.
183 (2) The [
184 [
185 (a) [
186 (b) [
187 contendere held in abeyance, [
188 Section 4. Section 58-1-301.7 is amended to read:
189 58-1-301.7. Change of information.
190 (1) (a) An applicant, licensee, or certificate holder shall send the division a signed
191 statement, in [
192 days of [
193 (b) When providing a mailing address, the individual may provide a post office box or
194 other mail drop location.
195 (c) In addition to providing a mailing address, an applicant, licensee, or certificate
196 holder may provide to the division, in a form required by the division, an email address and
197 may designate email as the preferred method of receiving notifications from the division.
198 (2) An applicant, licensee, or certificate holder is considered to have received a
199 notification that has been sent to the [
200 (a) mailing address [
201 certificate holder[
202 (b) email address furnished to the division by the applicant, licensee, or certificate
203 holder, if email has been designated by the applicant, licensee, or certificate holder as the
204 preferred method of receiving notifications from the division.
205 Section 5. Section 58-1-302 is amended to read:
206 58-1-302. License by endorsement.
207 (1) The division may issue a license without examination to a person who has been
208 licensed in [
209 [
210 time the license was issued, substantially equal to [
211 (2) Before [
212 shall produce satisfactory evidence of [
213 and good standing in [
214 Section 6. Section 58-1-304 is amended to read:
215 58-1-304. Restricted license.
216 (1) The division may issue a restricted or probationary license to an applicant for
217 licensure, renewal, or reinstatement of licensure if:
218 (a) the applicant appears to meet the qualifications for licensure, but has engaged in
219 unlawful, unprofessional, or other conduct bearing upon the applicant's qualifications; and
220 (b) the division determines the need to observe the applicant in a monitored or
221 supervised practice of the applicant's occupation or profession or to attach other reasonable
222 restrictions or conditions upon the applicant in order to accommodate licensure, while
223 protecting the public health, safety, and welfare.
224 (2) Issuance of a restricted or probationary license is considered a partial denial of
225 licensure that is subject to agency review.
226 Section 7. Section 58-1-401 is amended to read:
227 58-1-401. Grounds for denial of license -- Disciplinary proceedings -- Time
228 limitations -- Sanctions.
229 (1) The division shall refuse to issue a license to an applicant and shall refuse to renew
230 or shall revoke, suspend, restrict, place on probation, or otherwise act upon the license of a
231 licensee who does not meet the qualifications for licensure under this title.
232 (2) The division may refuse to issue a license to an applicant and may refuse to renew
233 or may revoke, suspend, restrict, place on probation, issue a public reprimand to, or otherwise
234 act upon the license of [
235 (a) the applicant or licensee has engaged in unprofessional conduct, as defined by
236 statute or rule under this title;
237 (b) the applicant or licensee has engaged in unlawful conduct as defined by statute
238 under this title;
239 (c) the applicant or licensee has been determined to be mentally incompetent [
240
241 (d) the applicant or licensee is unable to practice the occupation or profession with
242 reasonable skill and safety because of illness, drunkenness, excessive use of drugs, narcotics,
243 chemicals, or [
244 condition, when the [
245 health, safety, or welfare.
246 (3) [
247 this title has been suspended, revoked, placed on probation, or restricted may apply for
248 reinstatement of the license at reasonable intervals and upon compliance with [
249 imposed upon the licensee by statute, rule, or terms of the license suspension, revocation,
250 probation, or restriction.
251 (4) The division may issue cease and desist orders to:
252 (a) a licensee or applicant who may be disciplined under Subsection (1) or (2);
253 (b) [
254 engaged in an occupation or profession regulated under this title; and
255 (c) [
256 this title.
257 (5) The division may impose an administrative penalty in accordance with Section
258 58-1-502 .
259 (6) (a) The division may not take disciplinary action against [
260 unprofessional or unlawful conduct under this title, unless the division enters into a stipulated
261 agreement or initiates an adjudicative proceeding regarding the conduct within four years after
262 the conduct is reported to the division, except under Subsection (6)(b).
263 (b) The division may not take disciplinary action against [
264 unprofessional or unlawful conduct more than 10 years after the occurrence of the conduct,
265 unless the proceeding is in response to a civil or criminal judgment or settlement and the
266 proceeding is initiated within one year following the judgment or settlement.
267 Section 8. Section 58-1-404 is amended to read:
268 58-1-404. Diversion -- Procedure.
269 (1) As used in this section, "diversion" means suspending action to discipline a
270 licensee who is or could be charged in a Notice of Agency Action with certain offenses within
271 the category of unprofessional or unlawful conduct on the condition that the licensee agrees to
272 participate in an educational or rehabilitation program or fulfill some other condition.
273 (2) (a) (i) The director may establish[
274 committee for each occupation or profession or similar groups of occupations or professions
275 licensed by the division.
276 (ii) The committees shall assist the director in the administration of this section.
277 (b) (i) Each committee shall consist of at least three licensees from the same or similar
278 occupation or profession as the person whose conduct is the subject of the committee's
279 consideration.
280 (ii) The director shall appoint the members of a diversion advisory committee from
281 nominations submitted by the corresponding board established for the same or similar
282 occupation or profession under Section 58-1-201 or from other qualified nominees developed
283 by or submitted to the division.
284 (iii) Committee members may not serve concurrently as members of the corresponding
285 board.
286 (iv) Committee members shall serve voluntarily without remuneration.
287 (v) The director may:
288 (A) dissolve [
289 (B) remove or request the replacement of [
290 (C) establish [
291 committee's administration.
292 (3) The director may, after consultation with the appropriate diversion advisory
293 committee and by written agreement with the licensee, divert the licensee to a diversion
294 program:
295 (a) at any time after receipt by the division of a complaint against the licensee when no
296 adjudicative proceeding has been commenced;
297 (b) at any time prior to the conclusion of a hearing under Section 63G-4-206 when an
298 adjudicative proceeding has been commenced against the licensee; or
299 (c) after a self-referral by a licensee who is not the subject of a current investigation,
300 complaint, or adjudicative proceeding.
301 (4) (a) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
302 the division shall define by rule the particular offenses within the category of unprofessional or
303 unlawful conduct [
304 (b) A licensee may be eligible for a diversion program only once for the same or
305 similar offense, whether the diversion program was in this state or another jurisdiction, and is
306 not eligible if previously disciplined by the division, by a licensing agency of another state, or
307 by a federal government agency for the same or a similar offense.
308 (c) The term of a diversion agreement shall be five years or less, but may be extended
309 for an additional period of time as agreed to by the parties in writing.
310 (d) A decision by the director not to divert a licensee is not subject to appeal or judicial
311 review.
312 (5) A licensee may be represented by counsel:
313 (a) during the negotiations for diversion;
314 (b) at the time of the execution of the diversion agreement; and
315 (c) at [
316 (6) (a) As used in this section, "diversion agreement" means a written agreement
317 between the division, through its director, and the licensee, which specifies formal terms and
318 conditions the licensee must fulfill in order to comply with the diversion program.
319 (b) (i) A diversion agreement shall contain a full detailed statement of the requirements
320 agreed to by the licensee and a full detailed stipulation of the facts upon which the diversion
321 agreement is premised.
322 (ii) The facts stipulated in the diversion agreement shall constitute binding admissions
323 of the licensee:
324 (A) in [
325 agreement and impose disciplinary sanctions against the licensee; and
326 (B) in [
327 is not the basis of the diversion agreement.
328 (c) The diversion agreement shall provide that if the licensee makes an intentional
329 material misrepresentation of fact in the stipulation of facts contained in the diversion
330 agreement, the director shall initiate the procedures set forth in Subsection (13) to terminate the
331 diversion agreement and issue an order of license revocation.
332 (d) (i) The diversion agreement shall provide that if the licensee fails to comply with its
333 terms, the director shall initiate the procedures set forth in Subsection (14) to terminate the
334 diversion agreement and issue an order of license suspension, which shall be stayed in favor of
335 an order of probation having the same terms as those [
336 agreement.
337 (ii) The division may waive and not include as probationary requirements [
338 each term of the diversion agreement it does not consider necessary to protect the public.
339 (iii) The term of the order of probation shall be as provided in Subsection (14)(c)(ii).
340 (e) The division director may not approve a diversion agreement unless the licensee, as
341 part of the diversion agreement:
342 (i) knowingly and intelligently waives the right to a hearing under Title 63G, Chapter
343 4, Administrative Procedures Act, for the conduct upon which the diversion agreement was
344 premised;
345 (ii) agrees to be subject to the procedures and remedies set forth in this section;
346 (iii) acknowledges an understanding of the consequences of making an intentional
347 misrepresentation of fact in the stipulation of facts contained in the diversion agreement; and
348 (iv) acknowledges an understanding of the consequences of failing to comply with the
349 terms of the diversion agreement.
350 (7) (a) If the division and the licensee enter into a diversion agreement after the
351 division has commenced an adjudicative proceeding against the licensee, the director shall stay
352 that proceeding pending completion of the diversion agreement.
353 (b) The order staying the adjudicative proceeding shall be filed in that proceeding and
354 may reference the diversion agreement.
355 (8) (a) Upon successful completion of a diversion agreement, the director shall dismiss
356 [
357 conduct that [
358 (b) Whether or not an adjudicative proceeding had been commenced against the
359 licensee, the division may not thereafter subject the licensee to disciplinary action for the
360 conduct [
361 (c) Neither the execution of a diversion agreement nor the dismissal of filed charges
362 constitute disciplinary action, and no report of either may be made to disciplinary databases.
363 (d) The division may consider the completion of a diversion program and the contents
364 of the diversion agreement in determining the appropriate disciplinary action if the licensee is
365 charged in the future with the same or similar conduct.
366 (e) The order of dismissal shall be filed in the adjudicative proceeding in which the
367 misconduct was charged and may reference the diversion agreement.
368 (9) (a) Acceptance of the licensee into diversion does not preclude the division from
369 investigating or continuing to investigate the licensee for [
370 conduct committed before, during, or after participation in the diversion program.
371 (b) Acceptance of the licensee into diversion does not preclude the division from
372 taking disciplinary action or continuing to take disciplinary action against the licensee for
373 unlawful or unprofessional conduct committed before, during, or after participation in the
374 diversion program, except for that conduct [
375 agreement.
376 (c) [
377 the diversion agreement is subject to disciplinary action by the division for acts committed
378 before, during, and after participation in the diversion program, including violations identified
379 in the diversion agreement.
380 (10) The classification, retention, and disclosure of records relating to a licensee's
381 participation in the diversion program is governed by Title 63G, Chapter 2, Government
382 Records Access and Management Act, except that [
383 [
384 govern the access to and release of those records.
385 (11) Notwithstanding any other provision of this section, the fact that the licensee
386 completed a diversion program and the contents of the diversion agreement itself may be
387 considered by the division in determining the appropriate disciplinary action if the licensee is
388 charged in the future with the same or similar conduct.
389 (12) Meetings regarding the diversion program are not subject to Title 52, Chapter 4,
390 Open and Public Meetings Act.
391 (13) (a) If, during the course of the diversion agreement, information is brought to the
392 attention of the director that the licensee made an intentional material misrepresentation of fact
393 in the stipulation of facts contained in the diversion agreement, the director shall cause to be
394 served upon the licensee an order to show cause specifying the information relied upon by the
395 director and setting a time and place for a hearing to determine whether or not the licensee
396 made the intentional material misrepresentation of fact and whether the agreement should be
397 terminated on that ground.
398 (b) Proceedings to terminate a diversion agreement on the grounds that the licensee
399 made an intentional material misrepresentation of fact in the stipulation of facts contained in
400 the diversion agreement and to issue an order of license revocation shall comply with Title
401 63G, Chapter 4, Administrative Procedures Act, except as follows:
402 (i) the notice of agency action shall be in the form of an order to show cause, which
403 shall contain all of the information specified in Subsection 63G-4-201 (2), except a statement
404 that a written response to the order to show cause is required;
405 (ii) no written response to the order to show cause is required;
406 (iii) discovery is prohibited, but the division may issue subpoenas or other orders to
407 compel production of necessary evidence on behalf of either party and all parties shall have
408 access to information contained in the division's diversion file to the extent permitted by law;
409 (iv) the hearing shall be held only after timely notice to all parties; and
410 (v) [
411 agreement or of an order of license revocation pursuant to this Subsection (13) shall be limited
412 to the division director's findings of fact, conclusions of law, and order [
413 of the order to show cause proceeding.
414 (c) Upon finding the licensee made an intentional material misrepresentation of fact in
415 the stipulation of facts contained in the diversion agreement and that terminating the agreement
416 is in the best interest of the public, and issuing an order to that effect, the director shall issue an
417 order of license revocation, revoking the licensee's professional license.
418 (d) The order terminating the diversion agreement and the order of license revocation
419 shall include findings of fact and conclusions of law as determined by the director following
420 the hearing or as otherwise stipulated and agreed to by the parties.
421 (e) If the diversion agreement being terminated was entered into after the division had
422 commenced an adjudicative proceeding against the licensee, that adjudicative proceeding shall
423 be considered to be merged into the order of license revocation and it may not constitute a basis
424 for [
425 (f) The order terminating the diversion agreement and the order of license revocation
426 shall notify the licensee of the right to request agency review or reconsideration.
