As Reported by the Senate Health Committee              1            

122nd General Assembly                                             4            

   Regular Session                             Sub. H. B. No. 606  5            

      1997-1998                                                    6            


 REPRESENTATIVES SCHURING-BRADING-TIBERI-GARCIA-LEWIS-VAN VYVEN-   8            

   OLMAN-WACHTMANN-MAIER-GRENDELL-PATTON-TERWILLEGER-TAVARES-      9            

     VESPER-ALLEN-CATES-REID-SALERNO-VERICH-WILSON-COLONNA-        10           

    SCHULER-ROMAN-PADGETT-BRITTON-MALLORY-HOUSEHOLDER-MASON-       11           

                    SENATORS DRAKE-SUHADOLNIK                      12           


                                                                   14           

                           A   B I L L                                          

             To amend sections 109.79, 119.12, 121.22, 503.41,     15           

                1785.01, 2151.421, 2317.02, 2925.01, 4713.01,      16           

                4713.12, 4713.14, 4730.10, 4730.12, 4730.25,                    

                4730.26, 4730.27, 4730.31, 4730.32, 4730.34,       18           

                4731.08, 4731.13, 4731.142, 4731.15, 4731.151,     19           

                4731.16 to 4731.20, 4731.22, 4731.221, 4731.222,   21           

                4731.223, 4731.224, 4731.225, 4731.25, 4731.281,                

                4731.29, 4731.291, 4731.341, 4731.41, 4731.61,     23           

                4731.99, 4773.01, and 5123.61 and to enact                      

                section 4731.98 of the Revised Code to make        24           

                revisions in the disciplinary procedures used by   25           

                the State Medical Board and to make other changes               

                regarding the Board's licensing and enforcement    26           

                duties.                                                         




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        28           

      Section 1.  That sections 109.79, 119.12, 121.22, 503.41,    30           

1785.01, 2151.421, 2317.02, 2925.01, 4713.01, 4713.12, 4713.14,    31           

4730.10, 4730.12, 4730.25, 4730.26, 4730.27, 4730.31, 4730.32,     32           

4730.34, 4731.08, 4731.13, 4731.142, 4731.15, 4731.151, 4731.16,   33           

4731.17, 4731.18, 4731.19, 4731.20, 4731.22, 4731.221, 4731.222,   34           

4731.223, 4731.224, 4731.225, 4731.25, 4731.281, 4731.29,          35           

4731.291, 4731.341, 4731.41, 4731.61, 4731.99, 4773.01, and        36           

                                                          2      

                                                                 
5123.61 be amended and section 4731.98 of the Revised Code be      37           

enacted to read as follows:                                                     

      Sec. 109.79.  (A)  The Ohio peace officer training           46           

commission shall establish and conduct a training school for law   48           

enforcement officers of any political subdivision of the state or  49           

of the state public defender's office.  The school shall be known  50           

as the Ohio peace officer training academy.  No bailiff or deputy  51           

bailiff of a court of record of this state and no criminal         52           

investigator employed by the state public defender shall be        53           

permitted to attend the academy for training unless the employing  54           

court of the bailiff or deputy bailiff or the state public         55           

defender, whichever is applicable, has authorized the bailiff,     56           

deputy bailiff, or investigator to attend the academy.             57           

      The Ohio peace officer training commission shall develop     59           

the training program, which shall include courses in both the      61           

civil and criminal functions of law enforcement officers, a        62           

course in crisis intervention with six or more hours of training,  63           

and training in the handling of missing children and child abuse   64           

and neglect cases, and shall establish rules governing             65           

qualifications for admission to the academy.  The commission may   66           

require competitive examinations to determine fitness of           68           

prospective trainees, so long as the examinations or other         69           

criteria for admission to the academy are consistent with the      70           

provisions of Chapter 124. of the Revised Code.                    71           

      The Ohio peace officer training commission shall determine   74           

tuition costs which shall be sufficient in the aggregate to pay    75           

the costs of operating the academy.  The costs of acquiring and    76           

equipping the academy shall be paid from appropriations made by    77           

the general assembly to the Ohio peace officer training            78           

commission for that purpose, or from gifts or grants received for  80           

that purpose.                                                      81           

      The law enforcement officers, during the period of their     83           

training, shall receive compensation as determined by the          84           

political subdivision that sponsors them or, if the officer is a   85           

                                                          3      

                                                                 
criminal investigator employed by the state public defender, as    86           

determined by the state public defender.  The political            87           

subdivision may pay the tuition costs of the law enforcement       88           

officers they sponsor and the state public defender may pay the    89           

tuition costs of criminal investigators of that office who attend  90           

the academy.                                                       91           

      If trainee vacancies exist, the academy may train and issue  93           

certificates of satisfactory completion to peace officers who are  94           

employed by a campus police department pursuant to section         95           

1713.50 of the Revised Code, by a qualified nonprofit corporation  96           

police department pursuant to section 1702.80 of the Revised       97           

Code, or by a railroad company or who are hospital police          98           

officers appointed and commissioned by the governor pursuant to    99           

sections 4973.17 to 4973.22 of the Revised Code, provided that no  100          

such officer shall be trained at the academy unless the officer    101          

meets the qualifications established for admission to the academy  102          

and the qualified nonprofit corporation police department,         103          

railroad company, or hospital or the private college or            104          

university that established the campus police department prepays   105          

the entire cost of the training.  A qualified nonprofit            106          

corporation police department, railroad company, or hospital or a  107          

private college or university that has established a campus        108          

police department is not entitled to reimbursement from the state  109          

for any amount paid for the cost of training the railroad          110          

company's peace officers or the peace officers of the qualified    111          

nonprofit corporation police department, campus police             112          

department, or hospital.                                           113          

      The academy shall permit investigators employed by the       115          

state medical board to take selected courses that the board        116          

determines are consistent with its responsibilities for initial    117          

and continuing training of investigators as required under         118          

division (C) of section SECTIONS 4730.26 AND 4731.05 of the        119          

Revised Code.  The board shall pay the entire cost of training     121          

that investigators receive at the academy.                         122          

                                                          4      

                                                                 
      (B)  As used in this section:                                124          

      (1)  "Law enforcement officers" include any undercover drug  126          

agent, any bailiff or deputy bailiff of a court of record, and     127          

any criminal investigator who is employed by the state public      128          

defender.                                                          129          

      (2)  "Undercover drug agent" means any person who:           131          

      (a)  Is employed by a county, township, or municipal         133          

corporation for the purposes set forth in division (B)(2)(b) of    134          

this section but who is not an employee of a county sheriff's      135          

department, of a township constable, or of the police department   136          

of a municipal corporation or township;                            137          

      (b)  In the course of the person's employment by a county,   139          

township, or municipal corporation, investigates and gathers       141          

information pertaining to persons who are suspected of violating   142          

Chapter 2925. or 3719. of the Revised Code, and generally does     143          

not wear a uniform in the performance of the person's duties.      144          

      (3)  "Crisis intervention training" has the same meaning as  146          

in section 109.71 of the Revised Code.                             147          

      (4)  "Missing children" has the same meaning as in section   149          

2901.30 of the Revised Code.                                       150          

      Sec. 119.12.  Any party adversely affected by any order of   159          

an agency issued pursuant to an adjudication denying an applicant  160          

admission to an examination, or denying the issuance or renewal    161          

of a license or registration of a licensee, or revoking or         162          

suspending a license, or allowing the payment of a forfeiture      163          

under section 4301.252 of the Revised Code, may appeal from the    164          

order of the agency to the court of common pleas of the county in  165          

which the place of business of the licensee is located or the      166          

county in which the licensee is a resident, provided that appeals  167          

from decisions of the liquor control commission may be to the      168          

court of common pleas of Franklin county and appeals from          169          

decisions of the state medical board, chiropractic examining       170          

board, and board of nursing shall be to the court of common pleas  171          

of Franklin county.  If any such party is not a resident of and    172          

                                                          5      

                                                                 
has no place of business in this state, he THE PARTY may appeal    173          

to the court of common pleas of Franklin county.                   175          

      Any party adversely affected by any order of an agency       177          

issued pursuant to any other adjudication may appeal to the court  178          

of common pleas of Franklin county, except that appeals from       179          

orders of the fire marshal issued under Chapter 3737. of the       180          

Revised Code may be to the court of common pleas of the county in  181          

which the building of the aggrieved person is located.             182          

      This section does not apply to appeals from the department   184          

of taxation.                                                       185          

      Any party desiring to appeal shall file a notice of appeal   187          

with the agency setting forth the order appealed from and the      188          

grounds of his THE PARTY'S appeal.  A copy of such notice of       189          

appeal shall also be filed by the appellant with the court.        191          

Unless otherwise provided by law relating to a particular agency,  192          

such notices of appeal shall be filed within fifteen days after    193          

the mailing of the notice of the agency's order as provided in     194          

this section. For purposes of this paragraph, an order includes a  195          

determination appealed pursuant to division (C) of section         196          

119.092 of the Revised Code.                                       197          

      The filing of a notice of appeal shall not automatically     199          

operate as a suspension of the order of an agency.  If it appears  200          

to the court that an unusual hardship to the appellant will        201          

result from the execution of the agency's order pending            202          

determination of the appeal, the court may grant a suspension and  203          

fix its terms.  If an appeal is taken from the judgment of the     204          

court and the court has previously granted a suspension of the     205          

agency's order as provided in this section, such suspension of     206          

the agency's order shall not be vacated and shall be given full    207          

force and effect until the matter is finally adjudicated.  No      208          

renewal of a license or permit shall be denied by reason of such   209          

suspended order during the period of the appeal from the decision  210          

of the court of common pleas.  In the case of an appeal from the   211          

state medical board or chiropractic examining board, the court     212          

                                                          6      

                                                                 
may grant a suspension and fix its terms if it appears to the      213          

court that an unusual hardship to the appellant will result from   214          

the execution of the agency's order pending determination of the   215          

appeal and the health, safety, and welfare of the public will not  216          

be threatened by suspension of the order.  This provision shall    217          

not be construed to limit the factors the court may consider in    218          

determining whether to suspend an order of any other agency        219          

pending determination of an appeal.                                220          

      The final order of adjudication may apply to any renewal of  222          

a license or permit which has been granted during the period of    223          

the appeal.                                                        224          

      Notwithstanding any other provision of this section, any     226          

order issued by a court of common pleas suspending the effect of   227          

an order of the liquor control commission that suspends or         228          

revokes a permit issued under Chapter 4303. of the Revised Code,   229          

or that allows the payment of a forfeiture under section 4301.252  230          

of the Revised Code, shall terminate not more than fifteen months  231          

after the date of the filing of a notice of appeal in the court    232          

of common pleas, even if the matter has not been finally           233          

adjudicated within that time.                                      234          

      Notwithstanding any other provision of this section, any     236          

order issued by a court of common pleas suspending the effect of   237          

an order of the state medical board or chiropractic examining      238          

board that limits, revokes, suspends, places on probation, or      239          

refuses to register or reinstate a certificate issued by the       240          

board or reprimands the holder of such a certificate shall         241          

terminate not more than fifteen months after the date of the       242          

filing of a notice of appeal in the court of common pleas, or      243          

upon the rendering of a final decision or order in the appeal by   244          

the court of common pleas, whichever occurs first.                 245          

      Within thirty days after receipt of a notice of appeal from  247          

an order in any case in which a hearing is required by sections    248          

119.01 to 119.13 of the Revised Code, the agency shall prepare     249          

and certify to the court a complete record of the proceedings in   250          

                                                          7      

                                                                 
the case.  Failure of the agency to comply within the time         251          

allowed, upon motion, shall cause the court to enter a finding in  252          

favor of the party adversely affected.  Additional time, however,  253          

may be granted by the court, not to exceed thirty days, when it    254          

is shown that the agency has made substantial effort to comply.    255          

Such record shall be prepared and transcribed and the expense of   256          

it shall be taxed as a part of the costs on the appeal.  The       257          

appellant shall provide security for costs satisfactory to the     258          

court of common pleas.  Upon demand by any interested party, the   259          

agency shall furnish at the cost of the party requesting it a      260          

copy of the stenographic report of testimony offered and evidence  261          

submitted at any hearing and a copy of the complete record.        262          

      Notwithstanding any other provision of this section, any     264          

party desiring to appeal an order or decision of the state         265          

personnel board of review shall, at the time of filing a notice    266          

of appeal with the board, provide a security deposit in an amount  267          

and manner prescribed in rules that the board shall adopt in       268          

accordance with this chapter.  In addition, the board is not       269          

required to prepare or transcribe the record of any of its         270          

proceedings unless the appellant has provided the deposit          271          

described above.  The failure of the board to prepare or           272          

transcribe a record for an appellant who has not provided a        273          

security deposit shall not cause a court to enter a finding        274          

adverse to the board.                                              275          

      Unless otherwise provided by law, in the hearing of the      277          

appeal, the court is confined to the record as certified to it by  278          

the agency.  Unless otherwise provided by law, the court may       279          

grant a request for the admission of additional evidence when      280          

satisfied that such additional evidence is newly discovered and    281          

could not with reasonable diligence have been ascertained prior    282          

to the hearing before the agency.                                  283          

      The court shall conduct a hearing on such appeal and shall   285          

give preference to all proceedings under sections 119.01 to        286          

119.13 of the Revised Code, over all other civil cases,            287          

                                                          8      

                                                                 
irrespective of the position of the proceedings on the calendar    288          

of the court.  An appeal from an order of the state medical board  289          

issued pursuant to division (D)(G) of EITHER section 4730.25 OR    291          

4731.22 of the Revised Code or the chiropractic examining board    292          

issued pursuant to section 4734.101 of the Revised Code shall be   293          

set down for hearing at the earliest possible time and takes       294          

precedence over all other actions.  The hearing in the court of    295          

common pleas shall proceed as in the trial of a civil action, and  296          

the court shall determine the rights of the parties in accordance  297          

with the laws applicable to such action.  At such hearing,         298          

counsel may be heard on oral argument, briefs may be submitted,    299          

and evidence introduced if the court has granted a request for     300          

the presentation of additional evidence.                           301          

      The court may affirm the order of the agency complained of   303          

in the appeal if it finds, upon consideration of the entire        304          

record and such additional evidence as the court has admitted,     305          

that the order is supported by reliable, probative, and            306          

substantial evidence and is in accordance with law.  In the        307          

absence of such a finding, it may reverse, vacate, or modify the   308          

order or make such other ruling as is supported by reliable,       309          

probative, and substantial evidence and is in accordance with      310          

law.  The court shall award compensation for fees in accordance    311          

with section 2335.39 of the Revised Code to a prevailing party,    312          

other than an agency, in an appeal filed pursuant to this          313          

section.                                                           314          

      The judgment of the court shall be final and conclusive      316          

unless reversed, vacated, or modified on appeal.  Such appeals     317          

may be taken either by the party or the agency, shall proceed as   318          

in the case of appeals in civil actions, and shall be pursuant to  319          

the Rules of Appellate Procedure and, to the extent not in         320          

conflict with those rules, Chapter 2505. of the Revised Code.      321          

Such appeal by the agency shall be taken on questions of law       322          

relating to the constitutionality, construction, or                323          

interpretation of statutes and rules of the agency, and in such    324          

                                                          9      

                                                                 
appeal the court may also review and determine the correctness of  325          

the judgment of the court of common pleas that the order of the    326          

agency is not supported by any reliable, probative, and            327          

substantial evidence in the entire record.                         328          

      The court shall certify its judgment to such agency or take  330          

such other action necessary to give its judgment effect.           331          

      Sec. 121.22.  (A)  This section shall be liberally           340          

construed to require public officials to take official action and  341          

to conduct all deliberations upon official business only in open   342          

meetings unless the subject matter is specifically excepted by     343          

law.                                                               344          

      (B)  As used in this section:                                346          

      (1)  "Public body" means any of the following:               348          

      (a)  Any board, commission, committee, council, or similar   350          

decision-making body of a state agency, institution, or            351          

authority, and any legislative authority or board, commission,     352          

committee, council, agency, authority, or similar decision-making  354          

body of any county, township, municipal corporation, school        355          

district, or other political subdivision or local public           356          

institution;                                                                    

      (b)  Any committee or subcommittee of a body described in    358          

division (B)(1)(a) of this section;                                359          

      (c)  A court of jurisdiction of a sanitary district          361          

organized wholly for the purpose of providing a water supply for   362          

domestic, municipal, and public use when meeting for the purpose   364          

of the appointment, removal, or reappointment of a member of the   365          

board of directors of such a district pursuant to section 6115.10               

of the Revised Code, if applicable, or for any other matter        366          

related to such a district other than litigation involving the     367          

district.  As used in division (B)(1)(c) of this section, "court   368          

of jurisdiction" has the same meaning as "court" in section        369          

6115.01 of the Revised Code.                                                    

      (2)  "Meeting" means any prearranged discussion of the       371          

public business of the public body by a majority of its members.   372          

                                                          10     

                                                                 
      (3)  "Regulated individual" means either of the following:   374          

      (a)  A student in a state or local public educational        376          

institution;                                                       377          

      (b)  A person who is, voluntarily or involuntarily, an       379          

inmate, patient, or resident of a state or local institution       380          

because of criminal behavior, mental illness or retardation,       381          

disease, disability, age, or other condition requiring custodial   382          

care.                                                              383          

      (C)  All meetings of any public body are declared to be      385          

public meetings open to the public at all times.  A member of a    386          

public body shall be present in person at a meeting open to the    388          

public to be considered present or to vote at the meeting and for  389          

purposes of determining whether a quorum is present at the         390          

meeting.                                                           391          

      The minutes of a regular or special meeting of any public    394          

body shall be promptly prepared, filed, and maintained and shall   395          

be open to public inspection.  The minutes need only reflect the   396          

general subject matter of discussions in executive sessions        397          

authorized under division (G) or (J) of this section.                           

