As Reported by the House Commerce and Labor Committee        1            

122nd General Assembly                                             4            

   Regular Session                            Sub. H. B. No. 553   5            

      1997-1998                                                    6            


      REPRESENTATIVES COUGHLIN-LOGAN-HOOD-WACHTMANN-PATTON         8            


                                                                   10           

                           A   B I L L                                          

             To amend sections 4725.05, 4725.08, 4725.09, and      12           

                4725.091 of the Revised Code to prohibit the       13           

                State Board of Optometry from considering the      14           

                application of an applicant who has  failed any    15           

                part of the licensing examination four times       16           

                until the applicant has taken remedial classes     17           

                and passed the examination, to change the content  18           

                of the optometry licensing examination,  to        19           

                remove a provision that required optometrists      20           

                seeking a therapeutic pharmaceutical agents        21           

                certificate to meet certain requirements by May    22           

                19, 1997, to specify that the Board may  hire an   23           

                executive secretary, and to make other changes in  24           

                the Optometrists  Law.                             25           




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        27           

      Section 1.  That sections 4725.05, 4725.08, 4725.09, and     29           

4725.09l of the Revised Code be amended to read as follows:        31           

      Sec. 4725.05.  Before entering upon the discharge of the     40           

OFFICIAL duties of his office, the secretary of the state board    42           

of optometry shall give a bond, to be approved by the board, in    43           

the sum of two thousand dollars conditioned for the faithful       44           

discharge of the duties of his THE SECRETARY'S office.  The        45           

premium for such bond shall be paid as are other expenditures of   47           

the board.  Such bond, with the approval of the board and oath of  48           

office indorsed thereon, shall be deposited with the secretary of  49           

state and kept in his THE SECRETARY OF STATE'S office.             50           

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      The board may employ such assistants, inspectors,            52           

investigators, and clerical help, INCLUDING AN EXECUTIVE           53           

SECRETARY, as are necessary to administer and enforce sections     55           

4725.01 to 4725.21 of the Revised Code, the expenses thereof to    56           

be charged and paid as other expenditures of the board.            57           

      All receipts of the state board of optometry, from any       59           

source, shall be deposited in the state treasury to the credit of  60           

the occupational licensing and regulatory fund.                    61           

      Sec. 4725.08.  (A)  Each person who desires to commence the  70           

practice of optometry shall file with the EXECUTIVE secretary of   71           

the state board of optometry a written application for the         73           

licensing examination CONTAINING THE INFORMATION THE BOARD DEEMS   74           

NECESSARY TO DETERMINE WHETHER AN APPLICANT IS QUALIFIED FOR       75           

LICENSURE UNDER THIS CHAPTER.                                                   

      Each application for the licensing examination LICENSURE     77           

shall be accompanied by the fee required SPECIFIED under section   79           

4725.10 of the Revised Code FOR REGISTRATIONS AND LICENSING        81           

EXAMINATIONS and shall be filed with the EXECUTIVE secretary not   82           

more than sixty nor less than thirty days prior to the day of any  83           

meeting OF THE BOARD at which the applicable examination           85           

LICENSURE is to be held GRANTED.                                   86           

      Each application for the licensing examination LICENSURE     88           

shall be upon the form prescribed by the board and shall be        90           

verified by the oath of the applicant.  In addition, it shall      91           

contain information and evidence satisfactory to the board         92           

showing the eligibility of the applicant to take the examination   93           

IN MEETING THE CRITERIA REQUIRED FOR LICENSURE.                    94           

      (B)  No person is eligible to take the licensing             96           

examination FOR LICENSURE unless he is THE PERSON MEETS ALL OF     98           

THE FOLLOWING CRITERIA:                                                         

      (1)  IS at least eighteen years of age,;                     101          

      (2)  IS of good moral character, has;                        104          

      (3)  HAS satisfactorily completed a course of study of at    107          

least six college years, and has;                                               

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      (4)  HAS graduated from a AN ACCREDITED school of optometry  110          

