1     
OCCUPATIONAL AND PROFESSIONAL LICENSING AMENDMENTS

2     
2018 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: James A. Dunnigan

5     
Senate Sponsor: Curtis S. Bramble

6     

7     LONG TITLE
8     General Description:
9          This bill modifies statutory provisions related to the Division of Occupational and
10     Professional Licensing (DOPL).
11     Highlighted Provisions:
12          This bill:
13          ▸     modifies DOPL's authority to share certain licensee information;
14          ▸     modifies provisions related to unlawful and unprofessional conduct;
15          ▸     modifies provisions related to unpaid penalties;
16          ▸     modifies the exemptions from licensure and other requirements related to
17     cosmetology and associated professions;
18          ▸     modifies background check requirements and other requirements for certain medical
19     professions;
20          ▸     modifies certain contractor licensing requirements;
21          ▸     modifies the membership of the Hunting Guides and Outfitters Licensing Board;
22     and
23          ▸     makes technical changes.
24     Money Appropriated in this Bill:
25          None
26     Other Special Clauses:
27          This bill provides a special effective date.
28     Utah Code Sections Affected:

29     AMENDS:
30          58-1-106, as last amended by Laws of Utah 2016, Chapter 238
31          58-1-301.5, as last amended by Laws of Utah 2013, Chapter 262
32          58-1-501, as last amended by Laws of Utah 2014, Chapter 408
33          58-1-502, as last amended by Laws of Utah 2016, Chapter 238
34          58-3a-502, as last amended by Laws of Utah 2013, Chapter 278
35          58-11a-304, as last amended by Laws of Utah 2013, Chapter 13
36          58-11a-306, as last amended by Laws of Utah 2016, Chapter 274
37          58-11a-503, as last amended by Laws of Utah 2014, Chapter 100
38          58-17b-307, as last amended by Laws of Utah 2012, Chapter 93
39          58-17b-504, as last amended by Laws of Utah 2011, Chapter 23
40          58-22-503, as last amended by Laws of Utah 2017, Chapter 218
41          58-24b-302, as last amended by Laws of Utah 2017, Chapter 164
42          58-24b-303, as last amended by Laws of Utah 2016, Chapter 238
43          58-28-503, as last amended by Laws of Utah 2008, Chapter 382
44          58-31b-201, as last amended by Laws of Utah 2010, Chapter 372
45          58-31b-302, as last amended by Laws of Utah 2014, Chapter 316
46          58-31b-503, as last amended by Laws of Utah 2011, Chapter 340
47          58-37-6, as last amended by Laws of Utah 2017, Chapter 237
48          58-37-6.5, as last amended by Laws of Utah 2017, Chapter 180
49          58-37f-401, as last amended by Laws of Utah 2011, Chapter 23
50          58-37f-402, as last amended by Laws of Utah 2013, Chapter 450
51          58-44a-402, as last amended by Laws of Utah 2008, Chapter 382
52          58-47b-501, as last amended by Laws of Utah 2000, Chapter 309
53          58-53-502, as last amended by Laws of Utah 2008, Chapter 382
54          58-55-305, as last amended by Laws of Utah 2013, Chapters 430 and 449
55          58-55-501, as last amended by Laws of Utah 2014, Chapter 188

56          58-55-503, as last amended by Laws of Utah 2017, Chapter 339
57          58-56-9.5, as last amended by Laws of Utah 2010, Chapter 278
58          58-60-117, as last amended by Laws of Utah 2015, Chapter 197
59          58-63-503, as last amended by Laws of Utah 2008, Chapters 246 and 382
60          58-67-302, as last amended by Laws of Utah 2012, Chapters 162 and 225
61          58-67-302.5, as last amended by Laws of Utah 2011, Chapter 214
62          58-67-302.7, as last amended by Laws of Utah 2015, Chapter 258
63          58-67-302.8 (Effective 07/01/18), as enacted by Laws of Utah 2017, Chapter 299
64          58-67-304 (Superseded 07/01/18), as last amended by Laws of Utah 2011, Chapters
65     161 and 214
66          58-67-304 (Effective 07/01/18), as last amended by Laws of Utah 2017, Chapter 299
67          58-67-403, as last amended by Laws of Utah 2011, Chapter 214
68          58-67-503, as last amended by Laws of Utah 2012, Chapter 369
69          58-68-302, as last amended by Laws of Utah 2012, Chapters 162 and 225
70          58-68-302.5 (Effective 07/01/18), as enacted by Laws of Utah 2017, Chapter 299
71          58-68-304 (Superseded 07/01/18), as last amended by Laws of Utah 2011, Chapters
72     161 and 214
73          58-68-304 (Effective 07/01/18), as last amended by Laws of Utah 2017, Chapter 299
74          58-68-403, as last amended by Laws of Utah 2011, Chapter 214
75          58-68-503, as last amended by Laws of Utah 2012, Chapter 369
76          58-71-503, as enacted by Laws of Utah 1996, Chapter 282
77          58-76-502, as last amended by Laws of Utah 2008, Chapter 382
78          58-79-201, as enacted by Laws of Utah 2009, Chapter 52
79          78B-3-416, as last amended by Laws of Utah 2010, Chapters 97 and 286
80     ENACTS:
81          58-24b-302.1, Utah Code Annotated 1953
82          58-67-302.1, Utah Code Annotated 1953

83          58-68-302.1, Utah Code Annotated 1953
84     

85     Be it enacted by the Legislature of the state of Utah:
86          Section 1. Section 58-1-106 is amended to read:
87          58-1-106. Division -- Duties, functions, and responsibilities.
88          (1) The duties, functions, and responsibilities of the division include the following:
89          (a) prescribing, adopting, and enforcing rules to administer this title;
90          (b) investigating the activities of any person whose occupation or profession is
91     regulated or governed by the laws and rules administered and enforced by the division;
92          (c) subpoenaing witnesses, taking evidence, and requiring by subpoena duces tecum
93     the production of any books, papers, documents, records, contracts, recordings, tapes,
94     correspondence, or information relevant to an investigation upon a finding of sufficient need by
95     the director or by the director's designee;
96          (d) taking administrative and judicial action against persons in violation of the laws
97     and rules administered and enforced by the division, including the issuance of cease and desist
98     orders;
99          (e) seeking injunctions and temporary restraining orders to restrain unauthorized
100     activity;
101          (f) complying with Title 52, Chapter 4, Open and Public Meetings Act ;
102          (g) issuing, refusing to issue, revoking, suspending, renewing, refusing to renew, or
103     otherwise acting upon any license;
104          (h) preparing and submitting to the governor and the Legislature an annual report of the
105     division's operations, activities, and goals;
106          (i) preparing and submitting to the executive director a budget of the expenses for the
107     division;
108          (j) establishing the time and place for the administration of examinations; and
109          (k) preparing lists of licensees and making these lists available to the public at cost

110     upon request unless otherwise prohibited by state or federal law.
111          (2) The division may not include home telephone numbers or home addresses of
112     licensees on the lists prepared under Subsection (1)(k), except as otherwise provided by rules
113     of the division made in accordance with Title 63G, Chapter 3, Utah Administrative
114     Rulemaking Act.
115          (3) (a) The division may provide the home address or home telephone number of a
116     licensee on a list prepared under Subsection (1) upon the request of an individual who provides
117     proper identification and the reason for the request, in writing, to the division.
118          (b) A request under Subsection (3)(a) is limited to providing information on only one
119     licensee per request.
120          (c) The division shall provide, by rule, what constitutes proper identification under
121     Subsection (3)(a).
122          (4) (a) Nothwithstanding any contrary provisions in Title 63G, Chapter 2, Government
123     Records Access and Management Act, the division may share licensee information with:
124          (i) the division's contracted agents when sharing the information in compliance with
125     state or federal law; and
126          (ii) a person who is evaluating the progress or monitoring the compliance of an
127     individual who has been disciplined by the division under this title.
128          (b) The division may make rules to implement the provisions of this Subsection (4).
129          (5) All rules made by the division under this title shall be made in accordance with
130     Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
131          Section 2. Section 58-1-301.5 is amended to read:
132          58-1-301.5. Division access to Bureau of Criminal Identification records.
133          (1) The division shall have direct access to criminal background information
134     maintained by the Bureau of Criminal Identification under Title 53, Chapter 10, Part 2, Bureau
135     of Criminal Identification, for background screening of persons who are applying for licensure,
136     licensure renewal, licensure reinstatement, or relicensure, as required in:

137          (a) Section 58-17b-307 of Title 58, Chapter 17b, Pharmacy Practice Act;
138          (b) Sections 58-24b-302 and 58-24b-302.1 of Title 58, Chapter 24b, Physical Therapy
139     Practice Act;
140          [(b)] (c) Section 58-31b-302 of Title 58, Chapter 31b, Nurse Practice Act;
141          [(c)] (d) Section 58-47b-302 of Title 58, Chapter 47b, Massage Therapy Practice Act;
142          [(d)] (e) Section 58-55-302 of Title 58, Chapter 55, Utah Construction Trades
143     Licensing Act, as it applies to alarm companies and alarm company agents;
144          [(e)] (f) Section 58-63-302 of Title 58, Chapter 63, Security Personnel Licensing Act;
145     [and]
146          [(f)] (g) Section 58-64-302 of Title 58, Chapter 64, Deception Detection Examiners
147     Licensing Act[.];
148          (h) Sections 58-67-302 and 58-67-302.1 of Title 58, Chapter 67, Utah Medical Practice
149     Act; and
150          (i) Sections 58-68-302 and 58-68-302.1 of Title 58, Chapter 68, Utah Osteopathic
151     Medical Practice Act.
152          (2) The division's access to criminal background information under this section:
153          (a) shall meet the requirements of Section 53-10-108; and
154          (b) includes convictions, pleas of nolo contendere, pleas of guilty or nolo contendere
155     held in abeyance, dismissed charges, and charges without a known disposition.
156          (3) The division may not disseminate outside of the division any criminal history
157     record information that the division obtains from the Bureau of Criminal Identification or the
158     Federal Bureau of Investigation under the criminal background check requirements of this
159     section.
160          Section 3. Section 58-1-501 is amended to read:
161          58-1-501. Unlawful and unprofessional conduct.
162          (1) "Unlawful conduct" means conduct, by any person, that is defined as unlawful
163     under this title and includes:

164          (a) practicing or engaging in, representing oneself to be practicing or engaging in, or
165     attempting to practice or engage in any occupation or profession requiring licensure under this
166     title if the person is:
167          (i) not licensed to do so or not exempted from licensure under this title; or
168          (ii) restricted from doing so by a suspended, revoked, restricted, temporary,
169     probationary, or inactive license;
170          (b) (i) impersonating another licensee or practicing an occupation or profession under a
171     false or assumed name, except as permitted by law; or
172          (ii) for a licensee who has had a license under this title reinstated following disciplinary
173     action, practicing the same occupation or profession using a different name than the name used
174     before the disciplinary action, except as permitted by law and after notice to, and approval by,
175     the division;
176          (c) knowingly employing any other person to practice or engage in or attempt to
177     practice or engage in any occupation or profession licensed under this title if the employee is
178     not licensed to do so under this title;
179          (d) knowingly permitting the person's authority to practice or engage in any occupation
180     or profession licensed under this title to be used by another, except as permitted by law;
181          (e) obtaining a passing score on a licensure examination, applying for or obtaining a
182     license, or otherwise dealing with the division or a licensing board through the use of fraud,
183     forgery, or intentional deception, misrepresentation, misstatement, or omission; or
184          (f) (i) issuing, or aiding and abetting in the issuance of, an order or prescription for a
185     drug or device to a person located in this state:
186          (A) without prescriptive authority conferred by a license issued under this title, or by
187     an exemption to licensure under this title; or
188          (B) with prescriptive authority conferred by an exception issued under this title or a
189     multistate practice privilege recognized under this title, if the prescription was issued without
190     first obtaining information, in the usual course of professional practice, that is sufficient to

191     establish a diagnosis, to identify underlying conditions, and to identify contraindications to the
192     proposed treatment; and
193          (ii) Subsection (1)(f)(i) does not apply to treatment rendered in an emergency, on-call
194     or cross coverage situation, provided that the person who issues the prescription has
195     prescriptive authority conferred by a license under this title, or is exempt from licensure under
196     this title.
197          (2) "Unprofessional conduct" means conduct, by a licensee or applicant, that is defined
198     as unprofessional conduct under this title or under any rule adopted under this title and
199     includes:
200          (a) violating, or aiding or abetting any other person to violate, any statute, rule, or order
201     regulating an occupation or profession under this title;
202          (b) violating, or aiding or abetting any other person to violate, any generally accepted
203     professional or ethical standard applicable to an occupation or profession regulated under this
204     title;
205          (c) engaging in conduct that results in conviction, a plea of nolo contendere, or a plea
206     of guilty or nolo contendere which is held in abeyance pending the successful completion of
207     probation with respect to a crime of moral turpitude or any other crime that, when considered
208     with the functions and duties of the occupation or profession for which the license was issued
209     or is to be issued, bears a reasonable relationship to the licensee's or applicant's ability to safely
210     or competently practice the occupation or profession;
211          (d) engaging in conduct that results in disciplinary action, including reprimand,
212     censure, diversion, probation, suspension, or revocation, by any other licensing or regulatory
213     authority having jurisdiction over the licensee or applicant in the same occupation or profession
214     if the conduct would, in this state, constitute grounds for denial of licensure or disciplinary
215     proceedings under Section 58-1-401;
216          (e) engaging in conduct, including the use of intoxicants, drugs, narcotics, or similar
217     chemicals, to the extent that the conduct does, or might reasonably be considered to, impair the

218     ability of the licensee or applicant to safely engage in the occupation or profession;
219          (f) practicing or attempting to practice an occupation or profession regulated under this
220     title despite being physically or mentally unfit to do so;
221          (g) practicing or attempting to practice an occupation or profession regulated under this
222     title through gross incompetence, gross negligence, or a pattern of incompetency or negligence;
223          (h) practicing or attempting to practice an occupation or profession requiring licensure
224     under this title by any form of action or communication which is false, misleading, deceptive,
225     or fraudulent;
226          (i) practicing or attempting to practice an occupation or profession regulated under this
227     title beyond the scope of the licensee's competency, abilities, or education;
228          (j) practicing or attempting to practice an occupation or profession regulated under this
229     title beyond the scope of the licensee's license;
230          (k) verbally, physically, mentally, or sexually abusing or exploiting any person through
231     conduct connected with the licensee's practice under this title or otherwise facilitated by the
232     licensee's license;
233          (l) acting as a supervisor without meeting the qualification requirements for that
234     position that are defined by statute or rule;
235          (m) issuing, or aiding and abetting in the issuance of, an order or prescription for a
236     drug or device:
237          (i) without first obtaining information in the usual course of professional practice, that
238     is sufficient to establish a diagnosis, to identify conditions, and to identify contraindications to
239     the proposed treatment; or
240          (ii) with prescriptive authority conferred by an exception issued under this title, or a
241     multi-state practice privilege recognized under this title, if the prescription was issued without
242     first obtaining information, in the usual course of professional practice, that is sufficient to
243     establish a diagnosis, to identify underlying conditions, and to identify contraindications to the
244     proposed treatment;

245          (n) violating a provision of Section 58-1-501.5; or
246          (o) violating the terms of an order governing a license.
247          (3) Unless otherwise specified by statute or administrative rule, in a civil or
248     administrative proceeding commenced by the division under this title, a person subject to any
249     of the unlawful and unprofessional conduct provisions of this title is strictly liable for each
250     violation.
251          Section 4. Section 58-1-502 is amended to read:
252          58-1-502. Unlawful and unprofessional conduct -- Penalties.
253          (1) Unless otherwise specified in this title, a person who violates the unlawful conduct
254     provisions defined in this title is guilty of a class A misdemeanor.
255          (2) (a) In addition to any other statutory penalty for a violation related to a specific
256     occupation or profession regulated by this title, if upon inspection or investigation, the division
257     concludes that a person has violated Subsection 58-1-501(1)(a), (1)(c), or (2)(o), or a rule or
258     order issued with respect to those subsections, and that disciplinary action is appropriate, the
259     director or the director's designee from within the division shall promptly:
260          (i) issue a citation to the person according to this section and any pertinent rules;
261          (ii) attempt to negotiate a stipulated settlement; or
262          (iii) notify the person to appear before an adjudicative proceeding conducted under
263     Title 63G, Chapter 4, Administrative Procedures Act.
264          (b) (i) The division may assess a fine under this Subsection (2) against a person who
265     violates Subsection 58-1-501(1)(a), (1)(c), or (2)(o), or a rule or order issued with respect to
266     those subsections, as evidenced by:
267          (A) an uncontested citation;
268          (B) a stipulated settlement; or
269          (C) a finding of a violation in an adjudicative proceeding.
270          (ii) The division may, in addition to or in lieu of a fine under Subsection (2)(b)(i),
271     order the person to cease and desist from violating Subsection 58-1-501(1)(a), (1)(c), or (2)(o),

272     or a rule or order issued with respect to those subsections.
273          (c) Except for a cease and desist order, the division may not assess the licensure
274     sanctions cited in Section 58-1-401 through a citation.
275          (d) A citation shall:
276          (i) be in writing;
277          (ii) describe with particularity the nature of the violation, including a reference to the
278     provision of the chapter, rule, or order alleged to have been violated;
279          (iii) clearly state that the recipient must notify the division in writing within 20
280     calendar days of service of the citation if the recipient wishes to contest the citation at a hearing
281     conducted under Title 63G, Chapter 4, Administrative Procedures Act; and
282          (iv) clearly explain the consequences of failure to timely contest the citation or to make
283     payment of a fine assessed by the citation within the time specified in the citation.
284          (e) The division may issue a notice in lieu of a citation.
285          (f) (i) If within 20 calendar days from the service of the citation, the person to whom
286     the citation was issued fails to request a hearing to contest the citation, the citation becomes the
287     final order of the division and is not subject to further agency review.
288          (ii) The period to contest a citation may be extended by the division for cause.
289          (g) The division may refuse to issue or renew, suspend, revoke, or place on probation
290     the license of a licensee who fails to comply with a citation after it becomes final.
291          (h) The failure of an applicant for licensure to comply with a citation after it becomes
292     final is a ground for denial of license.
293          (i) The division may not issue a citation under this section after the expiration of one
294     year following the occurrence of a violation.
295          (j) The director or the director's designee shall assess fines according to the following:
296          (i) for the first offense handled pursuant to Subsection (2)(a), a fine of up to $1,000;
297          (ii) for a second offense handled pursuant to Subsection (2)(a), a fine of up to $2,000;
298     and

299          (iii) for each subsequent offense handled pursuant to Subsection (2)(a), a fine of up to
300     $2,000 for each day of continued offense.
301          (3) (a) An action for a first or second offense that has not yet resulted in a final order of
302     the division may not preclude initiation of a subsequent action for a second or subsequent
303     offense during the pendency of a preceding action.
304          (b) The final order on a subsequent action is considered a second or subsequent
305     offense, respectively, provided the preceding action resulted in a first or second offense,
306     respectively.
307          (4) (a) The director may collect a penalty that is not paid by:
308          (i) [either] referring the matter to a collection agency; or
309          (ii) bringing an action in the district court of the county where the person against whom
310     the penalty is imposed resides or in the county where the office of the director is located.
311          (b) A county attorney or the attorney general of the state shall provide legal assistance
312     and advice to the director in an action to collect [the] a penalty.
313          (c) A court may award reasonable attorney fees and costs to the [division] prevailing
314     party in an action brought by the division to [enforce the provisions of this section] collect a
315     penalty.
316          Section 5. Section 58-3a-502 is amended to read:
317          58-3a-502. Penalty for unlawful conduct.
318          (1) (a) If upon inspection or investigation, the division concludes that a person has
319     violated Subsections 58-1-501(1)(a) through (d) or Section 58-3a-501 or any rule or order
320     issued with respect to Section 58-3a-501, and that disciplinary action is appropriate, the
321     director or the director's designee from within the division for each alternative respectively,
322     shall promptly issue a citation to the person according to this chapter and any pertinent rules,
323     attempt to negotiate a stipulated settlement, or notify the person to appear before an
324     adjudicative proceeding conducted under Title 63G, Chapter 4, Administrative Procedures Act.
325          (i) A person who violates Subsections 58-1-501(1)(a) through (d) or Section 58-3a-501

326     or any rule or order issued with respect to Section 58-3a-501, as evidenced by an uncontested
327     citation, a stipulated settlement, or by a finding of violation in an adjudicative proceeding, may
328     be assessed a fine pursuant to this Subsection (1) and may, in addition to or in lieu of, be
329     ordered to cease and desist from violating Subsections 58-1-501(1)(a) through (d) or Section
330     58-3a-501 or any rule or order issued with respect to this section.
331          (ii) Except for a cease and desist order, the licensure sanctions cited in Section
332     58-3a-401 may not be assessed through a citation.
333          (b) A citation shall:
334          (i) be in writing;
335          (ii) describe with particularity the nature of the violation, including a reference to the
336     provision of the chapter, rule, or order alleged to have been violated;
337          (iii) clearly state that the recipient must notify the division in writing within 20
338     calendar days of service of the citation if the recipient wishes to contest the citation at a hearing
339     conducted under Title 63G, Chapter 4, Administrative Procedures Act; and
340          (iv) clearly explain the consequences of failure to timely contest the citation or to make
341     payment of any fines assessed by the citation within the time specified in the citation.
342          (c) The division may issue a notice in lieu of a citation.
343          (d) Each citation issued under this section, or a copy of each citation, may be served
344     upon a person upon whom a summons may be served in accordance with the Utah Rules of
345     Civil Procedure and may be made personally or upon the person's agent by a division
346     investigator or by any person specially designated by the director or by mail.
347          (e) If within 20 calendar days from the service of the citation, the person to whom the
348     citation was issued fails to request a hearing to contest the citation, the citation becomes the
349     final order of the division and is not subject to further agency review. The period to contest a
350     citation may be extended by the division for cause.
351          (f) The division may refuse to issue or renew, suspend, revoke, or place on probation
352     the license of a licensee who fails to comply with a citation after it becomes final.