      (D)  This section does not apply to a grand jury, to an      399          

audit conference conducted by the auditor of state or independent  400          

certified public accountants with officials of the public office   401          

that is the subject of the audit, to the adult parole authority    402          

when its hearings are conducted at a correctional institution for  403          

the sole purpose of interviewing inmates to determine parole or    404          

pardon, to the organized crime investigations commission           405          

established under section 177.01 of the Revised Code, to the       406          

state medical board when determining whether to suspend a          407          

certificate without a prior hearing pursuant to division (D)(G)    409          

of EITHER section 4730.25 OR 4731.22 of the Revised Code, to the   411          

board of nursing when determining whether to suspend a license     412          

without a prior hearing pursuant to division (B) of section        413          

4723.181 of the Revised Code, or to the executive committee of     414          

the emergency response commission when determining whether to      415          

                                                          11     

                                                                 
issue an enforcement order or request that a civil action, civil   416          

penalty action, or criminal action be brought to enforce Chapter   417          

3750. of the Revised Code.                                                      

      (E)  The controlling board, the development financing        419          

advisory council, the industrial technology and enterprise         420          

advisory council, the tax credit authority, or the minority        422          

development financing advisory board, when meeting to consider     423          

granting assistance pursuant to Chapter 122. or 166. of the        424          

Revised Code, in order to protect the interest of the applicant    425          

or the possible investment of public funds, by unanimous vote of   426          

all board, council, or authority members present, may close the    428          

meeting during consideration of the following information          430          

confidentially received by the authority, council, or board from   431          

the applicant:                                                     433          

      (1)  Marketing plans;                                        435          

      (2)  Specific business strategy;                             437          

      (3)  Production techniques and trade secrets;                439          

      (4)  Financial projections;                                  441          

      (5)  Personal financial statements of the applicant or       443          

members of the applicant's immediate family, including, but not    444          

limited to, tax records or other similar information not open to   446          

public inspection.                                                 447          

      The vote by the authority, council, or board to accept or    451          

reject the application, as well as all proceedings of the                       

authority, council, or board not subject to this division, shall   454          

be open to the public and governed by this section.                             

      (F)  Every public body, by rule, shall establish a           456          

reasonable method whereby any person may determine the time and    457          

place of all regularly scheduled meetings and the time, place,     458          

and purpose of all special meetings.  A public body shall not      459          

hold a special meeting unless it gives at least twenty-four        460          

hours' advance notice to the news media that have requested        461          

notification, except in the event of an emergency requiring        462          

immediate official action.  In the event of an emergency, the      463          

                                                          12     

                                                                 
member or members calling the meeting shall notify the news media  464          

that have requested notification immediately of the time, place,   465          

and purpose of the meeting.                                        466          

      The rule shall provide that any person, upon request and     469          

payment of a reasonable fee, may obtain reasonable advance                      

notification of all meetings at which any specific type of public  470          

business is to be discussed.  Provisions for advance notification  471          

may include, but are not limited to, mailing the agenda of         472          

meetings to all subscribers on a mailing list or mailing notices   473          

in self-addressed, stamped envelopes provided by the person.       474          

      (G)  Except as provided in division (J) of this section,     477          

the members of a public body may hold an executive session only    478          

after a majority of a quorum of the public body determines, by a   479          

roll call vote, to hold an executive session and only at a         481          

regular or special meeting for the sole purpose of the                          

consideration of any of the following matters:                     482          

      (1)  To consider the appointment, employment, dismissal,     484          

discipline, promotion, demotion, or compensation of a public       485          

employee or official, or the investigation of charges or           486          

complaints against a public employee, official, licensee, or       487          

regulated individual, unless the public employee, official,        488          

licensee, or regulated individual requests a public hearing.       489          

Except as otherwise provided by law, no public body shall hold an  490          

executive session for the discipline of an elected official for    491          

conduct related to the performance of the elected official's       492          

official duties or for the elected official's removal from         494          

office.  If a public body holds an executive session pursuant to   496          

division (G)(1) of this section, the motion and vote to hold that  497          

executive session shall state which one or more of the approved    498          

purposes listed in division (G)(1) of this section are the         499          

purposes for which the executive session is to be held, but need   500          

not include the name of any person to be considered at the         501          

meeting.                                                                        

      (2)  To consider the purchase of property for public         503          

                                                          13     

                                                                 
purposes, or for the sale of property at competitive bidding, if   504          

premature disclosure of information would give an unfair           505          

competitive or bargaining advantage to a person whose personal,    506          

private interest is adverse to the general public interest.  No    507          

member of a public body shall use division (G)(2) of this section  509          

as a subterfuge for providing covert information to prospective    511          

buyers or sellers.  A purchase or sale of public property is void  512          

if the seller or buyer of the public property has received covert  513          

information from a member of a public body that has not been       514          

disclosed to the general public in sufficient time for other       515          

prospective buyers and sellers to prepare and submit offers.       516          

      If the minutes of the public body show that all meetings     518          

and deliberations of the public body have been conducted in        519          

compliance with this section, any instrument executed by the       520          

public body purporting to convey, lease, or otherwise dispose of   521          

any right, title, or interest in any public property shall be      522          

conclusively presumed to have been executed in compliance with     523          

this section insofar as title or other interest of any bona fide   524          

purchasers, lessees, or transferees of the property is concerned.  525          

      (3)  Conferences with an attorney for the public body        527          

concerning disputes involving the public body that are the         528          

subject of pending or imminent court action;                       529          

      (4)  Preparing for, conducting, or reviewing negotiations    531          

or bargaining sessions with public employees concerning their      532          

compensation or other terms and conditions of their employment;    533          

      (5)  Matters required to be kept confidential by federal     535          

law or regulations or state statutes;                              536          

      (6)  Specialized details of security arrangements if         538          

disclosure of the matters discussed might reveal information that  539          

could be used for the purpose of committing, or avoiding           540          

prosecution for, a violation of the law.                           541          

      If a public body holds an executive session to consider any  543          

of the matters listed in divisions (G)(2) to (6) of this section,  544          

the motion and vote to hold that executive session shall state     545          

                                                          14     

                                                                 
which one or more of the approved matters listed in those          546          

divisions are to be considered at the executive session.           547          

      A public body specified in division (B)(1)(c) of this        550          

section shall not hold an executive session when meeting for the                

purposes specified in that division.                               551          

      (H)  A resolution, rule, or formal action of any kind is     553          

invalid unless adopted in an open meeting of the public body.  A   554          

resolution, rule, or formal action adopted in an open meeting      555          

that results from deliberations in a meeting not open to the       556          

public is invalid unless the deliberations were for a purpose      557          

specifically authorized in division (G) or (J) of this section     558          

and conducted at an executive session held in compliance with      559          

this section.  A resolution, rule, or formal action adopted in an  560          

open meeting is invalid if the public body that adopted the        561          

resolution, rule, or formal action violated division (F) of this   562          

section.                                                           563          

      (I)(1)  Any person may bring an action to enforce this       565          

section.  An action under division (I)(1) of this section shall    567          

be brought within two years after the date of the alleged          568          

violation or threatened violation.  Upon proof of a violation or   569          

threatened violation of this section in an action brought by any   570          

person, the court of common pleas shall issue an injunction to     571          

compel the members of the public body to comply with its           572          

provisions.                                                        573          

      (2)(a)  If the court of common pleas issues an injunction    575          

pursuant to division (I)(1) of this section, the court shall       576          

order the public body that it enjoins to pay a civil forfeiture    577          

of five hundred dollars to the party that sought the injunction    578          

and shall award to that party all court costs and, subject to      579          

reduction as described in division (I)(2) of this section,         581          

reasonable attorney's fees.  The court, in its discretion, may     582          

reduce an award of attorney's fees to the party that sought the    583          

injunction or not award attorney's fees to that party if the       584          

court determines both of the following:                            585          

                                                          15     

                                                                 
      (i)  That, based on the ordinary application of statutory    587          

law and case law as it existed at the time of violation or         588          

threatened violation that was the basis of the injunction, a       589          

well-informed public body reasonably would believe that the        590          

public body was not violating or threatening to violate this       591          

section;                                                           592          

      (ii)  That a well-informed public body reasonably would      594          

believe that the conduct or threatened conduct that was the basis  595          

of the injunction would serve the public policy that underlies     596          

the authority that is asserted as permitting that conduct or       597          

threatened conduct.                                                598          

      (b)  If the court of common pleas does not issue an          600          

injunction pursuant to division (I)(1) of this section and the     601          

court determines at that time that the bringing of the action was  602          

frivolous conduct, as defined in division (A) of section 2323.51   603          

of the Revised Code, the court shall award to the public body all  604          

court costs and reasonable attorney's fees, as determined by the   605          

court.                                                             606          

      (3)  Irreparable harm and prejudice to the party that        608          

sought the injunction shall be conclusively and irrebuttably       609          

presumed upon proof of a violation or threatened violation of      610          

this section.                                                      611          

      (4)  A member of a public body who knowingly violates an     613          

injunction issued pursuant to division (I)(1) of this section may  614          

be removed from office by an action brought in the court of        615          

common pleas for that purpose by the prosecuting attorney or the   616          

attorney general.                                                  617          

      (J)(1)  Pursuant to division (C) of section 5901.09 of the   619          

Revised Code, a veterans service commission shall hold an          620          

executive session for one or more of the following purposes        621          

unless an applicant requests a public hearing:                     622          

      (a)  Interviewing an applicant for financial assistance      624          

under sections 5901.01 to 5901.15 of the Revised Code;             625          

      (b)  Discussing applications, statements, and other          627          

                                                          16     

                                                                 
documents described in division (B) of section 5901.09 of the      628          

Revised Code;                                                      629          

      (c)  Reviewing matters relating to an applicant's request    631          

for financial assistance under sections 5901.01 to 5901.15 of the  632          

Revised Code.                                                                   

      (2)  A veterans service commission shall not exclude an      634          

applicant for, recipient of, or former recipient of financial      635          

assistance under sections 5901.01 to 5901.15 of the Revised Code,  636          

and shall not exclude representatives selected by the applicant,   638          

recipient, or former recipient, from a meeting that the                         

commission conducts as an executive session that pertains to the   639          

applicant's, recipient's, or former recipient's application for    640          

financial assistance.                                                           

      (3)  A veterans service commission shall vote on the grant   642          

or denial of financial assistance under sections 5901.01 to        643          

5901.15 of the Revised Code only in an open meeting of the         645          

commission.  The minutes of the meeting shall indicate the name,   646          

address, and occupation of the applicant, whether the assistance   647          

was granted or denied, the amount of the assistance if assistance  648          

is granted, and the votes for and against the granting of          649          

assistance.                                                                     

      Sec. 503.41.  (A)  A board of township trustees, by          658          

resolution, may regulate and require the registration of massage   659          

establishments and their employees within the unincorporated       660          

territory of the township.  In accordance with sections 503.40 to  661          

503.49 of the Revised Code, for that purpose, the board, by a      662          

majority vote of all members, may adopt, amend, administer, and    663          

enforce regulations within the unincorporated territory of the     664          

township.                                                          665          

      (B)  A board may adopt regulations and amendments under      667          

this section only after public hearing at not fewer than two       668          

regular sessions of the board.  The board shall cause to be        669          

published in at least one newspaper of general circulation in the  670          

township notice of the public hearings, including the time, date,  671          

                                                          17     

                                                                 
and place, once a week for two weeks immediately preceding the     672          

hearings.  The board shall make available proposed regulations or  673          

amendments to the public at the office of the board.               674          

      (C)  Regulations or amendments adopted by the board are      676          

effective thirty days after the date of adoption unless, within    677          

thirty days after the adoption of the regulations or amendments,   678          

the township clerk receives a petition, signed by a number of      679          

qualified electors residing in the unincorporated area of the      680          

township equal to not less than ten per cent of the total vote     681          

cast for all candidates for governor in the area at the most       682          

recent general election at which a governor was elected,           684          

requesting the board to submit the regulations or amendments to    685          

the electors of the area for approval or rejection at the next     686          

primary or general election occurring at least seventy-five days   687          

after the board receives the petition.                             688          

      No regulation or amendment for which the referendum vote     690          

has been requested is effective unless a majority of the vote      691          

cast on the issue is in favor of the regulation or amendment.      692          

Upon certification by the board of elections that a majority of    693          

the votes cast on the issue was in favor of the regulation or      694          

amendment, the regulation or amendment takes immediate effect.     695          

      (D)  The board shall make available regulations it adopts    697          

or amends to the public at the office of the board and shall       698          

cause to be published a notice of the availability of the          699          

regulations in at least one newspaper of general circulation in    700          

the township within ten days after their adoption or amendment.    701          

      (E)  Nothing in sections 503.40 to 503.49 of the Revised     703          

Code shall be construed to allow a board of township trustees to   704          

regulate the practice of any limited branch of medicine or         705          

surgery in accordance with sections SPECIFIED IN SECTION 4731.15   706          

and 4731.16 of the Revised Code or the practice of providing       708          

therapeutic massage by a licensed physician, a licensed            709          

chiropractor, a licensed podiatrist, a licensed nurse, or any      710          

other licensed health professional.  As used in this division,     711          

                                                          18     

                                                                 
"licensed" means licensed, certified, or registered to practice    712          

in this state.                                                                  

      Sec. 1785.01.  As used in this chapter:                      721          

      (A)  "Professional service" means any type of professional   723          

service that may be performed only pursuant to a license,          724          

certificate, or other legal authorization issued pursuant to       726          

Chapter 4701., 4703., 4705., 4715., 4723., 4725., 4729., 4730.,    727          

4731., 4732., 4733., 4734., or 4741., sections 4755.01 to          729          

4755.12, or 4755.40 to 4755.56 of the Revised Code to certified    730          

public accountants, licensed public accountants, architects,       731          

attorneys, dentists, nurses, optometrists, pharmacists, PHYSICIAN  733          

ASSISTANTS, doctors of medicine and surgery, doctors of            734          

osteopathic medicine and surgery, doctors of podiatric medicine    735          

and surgery, practitioners of the limited branches of medicine or  737          

surgery specified in section 4731.15 of the Revised Code,          738          

psychologists, professional engineers, chiropractors,              739          

veterinarians, occupational therapists, and physical therapists.   740          

      (B)  "Professional association" means an association         742          

organized under this chapter for the sole purpose of rendering     743          

one of the professional services authorized under Chapter 4701.,   744          

4703., 4705., 4715., 4723., 4725., 4729., 4730., 4731., 4732.,     745          

4733., 4734., or 4741., sections 4755.01 to 4755.12, or 4755.40    747          

to 4755.56 of the Revised Code, a combination of the professional  749          

services authorized under Chapters 4703. and 4733. of the Revised  750          

Code, or a combination of the professional services of             752          

optometrists authorized under Chapter 4725. of the Revised Code,                

chiropractors authorized under Chapter 4734. of the Revised Code,  754          

psychologists authorized under Chapter 4732. of the Revised Code,  756          

registered or licensed practical nurses authorized under Chapter   758          

4723. of the Revised Code, pharmacists authorized under Chapter    759          

4729. of the Revised Code, physical therapists authorized under    760          

sections 4755.40 to 4755.53 of the Revised Code, and doctors of    761          

medicine and surgery, osteopathic medicine and surgery, or         762          

podiatric medicine and surgery authorized under Chapter 4731. of   763          

                                                          19     

                                                                 
the Revised Code.                                                               

      Sec. 2151.421.  (A)(1)(a)  No person described listed in     773          

division (A)(1)(b) of this section who is acting in an official    775          

or professional capacity and knows or suspects that a child under  776          

eighteen years of age or a mentally retarded, developmentally      778          

disabled, or physically impaired child under twenty-one years of   779          

age has suffered or faces a threat of suffering any physical or    780          

mental wound, injury, disability, or condition of a nature that    781          

reasonably indicates abuse or neglect of the child, shall fail to  782          

immediately report that knowledge or suspicion to the public       783          

children services agency or a municipal or county peace officer    785          

in the county in which the child resides or in which the abuse or  786          

neglect is occurring or has occurred.                                           

      (b)  Division (A)(1)(a) of this section applies to any       790          

person who is an attorney; physician, including a hospital intern  791          

or resident; dentist; podiatrist; practitioner of a limited        792          

branch of medicine or surgery as defined SPECIFIED in section      793          

4731.15 of the Revised Code; registered nurse; licensed practical  796          

nurse; visiting nurse; other health care professional; licensed    797          

psychologist; licensed school psychologist; speech pathologist or  798          

audiologist; coroner; administrator or employee of a child         799          

day-care center; administrator or employee of a certified child    800          

care agency or other public or private children services agency;   801          

school teacher; school employee; school authority; person engaged  802          

in social work or the practice of professional counseling; or a    803          

person rendering spiritual treatment through prayer in accordance  805          

with the tenets of a well-recognized religion.                                  