427 (14) (a) If, during the course of the diversion agreement, information is brought to the
428 attention of the director that the licensee has violated the diversion agreement and if it appears
429 in the best interest of the public to proceed with charges, the director, after consultation with
430 the diversion advisory committee, shall cause to be served upon the licensee an order to show
431 cause specifying the facts relied upon by the director and setting a time and place for a hearing
432 to determine whether or not the licensee has violated the diversion agreement and whether the
433 agreement should be terminated.
434 (b) Proceedings to terminate a diversion agreement [
435
436
437 Administrative Procedures Act, except as follows:
438 (i) the notice of agency action shall be in the form of an order to show cause, which
439 shall contain all of the information specified in Subsection 63G-4-201 (2), except a statement
440 that a written response to the order to show cause is required;
441 (ii) no written response to the order to show cause shall be required;
442 (iii) discovery is prohibited, but the division may issue subpoenas or other orders to
443 compel production of necessary evidence on behalf of either party and all parties shall have
444 access to information contained in the division's diversion file to the extent permitted by law;
445 (iv) the hearing shall be held only after timely notice to all parties; and
446 (v) [
447 agreement or of an order of license suspension and probation pursuant to this Subsection (14)
448 shall be limited to the division director's findings of fact, conclusions of law, and order [
449 that arose out of the order to show cause proceeding.
450 (c) (i) Upon finding the licensee has violated the diversion agreement by conduct that
451 is entirely the same or similar to the conduct upon which the diversion agreement is premised,
452 or by violating a compliance provision contained in the diversion agreement, and further
453 finding that terminating the agreement is in the best interest of the public, and after issuing an
454 order to that effect, the director shall issue an order [
455
456 consisting of the same terms as those which comprised the diversion agreement.
457 (ii) Upon finding that the licensee has violated the diversion agreement by conduct that
458 includes conduct that is not the same or similar to the conduct upon which the diversion
459 agreement is premised, and further finding that terminating the agreement is in the best interest
460 of the public, and after issuing an order to that effect, the director shall, after notice of
461 opportunity to be heard is provided to the licensee, issue an order imposing each disciplinary
462 sanction the division deems appropriate, including suspension, public reprimand, a fine,
463 probation, or revocation of licensure.
464 [
465 diversion agreement, or five years from the date of the order of license suspension and
466 probation, whichever is longer, unless otherwise agreed by the parties.
467 [
468 licensee does not have an active license in the state.
469 (d) (i) The order terminating the diversion agreement and the order of license
470 suspension and probation shall include findings of fact and conclusions of law as determined
471 by the director following the hearing or as otherwise stipulated and agreed to by the parties.
472 (ii) The findings of fact may include those facts to which the licensee stipulated in the
473 diversion agreement and [
474 the hearing.
475 (e) If the diversion agreement being terminated was entered into after the division had
476 commenced an adjudicative proceeding against the licensee, that adjudicative proceeding shall
477 be considered to be merged into the order of license suspension and probation and it may not
478 constitute a basis for [
479 (f) The order terminating the diversion agreement and the order of license suspension
480 and probation shall notify the licensee of the right to request agency review or reconsideration.
481 (g) (i) The terms and conditions of the order of license suspension and probation may
482 be amended by order of the director, pursuant to motion or stipulation of the parties.
483 (ii) The order of the director on the motion shall not be subject to agency review, but is
484 subject to agency reconsideration under Section 63G-4-302 .
485 (h) (i) If, during the course of probation, the director has reason to believe the licensee
486 has violated the order of [
487 the licensee an order to show cause why the probation should not be terminated [
488
489 should not be imposed, including suspension, public reprimand, a fine, or revocation of
490 licensure.
491 (ii) The order to show cause shall specify the facts relied upon by the director and shall
492 set a time and place for hearing before the director to determine whether or not the licensee has
493 violated the order of [
494 terminated, [
495 division deems appropriate should not be imposed, including suspension, public reprimand, a
496 fine, or revocation of licensure.
497 (15) (a) Nothing in this section precludes the division from issuing an emergency order
498 pursuant to Section 63G-4-502 .
499 (b) If the division issues an emergency order against a licensee who is subject to a
500 diversion agreement with the division, that diversion agreement shall be immediately and
501 automatically terminated upon the issuance of the emergency order, without requiring
502 compliance with the provisions of Title 63G, Chapter 4, Administrative Procedures Act.
503 (c) (i) A licensee whose diversion agreement has been terminated pursuant to
504 Subsection (15)(b) is entitled, upon request, to a posttermination hearing to challenge the
505 termination of the diversion agreement.
506 (ii) The request shall be considered a request for agency action and shall comply with
507 the requirements of Subsection 63G-4-201 (3).
508 (iii) The division shall uphold the termination of the diversion agreement if it finds
509 that:
510 (A) the licensee violated the diversion agreement; and
511 (B) it is in the best interest of the public to terminate the diversion agreement.
512 (16) The administrative statute of limitations for taking disciplinary action described in
513 Subsection 58-1-401 (6) shall be tolled during a diversion program.
514 Section 9. Section 58-1-501 is amended to read:
515 58-1-501. Unlawful and unprofessional conduct.
516 (1) "Unlawful conduct" means conduct, by any person, that is defined as unlawful
517 under this title and includes:
518 (a) practicing or engaging in, representing oneself to be practicing or engaging in, or
519 attempting to practice or engage in any occupation or profession requiring licensure under this
520 title if the person is:
521 (i) not licensed to do so or not exempted from licensure under this title; or
522 (ii) restricted from doing so by a suspended, revoked, restricted, temporary,
523 probationary, or inactive license;
524 (b) impersonating another licensee or practicing an occupation or profession under a
525 false or assumed name, except as permitted by law;
526 (c) knowingly employing any other person to practice or engage in or attempt to
527 practice or engage in any occupation or profession licensed under this title if the employee is
528 not licensed to do so under this title;
529 (d) knowingly permitting the person's authority to practice or engage in any occupation
530 or profession licensed under this title to be used by another, except as permitted by law;
531 (e) obtaining a passing score on a licensure examination, applying for or obtaining a
532 license, or otherwise dealing with the division or a licensing board through the use of fraud,
533 forgery, or intentional deception, misrepresentation, misstatement, or omission; or
534 (f) (i) issuing, or aiding and abetting in the issuance of, an order or prescription for a
535 drug or device to a person located in this state:
536 (A) without prescriptive authority conferred by a license issued under this title, or by
537 an exemption to licensure under this title; or
538 (B) with prescriptive authority conferred by an exception issued under this title or a
539 multistate practice privilege recognized under this title, if the prescription was issued without
540 first obtaining information, in the usual course of professional practice, that is sufficient to
541 establish a diagnosis, to identify underlying conditions, and to identify contraindications to the
542 proposed treatment; and
543 (ii) Subsection (1)(f)(i) does not apply to treatment rendered in an emergency, on-call
544 or cross coverage situation, provided that the person who issues the prescription has
545 prescriptive authority conferred by a license under this title, or is exempt from licensure under
546 this title.
547 (2) "Unprofessional conduct" means conduct, by a licensee or applicant, that is defined
548 as unprofessional conduct under this title or under any rule adopted under this title and
549 includes:
550 (a) violating, or aiding or abetting any other person to violate, any statute, rule, or order
551 regulating an occupation or profession under this title;
552 (b) violating, or aiding or abetting any other person to violate, any generally accepted
553 professional or ethical standard applicable to an occupation or profession regulated under this
554 title;
555 (c) engaging in conduct that results in conviction, a plea of nolo contendere, or a plea
556 of guilty or nolo contendere which is held in abeyance pending the successful completion of
557 probation with respect to a crime of moral turpitude or any other crime that, when considered
558 with the functions and duties of the occupation or profession for which the license was issued
559 or is to be issued, bears a reasonable relationship to the licensee's or applicant's ability to safely
560 or competently practice the occupation or profession;
561 (d) engaging in conduct that results in disciplinary action, including reprimand,
562 censure, diversion, probation, suspension, or revocation, by any other licensing or regulatory
563 authority having jurisdiction over the licensee or applicant in the same occupation or profession
564 if the conduct would, in this state, constitute grounds for denial of licensure or disciplinary
565 proceedings under Section 58-1-401 ;
566 (e) engaging in conduct, including the use of intoxicants, drugs, narcotics, or similar
567 chemicals, to the extent that the conduct does, or might reasonably be considered to, impair the
568 ability of the licensee or applicant to safely engage in the occupation or profession;
569 (f) practicing or attempting to practice an occupation or profession regulated under this
570 title despite being physically or mentally unfit to do so;
571 (g) practicing or attempting to practice an occupation or profession regulated under this
572 title through gross incompetence, gross negligence, or a pattern of incompetency or negligence;
573 (h) practicing or attempting to practice an occupation or profession requiring licensure
574 under this title by any form of action or communication which is false, misleading, deceptive,
575 or fraudulent;
576 (i) practicing or attempting to practice an occupation or profession regulated under this
577 title beyond the scope of the licensee's competency, abilities, or education;
578 (j) practicing or attempting to practice an occupation or profession regulated under this
579 title beyond the scope of the licensee's license;
580 (k) verbally, physically, mentally, or sexually abusing or exploiting any person through
581 conduct connected with the licensee's practice under this title or otherwise facilitated by the
582 licensee's license;
583 (l) acting as a supervisor without meeting the qualification requirements for that
584 position that are defined by statute or rule;
585 (m) issuing, or aiding and abetting in the issuance of, an order or prescription for a
586 drug or device:
587 (i) without first obtaining information in the usual course of professional practice, that
588 is sufficient to establish a diagnosis, to identify conditions, and to identify contraindications to
589 the proposed treatment; or
590 (ii) with prescriptive authority conferred by an exception issued under this title, or a
591 multi-state practice privilege recognized under this title, if the prescription was issued without
592 first obtaining information, in the usual course of professional practice, that is sufficient to
593 establish a diagnosis, to identify underlying conditions, and to identify contraindications to the
594 proposed treatment; [
595 (n) violating a provision of Section 58-1-501.5 [
596 (o) violating the terms of an order governing a license.
597 Section 10. Section 58-1-502 is amended to read:
598 58-1-502. Unlawful and unprofessional conduct -- Penalties.
599 (1) Unless otherwise specified in this title, a person who violates the unlawful conduct
600 provisions defined in this title is guilty of a class A misdemeanor.
601 (2) (a) [
602 occupation or profession regulated by this title, if upon inspection or investigation, the division
603 concludes that a person has violated Subsection 58-1-501 (1)(a) [
604 rule or order issued with respect to those subsections, and that disciplinary action is
605 appropriate, the director or the director's designee from within the division shall promptly:
606 (i) issue a citation to the person according to this section and any pertinent rules;
607 (ii) attempt to negotiate a stipulated settlement; or
608 (iii) notify the person to appear before an adjudicative proceeding conducted under
609 Title 63G, Chapter 4, Administrative Procedures Act.
610 (b) (i) The division may assess a fine under this Subsection (2) against a person who
611 violates Subsection 58-1-501 (1)(a) [
612 respect to those subsections, as evidenced by:
613 (A) an uncontested citation;
614 (B) a stipulated settlement; or
615 (C) a finding of a violation in an adjudicative proceeding.
616 (ii) The division may, in addition to or in lieu of a fine under Subsection (2)(b)(i),
617 order the person to cease and desist from violating Subsection 58-1-501 (1)(a) [
618 (2)(o), or [
619 (c) Except for a cease and desist order, the division may not assess the licensure
620 sanctions cited in Section 58-1-401 through a citation.
621 (d) A citation shall:
622 (i) be in writing;
623 (ii) describe with particularity the nature of the violation, including a reference to the
624 provision of the chapter, rule, or order alleged to have been violated;
625 (iii) clearly state that the recipient must notify the division in writing within 20
626 calendar days of service of the citation if the recipient wishes to contest the citation at a hearing
627 conducted under Title 63G, Chapter 4, Administrative Procedures Act; and
628 (iv) clearly explain the consequences of failure to timely contest the citation or to make
629 payment of [
630 (e) The division may issue a notice in lieu of a citation.
631 (f) (i) If within 20 calendar days from the service of the citation, the person to whom
632 the citation was issued fails to request a hearing to contest the citation, the citation becomes the
633 final order of the division and is not subject to further agency review.
634 (ii) The period to contest a citation may be extended by the division for cause.
635 (g) The division may refuse to issue or renew, suspend, revoke, or place on probation
636 the license of a licensee who fails to comply with a citation after it becomes final.
637 (h) The failure of an applicant for licensure to comply with a citation after it becomes
638 final is a ground for denial of license.
639 (i) The division may not issue a citation under this section after the expiration of six
640 months following the occurrence of a violation.
641 (j) The director or the director's designee shall assess fines according to the following:
642 (i) for the first offense handled pursuant to Subsection (2)(a), a fine of up to $1,000;
643 (ii) for a second offense handled pursuant to Subsection (2)(a), a fine of up to $2,000;
644 and
645 (iii) for [
646 up to $2,000 for each day of continued offense.
647 (3) (a) An action for a first or second offense [
648 order of the division may not preclude initiation of [
649 subsequent offense during the pendency of [
650 (b) The final order on a subsequent action is considered a second or subsequent
651 offense, respectively, provided the preceding action resulted in a first or second offense,
652 respectively.