353          (g) The failure of an applicant for licensure to comply with a citation after it becomes
354     final is a ground for denial of license.
355          (h) No citation may be issued under this section after the expiration of six months
356     following the occurrence of any violation.
357          (i) The director or the director's designee shall assess fines according to the following:
358          (i) for a first offense handled pursuant to Subsection (1)(a), a fine of up to $1,000;
359          (ii) for a second offense handled pursuant to Subsection (1)(a), a fine of up to $2,000;
360     and
361          (iii) for any subsequent offense handled pursuant to Subsection (1)(a), a fine of up to
362     $2,000 for each day of continued offense.
363          (2) An action initiated for a first or second offense which has not yet resulted in a final
364     order of the division shall not preclude initiation of any subsequent action for a second or
365     subsequent offense during the pendency of any preceding action. The final order on a
366     subsequent action shall be considered a second or subsequent offense, respectively, provided
367     the preceding action resulted in a first or second offense, respectively.
368          [(3) Any penalty which is not paid may be collected by the director by either referring
369     the matter to a collection agency or bringing an action in the district court of the county in
370     which the person against whom the penalty is imposed resides or in the county where the office
371     of the director is located. Any county attorney or the attorney general of the state shall provide
372     legal assistance and advice to the director in any action to collect the penalty. In any action
373     brought to enforce the provisions of this section, reasonable attorney's fees and costs shall be
374     awarded to the division.]
375          (3) (a) The director may collect a penalty that is not paid by:
376          (i) referring the matter to a collection agency; or
377          (ii) bringing an action in the district court of the county where the person against whom
378     the penalty is imposed resides or in the county where the office of the director is located.
379          (b) A county attorney or the attorney general of the state shall provide legal assistance

380     and advice to the director in an action to collect a penalty.
381          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
382     action brought by the division to collect a penalty.
383          Section 6. Section 58-11a-304 is amended to read:
384          58-11a-304. Exemptions from licensure.
385          In addition to the exemptions from licensure in Section 58-1-307, the following persons
386     may engage in the practice of barbering, cosmetology/barbering, esthetics, master-level
387     esthetics, electrology, or nail technology without being licensed under this chapter:
388          (1) a person licensed under the laws of this state to engage in the practice of medicine,
389     surgery, osteopathy, or chiropractic when engaged in the practice of the profession for which
390     they are licensed;
391          (2) a commissioned physician or surgeon serving in the armed forces of the United
392     States or another federal agency;
393          (3) a registered nurse, undertaker, or mortician licensed under the laws of this state
394     when engaged in the practice of the profession for which the person is licensed;
395          (4) a person who visits the state to engage in instructional seminars, advanced classes,
396     trade shows, or competitions of a limited duration;
397          (5) a person who engages in the practice of barbering, cosmetology/barbering, hair
398     design, esthetics, master-level esthetics, electrology, or nail technology without compensation;
399          (6) a person instructing an adult education class or other educational program directed
400     toward persons who are not licensed under this chapter and that is not intended to train persons
401     to become licensed under this chapter, provided:
402          (a) an attendee receives no credit toward educational requirements for licensure under
403     this chapter;
404          (b) the instructor informs each attendee in writing that taking such a class or program
405     will not certify or qualify the attendee to perform a service for compensation that requires
406     licensure under this chapter; and

407          (c) (i) the instructor is properly licensed; or
408          (ii) the instructor receives no compensation;
409          (7) a person providing instruction in workshops, seminars, training meetings, or other
410     educational programs whose purpose is to provide continuing professional development to
411     licensed barbers, cosmetologists/barbers, hair designers, estheticians, master estheticians,
412     electrologists, or nail technicians;
413          (8) a person enrolled in a licensed barber or cosmetology/barber school when
414     participating in an on the job training internship under the direct supervision of a licensed
415     barber or cosmetologist/barber upon completion of a basic program under the standards
416     established by rule by the division in collaboration with the board;
417          (9) a person enrolled in an approved apprenticeship pursuant to Section 58-11a-306;
418          (10) an employee of a company that is primarily engaged in the business of selling
419     products used in the practice of barbering, cosmetology/barbering, esthetics, master-level
420     esthetics, electrology, or nail technology when demonstrating the company's products to a
421     potential customer, provided the employee makes no representation to a potential customer that
422     attending such a demonstration will certify or qualify the attendee to perform a service for
423     compensation that requires licensure under this chapter;
424          (11) a person who:
425          (a) is qualified to engage in the practice of barbering, cosmetology/barbering, esthetics,
426     master-level esthetics, electrology, or nail technology in another jurisdiction as evidenced by
427     licensure, certification, or lawful practice in the other jurisdiction;
428          (b) is employed by, or under contract with, a motion picture company; and
429          (c) engages in the practice of barbering, cosmetology/barbering, esthetics, master-level
430     esthetics, electrology, or nail technology in the state:
431          (i) solely to assist in the production of a motion picture; and
432          (ii) for no more than 120 days per calendar year; and
433          (12) a person who:

434          (a) engages in hair braiding; and
435          (b) unless it is expressly exempted under this section or Section 58-1-307, does not
436     engage in other activity requiring licensure under this chapter.
437          Section 7. Section 58-11a-306 is amended to read:
438          58-11a-306. Apprenticeship.
439          (1) An approved barber apprenticeship shall:
440          (a) consist of not less than 1,250 hours of training in not less than eight months; and
441          (b) be conducted by a supervisor who:
442          (i) is licensed under this chapter as a barber instructor or a cosmetology/barber
443     instructor; and
444          (ii) provides one-on-one direct supervision of the barber apprentice during the
445     apprenticeship program.
446          (2) An approved cosmetologist/barber apprenticeship shall:
447          (a) consist of not less than 2,500 hours of training in not less than 15 months; and
448          (b) be conducted by a supervisor who:
449          (i) is licensed under this chapter as a cosmetologist/barber instructor; and
450          (ii) provides one-on-one direct supervision of the cosmetologist/barber apprentice
451     during the apprenticeship program.
452          (3) An approved esthetician apprenticeship shall:
453          (a) consist of not less than 800 hours of training in not less than five months; and
454          (b) be conducted by a supervisor who:
455          (i) is licensed under this chapter as an esthetician instructor; and
456          (ii) provides one-on-one direct supervision of the esthetician apprentice during the
457     apprenticeship program.
458          (4) An approved master esthetician apprenticeship shall:
459          (a) consist of not less than 1,500 hours of training in not less than 10 months; and
460          (b) be conducted by a supervisor who:

461          (i) is licensed under this chapter as a master-level esthetician instructor; and
462          (ii) provides one-on-one direct supervision of the master esthetician apprentice during
463     the apprenticeship program.
464          (5) An approved nail technician apprenticeship shall:
465          (a) consist of not less than 375 hours of training in not less than three months; and
466          (b) be conducted by a supervisor who:
467          (i) is licensed under this chapter as a nail technician instructor or a cosmetology/barber
468     instructor; [and]
469          (ii) provides [one-on-one] direct supervision of the nail technician apprentice during
470     the apprenticeship program[.]; and
471          (iii) provides direct supervision to no more than two nail technician apprentices during
472     the apprentice program.
473          (6) A person seeking to qualify for licensure by apprenticing in an approved
474     apprenticeship under this chapter shall:
475          (a) register with the division before beginning the training requirements by:
476          (i) submitting a form prescribed by the division, which includes the name of the
477     licensed supervisor; and
478          (ii) paying a fee determined by the department under Section 63J-1-504;
479          (b) complete the apprenticeship within five years of the date on which the division
480     approves the registration; and
481          (c) notify the division within 30 days if the licensed supervisor changes after the
482     registration is approved by the division.
483          (7) Notwithstanding Subsection (6), if a person seeking to qualify for licensure by
484     apprenticing in an approved apprenticeship under this chapter registers with the division before
485     January 1, 2017, any training requirements completed by the person as an apprentice in an
486     approved apprenticeship before registration may be applied to successful completion of the
487     approved apprenticeship.

488          Section 8. Section 58-11a-503 is amended to read:
489          58-11a-503. Penalties.
490          (1) Unless Subsection (2) applies, an individual who commits an act of unlawful
491     conduct under Section 58-11a-502 or who fails to comply with a citation issued under this
492     section after it is final is guilty of a class A misdemeanor.
493          (2) Sexual conduct that violates Section 58-11a-502 and Title 76, Utah Criminal Code,
494     shall be subject to the applicable penalties in Title 76, Utah Criminal Code.
495          (3) Grounds for immediate suspension of a licensee's license by the division include
496     the issuance of a citation for violation of Subsection 58-11a-502(1), (2), (4), (5), (6), or (7).
497          (4) (a) If upon inspection or investigation, the division concludes that a person has
498     violated the provisions of Subsection 58-11a-502(1), (2), (4), (5), (6), or (7), or a rule or order
499     issued with respect to Subsection 58-11a-502(1), (2), (4), (5), (6), or (7), and that disciplinary
500     action is appropriate, the director or the director's designee from within the division shall
501     promptly issue a citation to the person according to this chapter and any pertinent rules, attempt
502     to negotiate a stipulated settlement, or notify the person to appear before an adjudicative
503     proceeding conducted under Title 63G, Chapter 4, Administrative Procedures Act.
504          (i) A person who is in violation of Subsection 58-11a-502(1), (2), (4), (5), (6), or (7),
505     as evidenced by an uncontested citation, a stipulated settlement, or by a finding of violation in
506     an adjudicative proceeding, may be assessed a fine pursuant to this Subsection (4) and may, in
507     addition to or in lieu of, be ordered to cease and desist from violating Subsection
508     58-11a-502(1), (2), (4), (5), (6), or (7).
509          (ii) Except for a cease and desist order, the licensure sanctions cited in Section
510     58-11a-401 may not be assessed through a citation.
511          (b) (i) Each citation shall be in writing and describe with particularity the nature of the
512     violation, including a reference to the provision of the chapter, rule, or order alleged to have
513     been violated.
514          (ii) The citation shall clearly state that the recipient must notify the division in writing

515     within 20 calendar days of service of the citation if the recipient wishes to contest the citation
516     at a hearing conducted under Title 63G, Chapter 4, Administrative Procedures Act.
517          (iii) The citation shall clearly explain the consequences of failure to timely contest the
518     citation or to make payment of a fine assessed by the citation within the time specified in the
519     citation.
520          (c) Each citation issued under this section, or a copy of each citation, may be served
521     upon a person upon whom a summons may be served in accordance with the Utah Rules of
522     Civil Procedure and may be made personally or upon the person's agent by a division
523     investigator or by a person specially designated by the director or by mail.
524          (d) (i) If within 20 calendar days from the service of a citation, the person to whom the
525     citation was issued fails to request a hearing to contest the citation, the citation becomes the
526     final order of the division and is not subject to further agency review.
527          (ii) The period to contest a citation may be extended by the division for cause.
528          (e) The division may refuse to issue or renew, suspend, revoke, or place on probation
529     the license of a licensee who fails to comply with a citation after it becomes final.
530          (f) The failure of an applicant for licensure to comply with a citation after it becomes
531     final is a ground for denial of license.
532          (g) No citation may be issued under this section after the expiration of six months
533     following the occurrence of a violation.
534          (h) Fines shall be assessed by the director or the director's designee according to the
535     following:
536          (i) for a first offense under Subsection (4)(a), a fine of up to $1,000;
537          (ii) for a second offense under Subsection (4)(a), a fine of up to $2,000; and
538          (iii) for any subsequent offense under Subsection (4)(a), a fine of up to $2,000 for each
539     day of continued offense.
540          (i) (i) For purposes of issuing a final order under this section and assessing a fine under
541     Subsection (4)(h), an offense constitutes a second or subsequent offense if:

542          (A) the division previously issued a final order determining that a person committed a
543     first or second offense in violation of Subsection 58-11a-502(1), (2), (4), (5), (6), or (7); or
544          (B) (I) the division initiated an action for a first or second offense;
545          (II) no final order has been issued by the division in the action initiated under
546     Subsection (4)(i)(i)(B)(I);
547          (III) the division determines during an investigation that occurred after the initiation of
548     the action under Subsection (4)(i)(i)(B)(I) that the person committed a second or subsequent
549     violation of Subsection 58-11a-502(1), (2), (4), (5), (6), or (7); and
550          (IV) after determining that the person committed a second or subsequent offense under
551     Subsection (4)(i)(i)(B)(III), the division issues a final order on the action initiated under
552     Subsection (4)(i)(i)(B)(I).
553          (ii) In issuing a final order for a second or subsequent offense under Subsection
554     (4)(i)(i), the division shall comply with the requirements of this section.
555          (5) (a) A penalty imposed by the director under Subsection (4)(h) shall be deposited
556     into the Barber, Cosmetologist/Barber, Esthetician, Electrologist, and Nail Technician
557     Education and Enforcement Fund.
558          (b) A penalty which is not paid may be collected by the director by either:
559          (i) referring the matter to a collection agency; or
560          (ii) bringing an action in the district court of the county in which the person against
561     whom the penalty is imposed resides or in the county where the office of the director is located.
562          (c) A county attorney or the attorney general of the state [is to] shall provide legal
563     assistance and advice to the director in an action to collect [the] a penalty.
564          (d) A court shall award reasonable attorney fees and costs [in an action brought to
565     enforce the provisions of this section] to the prevailing party in an action brought by the
566     division to collect a penalty.
567          Section 9. Section 58-17b-307 is amended to read:
568          58-17b-307. Qualification for licensure -- Criminal background checks.

569          (1) An applicant for licensure under this chapter shall:
570          (a) submit fingerprint cards in a form acceptable to the division at the time the license
571     application is filed; and
572          (b) in accordance with this section and requirements established by rule made in
573     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, consent to a
574     fingerprint background check regarding the application conducted by the:
575          (i) Utah Bureau of Criminal Identification; and
576          (ii) Federal Bureau of Investigation.
577          [(2) The division shall request the Department of Public Safety to complete a Federal
578     Bureau of Investigation criminal background check for each applicant through the National
579     Criminal History System (NCIC) or any successor system.]
580          (2) The division shall:
581          (a) in addition to other fees authorized by this chapter, collect from each applicant
582     submitting fingerprints in accordance with this section the fee that the Bureau of Criminal
583     Identification is authorized to collect for the services provided under Section 53-10-108 and the
584     fee charged by the Federal Bureau of Investigation for fingerprint processing for the purpose of
585     obtaining federal criminal history record information;
586          (b) submit from each applicant the fingerprint card and the fees described in
587     Subsection (2)(a) to the Bureau of Criminal Identification; and
588          (c) obtain and retain in division records, a signed waiver approved by the Bureau of
589     Criminal Identification in accordance with Section 53-10-108 for each applicant.
590          (3) The Bureau of Criminal Identification shall, in accordance with the requirements of
591     Section 53-10-108:
592          (a) check the fingerprints submitted under Subsection (2)(b) against the applicable state
593     and regional criminal records databases;
594          (b) forward the fingerprints to the Federal Bureau of Investigation for a national
595     criminal history background check; and

596          (c) provide the results from the state, regional, and nationwide criminal history
597     background checks to the division.
598          [(3)] (4) For purposes of conducting the criminal background check required in
599     Subsection (1), the division shall have direct access to criminal background information
600     maintained under Title 53, Chapter 10, Part 2, Bureau of Criminal Identification.
601          [(4)] (5) (a) A new pharmacist, pharmacy intern, or pharmacy technician license issued
602     under this section is conditional, pending completion of the criminal background check.
603          (b) Notwithstanding Title 63G, Chapter 4, Administrative Procedures Act, if the
604     criminal background check required in Subsection (1), discloses the applicant has failed to
605     accurately disclose a criminal history, the license is immediately and automatically revoked
606     upon notice to the licensee by the division.
607          [(5)] (6) (a) A person whose conditional license has been revoked under Subsection
608     [(4)] (5) is entitled to a postrevocation hearing to challenge the revocation.
609          (b) The division shall conduct [the] a postrevocation hearing in accordance with Title
610     63G, Chapter 4, Administrative Procedures Act.
611          (7) The division may not disseminate outside of the division any criminal history
612     record information that the division obtains from the Bureau of Criminal Identification or the
613     Federal Bureau of Investigation under the criminal background check requirements of this
614     section.
615          Section 10. Section 58-17b-504 is amended to read:
616          58-17b-504. Penalty for unlawful or unprofessional conduct -- Fines -- Citations.
617          (1) Any person who violates any of the unlawful conduct provisions of Subsection
618     58-1-501(1)(a)(i) and Subsections 58-17b-501(7) and (11) is guilty of a third degree felony.
619          (2) Any person who violates any of the unlawful conduct provisions of Subsection
620     58-1-501(1)(a)(ii), Subsections 58-1-501(1)(b) through (e), and Section 58-17b-501, except
621     Subsections 58-17b-501(7) and (11), is guilty of a class A misdemeanor.
622          (3) (a) Subject to Subsection (5) and in accordance with Section 58-17b-401, for acts

623     of unprofessional or unlawful conduct, the division may:
624          (i) assess administrative penalties; and
625          (ii) take any other appropriate administrative action.
626          (b) An administrative penalty imposed pursuant to this section shall be deposited in the
627     General Fund as a dedicated credit to be used by the division for pharmacy licensee education
628     and enforcement as provided in Section 58-17b-505.
629          (4) If a licensee has been convicted of violating Section 58-17b-501 prior to an
630     administrative finding of a violation of the same section, the licensee may not be assessed an
631     administrative fine under this chapter for the same offense for which the conviction was
632     obtained.
633          (5) (a) If upon inspection or investigation, the division concludes that a person has
634     violated the provisions of Section 58-17b-501 or 58-17b-502, Chapter 37, Utah Controlled
635     Substances Act, Chapter 37f, Controlled Substance Database Act, Chapter 1, Division of
636     Occupational and Professional Licensing Act, or any rule or order issued with respect to these
637     provisions, and that disciplinary action is appropriate, the director or the director's designee
638     from within the division shall promptly issue a citation to the person according to this chapter
639     and any pertinent rules, attempt to negotiate a stipulated settlement, or notify the person to
640     appear before an adjudicative proceeding conducted under Title 63G, Chapter 4,
641     Administrative Procedures Act.
642          (b) Any person who is in violation of the provisions of Section 58-17b-501 or
643     58-17b-502, Chapter 37, Utah Controlled Substances Act, Chapter 37f, Controlled Substance
644     Database Act, Chapter 1, Division of Occupational and Professional Licensing Act, or any rule
645     or order issued with respect to these provisions, as evidenced by an uncontested citation, a
646     stipulated settlement, or a finding of violation in an adjudicative proceeding, may be assessed a
647     fine pursuant to this Subsection (5) of up to $10,000 per single violation or up to $2,000 per
648     day of ongoing violation, whichever is greater, in accordance with a fine schedule established
649     by rule, and may, in addition to or in lieu of, be ordered to cease and desist from violating the

650     provisions of Section 58-17b-501 or 58-17b-502, Chapter 37, Utah Controlled Substances Act,
651     Chapter 1, Division of Occupational and Professional Licensing Act, or any rule or order issued
652     with respect to these provisions.
653          (c) Except for an administrative fine and a cease and desist order, the licensure
654     sanctions cited in Section 58-17b-401 may not be assessed through a citation.
655          (d) Each citation shall be in writing and specifically describe with particularity the
656     nature of the violation, including a reference to the provision of the chapter, rule, or order
657     alleged to have been violated. The citation shall clearly state that the recipient must notify the
658     division in writing within 20 calendar days of service of the citation in order to contest the
659     citation at a hearing conducted under Title 63G, Chapter 4, Administrative Procedures Act.
660     The citation shall clearly explain the consequences of failure to timely contest the citation or to
661     make payment of any fines assessed by the citation within the time specified in the citation.
662          (e) Each citation issued under this section, or a copy of each citation, may be served
663     upon any person upon whom a summons may be served:
664          (i) in accordance with the Utah Rules of Civil Procedure;
665          (ii) personally or upon the person's agent by a division investigator or by any person
666     specially designated by the director; or
667          (iii) by mail.
668          (f) If within 20 calendar days from the service of a citation, the person to whom the
669     citation was issued fails to request a hearing to contest the citation, the citation becomes the
670     final order of the division and is not subject to further agency review. The period to contest the
671     citation may be extended by the division for cause.
672          (g) The division may refuse to issue or renew, suspend, revoke, or place on probation
673     the license of a licensee who fails to comply with the citation after it becomes final.
674          (h) The failure of an applicant for licensure to comply with a citation after it becomes
675     final is a ground for denial of license.
676          (i) No citation may be issued under this section after the expiration of six months

677     following the occurrence of any violation.
678          (6) (a) The director may collect a penalty that is not paid by:
679          (i) referring the matter to a collection agency; or
680          (ii) bringing an action in the district court of the county where the person against whom
681     the penalty is imposed resides or in the county where the office of the director is located.
682          (b) A county attorney or the attorney general of the state shall provide legal assistance
683     and advice to the director in an action to collect a penalty.
684          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
685     action brought by the division to collect a penalty.
686          Section 11. Section 58-22-503 is amended to read:
687          58-22-503. Penalties and administrative actions for unlawful or unprofessional
688     conduct.
689          (1) (a) If upon inspection or investigation, the division concludes that a person has
690     violated Section 58-1-501, 58-22-501 , or 58-22-502.5, or any rule or order issued with respect
691     to Section 58-22-501 or 58-22-502.5 , and that disciplinary action is appropriate, the director or
692     the director's designee from within the division for each alternative respectively, shall promptly
693     issue a citation to the person according to this chapter and any pertinent rules, attempt to
694     negotiate a stipulated settlement, or notify the person to appear before an adjudicative
695     proceeding conducted under Title 63G, Chapter 4, Administrative Procedures Act.
696          (i) A person who violates Section 58-1-501, 58-22-501 , or 58-22-502.5, or any rule or
697     order issued with respect to Section 58-22-501 or 58-22-502.5 , as evidenced by an uncontested
698     citation, a stipulated settlement, or by a finding of violation in an adjudicative proceeding, may
699     be assessed a fine pursuant to this Subsection (1) and may, in addition to or in lieu of, be
700     ordered to cease and desist from violating Section 58-1-501, 58-22-501, or 58-22-502.5, or
701     any rule or order issued with respect to this section.
702          (ii) Except for a cease and desist order, the licensure sanctions cited in Section
703     58-22-401 may not be assessed through a citation.

704          (b) A citation shall:
705          (i) be in writing;
706          (ii) describe with particularity the nature of the violation, including a reference to the
707     provision of the chapter, rule, or order alleged to have been violated;
708          (iii) clearly state that the recipient must notify the division in writing within 20
709     calendar days of service of the citation if the recipient wishes to contest the citation at a hearing
710     conducted under Title 63G, Chapter 4, Administrative Procedures Act; and
711          (iv) clearly explain the consequences of failure to timely contest the citation or to make
712     payment of any fines assessed by the citation within the time specified in the citation.
713          (c) The division may issue a notice in lieu of a citation.
714          (d) Each citation issued under this section, or a copy of each citation, may be served
715     upon a person upon whom a summons may be served in accordance with the Utah Rules of
716     Civil Procedure and may be made personally or upon the person's agent by a division
717     investigator or by any person specially designated by the director or by mail.
718          (e) If within 20 calendar days from the service of the citation, the person to whom the
719     citation was issued fails to request a hearing to contest the citation, the citation becomes the
720     final order of the division and is not subject to further agency review. The period to contest a
721     citation may be extended by the division for cause.
722          (f) The division may refuse to issue or renew, suspend, revoke, or place on probation
723     the license of a licensee who fails to comply with a citation after it becomes final.
724          (g) The failure of an applicant for licensure to comply with a citation after it becomes
725     final is a ground for denial of license.
726          (h) No citation may be issued under this section after the expiration of six months
727     following the occurrence of any violation.
728          (i) The director or the director's designee shall assess fines according to the following:
729          (i) for a first offense handled pursuant to Subsection (1)(a), a fine of up to $1,000;
730          (ii) for a second offense handled pursuant to Subsection (1)(a), a fine of up to $2,000;

731     and
732          (iii) for any subsequent offense handled pursuant to Subsection (1)(a), a fine of up to
733     $2,000 for each day of continued offense.
734          (2) An action initiated for a first or second offense which has not yet resulted in a final
735     order of the division shall not preclude initiation of any subsequent action for a second or
736     subsequent offense during the pendency of any preceding action. The final order on a
737     subsequent action shall be considered a second or subsequent offense, respectively, provided
738     the preceding action resulted in a first or second offense, respectively.
739          [(3) Any penalty which is not paid may be collected by the director by either referring
740     the matter to a collection agency or bringing an action in the district court of the county in
741     which the person against whom the penalty is imposed resides or in the county where the office
742     of the director is located. Any county attorney or the attorney general of the state shall provide
743     legal assistance and advice to the director in any action to collect the penalty. In any action
744     brought to enforce the provisions of this section, reasonable attorney's fees and costs shall be
745     awarded to the division.]
746          (3) (a) The director may collect a penalty that is not paid by:
747          (i) referring the matter to a collection agency; or
748          (ii) bringing an action in the district court of the county where the person against whom
749     the penalty is imposed resides or in the county where the office of the director is located.
750          (b) A county attorney or the attorney general of the state shall provide legal assistance
751     and advice to the director in an action to collect a penalty.
752          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
753     action brought by the division to collect a penalty.
754          Section 12. Section 58-24b-302 is amended to read:
755          58-24b-302. Licensure.
756          (1) An applicant for a license as a physical therapist shall:
757          (a) be of good moral character;

758          (b) complete the application process, including payment of fees;
759          (c) submit proof of graduation from a professional physical therapist education
760     program that is accredited by a recognized accreditation agency;
761          (d) after complying with Subsection (1)(c), pass a licensing examination;
762          (e) be able to read, write, speak, understand, and be understood in the English language
763     and demonstrate proficiency to the satisfaction of the board if requested by the board; [and]
764          (f) if the applicant is applying to participate in the Physical Therapy Licensure
765     Compact under Chapter 24c, Physical Therapy Licensure Compact, consent to a criminal
766     background check in accordance with Section 58-24b-302.1 and any requirements established
767     by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
768     and
769          [(f)] (g) meet any other requirements established by the division, by rule made in
770     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
771          (2) An applicant for a license as a physical therapist assistant shall:
772          (a) be of good moral character;
773          (b) complete the application process, including payment of fees set by the division, in
774     accordance with Section 63J-1-504, to recover the costs of administering the licensing
775     requirements relating to physical therapist assistants;
776          (c) submit proof of graduation from a physical therapist assistant education program
777     that is accredited by a recognized accreditation agency;
778          (d) after complying with Subsection (2)(c), pass a licensing examination approved by
779     division rule made in collaboration with the board and in accordance with Title 63G, Chapter
780     3, Utah Administrative Rulemaking Act;
781          (e) be able to read, write, speak, understand, and be understood in the English language
782     and demonstrate proficiency to the satisfaction of the board if requested by the board;
783          (f) submit to, and pass, a criminal background check, in accordance with Section
784     58-24b-302.1 and standards established by rule made in accordance with Title 63G, Chapter 3,

785     Utah Administrative Rulemaking Act; and
786          (g) meet any other requirements established by the division, by rule made in
787     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
788          (3) An applicant for a license as a physical therapist who is educated outside of the
789     United States shall:
790          (a) be of good moral character;
791          (b) complete the application process, including payment of fees;
792          (c) (i) provide satisfactory evidence that the applicant graduated from a professional
793     physical therapist education program that is accredited by a recognized accreditation agency; or
794          (ii) (A) provide satisfactory evidence that the applicant graduated from a physical
795     therapist education program that prepares the applicant to engage in the practice of physical
796     therapy, without restriction;
797          (B) provide satisfactory evidence that the education program described in Subsection
798     (3)(c)(ii)(A) is recognized by the government entity responsible for recognizing a physical
799     therapist education program in the country where the program is located; and
800          (C) pass a credential evaluation to ensure that the applicant has satisfied uniform
801     educational requirements;
802          (d) after complying with Subsection (3)(c), pass a licensing examination;
803          (e) be able to read, write, speak, understand, and be understood in the English language
804     and demonstrate proficiency to the satisfaction of the board if requested by the board; [and]
805          (f) if the applicant is applying to participate in the Physical Therapy Licensure
806     Compact under Chapter 24c, Physical Therapy Licensure Compact, consent to a criminal
807     background check in accordance with Section 58-24b-302.1 and any requirements established
808     by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
809     and
810          [(f)] (g) meet any other requirements established by the division, by rule made in
811     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.