      (2)  An attorney or a physician is not required to make a    807          

report pursuant to division (A)(1) of this section concerning any  809          

communication the attorney or physician receives from a client or  812          

patient in an attorney-client or physician-patient relationship,   813          

if, in accordance with division (A) or (B) of section 2317.02 of   815          

the Revised Code, the attorney or physician could not testify      816          

with respect to that communication in a civil or criminal          817          

                                                          20     

                                                                 
proceeding, except that the client or patient is deemed to have    818          

waived any testimonial privilege under division (A) or (B) of      820          

section 2317.02 of the Revised Code with respect to that           822          

communication and the attorney or physician shall make a report    824          

pursuant to division (A)(1) of this section with respect to that   825          

communication, if all of the following apply:                                   

      (a)  The client or patient, at the time of the               827          

communication, is either a child under eighteen years of age or a  828          

mentally retarded, developmentally disabled, or physically         830          

impaired person under twenty-one years of age.                     831          

      (b)  The attorney of OR physician knows or suspects, as a    833          

result of the communication or any observations made during that   835          

communication, that the client or patient has suffered or faces a  836          

threat of suffering any physical or mental wound, injury,          838          

disability, or condition of a nature that reasonably indicates     839          

abuse or neglect of the client or patient.                         840          

      (c)  The attorney-client or physician-patient relationship   842          

does not arise out of the client's or patient's attempt to have    844          

an abortion without the notification of her parents, guardian, or  846          

custodian in accordance with section 2151.85 of the Revised Code.  847          

      (B)  Anyone, who knows or suspects that a child under        849          

eighteen years of age or a mentally retarded, developmentally      851          

disabled, or physically impaired person under twenty-one years of  852          

age has suffered or faces a threat of suffering any physical or    853          

mental wound, injury, disability, or other condition of a nature   854          

that reasonably indicates abuse or neglect of the child, may       855          

report or cause reports to be made of that knowledge or suspicion  856          

to the public children services agency or to a municipal or        858          

county peace officer.                                              859          

      (C)  Any report made pursuant to division (A) or (B) of      861          

this section shall be made forthwith either by telephone or in     862          

person and shall be followed by a written report, if requested by  864          

the receiving agency or officer.  The written report shall                      

contain:                                                           865          

                                                          21     

                                                                 
      (1)  The names and addresses of the child and the child's    867          

parents or the person or persons having custody of the child, if   868          

known;                                                                          

      (2)  The child's age and the nature and extent of the        870          

child's known or suspected injuries, abuse, or neglect or of the   871          

known or suspected threat of injury, abuse, or neglect, including  872          

any evidence of previous injuries, abuse, or neglect;              873          

      (3)  Any other information that might be helpful in          875          

establishing the cause of the known or suspected injury, abuse,    876          

or neglect or of the known or suspected threat of injury, abuse,   877          

or neglect.                                                        878          

      Any person, who is required by division (A) of this section  880          

to report known or suspected child abuse or child neglect, may     881          

take or cause to be taken color photographs of areas of trauma     882          

visible on a child and, if medically indicated, cause to be        883          

performed radiological examinations of the child.                  884          

      (D)(1)  Upon the receipt of a report concerning the          886          

possible abuse or neglect of a child or the possible threat of     887          

abuse or neglect of a child, the municipal or county peace         888          

officer who receives the report shall refer the report to the      889          

appropriate public children services agency.                       891          

      (2)  On receipt of a report pursuant to this division or     894          

division (A) or (B) of this section, the public children services  896          

agency shall comply with section 2151.422 of the Revised Code.     898          

      (E)  No township, municipal, or county peace officer shall   900          

remove a child about whom a report is made pursuant to this        901          

section from the child's parents, stepparents, or guardian or any  902          

other persons having custody of the child without consultation     903          

with the public children services agency, unless, in the judgment  906          

of the officer, and, if the report was made by physician, the      907          

physician, immediate removal is considered essential to protect    908          

the child from further abuse or neglect.  The agency that must be  911          

consulted shall be the agency conducting the investigation of the  912          

report as determined pursuant to section 2151.422 of the Revised   913          

                                                          22     

                                                                 
Code.                                                              914          

      (F)(1)  Except as provided in section 2151.422 of the        917          

Revised Code, the public children services agency shall            919          

investigate, within twenty-four hours, each report of known or     921          

suspected child abuse or child neglect and of a known or           922          

suspected threat of child abuse or child neglect that is referred  923          

to it under this section to determine the circumstances            924          

surrounding the injuries, abuse, or neglect or the threat of       925          

injury, abuse, or neglect, the cause of the injuries, abuse,       926          

neglect, or threat, and the person or persons responsible.  The    927          

investigation shall be made in cooperation with the law                         

enforcement agency and in accordance with the memorandum of        928          

understanding prepared under division (J) of this section.  A      930          

failure to make the investigation in accordance with the           931          

memorandum is not grounds for, and shall not result in, the        933          

dismissal of any charges or complaint arising from the report or   934          

the suppression of any evidence obtained as a result of the        935          

report and does not give, and shall not be construed as giving,    936          

any rights or any grounds for appeal or post-conviction relief to  937          

any person.  The public children services agency shall report      940          

each case to a central registry which the state department of      942          

human services shall maintain in order to determine whether prior  943          

reports have been made in other counties concerning the child or   944          

other principals in the case.  The public children services        945          

agency shall submit a report of its investigation, in writing, to  947          

the law enforcement agency.                                                     

      (2)  The public children services agency shall make any      950          

recommendations to the county prosecuting attorney or city         952          

director of law that it considers necessary to protect any         953          

children that are brought to its attention.                        954          

      (G)(1)(a)  Except as provided in division (H)(3) of this     956          

section, anyone or any hospital, institution, school, health       957          

department, or agency participating in the making of reports       958          

under division (A) of this section, anyone or any hospital,        959          

                                                          23     

                                                                 
institution, school, health department, or agency participating    960          

in good faith in the making of reports under division (B) of this  961          

section, and anyone participating in good faith in a judicial      962          

proceeding resulting from the reports, shall be immune from any    963          

civil or criminal liability for injury, death, or loss to person   964          

or property that otherwise might be incurred or imposed as a       965          

result of the making of the reports or the participation in the    966          

judicial proceeding.  Notwithstanding                              967          

      (b)  NOTWITHSTANDING section 4731.22 of the Revised Code,    970          

the physician-patient privilege shall not be a ground for          971          

excluding evidence regarding a child's injuries, abuse, or         972          

neglect, or the cause of the injuries, abuse, or neglect in any    973          

judicial proceeding resulting from a report submitted pursuant to  974          

this section.                                                                   

      (2)  In any civil or criminal action or proceeding in which  976          

it is alleged and proved that participation in the making of a     977          

report under this section was not in good faith or participation   978          

in a judicial proceeding resulting from a report made under this   979          

section was not in good faith, the court shall award the           980          

prevailing party reasonable attorney's fees and costs and, if a    981          

civil action or proceeding is voluntarily dismissed, may award     982          

reasonable attorney's fees and costs to the party against whom     983          

the civil action or proceeding is brought.                         984          

      (H)(1)  Except as provided in divisions (H)(4), (M), and     987          

(N) of this section, a report made under this section is           988          

confidential.  The information provided in a report made pursuant  989          

to this section and the name of the person who made the report     990          

shall not be released for use, and shall not be used, as evidence  991          

in any civil action or proceeding brought against the person who   992          

made the report.  In a criminal proceeding, the report is          993          

admissible in evidence in accordance with the Rules of Evidence    994          

and is subject to discovery in accordance with the Rules of        995          

Criminal Procedure.                                                996          

      (2)  No person shall permit or encourage the unauthorized    998          

                                                          24     

                                                                 
dissemination of the contents of any report made under this        999          

section.                                                           1,000        

      (3)  A person who knowingly makes or causes another person   1,002        

to make a false report under division (B) of this section that     1,003        

alleges that any person has committed an act or omission that      1,004        

resulted in a child being an abused child or a neglected child is  1,005        

guilty of a violation of section 2921.14 of the Revised Code.      1,006        

      (4)  A public children services agency shall advise a        1,009        

person alleged to have inflicted abuse or neglect on a child who   1,010        

is the subject of a report made pursuant to this section of the                 

disposition of the investigation.  The agency shall not provide    1,011        

to the person any information that identifies the person who made  1,013        

the report, statements of witnesses, or police or other                         

investigative reports.                                             1,014        

      (I)  Any report that is required by this section shall       1,016        

result in protective services and emergency supportive services    1,017        

being made available by the public children services agency on     1,019        

behalf of the children about whom the report is made, in an        1,021        

effort to prevent further neglect or abuse, to enhance their       1,022        

welfare, and, whenever possible, to preserve the family unit       1,023        

intact.  The agency required to provide the services shall be the  1,025        

agency conducting the investigation of the report pursuant to      1,026        

section 2151.422 of the Revised Code.                              1,028        

      (J)(1)  Each public children services agency shall prepare   1,030        

a memorandum of understanding that is signed by all of the         1,032        

following:                                                                      

      (a)  If there is only one juvenile judge in the county, the  1,035        

juvenile judge of the county or the juvenile judge's               1,036        

representative;                                                                 

      (b)  If there is more than one juvenile judge in the         1,040        

county, a juvenile judge or the juvenile judges' representative    1,041        

selected by the juvenile judges or, if they are unable to do so    1,042        

for any reason, the juvenile judge who is senior in point of       1,043        

service or the senior juvenile judge's representative;             1,044        

                                                          25     

                                                                 
      (c)  The county peace officer;                               1,047        

      (d)  All chief municipal peace officers within the county;   1,050        

      (e)  Other law enforcement officers handling child abuse     1,052        

and neglect cases in the county;                                   1,053        

      (f)  The prosecuting attorney of the county; public          1,056        

      (g)  If the public children services agency is not the       1,058        

county department of human services agency, the county department  1,060        

of human services.                                                 1,061        

      (2)  A memorandum of understanding shall set forth the       1,063        

normal operating procedure to be employed by all concerned         1,065        

officials in the execution of their respective responsibilities    1,066        

under this section and division (C) of section 2919.21, division   1,067        

(B)(1) of section 2919.22, division (B) of section 2919.23, and    1,068        

section 2919.24 of the Revised Code and shall have as two of its   1,069        

primary goals the elimination of all unnecessary interviews of     1,070        

children who are the subject of reports made pursuant to division  1,071        

(A) or (B) of this section and, when feasible, providing for only  1,072        

one interview of a child who is the subject of any report made     1,073        

pursuant to division (A) or (B) of this section.  A failure to     1,074        

follow the procedure set forth in the memorandum by the concerned  1,076        

officials is not grounds for, and shall not result in, the         1,077        

dismissal of any charges or complaint arising from any reported    1,078        

case of abuse or neglect or the suppression of any evidence        1,079        

obtained as a result of any reported child abuse or child neglect  1,080        

and does not give, and shall not be construed as giving, any       1,081        

rights or any grounds for appeal or post-conviction relief to any  1,082        

person.                                                            1,083        

      (3)  A memorandum of understanding shall include all of the  1,085        

following:                                                         1,086        

      (a)  The roles and responsibilities for handling emergency   1,089        

and non-emergency cases of abuse and neglect;                      1,091        

      (b)  Standards and procedures to be used in handling and     1,093        

coordinating investigations of reported cases of child abuse and   1,094        

reported cases of child neglect, methods to be used in             1,095        

                                                          26     

                                                                 
interviewing the child who is the subject of the report and who    1,096        

allegedly was abused or neglected, and standards and procedures    1,097        

addressing the categories of persons who may interview the child   1,098        

who is the subject of the report and who allegedly was abused or   1,099        

neglected.                                                         1,100        

      (K)(1)  Except as provided in division (K)(4) of this        1,103        

section, a person who is required to make a report pursuant to     1,104        

division (A) of this section may make a reasonable number of       1,105        

requests of the public children services agency that receives or   1,106        

is referred the report to be provided with the following           1,108        

information:                                                                    

      (a)  Whether the agency has initiated an investigation of    1,111        

the report;                                                                     

      (b)  Whether the agency is continuing to investigate the     1,114        

report;                                                                         

      (c)  Whether the agency is otherwise involved with the       1,118        

child who is the subject of the report;                                         

      (d)  The general status of the health and safety of the      1,120        

child who is the subject of the report;                            1,121        

      (e)  Whether the report has resulted in the filing of a      1,123        

complaint in juvenile court or of criminal charges in another      1,124        

court.                                                             1,125        

      (2)  A person may request the information specified in       1,127        

division (K)(1) of this section only if, at the time the report    1,128        

is made, the person's name, address, and telephone number are      1,129        

provided to the person who receives the report.                                 

      When a municipal or county peace officer or employee of a    1,131        

public children services agency receives a report pursuant to      1,134        

division (A) or (B) of this section the recipient of the report    1,135        

shall inform the person of the right to request the information    1,137        

described in division (K)(1) of this section.  The recipient of                 

the report shall include in the initial child abuse or child       1,138        

neglect report that the person making the report was so informed   1,139        

and, if provided at the time of the making of the report, shall    1,140        

                                                          27     

                                                                 
include the person's name, address, and telephone number in the    1,141        

report.                                                                         

      Each request is subject to verification of the identity of   1,143        

the person making the report.  If that person's identity is        1,146        

verified, the agency shall provide the person with the             1,148        

information described in division (K)(1) of this section a         1,149        

reasonable number of times, except that the agency shall not                    

disclose any confidential information regarding the child who is   1,151        

the subject of the report other than the information described in  1,152        

those divisions.                                                                

      (3)  A request made pursuant to division (K)(1) of this      1,154        

section is not a substitute for any report required to be made     1,155        

pursuant to division (A) of this section.                          1,156        

      (4)  If an agency other than the agency that received or     1,159        

was referred the report is conducting the investigation of the     1,160        

report pursuant to section 2151.422 of the Revised Code, the       1,162        

agency conducting the investigation shall comply with the          1,163        

requirements of division (K) OF THIS SECTION.                      1,164        

      (L)  The department of human services shall adopt rules in   1,166        

accordance with Chapter 119. of the Revised Code to implement      1,169        

this section.  The department may enter into a plan of             1,171        

cooperation with any other governmental entity to aid in ensuring  1,172        

that children are protected from abuse and neglect.  The           1,173        

department shall make recommendations to the attorney general      1,174        

that the department determines are necessary to protect children   1,175        

from child abuse and child neglect.                                1,176        

      (M)  No later than the end of the day following the day on   1,179        

which a public children services agency receives a report of       1,180        

alleged child abuse or child neglect, or a report of an alleged    1,181        

threat of child abuse or child neglect, that allegedly occurred    1,182        

in or involved an out-of-home care entity, the agency shall        1,183        

provide written notice of the allegations contained in and the     1,185        

person named as the alleged perpetrator in the report to the       1,186        

administrator, director, or other chief administrative officer of  1,187        

                                                          28     

                                                                 
the out-of-home care entity that is the subject of the report      1,188        

unless the administrator, director, or other chief administrative  1,189        

officer is named as an alleged perpetrator in the report.  If the  1,190        

administrator, director, or other chief administrative officer of  1,191        

an out-of-home care entity is named as an alleged perpetrator in   1,192        

a report of alleged child abuse or child neglect, or a report of   1,193        

an alleged threat of child abuse or child neglect, that allegedly  1,194        

occurred in or involved the out-of-home care entity, the agency    1,195        

shall provide the written notice to the owner or governing board   1,197        

of the out-of-home care entity that is the subject of the report.  1,198        

The agency shall not provide witness statements or police or       1,200        

other investigative reports.                                                    

      (N)  No later than three days after the day on which a       1,203        

public children services agency that conducted the investigation   1,204        

as determined pursuant to section 2151.422 of the Revised Code     1,205        

makes a disposition of an investigation involving a report of      1,206        

alleged child abuse or child neglect, or a report of an alleged    1,207        

threat of child abuse or child neglect, that allegedly occurred    1,208        

in or involved an out-of-home care entity, the agency shall send   1,211        

written notice of the disposition of the investigation to the      1,212        

administrator, director, or other chief administrative officer     1,213        

and the owner or governing board of the out-of-home care entity.   1,214        

The agency shall not provide witness statements or police or       1,216        

other investigative reports.                                                    

      Sec. 2317.02.  The following persons shall not testify in    1,230        

certain respects:                                                  1,231        

      (A)  An attorney, concerning a communication made TO the     1,233        

attorney by the attorney's a client in that relation or the        1,234        

attorney's advice to the a client, except that the attorney may    1,236        

testify by express consent of the client or, if the client is      1,237        

deceased, by the express consent of the surviving spouse or the    1,238        

executor or administrator of the estate of the deceased client     1,239        

and except that, if the client voluntarily testifies or is deemed  1,240        

by section 2151.421 of the Revised Code to have waived any         1,241        

                                                          29     

                                                                 
testimonial privilege under this division, the attorney may be     1,242        

compelled to testify on the same subject;                                       

      (B)(1)  A physician or a dentist concerning a communication  1,244        

made TO the physician or dentist by the physician's or dentist's   1,246        

a patient in that relation or the physician's or dentist's advice  1,247        

to the a patient, except as otherwise provided in this division,   1,248        

division (B)(2), and division (B)(3) of this section, and except   1,249        

that, if the patient is deemed by section 2151.421 of the Revised  1,250        

Code to have waived any testimonial privilege under this           1,251        

division, the physician may be compelled to testify on the same    1,252        

subject.                                                                        

      The testimonial privilege ESTABLISHED under this division    1,254        

does not apply, and a physician or dentist may testify or may be   1,255        

compelled to testify, in any of the following circumstances:       1,256        

      (a)  In any civil action, in accordance with the discovery   1,258        

provisions of the Rules of Civil Procedure in connection with a    1,259        

civil action, or in connection with a claim under Chapter 4123.    1,260        

of the Revised Code, under any of the following circumstances:     1,261        

      (i)  If the patient or the guardian or other legal           1,263        

representative of the patient gives express consent;               1,264        

      (ii)  If the patient is deceased, the spouse of the patient  1,266        

or the executor or administrator of the patient's estate gives     1,268        

express consent;                                                                

      (iii)  If a medical claim, dental claim, chiropractic        1,270        

claim, or optometric claim, as defined in section 2305.11 of the   1,271        

Revised Code, an action for wrongful death, any other type of      1,272        

civil action, or a claim under Chapter 4123. of the Revised Code   1,273        

is filed by the patient, the personal representative of the        1,274        

estate of the patient if deceased, or the patient's guardian or    1,276        

other legal representative.                                                     

      (b)  In any criminal action concerning any test or the       1,278        

results of any test that determines the presence or concentration  1,279        

of alcohol, a drug of abuse, or alcohol and a drug of abuse in     1,280        

the patient's blood, breath, urine, or other bodily substance at   1,281        

                                                          30     

                                                                 
any time relevant to the criminal offense in question.             1,282        

      (c)  IN ANY CRIMINAL ACTION AGAINST A PHYSICIAN OR DENTIST.  1,285        

IN SUCH AN ACTION, THE TESTIMONIAL PRIVILEGE ESTABLISHED UNDER     1,286        

THIS DIVISION DOES NOT PROHIBIT THE ADMISSION INTO EVIDENCE, IN    1,287        

ACCORDANCE WITH THE RULES OF EVIDENCE, OF A PATIENT'S MEDICAL OR   1,290        

DENTAL RECORDS OR OTHER COMMUNICATIONS BETWEEN A PATIENT AND THE   1,291        

PHYSICIAN OR DENTIST THAT ARE RELATED TO THE ACTION AND OBTAINED   1,292        

BY SUBPOENA, SEARCH WARRANT, OR OTHER LAWFUL MEANS.  A COURT THAT  1,293        

PERMITS OR COMPELS A PHYSICIAN OR DENTIST TO TESTIFY IN SUCH AN    1,294        

ACTION OR PERMITS THE INTRODUCTION INTO EVIDENCE OF PATIENT        1,295        

RECORDS OR OTHER COMMUNICATIONS IN SUCH AN ACTION SHALL REQUIRE    1,296        

THAT APPROPRIATE MEASURES BE TAKEN TO ENSURE THAT THE              1,297        

CONFIDENTIALITY OF ANY PATIENT NAMED OR OTHERWISE IDENTIFIED IN    1,298        

THE RECORDS IS MAINTAINED.  MEASURES TO ENSURE CONFIDENTIALITY     1,299        

THAT MAY BE TAKEN BY THE COURT INCLUDE SEALING ITS RECORDS OR      1,300        

DELETING SPECIFIC INFORMATION FROM ITS RECORDS.                    1,301        

      (2)(a)  If any law enforcement officer submits a written     1,303        

statement to a health care provider that states that an official   1,304        

criminal investigation has begun regarding a specified person or   1,305        

that a criminal action or proceeding has been commenced against a  1,306        

specified person, that requests the provider to supply to the      1,307        

officer copies of any records the provider possesses that pertain               

to any test or the results of any test administered to the         1,308        

specified person to determine the presence or concentration of     1,309        

alcohol, a drug of abuse, or alcohol and a drug of abuse in the    1,310        

person's blood, breath, or urine at any time relevant to the       1,311        

criminal offense in question, and that conforms to section                      

2317.022 of the Revised Code, the provider, except to the extent   1,312        

specifically prohibited by any law of this state or of the United  1,313        

States, shall supply to the officer a copy of any of the           1,314        

requested records the provider possesses.  If the health care      1,315        

provider does not possess any of the requested records, the                     

provider shall give the officer a written statement that           1,316        

indicates that the provider does not possess any of the requested  1,317        

                                                          31     

                                                                 
records.                                                                        