653 (4) (a) The director may collect a penalty that is not paid by:
654 (i) either referring the matter to a collection agency; or
655 (ii) bringing an action in the district court of the county [
656 against whom the penalty is imposed resides or in the county where the office of the director is
657 located.
658 (b) [
659 assistance and advice to the director in an action to collect the penalty.
660 (c) A court may award reasonable attorney fees and costs to the division in an action
661 brought by the division to enforce the provisions of this section.
662 Section 11. Section 58-17b-103 is amended to read:
663 58-17b-103. Administrative inspections.
664 (1) The division may for the purpose of ascertaining compliance with the provisions of
665 this chapter, require a self-audit or enter and inspect the business premises of a person:
666 (a) licensed under Part 3, Licensing; or
667 (b) who is engaged in activities that require a license under Part 3, Licensing.
668 (2) Before conducting an inspection under Subsection (1), the division shall, after
669 identifying the person in charge:
670 (a) give proper identification;
671 (b) request to see the applicable license or licenses;
672 (c) describe the nature and purpose of the inspection; and
673 (d) provide upon request, the authority of the division to conduct the inspection and the
674 penalty for refusing to permit the inspection as provided in Section 58-17b-504 .
675 (3) In conducting an inspection under Subsection (1), the division may, after meeting
676 the requirements of Subsection (2):
677 (a) examine any record, prescription, order, drug, device, equipment, machine,
678 electronic device or media, or area related to activities for which a license has been issued or is
679 required by Part 3, Licensing, for the purpose of ascertaining compliance with the applicable
680 provisions of this chapter;
681 (b) reproduce any record or media at the division's own cost;
682 [
683 [
684 misbranded, outdated, or otherwise in violation of this chapter, pending an adjudicative
685 proceeding on the matter;
686 [
687 otherwise in violation of this chapter; and
688 [
689 in accordance with procedures established by division rule.
690 (4) An inspection [
691 during regular business hours.
692 (5) If upon inspection, the division concludes that a person has violated the provisions
693 of this chapter or Chapter 37, Utah [
694 order issued with respect to those chapters, and that disciplinary action is appropriate, the
695 director or the director's designee shall promptly issue a fine or citation to the licensee in
696 accordance with Section 58-17b-504 .
697 Section 12. Section 58-17b-501 is amended to read:
698 58-17b-501. Unlawful conduct.
699 "Unlawful conduct" includes:
700 (1) knowingly preventing or refusing to permit [
701 division to conduct an inspection pursuant to Section 58-17b-103 ;
702 (2) failing to deliver the license, permit, or certificate to the division upon demand, if it
703 has been revoked, suspended, or refused;
704 (3) (a) using the title "pharmacist,"[
705 technician,"[
706 pharmacist, pharmacy intern, or pharmacy technician; or
707 (b) conducting or transacting business under a name [
708 that name, the words "drugstore,"[
709 "medicines,"[
710 a similar meaning, or in any manner advertising, otherwise describing, or referring to the place
711 of the conducted business or profession, unless the place is a pharmacy issued a license by the
712 division, except [
713 signs bearing the words "packaged drugs,"[
714 and is not considered to be a pharmacy or drugstore by reason of the display;
715 (4) buying, selling, causing to be sold, or offering for sale, [
716 [
717 for resale,"[
718 when a cost is incurred in the bona fide acquisition of an investigational or experimental drug;
719 (5) using to [
720 division, board, and its authorized representatives, or to the courts, when relevant to [
721 judicial or administrative proceeding under this chapter, [
722 authority of this chapter or concerning [
723 (6) procuring or attempting to procure [
724 else procure or attempt to procure [
725 (a) by fraud, deceit, misrepresentation, or subterfuge;
726 (b) by forgery or alteration of a prescription or [
727 (c) by concealment of a material fact;
728 (d) by use of a false statement in [
729 (e) by theft;
730 (7) filling, refilling, or advertising the filling or refilling of prescriptions for [
731 consumer or patient residing in this state if the person is not licensed:
732 (a) under this chapter; or
733 (b) in the state from which he is dispensing;
734 (8) requiring [
735 authorized supportive personnel to engage in [
736 (9) being in possession of a prescription drug for [
737 (10) dispensing a prescription drug to [
738 prescription from a practitioner or to [
739 drug knows or should know is attempting to obtain drugs by fraud or misrepresentation;
740 (11) selling, dispensing, distributing, or otherwise trafficking in prescription drugs
741 when not licensed to do so or when not exempted from licensure; and
742 (12) a person using a prescription drug or controlled substance [
743 not lawfully prescribed for [
744 Section 13. Section 58-17b-622 is amended to read:
745 58-17b-622. Pharmacy benefit management services -- Auditing of pharmacy
746 records -- Appeals.
747 (1) For purposes of this section:
748 (a) "Audit" means a review of the records of a pharmacy by or on behalf of an entity
749 that finances or reimburses the cost of health care services or pharmaceutical products.
750 (b) "Entity" includes:
751 (i) a pharmacy benefits manager or coordinator;
752 (ii) a health benefit plan;
753 (iii) a third party administrator as defined in Section 31A-1-301 ;
754 (iv) a state agency; or
755 (v) a company, group, or agent that represents, or is engaged by, one of the entities
756 described in Subsections (1)(b)(i) through (iv).
757 (c) "Fraud" means an intentional act of deception, misrepresentation, or concealment in
758 order to gain something of value.
759 (d) "Health benefit plan" means:
760 (i) a health benefit plan as defined in Section 31A-1-301 ; or
761 (ii) a health, dental, medical, Medicare supplement, or conversion program offered
762 under Title 49, Chapter 20, Public Employees' Benefit and Insurance Program Act.
763 (2) (a) Except as provided in Subsection (2)(b), this section applies to:
764 (i) a contract for the audit of a pharmacy entered into, amended, or renewed on or after
765 July 1, 2012; and
766 (ii) an entity that conducts an audit of the pharmacy records of a pharmacy licensed
767 under this chapter.
768 (b) This section does not apply to an audit of pharmacy records:
769 (i) for a federally funded prescription drug program, including:
770 (A) the state Medicaid program;
771 (B) the Medicare Part D program;
772 (C) a Department of Defense prescription drug program;
773 (D) a Veteran's Affairs prescription drug program; or
774 (ii) when fraud or other intentional and willful misrepresentation is alleged and the
775 pharmacy audit entity has evidence that the pharmacy's actions reasonably indicate fraud or
776 intentional and willful misrepresentation.
777 (3) (a) An audit that involves clinical or professional judgment shall be conducted by
778 or in consultation with a [
779 auditing entity and who is licensed in the state or another state.
780 (b) If an audit is conducted on site at a pharmacy, the entity conducting the audit:
781 (i) shall give the pharmacy 10 days advanced written notice of:
782 (A) the audit; and
783 (B) the range of prescription numbers or a date range included in the audit; and
784 (ii) may not audit a pharmacy during the first five business days of the month, unless
785 the pharmacy agrees to the timing of the audit.
786 (c) An entity may not audit claims:
787 (i) submitted more than 18 months prior to the audit, unless:
788 (A) required by federal law; or
789 (B) the originating prescription is dated in the preceding six months; or
790 (ii) that exceed 200 selected prescription claims.
791 (4) (a) An entity may not:
792 (i) include dispensing fees in the calculations of overpayments unless the prescription
793 is considered a misfill;
794 (ii) recoup funds for prescription clerical or recordkeeping errors, including
795 typographical errors, scrivener's errors, and computer errors on a required document or record
796 unless the audit entity is alleging fraud or other intentional or willful misrepresentation and the
797 audit entity has evidence that the pharmacy's actions reasonably indicate fraud or intentional
798 and willful misrepresentation; or
799 (iii) collect any funds, charge-backs, or penalties until the audit and all appeals are
800 final, unless the audit entity is alleging fraud or other intentional or willful misrepresentation
801 and the audit entity has evidence that the pharmacy's actions reasonably indicate fraud or
802 intentional and willful misrepresentation.
803 (b) Auditors shall only have access to previous audit reports on a particular pharmacy
804 if the previous audit was conducted by the same entity except as required for compliance with
805 state or federal law.
806 (5) A pharmacy subject to an audit may use the following records to validate a claim
807 for a prescription, refill, or change in a prescription:
808 (a) electronic or physical copies of records of a health care facility, or a health care
809 provider with prescribing authority; and
810 (b) any prescription that complies with state law.
811 (6) (a) An entity that audits a pharmacy shall provide the pharmacy with a preliminary
812 audit report, delivered to the pharmacy or its corporate office of record within 60 days after
813 completion of the audit.
814 (b) A pharmacy has 30 days following receipt of the preliminary audit report to
815 respond to questions, provide additional documentation, and comment on and clarify findings
816 of the audit. Receipt of the report shall be based on the postmark date or the date of a
817 computer transmission if transferred electronically.
818 (7) If an audit results in the dispute or denial of a claim, the entity conducting the audit
819 shall allow the pharmacy to resubmit a claim using any commercially reasonable method,
820 including fax, mail, or electronic claims submission provided that the period of time when a
821 claim may be resubmitted has not expired under the rules of the plan sponsor.
822 (8) (a) Within 120 days after the completion of the appeals process under Subsection
823 (9), a final audit report shall be delivered to the pharmacy or its corporate office of record.
824 (b) The final audit report shall include a disclosure of any money recovered by the
825 entity that conducted the audit.
826 (9) An entity that audits a pharmacy shall establish a written appeals process for
827 appealing a preliminary audit report and a final audit report, and shall provide the pharmacy
828 with notice of the written appeals process. If the pharmacy benefit manager's contract or
829 provider manual contains the information required by this Subsection (9), the requirement for
830 notice is met.
831 Section 14. Section 58-22-305 is amended to read:
832 58-22-305. Exemption from licensure.
833 (1) In addition to the exemptions from licensure in Section 58-1-307 , the following
834 may engage in the following acts or practices without being licensed under this chapter:
835 (a) a person offering to render professional engineering, professional structural
836 engineering, or professional land surveying services in this state when not licensed under this
837 chapter if the person:
838 (i) holds a current and valid professional engineer, professional structural engineer, or
839 professional land surveyor license issued by a licensing authority recognized by rule by the
840 division in collaboration with the board;
841 (ii) discloses in writing to the potential client the fact that the professional engineer,
842 professional structural engineer, or professional land surveyor:
843 (A) is not licensed in the state;
844 (B) may not provide professional engineering, professional structural engineering, or
845 professional land surveying services in the state until licensed in the state; and
846 (C) that such condition may cause a delay in the ability of the professional engineer,
847 professional structural engineer, or professional land surveyor to provide licensed services in
848 the state;
849 (iii) notifies the division in writing of [
850 professional engineering, professional structural engineering, or professional land surveying
851 services in the state; and
852 (iv) does not provide professional engineering, professional structural engineering, or
853 professional land surveying services, or engage in the practice of professional engineering,
854 professional structural engineering, or professional land surveying in this state until licensed to
855 do so;
856 (b) a person preparing a plan and specification for a one[
857 exceeding two stories in height;
858 (c) a person licensed to practice architecture under Title 58, Chapter 3a, Architects
859 Licensing Act, performing architecture acts or incidental engineering or structural engineering
860 practices that do not exceed the scope of the education and training of the person performing
861 engineering or structural engineering;
862 (d) unlicensed employees, subordinates, associates, or drafters of a person licensed
863 under this chapter while preparing plans, maps, sketches, drawings, documents, specifications,
864 plats, and reports under the supervision of a professional engineer, professional structural
865 engineer, or professional land surveyor;
866 (e) a person preparing a plan or specification for, or supervising the alteration of or
867 repair to, an existing building affecting an area not exceeding 3,000 square feet when structural
868 elements of a building are not changed, such as foundations, beams, columns, and structural
869 slabs, joists, bearing walls, and trusses;
870 (f) an employee of a communications, utility, railroad, mining, petroleum, or
871 manufacturing company, or an affiliate of such a company, if the professional engineering or
872 professional structural engineering work is performed solely in connection with the products or
873 systems of the company and is not offered directly to the public;
874 (g) an organization engaged in the practice of professional engineering, structural
875 engineering, or professional land surveying, provided that:
876 (i) the organization employs a principal; and
877 (ii) all individuals employed by the organization, who are engaged in the practice of
878 professional engineering, structural engineering, or land surveying, are licensed or exempt from
879 licensure under this chapter; and
880 (h) a person licensed as a professional engineer, a professional structural engineer, or a
881 professional land surveyor in a state other than Utah serving as an expert witness, provided the
882 expert testimony meets one of the following:
883 (i) oral testimony as an expert witness in an administrative, civil, or criminal
884 proceeding [
885
886 (ii) written documentation included as part of the testimony in a [
887 proceeding, including designs, studies, plans, specifications, or similar documentation, [
888
889 the purpose of the written documentation is not to establish specifications, plans, designs,
890 processes, or standards to be used in the future in [
891 construction, [
892 (2) Nothing in this section shall be construed to restrict a draftsman from preparing
893 plans for a client under the exemption provided in Subsection (1)(b), or taking those plans to a
894 professional engineer for [
895 engineer's seal to that set of plans, if [
896 Section 15. Section 58-31b-601 is amended to read:
897 58-31b-601. Minimum standards for nursing programs -- Medication aide
898 training.