812          (4) The division shall issue a license to a person who holds a current unrestricted
813     license to practice physical therapy in a state, district, or territory of the United States of
814     America, other than Utah, if the person:
815          (a) is of good moral character;
816          (b) completes the application process, including payment of fees; [and]
817          (c) is able to read, write, speak, understand, and be understood in the English language
818     and demonstrate proficiency to the satisfaction of the board if requested by the board[.];
819          (d) if the applicant is applying to participate in the Physical Therapy Licensure
820     Compact under Chapter 24c, Physical Therapy Licensure Compact, consents to a criminal
821     background check in accordance with Section 58-24b-302.1 and any requirements established
822     by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
823     and
824          (e) meets any other requirements established by the division, by rule made in
825     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
826          (5) (a) Notwithstanding Subsection 58-1-307(1)(c), an individual may not engage in an
827     internship in physical therapy, unless the person is:
828          (i) certified by the division; or
829          (ii) exempt from licensure under Section 58-24b-304.
830          (b) The provisions of Subsection (5)(a) apply, regardless of whether the individual is
831     participating in the supervised clinical training program for the purpose of becoming a physical
832     therapist or a physical therapist assistant.
833          Section 13. Section 58-24b-302.1 is enacted to read:
834          58-24b-302.1. Criminal background check.
835          (1) An applicant for licensure under this chapter who requires a criminal background
836     check shall:
837          (a) submit fingerprint cards in a form acceptable to the division at the time the license
838     application is filed; and

839          (b) consent to a fingerprint background check conducted by the Bureau of Criminal
840     Identification and the Federal Bureau of Investigation regarding the application.
841          (2) The division shall:
842          (a) in addition to other fees authorized by this chapter, collect from each applicant
843     submitting fingerprints in accordance with this section the fee that the Bureau of Criminal
844     Identification is authorized to collect for the services provided under Section 53-10-108 and the
845     fee charged by the Federal Bureau of Investigation for fingerprint processing for the purpose of
846     obtaining federal criminal history record information;
847          (b) submit from each applicant the fingerprint card and the fees described in
848     Subsection (2)(a) to the Bureau of Criminal Identification; and
849          (c) obtain and retain in division records a signed waiver approved by the Bureau of
850     Criminal Identification in accordance with Section 53-10-108 for each applicant.
851          (3) The Bureau of Criminal Identification shall, in accordance with the requirements of
852     Section 53-10-108:
853          (a) check the fingerprints submitted under Subsection (2)(b) against the applicable state
854     and regional criminal records databases;
855          (b) forward the fingerprints to the Federal Bureau of Investigation for a national
856     criminal history background check; and
857          (c) provide the results from the state, regional, and nationwide criminal history
858     background checks to the division.
859          (4) For purposes of conducting a criminal background check required under this
860     section, the division shall have direct access to criminal background information maintained
861     under Title 53, Chapter 10, Part 2, Bureau of Criminal Identification.
862          (5) The division may not disseminate outside of the division any criminal history
863     record information that the division obtains from the Bureau of Criminal Identification or the
864     Federal Bureau of Investigation under the criminal background check requirements of this
865     section.

866          (6) (a) A new physical therapist assistant license issued under Subsection
867     58-24b-302(2) is conditional pending completion of the criminal background check.
868          (b) Notwithstanding Title 63G, Chapter 4, Administrative Procedures Act, if the
869     criminal background check required in Subsection 58-24b-302(2) demonstrates the applicant
870     has failed to accurately disclose a criminal history, the license is immediately and automatically
871     revoked upon notice to the licensee by the division.
872          (c) A person whose conditional license has been revoked under Subsection (6)(b) is
873     entitled to a postrevocation hearing to challenge the revocation.
874          (d) The division shall conduct a postrevocation hearing in accordance with Title 63G,
875     Chapter 4, Administrative Procedures Act.
876          (7) The division may not issue a letter of qualification to participate in the Physical
877     Therapy Licensure Compact until the criminal background check described in this section is
878     completed.
879          Section 14. Section 58-24b-303 is amended to read:
880          58-24b-303. Term of license -- Renewal -- Temporary license for physical
881     therapist assistant.
882          (1) A license issued under this chapter shall be issued in accordance with a two-year
883     renewal cycle established by rule. The division may, by rule, extend or shorten a license
884     renewal process by one year in order to stagger the renewal cycles that the division administers.
885          (2) At the time of license renewal, the licensee shall provide satisfactory evidence that
886     the licensee completed continuing education competency requirements, established by the
887     division, by rule.
888          (3) If a license renewal cycle is shortened or extended under Subsection (1), the
889     division shall increase or reduce the required continuing education competency requirements
890     accordingly.
891          (4) A license issued under this chapter expires on the expiration date indicated on the
892     license, unless the license is renewed under this section.

893          [(5) Notwithstanding any other provision of this chapter, the division may, by rule,
894     grant a temporary license, that expires on July 1, 2014, as a physical therapist assistant to an
895     individual who:]
896          [(a) was working as a physical therapist assistant in Utah before July 1, 2009; and]
897          [(b) complies with the requirements described in Subsections 58-24b-302(2)(a), (b),
898     (c), (e), and (f).]
899          Section 15. Section 58-28-503 is amended to read:
900          58-28-503. Penalty for unlawful or unprofessional conduct.
901          (1) Any person who violates the unlawful conduct provisions of Section 58-28-501 is
902     guilty of a third degree felony.
903          (2) After proceeding pursuant to Title 63G, Chapter 4, Administrative Procedures Act,
904     and Chapter 1, Division of Occupational and Professional Licensing Act, the division may
905     impose administrative penalties of up to $10,000 for acts of unprofessional conduct or
906     unlawful conduct under this chapter.
907          (3) Assessment of a penalty under this section does not affect any other action the
908     division is authorized to take regarding a license issued under this chapter.
909          (4) (a) The director may collect a penalty that is not paid by:
910          (i) referring the matter to a collection agency; or
911          (ii) bringing an action in the district court of the county where the person against whom
912     the penalty is imposed resides or in the county where the office of the director is located.
913          (b) A county attorney or the attorney general of the state shall provide legal assistance
914     and advice to the director in an action to collect a penalty.
915          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
916     action brought by the division to collect a penalty.
917          Section 16. Section 58-31b-201 is amended to read:
918          58-31b-201. Board.
919          (1) There is created the Board of Nursing that consists of the following 11 members:

920          (a) nine nurses in a manner as may be further defined in division rule; and
921          (b) two members of the public.
922          (2) The board shall be appointed and serve in accordance with Section 58-1-201.
923          (3) The board shall carry out the duties and responsibilities in Sections 58-1-202 and
924     58-1-203 and shall:
925          (a) (i) recommend to the division minimum standards for educational programs
926     qualifying a person for licensure or certification under this chapter;
927          (ii) recommend to the division denial, approval, or withdrawal of approval regarding
928     educational programs that meet or fail to meet the established minimum standards; and
929          (iii) designate one of its members on a permanent or rotating basis to:
930          (A) assist the division in reviewing complaints concerning the unlawful or
931     unprofessional conduct of a licensee; and
932          (B) advise the division in its investigation of these complaints.
933          (b) A board member who has, under Subsection (3)(a)(iii), reviewed a complaint or
934     advised in its investigation may be disqualified from participating with the board when the
935     board serves as a presiding officer in an adjudicative proceeding concerning the complaint.
936          [(4) (a) The director shall appoint an individual to serve as an ex officio member of the
937     Board of Nursing to represent the position of the division in matters considered by the board.]
938          [(b) The ex officio member shall be a licensed registered nurse, shall have earned a
939     masters degree in nursing, and shall have a minimum of five years of experience working in
940     nursing administration or nursing education.]
941          Section 17. Section 58-31b-302 is amended to read:
942          58-31b-302. Qualifications for licensure or certification -- Criminal background
943     checks.
944          (1) An applicant for certification as a medication aide shall:
945          (a) submit an application to the division on a form prescribed by the division;
946          (b) pay a fee to the division as determined under Section 63J-1-504;

947          (c) have a high school diploma or its equivalent;
948          (d) have a current certification as a nurse aide, in good standing, from the Department
949     of Health;
950          (e) have a minimum of 2,000 hours of experience within the two years prior to
951     application, working as a certified nurse aide in a long-term care facility;
952          (f) obtain letters of recommendation from a long-term care facility administrator and
953     one licensed nurse familiar with the applicant's work practices as a certified nurse aide;
954          (g) be in a condition of physical and mental health that will permit the applicant to
955     practice safely as a medication aide certified;
956          (h) have completed an approved education program or an equivalent as determined by
957     the division in collaboration with the board;
958          (i) have passed the examinations as required by division rule made in collaboration
959     with the board; and
960          (j) meet with the board, if requested, to determine the applicant's qualifications for
961     certification.
962          (2) An applicant for licensure as a licensed practical nurse shall:
963          (a) submit to the division an application in a form prescribed by the division;
964          (b) pay to the division a fee determined under Section 63J-1-504;
965          (c) have a high school diploma or its equivalent;
966          (d) be in a condition of physical and mental health that will permit the applicant to
967     practice safely as a licensed practical nurse;
968          (e) have completed an approved practical nursing education program or an equivalent
969     as determined by the board;
970          (f) have passed the examinations as required by division rule made in collaboration
971     with the board; and
972          (g) meet with the board, if requested, to determine the applicant's qualifications for
973     licensure.

974          (3) An applicant for licensure as a registered nurse shall:
975          (a) submit to the division an application form prescribed by the division;
976          (b) pay to the division a fee determined under Section 63J-1-504;
977          (c) have a high school diploma or its equivalent;
978          (d) be in a condition of physical and mental health that will allow the applicant to
979     practice safely as a registered nurse;
980          (e) have completed an approved registered nursing education program;
981          (f) have passed the examinations as required by division rule made in collaboration
982     with the board; and
983          (g) meet with the board, if requested, to determine the applicant's qualifications for
984     licensure.
985          (4) Applicants for licensure as an advanced practice registered nurse shall:
986          (a) submit to the division an application on a form prescribed by the division;
987          (b) pay to the division a fee determined under Section 63J-1-504;
988          (c) be in a condition of physical and mental health which will allow the applicant to
989     practice safely as an advanced practice registered nurse;
990          (d) hold a current registered nurse license in good standing issued by the state or be
991     qualified at the time for licensure as a registered nurse;
992          (e) (i) have earned a graduate degree in:
993          (A) an advanced practice registered nurse nursing education program; or
994          (B) a related area of specialized knowledge as determined appropriate by the division
995     in collaboration with the board; or
996          (ii) have completed a nurse anesthesia program in accordance with Subsection
997     (4)(f)(ii);
998          (f) have completed:
999          (i) course work in patient assessment, diagnosis and treatment, and
1000     pharmacotherapeutics from an education program approved by the division in collaboration

1001     with the board; or
1002          (ii) a nurse anesthesia program which is approved by the Council on Accreditation of
1003     Nurse Anesthesia Educational Programs;
1004          (g) to practice within the psychiatric mental health nursing specialty, demonstrate, as
1005     described in division rule, that the applicant, after completion of a doctorate or master's degree
1006     required for licensure, is in the process of completing the applicant's clinical practice
1007     requirements in psychiatric mental health nursing, including in psychotherapy;
1008          (h) have passed the examinations as required by division rule made in collaboration
1009     with the board;
1010          (i) be currently certified by a program approved by the division in collaboration with
1011     the board and submit evidence satisfactory to the division of the certification; and
1012          (j) meet with the board, if requested, to determine the applicant's qualifications for
1013     licensure.
1014          (5) For each applicant for licensure or certification under this chapter:
1015          (a) the applicant shall:
1016          (i) submit fingerprint cards in a form acceptable to the division at the time the
1017     application is filed; and
1018          (ii) consent to a fingerprint background check conducted by the [Utah] Bureau of
1019     Criminal Identification and the Federal Bureau of Investigation regarding the application; [and]
1020          [(b) the division shall request the Department of Public Safety to complete a Federal
1021     Bureau of Investigation criminal background check through the national criminal history
1022     system (NCIC) or any successor system.]
1023          (b) the division shall:
1024          (i) in addition to other fees authorized by this chapter, collect from each applicant
1025     submitting fingerprints in accordance with this section the fee that the Bureau of Criminal
1026     Identification is authorized to collect for the services provided under Section 53-10-108 and the
1027     fee charged by the Federal Bureau of Investigation for fingerprint processing for the purpose of

1028     obtaining federal criminal history record information;
1029          (ii) submit from each applicant the fingerprint card and the fees described in this
1030     Subsection (5)(b) to the Bureau of Criminal Identification; and
1031          (iii) obtain and retain in division records a signed waiver approved by the Bureau of
1032     Criminal Identification in accordance with Section 53-10-108 for each applicant; and
1033          (c) the Bureau of Criminal Identification shall, in accordance with the requirements of
1034     Section 53-10-108:
1035          (i) check the fingerprints submitted under Subsection (5)(b) against the applicable state
1036     and regional criminal records databases;
1037          (ii) forward the fingerprints to the Federal Bureau of Investigation for a national
1038     criminal history background check; and
1039          (iii) provide the results from the state, regional, and nationwide criminal history
1040     background checks to the division.
1041          (6) For purposes of conducting the criminal background checks required in Subsection
1042     (5), the division shall have direct access to criminal background information maintained
1043     pursuant to Title 53, Chapter 10, Part 2, Bureau of Criminal Identification.
1044          (7) (a) (i) Any new nurse license or certification issued under this section shall be
1045     conditional, pending completion of the criminal background check.
1046          (ii) [If] Notwithstanding Title 63G, Chapter 4, Administrative Procedures Act, if the
1047     criminal background check discloses the applicant has failed to accurately disclose a criminal
1048     history, the license or certification shall be immediately and automatically revoked upon notice
1049     to the licensee by the division.
1050          (b) (i) [Any] A person whose conditional license or certification has been revoked
1051     under Subsection (7)(a) [shall be] is entitled to a postrevocation hearing to challenge the
1052     revocation.
1053          (ii) [The] A postrevocation hearing shall be conducted in accordance with Title 63G,
1054     Chapter 4, Administrative Procedures Act.

1055          (8) [(a)] If a person has been charged with a violent felony, as defined in Subsection
1056     76-3-203.5(1)(c), and, as a result, the person has been convicted, entered a plea of guilty or
1057     nolo contendere, or entered a plea of guilty or nolo contendere held in abeyance pending the
1058     successful completion of probation[: (i)], the person is disqualified for licensure under this
1059     chapter[;] and:
1060          [(ii) (A)] (a) if the person is licensed under this chapter, the division:
1061          [(I)] (i) shall act upon the license as required under Section 58-1-401; and
1062          [(II)] (ii) may not renew or subsequently issue a license to the person under this
1063     chapter; and
1064          [(B)] (b) if the person is not licensed under this chapter, the division may not issue a
1065     license to the person under this chapter.
1066          [(b)] (9) If a person has been charged with a felony other than a violent felony, as
1067     defined in Subsection 76-3-203.5(1)(c), and, as a result, the person has been convicted, entered
1068     a plea of guilty or nolo contendere, or entered a plea of guilty or nolo contendere held in
1069     abeyance pending the successful completion of probation[: (i) if the person is licensed under
1070     this chapter], the division shall determine whether the felony disqualifies the person for
1071     licensure under this chapter and act upon the license, as required, in accordance with Section
1072     58-1-401[; and].
1073          [(ii) if the person is not licensed under this chapter, the person may not file an
1074     application for licensure under this chapter any sooner than five years after having completed
1075     the conditions of the sentence or plea agreement.]
1076          (10) The division may not disseminate outside of the division any criminal history
1077     record information that the division obtains from the Bureau of Criminal Identification or the
1078     Federal Bureau of Investigation under the criminal background check requirements of this
1079     section.
1080          Section 18. Section 58-31b-503 is amended to read:
1081          58-31b-503. Penalties and administrative actions for unlawful conduct and

1082     unprofessional conduct.
1083          (1) Any person who violates the unlawful conduct provision specifically defined in
1084     Subsection 58-1-501(1)(a) is guilty of a third degree felony.
1085          (2) Any person who violates any of the unlawful conduct provisions specifically
1086     defined in Subsections 58-1-501(1)(b) through (f) and 58-31b-501(1)(d) is guilty of a class A
1087     misdemeanor.
1088          (3) Any person who violates any of the unlawful conduct provisions specifically
1089     defined in this chapter and not set forth in Subsection (1) or (2) is guilty of a class B
1090     misdemeanor.
1091          (4) (a) Subject to Subsection (6) and in accordance with Section 58-31b-401, for acts
1092     of unprofessional or unlawful conduct, the division may:
1093          (i) assess administrative penalties; and
1094          (ii) take any other appropriate administrative action.
1095          (b) An administrative penalty imposed pursuant to this section shall be deposited in the
1096     "Nurse Education and Enforcement Account" as provided in Section 58-31b-103.
1097          (5) If a licensee has been convicted of violating Section 58-31b-501 prior to an
1098     administrative finding of a violation of the same section, the licensee may not be assessed an
1099     administrative fine under this chapter for the same offense for which the conviction was
1100     obtained.
1101          (6) (a) If upon inspection or investigation, the division concludes that a person has
1102     violated the provisions of Section 58-31b-401, 58-31b-501, or 58-31b-502, Chapter 1, Division
1103     of Occupational and Professional Licensing Act, Chapter 37, Utah Controlled Substances Act,
1104     or any rule or order issued with respect to these provisions, and that disciplinary action is
1105     appropriate, the director or the director's designee from within the division shall:
1106          (i) promptly issue a citation to the person according to this chapter and any pertinent
1107     administrative rules;
1108          (ii) attempt to negotiate a stipulated settlement; or

1109          (iii) notify the person to appear before an adjudicative proceeding conducted under
1110     Title 63G, Chapter 4, Administrative Procedures Act.
1111          (b) Any person who is in violation of a provision described in Subsection (6)(a), as
1112     evidenced by an uncontested citation, a stipulated settlement, or a finding of violation in an
1113     adjudicative proceeding may be assessed a fine:
1114          (i) pursuant to this Subsection (6) of up to $10,000 per single violation or up to $2,000
1115     per day of ongoing violation, whichever is greater, in accordance with a fine schedule
1116     established by rule; and
1117          (ii) in addition to or in lieu of the fine imposed under Subsection (6)(b)(i), be ordered
1118     to cease and desist from violating a provision of Sections 58-31b-501 and 58-31b-502, Chapter
1119     1, Division of Occupational and Professional Licensing Act, Chapter 37, Utah Controlled
1120     Substances Act, or any rule or order issued with respect to those provisions.
1121          (c) Except for an administrative fine and a cease and desist order, the licensure
1122     sanctions cited in Section 58-31b-401 may not be assessed through a citation.
1123          (d) Each citation issued under this section shall:
1124          (i) be in writing; and
1125          (ii) clearly describe or explain:
1126          (A) the nature of the violation, including a reference to the provision of the chapter,
1127     rule, or order alleged to have been violated;
1128          (B) that the recipient must notify the division in writing within 20 calendar days of
1129     service of the citation in order to contest the citation at a hearing conducted under Title 63G,
1130     Chapter 4, Administrative Procedures Act; and
1131          (C) the consequences of failure to timely contest the citation or to make payment of
1132     any fines assessed by the citation within the time specified in the citation; and
1133          (iii) be served upon any person upon whom a summons may be served:
1134          (A) in accordance with the Utah Rules of Civil Procedure;
1135          (B) personally or upon the person's agent by a division investigator or by any person

1136     specially designated by the director; or
1137          (C) by mail.
1138          (e) If within 20 calendar days from the service of a citation, the person to whom the
1139     citation was issued fails to request a hearing to contest the citation, the citation becomes the
1140     final order of the division and is not subject to further agency review. The period to contest the
1141     citation may be extended by the division for cause.
1142          (f) The division may refuse to issue or renew, suspend, revoke, or place on probation
1143     the license of a licensee who fails to comply with the citation after it becomes final.
1144          (g) The failure of an applicant for licensure to comply with a citation after it becomes
1145     final is a ground for denial of license.
1146          (h) No citation may be issued under this section after the expiration of six months
1147     following the occurrence of any violation.
1148          (7) (a) The director may collect a penalty that is not paid by:
1149          (i) referring the matter to a collection agency; or
1150          (ii) bringing an action in the district court of the county where the person against whom
1151     the penalty is imposed resides or in the county where the office of the director is located.
1152          (b) A county attorney or the attorney general of the state shall provide legal assistance
1153     and advice to the director in an action to collect a penalty.
1154          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
1155     action brought by the division to collect a penalty.
1156          Section 19. Section 58-37-6 is amended to read:
1157          58-37-6. License to manufacture, produce, distribute, dispense, administer, or
1158     conduct research -- Issuance by division -- Denial, suspension, or revocation -- Records
1159     required -- Prescriptions.
1160          (1) (a) The division may adopt rules relating to the licensing and control of the
1161     manufacture, distribution, production, prescription, administration, dispensing, conducting of
1162     research with, and performing of laboratory analysis upon controlled substances within this

1163     state.
1164          (b) The division may assess reasonable fees to defray the cost of issuing original and
1165     renewal licenses under this chapter pursuant to Section 63J-1-504.
1166          (2) (a) (i) Every person who manufactures, produces, distributes, prescribes, dispenses,
1167     administers, conducts research with, or performs laboratory analysis upon any controlled
1168     substance in Schedules I through V within this state, or who proposes to engage in
1169     manufacturing, producing, distributing, prescribing, dispensing, administering, conducting
1170     research with, or performing laboratory analysis upon controlled substances included in
1171     Schedules I through V within this state shall obtain a license issued by the division.
1172          (ii) The division shall issue each license under this chapter in accordance with a
1173     two-year renewal cycle established by rule. The division may by rule extend or shorten a
1174     renewal period by as much as one year to stagger the renewal cycles it administers.
1175          (b) Persons licensed to manufacture, produce, distribute, prescribe, dispense,
1176     administer, conduct research with, or perform laboratory analysis upon controlled substances in
1177     Schedules I through V within this state may possess, manufacture, produce, distribute,
1178     prescribe, dispense, administer, conduct research with, or perform laboratory analysis upon
1179     those substances to the extent authorized by their license and in conformity with this chapter.
1180          (c) The following persons are not required to obtain a license and may lawfully possess
1181     controlled substances included in Schedules II through V under this section:
1182          (i) an agent or employee, except a sales representative, of any registered manufacturer,
1183     distributor, or dispenser of any controlled substance, if the agent or employee is acting in the
1184     usual course of the person's business or employment; however, nothing in this subsection shall
1185     be interpreted to permit an agent, employee, sales representative, or detail man to maintain an
1186     inventory of controlled substances separate from the location of the person's employer's
1187     registered and licensed place of business;
1188          (ii) a motor carrier or warehouseman, or an employee of a motor carrier or
1189     warehouseman, who possesses any controlled substance in the usual course of the person's

1190     business or employment; and
1191          (iii) an ultimate user, or any person who possesses any controlled substance pursuant to
1192     a lawful order of a practitioner.
1193          (d) The division may enact rules waiving the license requirement for certain
1194     manufacturers, producers, distributors, prescribers, dispensers, administrators, research
1195     practitioners, or laboratories performing analysis if consistent with the public health and safety.
1196          (e) A separate license is required at each principal place of business or professional
1197     practice where the applicant manufactures, produces, distributes, dispenses, conducts research
1198     with, or performs laboratory analysis upon controlled substances.
1199          (f) The division may enact rules providing for the inspection of a licensee or applicant's
1200     establishment, and may inspect the establishment according to those rules.
1201          (3) (a) (i) Upon proper application, the division shall license a qualified applicant to
1202     manufacture, produce, distribute, conduct research with, or perform laboratory analysis upon
1203     controlled substances included in Schedules I through V, unless it determines that issuance of a
1204     license is inconsistent with the public interest.
1205          (ii) The division may not issue a license to any person to prescribe, dispense, or
1206     administer a Schedule I controlled substance except under Subsection (3)(a)(i).
1207          (iii) In determining public interest under this Subsection (3)(a), the division shall
1208     consider whether or not the applicant has:
1209          (A) maintained effective controls against diversion of controlled substances and any
1210     Schedule I or II substance compounded from any controlled substance into other than
1211     legitimate medical, scientific, or industrial channels;
1212          (B) complied with applicable state and local law;
1213          (C) been convicted under federal or state laws relating to the manufacture, distribution,
1214     or dispensing of substances;
1215          (D) past experience in the manufacture of controlled dangerous substances;
1216          (E) established effective controls against diversion; and

1217          (F) complied with any other factors that the division establishes that promote the public
1218     health and safety.
1219          (b) Licenses granted under Subsection (3)(a) do not entitle a licensee to manufacture,
1220     produce, distribute, conduct research with, or perform laboratory analysis upon controlled
1221     substances in Schedule I other than those specified in the license.
1222          (c) (i) Practitioners shall be licensed to administer, dispense, or conduct research with
1223     substances in Schedules II through V if they are authorized to administer, dispense, or conduct
1224     research under the laws of this state.
1225          (ii) The division need not require a separate license for practitioners engaging in
1226     research with nonnarcotic controlled substances in Schedules II through V where the licensee is
1227     already licensed under this chapter in another capacity.
1228          (iii) With respect to research involving narcotic substances in Schedules II through V,
1229     or where the division by rule requires a separate license for research of nonnarcotic substances
1230     in Schedules II through V, a practitioner shall apply to the division prior to conducting
1231     research.
1232          (iv) Licensing for purposes of bona fide research with controlled substances by a
1233     practitioner considered qualified may be denied only on a ground specified in Subsection (4),
1234     or upon evidence that the applicant will abuse or unlawfully transfer or fail to safeguard
1235     adequately the practitioner's supply of substances against diversion from medical or scientific
1236     use.
1237          (v) Practitioners registered under federal law to conduct research in Schedule I
1238     substances may conduct research in Schedule I substances within this state upon furnishing the
1239     division evidence of federal registration.
1240          (d) Compliance by manufacturers, producers, and distributors with the provisions of
1241     federal law respecting registration, excluding fees, entitles them to be licensed under this
1242     chapter.
1243          (e) The division shall initially license those persons who own or operate an