      (b)  If a health care provider possesses any records of the  1,319        

type described in division (B)(2)(a) of this section regarding     1,320        

the person in question at any time relevant to the criminal        1,321        

offense in question, in lieu of personally testifying as to the    1,322        

results of the test in question, the custodian of the records may  1,323        

submit a certified copy of the records, and, upon its submission,               

the certified copy is qualified as authentic evidence and may be   1,324        

admitted as evidence in accordance with the Rules of Evidence.     1,325        

Division (A) of section 2317.422 of the Revised Code does not      1,326        

apply to any certified copy of records submitted in accordance     1,327        

with this division.  Nothing in this division shall be construed   1,328        

to limit the right of any party to call as a witness the person                 

who administered the test to which the records pertain, the        1,329        

person under whose supervision the test was administered, the      1,330        

custodian of the records, the person who made the records, or the  1,331        

person under whose supervision the records were made.              1,332        

      (3)(a)  If the testimonial privilege described in division   1,334        

(B)(1) of this section does not apply as provided in division      1,335        

(B)(1)(a)(iii) of this section, a physician or dentist may be      1,336        

compelled to testify or to submit to discovery under the Rules of  1,337        

Civil Procedure only as to a communication made TO the physician   1,338        

or dentist by the patient in question in that relation, or the     1,339        

physician's or dentist's advice to the patient in question, that   1,341        

related causally or historically to physical or mental injuries    1,342        

that are relevant to issues in the medical claim, dental claim,    1,343        

chiropractic claim, or optometric claim, action for wrongful       1,344        

death, other civil action, or claim under Chapter 4123. of the     1,345        

Revised Code.                                                                   

      (b)  If the testimonial privilege described in division      1,347        

(B)(1) of this section does not apply to a physician or dentist    1,348        

as provided in division (B)(1)(b) of this section, the physician   1,349        

or dentist, in lieu of personally testifying as to the results of  1,350        

the test in question, may submit a certified copy of those                      

                                                          32     

                                                                 
results, and, upon its submission, the certified copy is           1,351        

qualified as authentic evidence and may be admitted as evidence    1,352        

in accordance with the Rules of Evidence.  Division (A) of         1,353        

section 2317.422 of the Revised Code does not apply to any         1,354        

certified copy of results submitted in accordance with this                     

division.  Nothing in this division shall be construed to limit    1,355        

the right of any party to call as a witness the person who         1,356        

administered the test in question, the person under whose          1,357        

supervision the test was administered, the custodian of the                     

results of the test, the person who compiled the results, or the   1,358        

person under whose supervision the results were compiled.          1,359        

      (4)(a)  As used in divisions (B)(1) to (3) of this section,  1,361        

"communication" means acquiring, recording, or transmitting any    1,362        

information, in any manner, concerning any facts, opinions, or     1,363        

statements necessary to enable a physician or dentist to           1,364        

diagnose, treat, prescribe, or act for a patient.  A               1,365        

"communication" may include, but is not limited to, any medical    1,366        

or dental, office, or hospital communication such as a record,     1,367        

chart, letter, memorandum, laboratory test and results, x-ray,     1,368        

photograph, financial statement, diagnosis, or prognosis.          1,369        

      (b)  As used in division (B)(2) of this section, "health     1,371        

care provider" has the same meaning as in section 3729.01 of the   1,372        

Revised Code.                                                                   

      (5)  Divisions (B)(1), (2), (3), and (4) of this section     1,374        

apply to doctors of medicine, doctors of osteopathic medicine,     1,375        

doctors of podiatry, and dentists.                                 1,376        

      (6)  Nothing in divisions (B)(1) to (5) of this section      1,378        

affects, or shall be construed as affecting, the immunity from     1,379        

civil liability conferred by section 2305.33 of the Revised Code   1,380        

upon physicians who report an employee's use of a drug of abuse,   1,381        

or a condition of an employee other than one involving the use of  1,382        

a drug of abuse, to the employer of the employee in accordance     1,383        

with division (B) of that section.  As used in this division       1,384        

(B)(6) OF THIS SECTION, "employee," "employer," and "physician"    1,386        

                                                          33     

                                                                 
have the same meanings as in section 2305.33 of the Revised Code.  1,387        

      (C)  A  member of the clergy, rabbi, priest, or regularly    1,389        

ordained, accredited, or licensed minister of an established and   1,391        

legally cognizable church, denomination, or sect, when the cleric  1,392        

MEMBER OF THE CLERGY, rabbi, priest, or minister remains           1,394        

accountable to the authority of that church, denomination, or      1,395        

sect, concerning a confession made, or any information             1,396        

confidentially communicated, TO the clergyman MEMBER OF THE        1,397        

CLERGY, rabbi, priest, or minister for a religious counseling      1,398        

purpose in the clergyman's MEMBER OF THE CLERGY'S, rabbi's,        1,399        

priest's, or minister's professional character; however, the       1,401        

cleric MEMBER OF THE CLERGY, rabbi, priest, or minister may        1,403        

testify by express consent of the person making the                1,404        

communication, except when the disclosure of the information is    1,405        

in violation of the clergyman's rabbi's, priest's, or minister's   1,406        

a sacred trust.                                                                 

      (D)  Husband or wife, concerning any communication made by   1,408        

one to the other, or an act done by either in the presence of the  1,409        

other, during coverture, unless the communication was made, or     1,410        

act done, in the known presence or hearing of a third person       1,411        

competent to be a witness; and such rule is the same if the        1,412        

marital relation has ceased to exist.                              1,413        

      (E)  A person who assigns a claim or interest, concerning    1,415        

any matter in respect to which the person would not, if a party,   1,417        

be permitted to testify;                                                        

      (F)  A person who, if a party, would be restricted under     1,420        

section 2317.03 of the Revised Code, when the property or thing    1,421        

is sold or transferred by an executor, administrator, guardian,    1,422        

trustee, heir, devisee, or legatee, shall be restricted in the     1,423        

same manner in any action or proceeding concerning the property    1,424        

or thing.                                                                       

      (G)(1)  A school guidance counselor who holds a valid        1,426        

educator license from the state board of education as provided     1,428        

for in section 3319.22 of the Revised Code, a person licensed      1,429        

                                                          34     

                                                                 
under Chapter 4757. of the Revised Code as a professional          1,430        

clinical counselor, professional counselor, social worker, or      1,431        

independent social worker, or registered under Chapter 4757. of    1,432        

the Revised Code as a social work assistant concerning a           1,433        

confidential communication such person such person's received      1,434        

from a client in that relation or such person's the person's       1,435        

advice to the a client unless any of the following applies:        1,436        

      (a)  The communication or advice indicates clear and         1,438        

present danger to the client or other persons.  For the purposes   1,439        

of this division, cases in which there are indications of present  1,440        

or past child abuse or neglect of the client constitute a clear    1,441        

and present danger.                                                1,442        

      (b)  The client gives express consent to the testimony.      1,444        

      (c)  If the client is deceased, the surviving spouse or the  1,446        

executor or administrator of the estate of the deceased client     1,447        

gives express consent.                                             1,448        

      (d)  The client voluntarily testifies, in which case the     1,450        

school guidance counselor or person licensed or registered under   1,451        

Chapter 4757. of the Revised Code may be compelled to testify on   1,453        

the same subject.                                                               

      (e)  The court in camera determines that the information     1,455        

communicated by the client is not germane to the counselor-client  1,456        

or social worker-client relationship.                              1,457        

      (f)  A court, in an action brought against a school, its     1,459        

administration, or any of its personnel by the client, rules       1,460        

after an in-camera inspection that the testimony of the school     1,461        

guidance counselor is relevant to that action.                     1,462        

      (2)  Nothing in division (G)(1) of this section shall        1,464        

relieve a school guidance counselor or a person licensed or        1,466        

registered under Chapter 4757. of the Revised Code from the        1,468        

requirement to report information concerning child abuse or        1,469        

neglect under section 2151.421 of the Revised Code.                             

      (H)  A mediator acting under a mediation order issued under  1,471        

division (A) of section 3109.052 of the Revised Code or otherwise  1,472        

                                                          35     

                                                                 
issued in any proceeding for divorce, dissolution, legal           1,473        

separation, annulment, or the allocation of parental rights and    1,474        

responsibilities for the care of children, in any action or        1,475        

proceeding, other than a criminal, delinquency, child abuse,       1,476        

child neglect, or dependent child action or proceeding, that is    1,477        

brought by or against either parent who takes part in mediation    1,478        

in accordance with the order and that pertains to the mediation    1,479        

process, to any information discussed or presented in the          1,480        

mediation process, to the allocation of parental rights and        1,481        

responsibilities for the care of the parents' children, or to the  1,482        

awarding of visitation rights in relation to their children.       1,483        

      (I)  A communications assistant, acting within the scope of  1,485        

the communication that assistant's authority, when providing       1,486        

telecommunications relay service pursuant to section 4931.35 of    1,488        

the Revised Code or Title II of the "Communications Act of 1934,"  1,489        

104 Stat. 366 (1990), 47 U.S.C. 225, concerning a communication    1,490        

made through a telecommunications relay service.                   1,491        

      Nothing in this section shall limit any immunity or          1,493        

privilege granted under federal law or regulation.  Nothing in     1,494        

this section shall limit the obligation of a communications        1,495        

assistant to divulge information or testify when mandated by       1,496        

federal law or regulation or pursuant to subpoena in a criminal    1,497        

proceeding.                                                        1,498        

      Sec. 2925.01.  As used in this chapter:                      1,507        

      (A)  "Administer," "controlled substance," "dispense,"       1,509        

"distribute," "hypodermic," "manufacturer," "official written      1,511        

order," "person," "pharmacist," "pharmacy," "sale," "schedule I,"  1,513        

"schedule II," "schedule III," "schedule IV," "schedule V," and    1,514        

"wholesaler" have the same meanings as in section 3719.01 of the   1,515        

Revised Code.                                                                   

      (B)  "Drug dependent person" and "drug of abuse" have the    1,517        

same meanings as in section 3719.011 of the Revised Code.          1,518        

      (C)  "Drug," "dangerous drug," "licensed health              1,520        

professional authorized to prescribe drugs," and "prescription"    1,522        

                                                          36     

                                                                 
have the same meanings as in section 4729.01 of the Revised Code.  1,523        

      (D)  "Bulk amount" of a controlled substance means any of    1,525        

the following:                                                     1,526        

      (1)  For any compound, mixture, preparation, or substance    1,528        

included in schedule I, schedule II, or schedule III, with the     1,530        

exception of marihuana, cocaine, L.S.D., heroin, and hashish and                

except as provided in division (D)(2) or (5) of this section,      1,532        

whichever of the following is applicable:                                       

      (a)  An amount equal to or exceeding ten grams or            1,534        

twenty-five unit doses of a compound, mixture, preparation, or     1,535        

substance that is or contains any amount of a schedule I opiate    1,536        

or opium derivative;                                               1,537        

      (b)  An amount equal to or exceeding ten grams of a          1,540        

compound, mixture, preparation, or substance that is or contains   1,541        

any amount of raw or gum opium;                                    1,542        

      (c)  An amount equal to or exceeding thirty grams or ten     1,545        

unit doses of a compound, mixture, preparation, or substance that  1,546        

is or contains any amount of a schedule I hallucinogen other than  1,547        

tetrahydrocannabinol or lysergic acid amide, or a schedule I       1,550        

stimulant or depressant;                                           1,551        

      (d)  An amount equal to or exceeding twenty grams or five    1,554        

times the maximum daily dose in the usual dose range specified in  1,555        

a standard pharmaceutical reference manual of a compound,          1,556        

mixture, preparation, or substance that is or contains any amount  1,557        

of a schedule II opiate or opium derivative;                       1,558        

      (e)  An amount equal to or exceeding five grams or ten unit  1,560        

doses of a compound, mixture, preparation, or substance that is    1,561        

or contains any amount of phencyclidine;                           1,562        

      (f)  An amount equal to or exceeding one hundred twenty      1,564        

grams or thirty times the maximum daily dose in the usual dose     1,565        

range specified in a standard pharmaceutical reference manual of   1,566        

a compound, mixture, preparation, or substance that is or          1,567        

contains any amount of a schedule II stimulant that is in a final  1,568        

dosage form manufactured by a person authorized by the "Federal    1,569        

                                                          37     

                                                                 
Food, Drug, and Cosmetic Act," 52 Stat. 1040 (1938), 21 U.S.C.A.   1,571        

301, as amended, and the federal drug abuse control laws, as       1,572        

defined in section 3719.01 of the Revised Code, that is or                      

contains any amount of a schedule II depressant substance or a     1,574        

schedule II hallucinogenic substance;                                           

      (g)  An amount equal to or exceeding three grams of a        1,577        

compound, mixture, preparation, or substance that is or contains   1,578        

any amount of a schedule II stimulant, or any of its salts or      1,579        

isomers, that is not in a final dosage form manufactured by a      1,580        

person authorized by the Federal Food, Drug, and Cosmetic Act and  1,581        

the federal drug abuse control laws.                               1,582        

      (2)  An amount equal to or exceeding one hundred twenty      1,585        

grams or thirty times the maximum daily dose in the usual dose     1,586        

range specified in a standard pharmaceutical reference manual of   1,588        

a compound, mixture, preparation, or substance that is or          1,590        

contains any amount of a schedule III or IV substance other than   1,592        

an anabolic steroid or a schedule III opiate or opium derivative;  1,593        

      (3)  An amount equal to or exceeding twenty grams or five    1,595        

times the maximum daily dose in the usual dose range specified in  1,596        

a standard pharmaceutical reference manual of a compound,          1,597        

mixture, preparation, or substance that is or contains any amount  1,599        

of a schedule III opiate or opium derivative;                                   

      (4)  An amount equal to or exceeding two hundred fifty       1,601        

milliliters or two hundred fifty grams of a compound, mixture,     1,602        

preparation, or substance that is or contains any amount of a      1,603        

schedule V substance;                                              1,604        

      (5)  An amount equal to or exceeding two hundred solid       1,607        

dosage units, sixteen grams, or sixteen milliliters of a           1,608        

compound, mixture, preparation, or substance that is or contains   1,609        

any amount of a schedule III anabolic steroid.                     1,610        

      (E)  "Unit dose" means an amount or unit of a compound,      1,612        

mixture, or preparation containing a controlled substance that is  1,613        

separately identifiable and in a form that indicates that it is    1,615        

the amount or unit by which the controlled substance is            1,616        

                                                          38     

                                                                 
separately administered to or taken by an individual.              1,617        

      (F)  "Cultivate" includes planting, watering, fertilizing,   1,619        

or tilling.                                                        1,620        

      (G)  "Drug abuse offense" means any of the following:        1,622        

      (1)  A violation of division (A) of section 2913.02 that     1,624        

constitutes theft of drugs, or a violation of section 2925.02,     1,625        

2925.03, 2925.04, 2925.05, 2925.06, 2925.11, 2925.12, 2925.13,     1,626        

2925.22, 2925.23, 2925.31, 2925.32, 2925.36, or 2925.37 of the     1,628        

Revised Code;                                                                   

      (2)  A violation of an existing or former law of this or     1,630        

any other state or of the United States that is substantially      1,631        

equivalent to any section listed in division (G)(1) of this        1,632        

section;                                                           1,633        

      (3)  An offense under an existing or former law of this or   1,635        

any other state, or of the United States, of which planting,       1,636        

cultivating, harvesting, processing, making, manufacturing,        1,637        

producing, shipping, transporting, delivering, acquiring,          1,638        

possessing, storing, distributing, dispensing, selling, inducing   1,639        

another to use, administering to another, using, or otherwise      1,640        

dealing with a controlled substance is an element;                 1,641        

      (4)  A conspiracy to commit, attempt to commit, or           1,643        

complicity in committing or attempting to commit any offense       1,644        

under division (G)(1), (2), or (3) of this section.                1,645        

      (H)  "Felony drug abuse offense" means any drug abuse        1,647        

offense that would constitute a felony under the laws of this      1,648        

state, any other state, or the United States.                      1,649        

      (I)  "Harmful intoxicant" does not include beer or           1,651        

intoxicating liquor but means any compound, mixture, preparation,  1,653        

or substance the gas, fumes, or vapor of which when inhaled can    1,654        

induce intoxication, excitement, giddiness, irrational behavior,   1,655        

depression, stupefaction, paralysis, unconsciousness,              1,656        

asphyxiation, or other harmful physiological effects, and          1,657        

includes, but is not limited to, any of the following:             1,658        

      (1)  Any volatile organic solvent, plastic cement, model     1,660        

                                                          39     

                                                                 
cement, fingernail polish remover, lacquer thinner, cleaning       1,661        

fluid, gasoline, or other preparation containing a volatile        1,662        

organic solvent;                                                   1,663        

      (2)  Any aerosol propellant;                                 1,665        

      (3)  Any fluorocarbon refrigerant;                           1,667        

      (4)  Any anesthetic gas.                                     1,669        

      (J)  "Manufacture" means to plant, cultivate, harvest,       1,671        

process, make, prepare, or otherwise engage in any part of the     1,672        

production of a drug, by propagation, extraction, chemical         1,673        

synthesis, or compounding, or any combination of the same, and     1,674        

includes packaging, repackaging, labeling, and other activities    1,675        

incident to production.                                            1,676        

      (K)  "Possess" or "possession" means having control over a   1,678        

thing or substance, but may not be inferred solely from mere       1,679        

access to the thing or substance through ownership or occupation   1,680        

of the premises upon which the thing or substance is found.        1,681        

      (L)  "Sample drug" means a drug or pharmaceutical            1,683        

preparation that would be hazardous to health or safety if used    1,684        

without the supervision of a licensed health professional          1,686        

authorized to prescribe drugs, or a drug of abuse, and that, at    1,687        

one time, had been placed in a container plainly marked as a       1,688        

sample by a manufacturer.                                                       