899 (1) [
900 program for the purpose of qualifying graduates for licensure under this chapter, a nursing
901 education program shall be accredited by the:
902 [
903 [
904 [
905 [
906 [
907 [
908 [
909 [
910 [
911 [
912 [
913 [
914 [
915
916 (2) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
917 division, in consultation with the board, may make rules establishing requirements for a
918 nursing education program to qualify for a limited time as an approved education program for
919 the purpose of qualifying graduates for licensure under this chapter, prior to its obtaining an
920 accreditation described in Subsection (1).
921 (3) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and
922 the provisions of this chapter, the division shall make rules defining the minimum standards for
923 a medication aide certified training program to qualify a person for certification under this
924 chapter as a medication aide certified.
925 Section 16. Section 58-37c-3 is amended to read:
926 58-37c-3. Definitions.
927 In addition to the definitions in Section 58-1-102 , as used in this chapter:
928 [
929
930 [
931 of the following:
932 (a) Phenyl-2-propanone;
933 (b) Methylamine;
934 (c) Ethylamine;
935 (d) D-lysergic acid;
936 (e) Ergotamine and its salts;
937 (f) Diethyl malonate;
938 (g) Malonic acid;
939 (h) Ethyl malonate;
940 (i) Barbituric acid;
941 (j) Piperidine and its salts;
942 (k) N-acetylanthranilic acid and its salts;
943 (l) Pyrrolidine;
944 (m) Phenylacetic acid and its salts;
945 (n) Anthranilic acid and its salts;
946 (o) Morpholine;
947 (p) Ephedrine;
948 (q) Pseudoephedrine;
949 (r) Norpseudoephedrine;
950 (s) Phenylpropanolamine;
951 (t) Benzyl cyanide;
952 (u) Ergonovine and its salts;
953 (v) 3,4-Methylenedioxyphenyl-2-propanone;
954 (w) propionic anhydride;
955 (x) Insosafrole;
956 (y) Safrole;
957 (z) Piperonal;
958 (aa) N-Methylephedrine;
959 (bb) N-ethylephedrine;
960 (cc) N-methylpseudoephedrine;
961 (dd) N-ethylpseudoephedrine;
962 (ee) Hydriotic acid;
963 (ff) gamma butyrolactone (GBL), including butyrolactone, 1,2 butanolide,
964 2-oxanolone, tetrahydro-2-furanone, dihydro-2(3H)-furanone, and tetramethylene glycol, but
965 not including gamma aminobutric acid (GABA);
966 (gg) 1,4 butanediol;
967 (hh) any salt, isomer, or salt of an isomer of the chemicals listed in Subsections (2)(a)
968 through (gg);
969 (ii) Crystal iodine;
970 (jj) Iodine at concentrations greater than 1.5% by weight in a solution or matrix;
971 (kk) Red phosphorous, except as provided in Section 58-37c-19.7 ;
972 (ll) anhydrous ammonia, except as provided in Section 58-37c-19.9 ;
973 (mm) any controlled substance precursor listed under the provisions of the Federal
974 Controlled Substances Act which is designated by the director under the emergency listing
975 provisions set forth in Section 58-37c-14 ; and
976 (nn) any chemical which is designated by the director under the emergency listing
977 provisions set forth in Section 58-37c-14 .
978 [
979 or attempted transfer of a controlled substance precursor.
980 [
981 originates, develops, or is contained.
982 [
983 partnership, joint venture, corporation, or organization of any type or kind.
984 [
985 pharmacist, scientific investigator, pharmacy, hospital, pharmaceutical manufacturer, or other
986 person licensed, registered, or otherwise permitted to distribute, dispense, conduct research
987 with respect to, administer, or use in teaching, or chemical analysis a controlled substance in
988 the course of professional practice or research in this state.
989 [
990 sells, furnishes, transfers, or otherwise supplies a listed controlled substance precursor
991 chemical in a regulated transaction.
992 (b) "Regulated distributor" does not include any person excluded from regulation under
993 this chapter.
994 [
995 listed controlled substance precursor chemical in a regulated transaction.
996 (b) "Regulated purchaser" does not include any person excluded from regulation under
997 this chapter.
998 [
999 (a) transfer, distribution, delivery, or furnishing by a person within the state to another
1000 person within or outside of the state of a threshold amount of a listed precursor chemical; or
1001 (b) purchase or acquisition by any means by a person within the state from another
1002 person within or outside the state of a threshold amount of a listed precursor chemical.
1003 [
1004 store, or other entity or person whose activities as a distributor are limited almost exclusively to
1005 sales for personal use:
1006 (a) in both number of sales and volume of sales; and
1007 (b) either directly to walk-in customers or in face-to-face transactions by direct sales.
1008 [
1009 controlled substance precursor or a specified amount of a controlled substance precursor in a
1010 matrix; however, the division may exempt from the provisions of this chapter a specific
1011 controlled substance precursor in a specific amount and in certain types of transactions which
1012 provisions for exemption shall be defined by the division by rule adopted pursuant to Title
1013 63G, Chapter 3, Utah Administrative Rulemaking Act.
1014 [
1015 intentionally:
1016 (a) engaging in a regulated transaction without first being appropriately licensed or
1017 exempted from licensure under this chapter;
1018 (b) acting as a regulated distributor and selling, transferring, or in any other way
1019 conveying a controlled substance precursor to a person within the state who is not appropriately
1020 licensed or exempted from licensure as a regulated purchaser, or selling, transferring, or
1021 otherwise conveying a controlled substance precursor to a person outside of the state and
1022 failing to report the transaction as required;
1023 (c) acting as a regulated purchaser and purchasing or in any other way obtaining a
1024 controlled substance precursor from a person within the state who is not a licensed regulated
1025 distributor, or purchasing or otherwise obtaining a controlled substance precursor from a
1026 person outside of the state and failing to report the transaction as required;
1027 (d) engaging in a regulated transaction and failing to submit reports and keep required
1028 records of inventories required under the provisions of this chapter or rules adopted pursuant to
1029 this chapter;
1030 (e) making any false statement in any application for license, in any record to be kept,
1031 or on any report submitted as required under this chapter;
1032 (f) with the intent of causing the evasion of the recordkeeping or reporting
1033 requirements of this chapter and rules related to this chapter, receiving or distributing any listed
1034 controlled substance precursor chemical in any manner designed so that the making of records
1035 or filing of reports required under this chapter is not required;
1036 (g) failing to take immediate steps to comply with licensure, reporting, or
1037 recordkeeping requirements of this chapter because of lack of knowledge of those
1038 requirements, upon becoming informed of the requirements;
1039 (h) presenting false or fraudulent identification where or when receiving or purchasing
1040 a listed controlled substance precursor chemical;
1041 (i) creating a chemical mixture for the purpose of evading any licensure, reporting or
1042 recordkeeping requirement of this chapter or rules related to this chapter, or receiving a
1043 chemical mixture created for that purpose;
1044 (j) if the person is at least 18 years of age, employing, hiring, using, persuading,
1045 inducing, enticing, or coercing another person under 18 years of age to violate any provision of
1046 this chapter, or assisting in avoiding detection or apprehension for any violation of this chapter
1047 by any federal, state, or local law enforcement official; and
1048 (k) obtaining or attempting to obtain or to possess any controlled substance precursor
1049 or any combination of controlled substance precursors knowing or having a reasonable cause to
1050 believe that the controlled substance precursor is intended to be used in the unlawful
1051 manufacture of any controlled substance.
1052 [
1053 further defined by rule includes the following:
1054 (a) violation of any provision of this chapter, the Controlled Substance Act of this state
1055 or any other state, or the Federal Controlled Substance Act; and
1056 (b) refusing to allow agents or representatives of the division or authorized law
1057 enforcement personnel to inspect inventories or controlled substance precursors or records or
1058 reports relating to purchases and sales or distribution of controlled substance precursors as such
1059 records and reports are required under this chapter.
1060 Section 17. Section 58-37c-8 is amended to read:
1061 58-37c-8. License -- Exceptions from licensure or regulation.
1062 (1) [
1063 controlled substance precursor license issued under Section 58-37c-7 , unless excepted from
1064 licensure under this chapter.
1065 (2) The division shall:
1066 (a) establish the form of application for a license, the requirements for licensure, and
1067 fees for initial licensure and renewal; and
1068 (b) identify required information to be contained in the application as a condition of
1069 licensure.
1070 (3) A practitioner who holds a Utah Controlled Substance License and a Controlled
1071 Substance Registration issued by the Drug Enforcement Administration of the U.S.
1072 Government is excepted from licensure under this chapter.
1073 (4) [
1074 for lawful use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or
1075 other animals, which contains ephedrine, pseudoephedrine, norpseudoephedrine, or
1076 phenylpropanolamine, if the drug is lawfully purchased, sold, transferred, or furnished as an
1077 over-the-counter medication without prescription pursuant to the federal Food, Drug and
1078 Cosmetic Act, 21 USC, Sec. 301 et seq., or regulations adopted under that act, are excepted
1079 from licensure, reporting, and recordkeeping under this chapter, except that products
1080 containing ephedrine, pseudoephedrine, or phenylpropanolamine are subject to Section
1081 58-37c-20.5 .
1082 (5) [
1083 [
1084 concentrates or extracts, which are not otherwise prohibited by law, and which may contain
1085 naturally occurring amounts of chemicals or substances listed in this chapter, or in rules
1086 adopted pursuant to Title 63G, Chapter 3, Utah Administrative Rulemaking Act, are exempt
1087 from licensure under this chapter.
1088 (6) A purchaser of two ounces or less of crystal iodine in a single transaction is not
1089 required to be licensed as a regulated purchaser if the transaction complies with Section
1090 58-37c-18 .
1091 (7) [
1092 contains [
1093 not intended for human consumption is exempt from licensure or regulation and is not subject
1094 to criminal penalties under this chapter.
1095 Section 18. Section 58-37c-11 is amended to read:
1096 58-37c-11. Penalty for unlawful conduct.
1097 (1) [
1098 Subsections 58-37c-3 [
1099 (2) [
1100 Subsection 58-37c-3 [
1101 Section 19. Section 58-37c-19 is amended to read:
1102 58-37c-19. Possession or sale of crystal iodine.
1103 (1) [
1104 misdemeanor who, under circumstances not amounting to a violation of Subsection
1105 58-37d-4 (1)(c), offers to sell, sells, or distributes more than two ounces of crystal iodine to
1106 another person who is:
1107 (a) not licensed as a regulated purchaser of crystal iodine;
1108 (b) not excepted from licensure; or
1109 (c) not excepted under Subsection (3).
1110 (2) [
1111 excepted from licensure is guilty of a class A misdemeanor who, under circumstances not
1112 amounting to a violation of Subsection 58-37c-3 [
1113 (a) possesses more than two ounces of crystal iodine; or
1114 (b) offers to sell, sells, or distributes crystal iodine to another person.
1115 (3) Subsection (2)(a) does not apply to:
1116 (a) a chemistry laboratory maintained by:
1117 (i) a public or private regularly established secondary school; or
1118 (ii) a public or private institution of higher education that is accredited by a regional or
1119 national accrediting agency recognized by the United States Department of Education;
1120 (b) a veterinarian licensed to practice under Title 58, Chapter 28, Veterinary Practice
1121 Act; or
1122 (c) a general acute hospital.
1123 Section 20. Section 58-37c-19.5 is amended to read:
1124 58-37c-19.5. Iodine solution greater than 1.5% -- Prescription or permit required
1125 -- Penalties.
1126 (1) As used in this section, "iodine matrix" means iodine at concentrations greater than
1127 1.5% by weight in a matrix or solution.
1128 (2) A person may offer to sell, sell, or distribute an iodine matrix only:
1129 (a) as a prescription drug, pursuant to a prescription issued by a veterinarian or
1130 physician licensed within the state; or
1131 (b) to a person who is actively engaged in the legal practice of animal husbandry of
1132 livestock, as defined in Section 4-1-8 .
1133 (3) Prescriptions issued under this section:
1134 (a) shall provide for a specified number of refills;
1135 (b) may be issued by electronic means, in accordance with Title 58, Chapter 17b,
1136 Pharmacy Practice Act; and
1137 (c) may be filled by a person other than the veterinarian or physician issuing the
1138 prescription.
1139 (4) A retailer offering iodine matrix for sale:
1140 (a) shall store the iodine matrix so that the public does not have access to the iodine
1141 matrix without the direct assistance or intervention of a retail employee;
1142 (b) shall keep a record, which may consist of sales receipts, of each person purchasing
1143 iodine matrix; and
1144 (c) may, if necessary to ascertain the identity of the purchaser, ask for proof of
1145 identification from the purchaser.
1146 (5) A person engaging in a regulated transaction under Subsection (2) is guilty of a
1147 class B misdemeanor if the person, under circumstances not amounting to a violation of
1148 Subsection 58-37d-4 (1)(c), offers to sell, sells, or distributes an iodine matrix to a person who:
1149 (a) does not present a prescription or is not engaged in animal husbandry, as required
1150 under Subsection (2); or
1151 (b) is not excepted under Subsection (7).