1244     establishment engaged in the manufacture, production, distribution, dispensation, or
1245     administration of controlled substances prior to April 3, 1980, and who are licensed by the
1246     state.
1247          (4) (a) Any license pursuant to Subsection (2) or (3) may be denied, suspended, placed
1248     on probation, or revoked by the division upon finding that the applicant or licensee has:
1249          (i) materially falsified any application filed or required pursuant to this chapter;
1250          (ii) been convicted of an offense under this chapter or any law of the United States, or
1251     any state, relating to any substance defined as a controlled substance;
1252          (iii) been convicted of a felony under any other law of the United States or any state
1253     within five years of the date of the issuance of the license;
1254          (iv) had a federal registration or license denied, suspended, or revoked by competent
1255     federal authority and is no longer authorized to manufacture, distribute, prescribe, or dispense
1256     controlled substances;
1257          (v) had the licensee's license suspended or revoked by competent authority of another
1258     state for violation of laws or regulations comparable to those of this state relating to the
1259     manufacture, distribution, or dispensing of controlled substances;
1260          (vi) violated any division rule that reflects adversely on the licensee's reliability and
1261     integrity with respect to controlled substances;
1262          (vii) refused inspection of records required to be maintained under this chapter by a
1263     person authorized to inspect them; or
1264          (viii) prescribed, dispensed, administered, or injected an anabolic steroid for the
1265     purpose of manipulating human hormonal structure so as to:
1266          (A) increase muscle mass, strength, or weight without medical necessity and without a
1267     written prescription by any practitioner in the course of the practitioner's professional practice;
1268     or
1269          (B) improve performance in any form of human exercise, sport, or game.
1270          (b) The division may limit revocation or suspension of a license to a particular

1271     controlled substance with respect to which grounds for revocation or suspension exist.
1272          (c) (i) Proceedings to deny, revoke, or suspend a license shall be conducted pursuant to
1273     this section and in accordance with the procedures set forth in Title 58, Chapter 1, Division of
1274     Occupational and Professional Licensing Act, and conducted in conjunction with the
1275     appropriate representative committee designated by the director of the department.
1276          (ii) Nothing in this Subsection (4)(c) gives the Division of Occupational and
1277     Professional Licensing exclusive authority in proceedings to deny, revoke, or suspend licenses,
1278     except where the division is designated by law to perform those functions, or, when not
1279     designated by law, is designated by the executive director of the Department of Commerce to
1280     conduct the proceedings.
1281          (d) (i) The division may suspend any license simultaneously with the institution of
1282     proceedings under this section if it finds there is an imminent danger to the public health or
1283     safety.
1284          (ii) Suspension shall continue in effect until the conclusion of proceedings, including
1285     judicial review, unless withdrawn by the division or dissolved by a court of competent
1286     jurisdiction.
1287          (e) (i) If a license is suspended or revoked under this Subsection (4), all controlled
1288     substances owned or possessed by the licensee may be placed under seal in the discretion of the
1289     division.
1290          (ii) Disposition may not be made of substances under seal until the time for taking an
1291     appeal has lapsed, or until all appeals have been concluded, unless a court, upon application,
1292     orders the sale of perishable substances and the proceeds deposited with the court.
1293          (iii) If a revocation order becomes final, all controlled substances shall be forfeited.
1294          (f) The division shall notify promptly the Drug Enforcement Administration of all
1295     orders suspending or revoking a license and all forfeitures of controlled substances.
1296          (g) If an individual's Drug Enforcement Administration registration is denied, revoked,
1297     surrendered, or suspended, the division shall immediately suspend the individual's controlled

1298     substance license, which shall only be reinstated by the division upon reinstatement of the
1299     federal registration, unless the division has taken further administrative action under
1300     Subsection (4)(a)(iv), which would be grounds for the continued denial of the controlled
1301     substance license.
1302          (5) (a) Persons licensed under Subsection (2) or (3) shall maintain records and
1303     inventories in conformance with the record keeping and inventory requirements of federal and
1304     state law and any additional rules issued by the division.
1305          (b) (i) Every physician, dentist, naturopathic physician, veterinarian, practitioner, or
1306     other person who is authorized to administer or professionally use a controlled substance shall
1307     keep a record of the drugs received by him and a record of all drugs administered, dispensed, or
1308     professionally used by him otherwise than by a prescription.
1309          (ii) A person using small quantities or solutions or other preparations of those drugs for
1310     local application has complied with this Subsection (5)(b) if the person keeps a record of the
1311     quantity, character, and potency of those solutions or preparations purchased or prepared by
1312     him, and of the dates when purchased or prepared.
1313          (6) Controlled substances in Schedules I through V may be distributed only by a
1314     licensee and pursuant to an order form prepared in compliance with division rules or a lawful
1315     order under the rules and regulations of the United States.
1316          (7) (a) A person may not write or authorize a prescription for a controlled substance
1317     unless the person is:
1318          (i) a practitioner authorized to prescribe drugs and medicine under the laws of this state
1319     or under the laws of another state having similar standards; and
1320          (ii) licensed under this chapter or under the laws of another state having similar
1321     standards.
1322          (b) A person other than a pharmacist licensed under the laws of this state, or the
1323     pharmacist's licensed intern, as required by Sections 58-17b-303 and 58-17b-304, may not
1324     dispense a controlled substance.

1325          (c) (i) A controlled substance may not be dispensed without the written prescription of
1326     a practitioner, if the written prescription is required by the federal Controlled Substances Act.
1327          (ii) That written prescription shall be made in accordance with Subsection (7)(a) and in
1328     conformity with Subsection (7)(d).
1329          (iii) In emergency situations, as defined by division rule, controlled substances may be
1330     dispensed upon oral prescription of a practitioner, if reduced promptly to writing on forms
1331     designated by the division and filed by the pharmacy.
1332          (iv) Prescriptions reduced to writing by a pharmacist shall be in conformity with
1333     Subsection (7)(d).
1334          (d) Except for emergency situations designated by the division, a person may not issue,
1335     fill, compound, or dispense a prescription for a controlled substance unless the prescription is
1336     signed by the prescriber in ink or indelible pencil or is signed with an electronic signature of
1337     the prescriber as authorized by division rule, and contains the following information:
1338          (i) the name, address, and registry number of the prescriber;
1339          (ii) the name, address, and age of the person to whom or for whom the prescription is
1340     issued;
1341          (iii) the date of issuance of the prescription; and
1342          (iv) the name, quantity, and specific directions for use by the ultimate user of the
1343     controlled substance.
1344          (e) A prescription may not be written, issued, filled, or dispensed for a Schedule I
1345     controlled substance unless:
1346          (i) the person who writes the prescription is licensed under Subsection (2); and
1347          (ii) the prescribed controlled substance is to be used in research.
1348          (f) Except when administered directly to an ultimate user by a licensed practitioner,
1349     controlled substances are subject to the restrictions of this Subsection (7)(f).
1350          (i) A prescription for a Schedule II substance may not be refilled.
1351          (ii) A Schedule II controlled substance may not be filled in a quantity to exceed a

1352     one-month's supply, as directed on the daily dosage rate of the prescriptions.
1353          (iii) (A) Except as provided in Subsection (7)(f)(iii)(B), a prescription for a Schedule II
1354     or Schedule III controlled substance that is an opiate and that is issued for an acute condition
1355     shall be completely or partially filled in a quantity not to exceed a seven-day supply as directed
1356     on the daily dosage rate of the prescription.
1357          (B) Subsection (7)(f)(iii)(A) does not apply to a prescription issued for a surgery when
1358     the practitioner determined that a quantity exceeding seven days is needed, in which case the
1359     practitioner may prescribe up to a 30-day supply, with a partial fill at the discretion of the
1360     practitioner.
1361          (C) Subsection (7)(f)(iii)(A) does not apply to prescriptions issued for complex or
1362     chronic conditions which are documented as being complex or chronic in the medical record.
1363          (D) A pharmacist is not required to verify that a prescription is in compliance with
1364     Subsection (7)(f)(iii).
1365          (iv) A Schedule III or IV controlled substance may be filled only within six months of
1366     issuance, and may not be refilled more than six months after the date of its original issuance or
1367     be refilled more than five times after the date of the prescription unless renewed by the
1368     practitioner.
1369          (v) All other controlled substances in Schedule V may be refilled as the prescriber's
1370     prescription directs, but they may not be refilled one year after the date the prescription was
1371     issued unless renewed by the practitioner.
1372          (vi) Any prescription for a Schedule II substance may not be dispensed if it is not
1373     presented to a pharmacist for dispensing by a pharmacist or a pharmacy intern within 30 days
1374     after the date the prescription was issued, or 30 days after the dispensing date, if that date is
1375     specified separately from the date of issue.
1376          (vii) A practitioner may issue more than one prescription at the same time for the same
1377     Schedule II controlled substance, but only under the following conditions:
1378          (A) no more than three prescriptions for the same Schedule II controlled substance may

1379     be issued at the same time;
1380          (B) no one prescription may exceed a 30-day supply; and
1381          (C) a second or third prescription shall include the date of issuance and the date for
1382     dispensing.
1383          (g) An order for a controlled substance in Schedules II through V for use by an
1384     inpatient or an outpatient of a licensed hospital is exempt from all requirements of this
1385     Subsection (7) if the order is:
1386          (i) issued or made by a prescribing practitioner who holds an unrestricted registration
1387     with the federal Drug Enforcement Administration, and an active Utah controlled substance
1388     license in good standing issued by the division under this section, or a medical resident who is
1389     exempted from licensure under Subsection 58-1-307(1)(c);
1390          (ii) authorized by the prescribing practitioner treating the patient and the prescribing
1391     practitioner designates the quantity ordered;
1392          (iii) entered upon the record of the patient, the record is signed by the prescriber
1393     affirming the prescriber's authorization of the order within 48 hours after filling or
1394     administering the order, and the patient's record reflects the quantity actually administered; and
1395          (iv) filled and dispensed by a pharmacist practicing the pharmacist's profession within
1396     the physical structure of the hospital, or the order is taken from a supply lawfully maintained by
1397     the hospital and the amount taken from the supply is administered directly to the patient
1398     authorized to receive it.
1399          (h) A practitioner licensed under this chapter may not prescribe, administer, or
1400     dispense a controlled substance to a child, without first obtaining the consent required in
1401     Section 78B-3-406 of a parent, guardian, or person standing in loco parentis of the child except
1402     in cases of an emergency. For purposes of this Subsection (7)(h), "child" has the same
1403     meaning as defined in Section 78A-6-105, and "emergency" means any physical condition
1404     requiring the administration of a controlled substance for immediate relief of pain or suffering.
1405          (i) A practitioner licensed under this chapter may not prescribe or administer dosages

1406     of a controlled substance in excess of medically recognized quantities necessary to treat the
1407     ailment, malady, or condition of the ultimate user.
1408          (j) A practitioner licensed under this chapter may not prescribe, administer, or dispense
1409     any controlled substance to another person knowing that the other person is using a false name,
1410     address, or other personal information for the purpose of securing the controlled substance.
1411          (k) A person who is licensed under this chapter to manufacture, distribute, or dispense
1412     a controlled substance may not manufacture, distribute, or dispense a controlled substance to
1413     another licensee or any other authorized person not authorized by this license.
1414          (l) A person licensed under this chapter may not omit, remove, alter, or obliterate a
1415     symbol required by this chapter or by a rule issued under this chapter.
1416          (m) A person licensed under this chapter may not refuse or fail to make, keep, or
1417     furnish any record notification, order form, statement, invoice, or information required under
1418     this chapter.
1419          (n) A person licensed under this chapter may not refuse entry into any premises for
1420     inspection as authorized by this chapter.
1421          (o) A person licensed under this chapter may not furnish false or fraudulent material
1422     information in any application, report, or other document required to be kept by this chapter or
1423     willfully make any false statement in any prescription, order, report, or record required by this
1424     chapter.
1425          (8) (a) (i) Any person licensed under this chapter who is found by the division to have
1426     violated any of the provisions of Subsections (7)(k) through (o) or Subsection (10) is subject to
1427     a penalty not to exceed $5,000. The division shall determine the procedure for adjudication of
1428     any violations in accordance with Sections 58-1-106 and 58-1-108.
1429          (ii) The division shall deposit all penalties collected under Subsection (8)(a)(i) in the
1430     General Fund as a dedicated credit to be used by the division under Subsection 58-37f-502(1).
1431          (iii) The director may collect a penalty that is not paid by:
1432          (A) referring the matter to a collection agency; or

1433          (B) bringing an action in the district court of the county where the person against
1434     whom the penalty is imposed resides or in the county where the office of the director is located.
1435          (iv) A county attorney or the attorney general of the state shall provide legal assistance
1436     and advice to the director in an action to collect a penalty.
1437          (v) A court shall award reasonable attorney fees and costs to the prevailing party in an
1438     action brought by the division to collect a penalty.
1439          (b) Any person who knowingly and intentionally violates Subsections (7)(h) through (j)
1440     or Subsection (10) is:
1441          (i) upon first conviction, guilty of a class B misdemeanor;
1442          (ii) upon second conviction, guilty of a class A misdemeanor; and
1443          (iii) on third or subsequent conviction, guilty of a third degree felony.
1444          (c) Any person who knowingly and intentionally violates Subsections (7)(k) through
1445     (o) shall upon conviction be guilty of a third degree felony.
1446          (9) Any information communicated to any licensed practitioner in an attempt to
1447     unlawfully procure, or to procure the administration of, a controlled substance is not considered
1448     to be a privileged communication.
1449          (10) A person holding a valid license under this chapter who is engaged in medical
1450     research may produce, possess, administer, prescribe, or dispense a controlled substance for
1451     research purposes as licensed under Subsection (2) but may not otherwise prescribe or dispense
1452     a controlled substance listed in Section 58-37-4.2.
1453          Section 20. Section 58-37-6.5 is amended to read:
1454          58-37-6.5. Continuing education for controlled substance prescribers.
1455          (1) For the purposes of this section:
1456          (a) "Controlled substance prescriber" means an individual, other than a veterinarian,
1457     who:
1458          (i) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah
1459     Controlled Substances Act; and

1460          (ii) possesses the authority, in accordance with the individual's scope of practice, to
1461     prescribe schedule II controlled substances and schedule III controlled substances that are
1462     applicable to opioid narcotics, hypnotic depressants, or psychostimulants.
1463          (b) "D.O." means an osteopathic physician and surgeon licensed under Title 58,
1464     Chapter 68, Utah Osteopathic Medical Practice Act.
1465          (c) "FDA" means the United States Food and Drug Administration.
1466          (d) "M.D." means a physician and surgeon licensed under Title 58, Chapter 67, Utah
1467     Medical Practice Act.
1468          (e) "SBIRT" means the Screening, Brief Intervention, and Referral to Treatment
1469     approach used by the federal Substance Abuse and Mental Health Services Administration or
1470     defined by the division, in consultation with the Division of Substance Abuse and Mental
1471     Health, by administrative rule, in accordance with Title 63G, Chapter 3, Utah Administrative
1472     Rulemaking Act.
1473          (2) (a) Beginning with the licensing period that begins after January 1, 2014, as a
1474     condition precedent for license renewal, each controlled substance prescriber shall complete at
1475     least [four] 3.5 continuing education hours per licensing period that satisfy the requirements of
1476     [Subsections] Subsection (3) [and (4)].
1477          (b) (i) Beginning with the licensing period that begins after January 1, 2024, as a
1478     condition precedent for license renewal, each controlled substance prescriber shall complete at
1479     least 3.5 continuing education hours in an SBIRT-training class that satisfies the requirements
1480     of Subsection [(5)] (4).
1481          (ii) Completion of the SBIRT-training class, in compliance with Subsection (2)(b)(i),
1482     fulfills the continuing education hours requirement in Subsection [(4)] (3) for the licensing
1483     period in which the class was completed.
1484          (iii) A controlled substance prescriber:
1485          (A) need only take the SBIRT-training class once during the controlled substance
1486     prescriber's licensure in the state; and

1487          (B) shall provide a completion record of the SBIRT-training class in order to be
1488     reimbursed for SBIRT services to patients, in accordance with Section 26-18-22 and Section
1489     49-20-416.
1490          [(3) As provided in Subsection 58-37f-402(8), the online tutorial and passing the
1491     online test described in Section 58-37f-402 shall count as 1/2 hour of continuing professional
1492     education under Subsection (2) per licensing period.]
1493          [(4)] (3) A controlled substance prescriber shall complete at least 3.5 hours of
1494     continuing education in one or more controlled substance prescribing classes, except dentists
1495     who shall complete at least two hours, that satisfy the requirements of Subsections [(5)] (4) and
1496     [(7)] (6).
1497          [(5)] (4) A controlled substance prescribing class shall:
1498          (a) satisfy the division's requirements for the continuing education required for the
1499     renewal of the controlled substance prescriber's respective license type;
1500          (b) be delivered by an accredited or approved continuing education provider
1501     recognized by the division as offering continuing education appropriate for the controlled
1502     substance prescriber's respective license type; and
1503          (c) include a postcourse knowledge assessment.
1504          [(6)] (5) An M.D. or D.O. completing continuing professional education hours under
1505     Subsection (4) shall complete those hours in classes that qualify for the American Medical
1506     Association Physician's Recognition Award Category 1 Credit.
1507          [(7)] (6) The 3.5 hours of the controlled substance prescribing classes under Subsection
1508     (4) shall include educational content covering the following:
1509          (a) the scope of the controlled substance abuse problem in Utah and the nation;
1510          (b) all elements of the FDA Blueprint for Prescriber Education under the FDA's
1511     Extended-Release and Long-Acting Opioid Analgesics Risk Evaluation and Mitigation
1512     Strategy, as published July 9, 2012, or as it may be subsequently revised;
1513          (c) the national and Utah-specific resources available to prescribers to assist in

1514     appropriate controlled substance and opioid prescribing;
1515          (d) patient record documentation for controlled substance and opioid prescribing; and
1516          (e) office policies, procedures, and implementation.
1517          [(8)] (7) (a) The division, in consultation with the Utah Medical Association
1518     Foundation, shall determine whether a particular controlled substance prescribing class satisfies
1519     the educational content requirements of Subsections [(5)] (4) and [(7)] (6) for an M.D. or D.O.
1520          (b) The division, in consultation with the applicable professional licensing boards,
1521     shall determine whether a particular controlled substance prescribing class satisfies the
1522     educational content requirements of Subsections [(5)] (4) and [(7)] (6) for a controlled
1523     substance prescriber other than an M.D. or D.O.
1524          (c) The division may by rule establish a committee that may audit compliance with the
1525     Utah Risk Evaluation and Mitigation Strategy (REMS) Educational Programming Project
1526     grant, that satisfies the educational content requirements of Subsections [(5)] (4) and [(7)] (6)
1527     for a controlled substance prescriber.
1528          [(9)] (8) A controlled substance prescribing class required under this section:
1529          (a) may be held:
1530          (i) in conjunction with other continuing professional education programs; and
1531          (ii) online; and
1532          (b) does not increase the total number of state-required continuing professional
1533     education hours required for prescriber licensing.
1534          [(10)] (9) The division may establish rules, in accordance with Title 63G, Chapter 3,
1535     Utah Administrative Rulemaking Act, to implement this section.
1536          [(11)] (10) A controlled substance prescriber who, on or after July 1, 2017, obtains a
1537     waiver to treat opioid dependency with narcotic medications, in accordance with the Drug
1538     Addiction Treatment Act of 2000, 21 U.S.C. Sec. 823 et seq., may use the waiver to satisfy the
1539     3.5 hours of the continuing education requirement under Subsection [(4)] (3) for two
1540     consecutive licensing periods.

1541          Section 21. Section 58-37f-401 is amended to read:
1542          58-37f-401. Database registration required -- Penalties for failure to register.
1543          (1) Each individual, other than a veterinarian, who, on June 30, 2010, has a license to
1544     prescribe a controlled substance under Chapter 37, Utah Controlled Substances Act, but is not
1545     registered with the division to use the database shall, on or before September 30, 2010, register
1546     with the division to use the database.
1547          [(2) Each individual who, on November 1, 2012, is registered with the division to use
1548     the database shall, on or before January 1, 2013, participate in the online tutorial and pass the
1549     online test described in Section 58-37f-402.]
1550          [(3)] (2) (a) An individual who is not a veterinarian, who obtains a new license to
1551     prescribe a controlled substance under Chapter 37, Utah Controlled Substances Act, shall,
1552     within 30 days after the day on which the individual obtains a license to prescribe a controlled
1553     substance from the Drug Enforcement Administration, register with the division to use the
1554     database.
1555          (b) An individual who is not a veterinarian may not renew a license to prescribe a
1556     controlled substance under Chapter 37, Utah Controlled Substances Act, unless the individual
1557     registers with the division to use the database.
1558          [(4)] (3) Beginning on November 2, 2012, in order to register to use the database, the
1559     individual registering must participate in the online tutorial and pass the online test described
1560     in Section 58-37f-402.
1561          [(5)] (4) Failure by an individual to comply with the requirements of this section is
1562     grounds for the division to take the following actions in accordance with Section 58-1-401:
1563          (a) refuse to issue a license to the individual;
1564          (b) refuse to renew the individual's license; or
1565          (c) revoke, suspend, restrict, or place on probation the license.
1566          [(6)] (5) Beginning on July 1, 2010, the division shall, in accordance with Section
1567     63J-1-504, impose an annual database registration fee on an individual who registers to use the

1568     database, to pay the startup and ongoing costs of the division for complying with the
1569     requirements of this section [and Section 58-37f-402].
1570          Section 22. Section 58-37f-402 is amended to read:
1571          58-37f-402. Online tutorial and test relating to the database -- Fees -- Rulemaking
1572     authority -- Continuing professional education credit.
1573          (1) The division shall develop an online tutorial and an online test for registration to
1574     use the database that provides instruction regarding, and tests, the following:
1575          (a) the purpose of the database;
1576          (b) how to access and use the database;
1577          (c) the law relating to:
1578          (i) the use of the database; and
1579          (ii) the information submitted to, and obtained from, the database; and
1580          (d) basic knowledge that is important for all people who prescribe controlled
1581     substances to know in order to help ensure the health and safety of an individual to whom a
1582     controlled substance is prescribed.
1583          (2) The division shall design the test described in this section as follows:
1584          (a) an individual shall answer all of the questions correctly in order to pass the test;
1585          (b) an individual shall be permitted to immediately retake the portion of the test that
1586     the individual answers incorrectly as many times as necessary for the individual to pass the test;
1587     and
1588          (c) after an individual takes the test, the test software shall:
1589          (i) immediately inform the individual of the number of questions that were answered
1590     incorrectly;
1591          (ii) provide the correct answers;
1592          (iii) replay the portion of the tutorial that relates to the incorrectly answered questions;
1593     and
1594          (iv) ask the individual the incorrectly answered questions again.

1595          (3) The division shall design the tutorial and test so that it is possible to take the
1596     tutorial and complete the test in 20 minutes or less, if the individual answers all of the
1597     questions correctly on the first attempt.
1598          (4) The division shall ensure that the tutorial and test described in this section are fully
1599     functional and available for use online on or before November 1, 2010.
1600          (5) The division shall impose a fee, in accordance with Section 63J-1-504, on an
1601     individual who takes the test described in this section, to pay the costs incurred by the division
1602     to:
1603          (a) develop, implement, and administer the tutorial and test described in this section;
1604     and
1605          (b) fulfill the other duties imposed on the division under this part.
1606          (6) The division may make rules, in accordance with Title 63G, Chapter 3, Utah
1607     Administrative Rulemaking Act, to:
1608          (a) develop, implement, and administer the tutorial and test described in this section;
1609     and
1610          (b) fulfill the other duties imposed on the division under this part.
1611          (7) The Department of Health shall assist the division in developing the portion of the
1612     test described in Subsection (1)(d).
1613          [(8) Completing the online tutorial and passing the online test described in this section
1614     shall count as 1/2 hour of continuing professional education under Subsection 58-37-6.5(2).]
1615          Section 23. Section 58-44a-402 is amended to read:
1616          58-44a-402. Authority to assess penalty.
1617          (1) After a proceeding pursuant to Title 63G, Chapter 4, Administrative Procedures
1618     Act, and Title 58, Chapter 1, Division of Occupational and Professional Licensing Act, the
1619     division may impose an administrative penalty of up to $10,000 for unprofessional or unlawful
1620     conduct under this chapter in accordance with a fine schedule established by rule.
1621          (2) The assessment of a penalty under this section does not affect any other action the

1622     division is authorized to take regarding a license issued under this chapter.
1623          (3) The division may impose an administrative penalty of up to $500 for any violation
1624     of Subsection 58-44a-501(2), (3), or (4), consistent with Section 58-44a-503.
1625          (4) (a) The director may collect a penalty that is not paid by:
1626          (i) referring the matter to a collection agency; or
1627          (ii) bringing an action in the district court of the county where the person against whom
1628     the penalty is imposed resides or in the county where the office of the director is located.
1629          (b) A county attorney or the attorney general of the state shall provide legal assistance
1630     and advice to the director in an action to collect a penalty.
1631          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
1632     action brought by the division to collect a penalty.
1633          Section 24. Section 58-47b-501 is amended to read:
1634          58-47b-501. Unlawful conduct.
1635          "Unlawful conduct" includes:
1636          (1) practicing, engaging in, or attempting to practice or engage in massage therapy
1637     without holding a current license as a massage therapist or a massage apprentice under this
1638     chapter;
1639          (2) advertising or representing himself as practicing massage therapy when not licensed
1640     to do so; and
1641          (3) massaging, touching, or applying any instrument or device by a licensee in the
1642     course of practicing or engaging in massage therapy to the:
1643          (a) genitals [or];
1644          (b) anus; [and] or
1645          [(b)] (c) breasts of a female patron, except when a female patron requests breast
1646     massage, as may be further defined by division rule, and signs a written consent form, which
1647     must also include the signature of a parent or legal guardian if the patron is a minor,
1648     authorizing the procedure and outlining the reason for it before the procedure is performed.