      (M)  "Standard pharmaceutical reference manual" means the    1,690        

current edition, with cumulative changes if any, of any of the     1,691        

following reference works:                                         1,692        

      (1)  "The National Formulary";                               1,694        

      (2)  "The United States Pharmacopeia," prepared by           1,696        

authority of the United States Pharmacopeial Convention, Inc.;     1,697        

      (3)  Other standard references that are approved by the      1,699        

state board of pharmacy.                                           1,700        

      (N)  "Juvenile" means a person under eighteen years of age.  1,702        

      (O)  "Counterfeit controlled substance" means any of the     1,704        

following:                                                         1,705        

      (1)  Any drug that bears, or whose container or label        1,707        

                                                          40     

                                                                 
bears, a trademark, trade name, or other identifying mark used     1,708        

without authorization of the owner of rights to that trademark,    1,709        

trade name, or identifying mark;                                   1,710        

      (2)  Any unmarked or unlabeled substance that is             1,712        

represented to be a controlled substance manufactured, processed,  1,713        

packed, or distributed by a person other than the person that      1,714        

manufactured, processed, packed, or distributed it;                1,715        

      (3)  Any substance that is represented to be a controlled    1,717        

substance but is not a controlled substance or is a different      1,718        

controlled substance;                                              1,719        

      (4)  Any substance other than a controlled substance that a  1,721        

reasonable person would believe to be a controlled substance       1,722        

because of its similarity in shape, size, and color, or its        1,723        

markings, labeling, packaging, distribution, or the price for      1,724        

which it is sold or offered for sale.                              1,725        

      (P)  An offense is "committed in the vicinity of a school"   1,727        

if the offender commits the offense on school premises, in a       1,728        

school building, or within one thousand feet of the boundaries of  1,729        

any school premises.                                                            

      (Q)  "School" means any school operated by a board of        1,731        

education or any school for which the state board of education     1,732        

prescribes minimum standards under section 3301.07 of the Revised  1,733        

Code, whether or not any instruction, extracurricular activities,  1,734        

or training provided by the school is being conducted at the time  1,735        

a criminal offense is committed.                                   1,736        

      (R)  "School premises" means either of the following:        1,738        

      (1)  The parcel of real property on which any school is      1,740        

situated, whether or not any instruction, extracurricular          1,741        

activities, or training provided by the school is being conducted  1,742        

on the premises at the time a criminal offense is committed;       1,743        

      (2)  Any other parcel of real property that is owned or      1,745        

leased by a board of education of a school or the governing body   1,746        

of a school for which the state board of education prescribes      1,747        

minimum standards under section 3301.07 of the Revised Code and    1,748        

                                                          41     

                                                                 
on which some of the instruction, extracurricular activities, or   1,749        

training of the school is conducted, whether or not any            1,750        

instruction, extracurricular activities, or training provided by   1,751        

the school is being conducted on the parcel of real property at    1,752        

the time a criminal offense is committed.                          1,753        

      (S)  "School building" means any building in which any of    1,755        

the instruction, extracurricular activities, or training provided  1,756        

by a school is conducted, whether or not any instruction,          1,757        

extracurricular activities, or training provided by the school is  1,758        

being conducted in the school building at the time a criminal      1,759        

offense is committed.                                              1,760        

      (T)  "Disciplinary counsel" means the disciplinary counsel   1,762        

appointed by the board of commissioners on grievances and          1,763        

discipline of the supreme court under the Rules for the            1,764        

Government of the Bar of Ohio.                                     1,765        

      (U)  "Certified grievance committee" means a duly            1,767        

constituted and organized committee of the Ohio state bar          1,768        

association or of one or more local bar associations of the state  1,769        

of Ohio that complies with the criteria set forth in Rule V,       1,770        

section 6 of the Rules for the Government of the Bar of Ohio.      1,771        

      (V)  "Professional license" means any license, permit,       1,773        

certificate, registration, qualification, admission, temporary     1,774        

license, temporary permit, temporary certificate, or temporary     1,775        

registration that is described in divisions (W)(1) to (35) of      1,776        

this section and that qualifies a person as a professionally       1,777        

licensed person.                                                   1,778        

      (W)  "Professionally licensed person" means any of the       1,780        

following:                                                         1,781        

      (1)  A person who has obtained a license as a manufacturer   1,783        

of controlled substances or a wholesaler of controlled substances  1,784        

under Chapter 3719. of the Revised Code;                           1,785        

      (2)  A person who has received a certificate or temporary    1,787        

certificate as a certified public accountant or who has            1,788        

registered as a public accountant under Chapter 4701. of the       1,789        

                                                          42     

                                                                 
Revised Code and who holds a live permit issued under that         1,790        

chapter;                                                           1,791        

      (3)  A person who holds a certificate of qualification to    1,793        

practice architecture issued or renewed and registered under       1,794        

Chapter 4703. of the Revised Code;                                 1,795        

      (4)  A person who is registered as a landscape architect     1,797        

under Chapter 4703. of the Revised Code or who holds a permit as   1,798        

a landscape architect issued under that chapter;                   1,799        

      (5)  A person licensed as an auctioneer or apprentice        1,801        

auctioneer or licensed to operate an auction company under         1,802        

Chapter 4707. of the Revised Code;                                 1,803        

      (6)  A person who has been issued a certificate of           1,805        

registration as a registered barber under Chapter 4709. of the     1,806        

Revised Code;                                                      1,807        

      (7)  A person licensed and regulated to engage in the        1,809        

business of a debt pooling company by a legislative authority,     1,810        

under authority of Chapter 4710. of the Revised Code;              1,811        

      (8)  A person who has been issued a cosmetologist's          1,813        

license, manicurist's license, esthetician's license, managing     1,814        

cosmetologist's license, managing manicurist's license, managing   1,815        

esthetician's license, cosmetology instructor's license,           1,816        

manicurist instructor's license, esthetician instructor's          1,817        

license, or tanning facility permit under Chapter 4713. of the     1,818        

Revised Code;                                                      1,819        

      (9)  A person who has been issued a license to practice      1,821        

dentistry, a general anesthesia permit, a conscious intravenous    1,822        

sedation permit, a limited resident's license, a limited teaching  1,823        

license, a dental hygienist's license, or a dental hygienist's     1,824        

teacher's certificate under Chapter 4715. of the Revised Code;     1,825        

      (10)  A person who has been issued an embalmer's license, a  1,827        

funeral director's license, a funeral home license, or a           1,828        

crematory license, or who has been registered for an embalmer's    1,829        

or funeral director's apprenticeship under Chapter 4717. of the    1,830        

Revised Code;                                                                   

                                                          43     

                                                                 
      (11)  A person who has been licensed as a registered nurse   1,832        

or practical nurse, or who has been issued a certificate for the   1,833        

practice of nurse-midwifery under Chapter 4723. of the Revised     1,834        

Code;                                                              1,835        

      (12)  A person who has been licensed to practice optometry   1,837        

or to engage in optical dispensing under Chapter 4725. of the      1,838        

Revised Code;                                                      1,839        

      (13)  A person licensed to act as a pawnbroker under         1,841        

Chapter 4727. of the Revised Code;                                 1,842        

      (14)  A person licensed to act as a precious metals dealer   1,844        

under Chapter 4728. of the Revised Code;                           1,845        

      (15)  A person licensed as a pharmacist, a pharmacy intern,  1,848        

a wholesale distributor of dangerous drugs, or a terminal                       

distributor of dangerous drugs under Chapter 4729. of the Revised  1,849        

Code;                                                              1,850        

      (16)  A person who is authorized to practice as a physician  1,852        

assistant under Chapter 4730. of the Revised Code;                 1,853        

      (17)  A person who has been issued a certificate to          1,855        

practice medicine and surgery, osteopathic medicine and surgery,   1,856        

a limited branch of medicine or surgery, or podiatry under         1,857        

Chapter 4731. of the Revised Code;                                 1,858        

      (18)  A person licensed as a psychologist or school          1,860        

psychologist under Chapter 4732. of the Revised Code;              1,861        

      (19)  A person registered to practice the profession of      1,863        

engineering or surveying under Chapter 4733. of the Revised Code;  1,864        

      (20)  A person who has been issued a license to practice     1,867        

chiropractic under Chapter 4734. of the Revised Code;                           

      (21)  A person licensed to act as a real estate broker,      1,869        

real estate salesperson, limited real estate broker, or limited    1,870        

real estate salesperson under Chapter 4735. of the Revised Code;   1,871        

      (22)  A person registered as a registered sanitarian under   1,873        

Chapter 4736. of the Revised Code;                                 1,874        

      (23)  A person licensed to operate or maintain a junkyard    1,876        

under Chapter 4737. of the Revised Code;                           1,877        

                                                          44     

                                                                 
      (24)  A person who has been issued a motor vehicle salvage   1,879        

dealer's license under Chapter 4738. of the Revised Code;          1,880        

      (25)  A person who has been licensed to act as a steam       1,882        

engineer under Chapter 4739. of the Revised Code;                  1,883        

      (26)  A person who has been issued a license or temporary    1,885        

permit to practice veterinary medicine or any of its branches, or  1,886        

who is registered as a graduate animal technician under Chapter    1,887        

4741. of the Revised Code;                                         1,888        

      (27)  A person who has been issued a hearing aid dealer's    1,890        

or fitter's license or trainee permit under Chapter 4747. of the   1,891        

Revised Code;                                                      1,892        

      (28)  A person who has been issued a class A, class B, or    1,894        

class C license or who has been registered as an investigator or   1,895        

security guard employee under Chapter 4749. of the Revised Code;   1,896        

      (29)  A person licensed and registered to practice as a      1,898        

nursing home administrator under Chapter 4751. of the Revised      1,899        

Code;                                                              1,900        

      (30)  A person licensed to practice as a speech-language     1,902        

pathologist or audiologist under Chapter 4753. of the Revised      1,904        

Code;                                                                           

      (31)  A person issued a license as an occupational           1,906        

therapist or physical therapist under Chapter 4755. of the         1,907        

Revised Code;                                                      1,908        

      (32)  A person who is licensed as a professional clinical    1,910        

counselor or professional counselor, licensed as a social worker   1,911        

or independent social worker, or registered as a social work       1,912        

assistant under Chapter 4757. of the Revised Code;                 1,913        

      (33)  A person issued a license to practice dietetics under  1,915        

Chapter 4759. of the Revised Code;                                 1,916        

      (34)  A person who has been issued a license or limited      1,919        

permit to practice respiratory therapy under Chapter 4761. of the  1,920        

Revised Code;                                                      1,921        

      (35)  A person who has been issued a real estate appraiser   1,923        

certificate under Chapter 4763. of the Revised Code.               1,924        

                                                          45     

                                                                 
      (X)  "Cocaine" means any of the following:                   1,926        

      (1)  A cocaine salt, isomer, or derivative, a salt of a      1,928        

cocaine isomer or derivative, or the base form of cocaine;         1,929        

      (2)  Coca leaves or a salt, compound, derivative, or         1,931        

preparation of coca leaves, including ecgonine, a salt, isomer,    1,932        

or derivative of ecgonine, or a salt of an isomer or derivative    1,933        

of ecgonine;                                                       1,934        

      (3)  A salt, compound, derivative, or preparation of a       1,936        

substance identified in division (X)(1) or (2) of this section     1,938        

that is chemically equivalent to or identical with any of those    1,939        

substances, except that the substances shall not include           1,940        

decocainized coca leaves or extraction of coca leaves if the       1,941        

extractions do not contain cocaine or ecgonine.                    1,942        

      (Y)  "L.S.D." means lysergic acid diethylamide.              1,945        

      (Z)  "Hashish" means the resin or a preparation of the       1,947        

resin contained in marihuana, whether in solid form or in a        1,948        

liquid concentrate, liquid extract, or liquid distillate form.     1,949        

      (AA)  "Marihuana" has the same meaning as in section         1,951        

3719.01 of the Revised Code, except that it does not include       1,953        

hashish.                                                                        

      (BB)  An offense is "committed in the vicinity of a          1,955        

juvenile" if the offender commits the offense within one hundred   1,957        

feet of a juvenile or within the view of a juvenile, regardless    1,958        

of whether the offender knows the age of the juvenile, whether     1,959        

the offender knows the offense is being committed within one       1,960        

hundred feet of or within view of the juvenile, or whether the     1,961        

juvenile actually views the commission of the offense.                          

      (CC)  "Presumption for a prison term" or "presumption that   1,963        

a prison term shall be imposed" means a presumption, as described  1,964        

in division (D) of section 2929.13 of the Revised Code, that a     1,965        

prison term is a necessary sanction for a felony in order to       1,966        

comply with the purposes and principles of sentencing under        1,967        

section 2929.11 of the Revised Code.                                            

      (DD)  "Major drug offender" has the same meaning as in       1,969        

                                                          46     

                                                                 
section 2929.01 of the Revised Code.                               1,970        

      (EE)  "Minor drug possession offense" means either of the    1,972        

following:                                                         1,973        

      (1)  A violation of section 2925.11 of the Revised Code as   1,975        

it existed prior to July 1, 1996;                                  1,976        

      (2)  A violation of section 2925.11 of the Revised Code as   1,978        

it exists on and after July 1, 1996, that is a misdemeanor or a    1,979        

felony of the fifth degree.                                        1,980        

      (FF)  "Mandatory prison term" has the same meaning as in     1,983        

section 2929.01 of the Revised Code.                                            

      (GG)  "Crack cocaine" means a compound, mixture,             1,985        

preparation, or substance that is or contains any amount of        1,986        

cocaine that is analytically identified as the base form of        1,987        

cocaine or that is in a form that resembles rocks or pebbles       1,988        

generally intended for individual use.                                          

      Sec. 4713.01.  As used in sections 4713.01 to 4713.21 of     1,997        

the Revised Code:                                                  1,998        

      (A)  The practice of cosmetology includes work done for      2,000        

pay, free, or otherwise, by any person, which work is usually      2,001        

performed by hairdressers, cosmetologists, cosmeticians, or        2,002        

beauty culturists, however denominated, in beauty salons; which    2,003        

work is for the embellishment, cleanliness, and beautification of  2,004        

hair, wigs, and postiches, such as arranging, dressing, pressing,  2,005        

curling, waving, permanent waving, cleansing, cutting, singeing,   2,006        

bleaching, coloring, weaving, or similar work, and the massaging,  2,007        

cleansing, stimulating, manipulating, exercising, or similar work  2,008        

by the use of manual massage techniques or mechanical or           2,009        

electrically operated apparatus or appliances, or cosmetics,       2,010        

preparations, tonics, antiseptics, creams, or lotions, and of      2,011        

manicuring the nails or application of artificial nails, which     2,012        

enumerated practices shall be inclusive of the practice of         2,013        

cosmetology, but not in limitation thereof.  Sections 4713.01 to   2,014        

4713.21 of the Revised Code do not permit any of the services or   2,015        

arts described in this division to be used for the treatment or    2,016        

                                                          47     

                                                                 
cure of any physical or mental diseases or ailments.               2,017        

      The retail sale or the trial demonstration by application    2,019        

to the skin for purposes of retail sale of cosmetics,              2,020        

preparations, tonics, antiseptics, creams, lotions, wigs, and      2,021        

postiches shall not be considered the practice of cosmetology.     2,022        

      (B)  "Cosmetologist,"  "cosmetician,"  "beauty culturist,"   2,024        

or "hairdresser," means any person who, for pay, free, or          2,025        

otherwise, engages in the practice of cosmetology.                 2,026        

      (C)  "Manicurist" means any person who, for pay, free, or    2,028        

otherwise, engages only in the occupation of manicuring the nails  2,029        

of any person or the application of artificial or sculptured       2,030        

nails, or both.                                                    2,031        

      (D)  "The practice of esthetics" includes work done for      2,033        

pay, free, or otherwise, by any person, which work is the          2,034        

application of cosmetics, tonics, antiseptics, creams, lotions,    2,035        

or other preparations for the purpose of skin beautification and   2,036        

includes preparation of the skin by manual massage techniques or   2,037        

by use of electrical, mechanical, or other apparatus.              2,038        

      (E)  "Esthetician" means any person who, for pay, free, or   2,040        

otherwise, engages only in the practice of esthetics.              2,041        

      (F)  "Beauty salon" means any premises, building, or part    2,043        

of a building, in which any branch of cosmetology, except the      2,044        

occupation of a manicurist when carried on in a barber shop        2,045        

licensed under Chapter 4709. of the Revised Code, or the           2,046        

occupation of a cosmetologist is practiced.                        2,047        

      (G)  "Student" means any person who is engaged in learning   2,049        

or acquiring knowledge of the occupation of a cosmetologist,       2,050        

manicurist, or esthetician in a school of cosmetology.             2,051        

      (H)  "School of cosmetology" means any premises, building,   2,053        

or part of a building in which students are instructed in the      2,054        

theories and practices of cosmetology, manicuring, and esthetics.  2,055        

      (I)  "Managing cosmetologist" means any person who has met   2,057        

the requirements of division (D) of section 4713.04 of the         2,058        

Revised Code, and has applied for and received a managing          2,059        

                                                          48     

                                                                 
cosmetologist license.                                             2,060        

      (J)  "Cosmetology instructor" means any person who has met   2,062        

the requirements of division (E) of section 4713.04 of the         2,063        

Revised Code, and has applied for and received an instructor's     2,064        

license.                                                           2,065        

      (K)  "Apprentice instructor" means any licensee of the       2,067        

state board of cosmetology who is engaged in learning or           2,068        

acquiring knowledge of the occupation of an instructor, in any     2,069        

branch of cosmetology in a duly licensed school of cosmetology.    2,071        

      (L)  "Cosmetic therapy" and "cosmetic therapist" have HAS    2,073        

the same meanings MEANING as in section 4731.15 of the Revised     2,074        

Code.                                                                           