1152 (6) A person is guilty of a class A misdemeanor who, under circumstances not
1153 amounting to a violation of Subsection 58-37c-3 [
1154 (a) possesses an iodine matrix without proof of obtaining the solution in compliance
1155 with Subsection (2); or
1156 (b) offers to sell, sells, or distributes an iodine matrix in violation of Subsection (2).
1157 (7) Subsection (6)(a) does not apply to:
1158 (a) a chemistry or chemistry-related laboratory maintained by:
1159 (i) a public or private regularly established secondary school; or
1160 (ii) a public or private institution of higher education that is accredited by a regional or
1161 national accrediting agency recognized by the United States Department of Education;
1162 (b) a veterinarian licensed to practice under Title 58, Chapter 28, Veterinary Practice
1163 Act;
1164 (c) a general acute hospital; or
1165 (d) a veterinarian, physician, pharmacist, retail distributor, wholesaler, manufacturer,
1166 warehouseman, or common carrier, or an agent of any of these persons who possesses an
1167 iodine matrix in the regular course of lawful business activities.
1168 Section 21. Section 58-37c-19.7 is amended to read:
1169 58-37c-19.7. Red phosphorus is a precursor -- Affirmative defense.
1170 (1) A person is guilty of a class A misdemeanor who is not licensed to engage in a
1171 regulated transaction and is not excepted from licensure who, under circumstances not
1172 amounting to a violation of Subsection 58-37c-3 [
1173 amount of red phosphorus.
1174 (2) It is an affirmative defense to a charge under Subsection (1) that the person in
1175 possession of red phosphorus:
1176 (a) is conducting a licensed business [
1177 manufacture of any of the following:
1178 (i) the striking surface used for lighting matches, which is sometimes referred to as the
1179 striker plate;
1180 (ii) flame retardant in polymers; or
1181 (iii) fireworks, for which the person or entity possesses a federal license to manufacture
1182 explosives as required under 27 CFR Chapter 1, Part 55, Commerce in Explosives; or
1183 (b) (i) is a wholesaler, manufacturer, warehouseman, or common carrier handling red
1184 phosphorus, or is an agent of any of these persons; and
1185 (ii) possesses the substances in the regular course of lawful business activities.
1186 (3) (a) [
1187 defense under this section as soon as practicable, but not later than 10 days prior to trial. The
1188 court may waive the notice requirement in the interest of justice for good cause shown, if the
1189 prosecutor is not unfairly prejudiced by the lack of timely notice.
1190 (b) The notice shall include the specifics of the affirmative defense.
1191 (c) The defendant shall establish the affirmative defense by a preponderance of the
1192 evidence. If the defense is established, it is a complete defense to the charges.
1193 (4) Subsection (1) does not apply to:
1194 (a) a chemistry or chemistry-related laboratory maintained by:
1195 (i) a public or private regularly established secondary school; or
1196 (ii) a public or private institution of higher education that is accredited by a regional or
1197 national accrediting agency recognized by the United States Department of Education; or
1198 (b) a retail distributor, wholesaler, manufacturer, warehouseman, or common carrier, or
1199 an agent of any of these persons who possesses red phosphorus in the regular course of lawful
1200 business activities.
1201 Section 22. Section 58-37c-19.9 is amended to read:
1202 58-37c-19.9. Anhydrous ammonia is a precursor -- Requirements regarding
1203 purposes and containers.
1204 (1) A person is guilty of a class A misdemeanor who is not licensed to engage in a
1205 regulated transaction and is not excepted from licensure or exempted under Subsection (2), and
1206 who possesses any amount of anhydrous ammonia under circumstances not amounting to a
1207 violation of Subsection 58-37c-3 [
1208 (2) A person who possesses anhydrous ammonia has an affirmative defense to a charge
1209 under Subsection (1) if the person is:
1210 (a) directly involved in or actively operating land in agricultural use as defined in
1211 Section 59-2-502 ;
1212 (b) a retail distributor, wholesaler, manufacturer, warehouseman, or common carrier, or
1213 an agent of any of these persons, who possesses anhydrous ammonia in the regular course of
1214 lawful business activities;
1215 (c) directly involved in or actively operating a business or other lawful activity
1216 providing or using anhydrous ammonia for refrigeration applications; or
1217 (d) directly involved in or actively operating a lawful business enterprise, including an
1218 industrial enterprise, that uses anhydrous ammonia in the regular course of its business
1219 activities.
1220 Section 23. Section 58-37c-20 is amended to read:
1221 58-37c-20. Possession of ephedrine, pseudoephedrine, or phenylpropanolamine --
1222 Penalties.
1223 (1) [
1224 (a) who is not licensed to engage in regulated transactions and is not excepted from
1225 licensure; and
1226 (b) who, under circumstances not amounting to a violation of Subsection
1227 58-37c-3 [
1228 pseudoephedrine, or phenylpropanolamine, their salts, isomers, or salts of isomers, or a
1229 combination of any of these substances.
1230 (2) It is an affirmative defense to a charge under Subsection (1) that the person in
1231 possession of ephedrine, pseudoephedrine, phenylpropanolamine, or a combination of these
1232 two substances:
1233 (a) (i) is a physician, pharmacist, retail distributor, wholesaler, manufacturer,
1234 warehouseman, or common carrier, or an agent of any of these persons; and
1235 (ii) possesses the substances in the regular course of lawful business activities; or
1236 (b) possesses the substance pursuant to a valid prescription as defined in Section
1237 58-37-2 .
1238 (3) (a) [
1239 defense under this section as soon as practicable, but not later than 10 days prior to trial. The
1240 court may waive the notice requirement in the interest of justice for good cause shown, if the
1241 prosecutor is not unfairly prejudiced by the lack of timely notice.
1242 (b) The notice shall include the specifics of the asserted defense.
1243 (c) The defendant shall establish the affirmative defense by a preponderance of the
1244 evidence. If the defense is established, it is a complete defense to the charges.
1245 (4) This section does not apply to dietary supplements, herbs, or other natural products,
1246 including concentrates or extracts, which:
1247 (a) are not otherwise prohibited by law; and
1248 (b) may contain naturally occurring ephedrine, ephedrine alkaloids, or
1249 pseudoephedrine, or their salts, isomers, or salts of isomers, or a combination of these
1250 substances, that:
1251 (i) are contained in a matrix of organic material; and
1252 (ii) do not exceed 15% of the total weight of the natural product.
1253 Section 24. Section 58-37d-3 is amended to read:
1254 58-37d-3. Definitions.
1255 (1) As used in this chapter:
1256 (a) (i) "Booby trap" means [
1257 bodily injury when triggered by [
1258 [
1259 (ii) "Booby trap" includes guns, ammunition, or explosive devices attached to trip
1260 wires or other triggering mechanisms, sharpened stakes, nails, spikes, electrical devices, lines
1261 or wires with hooks attached, and devices for the production of toxic fumes or gases.
1262 (b) "Clandestine laboratory operation" means the:
1263 (i) purchase or procurement of chemicals, supplies, equipment, or laboratory location
1264 for the illegal manufacture of specified controlled substances;
1265 (ii) transportation or arranging for the transportation of chemicals, supplies, or
1266 equipment for the illegal manufacture of specified controlled substances;
1267 (iii) setting up of equipment or supplies in preparation for the illegal manufacture of
1268 specified controlled substances;
1269 (iv) activity of compounding, synthesis, concentration, purification, separation,
1270 extraction, or other physical or chemical processing of [
1271 substance precursor, or the packaging, repackaging, labeling, or relabeling of a container
1272 holding a substance that is a product of any of these activities, when the substance is to be used
1273 for the illegal manufacture of specified controlled substances;
1274 (v) illegal manufacture of specified controlled substances; or
1275 (vi) distribution or disposal of chemicals, equipment, supplies, or products used in or
1276 produced by the illegal manufacture of specified controlled substances.
1277 (c) "Controlled substance precursor" means those chemicals designated in Title 58,
1278 Chapter 37c, Utah Controlled Substance Precursor Act, except those substances designated in
1279 Subsections 58-37c-3 [
1280 (d) "Disposal" means the abandonment, discharge, deposit, injection, dumping,
1281 spilling, leaking, or placing of [
1282 land, or water so that the material may enter the environment, be emitted into the air, or
1283 discharged into any waters, including groundwater.
1284 (e) "Hazardous or dangerous material" means [
1285 its quantity, concentration, physical characteristics, or chemical characteristics may cause or
1286 significantly contribute to an increase in mortality, an increase in serious illness, or may pose a
1287 substantial present or potential future hazard to human health or the environment when
1288 improperly treated, stored, transported, disposed of, or otherwise improperly managed.
1289 (f) "Illegal manufacture of specified controlled substances" means in violation of Title
1290 58, Chapter 37, Utah Controlled Substances Act, the:
1291 (i) compounding, synthesis, concentration, purification, separation, extraction, or other
1292 physical or chemical processing for the purpose of producing methamphetamine, other
1293 amphetamine compounds as listed in Schedule I of the Utah Controlled Substances Act,
1294 phencyclidine, narcotic analgesic analogs as listed in Schedule I of the Utah Controlled
1295 Substances Act, lysergic acid diethylamide, or mescaline;
1296 (ii) conversion of cocaine or methamphetamine to their base forms; or
1297 (iii) extraction, concentration, or synthesis of marijuana as that drug is defined in
1298 Section 58-37-2 .
1299 (2) Unless otherwise specified, the definitions in Section 58-37-2 also apply to this
1300 chapter.
1301 Section 25. Section 58-37f-301 is amended to read:
1302 58-37f-301. Access to database.
1303 (1) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
1304 Administrative Rulemaking Act, to:
1305 (a) effectively enforce the limitations on access to the database as described in this
1306 part; and
1307 (b) establish standards and procedures to ensure accurate identification of individuals
1308 requesting information or receiving information without request from the database.
1309 (2) The division shall make information in the database and information obtained from
1310 other state or federal prescription monitoring programs by means of the database available only
1311 to the following individuals, in accordance with the requirements of this chapter and division
1312 rules:
1313 (a) personnel of the division specifically assigned to conduct investigations related to
1314 controlled substance laws under the jurisdiction of the division;
1315 (b) authorized division personnel engaged in analysis of controlled substance
1316 prescription information as a part of the assigned duties and responsibilities of their
1317 employment;
1318 (c) in accordance with a written agreement entered into with the department,
1319 employees of the Department of Health:
1320 (i) whom the director of the Department of Health assigns to conduct scientific studies
1321 regarding the use or abuse of controlled substances, provided that the identity of the individuals
1322 and pharmacies in the database are confidential and are not disclosed in any manner to any
1323 individual who is not directly involved in the scientific studies; or
1324 (ii) when the information is requested by the Department of Health in relation to a
1325 person or provider whom the Department of Health suspects may be improperly obtaining or
1326 providing a controlled substance;
1327 (d) a licensed practitioner having authority to prescribe controlled substances, to the
1328 extent the information:
1329 (i) (A) relates specifically to a current or prospective patient of the practitioner; and
1330 (B) is provided to or sought by the practitioner for the purpose of:
1331 (I) prescribing or considering prescribing any controlled substance to the current or
1332 prospective patient;
1333 (II) diagnosing the current or prospective patient;
1334 (III) providing medical treatment or medical advice to the current or prospective
1335 patient; or
1336 (IV) determining whether the current or prospective patient:
1337 (Aa) is attempting to fraudulently obtain a controlled substance from the practitioner;
1338 or
1339 (Bb) has fraudulently obtained, or attempted to fraudulently obtain, a controlled
1340 substance from the practitioner;
1341 (ii) (A) relates specifically to a former patient of the practitioner; and
1342 (B) is provided to or sought by the practitioner for the purpose of determining whether
1343 the former patient has fraudulently obtained, or has attempted to fraudulently obtain, a
1344 controlled substance from the practitioner;
1345 (iii) relates specifically to an individual who has access to the practitioner's Drug
1346 Enforcement Administration identification number, and the practitioner suspects that the
1347 individual may have used the practitioner's Drug Enforcement Administration identification
1348 number to fraudulently acquire or prescribe a controlled substance;
1349 (iv) relates to the practitioner's own prescribing practices, except when specifically
1350 prohibited by the division by administrative rule;
1351 (v) relates to the use of the controlled substance database by an employee of the
1352 practitioner, described in Subsection (2)(e); or
1353 (vi) relates to any use of the practitioner's Drug Enforcement Administration
1354 identification number to obtain, attempt to obtain, prescribe, or attempt to prescribe, a
1355 controlled substance;
1356 (e) in accordance with Subsection (3)(a), an employee of a practitioner described in
1357 Subsection (2)(d), for a purpose described in Subsection (2)(d)(i) or (ii), if:
1358 (i) the employee is designated by the practitioner as an individual authorized to access
1359 the information on behalf of the practitioner;
1360 (ii) the practitioner provides written notice to the division of the identity of the
1361 employee; and
1362 (iii) the division:
1363 (A) grants the employee access to the database; and
1364 (B) provides the employee with a password that is unique to that employee to access
1365 the database in order to permit the division to comply with the requirements of Subsection
1366 58-37f-203 (3)(b) with respect to the employee;
1367 (f) an employee of the same business that employs a licensed practitioner under
1368 Subsection (2)(d) if:
1369 (i) the employee is designated by the practitioner as an individual authorized to access
1370 the information on behalf of the practitioner;
1371 (ii) the practitioner and the employing business provide written notice to the division of
1372 the identity of the designated employee; and
1373 (iii) the division:
1374 (A) grants the employee access to the database; and
1375 (B) provides the employee with a password that is unique to that employee to access
1376 the database in order to permit the division to comply with the requirements of Subsection
1377 58-37f-203 (3)(b) with respect to the employee;
1378 (g) a licensed pharmacist having authority to dispense a controlled substance to the
1379 extent the information is provided or sought for the purpose of:
1380 (i) dispensing or considering dispensing any controlled substance; or
1381 (ii) determining whether a person:
1382 (A) is attempting to fraudulently obtain a controlled substance from the pharmacist; or
1383 (B) has fraudulently obtained, or attempted to fraudulently obtain, a controlled
1384 substance from the pharmacist;
1385 (h) federal, state, and local law enforcement authorities, and state and local
1386 prosecutors, engaged as a specified duty of their employment in enforcing laws:
1387 (i) regulating controlled substances;
1388 (ii) investigating insurance fraud, Medicaid fraud, or Medicare fraud; or
1389 (iii) providing information about a criminal defendant to defense counsel, upon request
1390 during the discovery process, for the purpose of establishing a defense in a criminal case;
1391 (i) employees of the Office of Internal Audit and Program Integrity within the
1392 Department of Health who are engaged in their specified duty of ensuring Medicaid program
1393 integrity under Section 26-18-2.3 ;
1394 (j) a mental health therapist, if:
1395 (i) the information relates to a patient who is:
1396 (A) enrolled in a licensed substance abuse treatment program; and
1397 (B) receiving treatment from, or under the direction of, the mental health therapist as
1398 part of the patient's participation in the licensed substance abuse treatment program described
1399 in Subsection (2)(j)(i)(A);
1400 (ii) the information is sought for the purpose of determining whether the patient is
1401 using a controlled substance while the patient is enrolled in the licensed substance abuse
1402 treatment program described in Subsection (2)(j)(i)(A); and
1403 (iii) the licensed substance abuse treatment program described in Subsection
1404 (2)(j)(i)(A) is associated with a practitioner who:
1405 (A) is a physician, a physician assistant, an advance practice registered nurse, or a
1406 pharmacist; and
1407 (B) is available to consult with the mental health therapist regarding the information
1408 obtained by the mental health therapist, under this Subsection (2)(j), from the database;
1409 (k) an individual who is the recipient of a controlled substance prescription entered into
1410 the database, upon providing evidence satisfactory to the division that the individual requesting
1411 the information is in fact the individual about whom the data entry was made;
1412 (l) the inspector general, or a designee of the inspector general, of the Office of
1413 Inspector General of Medicaid Services, for the purpose of fulfilling the duties described in
1414 Title 63J, Chapter 4a, Part 2, Office Duties and Powers; and
1415 (m) the following licensed physicians for the purpose of reviewing and offering an
1416 opinion on an individual's request for workers' compensation benefits under Title 34A, Chapter
1417 2, Workers' Compensation Act, or Title 34A, Chapter 3, Utah Occupational Disease Act:
1418 (i) a member of the medical panel described in Section 34A-2-601 ; or
1419 (ii) a physician offering a second opinion regarding treatment.