1649          Section 25. Section 58-53-502 is amended to read:
1650          58-53-502. Citations -- Penalty for unlawful conduct.
1651          (1) (a) If upon inspection or investigation, the division concludes that a person has
1652     violated Subsections 58-1-501(1)(a) through (d), Section 58-53-501, or Section 58-53-603 or
1653     any rule or order issued with respect to Section 58-53-501, and that disciplinary action is
1654     appropriate, the director or the director's designee from within the division for each alternative
1655     respectively, shall promptly issue a citation to the person according to this chapter and any
1656     pertinent rules, attempt to negotiate a stipulated settlement, or notify the person to appear
1657     before an adjudicative proceeding conducted under Title 63G, Chapter 4, Administrative
1658     Procedures Act.
1659          (i) A person who violates Subsections 58-1-501(1)(a) through (d) or Section 58-53-501
1660     or any rule or order issued with respect to Section 58-53-501, as evidenced by an uncontested
1661     citation, a stipulated settlement, or by a finding of violation in an adjudicative proceeding, may
1662     be assessed a fine pursuant to Subsection (1)(i) and may, in addition to or in lieu of, be ordered
1663     to cease and desist from violating Subsections 58-1-501(1)(a) through (d) or Section 58-53-501
1664     or any rule or order issued with respect to Section 58-53-501.
1665          (ii) Except for a cease and desist order, the licensure sanctions cited in Section
1666     58-53-401 may not be assessed through a citation.
1667          (b) A citation shall:
1668          (i) be in writing;
1669          (ii) describe with particularity the nature of the violation, including a reference to the
1670     provision of the chapter, rule, or order alleged to have been violated;
1671          (iii) clearly state that the recipient must notify the division in writing within 20
1672     calendar days of service of the citation if the recipient wishes to contest the citation at a hearing
1673     conducted under Title 63G, Chapter 4, Administrative Procedures Act; and
1674          (iv) clearly explain the consequences of failure to timely contest the citation or to make
1675     payment of any fines assessed by the citation within the time specified in the citation.

1676          (c) The division may issue a notice in lieu of a citation.
1677          (d) Each citation issued under this section, or a copy of each citation, may be served
1678     upon any person whom a summons may be served in accordance with the Utah Rules of Civil
1679     Procedure and may be made personally or upon the person's agent by a division investigator or
1680     by any person specially designated by the director or by mail.
1681          (e) If within 20 calendar days from the service of the citation, the person to whom the
1682     citation was issued fails to request a hearing to contest the citation, the citation becomes the
1683     final order of the division and is not subject to further agency review. The period to contest a
1684     citation may be extended by the division for cause.
1685          (f) The division may refuse to issue or renew, suspend, revoke, or place on probation
1686     the license of a licensee who fails to comply with a citation after it becomes final.
1687          (g) The failure of an applicant for licensure to comply with a citation after it becomes
1688     final is a ground for denial of license.
1689          (h) No citation may be issued under this section after the expiration of six months
1690     following the occurrence of any violation.
1691          (i) The director or the director's designee shall assess fines according to the following:
1692          (i) for a first offense handled pursuant to Subsection (1)(a), a fine of up to $1,000;
1693          (ii) for a second offense handled pursuant to Subsection (1)(a), a fine of up to $2,000;
1694     and
1695          (iii) for any subsequent offense handled pursuant to Subsection (1)(a), a fine of up to
1696     $2,000 for each day of continued offense.
1697          (2) An action initiated for a first or second offense which has not yet resulted in a final
1698     order of the division does not preclude initiation of any subsequent action for a second or
1699     subsequent offense during the pendency of any preceding action. The final order on a
1700     subsequent action shall be considered a second or subsequent offense, respectively, provided
1701     the preceding action resulted in a first or second offense, respectively.
1702          [(3) Any penalty which is not paid may be collected by the director by either referring

1703     the matter to a collection agency or bringing an action in the district court of the county in
1704     which the person against whom the penalty is imposed resides or in the county where the office
1705     of the director is located. Any county attorney or the attorney general of the state shall provide
1706     legal assistance and advice to the director in any action to collect the penalty. In any action
1707     brought to enforce the provisions of this section, reasonable attorney's fees and costs shall be
1708     awarded to the division.]
1709          (3) (a) The director may collect a penalty that is not paid by:
1710          (i) referring the matter to a collection agency; or
1711          (ii) bringing an action in the district court of the county where the person against whom
1712     the penalty is imposed resides or in the county where the office of the director is located.
1713          (b) A county attorney or the attorney general of the state shall provide legal assistance
1714     and advice to the director in an action to collect a penalty.
1715          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
1716     action brought by the division to collect a penalty.
1717          Section 26. Section 58-55-305 is amended to read:
1718          58-55-305. Exemptions from licensure.
1719          (1) In addition to the exemptions from licensure in Section 58-1-307, the following
1720     persons may engage in acts or practices included within the practice of construction trades,
1721     subject to the stated circumstances and limitations, without being licensed under this chapter:
1722          (a) an authorized representative of the United States government or an authorized
1723     employee of the state or any of its political subdivisions when working on construction work of
1724     the state or the subdivision, and when acting within the terms of the person's trust, office, or
1725     employment;
1726          (b) a person engaged in construction or operation incidental to the construction and
1727     repair of irrigation and drainage ditches of regularly constituted irrigation districts, reclamation
1728     districts, and drainage districts or construction and repair relating to farming, dairying,
1729     agriculture, livestock or poultry raising, metal and coal mining, quarries, sand and gravel

1730     excavations, well drilling, as defined in Section 73-3-25, hauling to and from construction
1731     sites, and lumbering;
1732          (c) public utilities operating under the rules of the Public Service Commission on work
1733     incidental to their own business;
1734          (d) sole owners of property engaged in building:
1735          (i) no more than one residential structure per year and no more than three residential
1736     structures per five years on their property for their own noncommercial, nonpublic use; except,
1737     a person other than the property owner or individuals described in Subsection (1)(e), who
1738     engages in building the structure must be licensed under this chapter if the person is otherwise
1739     required to be licensed under this chapter; or
1740          (ii) structures on their property for their own noncommercial, nonpublic use which are
1741     incidental to a residential structure on the property, including sheds, carports, or detached
1742     garages;
1743          (e) (i) a person engaged in construction or renovation of a residential building for
1744     noncommercial, nonpublic use if that person:
1745          (A) works without compensation other than token compensation that is not considered
1746     salary or wages; and
1747          (B) works under the direction of the property owner who engages in building the
1748     structure; and
1749          (ii) as used in this Subsection (1)(e), "token compensation" means compensation paid
1750     by a sole owner of property exempted from licensure under Subsection (1)(d) to a person
1751     exempted from licensure under this Subsection (1)(e), that is:
1752          (A) minimal in value when compared with the fair market value of the services
1753     provided by the person;
1754          (B) not related to the fair market value of the services provided by the person; and
1755          (C) is incidental to the providing of services by the person including paying for or
1756     providing meals or refreshment while services are being provided, or paying reasonable

1757     transportation costs incurred by the person in travel to the site of construction;
1758          (f) a person engaged in the sale or merchandising of personal property that by its design
1759     or manufacture may be attached, installed, or otherwise affixed to real property who has
1760     contracted with a person, firm, or corporation licensed under this chapter to install, affix, or
1761     attach that property;
1762          (g) a contractor submitting a bid on a federal aid highway project, if, before
1763     undertaking construction under that bid, the contractor is licensed under this chapter;
1764          (h) (i) subject to Subsection 58-1-401(2) and Sections 58-55-501 and 58-55-502, a
1765     person engaged in the alteration, repair, remodeling, or addition to or improvement of a
1766     building with a contracted or agreed value of less than $3,000, including both labor and
1767     materials, and including all changes or additions to the contracted or agreed upon work; and
1768          (ii) notwithstanding Subsection (1)(h)(i) and except as otherwise provided in this
1769     section:
1770          (A) work in the plumbing and electrical trades on a Subsection (1)(h)(i) project within
1771     any six month period of time:
1772          (I) must be performed by a licensed electrical or plumbing contractor, if the project
1773     involves an electrical or plumbing system; and
1774          (II) may be performed by a licensed journeyman electrician or plumber or an individual
1775     referred to in Subsection (1)(h)(ii)(A)(I), if the project involves a component of the system
1776     such as a faucet, toilet, fixture, device, outlet, or electrical switch;
1777          (B) installation, repair, or replacement of a residential or commercial gas appliance or a
1778     combustion system on a Subsection (1)(h)(i) project must be performed by a person who has
1779     received certification under Subsection 58-55-308(2) except as otherwise provided in
1780     Subsection 58-55-308(2)(d) or 58-55-308(3);
1781          (C) installation, repair, or replacement of water-based fire protection systems on a
1782     Subsection (1)(h)(i) project must be performed by a licensed fire suppression systems
1783     contractor or a licensed journeyman plumber;

1784          (D) work as an alarm business or company or as an alarm company agent shall be
1785     performed by a licensed alarm business or company or a licensed alarm company agent, except
1786     as otherwise provided in this chapter;
1787          (E) installation, repair, or replacement of an alarm system on a Subsection (1)(h)(i)
1788     project must be performed by a licensed alarm business or company or a licensed alarm
1789     company agent;
1790          (F) installation, repair, or replacement of a heating, ventilation, or air conditioning
1791     system (HVAC) on a Subsection (1)(h)(i) project must be performed by an HVAC contractor
1792     licensed by the division;
1793          (G) installation, repair, or replacement of a radon mitigation system or a soil
1794     depressurization system must be performed by a licensed contractor; and
1795          (H) if the total value of the project is greater than $1,000, the person shall file with the
1796     division a one-time affirmation, subject to periodic reaffirmation as established by division
1797     rule, that the person has:
1798          (I) public liability insurance in coverage amounts and form established by division
1799     rule; and
1800          (II) if applicable, workers compensation insurance which would cover an employee of
1801     the person if that employee worked on the construction project;
1802          (i) a person practicing a specialty contractor classification or construction trade which
1803     the director does not classify by administrative rule as significantly impacting the public's
1804     health, safety, and welfare;
1805          (j) owners and lessees of property and persons regularly employed for wages by owners
1806     or lessees of property or their agents for the purpose of maintaining the property, are exempt
1807     from this chapter when doing work upon the property;
1808          (k) (i) a person engaged in minor plumbing work that is incidental, as defined by the
1809     division by rule, to the replacement or repair of a fixture or an appliance in a residential or
1810     small commercial building, or structure used for agricultural use, as defined in Section

1811     15A-1-202, provided that no modification is made to:
1812          (A) existing culinary water, soil, waste, or vent piping; or
1813          (B) a gas appliance or combustion system; and
1814          (ii) except as provided in Subsection (1)(e), installation for the first time of a fixture or
1815     an appliance is not included in the exemption provided under Subsection (1)(k)(i);
1816          (l) a person who ordinarily would be subject to the plumber licensure requirements
1817     under this chapter when installing or repairing a water conditioner or other water treatment
1818     apparatus if the conditioner or apparatus:
1819          (i) meets the appropriate state construction codes or local plumbing standards; and
1820          (ii) is installed or repaired under the direction of a person authorized to do the work
1821     under an appropriate specialty contractor license;
1822          (m) a person who ordinarily would be subject to the electrician licensure requirements
1823     under this chapter when employed by:
1824          (i) railroad corporations, telephone corporations or their corporate affiliates, elevator
1825     contractors or constructors, or street railway systems; or
1826          (ii) public service corporations, rural electrification associations, or municipal utilities
1827     who generate, distribute, or sell electrical energy for light, heat, or power;
1828          (n) a person involved in minor electrical work incidental to a mechanical or service
1829     installation, including the outdoor installation of an above-ground, prebuilt hot tub;
1830          (o) a person who ordinarily would be subject to the electrician licensure requirements
1831     under this chapter but who during calendar years 2009, 2010, or 2011 was issued a specialty
1832     contractor license for the electrical work associated with the installation, repair, or maintenance
1833     of solar energy panels, may continue the limited electrical work for solar energy panels under a
1834     specialty contractor license;
1835          (p) a student participating in construction trade education and training programs
1836     approved by the commission with the concurrence of the director under the condition that:
1837          (i) all work intended as a part of a finished product on which there would normally be

1838     an inspection by a building inspector is, in fact, inspected and found acceptable by a licensed
1839     building inspector; and
1840          (ii) a licensed contractor obtains the necessary building permits;
1841          (q) a delivery person when replacing any of the following existing equipment with a
1842     new gas appliance, provided there is an existing gas shutoff valve at the appliance:
1843          (i) gas range;
1844          (ii) gas dryer;
1845          (iii) outdoor gas barbeque; or
1846          (iv) outdoor gas patio heater;
1847          (r) a person performing maintenance on an elevator as defined in Subsection
1848     58-55-102(14), if the maintenance is not related to the operating integrity of the elevator; and
1849          (s) an apprentice or helper of an elevator mechanic licensed under this chapter when
1850     working under the general direction of the licensed elevator mechanic.
1851          (2) A compliance agency as defined in Section 15A-1-202 that issues a building permit
1852     to a person requesting a permit as a sole owner of property referred to in Subsection (1)(d) shall
1853     notify the division, in writing or through electronic transmission, of the issuance of the permit.
1854          Section 27. Section 58-55-501 is amended to read:
1855          58-55-501. Unlawful conduct.
1856          Unlawful conduct includes:
1857          (1) engaging in a construction trade, acting as a contractor, an alarm business or
1858     company, or an alarm company agent, or representing oneself to be engaged in a construction
1859     trade or to be acting as a contractor in a construction trade requiring licensure, unless the
1860     person doing any of these is appropriately licensed or exempted from licensure under this
1861     chapter;
1862          (2) acting in a construction trade, as an alarm business or company, or as an alarm
1863     company agent beyond the scope of the license held;
1864          (3) hiring or employing a person who is not licensed under this chapter to perform

1865     work on a project, unless the person:
1866          (a) is an employee of a person licensed under this chapter for wages; and
1867          (b) is not required to be licensed under this chapter;
1868          (4) applying for or obtaining a building permit either for oneself or another when not
1869     licensed or exempted from licensure as a contractor under this chapter;
1870          (5) issuing a building permit to any person for whom there is no evidence of a current
1871     license or exemption from licensure as a contractor under this chapter;
1872          (6) applying for or obtaining a building permit for the benefit of or on behalf of any
1873     other person who is required to be licensed under this chapter but who is not licensed or is
1874     otherwise not entitled to obtain or receive the benefit of the building permit;
1875          (7) failing to obtain a building permit when required by law or rule;
1876          (8) submitting a bid for any work for which a license is required under this chapter by a
1877     person not licensed or exempted from licensure as a contractor under this chapter;
1878          (9) willfully or deliberately misrepresenting or omitting a material fact in connection
1879     with an application to obtain or renew a license under this chapter;
1880          (10) allowing one's license to be used by another except as provided by statute or rule;
1881          (11) doing business under a name other than the name appearing on the license, except
1882     as permitted by statute or rule;
1883          (12) if licensed as a [specialty] contractor in the electrical trade or plumbing trade,
1884     journeyman plumber, residential journeyman plumber, journeyman electrician, master
1885     electrician, or residential electrician, failing to directly supervise an apprentice under one's
1886     supervision or exceeding the number of apprentices one is allowed to have under the
1887     [speciality] contractor's supervision;
1888          (13) if licensed as a contractor or representing oneself to be a contractor, receiving any
1889     funds in payment for a specific project from an owner or any other person, which funds are to
1890     pay for work performed or materials and services furnished for that specific project, and after
1891     receiving the funds to exercise unauthorized control over the funds by failing to pay the full

1892     amounts due and payable to persons who performed work or furnished materials or services
1893     within a reasonable period of time;
1894          (14) employing an unlicensed alarm business or company or an unlicensed individual
1895     as an alarm company agent, except as permitted under the exemption from licensure provisions
1896     under Section 58-1-307;
1897          (15) if licensed as an alarm company or alarm company agent, filing with the division
1898     fingerprint cards for an applicant which are not those of the applicant, or are in any other way
1899     false or fraudulent and intended to mislead the division in its consideration of the applicant for
1900     licensure;
1901          (16) if licensed under this chapter, willfully or deliberately disregarding or violating:
1902          (a) the building or construction laws of this state or any political subdivision;
1903          (b) the safety and labor laws applicable to a project;
1904          (c) any provision of the health laws applicable to a project;
1905          (d) the workers' compensation insurance laws of the state applicable to a project;
1906          (e) the laws governing withholdings for employee state and federal income taxes,
1907     unemployment taxes, Social Security payroll taxes, or other required withholdings; or
1908          (f) reporting, notification, and filing laws of this state or the federal government;
1909          (17) aiding or abetting any person in evading the provisions of this chapter or rules
1910     established under the authority of the division to govern this chapter;
1911          (18) engaging in the construction trade or as a contractor for the construction of
1912     residences of up to two units when not currently registered or exempt from registration as a
1913     qualified beneficiary under Title 38, Chapter 11, Residence Lien Restriction and Lien Recovery
1914     Fund Act;
1915          (19) failing, as an original contractor, as defined in Section 38-11-102, to include in a
1916     written contract the notification required in Section 38-11-108;
1917          (20) wrongfully filing a preconstruction or construction lien in violation of Section
1918     38-1a-308;

1919          (21) if licensed as a contractor, not completing the approved continuing education
1920     required under Section 58-55-302.5;
1921          (22) an alarm company allowing an employee with a temporary license under Section
1922     58-55-312 to engage in conduct on behalf of the company outside the scope of the temporary
1923     license, as provided in Subsection 58-55-312(3)(a)(ii);
1924          (23) an alarm company agent under a temporary license under Section 58-55-312
1925     engaging in conduct outside the scope of the temporary license, as provided in Subsection
1926     58-55-312(3)(a)(ii);
1927          (24) (a) an unincorporated entity licensed under this chapter having an individual who
1928     owns an interest in the unincorporated entity engage in a construction trade in Utah while not
1929     lawfully present in the United States; or
1930          (b) an unincorporated entity providing labor to an entity licensed under this chapter by
1931     providing an individual who owns an interest in the unincorporated entity to engage in a
1932     construction trade in Utah while not lawfully present in the United States;
1933          (25) an unincorporated entity failing to provide the following for an individual who
1934     engages, or will engage, in a construction trade in Utah for the unincorporated entity, or for an
1935     individual who engages, or will engage, in a construction trade in Utah for a separate entity for
1936     which the unincorporated entity provides the individual as labor:
1937          (a) workers' compensation coverage:
1938          (i) to the extent required by Title 34A, Chapter 2, Workers' Compensation Act, and
1939     Title 34A, Chapter 3, Utah Occupational Disease Act; or
1940          (ii) that would be required under the chapters listed in Subsection (25)(a)(i) if the
1941     unincorporated entity were licensed under this chapter; and
1942          (b) unemployment compensation in accordance with Title 35A, Chapter 4,
1943     Employment Security Act, for an individual who owns, directly or indirectly, less than an 8%
1944     interest in the unincorporated entity, as defined by rule made by the division in accordance with
1945     Title 63G, Chapter 3, Utah Administrative Rulemaking Act;

1946          (26) the failure of a sign installation contractor or nonelectrical outdoor advertising
1947     sign contractor, as classified and defined in division rules, to:
1948          (a) display the contractor's license number prominently on a vehicle that:
1949          (i) the contractor uses; and
1950          (ii) displays the contractor's business name; or
1951          (b) carry a copy of the contractor's license in any other vehicle that the contractor uses
1952     at a job site, whether or not the vehicle is owned by the contractor;
1953          (27) (a) an unincorporated entity licensed under this chapter having an individual who
1954     owns an interest in the unincorporated entity engage in a construction trade in the state while
1955     the individual is using a Social Security number that does not belong to that individual; or
1956          (b) an unincorporated entity providing labor to an entity licensed under this chapter by
1957     providing an individual, who owns an interest in the unincorporated entity, to engage in a
1958     construction trade in the state while the individual is using a Social Security number that does
1959     not belong to that individual;
1960          (28) a contractor failing to comply with a requirement imposed by a political
1961     subdivision, state agency, or board of education under Section 58-55-310; or
1962          (29) failing to timely comply with the requirements described in Section 58-55-605.
1963          Section 28. Section 58-55-503 is amended to read:
1964          58-55-503. Penalty for unlawful conduct -- Citations.
1965          (1) (a) (i) A person who violates Subsection 58-55-308(2), Subsection 58-55-501(1),
1966     (2), (3), (4), (5), (6), (7), (9), (10), (12), (14), (15), (22), (23), (24), (25), (26), (27), (28), or
1967     (29), or Subsection 58-55-504(2), or who fails to comply with a citation issued under this
1968     section after it is final, is guilty of a class A misdemeanor.
1969          (ii) As used in this section in reference to Subsection 58-55-504(2), "person" means an
1970     individual and does not include a sole proprietorship, joint venture, corporation, limited
1971     liability company, association, or organization of any type.
1972          (b) A person who violates the provisions of Subsection 58-55-501(8) may not be

1973     awarded and may not accept a contract for the performance of the work.
1974          (2) A person who violates the provisions of Subsection 58-55-501(13) is guilty of an
1975     infraction unless the violator did so with the intent to deprive the person to whom money is to
1976     be paid of the money received, in which case the violator is guilty of theft, as classified in
1977     Section 76-6-412.
1978          (3) Grounds for immediate suspension of a licensee's license by the division and the
1979     commission include:
1980          (a) the issuance of a citation for violation of Subsection 58-55-308(2), Section
1981     58-55-501, or Subsection 58-55-504(2); and
1982          (b) the failure by a licensee to make application to, report to, or notify the division with
1983     respect to any matter for which application, notification, or reporting is required under this
1984     chapter or rules adopted under this chapter, including:
1985          (i) applying to the division for a new license to engage in a new specialty classification
1986     or to do business under a new form of organization or business structure;
1987          (ii) filing a current financial statement with the division; and
1988          (iii) notifying the division concerning loss of insurance coverage or change in qualifier.
1989          (4) (a) If upon inspection or investigation, the division concludes that a person has
1990     violated the provisions of Subsection 58-55-308(2), Subsection 58-55-501(1), (2), (3), (9),
1991     (10), (12), (14), (19), (21), (22), (23), (24), (25), (26), (27), (28), or (29), Subsection
1992     58-55-504(2), or any rule or order issued with respect to these subsections, and that disciplinary
1993     action is appropriate, the director or the director's designee from within the division shall
1994     promptly issue a citation to the person according to this chapter and any pertinent rules, attempt
1995     to negotiate a stipulated settlement, or notify the person to appear before an adjudicative
1996     proceeding conducted under Title 63G, Chapter 4, Administrative Procedures Act.
1997          (i) A person who is in violation of the provisions of Subsection 58-55-308(2),
1998     Subsection 58-55-501(1), (2), (3), (9), (10), (12), (14), (19), (21), (22), (23), (24), (25), (26),
1999     (27), (28), or (29), or Subsection 58-55-504(2), as evidenced by an uncontested citation, a

2000     stipulated settlement, or by a finding of violation in an adjudicative proceeding, may be
2001     assessed a fine pursuant to this Subsection (4) and may, in addition to or in lieu of, be ordered
2002     to cease and desist from violating Subsection 58-55-308(2), Subsection 58-55-501(1), (2), (3),
2003     (9), (10), (12), (14), (19), (21), (24), (25), (26), (27), (28), or (29), or Subsection 58-55-504(2).
2004          (ii) Except for a cease and desist order, the licensure sanctions cited in Section
2005     58-55-401 may not be assessed through a citation.
2006          (b) (i) A citation shall be in writing and describe with particularity the nature of the
2007     violation, including a reference to the provision of the chapter, rule, or order alleged to have
2008     been violated.
2009          (ii) A citation shall clearly state that the recipient must notify the division in writing
2010     within 20 calendar days of service of the citation if the recipient wishes to contest the citation
2011     at a hearing conducted under Title 63G, Chapter 4, Administrative Procedures Act.
2012          (iii) A citation shall clearly explain the consequences of failure to timely contest the
2013     citation or to make payment of any fines assessed by the citation within the time specified in
2014     the citation.
2015          (c) A citation issued under this section, or a copy of a citation, may be served upon a
2016     person upon whom a summons may be served:
2017          (i) in accordance with the Utah Rules of Civil Procedure;
2018          (ii) personally or upon the person's agent by a division investigator or by a person
2019     specially designated by the director; or
2020          (iii) by mail.
2021          (d) (i) If within 20 calendar days after the day on which a citation is served, the person
2022     to whom the citation was issued fails to request a hearing to contest the citation, the citation
2023     becomes the final order of the division and is not subject to further agency review.
2024          (ii) The period to contest a citation may be extended by the division for cause.
2025          (e) The division may refuse to issue or renew, suspend, revoke, or place on probation
2026     the license of a licensee who fails to comply with a citation after it becomes final.