      (M)  "Nail salon" means any premises, building, or part of   2,076        

a building in which manicurists engage only in the occupation of   2,077        

manicuring the nails of any person or the application of           2,078        

artificial or sculptured nails, or both.  For administrative       2,079        

purposes, a nail salon is deemed the equivalent of a beauty salon  2,080        

and is subject to appropriate rules with respect to sanitation     2,081        

and sterilization.  A licensed manicurist may practice the         2,082        

occupation of manicuring nails in a nail salon, in a beauty        2,083        

salon, or in a barber shop.                                        2,084        

      (N)  "Esthetics salon" means any premises, building, or      2,086        

part of a building in which esthetics is performed by a person     2,087        

licensed as a cosmetologist or esthetician.  For administrative    2,088        

purposes, an esthetics salon is deemed the equivalent of a beauty  2,089        

salon and is subject to the appropriate rules with respect to      2,090        

sanitation and sterilization.                                      2,091        

      (O)  "Managing manicurist" means any person who has met the  2,093        

requirements of division (H) of section 4713.04 of the Revised     2,094        

Code, and has applied for and received a managing manicurist       2,095        

license.                                                           2,096        

      (P)  "Manicurist instructor" means any person who meets the  2,098        

requirements of division (L) of section 4713.04 of the Revised     2,099        

Code and who has applied for and received a manicurist instructor  2,100        

                                                          49     

                                                                 
license.                                                           2,101        

      (Q)  "Managing esthetician" means any person who has met     2,103        

the requirements of division (J) of section 4713.04 of the         2,104        

Revised Code, and has applied for and received a managing          2,105        

esthetician's license.                                             2,106        

      (R)  "Esthetics instructor" means any person who meets the   2,108        

requirements of division (K) of section 4713.04 of the Revised     2,109        

Code and who has applied for and received an esthetics instructor  2,110        

license.                                                           2,111        

      (S)  "Glamour photography" means the combination of a        2,113        

photographic service or product with the delivery of a             2,114        

cosmetology service advertised or sold to the public.              2,115        

      Sec. 4713.12.  Sections 4713.01 to 4713.21 of the Revised    2,124        

Code do not prohibit service in cases of emergency or domestic     2,125        

administration, without compensation.  The following persons       2,126        

shall be exempt from the provisions of such sections:              2,127        

      (A)  All persons authorized to practice medicine, surgery,   2,129        

dentistry, and nursing or any of its branches in this state;       2,130        

      (B)  Commissioned surgical and medical officers of the       2,132        

United States army, navy, or marine hospital service when engaged  2,133        

in the actual performance of their official duties, and            2,134        

attendants attached to same;                                       2,135        

      (C)  Barbers, insofar as their usual and ordinary vocation   2,137        

and profession is concerned;                                       2,138        

      (D)  Funeral directors, embalmers, and apprentices licensed  2,140        

or registered under Chapter 4717. of the Revised Code;             2,141        

      (E)  Persons who are engaged in the retail sale, cleaning,   2,143        

or beautification of wigs and postiches but who do not engage in   2,144        

any other act constituting the practice of cosmetology;            2,145        

      (F)  Volunteers of hospitals, and homes as defined in        2,147        

section 3721.01 of the Revised Code, who render service to         2,148        

registered patients and inpatients who reside in such hospitals    2,149        

or homes.  Such volunteers shall not use or work with any          2,150        

chemical products such as permanent wave, hair dye, or chemical    2,151        

                                                          50     

                                                                 
hair relaxer, which without proper training would pose a health    2,152        

or safety problem to the patient.                                  2,153        

      (G)  Nurses aides and other employees of hospitals and       2,155        

homes as defined in section 3721.01 of the Revised Code, who       2,156        

render cosmetology services to registered patients only as part    2,157        

of general patient care services and who do not charge patients    2,158        

directly on a fee for service basis;                               2,159        

      (H)  Cosmetic therapists who HOLD CURRENT, VALID             2,161        

CERTIFICATES TO practice cosmetic therapy in premises approved     2,162        

ISSUED by the state medical board under Chapter 4731. SECTION      2,163        

4731.15 of the Revised Code;                                       2,164        

      (I)  Photographers engaged in delivering a glamour           2,166        

photography service in a licensed salon, so long as the person     2,167        

advertising and operating the glamour photography service is       2,168        

properly licensed under this chapter by the state board of         2,169        

cosmetology.                                                                    

      Sec. 4713.14.  (A)  Beauty salons shall be in charge of and  2,178        

under the immediate supervision of a licensed managing             2,179        

cosmetologist and esthetics salons shall be in charge of and       2,180        

under the immediate supervision of a licensed managing             2,181        

cosmetologist or a licensed managing esthetician.  Beauty salons   2,182        

and esthetics salons shall be equipped to provide potable running  2,183        

hot and cold water and proper drainage, to sanitize all            2,184        

instruments and supplies used therein in the practice of           2,185        

cosmetology and any of its branches, and to sterilize all          2,186        

instruments and supplies used therein by cosmetic therapists       2,187        

licensed AUTHORIZED TO PRACTICE under section 4731.15 of the       2,188        

Revised Code.  Except as provided in division (C) of this          2,190        

section, rooms licensed as beauty salons or esthetics salons       2,191        

shall be used only for the practice of services regulated and      2,192        

licensed under this chapter and section 4731.15 of the Revised     2,193        

Code, be kept in a clean and sanitary condition, and be properly   2,194        

ventilated.  Nothing in this section shall be construed to forbid  2,195        

the retailing of cosmetics, preparations, tonics, antiseptics,     2,196        

                                                          51     

                                                                 
creams, lotions, wigs, postiches, and other items related to the   2,197        

practice of cosmetology, including clothing, or forbid the         2,198        

provision of glamour photography, in a beauty salon or esthetics   2,199        

salon.  No food shall be sold in rooms used as beauty salons or    2,200        

esthetics salons.                                                  2,201        

      (B)  Nail salons shall be in charge of and under the         2,203        

immediate supervision of a licensed managing manicurist or a       2,204        

licensed managing cosmetologist.  Nail salons shall be equipped    2,205        

to provide potable running hot and cold water and proper           2,206        

drainage, and to sanitize all instruments and supplies used        2,207        

therein in the manicuring of nails or in the practice of massage.  2,208        

Rooms licensed as nail salons shall be used only for the practice  2,209        

of services regulated and licensed under this chapter, and must    2,210        

be kept in a clean and sanitary condition and be properly          2,211        

ventilated.  Nothing in this section shall be construed to forbid  2,212        

the retailing of cosmetics, creams, lotions, and other items       2,213        

related to the manicuring of nails, including clothing, in a nail  2,214        

salon.  No food shall be sold in rooms used as nail salons.        2,215        

      (C)  Where the owner or operator of a beauty salon, nail     2,217        

salon, or a school of cosmetology has a permit issued under        2,218        

section 4713.25 of the Revised Code, tanning facilities may be     2,219        

operated in beauty salons, nail salons, and schools of             2,220        

cosmetology in accordance with rules that the state board of       2,221        

cosmetology may adopt pertaining to the operation of tanning       2,222        

facilities in beauty salons, nail salons, and schools.             2,223        

      (D)  The owner or operator of a beauty salon or nail salon   2,225        

may provide massage services at the salon if the services are      2,226        

provided in accordance with any rules adopted under section        2,227        

4713.02 of the Revised Code and the person giving the service      2,228        

holds a current, valid certificate issued under section 4731.15    2,229        

of the Revised Code.  Any room used to provide massage services    2,230        

in a salon shall be used for only that purpose and is subject to   2,231        

the requirements relating to cleanliness and ventilation           2,232        

established in division (A) of this section.                       2,233        

                                                          52     

                                                                 
      Sec. 4730.10.  (A)  An individual seeking a certificate of   2,242        

registration as a physician assistant shall file with the state    2,243        

medical board a written application on a form prescribed and       2,244        

supplied by the board.  The application shall include all of the   2,245        

following:                                                                      

      (1)  Satisfactory proof that the applicant is at least       2,247        

eighteen years of age and of good moral character;                 2,248        

      (2)  The status of the applicant with respect to             2,250        

eligibility for and application to take, or satisfactory           2,251        

completion of, the examination of the national commission for      2,252        

certification of physician assistants OR A SUCCESSOR ORGANIZATION  2,253        

THAT IS RECOGNIZED BY THE BOARD;                                   2,254        

      (3)  Any other information the board requires.               2,257        

      (B)  The board shall review all applications received under  2,259        

this section.  The board shall determine whether an applicant      2,260        

meets the requirements to receive a certificate of registration    2,262        

not later than sixty days after receiving a complete application.  2,263        

The affirmative vote of not fewer than six members of the board    2,265        

is required to determine that an applicant meets the requirements  2,266        

for a certificate.                                                              

      A certificate of registration shall not be issued to an      2,269        

applicant unless the applicant is certified by the national        2,270        

commission on certification of physician assistants OR A           2,271        

SUCCESSOR ORGANIZATION THAT IS RECOGNIZED BY THE BOARD, except     2,272        

that the board may issue a temporary certificate of registration   2,274        

to an applicant who has not yet taken the examination of the       2,275        

commission OR ITS SUCCESSOR ORGANIZATION but is eligible for and   2,277        

has made application to take the examination.  A temporary                      

certificate shall be valid only until the results of the next      2,278        

examinations are available to the board.                           2,279        

      (C)  At the time of making application for a certificate of  2,281        

registration, the applicant shall pay the board a fee of one       2,283        

hundred dollars, no part of which shall be returned.  Such fees    2,284        

shall be deposited in accordance with section 4731.24 of the       2,285        

                                                          53     

                                                                 
Revised Code.                                                                   

      Sec. 4730.12.  (A)  A person seeking to renew a certificate  2,294        

of registration as a physician assistant shall, on or before the   2,295        

thirty-first day of January of each even-numbered year, apply for  2,296        

renewal of the certificate.  The state medical board shall send    2,297        

renewal notices at least one month prior to the expiration date.   2,299        

      Applications shall be submitted to the board on forms the    2,301        

board shall prescribe and furnish.  Each application shall be      2,302        

accompanied by a biennial renewal fee of fifty dollars.  The       2,303        

board shall deposit the fees in accordance with section 4731.24    2,304        

of the Revised Code.                                                            

      The applicant shall report any criminal offense that         2,306        

constitutes grounds for refusing to issue a certificate of         2,308        

registration under section 4730.25 of the Revised Code TO WHICH    2,309        

THE APPLICANT HAS PLEADED GUILTY, of which the applicant has been  2,311        

found guilty, or to which the applicant has entered a plea of      2,313        

guilty or no contest FOR WHICH THE APPLICANT HAS BEEN FOUND        2,314        

ELIGIBLE FOR TREATMENT IN LIEU OF CONVICTION, since last           2,315        

receiving SIGNING AN APPLICATION FOR a certificate of              2,317        

registration as a physician assistant.                             2,318        

      (B)  To be eligible for renewal, a physician assistant must  2,321        

certify to the board both of the following:                                     

      (1)  That the physician assistant has maintained             2,323        

certification by the national commission on certification of       2,324        

physician assistants OR A SUCCESSOR ORGANIZATION THAT IS           2,325        

RECOGNIZED BY THE BOARD by meeting the commission's standards to   2,326        

hold current certification FROM THE COMMISSION OR ITS SUCCESSOR,   2,327        

including completion of continuing medical education requirements  2,328        

and passing periodic recertification examinations;                 2,329        

      (2)  Except as provided in divisions DIVISION (D) of this    2,332        

section, that the physician assistant has completed during the     2,333        

current registration period not less than one hundred hours of     2,334        

continuing medical education acceptable to the board.  The board   2,335        

shall adopt rules in accordance with Chapter 119. of the Revised   2,337        

                                                          54     

                                                                 
Code specifying the types of continuing medical education that     2,338        

must be completed to fulfill the board's requirements.  The board  2,339        

shall not adopt rules that require a physician assistant to        2,341        

complete in any registration period more than one hundred hours    2,342        

of continuing medical education acceptable to the board.  In       2,343        

fulfilling the board's requirements, a physician assistant may                  

use continuing medical education courses or programs completed to  2,344        

maintain certification by the national commission on               2,345        

certification of physician assistants OR A SUCCESSOR ORGANIZATION  2,346        

THAT IS RECOGNIZED BY THE BOARD if the commission's standards for  2,347        

acceptable courses and programs OF THE COMMISSION OR ITS           2,348        

SUCCESSOR are at least equivalent to the standards established by  2,349        

the board.                                                                      

      (C)  If an applicant submits a complete renewal application  2,351        

and qualifies for renewal pursuant to division (B) of this         2,353        

section, the board shall issue to the applicant a renewed          2,354        

certificate of registration as a physician assistant.  The board   2,355        

may require a random sample of physician assistants to submit      2,356        

materials documenting certification by the national commission on  2,357        

certification of physician assistants OR A SUCCESSOR ORGANIZATION  2,358        

THAT IS REQUIRED BY THE BOARD and completion of the required       2,360        

number of hours of continuing medical education.                                

      (D)  The board shall provide for pro rata reductions by      2,363        

month of the number of hours of continuing education that must be  2,364        

completed for individuals who are in their first registration      2,365        

period, who have been disabled due to illness or accident, or who  2,366        

have been absent from the country.  The board shall adopt rules,   2,367        

in accordance with Chapter 119. of the Revised Code, as necessary  2,369        

to implement this division.                                                     

      (E)  A certificate of registration that is not renewed on    2,371        

or before its expiration date IS automatically lapses SUSPENDED    2,373        

on that ITS EXPIRATION date.  The state medical board, in its      2,375        

discretion, may SHALL reinstate a lapsed certificate SUSPENDED     2,376        

FOR FAILURE TO RENEW upon the payment AN APPLICANT'S SUBMISSION    2,377        

                                                          55     

                                                                 
of all delinquent THE BIENNIAL renewal fees, a FEE, THE            2,379        

APPLICABLE MONETARY penalty of twenty-five dollars, and                         

successful completion of CERTIFICATION THAT the number of hours    2,381        

of continuing education necessary to have a lapsed certificate                  

reinstated HAVE BEEN COMPLETED, as specified in rules the board    2,383        

shall adopt in accordance with Chapter 119. of the Revised Code.   2,384        

THE PENALTY FOR REINSTATEMENT SHALL BE TWENTY-FIVE DOLLARS IF THE  2,386        

CERTIFICATE HAS BEEN SUSPENDED FOR TWO YEARS OR LESS AND FIFTY     2,387        

DOLLARS IF THE CERTIFICATE HAS BEEN SUSPENDED FOR MORE THAN TWO    2,388        

YEARS.  THE BOARD SHALL DEPOSIT PENALTIES IN ACCORDANCE WITH                    

SECTION 4731.24 OF THE REVISED CODE.                               2,389        

      (F)  IF AN INDIVIDUAL CERTIFIES THAT THE INDIVIDUAL HAS      2,392        

COMPLETED THE NUMBER OF HOURS AND TYPE OF CONTINUING MEDICAL                    

EDUCATION REQUIRED FOR RENEWAL OR REINSTATEMENT OF A CERTIFICATE   2,393        

OF REGISTRATION AS A PHYSICIAN ASSISTANT, AND THE BOARD FINDS      2,394        

THROUGH A RANDOM SAMPLE CONDUCTED UNDER DIVISION (C) OF THIS       2,396        

SECTION OR THROUGH ANY OTHER MEANS THAT THE INDIVIDUAL DID NOT     2,397        

COMPLETE THE REQUISITE CONTINUING MEDICAL EDUCATION, THE BOARD     2,398        

MAY IMPOSE A CIVIL PENALTY OF NOT MORE THAN FIVE THOUSAND                       

DOLLARS.  THE BOARD'S FINDING SHALL BE MADE PURSUANT TO AN         2,399        

ADJUDICATION UNDER CHAPTER 119. OF THE REVISED CODE AND BY AN      2,401        

AFFIRMATIVE VOTE OF NOT FEWER THAN SIX MEMBERS.                    2,402        

      A CIVIL PENALTY IMPOSED UNDER THIS DIVISION MAY BE IN        2,404        

ADDITION TO OR IN LIEU OF ANY OTHER ACTION THE BOARD MAY TAKE      2,405        

UNDER SECTION 4730.25 OF THE REVISED CODE.  THE BOARD SHALL        2,407        

DEPOSIT CIVIL PENALTIES IN ACCORDANCE WITH SECTION 4731.24 OF THE  2,408        

REVISED CODE.                                                                   

      Sec. 4730.25.  (A)  The state medical board, pursuant to an  2,417        

adjudication under Chapter 119. of the Revised Code and by a AN    2,419        

AFFIRMATIVE vote of not fewer than six members, may revoke or may  2,420        

refuse to grant a certificate of registration as a physician       2,421        

assistant to a person found by the board to have committed fraud,  2,422        

misrepresentation, or deception in applying for or securing the    2,423        

certificate.                                                       2,424        

                                                          56     

                                                                 
      (B)  The board, pursuant to an adjudication under Chapter    2,427        

119. of the Revised Code and by a AN AFFIRMATIVE vote of not       2,428        

fewer than six members, shall, to the extent permitted by law,     2,429        

limit, revoke, or suspend a AN INDIVIDUAL'S certificate of         2,430        

registration as a physician assistant, refuse to issue a           2,431        

certificate to an applicant, refuse to reinstate a certificate,    2,432        

or reprimand or place on probation the holder of a certificate     2,433        

for any of the following reasons:                                  2,434        

      (1)  Failure to practice in accordance with the conditions   2,437        

under which the supervising physician's supervision agreement      2,438        

with the physician assistant was approved, including the           2,439        

requirement that when practicing under a particular supervising    2,440        

physician, the physician assistant must practice only according    2,441        

to the standard or supplemental utilization plan the board         2,442        

approved for that physician;                                                    

      (2)  Failure to comply with the requirements of this         2,444        

chapter, Chapter 4731. of the Revised Code, or any rules adopted   2,445        

by the board;                                                      2,446        

      (3)  Violating or attempting to violate, directly or         2,448        

indirectly, or assisting in or abetting the violation of, or       2,449        

conspiring to violate, any provision of this chapter, Chapter      2,451        

4731. of the Revised Code, or the rules adopted by the board;      2,452        

      (4)  Inability to practice according to acceptable and       2,455        

prevailing standards of care by reason of mental illness or        2,456        

physical illness, including physical deterioration that adversely  2,457        

affects cognitive, motor, or perceptive skills;                                 

      (5)  Impairment of ability to practice according to          2,459        

acceptable and prevailing standards of care because of habitual    2,460        

or excessive use or abuse of drugs, alcohol, or other substances   2,461        

that impair ability to practice;                                   2,462        

      (6)  Administering drugs for purposes other than those       2,464        

authorized under this chapter;                                     2,465        

      (7)  Willfully betraying a professional confidence;          2,467        

      (8)  Soliciting patients or publishing MAKING a false,       2,469        

                                                          57     

                                                                 
fraudulent, deceptive, or misleading statement.  As IN SOLICITING  2,471        

OR ADVERTISING FOR PATIENTS, IN RELATION TO THE PRACTICE OF        2,473        

MEDICINE AS IT PERTAINS TO PHYSICIAN ASSISTANTS, OR IN SECURING    2,474        

OR ATTEMPTING TO SECURE A CERTIFICATE OF REGISTRATION TO PRACTICE  2,475        

AS A PHYSICIAN ASSISTANT OR APPROVAL OF A SUPERVISION AGREEMENT.   2,476        

      AS used in this division, "false, fraudulent, deceptive, or  2,479        

misleading statement" means a statement that includes a            2,480        

misrepresentation of fact, is likely to mislead or deceive         2,481        

because of a failure to disclose material facts, is intended or    2,482        

is likely to create false or unjustified expectations of           2,483        

favorable results, or includes representations or implications     2,484        

that in reasonable probability will cause an ordinarily prudent    2,485        

person to misunderstand or be deceived.                                         

      (9)  Representing, with the purpose of obtaining             2,487        

compensation or other advantage personally or for any other        2,488        

person, that an incurable disease or injury, or other incurable    2,489        

condition, can be permanently cured;                               2,490        

      (10)  The obtaining of, or attempting to obtain, money or    2,492        

anything of value by fraudulent misrepresentations in the course   2,493        

of practice;                                                       2,494        

      (11)  A plea of guilty to, or a judicial finding of guilt    2,497        

of, OR A JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF  2,498        

CONVICTION FOR, a felony;                                                       