accredited APPROVED by the board;, provided that the school of     111          

optometry requires at least two academic years of study with       112          

credits of at least sixty semester hours or ninety quarter hours   113          

in a college of arts and sciences accredited by the association    114          

of American universities or, the north central association of      115          

colleges and secondary schools, or a similar regional accrediting  116          

agency as a prerequisite to admission to the courses in            118          

optometry;, and additionally provided that the school of                        

optometry requires a course of study of at least four academic     120          

years with credits of at least one hundred thirty-four semester    121          

hours or two hundred quarter hours.  No school of optometry shall  122          

be accredited APPROVED unless it is accredited by the established  123          

professional optometric accrediting agency, and no school of       124          

optometry shall be accredited APPROVED except by an affirmative    125          

vote of a majority of the members of the board.  The board may     127          

require higher standards for the accrediting APPROVAL of the       128          

schools of optometry.                                              129          

      The (5)  HAS PASSED ALL PARTS OF THE licensing examination,  132          

WHICH shall consist of two THREE parts.  Part one of the           134          

examination shall consist of tests in practical, theoretical, and  135          

physiological optics, in theoretical and practical optometry, in   136          

the anatomy and physiology of the eye, in pathology, and in the    137          

optometric aspects of whatever additional related social,          138          

physical, and biological sciences are determined by the board to   139          

be appropriate subject matters for examination BASIC SCIENCE,      140          

HUMAN BIOLOGY, OCULAR AND VISUAL BIOLOGY, THEORETICAL OPHTHALMIC,  141          

PHYSIOLOGICAL OPTICS, AND PHYSIOLOGICAL PSYCHOLOGY.  PART TWO OF   142          

THE EXAMINATION SHALL CONSIST OF TESTS IN CLINICAL SCIENCE,        143          

SYSTEMIC CONDITIONS, THE TREATMENT AND MANAGEMENT OF OCULAR        144          

DISEASE, REFRACTIVE OCULOMOTOR, SENSORY INTEGRATIVE CONDITIONS,    145          

PERCEPTUAL CONDITIONS, PUBLIC HEALTH, THE LEGAL ISSUES REGARDING   146          

THE CLINICAL PRACTICE OF OPTOMETRY, AND PHARMACOLOGY; PART TWO     147          

ALSO SHALL TEST THE APPLICANT'S KNOWLEDGE DERIVED FROM THE COURSE  148          

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OF STUDY PRESCRIBED UNDER DIVISION (C) OF THIS SECTION.  PART      149          

THREE OF THE EXAMINATION SHALL CONSIST OF TESTS IN PATIENT CARE    150          

AND MANAGEMENT, CLINICAL SKILLS, AND THE VISUAL RECOGNITION AND    151          

INTERPRETATION OF CLINICAL SIGNS.  THE BOARD MAY REQUIRE           152          

ADDITIONAL SUBJECT MATTER FOR THE EXAMINATION THAT IT DEEMS        153          

NECESSARY AND APPROPRIATE, provided that the schools and colleges  155          

approved by the board include such subject matters in the          156          

prescribed curriculum.  Part two of the examination shall be a     157          

pharmacology examination and shall test the applicant's knowledge  158          

derived from the course of study prescribed under division (C) of  159          

this section.                                                                   