1420 (3) (a) A practitioner described in Subsection (2)(d) may designate up to three
1421 employees to access information from the database under Subsection (2)(e), (2)(f), or (4)(c).
1422 (b) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
1423 Administrative Rulemaking Act, to:
1424 (i) establish background check procedures to determine whether an employee
1425 designated under Subsection (2)(e), (2)(f), or (4)(c) should be granted access to the database;
1426 and
1427 (ii) establish the information to be provided by an emergency room employee under
1428 Subsection (4).
1429 (c) The division shall grant an employee designated under Subsection (2)(e), (2)(f), or
1430 (4)(c) access to the database, unless the division determines, based on a background check, that
1431 the employee poses a security risk to the information contained in the database.
1432 (4) (a) An individual who is employed in the emergency room of a hospital may
1433 exercise access to the database under this Subsection (4) on behalf of a licensed practitioner if
1434 the individual is designated under Subsection (4)(c) and the licensed practitioner:
1435 (i) is employed in the emergency room;
1436 (ii) is treating an emergency room patient for an emergency medical condition; and
1437 (iii) requests that an individual employed in the emergency room and designated under
1438 Subsection (4)(c) obtain information regarding the patient from the database as needed in the
1439 course of treatment.
1440 (b) The emergency room employee obtaining information from the database shall,
1441 when gaining access to the database, provide to the database the name and any additional
1442 identifiers regarding the requesting practitioner as required by division administrative rule
1443 established under Subsection (3)(b).
1444 (c) An individual employed in the emergency room under this Subsection (4) may
1445 obtain information from the database as provided in Subsection (4)(a) if:
1446 (i) the employee is designated by the practitioner as an individual authorized to access
1447 the information on behalf of the practitioner;
1448 (ii) the practitioner and the hospital operating the emergency room provide written
1449 notice to the division of the identity of the designated employee; and
1450 (iii) the division:
1451 (A) grants the employee access to the database; and
1452 (B) provides the employee with a password that is unique to that employee to access
1453 the database in order to permit the division to comply with the requirements of Subsection
1454 58-37f-203 (3)(b) with respect to the employee.
1455 (d) The division may impose a fee, in accordance with Section 63J-1-504 , on a
1456 practitioner who designates an employee under Subsection (2)(e), (2)(f), or (4)(c) to pay for the
1457 costs incurred by the division to conduct the background check and make the determination
1458 described in Subsection (3)(b).
1459 (5) (a) An individual who is granted access to the database based on the fact that the
1460 individual is a licensed practitioner or a mental health therapist shall be denied access to the
1461 database when the individual is no longer licensed.
1462 (b) An individual who is granted access to the database based on the fact that the
1463 individual is a designated employee of a licensed practitioner shall be denied access to the
1464 database when the practitioner is no longer licensed.
1465 Section 26. Section 58-40a-501 is amended to read:
1466 58-40a-501. Unprofessional conduct.
1467 In addition to the provisions of Subsection 58-1-501 (2), "unprofessional conduct"
1468 includes:
1469 (1) failing to report to the [
1470 provision of this chapter by a licensee, applicant, or [
1471
1472 (2) interfering with an investigation of a disciplinary proceeding by willful
1473 misrepresentation of facts or by use of threats or harassment against a client or witness to
1474 prevent that individual from providing evidence in a disciplinary proceeding, investigation, or
1475 other legal action;
1476 (3) failing to maintain client confidentiality unless otherwise required by law;
1477 (4) promoting an unnecessary device, treatment, intervention, or service for financial
1478 gain by the athletic trainer or a third party; and
1479 (5) failing to maintain adequate records.
1480 Section 27. Section 58-56-17 is amended to read:
1481 58-56-17. Fees on sale -- Escrow agents -- Sales tax.
1482 (1) A dealer shall collect and remit a fee of [
1483 built home the dealer sells that, as of the date of the sale, has not been permanently affixed to
1484 real property and converted to real property as provided in Section 70D-2-401 . The fee shall be
1485 payable within 30 days following the close of each calendar quarter for all units sold during
1486 that calendar quarter. The fee shall be deposited in a restricted account as provided in Section
1487 58-56-17.5 .
1488 (2) A principal real estate broker, associate broker, or sales agent exempt from
1489 registration as a dealer under Section 58-56-16 who sells a factory built home that has not been
1490 permanently affixed to real property shall close the sale only through a qualified escrow agent
1491 in this state registered with the Insurance Department or the Department of Financial
1492 Institutions.
1493 (3) An escrow agent through which a sale is closed under Subsection (2) shall remit all
1494 required sales tax to the state.
1495 Section 28. Section 58-60-205 is amended to read:
1496 58-60-205. Qualifications for licensure or certification as a clinical social worker,
1497 certified social worker, and social service worker.
1498 (1) An applicant for licensure as a clinical social worker shall:
1499 (a) submit an application on a form provided by the division;
1500 (b) pay a fee determined by the department under Section 63J-1-504 ;
1501 (c) be of good moral character;
1502 (d) produce certified transcripts from an accredited institution of higher education
1503 recognized by the division in collaboration with the board verifying satisfactory completion of
1504 an education and earned degree as follows:
1505 (i) an earned master's degree in social work resulting from completion of an education
1506 program accredited by the Council on Social Work Education; or
1507 (ii) an earned doctoral degree in social work that results from successful completion of
1508 a clinical concentration and practicum approved by the division and defined by rule under
1509 Section 58-1-203 ;
1510 (e) have completed a minimum of 4,000 hours of clinical social work training as
1511 defined by division rule under Section 58-1-203 in not less than two years and under the
1512 supervision of a clinical social worker supervisor approved by the division in collaboration
1513 with the board;
1514 (f) document successful completion of not less than 1,000 hours of supervised training
1515 in mental health therapy obtained after completion of the education requirement in Subsection
1516 (1)(d), which training may be included as part of the 4,000 hours of training in Subsection
1517 (1)(e), and of which documented evidence demonstrates not less than 100 of the hours were
1518 obtained under the direct personal face to face supervision of a clinical social worker approved
1519 by the division in collaboration with the board;
1520 (g) have completed a case work, group work, or family treatment course sequence with
1521 a clinical practicum in content as defined by rule under Section 58-1-203 ; and
1522 (h) pass the examination requirement established by rule under Section 58-1-203 .
1523 (2) An applicant for licensure as a certified social worker shall:
1524 (a) submit an application on a form provided by the division;
1525 (b) pay a fee determined by the department under Section 63J-1-504 ;
1526 (c) be of good moral character;
1527 (d) produce certified transcripts from an accredited institution of higher education
1528 recognized by the division in collaboration with the Social Worker Licensing Board verifying
1529 satisfactory completion of an education and an earned degree as follows:
1530 (i) a social work education program accredited by the Council on Social Work
1531 Education and an earned master's degree resulting from completion of that program; or
1532 (ii) an education program that contains approved clinical social work concentration and
1533 practicum in content as defined by rule under Section 58-1-203 and an earned doctorate
1534 resulting from completion of that program; and
1535 (e) pass the examination requirement established by rule under Section 58-1-203 .
1536 (3) (a) An applicant for certification as a certified social worker intern shall meet the
1537 requirements of Subsections (2)(a), (b), (c), and (d).
1538 (b) Certification under Subsection (3)(a) is limited to the time necessary to pass the
1539 examination required under Subsection (2)(e) or six months, whichever occurs first.
1540 (c) A certified social worker intern may provide mental health therapy under the
1541 general supervision of a clinical social worker.
1542 (4) An applicant for licensure as a social service worker shall:
1543 (a) submit an application on a form provided by the division;
1544 (b) pay a fee determined by the department under Section 63J-1-504 ;
1545 (c) be of good moral character;
1546 (d) produce certified transcripts from an accredited institution of higher education
1547 recognized by the division in collaboration with the Social Worker Licensing Board verifying
1548 satisfactory completion of an earned degree resulting from education as follows:
1549 (i) a bachelor's degree in a social work program accredited by the Council on Social
1550 Work Education;
1551 (ii) a master's degree in a field approved by the division in collaboration with the social
1552 worker board;
1553 (iii) a bachelor's degree in any field if the applicant:
1554 (A) [
1555 semester hours, or the equivalent, in each of the following areas:
1556 (I) social welfare policy;
1557 (II) human growth and development; and
1558 (III) social work practice methods, as defined by rule; and
1559 (B) provides documentation that the applicant has completed at least 2,000 hours of
1560 qualifying experience under the supervision of a mental health therapist, which experience is
1561 approved by the division in collaboration with the Social Worker Licensing Board, and which
1562 is performed after completion of the requirements to obtain the bachelor's degree required
1563 under this Subsection (4); or
1564 (iv) successful completion of the first academic year of a Council on Social Work
1565 Education approved master's of social work curriculum and practicum; and
1566 (e) pass the examination requirement established by rule under Section 58-1-203 .
1567 (5) The division shall ensure that the rules for an examination described under
1568 Subsections (1)(h), (2)(e), and (4)(e) allow additional time to complete the examination if
1569 requested by an applicant who is:
1570 (a) a foreign born legal resident of the United States for whom English is a second
1571 language; or
1572 (b) an enrolled member of a federally recognized Native American tribe.
1573 Section 29. Section 58-60-206 is amended to read:
1574 58-60-206. Qualifications for admission to examination.
1575 All applicants for admission to [
1576 licensure under this part shall, before taking the examination:
1577 (1) submit an application for examination [
1578 division;
1579 (2) pay the fee established for the examination; and
1580 (3) certify under penalty of perjury as evidenced by notarized signature on the
1581 application for examination [
1582 (a) has completed the education requirement and been awarded the earned degree
1583 required for licensure; or
1584 (b) has only one semester, or the equivalent, remaining before the applicant completes
1585 the education requirement for earning the degree that is required for licensure.