      (12)  Commission of an act that constitutes a felony in      2,500        

this state, regardless of the jurisdiction in which the act was    2,501        

committed;                                                         2,502        

      (13)  A plea of guilty to, or a judicial finding of guilt    2,505        

of, OR A JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF  2,506        

CONVICTION FOR, a misdemeanor committed in the course of                        

practice;                                                          2,507        

      (14)  A plea of guilty to, or a judicial finding of guilt    2,510        

of, OR A JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF  2,511        

CONVICTION FOR, a misdemeanor involving moral turpitude;           2,512        

      (15)  Commission of an act IN THE COURSE OF PRACTICE that    2,514        

                                                          58     

                                                                 
constitutes a misdemeanor in this state, regardless of the         2,516        

jurisdiction in which the act was committed, if the act was        2,517        

committed in the course of practice;                                            

      (16)  Commission of an act INVOLVING MORAL TURPITUDE that    2,519        

constitutes a misdemeanor in this state, regardless of the         2,520        

jurisdiction in which the act was committed, if the act involves   2,521        

moral turpitude;                                                                

      (17)  Trafficking in drugs, or a A plea of guilty to or, a   2,524        

judicial finding of guilt of, OR A JUDICIAL FINDING OF             2,525        

ELIGIBILITY FOR TREATMENT IN LIEU OF CONVICTION FOR violating any  2,526        

state or federal law regulating the possession, distribution, or   2,527        

use of any drug, INCLUDING TRAFFICKING IN DRUGS;                   2,528        

      (18)  The ANY OF THE FOLLOWING ACTIONS TAKEN BY THE STATE    2,531        

AGENCY RESPONSIBLE FOR REGULATING THE PRACTICE OF PHYSICIAN                     

ASSISTANTS IN ANOTHER STATE, FOR ANY REASON OTHER THAN THE         2,532        

NONPAYMENT OF FEES:  THE limitation, revocation, or suspension by  2,533        

another state of a AN INDIVIDUAL'S license, certificate, or        2,536        

registration to practice issued by the proper licensing authority  2,537        

of that state, the; ACCEPTANCE OF AN INDIVIDUAL'S LICENSE          2,538        

SURRENDER; DENIAL OF A LICENSE; refusal to license, certify,       2,539        

register, RENEW or reinstate an applicant by that authority, the   2,540        

A LICENSE; imposition of probation by that authority,; or the      2,541        

issuance of an order of censure or other reprimand by that         2,542        

authority for any reason, other than nonpayment of fees;           2,543        

      (19)  A departure from, or failure to conform to, minimal    2,546        

standards of care of similar physician assistants under the same   2,547        

or similar circumstances, regardless of whether actual injury to   2,548        

a patient is established;                                                       

      (20)  Violation of the conditions placed by the board on a   2,551        

certificate of registration, physician assistant utilization       2,552        

plan, or supervision agreement;                                                 

      (21)  Violation of the conditions on which a temporary       2,555        

certificate of registration is issued;                                          

      (22)  Failure to use universal blood and body fluid          2,557        

                                                          59     

                                                                 
precautions established by rules adopted under section 4731.051    2,558        

of the Revised Code;                                               2,559        

      (23)  FAILURE TO COOPERATE IN AN INVESTIGATION CONDUCTED BY  2,561        

THE BOARD UNDER SECTION 4730.26 OF THE REVISED CODE, INCLUDING     2,563        

FAILURE TO COMPLY WITH A SUBPOENA OR ORDER ISSUED BY THE BOARD OR  2,564        

FAILURE TO ANSWER TRUTHFULLY A QUESTION PRESENTED BY THE BOARD AT  2,565        

A DEPOSITION OR IN WRITTEN INTERROGATORIES, EXCEPT THAT FAILURE    2,566        

TO COOPERATE WITH AN INVESTIGATION SHALL NOT CONSTITUTE GROUNDS    2,567        

FOR DISCIPLINE UNDER THIS SECTION IF A COURT OF COMPETENT          2,568        

JURISDICTION HAS ISSUED AN ORDER THAT EITHER QUASHES A SUBPOENA    2,569        

OR PERMITS THE INDIVIDUAL TO WITHHOLD THE TESTIMONY OR EVIDENCE    2,570        

IN ISSUE.                                                                       

      (C)  DISCIPLINARY ACTIONS TAKEN BY THE BOARD UNDER           2,572        

DIVISIONS (A) AND (B) OF THIS SECTION SHALL BE TAKEN PURSUANT TO   2,574        

AN ADJUDICATION UNDER CHAPTER 119. OF THE REVISED CODE, EXCEPT     2,575        

THAT IN LIEU OF AN ADJUDICATION, THE BOARD MAY ENTER INTO A        2,576        

CONSENT AGREEMENT WITH A PHYSICIAN ASSISTANT OR APPLICANT TO       2,577        

RESOLVE AN ALLEGATION OF A VIOLATION OF THIS CHAPTER OR ANY RULE   2,578        

ADOPTED UNDER IT.  A CONSENT AGREEMENT, WHEN RATIFIED BY AN        2,579        

AFFIRMATIVE VOTE OF NOT FEWER THAN SIX MEMBERS OF THE BOARD,       2,580        

SHALL CONSTITUTE THE FINDINGS AND ORDER OF THE BOARD WITH RESPECT  2,582        

TO THE MATTER ADDRESSED IN THE AGREEMENT.  IF THE BOARD REFUSES    2,583        

TO RATIFY A CONSENT AGREEMENT, THE ADMISSIONS AND FINDINGS         2,584        

CONTAINED IN THE CONSENT AGREEMENT SHALL BE OF NO FORCE OR         2,585        

EFFECT.                                                                         

      (D)  For purposes of divisions (B)(12), (15), and (16) of    2,587        

this section, the commission of the act may be established by a    2,588        

finding by the board, pursuant to an adjudication under Chapter    2,590        

119. of the Revised Code, that the applicant or certificate        2,591        

holder committed the act in question.  The board shall have no                  

jurisdiction under these divisions in cases where the trial court  2,592        

renders a final judgment in the certificate holder's favor and     2,593        

that judgment is based upon an adjudication on the merits.  The    2,594        

board shall have jurisdiction under these divisions in cases       2,595        

                                                          60     

                                                                 
where the trial court issues an order of dismissal upon technical  2,596        

or procedural grounds.                                             2,597        

      (E)  The sealing of conviction records by any court shall    2,599        

have no effect upon a prior board order entered under the          2,601        

provisions of this section or upon the board's jurisdiction to     2,602        

take action under the provisions of this section if a notice of    2,603        

opportunity for hearing has been issued, based upon conviction, a  2,604        

plea of guilty, or a judicial finding of guilt, OR A JUDICIAL      2,606        

FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF CONVICTION, THE    2,608        

BOARD ISSUED A NOTICE OF OPPORTUNITY FOR A HEARING prior to the    2,609        

court's order to seal the records.  THE BOARD SHALL NOT BE         2,610        

REQUIRED TO SEAL, DESTROY, REDACT, OR OTHERWISE MODIFY ITS         2,611        

RECORDS TO REFLECT THE COURT'S SEALING OF CONVICTION RECORDS.      2,612        

      (D)(F)  For purposes of this division, any individual who    2,615        

holds a certificate of registration issued under this chapter, or  2,616        

applies for a certificate of registration, shall be deemed to      2,617        

have given consent to submit to a mental or physical examination   2,618        

when directed to do so in writing by the board and to have waived  2,619        

all objections to the admissibility of testimony or examination    2,620        

reports that constitute a privileged communication.                2,621        

      (1)  In enforcing division (B)(4) of this section, the       2,624        

board, upon a showing of a possible violation, may compel any      2,625        

individual who holds a certificate of registration issued under    2,626        

this chapter or who has applied for a certificate of registration  2,627        

pursuant to this chapter to submit to a mental or EXAMINATION,     2,628        

physical examination, INCLUDING AN HIV TEST, or both, as required  2,629        

by and at the expense of the board A MENTAL AND PHYSICAL           2,630        

EXAMINATION.  THE EXPENSE OF THE EXAMINATION IS THE                2,631        

RESPONSIBILITY OF THE INDIVIDUAL COMPELLED TO BE EXAMINED.         2,632        

Failure of any individual to submit to a mental or physical        2,634        

examination when directed OR CONSENT TO AN HIV TEST ORDERED BY     2,635        

THE BOARD constitutes an admission of the allegations against the  2,636        

individual unless the failure is due to circumstances beyond the   2,637        

individual's control, and a default and final order may be         2,638        

                                                          61     

                                                                 
entered without the taking of testimony or presentation of                      

evidence.  If the board finds a physician assistant unable to      2,639        

practice because of the reasons set forth in this division (B)(4)  2,641        

OF THIS SECTION, the board shall require the physician assistant   2,642        

to submit to care, counseling, or treatment by physicians          2,643        

approved or designated by the board, as a condition for an         2,644        

initial, continued, reinstated, or renewed certificate of          2,645        

registration.  An individual affected under this division shall    2,646        

be afforded an opportunity to demonstrate to the board the         2,647        

ability to resume practicing in compliance with acceptable and     2,648        

prevailing standards of care.                                                   

      (2)  For purposes of division (B)(5) of this section, if     2,651        

the board has reason to believe that any individual who holds a    2,652        

certificate of registration issued under this chapter or any       2,653        

applicant for a certificate of registration suffers such                        

impairment, the board may compel the individual to submit to a     2,654        

mental or physical examination, or both.  The EXPENSE OF THE       2,655        

examination shall be at IS the expense RESPONSIBILITY of the       2,657        

board INDIVIDUAL COMPELLED TO BE EXAMINED.  Any mental or          2,658        

physical examination required under this division shall be         2,660        

undertaken by a treatment provider or physician qualified to       2,661        

conduct such examination and chosen by the board.                  2,662        

      Failure of the individual to submit to a mental or physical  2,665        

examination ordered by the board constitutes an admission of the   2,667        

allegations against the individual unless the failure is due to    2,668        

circumstances beyond the individual's control, and a default and   2,669        

final order may be entered without the taking of testimony or      2,670        

presentation of evidence.  If the board determines that the        2,671        

individual's ability to practice is impaired, the board shall      2,672        

suspend the individual's certificate or deny the individual's                   

application and shall require the individual, as a condition for   2,674        

initial, continued, reinstated, or renewed licensure to practice,  2,675        

to submit to treatment.                                            2,676        

      Before being eligible to apply for reinstatement of a        2,678        

                                                          62     

                                                                 
certificate suspended under this division, the physician           2,679        

assistant shall demonstrate to the board the ability to resume     2,680        

practice in compliance with acceptable and prevailing standards    2,681        

of care.  The demonstration shall include the following:           2,683        

      (a)  Certification from a treatment provider approved under  2,686        

section 4731.25 of the Revised Code that the individual has        2,687        

successfully completed any required inpatient treatment;           2,688        

      (b)  Evidence of continuing full compliance with an          2,691        

aftercare contract or consent agreement;                                        

      (c)  Two written reports indicating that the individual's    2,694        

ability to practice has been assessed and that the individual has  2,695        

been found capable of practicing according to acceptable and                    

prevailing standards of care.  The reports shall be made by        2,696        

individuals or providers approved by the board for making such     2,697        

assessments and shall describe the basis for this THEIR            2,698        

determination.                                                     2,699        

      The board may reinstate a certificate suspended under this   2,702        

division after such demonstration and after the individual has     2,703        

entered into a written consent agreement.                                       

      When the impaired physician assistant resumes practice, the  2,706        

board shall require continued monitoring of the physician                       

assistant, which.  THE MONITORING shall include compliance with    2,708        

the written consent agreement entered into before reinstatement    2,709        

or with conditions imposed by board order after a hearing, and,    2,710        

upon termination of the consent agreement, submission to the       2,711        

board for at least two years of annual written progress reports    2,712        

made under penalty of falsification stating whether the physician  2,713        

assistant has maintained sobriety.                                 2,714        

      (E)(G)  If the secretary and supervising member determine    2,717        

that there is clear and convincing evidence that a physician       2,718        

assistant has violated division (B) of this section and that the   2,719        

individual's continued practice presents a danger of immediate     2,720        

and serious harm to the public, they may recommend that the board  2,721        

suspend the individual's certificate to practice without a prior   2,723        

                                                          63     

                                                                 
hearing.  Written allegations shall be prepared for consideration  2,724        

by the board members.                                                           

      The board, upon review of those allegations and by a AN      2,726        

AFFIRMATIVE vote of not fewer than six of its members, excluding   2,728        

the secretary and supervising member, may suspend a certificate    2,729        

without a prior hearing.  A telephone conference call may be       2,730        

utilized for reviewing the allegations and taking the vote ON THE  2,731        

SUMMARY SUSPENSION.                                                2,732        

      The board shall issue a written order of suspension by       2,734        

certified mail or in person in accordance with section 119.07 of   2,735        

the Revised Code.  The order shall not be subject to suspension    2,737        

by the court during pendency of any appeal filed under section     2,738        

119.12 of the Revised Code.  If the physician assistant requests   2,739        

an adjudicatory hearing by the board, the date set for the         2,740        

hearing shall be within fifteen days, but not earlier than seven   2,741        

days, after the physician assistant requests the hearing, unless   2,742        

otherwise agreed to by both the board and the certificate holder.  2,743        

      A summary suspension imposed under this division shall       2,745        

remain in effect, unless reversed on appeal, until a final         2,746        

adjudicative order issued by the board pursuant to this section    2,747        

and Chapter 119. of the Revised Code becomes effective.   The      2,749        

board shall issue its final adjudicative order within sixty days   2,750        

after completion of its hearing.  Failure to issue the order       2,751        

within sixty days shall result in dissolution of the summary       2,752        

suspension order, but shall not invalidate any subsequent, final   2,753        

adjudicative order.                                                             

      (F)(H)  If the board should take TAKES action under          2,756        

division (B)(11), (13), or (14) of this section, and the           2,757        

conviction, judicial finding of guilt, or guilty plea, OR          2,759        

JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF           2,760        

CONVICTION is overturned on appeal, upon exhaustion of the         2,761        

criminal appeal, a petition for reconsideration of the order may   2,762        

be filed with the board along with appropriate court documents.    2,763        

Upon receipt of a petition and supporting court documents, the     2,764        

                                                          64     

                                                                 
board shall reinstate the petitioner's certificate OF              2,765        

REGISTRATION.  The board may then hold an adjudication UNDER       2,766        

CHAPTER 119. OF THE REVISED CODE to determine whether the          2,767        

individual committed the act in question.  Notice of opportunity   2,769        

for hearing shall be given in accordance with Chapter 119. of the  2,770        

Revised Code.  If the board finds, pursuant to an adjudication     2,771        

held under this division, that the individual committed the act,   2,772        

or if no hearing is requested, it may order any of the sanctions   2,773        

identified under division (B) of this section.                     2,774        

      (G)(I)  The certificate of registration of a physician       2,777        

assistant and the physician assistant's practice in this state     2,778        

are automatically suspended as of the date the physician           2,779        

assistant pleads guilty to, is found by a judge or jury to be      2,780        

guilty of, or is subject to a judicial finding of eligibility for  2,781        

treatment in lieu of conviction for either ANY of the following:   2,782        

      (1)  In this state, aggravated CRIMINAL OFFENSES IN THIS     2,784        

STATE OR A SUBSTANTIALLY EQUIVALENT CRIMINAL OFFENSE IN ANOTHER    2,785        

JURISDICTION:  AGGRAVATED murder, murder, voluntary manslaughter,  2,787        

felonious assault, kidnapping, rape, sexual battery, gross sexual  2,788        

imposition, aggravated arson, aggravated robbery, or aggravated    2,789        

burglary;                                                                       

      (2)  In another jurisdiction, any criminal offense           2,791        

substantially equivalent to those specified in division (G)(1) of  2,792        

this section.  CONTINUED                                                        

      Continued practice after the suspension shall be considered  2,797        

practicing without a certificate.  The                             2,798        

      THE board shall notify the individual subject to the         2,801        

suspension by certified mail or in person in accordance with                    

section 119.07 of the Revised Code.  If an individual whose        2,802        

certificate is suspended under this division fails to make a       2,803        

timely request for an adjudicatory hearing ADJUDICATION UNDER      2,805        

CHAPTER 119. OF THE REVISED CODE, the board shall enter a final    2,806        

order PERMANENTLY revoking the INDIVIDUAL'S certificate OF         2,807        

REGISTRATION.                                                      2,808        

                                                          65     

                                                                 
      (H)(J)  In any instance in which the board is required by    2,811        

Chapter 119. of the Revised Code to give notice of opportunity     2,813        

for hearing and the applicant or certificate holder INDIVIDUAL     2,814        

SUBJECT TO THE NOTICE does not timely request a hearing in                      

accordance with section 119.07 of the Revised Code, the board is   2,816        

not required to hold a hearing, but may adopt, by a AN             2,817        

AFFIRMATIVE vote of not fewer than six of its members, a final     2,819        

order that contains the board's findings.  In that final order,    2,820        

the board may order any of the sanctions identified under          2,821        

division (A) OR (B) of this section.                               2,822        

      (I)(K)  Any action taken by the board under division (B) of  2,825        

this section resulting in a suspension shall be accompanied by a   2,826        

written statement of the conditions under which the physician      2,827        

assistant ASSISTANT'S CERTIFICATE may be reinstated.  The board    2,828        

shall adopt rules in accordance with Chapter 119. of the Revised   2,830        

Code governing conditions to be imposed for reinstatement.         2,832        

Reinstatement of a certificate suspended pursuant to division (B)  2,833        

of this section requires an affirmative vote of not fewer than     2,834        

six members of the board.                                                       

      (J)  An individual's failure to renew a certificate of       2,836        

registration as a physician assistant shall have no effect on the  2,837        

board's jurisdiction to take any action under this section         2,838        

against the individual.                                                         

      (K)(L)  WHEN THE BOARD REFUSES TO GRANT A CERTIFICATE OF     2,841        

REGISTRATION AS A PHYSICIAN ASSISTANT TO AN APPLICANT, REVOKES AN  2,843        

INDIVIDUAL'S CERTIFICATE OF REGISTRATION, REFUSES TO ISSUE A       2,844        

CERTIFICATE OF REGISTRATION, OR REFUSES TO REINSTATE AN            2,845        

INDIVIDUAL'S CERTIFICATE OF REGISTRATION, THE BOARD MAY SPECIFY    2,846        

THAT ITS ACTION IS PERMANENT.  AN INDIVIDUAL SUBJECT TO A          2,847        

PERMANENT ACTION TAKEN BY THE BOARD IS FOREVER THEREAFTER          2,848        

INELIGIBLE TO HOLD A CERTIFICATE OF REGISTRATION AS A PHYSICIAN    2,849        

ASSISTANT AND THE BOARD SHALL NOT ACCEPT AN APPLICATION FOR        2,850        

REINSTATEMENT OF THE CERTIFICATE OR FOR ISSUANCE OF A NEW          2,851        

CERTIFICATE.                                                                    

                                                          66     

                                                                 
      (M)  Notwithstanding any other provision of the Revised      2,854        

Code, ALL OF the FOLLOWING APPLY:                                               

      (1)  THE surrender of a certificate of registration as a     2,857        

physician assistant issued under this chapter is not effective     2,858        

UNLESS OR until accepted by the board.  Reinstatement of a         2,860        

certificate surrendered to the board requires an affirmative vote  2,861        

of not fewer than six members of the board.                                     