      The licensing examination shall be prepared, administered,   161          

and graded by the national board of examiners in optometry or a    162          

professionally qualified testing organization recognized by the    163          

state board of optometry.                                          164          

      (C)  The state board of optometry shall prescribe by rule    166          

an eighty-seven clock-hour course of study and training to be      167          

completed at an institution accredited by a regional or            168          

professional accreditation organization that is recognized or      169          

approved by the council on post-secondary accreditation or the     170          

United States department of education or its successor.  The       171          

course of study and training shall include, but is not limited     172          

to, instruction in general and ocular pharmacology, including the  173          

nature of adverse reactions caused by pharmaceutical agents and    174          

emergency steps to be taken in such cases; signs, symptoms, and    175          

treatment of ocular disease, injury, or abnormality; ocular signs  176          

and symptoms of systemic disease; appropriate criteria for         177          

referrals to physicians; and cardiopulmonary resuscitation.        178          

      (D)  No person shall be permitted by the board to take more  180          

than four licensing examinations THE STATE BOARD OF OPTOMETRY      182          

SHALL NOT CONSIDER THE APPLICATION OF AN APPLICANT WHO HAS FAILED  183          

ANY PART OF THE LICENSING EXAMINATION FOUR TIMES UNTIL THE         184          

APPLICANT SUCCESSFULLY COMPLETES THIRTY HOURS OF REMEDIAL          185          

TRAINING APPROVED BY THE BOARD IN THE SPECIFIC SUBJECT AREA        186          

                                                          5      

                                                                 
COVERED BY THE FAILED EXAMINATION, SUBMITS PROOF OF THAT TRAINING  187          

TO THE BOARD, AND PASSES THE EXAMINATION.                          188          

      Sec. 4725.09.   (A)  The state board of optometry shall      197          

issue certificates under its seal as provided in this division:    198          

      (1)  Every applicant who, prior to the effective date of     200          

this amendment MAY 19, 1992, passed the licensing examination      202          

then in effect, and who otherwise complies with sections 4725.01   203          

to 4725.21 of the Revised Code shall receive from the board a      204          

certificate of licensure authorizing him THE APPLICANT to engage   205          

in the practice of optometry as provided in division (A)(1) of     207          

section 4725.01 of the Revised Code.                               208          

      (2)  Every applicant who, prior to the effective date of     210          

this amendment MAY 19, 1992, passed the general and ocular         212          

pharmacology examination then in effect, and who otherwise         213          

complies with sections 4725.01 to 4725.21 of the Revised Code,     214          

shall receive from the board a separate topical ocular             215          

pharmaceutical agents certificate authorizing him THE APPLICANT    216          

to administer topical ocular pharmaceutical agents as provided in  218          

division (A)(2) of section 4725.01 of the Revised Code and in      219          

accordance with sections 4725.01 to 4725.21 of the Revised Code.   220          

      (3)  Every applicant who holds a valid certificate of        222          

licensure, meets the requirements of section 4725.091 of the       223          

Revised Code, and passes part two of the licensing examination     224          

shall receive from the board a separate therapeutic                225          

pharmaceutical agents certificate authorizing him THE APPLICANT    226          

to engage in the practice of optometry as provided in division     228          

(A)(3) of section 4725.01 of the Revised Code.                     229          

      (4)  Every applicant who passes parts one and, two, AND      232          

THREE of the licensing examination and otherwise complies with     233          

the requirements of sections 4725.01 to 4725.21 of the Revised     234          

Code shall receive from the board a certificate of licensure       235          

authorizing him THE APPLICANT to engage in the practice of         236          

optometry as provided in division (A)(1) of section 4725.01 of     238          

the Revised Code and a separate therapeutic pharmaceutical agents  239          

                                                          6      

                                                                 
certificate authorizing him THE APPLICANT to engage in the         240          

practice of optometry as provided in division (A)(3) of that       242          

section.                                                                        

      (B)  Each certificate of licensure, each topical ocular      244          

pharmaceutical agents certificate, and each therapeutic            245          

pharmaceutical agents certificate shall be registered by the       246          

secretary of the board in accordance with section 4725.07 of the   247          

Revised Code.  The register shall be open to public inspection     248          

and a certified copy of that record shall be received as           249          

prima-facie evidence in all courts in the trial of any case. Each  251          

person to whom a certificate is issued by the board shall keep     252          

the certificate displayed in a conspicuous place in the location   253          

at which that person practices optometry and shall whenever        254          

required exhibit the certificate to any member or agent of the     255          

board.                                                                          

      (C)  Peddling from door to door, or the establishment of     257          

temporary offices, is specifically forbidden under penalty of      258          

revocation of the certificate of licensure.  If any person         259          

practices optometry outside of or away from the location at which  260          

his THE PERSON'S certificate of licensure is displayed, he THE     262          

PERSON shall deliver to each person INDIVIDUAL, examined or        263          

fitted with glasses by him THE PERSON, a certificate signed by     265          

him THE PERSON in which he THE PERSON shall set forth the amounts  266          

charged, his THE PERSON'S post-office address, and the number of   267          

his THE PERSON'S certificate of licensure.                         269          

      Each person to whom any certificate has been issued by the   271          

board under division (A) of this section, before practicing as     272          

authorized by the certificate, shall register it in the office of  273          

the clerk of the court of common pleas in each county in which he  274          

THE PERSON proposes to practice and shall pay such fee as may be   276          

chargeable.  The clerk shall keep a certificate registration book  277          

in which he THE CLERK promptly shall register each certificate     279          

for which the fee is paid.  Any failure, neglect, or refusal to    280          

register a certificate for a period of ninety days after its       281          

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issuance or from the date of removal of the holder's practice to   282          

a county other than the one in which the certificate is            283          

registered shall automatically work the suspension of the          284          

certificate, and it shall not be restored except upon written      285          

application, together with the payment of a fee of twenty-five     286          

dollars, to the board.                                                          