1586 Section 30. Section 58-60-508 is amended to read:
1587 58-60-508. Substance use disorder counselor supervisor's qualifications --
1588 Functions.
1589 (1) A mental health therapist supervisor of a substance use disorder counselor shall:
1590 (a) be qualified by education or experience to treat substance use disorders;
1591 (b) be currently working in the substance use disorder treatment field;
1592 (c) review substance use disorder counselor assessment procedures and
1593 recommendations;
1594 (d) provide substance use disorder diagnosis and other mental health diagnoses in
1595 accordance with Subsection 58-60-102 (7);
1596 (e) supervise the development of a treatment plan;
1597 (f) approve the treatment plan; and
1598 (g) provide direct supervision for not more than five persons, unless granted an
1599 exception in writing from the board and the division.
1600 (2) A supervisor of a certified substance use disorder counselor, certified substance use
1601 disorder counselor intern, certified advanced substance use disorder counselor, certified
1602 advanced substance use disorder counselor intern, or licensed substance use disorder counselor
1603 may:
1604 (a) be a licensed advanced substance use disorder counselor with:
1605 (i) until July 1, 2014, at least two years of experience as a substance use disorder
1606 counselor; or
1607 (ii) beginning on July 1, 2014, at least two years of experience as a licensed advanced
1608 substance use disorder counselor; [
1609 (b) be currently working in the substance use disorder field; and
1610 (c) provide direct supervision for no more than three persons, unless granted an
1611 exception in writing from the board and the division.
1612 Section 31. Section 58-61-201 is amended to read:
1613 58-61-201. Board.
1614 (1) There is created the Psychologist Licensing Board consisting of four licensed
1615 psychologists and one member from the general public.
1616 (2) The board shall be appointed, serve terms, and be compensated in accordance with
1617 Section 58-1-201 .
1618 (3) The duties and responsibilities of the board are in accordance with Sections
1619 58-1-202 and 58-1-203 . In addition, the board shall:
1620 (a) designate one of its members on a permanent or rotating basis to assist the division
1621 in review of complaints concerning unlawful or unprofessional practice by a licensee in the
1622 profession regulated by the board and to advise the division regarding the conduct of
1623 investigations of the complaints; and
1624 (b) disqualify [
1625 administrative procedure in which that member has previously reviewed the complaint or
1626 advised the division.
1627 Section 32. Section 58-61-304 is amended to read:
1628 58-61-304. Qualifications for licensure by examination or endorsement.
1629 (1) An applicant for licensure as a psychologist based upon education, clinical training,
1630 and examination shall:
1631 (a) submit an application on a form provided by the division;
1632 (b) pay a fee determined by the department under Section 63J-1-504 ;
1633 (c) be of good moral character;
1634 (d) produce certified transcripts of credit verifying satisfactory completion of a doctoral
1635 degree in psychology that includes specific core course work established by division rule under
1636 Section 58-1-203 , from an institution of higher education whose doctoral program, at the time
1637 the applicant received the doctoral degree, met approval criteria established by division rule
1638 made in consultation with the board;
1639 (e) have completed a minimum of 4,000 hours of psychology training as defined by
1640 division rule under Section 58-1-203 in not less than two years and under the supervision of a
1641 psychologist supervisor approved by the division in collaboration with the board;
1642 (f) to be qualified to engage in mental health therapy, document successful completion
1643 of not less than 1,000 hours of supervised training in mental health therapy obtained after
1644 completion of a master's level of education in psychology, which training may be included as
1645 part of the 4,000 hours of training required in Subsection (1)(e), and for which documented
1646 evidence demonstrates not less than one hour of supervision for each 40 hours of supervised
1647 training was obtained under the direct personal face to face supervision of a psychologist
1648 approved by the division in collaboration with the board;
1649 (g) pass the examination requirement established by division rule under Section
1650 58-1-203 ; and
1651 (h) meet with the board, upon request for good cause, for the purpose of evaluating the
1652 applicant's qualifications for licensure.
1653 (2) An applicant for licensure as a psychologist by endorsement based upon licensure
1654 in another jurisdiction shall:
1655 (a) submit an application on a form provided by the division;
1656 (b) pay a fee determined by the department under Section 63J-1-504 ;
1657 (c) be of good moral character and professional standing, and not have any disciplinary
1658 action pending or in effect against the applicant's psychologist license in any jurisdiction;
1659 (d) have passed the Utah Psychologist Law and Ethics Examination established by
1660 division rule;
1661 (e) provide satisfactory evidence the applicant is currently licensed in another state,
1662 district, or territory of the United States, or in any other jurisdiction approved by the division in
1663 collaboration with the board;
1664 (f) provide satisfactory evidence the applicant has actively practiced psychology in that
1665 jurisdiction for not less than 2,000 hours or one year, whichever is greater;
1666 (g) provide satisfactory evidence that:
1667 (i) the education, supervised experience, examination, and all other requirements for
1668 licensure in that jurisdiction at the time the applicant obtained licensure were substantially
1669 equivalent to the licensure requirements for a psychologist in Utah at the time the applicant
1670 obtained licensure in the other jurisdiction; or
1671 (ii) the applicant is:
1672 (A) a current holder of [
1673 from the American Board of Professional Psychology;
1674 (B) currently credentialed as a health service provider in psychology by the National
1675 Register of Health Service Providers in Psychology; or
1676 (C) currently holds a Certificate of Professional Qualification (CPQ) granted by the
1677 Association of State and Provincial Psychology Boards; and
1678 (h) meet with the board, upon request for good cause, for the purpose of evaluating the
1679 applicant's qualifications for licensure.
1680 (3) (a) An applicant for certification as a psychology resident shall comply with the
1681 provisions of Subsections (1)(a), (b), (c), (d), and (h).
1682 (b) (i) An individual's certification as a psychology resident is limited to the period of
1683 time necessary to complete clinical training as described in Subsections (1)(e) and (f) and
1684 extends not more than one year from the date the minimum requirement for training is
1685 completed, unless the individual presents satisfactory evidence to the division and the
1686 Psychologist Licensing Board that the individual is making reasonable progress toward passing
1687 the qualifying examination or is otherwise on a course reasonably expected to lead to licensure
1688 as a psychologist.
1689 (ii) The period of time under Subsection (3)(b)(i) may not exceed two years past the
1690 date the minimum supervised clinical training requirement has been completed.
1691 Section 33. Section 58-67-102 is amended to read:
1692 58-67-102. Definitions.
1693 In addition to the definitions in Section 58-1-102 , as used in this chapter:
1694 (1) "Ablative procedure" means a procedure that is expected to excise, vaporize,
1695 disintegrate, or remove living tissue, including the use of carbon dioxide lasers and erbium:
1696 YAG lasers, and excluding hair removal.
1697 (2) "ACGME" means the Accreditation Council for Graduate Medical Education of the
1698 American Medical Association.
1699 (3) "Administrative penalty" means a monetary fine or citation imposed by the division
1700 for acts or omissions determined to constitute unprofessional or unlawful conduct, in
1701 accordance with a fine schedule established by the division in collaboration with the board, as a
1702 result of an adjudicative proceeding conducted in accordance with Title 63G, Chapter 4,
1703 Administrative Procedures Act.
1704 (4) "Board" means the Physicians Licensing Board created in Section 58-67-201 .
1705 (5) (a) "Cosmetic medical device" means tissue altering energy based devices that have
1706 the potential for altering living tissue and that are used to perform ablative or nonablative
1707 procedures, such as American National Standards Institute (ANSI) designated Class IIIb and
1708 Class IV lasers, intense pulsed light, radio frequency devices, and lipolytic devices, and
1709 excludes ANSI designated Class IIIa and lower powered devices.
1710 (b) Notwithstanding Subsection (5)(a), if an ANSI designated Class IIIa and lower
1711 powered device is being used to perform an ablative procedure, the device is included in the
1712 definition of cosmetic medical device under Subsection (5)(a).
1713 (6) "Cosmetic medical procedure":
1714 (a) includes the use of cosmetic medical devices to perform ablative or nonablative
1715 procedures; and
1716 (b) does not include a treatment of the ocular globe such as refractive surgery.
1717 (7) "Diagnose" means:
1718 (a) to examine in any manner another person, parts of a person's body, substances,
1719 fluids, or materials excreted, taken, or removed from a person's body, or produced by a person's
1720 body, to determine the source, nature, kind, or extent of a disease or other physical or mental
1721 condition;
1722 (b) to attempt to conduct an examination or determination described under Subsection
1723 (7)(a);
1724 (c) to hold oneself out as making or to represent that one is making an examination or
1725 determination as described in Subsection (7)(a); or
1726 (d) to make an examination or determination as described in Subsection (7)(a) upon or
1727 from information supplied directly or indirectly by another person, whether or not in the
1728 presence of the person making or attempting the diagnosis or examination.
1729 (8) "LCME" means the Liaison Committee on Medical Education of the American
1730 Medical Association.
1731 (9) "Medical assistant" means an unlicensed individual working under the [
1732
1733 tasks assigned by the licensed physician and surgeon in accordance with the standards and
1734 ethics of the profession.
1735 (10) (a) (i) "Nonablative procedure" means a procedure that is expected or intended to
1736 alter living tissue, but is not intended or expected to excise, vaporize, disintegrate, or remove
1737 living tissue.
1738 (ii) Notwithstanding Subsection (10)(a)(i), nonablative procedure includes hair
1739 removal.
1740 (b) "Nonablative procedure" does not include:
1741 (i) a superficial procedure as defined in Section 58-1-102 ;
1742 (ii) the application of permanent make-up; or
1743 (iii) the use of photo therapy and lasers for neuromusculoskeletal treatments that are
1744 performed by an individual licensed under this title who is acting within the individual's scope
1745 of practice.
1746 (11) "Physician" means both physicians and surgeons licensed under Section
1747 58-67-301 , Utah Medical Practice Act, and osteopathic physicians and surgeons licensed under
1748 Section 58-68-301 , Utah Osteopathic Medical Practice Act.
1749 (12) (a) "Practice of medicine" means:
1750 (i) to diagnose, treat, correct, administer anesthesia, or prescribe for any human
1751 disease, ailment, injury, infirmity, deformity, pain or other condition, physical or mental, real
1752 or imaginary, including to perform cosmetic medical procedures, or to attempt to do so, by any
1753 means or instrumentality, and by an individual in Utah or outside the state upon or for any
1754 human within the state;
1755 (ii) when a person not licensed as a physician directs a licensee under this chapter to
1756 withhold or alter the health care services that the licensee has ordered;
1757 (iii) to maintain an office or place of business for the purpose of doing any of the acts
1758 described in Subsection (12)(a) whether or not for compensation; or
1759 (iv) to use, in the conduct of any occupation or profession pertaining to the diagnosis or
1760 treatment of human diseases or conditions in any printed material, stationery, letterhead,
1761 envelopes, signs, or advertisements, the designation "doctor," "doctor of medicine,"
1762 "physician," "surgeon," "physician and surgeon," "Dr.," "M.D.," or any combination of these
1763 designations in any manner which might cause a reasonable person to believe the individual
1764 using the designation is a licensed physician and surgeon, and if the party using the designation
1765 is not a licensed physician and surgeon, the designation must additionally contain the
1766 description of the branch of the healing arts for which the person has a license, provided that an
1767 individual who has received an earned degree of doctor of medicine degree but is not a licensed
1768 physician and surgeon in Utah may use the designation "M.D." if it is followed by "Not
1769 Licensed" or "Not Licensed in Utah" in the same size and style of lettering.
1770 (b) The practice of medicine does not include:
1771 (i) except for an ablative medical procedure as provided in Subsection (12)(b)(ii), the
1772 conduct described in Subsection (12)(a)(i) that is performed in accordance with a license issued
1773 under another chapter of this title;
1774 (ii) an ablative cosmetic medical procedure if the scope of practice for the person
1775 performing the ablative cosmetic medical procedure includes the authority to operate or
1776 perform a surgical procedure; or
1777 (iii) conduct under Subsection 58-67-501 (2).
1778 (13) "Prescription device" means an instrument, apparatus, implement, machine,
1779 contrivance, implant, in vitro reagent, or other similar or related article, and any component
1780 part or accessory, which is required under federal or state law to be prescribed by a practitioner
1781 and dispensed by or through a person or entity licensed under this chapter or exempt from
1782 licensure under this chapter.
1783 (14) "Prescription drug" means a drug that is required by federal or state law or rule to
1784 be dispensed only by prescription or is restricted to administration only by practitioners.
1785 (15) "SPEX" means the Special Purpose Examination of the Federation of State
1786 Medical Boards.
1787 (16) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-67-501 .
1788 (17) "Unprofessional conduct" is as defined in Sections 58-1-501 and 58-67-502 , and
1789 as may be further defined by division rule.
1790 Section 34. Section 58-67-305 is amended to read:
1791 58-67-305. Exemptions from licensure.