2027          (f) The failure of an applicant for licensure to comply with a citation after it becomes
2028     final is a ground for denial of license.
2029          (g) A citation may not be issued under this section after the expiration of six months
2030     following the occurrence of a violation.
2031          (h) Except as provided in Subsection (5), the director or the director's designee shall
2032     assess a fine in accordance with the following:
2033          (i) for a first offense handled pursuant to Subsection (4)(a), a fine of up to $1,000;
2034          (ii) for a second offense handled pursuant to Subsection (4)(a), a fine of up to $2,000;
2035     and
2036          (iii) for any subsequent offense handled pursuant to Subsection (4)(a), a fine of up to
2037     $2,000 for each day of continued offense.
2038          (i) (i) For purposes of issuing a final order under this section and assessing a fine under
2039     Subsection (4)(h), an offense constitutes a second or subsequent offense if:
2040          (A) the division previously issued a final order determining that a person committed a
2041     first or second offense in violation of Subsection 58-55-308(2), Subsection 58-55-501(1), (2),
2042     (3), (9), (10), (12), (14), (19), (24), (25), (26), (27), (28), or (29), or Subsection 58-55-504(2);
2043     or
2044          (B) (I) the division initiated an action for a first or second offense;
2045          (II) a final order has not been issued by the division in the action initiated under
2046     Subsection (4)(i)(i)(B)(I);
2047          (III) the division determines during an investigation that occurred after the initiation of
2048     the action under Subsection (4)(i)(i)(B)(I) that the person committed a second or subsequent
2049     violation of the provisions of Subsection 58-55-308(2), Subsection 58-55-501(1), (2), (3), (9),
2050     (10), (12), (14), (19), (24), (25), (26), (27), (28), or (29), or Subsection 58-55-504(2); and
2051          (IV) after determining that the person committed a second or subsequent offense under
2052     Subsection (4)(i)(i)(B)(III), the division issues a final order on the action initiated under
2053     Subsection (4)(i)(i)(B)(I).

2054          (ii) In issuing a final order for a second or subsequent offense under Subsection
2055     (4)(i)(i), the division shall comply with the requirements of this section.
2056          (j) In addition to any other licensure sanction or fine imposed under this section, the
2057     division shall revoke the license of a licensee that violates Subsection 58-55-501(24) or (25)
2058     two or more times within a 12-month period, unless, with respect to a violation of Subsection
2059     58-55-501(24), the licensee can demonstrate that the licensee successfully verified the federal
2060     legal working status of the individual who was the subject of the violation using a status
2061     verification system, as defined in Section 13-47-102.
2062          (k) For purposes of this Subsection (4), a violation of Subsection 58-55-501(24) or (25)
2063     for each individual is considered a separate violation.
2064           (5) If a person violates Section 58-55-501, the division may not treat the violation as a
2065     subsequent violation of a previous violation if the violation occurs five years or more after the
2066     day on which the person committed the previous violation.
2067          (6) If, after an investigation, the division determines that a person has committed
2068     multiple of the same type of violation of Section 58-55-501, the division may treat each
2069     violation as a separate violation of Section 58-55-501 and apply a penalty under this section to
2070     each violation.
2071          (7) (a) A penalty imposed by the director under Subsection (4)(h) shall be deposited
2072     into the Commerce Service Account created by Section 13-1-2.
2073          (b) A penalty that is not paid may be collected by the director by either referring the
2074     matter to a collection agency or bringing an action in the district court of the county in which
2075     the person against whom the penalty is imposed resides or in the county where the office of the
2076     director is located.
2077          (c) A county attorney or the attorney general of the state [is to] shall provide legal
2078     assistance and advice to the director in [any] an action to collect [the] a penalty.
2079          (d) In an action brought to [enforce the provisions of this section] collect a penalty, the
2080     court shall award reasonable attorney fees and costs to the prevailing party.

2081          Section 29. Section 58-56-9.5 is amended to read:
2082          58-56-9.5. Penalty for unlawful conduct -- Citations.
2083          (1) A person who violates a provision of Section 58-56-9.1 or who fails to comply with
2084     a citation issued under this section after it is final is guilty of a class A misdemeanor.
2085          (2) Grounds for immediate suspension of a licensee's license by the division under this
2086     chapter include:
2087          (a) the issuance of a citation for violation of a provision of Section 58-56-9.1; and
2088          (b) failure by a licensee to make application to, report to, or notify the division with
2089     respect to a matter for which application, notification, or reporting is required under this
2090     chapter or rules made under this chapter by the division.
2091          (3) (a) If upon inspection or investigation, the division concludes that a person has
2092     violated a provision of Section 58-56-9.1, or a rule or order issued with respect to that section,
2093     and that disciplinary action is appropriate, the director or the director's designee from within
2094     the division shall:
2095          (i) promptly issue a citation to the person according to this chapter and any pertinent
2096     rules;
2097          (ii) attempt to negotiate a stipulated settlement; or
2098          (iii) notify the person to appear before an adjudicative proceeding conducted under
2099     Title 63G, Chapter 4, Administrative Procedures Act.
2100          (b) (i) A person who violates a provision of Section 58-56-9.1, as evidenced by an
2101     uncontested citation, a stipulated settlement, or by a finding of violation in an adjudicative
2102     proceeding, may be assessed a fine under this Subsection (3)(b) and may, in addition to or
2103     instead of the fine, be ordered by the division to cease from violating the provision.
2104          (ii) Except as otherwise provided in Subsection (2)(a), the division may not assess
2105     licensure sanctions referred to in Subsection 58-56-9(1)(c) through a citation.
2106          (c) (i) Each citation shall be in writing and describe with particularity the nature of the
2107     violation, including a reference to the provision of the chapter, rule, or order alleged to have

2108     been violated.
2109          (ii) The citation shall clearly state that the recipient must notify the division in writing
2110     within 20 calendar days of service of the citation if the recipient wishes to contest the citation
2111     at a hearing conducted under Title 63G, Chapter 4, Administrative Procedures Act.
2112          (iii) The citation shall clearly explain the consequences of failure to timely contest the
2113     citation or to make payment of any fines assessed by the citation within the time specified in
2114     the citation.
2115          (d) Each citation issued under this section, or a copy of each citation, may be served
2116     upon any person upon whom a summons may be served:
2117          (i) in accordance with the Utah Rules of Civil Procedure;
2118          (ii) personally or upon the person's agent by a division investigator or by any person
2119     specially designated by the director; or
2120          (iii) by mail.
2121          (e) (i) If within 20 calendar days from the service of a citation, the person to whom the
2122     citation was issued fails to request a hearing to contest the citation, the citation becomes the
2123     final order of the division and is not subject to further agency review.
2124          (ii) The period to contest a citation may be extended by the division for cause.
2125          (f) The division may refuse to issue or renew, suspend, revoke, or place on probation
2126     the license of a licensee who fails to comply with a citation after it becomes final.
2127          (g) The failure of an applicant for licensure to comply with a citation after it becomes
2128     final is a ground for denial of a license.
2129          (h) No citation may be issued under this section after the expiration of six months
2130     following the occurrence of the violation.
2131          (i) The director or the director's designee may assess fines for violations of Section
2132     58-56-9.1 as follows:
2133          (i) for a first offense determined under this Subsection (3), a fine of up to $1,000;
2134          (ii) for a second offense, a fine of up to $2,000; and

2135          (iii) for any subsequent offense, a fine of up to $2,000 for each day of continued
2136     offense.
2137          (j) For the purposes of issuing a final order under this section and assessing a fine
2138     under Subsection (3)(i), an offense constitutes a second or subsequent offense if:
2139          (i) the division previously issued a final order determining that a person committed a
2140     first or second offense in violation of a provision of Section 58-56-9.1; or
2141          (ii) (A) the division initiated an action for a first or second offense;
2142          (B) no final order has been issued by the division in the action initiated under
2143     Subsection (3)(j)(ii)(A);
2144          (C) the division determines during an investigation that occurred after the initiation of
2145     the action under Subsection (3)(j)(ii)(A) that the person committed a second or subsequent
2146     violation of a provision of Section 58-56-9.1; and
2147          (D) after determining that the person committed a second or subsequent offense under
2148     Subsection (3)(j)(ii)(C), the division issues a final order on the action initiated under
2149     Subsection (3)(j)(ii)(A).
2150          (k) In issuing a final order for a second or subsequent offense under Subsection (3)(j),
2151     the division shall comply with the requirements of this section.
2152          (4) (a) Proceeds from a fine imposed under Subsection (3)(i) shall be deposited in the
2153     Commerce Service Account created by Section 13-1-2.
2154          [(b) The director may collect an unpaid fine by:]
2155          [(i) referring the matter to a collection agency; or]
2156          [(ii) bringing an action in the district court of the county in which the person resides or
2157     in the county where the director's office is located.]
2158          [(c) (i) The state's attorney general or a county attorney shall provide legal assistance
2159     and advice to the director in an action brought under Subsection (4)(b).]
2160          [(ii) Reasonable attorney fees and costs shall be awarded in an action brought to
2161     enforce the provisions of this section.]

2162          (b) The director may collect a fine that is not paid by:
2163          (i) referring the matter to a collection agency; or
2164          (ii) bringing an action in the district court of the county where the person against whom
2165     the penalty is imposed resides or in the county where the office of the director is located.
2166          (c) A county attorney or the attorney general of the state shall provide legal assistance
2167     and advice to the director in an action to collect a penalty.
2168          (d) A court shall award reasonable attorney fees and costs to the prevailing party in an
2169     action brought by the division to collect a penalty.
2170          Section 30. Section 58-60-117 is amended to read:
2171          58-60-117. Externship licenses.
2172          (1) The division shall issue a temporary license under Part 2, Social Worker Licensing
2173     Act, Part 3, Marriage and Family Therapist Licensing Act, or Part 4, Clinical Mental Health
2174     Counselor Licensing Act, of this chapter to a person who:
2175          (a) submits an application for licensure under Part 2, Social Worker Licensing Act,
2176     Part 3, Marriage and Family Therapist Licensing Act, or Part 4, Clinical Mental Health
2177     Counselor Licensing Act;
2178          (b) pays a fee determined by the department under Section 63J-1-504;
2179          (c) holds an earned doctoral degree or master's degree in a discipline that is a
2180     prerequisite for practice as a mental health therapist;
2181          (d) has a deficiency, as defined by division rule, in course work;
2182          (e) provides mental health therapy as an employee of a public or private organization,
2183     which provides mental health therapy, while under the supervision of a person licensed under
2184     this chapter; and
2185          (f) is of good moral character and has no disciplinary action pending or in effect
2186     against the applicant in connection with the practice of mental health therapy, in any
2187     jurisdiction.
2188          (2) A temporary license issued under this section shall expire upon the earlier of:

2189          (a) issuance of the license applied for; or
2190          (b) unless the deadline is extended for good cause as determined by the division, three
2191     years from the date the temporary license was issued.
2192          (3) The temporary license issued under this section is an externship license.
2193          Section 31. Section 58-63-503 is amended to read:
2194          58-63-503. Penalties.
2195          (1) Unless Subsection (2) applies, an individual who commits an act of unlawful
2196     conduct under Section 58-63-501 or who fails to comply with a citation issued under this
2197     section after it becomes final is guilty of a class A misdemeanor.
2198          (2) The division may immediately suspend a license issued under this chapter of a
2199     person who is given a citation for violating Subsection 58-63-501(1), (2), (4), or (5).
2200          (3) (a) If upon inspection or investigation, the division determines that a person has
2201     violated Subsection 58-63-501(1), (2), (4), or (5) or any rule made or order issued under those
2202     subsections, and that disciplinary action is warranted, the director or the director's designee
2203     within the division shall promptly issue a citation to the person and:
2204          (i) attempt to negotiate a stipulated settlement; or
2205          (ii) notify the person to appear for an adjudicative proceeding conducted under Title
2206     63G, Chapter 4, Administrative Procedures Act.
2207          (b) (i) The division may fine a person who violates Subsection 58-63-501(1), (2), (4),
2208     or (5), as evidenced by an uncontested citation, a stipulated settlement, or a finding of a
2209     violation in an adjudicative proceeding held under Subsection (3)(a)(ii), or order the person to
2210     cease and desist from the violation, or do both.
2211          (ii) Except for a cease and desist order, the division may not impose the licensure
2212     sanctions listed in Section 58-63-401 through the issuance of a citation under this section.
2213          (c) The written citation shall:
2214          (i) describe the nature of the violation, including a reference to the allegedly violated
2215     statute, rule, or order;

2216          (ii) state the recipient must notify the division in writing within 20 calendar days of
2217     issuance of the citation if the recipient wants to contest the citation at the adjudicative
2218     proceeding referred to in Subsection (3)(a)(ii); and
2219          (iii) explain the consequences of failure to timely contest the citation or to make
2220     payment of a fine assessed under the citation with the time specified in the citation.
2221          (d) (i) The division may serve a citation issued under this section, or a copy of the
2222     citation, upon an individual who is subject to service of a summons under the Utah Rules of
2223     Civil Procedure.
2224          (ii) (A) The division may serve the individual personally or serve the individual's
2225     agent.
2226          (B) The division may serve the summons by a division investigator, by a person
2227     designated by the director, or by mail.
2228          (e) (i) If within 20 days from the service of a citation the person to whom the citation
2229     was issued fails to request a hearing to contest the citation, the citation becomes the final order
2230     of the division and is not subject to further agency review.
2231          (ii) The division may grant an extension of the 20-day period for cause.
2232          (f) The division may refuse to issue or renew, suspend, revoke, or place on probation
2233     the license of a licensee who fails to comply with a citation after it becomes final.
2234          (g) The division may not issue a citation for an alleged violation under this section
2235     after the expiration of six months following the occurrence of the alleged violation.
2236          (h) The director or the director's designee may assess fines under this section as
2237     follows:
2238          (i) for a first offense under Subsection (3)(a), a fine of up to $1,000;
2239          (ii) for a second offense under Subsection (3)(a), a fine of up to $2,000; and
2240          (iii) for a subsequent offense under Subsection (3)(a), a fine of up to $2,000 for each
2241     day of continued violation.
2242          (i) (i) For purposes of issuing a final order under this section and assessing a fine under

2243     Subsection (3)(h), an offense is a second or subsequent offense if:
2244          (A) the division previously issued a final order determining that a person committed a
2245     first or second offense in violation of Subsection 58-63-501(1) or (4); or
2246          (B) (I) the division initiated an action for a first or second offense;
2247          (II) no final order has been issued by the division in an action initiated under
2248     Subsection (3)(i)(i)(B)(I);
2249          (III) the division determines during an investigation that occurred after the initiation of
2250     the action under Subsection (3)(i)(i)(B)(I) that the person committed a second or subsequent
2251     violation of Subsection 58-63-501(1) or (4); and
2252          (IV) after determining that the person committed a second or subsequent offense under
2253     Subsection (3)(i)(i)(B)(III), the division issues a final order on the action initiated under
2254     Subsection (3)(i)(i)(B)(I).
2255          (ii) In issuing a final order for a second or subsequent offense under Subsection
2256     (3)(i)(i), the division shall comply with the requirements of this section.
2257          (4) (a) The division shall deposit a fine imposed by the director under Subsection (3)(h)
2258     in the General Fund as a dedicated credit for use by the division for the purposes listed in
2259     Section 58-63-103.
2260          [(b) The director may collect a Subsection (3)(h) fine which is not paid by:]
2261          [(i) referring the matter to the Office of State Debt Collection or a collection agency;
2262     or]
2263          [(ii) bringing an action in the district court of the county in which the person resides or
2264     in the county where the office of the director is located.]
2265          [(c) The director may seek legal assistance from the attorney general or the county or
2266     district attorney of the district in which the action is brought to collect the fine.]
2267          [(d) The court shall award reasonable attorney fees and costs to the division for
2268     successful actions under Subsection (4)(b)(ii).]
2269          (b) The director may collect a fine that is not paid by:

2270          (i) referring the matter to a collection agency; or
2271          (ii) bringing an action in the district court of the county where the person against whom
2272     the penalty is imposed resides or in the county where the office of the director is located.
2273          (c) A county attorney or the attorney general of the state shall provide legal assistance
2274     and advice to the director in an action to collect a penalty.
2275          (d) A court shall award reasonable attorney fees and costs to the prevailing party in an
2276     action brought by the division to collect a penalty.
2277          Section 32. Section 58-67-302 is amended to read:
2278          58-67-302. Qualifications for licensure.
2279          (1) An applicant for licensure as a physician and surgeon, except as set forth in
2280     Subsection (2), shall:
2281          (a) submit an application in a form prescribed by the division, which may include:
2282          (i) submissions by the applicant of information maintained by practitioner data banks,
2283     as designated by division rule, with respect to the applicant;
2284          (ii) a record of professional liability claims made against the applicant and settlements
2285     paid by or on behalf of the applicant; and
2286          (iii) authorization to use a record coordination and verification service approved by the
2287     division in collaboration with the board;
2288          (b) pay a fee determined by the department under Section 63J-1-504;
2289          (c) be of good moral character;
2290          (d) if the applicant is applying to participate in the Interstate Medical Licensure
2291     Compact under Chapter 67b, Interstate Medical Licensure Compact, consent to a criminal
2292     background check in accordance with Section 58-67-302.1 and any requirements established by
2293     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
2294          [(d)] (e) provide satisfactory documentation of having successfully completed a
2295     program of professional education preparing an individual as a physician and surgeon, as
2296     evidenced by:

2297          (i) having received an earned degree of doctor of medicine from an LCME accredited
2298     medical school or college; or
2299          (ii) if the applicant graduated from a medical school or college located outside the
2300     United States or its territories, submitting a current certification by the Educational
2301     Commission for Foreign Medical Graduates or any successor organization approved by the
2302     division in collaboration with the board;
2303          [(e)] (f) satisfy the division and board that the applicant:
2304          (i) has successfully completed 24 months of progressive resident training in a program
2305     approved by the ACGME, the Royal College of Physicians and Surgeons, the College of
2306     Family Physicians of Canada, or any similar body in the United States or Canada approved by
2307     the division in collaboration with the board; or
2308          (ii) (A) has successfully completed 12 months of resident training in an ACGME
2309     approved program after receiving a degree of doctor of medicine as required under Subsection
2310     (1)[(d)](e);
2311          (B) has been accepted in and is successfully participating in progressive resident
2312     training in an ACGME approved program within Utah, in the applicant's second or third year
2313     of postgraduate training; and
2314          (C) has agreed to surrender to the division the applicant's license as a physician and
2315     surgeon without any proceedings under Title 63G, Chapter 4, Administrative Procedures Act,
2316     and has agreed the applicant's license as a physician and surgeon will be automatically revoked
2317     by the division if the applicant fails to continue in good standing in an ACGME approved
2318     progressive resident training program within the state;
2319          [(f)] (g) pass the licensing examination sequence required by division rule made in
2320     collaboration with the board;
2321          [(g)] (h) be able to read, write, speak, understand, and be understood in the English
2322     language and demonstrate proficiency to the satisfaction of the board if requested by the board;
2323          [(h)] (i) meet with the board and representatives of the division, if requested, for the

2324     purpose of evaluating the applicant's qualifications for licensure;
2325          [(i)] (j) designate:
2326          (i) a contact person for access to medical records in accordance with the federal Health
2327     Insurance Portability and Accountability Act; and
2328          (ii) an alternate contact person for access to medical records, in the event the original
2329     contact person is unable or unwilling to serve as the contact person for access to medical
2330     records; and
2331          [(j)] (k) establish a method for notifying patients of the identity and location of the
2332     contact person and alternate contact person, if the applicant will practice in a location with no
2333     other persons licensed under this chapter.
2334          (2) An applicant for licensure as a physician and surgeon by endorsement who is
2335     currently licensed to practice medicine in any state other than Utah, a district or territory of the
2336     United States, or Canada shall:
2337          (a) be currently licensed with a full unrestricted license in good standing in any state,
2338     district, or territory of the United States, or Canada;
2339          (b) have been actively engaged in the legal practice of medicine in any state, district, or
2340     territory of the United States, or Canada for not less than 6,000 hours during the five years
2341     immediately preceding the date of application for licensure in Utah;
2342          (c) comply with the requirements for licensure under Subsections (1)(a) through [(d)]
2343     (e), (1)[(e)](f)(i), and (1)[(g)](h) through [(j)] (k);
2344          (d) have passed the licensing examination sequence required in Subsection (1)(f) or
2345     another medical licensing examination sequence in another state, district or territory of the
2346     United States, or Canada that the division in collaboration with the board by rulemaking
2347     determines is equivalent to its own required examination;
2348          (e) not have any investigation or action pending against any health care license of the
2349     applicant, not have a health care license that was suspended or revoked in any state, district or
2350     territory of the United States, or Canada, and not have surrendered a health care license in lieu

2351     of a disciplinary action, unless:
2352          (i) the license was subsequently reinstated as a full unrestricted license in good
2353     standing; or
2354          (ii) the division in collaboration with the board determines to its satisfaction, after full
2355     disclosure by the applicant, that:
2356          (A) the conduct has been corrected, monitored, and resolved; or
2357          (B) a mitigating circumstance exists that prevents its resolution, and the division in
2358     collaboration with the board is satisfied that, but for the mitigating circumstance, the license
2359     would be reinstated;
2360          (f) submit to a records review, a practice history review, and comprehensive
2361     assessments, if requested by the division in collaboration with the board; and
2362          (g) produce satisfactory evidence that the applicant meets the requirements of this
2363     Subsection (2) to the satisfaction of the division in collaboration with the board.
2364          (3) An applicant for licensure by endorsement may engage in the practice of medicine
2365     under a temporary license while the applicant's application for licensure is being processed by
2366     the division, provided:
2367          (a) the applicant submits a complete application required for temporary licensure to the
2368     division;
2369          (b) the applicant submits a written document to the division from:
2370          (i) a health care facility licensed under Title 26, Chapter 21, Health Care Facility
2371     Licensing and Inspection Act, stating that the applicant is practicing under the:
2372          (A) invitation of the health care facility; and
2373          (B) the general supervision of a physician practicing at the facility; or
2374          (ii) two individuals licensed under this chapter, whose license is in good standing and
2375     who practice in the same clinical location, both stating that:
2376          (A) the applicant is practicing under the invitation and general supervision of the
2377     individual; and

2378          (B) the applicant will practice at the same clinical location as the individual;
2379          (c) the applicant submits a signed certification to the division that the applicant meets
2380     the requirements of Subsection (2);
2381          (d) the applicant does not engage in the practice of medicine until the division has
2382     issued a temporary license;
2383          (e) the temporary license is only issued for and may not be extended or renewed
2384     beyond the duration of one year from issuance; and
2385          (f) the temporary license expires immediately and prior to the expiration of one year
2386     from issuance, upon notification from the division that the applicant's application for licensure
2387     by endorsement is denied.
2388          (4) The division shall issue a temporary license under Subsection (3) within 15
2389     business days after the applicant satisfies the requirements of Subsection (3).
2390          (5) The division may not require a post-residency board certification as a requirement
2391     for licensure.
2392          Section 33. Section 58-67-302.1 is enacted to read:
2393          58-67-302.1. Qualifications for licensure -- Criminal background check.
2394          (1) An applicant for participation in the Interstate Medical Licensure Compact under
2395     Chapter 67b, Interstate Medical Licensure Compact, shall:
2396          (a) submit fingerprint cards in a form acceptable to the division at the time the license
2397     application is filed; and
2398          (b) consent to a fingerprint background check conducted by the Bureau of Criminal
2399     Identification and the Federal Bureau of Investigation.
2400          (2) The division shall:
2401          (a) in addition to other fees authorized by this chapter, collect from each applicant
2402     submitting fingerprints in accordance with this section the fee that the Bureau of Criminal
2403     Identification is authorized to collect for the services provided under Section 53-10-108 and the
2404     fee charged by the Federal Bureau of Investigation for fingerprint processing for the purpose of

2405     obtaining federal criminal history record information;
2406          (b) submit from each applicant the fingerprint card and the fees described in
2407     Subsection (2)(a) to the Bureau of Criminal Identification; and
2408          (c) obtain and retain in division records a signed waiver approved by the Bureau of
2409     Criminal Identification in accordance with Section 53-10-108 for each applicant.
2410          (3) The Bureau of Criminal Identification shall, in accordance with the requirements of
2411     Section 53-10-108:
2412          (a) check the fingerprints submitted under Subsection (2)(b) against the applicable state
2413     and regional criminal records databases;
2414          (b) forward the fingerprints to the Federal Bureau of Investigation for a national
2415     criminal history background check; and
2416          (c) provide the results from the state, regional, and nationwide criminal history
2417     background checks to the division.
2418          (4) For purposes of conducting a criminal background check required under this
2419     section, the division shall have direct access to criminal background information maintained
2420     under Title 53, Chapter 10, Part 2, Bureau of Criminal Identification.
2421          (5) The division may not disseminate outside of the division any criminal history
2422     record information that the division obtains from the Bureau of Criminal Identification or the
2423     Federal Bureau of Investigation under the criminal background check requirements of this
2424     section.
2425          (6) The division may not issue a letter of qualification to participate in the Interstate
2426     Medical Licensure Compact until the criminal background check described in this section is
2427     completed.
2428          Section 34. Section 58-67-302.5 is amended to read:
2429          58-67-302.5. Licensing of graduates of foreign medical schools.
2430          (1) Notwithstanding any other provision of law to the contrary, an individual enrolled
2431     in a medical school outside the United States, its territories, the District of Columbia, or

2432     Canada is eligible for licensure as a physician and surgeon in this state if the individual has
2433     satisfied the following requirements:
2434          (a) meets all the requirements of Subsection 58-67-302(1), except for Subsection
2435     58-67-302(1)[(d)](e);
2436          (b) has studied medicine in a medical school located outside the United States which is
2437     recognized by an organization approved by the division;
2438          (c) has completed all of the formal requirements of the foreign medical school except
2439     internship or social service;
2440          (d) has attained a passing score on the educational commission for foreign medical
2441     graduates examination or other qualifying examinations such as the United States Medical
2442     Licensing Exam parts I and II, which are approved by the division or a medical school
2443     approved by the division;
2444          (e) has satisfactorily completed one calendar year of supervised clinical training under
2445     the direction of a United States medical education setting accredited by the liaison committee
2446     for graduate medical education and approved by the division;
2447          (f) has completed the postgraduate hospital training required by Subsection
2448     58-67-302(1)[(e)](f)(i); and
2449          (g) has passed the examination required by the division of all applicants for licensure.
2450          (2) Satisfaction of the requirements of Subsection (1) is in lieu of:
2451          (a) the completion of any foreign internship or social service requirements; and
2452          (b) the certification required by Subsection 58-67-302(1)[(d)](e).
2453          (3) Individuals who satisfy the requirements of Subsections (1)(a) through [(f)] (g)
2454     shall be eligible for admission to graduate medical education programs within the state,
2455     including internships and residencies, which are accredited by the liaison committee for
2456     graduate medical education.
2457          (4) A document issued by a medical school located outside the United States shall be
2458     considered the equivalent of a degree of doctor of medicine for the purpose of licensure as a