      Sec. 4725.091.  (A)  A person who, on the effective date of  295          

this section MAY 19, 1992, holds a valid certificate of licensure  297          

or topical ocular pharmaceutical agents certificate issued by the  298          

state board of optometry may continue to engage in the practice    299          

of optometry as provided by the certificate of licensure or        300          

topical ocular pharmaceutical agents certificate provided he THE   301          

PERSON continues to comply with sections 4725.01 to 4725.21 of     303          

the Revised Code as required by his THE PERSON'S certificate of    304          

licensure or topical ocular pharmaceutical agents certificate.     306          

      (B)  The board shall issue a therapeutic pharmaceutical      308          

agents certificate under division (A)(3) of section 4725.09 of     309          

the Revised Code to any optometrist who holds a certificate of     310          

licensure issued by the board and meets the requirements of        311          

divisions (C) and (E) of this section not later than five years    312          

after the effective date of this section.                          313          

      (C)(1)  A licensed optometrist seeking a therapeutic         315          

pharmaceutical agents certificate under division (A)(3) of         316          

section 4725.09 of the Revised Code who does not hold a valid      317          

topical ocular pharmaceutical agents certificate shall complete    318          

the course of study in general and ocular pharmacology prescribed  319          

by the board under division (C) of section 4725.08 of the Revised  320          

Code and pass part two THE TREATMENT AND MANAGEMENT OF OCULAR      321          

DISEASE PORTION of the optometry licensing examination             322          

administered REQUIRED by the board under section 4725.08 of the    323          

Revised Code.                                                      325          

      (2)  A licensed optometrist seeking a therapeutic            327          

pharmaceutical agents certificate issued under division (A)(3) of  328          

section 4725.09 of the Revised Code who holds a valid topical      329          

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ocular pharmaceutical agents certificate shall complete a thirty   330          

clock-hour course of study in general and ocular pharmacology in   331          

accordance with division (D) of this section and pass part two     332          

THE TREATMENT AND MANAGEMENT OF OCULAR DISEASE PORTION of the      334          

optometry licensing examination administered REQUIRED by the                    

board under section 4725.08 of the Revised Code.                   336          

      (D)  The board shall prescribe by rule the course of study   338          

provided for by division (C)(2) of this section.  The course of    339          

study shall emphasize the treatment AND MANAGEMENT of ocular       340          

disease and shall be completed at an institution accredited by a   342          

regional or professional accreditation organization that is        343          

recognized or approved by the council on post-secondary            344          

accreditation or the United States department of education or its  345          

successor.                                                                      

      (E)  An optometrist who has completed the appropriate        347          

course of study under divisions (C) and (D) of this section may    348          

apply to the board to take part two of the licensing examination   349          

FOR A THERAPEUTIC PHARMACEUTICAL AGENTS CERTIFICATE.  Each         351          

application shall be on the form prescribed by the board and                    

shall be verified by the oath of the applicant.  It shall contain  352          

information and evidence satisfactory to the board showing the     353          

eligibility of the applicant to take part two AND THAT THE         354          

APPLICANT HAS PASSED THE TREATMENT AND MANAGEMENT OF OCULAR        355          

DISEASE PORTION of the examination and.  THE APPLICATION shall be  357          

accompanied by the fee required SPECIFIED by section 4725.10 of    360          

the Revised Code FOR REGISTRATIONS AND LICENSING EXAMINATIONS.                  

In addition to the examination dates the board sets for            362          

applicants under division (A)(4) of section 4725.09 of the         363          

Revised Code, the board shall set dates on which part two of the   364          

examination may be taken by applicants under division (A)(3) of    365          

that section.  No optometrist shall be permitted by the board to   366          

take part two of the examination more than four times.             367          

      THE BOARD SHALL PROVIDE APPLICANTS FOR A THERAPEUTIC         369          

PHARMACEUTICAL AGENTS CERTIFICATE UNDER THIS DIVISION WITH         370          

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INFORMATION ON THE DATES THAT THE TREATMENT AND MANAGEMENT OF      371          

OCULAR DISEASE PORTION OF THE LICENSING EXAMINATION WILL BE        372          

AVAILABLE FROM THE NATIONAL BOARD OF EXAMINERS IN OPTOMETRY OR A   373          

PROFESSIONAL QUALIFIED TESTING ORGANIZATION RECOGNIZED BY THE      374          

STATE BOARD OF OPTOMETRY.  THE STATE BOARD OF OPTOMETRY SHALL      375          

PROCESS LICENSURE APPLICATIONS AT THE NEXT AVAILABLE BOARD         376          

MEETING AFTER THE EXAMINATION.                                     377          

      THE STATE BOARD OF OPTOMETRY SHALL NOT ISSUE A THERAPEUTIC   379          

PHARMACEUTICAL AGENTS CERTIFICATE TO AN OPTOMETRIST WHO HAS        380          

FAILED THE TREATMENT AND MANAGEMENT OF OCULAR DISEASE PORTION OF   381          

THE LICENSING EXAMINATION FOUR TIMES UNTIL THE OPTOMETRIST         382          

SUCCESSFULLY COMPLETES THIRTY HOURS OF REMEDIAL TRAINING APPROVED  384          

BY THE BOARD IN THERAPEUTIC PHARMACOLOGY, SUBMITS PROOF OF THAT    385          

TRAINING TO THE BOARD, AND PASSES THE EXAMINATION.                              

      Section 2.  That existing sections 4725.05, 4725.08,         387          

4725.09, and 4725.091 of the Revised Code are hereby repealed.     389