1792 In addition to the exemptions from licensure in Section 58-1-307 , the following
1793 individuals may engage in the described acts or practices without being licensed under this
1794 chapter:
1795 (1) an individual rendering aid in an emergency, when no fee or other consideration of
1796 value for the service is charged, received, expected, or contemplated;
1797 (2) an individual administering a domestic or family remedy;
1798 (3) (a) (i) a person engaged in the sale of vitamins, health foods, dietary supplements,
1799 herbs, or other products of nature, the sale of which is not otherwise prohibited by state or
1800 federal law; and
1801 (ii) a person acting in good faith for religious reasons, as a matter of conscience, or
1802 based on a personal belief, when obtaining or providing any information regarding health care
1803 and the use of any product under Subsection (3)(a)(i); and
1804 (b) Subsection (3)(a) does not:
1805 (i) allow a person to diagnose any human disease, ailment, injury, infirmity, deformity,
1806 pain, or other condition; or
1807 (ii) prohibit providing truthful and non-misleading information regarding any of the
1808 products under Subsection (3)(a)(i);
1809 (4) a person engaged in good faith in the practice of the religious tenets of any church
1810 or religious belief, without the use of prescription drugs;
1811 (5) an individual authorized by the Department of Health under Section 26-1-30 , to
1812 draw blood pursuant to Subsection 41-6a-523 (1)(a)(vi), 53-10-405 (2)(a)(vi), or
1813 72-10-502 (5)(a)(vi);
1814 (6) a medical assistant while working under the [
1815 supervision of a licensed physician and surgeon, to the extent the medical assistant:
1816 (a) is engaged in tasks appropriately delegated by the supervisor in accordance with the
1817 standards and ethics of the practice of medicine;
1818 (b) does not perform surgical procedures;
1819 (c) does not prescribe prescription medications; and
1820 (d) does not engage in other medical practices or procedures as defined by division rule
1821 in collaboration with the board;
1822 (7) an individual engaging in the practice of medicine when:
1823 (a) the individual is licensed in good standing as a physician in another state with no
1824 licensing action pending and no less than 10 years of professional experience;
1825 (b) the services are rendered as a public service and for a noncommercial purpose;
1826 (c) no fee or other consideration of value is charged, received, expected, or
1827 contemplated for the services rendered beyond an amount necessary to cover the proportionate
1828 cost of malpractice insurance; and
1829 (d) the individual does not otherwise engage in unlawful or unprofessional conduct;
1830 (8) an individual providing expert testimony in a legal proceeding; and
1831 (9) an individual who is invited by a school, association, society, or other body
1832 approved by the division to conduct a clinic or demonstration of the practice of medicine in
1833 which patients are treated, if:
1834 (a) the individual does not establish a place of business in this state;
1835 (b) the individual does not regularly engage in the practice of medicine in this state;
1836 (c) the individual holds a current license in good standing to practice medicine issued
1837 by another state, district or territory of the United States, or Canada;
1838 (d) the primary purpose of the event is the training of others in the practice of
1839 medicine; and
1840 (e) neither the patient nor an insurer is billed for the services performed.
1841 Section 35. Section 58-67-806 is amended to read:
1842 58-67-806. Representation of medical specialization.
1843 (1) A physician may not represent to another person that the physician is certified in a
1844 medical specialty or certified by a particular board unless:
1845 (a) the physician includes in the representation the name of:
1846 (i) the certification board or entity; and
1847 (ii) the medical specialty for which the physician is certified; and
1848 (b) the board or certification entity meets the requirements of Subsection (2).
1849 (2) A certification entity or board under Subsection (1) shall meet the following
1850 qualifications:
1851 (a) be included in the American Board of Medical Specialties or an American
1852 Osteopathic Association Certifying Board; [
1853 (b) (i) require an Accreditation Council for Graduate Medical Education or American
1854 Osteopathic Association approved [
1855 complete training in the specialty or [
1856 (ii) be certified or had prior certification by the member board of the American Board
1857 of Medical Specialties or an American Osteopathic Certifying Board.
1858 Section 36. Section 58-68-102 is amended to read:
1859 58-68-102. Definitions.
1860 In addition to the definitions in Section 58-1-102 , as used in this chapter:
1861 (1) "Ablative procedure" means a procedure that is expected to excise, vaporize,
1862 disintegrate, or remove living tissue, including the use of carbon dioxide lasers and erbium:
1863 YAG lasers, and excluding hair removal.
1864 (2) "ACGME" means the Accreditation Council for Graduate Medical Education of the
1865 American Medical Association.
1866 (3) "Administrative penalty" means a monetary fine imposed by the division for acts or
1867 omissions determined to constitute unprofessional or unlawful conduct, as a result of an
1868 adjudicative proceeding conducted in accordance with Title 63G, Chapter 4, Administrative
1869 Procedures Act.
1870 (4) "AOA" means the American Osteopathic Association.
1871 (5) "Board" means the Osteopathic Physician and Surgeon's Licensing Board created in
1872 Section 58-68-201 .
1873 (6) (a) "Cosmetic medical device" means tissue altering energy based devices that have
1874 the potential for altering living tissue and that are used to perform ablative or nonablative
1875 procedures, such as American National Standards Institute (ANSI) designated Class IIIb and
1876 Class IV lasers, intense pulsed light, radio frequency devices, and lipolytic devices and
1877 excludes ANSI designated Class IIIa and lower powered devices.
1878 (b) Notwithstanding Subsection (6)(a), if an ANSI designated Class IIIa and lower
1879 powered device is being used to perform an ablative procedure, the device is included in the
1880 definition of cosmetic medical device under Subsection (6)(a).
1881 (7) "Cosmetic medical procedure":
1882 (a) includes the use of cosmetic medical devices to perform ablative or nonablative
1883 procedures; and
1884 (b) does not include a treatment of the ocular globe such as refractive surgery.
1885 (8) "Diagnose" means:
1886 (a) to examine in any manner another person, parts of a person's body, substances,
1887 fluids, or materials excreted, taken, or removed from a person's body, or produced by a person's
1888 body, to determine the source, nature, kind, or extent of a disease or other physical or mental
1889 condition;
1890 (b) to attempt to conduct an examination or determination described under Subsection
1891 (8)(a);
1892 (c) to hold oneself out as making or to represent that one is making an examination or
1893 determination as described in Subsection (8)(a); or
1894 (d) to make an examination or determination as described in Subsection (8)(a) upon or
1895 from information supplied directly or indirectly by another person, whether or not in the
1896 presence of the person making or attempting the diagnosis or examination.
1897 (9) "Medical assistant" means an unlicensed individual working under the [
1898
1899 in specific tasks assigned by the licensed osteopathic physician and surgeon in accordance with
1900 the standards and ethics of the profession.
1901 (10) (a) (i) "Nonablative procedure" means a procedure that is expected or intended to
1902 alter living tissue, but is not expected or intended to excise, vaporize, disintegrate, or remove
1903 living tissue.
1904 (ii) Notwithstanding Subsection (10)(a)(i), nonablative procedure includes hair
1905 removal.
1906 (b) "Nonablative procedure" does not include:
1907 (i) a superficial procedure as defined in Section 58-1-102 ;
1908 (ii) the application of permanent make-up; or
1909 (iii) the use of photo therapy lasers for neuromusculoskeletal treatments that are
1910 preformed by an individual licensed under this title who is acting within the individual's scope
1911 of practice.
1912 (11) "Physician" means both physicians and surgeons licensed under Section
1913 58-67-301 , Utah Medical Practice Act, and osteopathic physicians and surgeons licensed under
1914 Section 58-68-301 , Utah Osteopathic Medical Practice Act.
1915 (12) (a) "Practice of osteopathic medicine" means:
1916 (i) to diagnose, treat, correct, administer anesthesia, or prescribe for any human
1917 disease, ailment, injury, infirmity, deformity, pain, or other condition, physical or mental, real
1918 or imaginary, or to attempt to do so, by any means or instrumentality, which in whole or in part
1919 is based upon emphasis of the importance of the musculoskeletal system and manipulative
1920 therapy in the maintenance and restoration of health, by an individual in Utah or outside of the
1921 state upon or for any human within the state;
1922 (ii) when a person not licensed as a physician directs a licensee under this chapter to
1923 withhold or alter the health care services that the licensee has ordered;
1924 (iii) to maintain an office or place of business for the purpose of doing any of the acts
1925 described in Subsection (12)(a) whether or not for compensation; or
1926 (iv) to use, in the conduct of any occupation or profession pertaining to the diagnosis or
1927 treatment of human diseases or conditions, in any printed material, stationery, letterhead,
1928 envelopes, signs, or advertisements, the designation "doctor," "doctor of osteopathic medicine,"
1929 "osteopathic physician," "osteopathic surgeon," "osteopathic physician and surgeon," "Dr.,"
1930 "D.O.," or any combination of these designations in any manner which might cause a
1931 reasonable person to believe the individual using the designation is a licensed osteopathic
1932 physician, and if the party using the designation is not a licensed osteopathic physician, the
1933 designation must additionally contain the description of the branch of the healing arts for which
1934 the person has a license, provided that an individual who has received an earned degree of
1935 doctor of osteopathic medicine but is not a licensed osteopathic physician and surgeon in Utah
1936 may use the designation "D.O." if it is followed by "Not Licensed" or "Not Licensed in Utah"
1937 in the same size and style of lettering.
1938 (b) The practice of osteopathic medicine does not include:
1939 (i) except for an ablative medical procedure as provided in Subsection (12)(b)(ii), the
1940 conduct described in Subsection (12)(a)(i) that is performed in accordance with a license issued
1941 under another chapter of this title;
1942 (ii) an ablative cosmetic medical procedure if the scope of practice for the person
1943 performing the ablative cosmetic medical procedure includes the authority to operate or
1944 perform a surgical procedure; or
1945 (iii) conduct under Subsection 58-68-501 (2).
1946 (13) "Prescription device" means an instrument, apparatus, implement, machine,
1947 contrivance, implant, in vitro reagent, or other similar or related article, and any component
1948 part or accessory, which is required under federal or state law to be prescribed by a practitioner
1949 and dispensed by or through a person or entity licensed under this chapter or exempt from
1950 licensure under this chapter.
1951 (14) "Prescription drug" means a drug that is required by federal or state law or rule to
1952 be dispensed only by prescription or is restricted to administration only by practitioners.
1953 (15) "SPEX" means the Special Purpose Examination of the Federation of State
1954 Medical Boards.
1955 (16) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-68-501 .
1956 (17) "Unprofessional conduct" is as defined in Sections 58-1-501 and 58-68-502 and as
1957 may be further defined by division rule.
1958 Section 37. Section 58-68-305 is amended to read:
1959 58-68-305. Exemptions from licensure.
1960 In addition to the exemptions from licensure in Section 58-1-307 , the following
1961 individuals may engage in the described acts or practices without being licensed under this
1962 chapter:
1963 (1) an individual rendering aid in an emergency, when no fee or other consideration of
1964 value for the service is charged, received, expected, or contemplated;
1965 (2) an individual administering a domestic or family remedy;
1966 (3) (a) (i) a person engaged in the lawful sale of vitamins, health foods, dietary
1967 supplements, herbs, or other products of nature, the sale of which is not otherwise prohibited
1968 by state or federal law; and
1969 (ii) a person acting in good faith for religious reasons, as a matter of conscience, or
1970 based on a personal belief, when obtaining or providing any information regarding health care
1971 and the use of any product under Subsection (3)(a)(i); and
1972 (b) Subsection (3)(a) does not:
1973 (i) permit a person to diagnose any human disease, ailment, injury, infirmity,
1974 deformity, pain, or other condition; or
1975 (ii) prohibit providing truthful and non-misleading information regarding any of the
1976 products under Subsection (3)(a)(i);
1977 (4) a person engaged in good faith in the practice of the religious tenets of any church
1978 or religious belief without the use of prescription drugs;
1979 (5) an individual authorized by the Department of Health under Section 26-1-30 , to
1980 draw blood pursuant to Subsection 41-6a-523 (1)(a)(vi), 53-10-405 (2)(a)(vi), or
1981 72-10-502 (5)(a)(vi);
1982 (6) a medical assistant while working under the [
1983 supervision of a licensed osteopathic physician, to the extent the medical assistant:
1984 (a) is engaged in tasks appropriately delegated by the supervisor in accordance with the
1985 standards and ethics of the practice of medicine;
1986 (b) does not perform surgical procedures;
1987 (c) does not prescribe prescription medications; and
1988 (d) does not engage in other medical practices or procedures as defined by division rule
1989 in collaboration with the board;
1990 (7) an individual engaging in the practice of osteopathic medicine when:
1991 (a) the individual is licensed in good standing as an osteopathic physician in another
1992 state with no licensing action pending and no less than 10 years of professional experience;
1993 (b) the services are rendered as a public service and for a noncommercial purpose;
1994 (c) no fee or other consideration of value is charged, received, expected, or
1995 contemplated for the services rendered beyond an amount necessary to cover the proportionate
1996 cost of malpractice insurance; and
1997 (d) the individual does not otherwise engage in unlawful or unprofessional conduct;
1998 (8) an individual providing expert testimony in a legal proceeding; and
1999 (9) an individual who is invited by a school, association, society, or other body
2000 approved by the division in collaboration with the board to conduct a clinic or demonstration of
2001 the practice of medicine in which patients are treated, if:
2002 (a) the individual does not establish a place of business in this state;
2003 (b) the individual does not regularly engage in the practice of medicine in this state;
2004 (c) the individual holds a current license in good standing to practice medicine issued
2005 by another state, district or territory of the United States, or Canada;
2006 (d) the primary purpose of the event is the training of others in the practice of
2007 medicine; and
2008 (e) neither the patient nor an insurer is billed for the services performed.
2009 Section 38. Repealer.
2010 This bill repeals:
2011 Section 58-37c-4, Board.
2012 Section 58-61-303, Status of licenses held on the effective date of this chapter.
Legislative Review Note
as of 11-15-12 1:08 PM