2459     physician and surgeon in this state if:
2460          (a) the foreign medical school is recognized by an organization approved by the
2461     division;
2462          (b) the document granted by the foreign medical school is issued after the completion
2463     of all formal requirements of the medical school except internship or social service; and
2464          (c) the foreign medical school certifies that the person to whom the document was
2465     issued has satisfactorily completed the requirements of Subsection (1)(c).
2466          (5) The provisions for licensure under this section shall be known as the "fifth pathway
2467     program."
2468          Section 35. Section 58-67-302.7 is amended to read:
2469          58-67-302.7. Licensing of physician-educators.
2470          (1) As used in this section:
2471          (a) "Foreign country" means a country other than the United States, its territories, or
2472     Canada.
2473          (b) "Foreign medical school" means a medical school that is outside the United States,
2474     its territories, and Canada.
2475          (2) Notwithstanding any provision of law to the contrary, an individual may receive a
2476     type I foreign teaching license if the individual:
2477          (a) submits an application in a form prescribed by the division, which may include:
2478          (i) submission by the applicant of information maintained in a practitioner data bank,
2479     as designated by division rule, with respect to the applicant;
2480          (ii) a record of professional liability claims made against the applicant and settlements
2481     paid by or on behalf of the applicant; and
2482          (iii) the applicant's curriculum vitae;
2483          (b) is a graduate of a foreign medical school that is accepted for certification by the
2484     Educational Commission for Foreign Medical Graduates;
2485          (c) is licensed in good standing in a foreign country, the United States, its territories, or

2486     Canada;
2487          (d) does not have an investigation or action pending against the physician's healthcare
2488     license, does not have a healthcare license that was suspended or revoked, and has not
2489     surrendered a healthcare license in lieu of disciplinary action, unless:
2490          (i) the license was subsequently reinstated in good standing; or
2491          (ii) the division in collaboration with the board determines to its satisfaction, after full
2492     disclosure by the applicant and full consideration by the division in collaboration with the
2493     board, that:
2494          (A) the conduct has been corrected, monitored, and resolved; or
2495          (B) a mitigating circumstance exists that prevents resolution, and the division in
2496     collaboration with the board is satisfied that but for the mitigating circumstance, the license
2497     would be reinstated;
2498          (e) submits documentation of legal status to work in the United States;
2499          (f) meets at least three of the following qualifications:
2500          (i) (A) published original results of clinical research, within 10 years before the day on
2501     which the application is submitted, in a medical journal listed in the Index Medicus or an
2502     equivalent scholarly publication; and
2503          (B) submits the publication to the Board in English or in a foreign language with a
2504     verifiable, certified English translation;
2505          (ii) held an appointment at a medical school approved by the LCME or at any medical
2506     school listed in the World Health Organization directory at the level of associate or full
2507     professor, or its equivalent, for at least five years;
2508          (iii) (A) developed a treatment modality, surgical technique, or other verified original
2509     contribution to the field of medicine within 10 years before the day on which the application is
2510     submitted; and
2511          (B) has the treatment modality, surgical technique, or other verified original
2512     contribution attested to by the dean of an LCME accredited school of medicine in Utah;

2513          (iv) actively practiced medicine cumulatively for 10 years; or
2514          (v) is board certified in good standing of a board of the American Board of Medical
2515     Specialities or equivalent specialty board;
2516          (g) is of good moral character;
2517          (h) is able to read, write, speak, understand, and be understood in the English language
2518     and demonstrates proficiency to the satisfaction of the division in collaboration with the board,
2519     if requested;
2520          (i) is invited by an LCME accredited medical school in Utah to serve as a full-time
2521     member of the medical school's academic faculty, as evidenced by written certification from:
2522          (i) the dean of the medical school, stating that the applicant has been appointed to a
2523     full-time faculty position, that because the applicant has unique expertise in a specific field of
2524     medicine the medical school considers the applicant to be a valuable member of the faculty,
2525     and that the applicant is qualified by knowledge, skill, and ability to practice medicine in the
2526     state; and
2527          (ii) the head of the department to which the applicant is to be appointed, stating that the
2528     applicant will be under the direction of the head of the department and will be permitted to
2529     practice medicine only as a necessary part of the applicant's duties, providing detailed evidence
2530     of the applicant's qualifications and competence, including the nature and location of the
2531     applicant's proposed responsibilities, reasons for any limitations of the applicant's practice
2532     responsibilities, and the degree of supervision, if any, under which the applicant will function;
2533          (j) pays a licensing fee set by the division under Section 63J-1-504; and
2534          (k) has practiced medicine for at least 10 years as an attending physician.
2535          (3) Notwithstanding any provision of law to the contrary, an individual may receive a
2536     type II foreign teaching license if the individual:
2537          (a) satisfies the requirements of Subsections (2)(a) through (e) and (g) through (j);
2538          (b) has delivered clinical care to patients cumulatively for five years after graduation
2539     from medical school; and

2540          (c) (i) will be completing a clinical fellowship while employed at the medical school
2541     described in Subsection (2)(i); or
2542          (ii) has already completed a medical residency accredited by the Royal College of
2543     Physicians and Surgeons of Canada, the United Kingdom, Australia, or New Zealand, or a
2544     comparable accreditation organization as determined by the division in collaboration with the
2545     board.
2546          (4) After an initial term of one year, a type I license may be renewed for periods of two
2547     years if the licensee continues to satisfy the requirements described in Subsection (2) and
2548     completes the division's continuing education renewal requirements established under Section
2549     58-67-303.
2550          (5) A type II license may be renewed on an annual basis, up to four times, if the
2551     licensee continues to satisfy the requirements described in Subsection (3) and completes the
2552     division's continuing education renewal requirements established under Section 58-67-303.
2553          (6) A license issued under this section:
2554          (a) authorizes the licensee to practice medicine:
2555          (i) within the scope of the licensee's employment at the medical school described in
2556     Subsection (2)(i) and the licensee's academic position; and
2557          (ii) at a hospital or clinic affiliated with the medical school described in Subsection
2558     (2)(i) for the purpose of teaching, clinical care, or pursuing research;
2559          (b) shall list the limitations described in Subsection (6)(a); and
2560          (c) shall expire on the earlier of:
2561          (i) one year after the day on which the type I or type II license is initially issued, unless
2562     the license is renewed;
2563          (ii) for a type I license, two years after the day on which the license is renewed;
2564          (iii) for a type II license, one year after the day on which the license is renewed; or
2565          (iv) the day on which employment at the medical school described in Subsection (2)(i)
2566     ends.

2567          (7) A person who holds a type I license for five consecutive years may apply for
2568     licensure as a physician and surgeon in this state and shall be licensed if the individual satisfies
2569     the requirements described in Subsection (8). If the person fails to obtain licensure as a
2570     physician and surgeon in this state, the person may apply for a renewal of the type I license
2571     under Subsection (2).
2572          (8) An individual who holds a type I or type II license for five consecutive years is
2573     eligible for licensure as a physician and surgeon in this state if the individual:
2574          (a) worked an average of at least 40 hours per month at the level of an attending
2575     physician during the time the individual held the type I or type II license;
2576          (b) holds the rank of associate professor or higher at the medical school described in
2577     Subsection (2)(i);
2578          (c) obtains certification from the Educational Commission for Foreign Medical
2579     Graduates or any successor organization approved by the division in collaboration with the
2580     board;
2581          (d) spent a cumulative 20 hours per year while holding a type I or type II license:
2582          (i) teaching or lecturing to medical students or house staff;
2583          (ii) participating in educational department meetings or conferences that are not
2584     certified to meet the continuing medical education license renewal requirement; or
2585          (iii) attending continuing medical education classes in addition to the requirements for
2586     continuing education described in Subsections (4) and (5);
2587          (e) obtains a passing score on the final step of the licensing examination sequence
2588     required by division rule made in collaboration with the board; and
2589          (f) satisfies the requirements described in Subsections 58-67-302(1)(a) through [(c),
2590     (h), and (i)] (d), (i), and (j).
2591          (9) If a person who holds a type II license fails to obtain licensure as a physician and
2592     surgeon in this state after applying under the procedures described in Subsection (8), the person
2593     may not:

2594          (a) reapply for or renew a type II license; or
2595          (b) apply for a type I license.
2596          (10) The division or the board may require an applicant for licensure under this section
2597     to meet with the board and representatives of the division for the purpose of evaluating the
2598     applicant's qualifications for licensure.
2599          (11) The division in collaboration with the board may withdraw a license under this
2600     section at any time for material misrepresentation or unlawful or unprofessional conduct.
2601          Section 36. Section 58-67-302.8 (Effective 07/01/18) is amended to read:
2602          58-67-302.8 (Effective 07/01/18). Restricted licensing of an associate physician.
2603          (1) An individual may apply for a restricted license as an associate physician if the
2604     individual:
2605          (a) meets the requirements described in Subsections 58-67-302(1)(a) through [(c)] (d),
2606     (1)[(d)](e)(i), and (1)[(g)](h) through [(j)] (k);
2607          (b) successfully completes Step 1 and Step 2 of the United States Medical Licensing
2608     Examination or the equivalent steps of another board-approved medical licensing examination:
2609          (i) within three years after the day on which the applicant graduates from a program
2610     described in Subsection 58-67-302(1)[(d)](e)(i); and
2611          (ii) within two years before applying for a restricted license as an associate physician;
2612     and
2613          (c) is not currently enrolled in and has not completed a residency program.
2614          (2) Before a licensed associate physician may engage in the practice of medicine as
2615     described in Subsection (3), the licensed associate physician shall:
2616          (a) enter into a collaborative practice arrangement described in Section 58-67-807
2617     within six months after the associate physician's initial licensure; and
2618          (b) receive division approval of the collaborative practice arrangement.
2619          (3) An associate physician's scope of practice is limited to primary care services to
2620     medically underserved populations or in medically underserved areas within the state.

2621          Section 37. Section 58-67-304 (Superseded 07/01/18) is amended to read:
2622          58-67-304 (Superseded 07/01/18). License renewal requirements.
2623          (1) As a condition precedent for license renewal, each licensee shall, during each
2624     two-year licensure cycle or other cycle defined by division rule:
2625          (a) complete qualified continuing professional education requirements in accordance
2626     with the number of hours and standards defined by division rule made in collaboration with the
2627     board;
2628          (b) appoint a contact person for access to medical records and an alternate contact
2629     person for access to medical records in accordance with Subsection 58-67-302(1)[(i)](j); and
2630          (c) if the licensee practices medicine in a location with no other persons licensed under
2631     this chapter, provide some method of notice to the licensee's patients of the identity and
2632     location of the contact person and alternate contact person for the licensee.
2633          (2) If a renewal period is extended or shortened under Section 58-67-303, the
2634     continuing education hours required for license renewal under this section are increased or
2635     decreased proportionally.
2636          (3) An application to renew a license under this chapter shall:
2637          (a) require a physician to answer the following question: "Do you perform elective
2638     abortions in Utah in a location other than a hospital?"; and
2639          (b) immediately following the question, contain the following statement: "For purposes
2640     of the immediately preceding question, elective abortion means an abortion other than one of
2641     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
2642     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
2643     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
2644     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
2645     the woman is pregnant as a result of rape or incest."
2646          (4) In order to assist the Department of Health in fulfilling its responsibilities relating
2647     to the licensing of an abortion clinic, if a physician responds positively to the question

2648     described in Subsection (3)(a), the division shall, within 30 days after the day on which it
2649     renews the physician's license under this chapter, inform the Department of Health in writing:
2650          (a) of the name and business address of the physician; and
2651          (b) that the physician responded positively to the question described in Subsection
2652     (3)(a).
2653          Section 38. Section 58-67-304 (Effective 07/01/18) is amended to read:
2654          58-67-304 (Effective 07/01/18). License renewal requirements.
2655          (1) As a condition precedent for license renewal, each licensee shall, during each
2656     two-year licensure cycle or other cycle defined by division rule:
2657          (a) complete qualified continuing professional education requirements in accordance
2658     with the number of hours and standards defined by division rule made in collaboration with the
2659     board;
2660          (b) appoint a contact person for access to medical records and an alternate contact
2661     person for access to medical records in accordance with Subsection 58-67-302(1)[(i)](j);
2662          (c) if the licensee practices medicine in a location with no other persons licensed under
2663     this chapter, provide some method of notice to the licensee's patients of the identity and
2664     location of the contact person and alternate contact person for the licensee; and
2665          (d) if the licensee is an associate physician licensed under Section 58-67-302.8,
2666     successfully complete the educational methods and programs described in Subsection
2667     58-67-807(4).
2668          (2) If a renewal period is extended or shortened under Section 58-67-303, the
2669     continuing education hours required for license renewal under this section are increased or
2670     decreased proportionally.
2671          (3) An application to renew a license under this chapter shall:
2672          (a) require a physician to answer the following question: "Do you perform elective
2673     abortions in Utah in a location other than a hospital?"; and
2674          (b) immediately following the question, contain the following statement: "For purposes

2675     of the immediately preceding question, elective abortion means an abortion other than one of
2676     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
2677     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
2678     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
2679     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
2680     the woman is pregnant as a result of rape or incest."
2681          (4) In order to assist the Department of Health in fulfilling its responsibilities relating
2682     to the licensing of an abortion clinic, if a physician responds positively to the question
2683     described in Subsection (3)(a), the division shall, within 30 days after the day on which it
2684     renews the physician's license under this chapter, inform the Department of Health in writing:
2685          (a) of the name and business address of the physician; and
2686          (b) that the physician responded positively to the question described in Subsection
2687     (3)(a).
2688          Section 39. Section 58-67-403 is amended to read:
2689          58-67-403. Revocation of license -- Nondisciplinary.
2690          Revocation by the division of a license under Subsection 58-67-302(1)[(e)](f) for
2691     failure to continue on a resident training program for reasons other than unprofessional or
2692     unlawful conduct is a nondisciplinary action and may not be reported by the division as a
2693     disciplinary action against the licensee.
2694          Section 40. Section 58-67-503 is amended to read:
2695          58-67-503. Penalties and administrative actions for unlawful and unprofessional
2696     conduct.
2697          (1) Any person who violates the unlawful conduct provisions of Section 58-67-501 or
2698     Section 58-1-501 is guilty of a third degree felony.
2699          (2) (a) Subject to Subsection (4), the division may punish unprofessional or unlawful
2700     conduct by:
2701          (i) assessing administrative penalties; or

2702          (ii) taking other appropriate administrative action.
2703          (b) A monetary administrative penalty imposed under this section shall be deposited in
2704     the Physician Education Fund created in Section 58-67a-1.
2705          (3) If a licensee has been convicted of unlawful conduct, described in Section
2706     58-67-501, before an administrative proceeding regarding the same conduct, the division may
2707     not assess an additional administrative fine under this chapter for the same conduct.
2708          (4) (a) If the division concludes that an individual has violated provisions of Section
2709     58-67-501, Section 58-67-502, Chapter 1, Division of Occupational and Professional Licensing
2710     Act, Chapter 37, Utah Controlled Substances Act, or any rule or order issued with respect to
2711     these provisions, and disciplinary action is appropriate, the director or director's designee shall:
2712          (i) issue a citation to the individual;
2713          (ii) attempt to negotiate a stipulated settlement; or
2714          (iii) notify the individual that an adjudicative proceeding conducted under Title 63G,
2715     Chapter 4, Administrative Procedures Act, will be commenced and the individual is invited to
2716     appear.
2717          (b) The division may take the following action against an individual who is in violation
2718     of a provision described in Subsection (4)(a), as evidenced by an uncontested citation, a
2719     stipulated settlement, or a finding of violation in an adjudicative proceeding:
2720          (i) assess a fine of up to $10,000 per single violation or up to $2,000 per day of
2721     ongoing violation, whichever is greater, in accordance with a fine schedule established by rule;
2722     or
2723          (ii) order to cease and desist from the behavior that constitutes a violation of the
2724     provisions described in Subsection (4)(a).
2725          (c) An individual's license may not be suspended or revoked through a citation.
2726          (d) Each citation issued under this section shall:
2727          (i) be in writing;
2728          (ii) clearly describe or explain:

2729          (A) the nature of the violation, including a reference to the provision of the chapter,
2730     rule, or order alleged to have been violated;
2731          (B) that the recipient must notify the division in writing within 20 calendar days from
2732     the day on which the citation is served if the recipient wishes to contest the citation at a hearing
2733     conducted under Title 63G, Chapter 4, Administrative Procedures Act; and
2734          (C) the consequences of failure to timely contest the citation or pay the fine assessed by
2735     the citation within the time specified in the citation; and
2736          (iii) be served in accordance with the Utah Rules of Civil Procedure.
2737          (e) If the individual to whom the citation is issued fails to request a hearing to contest
2738     the citation within 20 calendar days from the day on which the citation is served, the citation
2739     becomes the final order of the division and is not subject to further agency review. The period
2740     to contest the citation may be extended by the division for cause.
2741          (f) The division may refuse to issue or renew or suspend, revoke, or place on probation
2742     the license of an individual who fails to comply with a citation after the citation becomes final.
2743          (g) The failure of an applicant for licensure to comply with a citation after it becomes
2744     final is a ground for denial of license.
2745          (h) No citation may be issued under this section after six months from the day on
2746     which the violation last occurred.
2747          (5) (a) The director may collect a penalty imposed under this section that is not paid by:
2748          (i) referring the matter to a collection agency; or
2749          (ii) bringing an action in the district court of the county where the person against whom
2750     the penalty is imposed resides or in the county where the office of the director is located.
2751          (b) A county attorney or the attorney general of the state shall provide legal assistance
2752     and advice to the director in an action to collect a penalty.
2753          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
2754     action brought by the division to collect a penalty.
2755          Section 41. Section 58-68-302 is amended to read:

2756          58-68-302. Qualifications for licensure.
2757          (1) An applicant for licensure as an osteopathic physician and surgeon, except as set
2758     forth in Subsection (2), shall:
2759          (a) submit an application in a form prescribed by the division, which may include:
2760          (i) submissions by the applicant of information maintained by practitioner data banks,
2761     as designated by division rule, with respect to the applicant;
2762          (ii) a record of professional liability claims made against the applicant and settlements
2763     paid by or on behalf of the applicant; and
2764          (iii) authorization to use a record coordination and verification service approved by the
2765     division in collaboration with the board;
2766          (b) pay a fee determined by the department under Section 63J-1-504;
2767          (c) be of good moral character;
2768          (d) if the applicant is applying to participate in the Interstate Medical Licensure
2769     Compact under Chapter 67b, Interstate Medical Licensure Compact, consent to a criminal
2770     background check in accordance with Section 58-68-302.1 and any requirements established by
2771     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
2772          [(d)] (e) provide satisfactory documentation of having successfully completed a
2773     program of professional education preparing an individual as an osteopathic physician and
2774     surgeon, as evidenced by:
2775          (i) having received an earned degree of doctor of osteopathic medicine from an AOA
2776     approved medical school or college; or
2777          (ii) submitting a current certification by the Educational Commission for Foreign
2778     Medical Graduates or any successor organization approved by the division in collaboration
2779     with the board, if the applicant is graduated from an osteopathic medical school or college
2780     located outside of the United States or its territories which at the time of the applicant's
2781     graduation, met criteria for accreditation by the AOA;
2782          [(e)] (f) satisfy the division and board that the applicant:

2783          (i) has successfully completed 24 months of progressive resident training in an
2784     ACGME or AOA approved program after receiving a degree of doctor of osteopathic medicine
2785     required under Subsection (1)[(d)](e); or
2786          (ii) (A) has successfully completed 12 months of resident training in an ACGME or
2787     AOA approved program after receiving a degree of doctor of osteopathic medicine as required
2788     under Subsection (1)[(d)](e);
2789          (B) has been accepted in and is successfully participating in progressive resident
2790     training in an ACGME or AOA approved program within Utah, in the applicant's second or
2791     third year of postgraduate training; and
2792          (C) has agreed to surrender to the division the applicant's license as an osteopathic
2793     physician and surgeon without any proceedings under Title 63G, Chapter 4, Administrative
2794     Procedures Act, and has agreed the applicant's license as an osteopathic physician and surgeon
2795     will be automatically revoked by the division if the applicant fails to continue in good standing
2796     in an ACGME or AOA approved progressive resident training program within the state;
2797          [(f)] (g) pass the licensing examination sequence required by division rule, as made in
2798     collaboration with the board;
2799          [(g)] (h) be able to read, write, speak, understand, and be understood in the English
2800     language and demonstrate proficiency to the satisfaction of the board, if requested by the board;
2801          [(h)] (i) meet with the board and representatives of the division, if requested for the
2802     purpose of evaluating the applicant's qualifications for licensure;
2803          [(i)] (j) designate:
2804          (i) a contact person for access to medical records in accordance with the federal Health
2805     Insurance Portability and Accountability Act; and
2806          (ii) an alternate contact person for access to medical records, in the event the original
2807     contact person is unable or unwilling to serve as the contact person for access to medical
2808     records; and
2809          [(j)] (k) establish a method for notifying patients of the identity and location of the

2810     contact person and alternate contact person, if the applicant will practice in a location with no
2811     other persons licensed under this chapter.
2812          (2) An applicant for licensure as an osteopathic physician and surgeon by endorsement
2813     who is currently licensed to practice osteopathic medicine in any state other than Utah, a
2814     district or territory of the United States, or Canada shall:
2815          (a) be currently licensed with a full unrestricted license in good standing in any state,
2816     district or territory of the United States, or Canada;
2817          (b) have been actively engaged in the legal practice of osteopathic medicine in any
2818     state, district or territory of the United States, or Canada for not less than 6,000 hours during
2819     the five years immediately preceding the day on which the applicant applied for licensure in
2820     Utah;
2821          (c) comply with the requirements for licensure under Subsections (1)(a) through [(d)]
2822     (e), (1)[(e)](f)(i), and (1)[(g)](h) through [(j)] (k);
2823          (d) have passed the licensing examination sequence required in Subsection (1)[(f)](g)
2824     or another medical licensing examination sequence in another state, district or territory of the
2825     United States, or Canada that the division in collaboration with the board by rulemaking
2826     determines is equivalent to its own required examination;
2827          (e) not have any investigation or action pending against any health care license of the
2828     applicant, not have a health care license that was suspended or revoked in any state, district or
2829     territory of the United States, or Canada, and not have surrendered a health care license in lieu
2830     of a disciplinary action, unless:
2831          (i) the license was subsequently reinstated as a full unrestricted license in good
2832     standing; or
2833          (ii) the division in collaboration with the board determines, after full disclosure by the
2834     applicant, that:
2835          (A) the conduct has been corrected, monitored, and resolved; or
2836          (B) a mitigating circumstance exists that prevents its resolution, and the division in

2837     collaboration with the board is satisfied that, but for the mitigating circumstance, the license
2838     would be reinstated;
2839          (f) submit to a records review, a practice review history, and physical and
2840     psychological assessments, if requested by the division in collaboration with the board; and
2841          (g) produce evidence that the applicant meets the requirements of this Subsection (2) to
2842     the satisfaction of the division in collaboration with the board.
2843          (3) An applicant for licensure by endorsement may engage in the practice of medicine
2844     under a temporary license while the applicant's application for licensure is being processed by
2845     the division, provided:
2846          (a) the applicant submits a complete application required for temporary licensure to the
2847     division;
2848          (b) the applicant submits a written document to the division from:
2849          (i) a health care facility licensed under Title 26, Chapter 21, Health Care Facility
2850     Licensing and Inspection Act, stating that the applicant is practicing under the:
2851          (A) invitation of the health care facility; and
2852          (B) the general supervision of a physician practicing at the health care facility; or
2853          (ii) two individuals licensed under this chapter, whose license is in good standing and
2854     who practice in the same clinical location, both stating that:
2855          (A) the applicant is practicing under the invitation and general supervision of the
2856     individual; and
2857          (B) the applicant will practice at the same clinical location as the individual;
2858          (c) the applicant submits a signed certification to the division that the applicant meets
2859     the requirements of Subsection (2);
2860          (d) the applicant does not engage in the practice of medicine until the division has
2861     issued a temporary license;
2862          (e) the temporary license is only issued for and may not be extended or renewed
2863     beyond the duration of one year from issuance; and

2864          (f) the temporary license expires immediately and prior to the expiration of one year
2865     from issuance, upon notification from the division that the applicant's application for licensure
2866     by endorsement is denied.
2867          (4) The division shall issue a temporary license under Subsection (3) within 15
2868     business days after the applicant satisfies the requirements of Subsection (3).
2869          (5) The division may not require a post-residency board certification as a requirement
2870     for licensure.
2871          Section 42. Section 58-68-302.1 is enacted to read:
2872          58-68-302.1. Qualifications for licensure -- Criminal background check.
2873          (1) An applicant for participation in the Interstate Medical Licensure Compact under
2874     Chapter 67b, Interstate Medical Licensure Compact, shall:
2875          (a) submit fingerprint cards in a form acceptable to the division at the time the license
2876     application is filed; and
2877          (b) consent to a fingerprint background check conducted by the Bureau of Criminal
2878     Identification and the Federal Bureau of Investigation.
2879          (2) The division shall:
2880          (a) in addition to other fees authorized by this chapter, collect from each applicant
2881     submitting fingerprints in accordance with this section the fee that the Bureau of Criminal
2882     Identification is authorized to collect for the services provided under Section 53-10-108 and the
2883     fee charged by the Federal Bureau of Investigation for fingerprint processing for the purpose of
2884     obtaining federal criminal history record information;
2885          (b) submit from each applicant the fingerprint card and the fees described in
2886     Subsection (2)(a) to the Bureau of Criminal Identification; and
2887          (c) obtain and retain in division records a signed waiver approved by the Bureau of
2888     Criminal Identification in accordance with Section 53-10-108 for each applicant.
2889          (3) The Bureau of Criminal Identification shall, in accordance with the requirements of
2890     Section 53-10-108:

2891          (a) check the fingerprints submitted under Subsection (2)(b) against the applicable state
2892     and regional criminal records databases;
2893          (b) forward the fingerprints to the Federal Bureau of Investigation for a national
2894     criminal history background check; and
2895          (c) provide the results from the state, regional, and nationwide criminal history
2896     background checks to the division.
2897          (4) For purposes of conducting a criminal background check required under this
2898     section, the division shall have direct access to criminal background information maintained
2899     under Title 53, Chapter 10, Part 2, Bureau of Criminal Identification.
2900          (5) The division may not disseminate outside of the division any criminal history
2901     record information that the division obtains from the Bureau of Criminal Identification or the
2902     Federal Bureau of Investigation under the criminal background check requirements of this
2903     section.
2904          (6) The division may not issue a letter of qualification to participate in the Interstate
2905     Medical Licensure Compact until the criminal background check described in this section is
2906     completed.
2907          Section 43. Section 58-68-302.5 (Effective 07/01/18) is amended to read:
2908          58-68-302.5 (Effective 07/01/18). Restricted licensing of an associate physician.
2909          (1) An individual may apply for a restricted license as an associate physician if the
2910     individual:
2911          (a) meets the requirements described in Subsections 58-68-302(1)(a) through [(c)] (d),
2912     (1)[(d)](e)(i), and (1)[(g)](h) through [(j)] (k);
2913          (b) successfully completes Step 1 and Step 2 of the United States Medical Licensing
2914     Examination or the equivalent steps of another board-approved medical licensing examination:
2915          (i) within three years after the day on which the applicant graduates from a program
2916     described in Subsection 58-68-302(1)[(d)](e)(i); and
2917          (ii) within two years before applying for a restricted license as an associate physician;

2918     and
2919          (c) is not currently enrolled in and has not completed a residency program.
2920          (2) Before a licensed associate physician may engage in the practice of medicine as
2921     described in Subsection (3), the licensed associate physician shall:
2922          (a) enter into a collaborative practice arrangement described in Section 58-68-807
2923     within six months after the associate physician's initial licensure; and
2924          (b) receive division approval of the collaborative practice arrangement.
2925          (3) An associate physician's scope of practice is limited to primary care services to
2926     medically underserved populations or in medically underserved areas within the state.
2927          Section 44. Section 58-68-304 (Superseded 07/01/18) is amended to read:
2928          58-68-304 (Superseded 07/01/18). License renewal requirements.
2929          (1) As a condition precedent for license renewal, each licensee shall, during each
2930     two-year licensure cycle or other cycle defined by division rule:
2931          (a) complete qualified continuing professional education requirements in accordance
2932     with the number of hours and standards defined by division rule in collaboration with the
2933     board;
2934          (b) appoint a contact person for access to medical records and an alternate contact
2935     person for access to medical records in accordance with Subsection 58-68-302(1)[(i)](j); and
2936          (c) if the licensee practices osteopathic medicine in a location with no other persons
2937     licensed under this chapter, provide some method of notice to the licensee's patients of the
2938     identity and location of the contact person and alternate contact person for access to medical
2939     records for the licensee in accordance with Subsection 58-68-302(1)[(j)](k).
2940          (2) If a renewal period is extended or shortened under Section 58-68-303, the
2941     continuing education hours required for license renewal under this section are increased or
2942     decreased proportionally.
2943          (3) An application to renew a license under this chapter shall:
2944          (a) require a physician to answer the following question: "Do you perform elective

2945     abortions in Utah in a location other than a hospital?"; and
2946          (b) immediately following the question, contain the following statement: "For purposes
2947     of the immediately preceding question, elective abortion means an abortion other than one of
2948     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
2949     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
2950     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
2951     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
2952     the woman is pregnant as a result of rape or incest."
2953          (4) In order to assist the Department of Health in fulfilling its responsibilities relating
2954     to the licensing of an abortion clinic, if a physician responds positively to the question
2955     described in Subsection (3)(a), the division shall, within 30 days after the day on which it
2956     renews the physician's license under this chapter, inform the Department of Health in writing:
2957          (a) of the name and business address of the physician; and
2958          (b) that the physician responded positively to the question described in Subsection
2959     (3)(a).
2960          Section 45. Section 58-68-304 (Effective 07/01/18) is amended to read:
2961          58-68-304 (Effective 07/01/18). License renewal requirements.
2962          (1) As a condition precedent for license renewal, each licensee shall, during each
2963     two-year licensure cycle or other cycle defined by division rule:
2964          (a) complete qualified continuing professional education requirements in accordance
2965     with the number of hours and standards defined by division rule in collaboration with the
2966     board;
2967          (b) appoint a contact person for access to medical records and an alternate contact
2968     person for access to medical records in accordance with Subsection 58-68-302(1)[(i)](j);
2969          (c) if the licensee practices osteopathic medicine in a location with no other persons
2970     licensed under this chapter, provide some method of notice to the licensee's patients of the
2971     identity and location of the contact person and alternate contact person for access to medical

2972     records for the licensee in accordance with Subsection 58-68-302(1)[(j)](k); and
2973          (d) if the licensee is an associate physician licensed under Section 58-68-302.5,
2974     successfully complete the educational methods and programs described in Subsection
2975     58-68-807(4).
2976          (2) If a renewal period is extended or shortened under Section 58-68-303, the
2977     continuing education hours required for license renewal under this section are increased or
2978     decreased proportionally.
2979          (3) An application to renew a license under this chapter shall:
2980          (a) require a physician to answer the following question: "Do you perform elective
2981     abortions in Utah in a location other than a hospital?"; and
2982          (b) immediately following the question, contain the following statement: "For purposes
2983     of the immediately preceding question, elective abortion means an abortion other than one of
2984     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
2985     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
2986     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
2987     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
2988     the woman is pregnant as a result of rape or incest."
2989          (4) In order to assist the Department of Health in fulfilling its responsibilities relating
2990     to the licensing of an abortion clinic, if a physician responds positively to the question
2991     described in Subsection (3)(a), the division shall, within 30 days after the day on which it
2992     renews the physician's license under this chapter, inform the Department of Health in writing:
2993          (a) of the name and business address of the physician; and
2994          (b) that the physician responded positively to the question described in Subsection
2995     (3)(a).
2996          Section 46. Section 58-68-403 is amended to read:
2997          58-68-403. Revocation of license -- Nondisciplinary.
2998          Revocation by the division of a license under Subsection 58-68-302(1)[(e)](f) for

2999     failure to continue on a resident training program for reasons other than unprofessional or
3000     unlawful conduct is a nondisciplinary action and may not be reported by the division as a
3001     disciplinary action against the licensee.
3002          Section 47. Section 58-68-503 is amended to read:
3003          58-68-503. Penalties and administrative actions for unlawful and unprofessional
3004     conduct.
3005          (1) Any person who violates the unlawful conduct provisions of Section 58-68-501 or
3006     Section 58-1-501 is guilty of a third degree felony.
3007          (2) (a) Subject to Subsection (4), the division may punish unprofessional or unlawful
3008     conduct by:
3009          (i) assessing administrative penalties; or
3010          (ii) taking any other appropriate administrative action.
3011          (b) A monetary administrative penalty imposed under this section shall be deposited in
3012     the Physician Education Fund described in Section 58-67a-1.
3013          (3) If a licensee is convicted of unlawful conduct, described in Section 58-68-501,
3014     before an administrative proceeding regarding the same conduct, the licensee may not be
3015     assessed an administrative fine under this chapter for the same conduct.
3016          (4) (a) If the division concludes that an individual has violated the provisions of
3017     Section 58-68-501, Section 58-68-502, Chapter 1, Division of Occupational and Professional
3018     Licensing Act, Chapter 37, Utah Controlled Substances Act, or any rule or order issued with
3019     respect to these provisions, and disciplinary action is appropriate, the director or director's
3020     designee shall:
3021          (i) issue a citation to the individual;
3022          (ii) attempt to negotiate a stipulated settlement; or
3023          (iii) notify the individual that an adjudicative proceeding conducted under Title 63G,
3024     Chapter 4, Administrative Procedures Act, will be commenced and the individual is invited to
3025     appear.

3026          (b) The division may take the following action against an individual who is in violation
3027     of a provision described in Subsection (4)(a), as evidenced by an uncontested citation, a
3028     stipulated settlement, or a finding of violation in an adjudicative proceeding:
3029          (i) assess a fine of up to $10,000 per single violation or $2,000 per day of ongoing
3030     violation, whichever is greater, in accordance with a fine schedule established by rule; or
3031          (ii) order to cease and desist from the behavior that constitutes a violation of provisions
3032     described in Subsection (4)(a).
3033          (c) Except for an administrative fine and a cease and desist order, the licensure
3034     sanctions cited in Section 58-1-401 may not be assessed through a citation.
3035          (d) Each citation issued under this section shall:
3036          (i) be in writing;
3037          (ii) clearly describe or explain:
3038          (A) the nature of the violation, including a reference to the provision of the chapter,
3039     rule, or order alleged to have been violated;
3040          (B) that the recipient must notify the division in writing within 20 calendar days from
3041     the day on which the citation is served if the recipient wishes to contest the citation at a hearing
3042     conducted under Title 63G, Chapter 4, Administrative Procedures Act; and
3043          (C) the consequences of failure to timely contest the citation or pay the fine assessed by
3044     the citation within the time specified in the citation; and
3045          (iii) be served in accordance with the requirements of the Utah Rules of Civil
3046     Procedure.
3047          (e) If the individual to whom the citation is issued fails to request a hearing to contest
3048     the citation within 20 calendar days from the day on which the citation is served, the citation
3049     becomes the final order of the division and is not subject to further agency review. The period
3050     to contest the citation may be extended by the division for cause.
3051          (f) The division may refuse to issue or renew or suspend, revoke, or place on probation
3052     the license of an individual who fails to comply with a citation after the citation becomes final.

3053          (g) The failure of an applicant for licensure to comply with a citation after it becomes
3054     final is a ground for denial of a license.
3055          (h) No citation may be issued under this section after six months from the day on
3056     which the last violation occurred.
3057          (5) (a) The director may collect a penalty imposed under this section that is not paid by:
3058          (i) referring the matter to a collection agency; or
3059          (ii) bringing an action in the district court of the county where the person against whom
3060     the penalty is imposed resides or in the county where the office of the director is located.
3061          (b) A county attorney or the attorney general of the state shall provide legal assistance
3062     and advice to the director in an action to collect a penalty.
3063          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
3064     action brought by the division to collect a penalty.
3065          Section 48. Section 58-71-503 is amended to read:
3066          58-71-503. Penalty for unlawful conduct.
3067          (1) Any person who violates the unlawful conduct provisions of Section 58-71-501,
3068     Subsection 58-1-501(1)(a), or 58-1-501(1)(c) is guilty of a third degree felony.
3069          (2) The division may assess administrative penalties in accordance with the provisions
3070     of Section 58-71-402, for acts of unlawful conduct.
3071          (3) (a) The director may collect a penalty that is not paid by:
3072          (i) referring the matter to a collection agency; or
3073          (ii) bringing an action in the district court of the county where the person against whom
3074     the penalty is imposed resides or in the county where the office of the director is located.
3075          (b) A county attorney or the attorney general of the state shall provide legal assistance
3076     and advice to the director in an action to collect a penalty.
3077          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
3078     action brought by the division to collect a penalty.
3079          Section 49. Section 58-76-502 is amended to read:

3080          58-76-502. Penalty for unlawful conduct.
3081          (1) (a) If, upon inspection or investigation, the division concludes that a person has
3082     violated Section 58-76-501 or any rule or order issued with respect to Section 58-76-501, and
3083     that disciplinary action is appropriate, the director or the director's designee from within the
3084     division shall promptly issue a citation to the person according to this chapter and any pertinent
3085     rules, attempt to negotiate a stipulated settlement, or notify the person to appear before an
3086     adjudicative proceeding conducted under Title 63G, Chapter 4, Administrative Procedures Act.
3087          (i) A person who violates Subsections 58-1-501(1)(a) through (d) or Section 58-76-501
3088     or any rule or order issued with respect to Section 58-76-501, as evidenced by an uncontested
3089     citation, a stipulated settlement, or by a finding of violation in an adjudicative proceeding, may
3090     be assessed a fine pursuant to this Subsection (1) and may, in addition to or in lieu of, be
3091     ordered to cease and desist from violating Subsections 58-1-501(1)(a) through (d) or Section
3092     58-76-501 or any rule or order issued with respect to this section.
3093          (ii) Except for a cease and desist order, the licensure sanctions cited in Section
3094     58-76-401 may not be assessed through a citation.
3095          (b) A citation shall:
3096          (i) be in writing;
3097          (ii) describe with particularity the nature of the violation, including a reference to the
3098     provision of the chapter, rule, or order alleged to have been violated;
3099          (iii) clearly state that the recipient must notify the division in writing within 20
3100     calendar days of service of the citation if the recipient wishes to contest the citation at a hearing
3101     conducted under Title 63G, Chapter 4, Administrative Procedures Act; and
3102          (iv) clearly explain the consequences of failure to timely contest the citation or to make
3103     payment of any fines assessed by the citation within the time specified in the citation.
3104          (c) The division may issue a notice in lieu of a citation.
3105          (d) Each citation issued under this section, or a copy of each citation, may be served
3106     upon any person upon whom a summons may be served in accordance with the Utah Rules of

3107     Civil Procedure and may be made personally or upon the person's agent by a division
3108     investigator or by any person specially designated by the director or by mail.
3109          (e) If within 20 calendar days from the service of the citation, the person to whom the
3110     citation was issued fails to request a hearing to contest the citation, the citation becomes the
3111     final order of the division and is not subject to further agency review. The period to contest a
3112     citation may be extended by the division for cause.
3113          (f) The division may refuse to issue or renew, suspend, revoke, or place on probation
3114     the license of a licensee who fails to comply with a citation after it becomes final.
3115          (g) The failure of an applicant for licensure to comply with a citation after it becomes
3116     final is a ground for denial of license.
3117          (h) No citation may be issued under this section after the expiration of six months
3118     following the occurrence of any violation.
3119          (i) The director or the director's designee shall assess fines according to the following:
3120          (i) for a first offense handled pursuant to Subsection (1)(a), a fine of up to $1,000;
3121          (ii) for a second offense handled pursuant to Subsection (1)(a), a fine of up to $2,000;
3122     and
3123          (iii) for any subsequent offense handled pursuant to Subsection (1)(a), a fine of up to
3124     $2,000 for each day of continued offense.
3125          (2) An action initiated for a first or second offense which has not yet resulted in a final
3126     order of the division shall not preclude initiation of any subsequent action for a second or
3127     subsequent offense during the pendency of any preceding action. The final order on a
3128     subsequent action shall be considered a second or subsequent offense, respectively, provided
3129     the preceding action resulted in a first or second offense, respectively.
3130          [(3) Any penalty which is not paid may be collected by the director by either referring
3131     the matter to a collection agency or bringing an action in the district court of the county in
3132     which the person against whom the penalty is imposed resides or in the county where the office
3133     of the director is located. Any county attorney or the attorney general of the state shall provide

3134     legal assistance and advice to the director in any action to collect the penalty. In any action
3135     brought to enforce the provisions of this section, reasonable attorney's fees and costs shall be
3136     awarded to the division.]
3137          (3) (a) The director may collect a penalty that is not paid by:
3138          (i) referring the matter to a collection agency; or
3139          (ii) bringing an action in the district court of the county where the person against whom
3140     the penalty is imposed resides or in the county where the office of the director is located.
3141          (b) A county attorney or the attorney general of the state shall provide legal assistance
3142     and advice to the director in an action to collect a penalty.
3143          (c) A court shall award reasonable attorney fees and costs to the prevailing party in an
3144     action brought by the division to collect a penalty.
3145          Section 50. Section 58-79-201 is amended to read:
3146          58-79-201. Board.
3147          (1) There is created the Hunting Guides and Outfitters Licensing Board consisting of
3148     [three persons licensed in accordance with this chapter,] five members as follows:
3149          (a) three persons licensed as a hunting guide or an outfitter in accordance with this
3150     chapter;
3151          (b) one member of the Wildlife Board, created in Section 23-14-2, selected by the
3152     Wildlife Board[,]; and
3153          (c) one person appointed by the Wildlife Board.
3154          (2) Except for the two members selected by the Wildlife Board, the board shall be
3155     appointed and serve in accordance with Section 58-1-201.
3156          (3) The two members selected by the Wildlife Board may not hold a license regulated
3157     by this chapter.
3158          [(3)] (4) (a) The duties and responsibilities of the board shall be in accordance with
3159     Sections 58-1-202 and 58-1-203.
3160          (b) The board shall also:

3161          (i) designate one of its members on a permanent or rotating basis to assist the division
3162     in reviewing complaints concerning the unlawful or unprofessional conduct of hunting guides
3163     and outfitters; and
3164          (ii) advise the division in its investigations of these complaints.
3165          [(4)] (5) A board member who has, under Subsection [(3)] (4)(b), reviewed a complaint
3166     or advised in its investigation may be disqualified from participating with the board when the
3167     board serves as a presiding officer in an adjudicative proceeding concerning the complaint.
3168          Section 51. Section 78B-3-416 is amended to read:
3169          78B-3-416. Division to provide panel -- Exemption -- Procedures -- Statute of
3170     limitations tolled -- Composition of panel -- Expenses -- Division authorized to set license
3171     fees.
3172          (1) (a) The division shall provide a hearing panel in alleged medical liability cases
3173     against health care providers as defined in Section 78B-3-403, except dentists.
3174          (b) (i) The division shall establish procedures for prelitigation consideration of medical
3175     liability claims for damages arising out of the provision of or alleged failure to provide health
3176     care.
3177          (ii) The division may establish rules necessary to administer the process and
3178     procedures related to prelitigation hearings and the conduct of prelitigation hearings in
3179     accordance with Sections 78B-3-416 through 78B-3-420.
3180          (c) The proceedings are informal, nonbinding, and are not subject to Title 63G, Chapter
3181     4, Administrative Procedures Act, but are compulsory as a condition precedent to commencing
3182     litigation.
3183          (d) Proceedings conducted under authority of this section are confidential, privileged,
3184     and immune from civil process.
3185          (2) (a) The party initiating a medical liability action shall file a request for prelitigation
3186     panel review with the division within 60 days after the service of a statutory notice of intent to
3187     commence action under Section 78B-3-412.

3188          (b) The request shall include a copy of the notice of intent to commence action. The
3189     request shall be mailed to all health care providers named in the notice and request.
3190          (3) (a) The filing of a request for prelitigation panel review under this section tolls the
3191     applicable statute of limitations until the later of:
3192          (i) 60 days following the division's issuance of:
3193          (A) an opinion by the prelitigation panel; or
3194          (B) a certificate of compliance under Section 78B-3-418; or
3195          (ii) the expiration of the time for holding a hearing under Subsection (3)(b)(ii).
3196          (b) The division shall:
3197          (i) send any opinion issued by the panel to all parties by regular mail; and
3198          (ii) complete a prelitigation hearing under this section within:
3199          (A) 180 days after the filing of the request for prelitigation panel review; or
3200          (B) any longer period as agreed upon in writing by all parties to the review.
3201          (c) If the prelitigation hearing has not been completed within the time limits
3202     established in Subsection (3)(b)(ii), the claimant shall:
3203          (i) file an affidavit of merit under the provisions of Section 78B-3-423; or
3204          (ii) file an affidavit with the division within 180 days of the request for pre-litigation
3205     review, in accordance with Subsection (3)(d), alleging that the respondent has failed to
3206     reasonably cooperate in scheduling the hearing.
3207          (d) If the claimant files an affidavit under Subsection (3)(c)(ii):
3208          (i) within 15 days of the filing of the affidavit under Subsection (3)(c)(ii), the division
3209     shall determine whether either the respondent or the claimant failed to reasonably cooperate in
3210     the scheduling of a pre-litigation hearing; and
3211          (ii) (A) if the determination is that the respondent failed to reasonably cooperate in the
3212     scheduling of a hearing, and the claimant did not fail to reasonably cooperate, the division
3213     shall, issue a certificate of compliance for the claimant in accordance with Section 78B-3-418;
3214     or

3215          (B) if the division makes a determination other than the determination in Subsection
3216     (3)(d)(ii)(A), the claimant shall file an affidavit of merit in accordance with Section 78B-3-423,
3217     within 30 days of the determination of the division under this Subsection (3).
3218          (e) (i) The claimant and any respondent may agree by written stipulation that no useful
3219     purpose would be served by convening a prelitigation panel under this section.
3220          (ii) When the stipulation is filed with the division, the division shall within 10 days
3221     after receipt issue a certificate of compliance under Section 78B-3-418, as it concerns the
3222     stipulating respondent, and stating that the claimant has complied with all conditions precedent
3223     to the commencement of litigation regarding the claim.
3224          (4) The division shall provide for and appoint an appropriate panel or panels to hear
3225     complaints of medical liability and damages, made by or on behalf of any patient who is an
3226     alleged victim of medical liability. The panels are composed of:
3227          (a) one member who is a resident lawyer currently licensed and in good standing to
3228     practice law in this state and who shall serve as chairman of the panel, who is appointed by the
3229     division from among qualified individuals who have registered with the division indicating a
3230     willingness to serve as panel members, and a willingness to comply with the rules of
3231     professional conduct governing lawyers in the state, and who has completed division training
3232     regarding conduct of panel hearings;
3233          (b) (i) one member who is a licensed health care provider listed under Section
3234     78B-3-403, who is practicing and knowledgeable in the same specialty as the proposed
3235     defendant, and who is appointed by the division in accordance with Subsection (5); or
3236          (ii) in claims against only hospitals or their employees, one member who is an
3237     individual currently serving in a hospital administration position directly related to hospital
3238     operations or conduct that includes responsibility for the area of practice that is the subject of
3239     the liability claim, and who is appointed by the division; and
3240          (c) a lay panelist who is not a lawyer, doctor, hospital employee, or other health care
3241     provider, and who is a responsible citizen of the state, selected and appointed by the division

3242     from among individuals who have completed division training with respect to panel hearings.
3243          (5) (a) Each person listed as a health care provider in Section 78B-3-403 and practicing
3244     under a license issued by the state, is obligated as a condition of holding that license to
3245     participate as a member of a medical liability prelitigation panel at reasonable times, places,
3246     and intervals, upon issuance, with advance notice given in a reasonable time frame, by the
3247     division of an Order to Participate as a Medical Liability Prelitigation Panel Member.
3248          (b) A licensee may be excused from appearance and participation as a panel member
3249     upon the division finding participation by the licensee will create an unreasonable burden or
3250     hardship upon the licensee.
3251          (c) A licensee whom the division finds failed to appear and participate as a panel
3252     member when so ordered, without adequate explanation or justification and without being
3253     excused for cause by the division, may be assessed an administrative fine not to exceed $5,000.
3254          (d) A licensee whom the division finds intentionally or repeatedly failed to appear and
3255     participate as a panel member when so ordered, without adequate explanation or justification
3256     and without being excused for cause by the division, may be assessed an administrative fine not
3257     to exceed $5,000, and is guilty of unprofessional conduct.
3258          (e) All fines collected under Subsections (5)(c) and (d) shall be deposited in the
3259     Physicians Education Fund created in Section 58-67a-1.
3260          (f) The director of the division may collect a fine that is not paid by:
3261          (i) referring the matter to a collection agency; or
3262          (ii) bringing an action in the district court of the county where the person against whom
3263     the penalty is imposed resides or in the county where the office of the director is located.
3264          (g) A county attorney or the attorney general of the state shall provide legal assistance
3265     and advice to the director in an action to collect a fine.
3266          (h) A court shall award reasonable attorney fees and costs to the prevailing party in an
3267     action brought by the division to collect a fine.
3268          (6) Each person selected as a panel member shall certify, under oath, that he has no

3269     bias or conflict of interest with respect to any matter under consideration.
3270          (7) A member of the prelitigation hearing panel may not receive compensation or
3271     benefits for the member's service, but may receive per diem and travel expenses in accordance
3272     with:
3273          (a) Section 63A-3-106;
3274          (b) Section 63A-3-107; and
3275          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
3276     63A-3-107.
3277          (8) (a) In addition to the actual cost of administering the licensure of health care
3278     providers, the division may set license fees of health care providers within the limits
3279     established by law equal to their proportionate costs of administering prelitigation panels.
3280          (b) The claimant bears none of the costs of administering the prelitigation panel except
3281     under Section 78B-3-420.
3282          Section 52. Effective date.
3283          (1) Except as provided in Subsection (2), this bill takes effect on May 8, 2018.
3284          (2) The amendments to the following sections take effect on July 1, 2018:
3285          (a) Section 58-67-302.8 (Effective 07/01/18);
3286          (b) Section 58-67-304 (Effective 07/01/18);
3287          (c) Section 58-68-302.5 (Effective 07/01/18); and
3288          (d) Section 58-68-304 (Effective 07/01/18).