      Notwithstanding any other provision of the Revised Code, no  2,864        

(2)  AN application made under this chapter for a certificate of   2,865        

registration, approval of a standard or supplemental utilization   2,866        

plan, or approval of a supervision agreement may NOT be withdrawn  2,867        

without approval of the board.                                                  

      (3)  FAILURE BY AN INDIVIDUAL TO RENEW A CERTIFICATE OF      2,870        

REGISTRATION IN ACCORDANCE WITH SECTION 4730.12 OF THE REVISED     2,871        

CODE SHALL NOT REMOVE OR LIMIT THE BOARD'S JURISDICTION TO TAKE    2,872        

DISCIPLINARY ACTION UNDER THIS SECTION AGAINST THE INDIVIDUAL.     2,873        

      Sec. 4730.26.  (A)  The state medical board shall            2,883        

investigate evidence that appears to show that any person has      2,884        

violated this chapter or a rule adopted under it.  Any person may  2,885        

report to the board in a signed writing any information the                     

person has that appears to show a violation of any provision of    2,886        

this chapter or rule adopted under it.  In the absence of bad      2,887        

faith, a person who reports such information or testifies before   2,888        

the board in an adjudication hearing CONDUCTED UNDER CHAPTER 119.  2,889        

OF THE REVISED CODE shall not be liable for civil damages as a     2,890        

result of reporting the information or providing testimony.  EACH  2,892        

      Each complaint or allegation of a violation received by the  2,895        

board shall be assigned a case number and be recorded by the                    

board.  Information received by the board pursuant to an           2,896        

investigation is confidential and not subject to discovery in any  2,897        

civil action.                                                      2,898        

      (B)  Investigations of alleged violations of this chapter    2,900        

or rules adopted under it shall be supervised by the supervising   2,901        

member elected by the board in accordance with section 4731.02 of  2,902        

                                                          67     

                                                                 
the Revised Code and by the secretary as provided in section       2,904        

4730.33 of the Revised Code.  The president may designate another  2,905        

member of the board to supervise the investigation in place of     2,906        

the supervising member.  A member of the board who supervises the  2,907        

investigation of a case shall not participate in further           2,908        

adjudication of the case.                                                       

      (C)  In investigating a possible violation of this chapter   2,910        

or a rule adopted under it, the board may administer oaths, order  2,911        

the taking of depositions, issue subpoenas, and compel the         2,912        

attendance of witnesses and production of books, accounts,         2,913        

papers, records, documents, and testimony, except that a subpoena  2,914        

for patient record information shall not be issued without         2,915        

consultation with the attorney general's office and approval of    2,916        

the secretary of the board, the AND supervising member, and a      2,917        

member of the board who is authorized under Chapter 4731. of the   2,919        

Revised Code to practice medicine and surgery, osteopathic         2,920        

medicine and surgery, or podiatry.  Before issuance of a subpoena  2,921        

FOR PATIENT RECORD INFORMATION, the three board members SECRETARY  2,922        

AND SUPERVISING MEMBER shall determine whether there is probable   2,923        

cause to believe that the complaint filed alleges a violation of   2,924        

this chapter or a rule adopted under it and that the records       2,925        

sought are relevant to the alleged violation and material to the   2,926        

investigation.  The SUBPOENA MAY APPLY ONLY TO records must THAT   2,928        

cover a reasonable period of time surrounding the alleged          2,929        

violation.  On                                                                  

      ON failure to comply with any subpoena issued by the board   2,932        

and after reasonable notice to the person being subpoenaed, the    2,933        

board may move for an order compelling the production of persons   2,934        

or records pursuant to the Rules of Civil Procedure.  Each         2,935        

officer                                                                         

      A SUBPOENA ISSUED BY THE BOARD MAY BE SERVED BY A SHERIFF,   2,937        

THE SHERIFF'S DEPUTY, OR A BOARD EMPLOYEE DESIGNATED BY THE        2,938        

BOARD.  SERVICE OF A SUBPOENA ISSUED BY THE BOARD MAY BE MADE BY   2,940        

DELIVERING A COPY OF THE SUBPOENA TO THE PERSON NAMED THEREIN,     2,941        

                                                          68     

                                                                 
READING IT TO THE PERSON, OR LEAVING IT AT THE PERSON'S USUAL      2,942        

PLACE OF RESIDENCE.  WHEN THE PERSON BEING SERVED IS A PHYSICIAN   2,943        

ASSISTANT, SERVICE OF THE SUBPOENA MAY BE MADE BY CERTIFIED MAIL,  2,944        

RESTRICTED DELIVERY, RETURN RECEIPT REQUESTED, AND THE SUBPOENA    2,945        

SHALL BE DEEMED SERVED ON THE DATE DELIVERY IS MADE OR THE DATE    2,946        

THE PERSON REFUSES TO ACCEPT DELIVERY.                             2,947        

      A SHERIFF'S DEPUTY who serves such A subpoena shall receive  2,950        

the same fees as a sheriff, and each.  EACH witness who appears    2,951        

before the board in obedience to a subpoena shall receive the      2,952        

fees and mileage provided for witnesses in civil cases in the                   

courts of common pleas.                                            2,953        

      (D)  All hearings and investigations of the board shall be   2,955        

considered civil actions for the purposes of section 2305.251 of   2,956        

the Revised Code.                                                  2,957        

      (E)  INFORMATION RECEIVED BY THE BOARD PURSUANT TO AN        2,959        

INVESTIGATION IS CONFIDENTIAL AND NOT SUBJECT TO DISCOVERY IN ANY  2,960        

CIVIL ACTION.                                                      2,961        

      The board shall conduct all investigations and proceedings   2,964        

in such a manner as to protect patient THAT PROTECTS THE           2,965        

confidentiality OF PATIENTS AND PERSONS WHO FILE COMPLAINTS WITH   2,967        

THE BOARD.  The board shall not make public THE names or ANY       2,968        

other identifying information about patients OR COMPLAINANTS       2,969        

unless proper consent is given or, IN THE CASE OF A PATIENT, a     2,970        

waiver of the patient privilege exists under division (B) of       2,971        

section 2317.02 of the Revised Code, except that consent or a      2,972        

waiver is not required if the board possesses reliable and         2,973        

substantial evidence that no bona fide physician-patient           2,975        

relationship exists.                                                            

      (B)  THE BOARD MAY SHARE ANY INFORMATION IT RECEIVES         2,978        

PURSUANT TO AN INVESTIGATION, INCLUDING PATIENT RECORDS AND        2,979        

PATIENT RECORD INFORMATION, WITH OTHER LICENSING BOARDS AND        2,980        

GOVERNMENTAL AGENCIES THAT ARE INVESTIGATING ALLEGED PROFESSIONAL  2,981        

MISCONDUCT AND WITH LAW ENFORCEMENT AGENCIES AND OTHER             2,982        

GOVERNMENTAL AGENCIES THAT ARE INVESTIGATING OR PROSECUTING        2,983        

                                                          69     

                                                                 
ALLEGED CRIMINAL OFFENSES.  A BOARD OR AGENCY THAT RECEIVES THE    2,984        

INFORMATION SHALL COMPLY WITH THE SAME REQUIREMENTS REGARDING      2,985        

CONFIDENTIALITY AS THOSE WITH WHICH THE STATE MEDICAL BOARD MUST   2,986        

COMPLY, NOTWITHSTANDING ANY CONFLICTING PROVISION OF THE REVISED                

CODE OR PROCEDURE OF THE BOARD OR AGENCY THAT APPLIES WHEN THE     2,987        

BOARD OR AGENCY IS DEALING WITH OTHER INFORMATION IN ITS           2,988        

POSSESSION.  THE INFORMATION MAY BE ADMITTED INTO EVIDENCE IN A    2,989        

CRIMINAL TRIAL IN ACCORDANCE WITH THE RULES OF EVIDENCE, BUT THE   2,990        

COURT SHALL REQUIRE THAT APPROPRIATE MEASURES ARE TAKEN TO ENSURE  2,991        

THAT CONFIDENTIALITY IS MAINTAINED WITH RESPECT TO ANY PART OF     2,992        

THE INFORMATION THAT CONTAINS NAMES OR OTHER IDENTIFYING           2,993        

INFORMATION ABOUT PATIENTS OR COMPLAINANTS WHOSE CONFIDENTIALITY   2,994        

WAS PROTECTED BY THE STATE MEDICAL BOARD WHEN THE INFORMATION WAS  2,995        

IN THE BOARD'S POSSESSION.  MEASURES TO ENSURE CONFIDENTIALITY                  

THAT MAY BE TAKEN BY THE COURT INCLUDE SEALING ITS RECORDS OR      2,997        

DELETING SPECIFIC INFORMATION FROM ITS RECORDS.                    2,998        

      (F)  The state medical board shall develop requirements for  3,001        

and provide appropriate initial and continuing training for        3,002        

investigators employed by the board to carry out its duties under  3,003        

this chapter.  The training and continuing education may include   3,004        

enrollment in courses operated or approved by the Ohio peace       3,005        

officer training council that the board considers appropriate      3,006        

under conditions set forth in section 109.79 of the Revised Code.  3,007        

      (C)(G)  On a quarterly basis, the board shall prepare a      3,010        

report that documents the disposition of all cases during the      3,011        

preceding three months.  The report shall contain the following    3,012        

information for each case with which the board has completed its   3,013        

activities:                                                                     

      (1)  The case number assigned to the complaint or alleged    3,016        

violation pursuant to division (A) of this section;                3,017        

      (2)  The type of certificate to practice, if any, held by    3,020        

the individual against whom the complaint is directed;                          

      (3)  A description of the allegations contained in the       3,022        

complaint;                                                         3,023        

                                                          70     

                                                                 
      (4)  The disposition of the case.                            3,025        

      The report shall state how many cases are still pending,     3,027        

and shall be prepared in such a manner as to protect THAT          3,028        

PROTECTS the identity of each person involved in each case.  The   3,030        

report shall be submitted to the physician assistant policy        3,031        

committee of the board and is a public record for purposes of      3,032        

section 149.43 of the Revised Code.                                3,033        

      Sec. 4730.27.  If the state medical board has reason to      3,043        

believe that any person who has been granted a certificate of                   

registration under this chapter is mentally ill or mentally        3,044        

incompetent, it may file in the probate court of the county in     3,045        

which such person has a legal residence an affidavit in the form   3,046        

prescribed in section 5122.11 of the Revised Code and signed by    3,048        

the board secretary or a member of the secretary's staff,                       

whereupon the same proceedings shall be had as provided in         3,049        

Chapter 5122. of the Revised Code.  The attorney general may       3,051        

represent the board in any proceeding commenced under this         3,052        

section.                                                                        

      If a physician assistant is adjudged by a probate court to   3,055        

be mentally ill or mentally incompetent, the individual's          3,056        

certificate of registration shall be automatically suspended       3,057        

until the individual has filed with the board a certified copy of  3,058        

an adjudication by a probate court of being restored to            3,059        

competency or has submitted to the board proof, satisfactory to    3,060        

the board, of having been discharged as being restored to          3,061        

competency in the manner and form provided in section 5122.38 of   3,062        

the Revised Code.  The judge of the court shall immediately        3,064        

notify the board of an adjudication of incompetence and note any   3,065        

suspension of a certificate in the margin of the court's record    3,066        

of the certificate.  In the absence of fraud or bad faith,         3,067        

neither the board nor any member, agent, representative, or        3,068        

employee of the board shall be held liable in damages by any       3,069        

person by reason of the filing of the affidavit referred to in     3,070        

this section.                                                                   

                                                          71     

                                                                 
      Sec. 4730.31.  (A)  As used in this section, "prosecutor"    3,080        

has the same meaning as in section 2935.01 of the Revised Code.    3,081        

      (B)  Whenever any person holding a valid certificate issued  3,084        

pursuant to this chapter pleads guilty to or is convicted of, IS   3,085        

SUBJECT TO A JUDICIAL FINDING OF GUILT OF, OR IS SUBJECT TO A      3,086        

JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF                        

CONVICTION FOR a violation of Chapter 2907., 2925., or 3719. of    3,088        

the Revised Code or of any substantively comparable ordinance of   3,089        

a municipal corporation in connection with practicing as a         3,090        

physician assistant, the prosecutor in the case shall, on forms    3,091        

prescribed and provided by the state medical board, promptly       3,092        

notify the board of the conviction.   Within thirty days of        3,093        

receipt of such information, the board shall initiate action in    3,094        

accordance with Chapter 119. of the Revised Code to determine      3,096        

whether to suspend or revoke the certificate under section         3,097        

4730.31 of the Revised Code.                                       3,098        

      (C)  The prosecutor in any case against any person holding   3,101        

a valid certificate issued pursuant to this chapter shall, on      3,102        

forms prescribed and provided by the state medical board, notify   3,103        

the board of any of the following:                                              

      (1)  A plea of guilty to, or a judicial finding of guilt     3,105        

of, OR JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF    3,106        

CONVICTION FOR a felony, or a case where the trial court issues    3,107        

an order of dismissal upon technical or procedural grounds of a    3,108        

felony charge;                                                     3,109        

      (2)  A plea of guilty to, or a judicial finding of guilt     3,111        

of, OR JUDICIAL FINDING OR ELIGIBILITY FOR TREATMENT IN LIEU OF    3,112        

CONVICTION FOR a misdemeanor committed in the course of practice,  3,113        

or a case where the trial court issues an order of dismissal upon  3,114        

technical or procedural grounds of a charge of a misdemeanor, if   3,115        

the alleged act was committed in the course of practice;           3,116        

      (3)  A plea of guilty to, or a judicial finding of guilt     3,118        

of, OR JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF    3,119        

CONVICTION FOR a misdemeanor involving moral turpitude, or a case  3,120        

                                                          72     

                                                                 
where the trial court issues an order of dismissal upon technical  3,121        

or procedural grounds of a charge of a misdemeanor involving       3,122        

moral turpitude.                                                   3,123        

      The report shall include the name and address of the         3,125        

certificate holder, the nature of the offense for which the        3,126        

action was taken, and the certified court documents recording the  3,127        

action.                                                            3,128        

      Sec. 4730.32.  (A)  Within sixty days after the completion   3,138        

IMPOSITION of any formal disciplinary procedure ACTION taken by    3,139        

any HEALTH CARE FACILITY, INCLUDING A hospital, HEALTH CARE        3,140        

FACILITY OPERATED BY AN INSURING CORPORATION, AMBULATORY SURGICAL  3,141        

CENTER, or other health care SIMILAR facility, against any person  3,142        

INDIVIDUAL holding a valid certificate of registration as a        3,143        

physician assistant, the chief administrator or executive officer  3,144        

of the facility shall report to the state medical board the name   3,145        

of the certificate holder INDIVIDUAL, the action taken by the      3,146        

facility, and a summary of the underlying facts leading to the     3,147        

action taken.  Upon request, the board shall be provided           3,148        

CERTIFIED copies of the patient records minus patient identifiers  3,149        

which THAT were the basis for the facility's action.   Prior to    3,150        

release to the board, the summary shall be approved by the peer    3,151        

review committee which THAT reviewed the case or by the governing  3,153        

board of the facility.                                                          

      The filing or nonfiling of a report with the board OR        3,155        

DECISION NOT TO FILE A REPORT, investigation by the board, or any  3,156        

disciplinary action taken by the board, shall DOES not preclude a  3,157        

health care facility from taking disciplinary action against a     3,159        

physician assistant.                                                            

      IN THE ABSENCE OF FRAUD OR BAD FAITH, NO INDIVIDUAL OR       3,161        

ENTITY THAT PROVIDES PATIENT RECORDS TO THE BOARD SHALL BE LIABLE  3,162        

IN DAMAGES TO ANY PERSON AS A RESULT OF PROVIDING THE RECORDS.     3,163        

      (B)  Any A physician assistant, PROFESSIONAL ASSOCIATION OR  3,166        

society of physician assistants, physician, or PROFESSIONAL        3,167        

ASSOCIATION OR society of physicians that believes a violation of  3,168        

                                                          73     

                                                                 
any provision of this chapter, Chapter 4731. of the Revised Code,  3,170        

or rule of the board has occurred shall report to the board the    3,172        

information upon which the belief is based.  This division does    3,173        

not require any person or organization that is a treatment         3,174        

provider approved by the board under section 4731.25 of the        3,175        

Revised Code or any employee, agent, or representative of such a   3,176        

provider to make reports with respect to a physician assistant     3,177        

participating in treatment or aftercare so FOR SUBSTANCE ABUSE AS  3,179        

long as the physician assistant maintains participation in         3,180        

accordance with the requirements of section 4731.25 of the         3,181        

Revised Code and the person TREATMENT PROVIDER or organization     3,182        

EMPLOYEE, AGENT, OR REPRESENTATIVE OF THE PROVIDER has no reason   3,183        

to believe that the physician assistant has violated any           3,184        

provision of this chapter or rule adopted under it, other than     3,185        

being impaired by alcohol, drugs, or other substances.  This       3,186        

division does not require reporting by any member of an impaired   3,187        

practitioner committee established by a hospital HEALTH CARE       3,188        

FACILITY or by any representative or agent of a committee or       3,189        

program sponsored by a professional association OR SOCIETY of      3,191        

physician assistants to provide peer assistance to physician       3,193        

assistants with substance abuse problems with respect to a         3,194        

physician assistant who has been referred for examination to a     3,195        

treatment program approved by the board under section 4731.25 of   3,196        

the Revised Code if the physician assistant cooperates with the    3,197        

referral for examination and with any determination that the       3,198        

physician assistant should enter treatment and so AS long as the   3,200        

committee member, representative, or agent has no reason to        3,201        

believe that the physician assistant has ceased to participate in  3,202        

the treatment program in accordance with section 4731.25 of the    3,203        

Revised Code or has violated any provision of this chapter or      3,204        

rule adopted under it, other than being impaired by alcohol,       3,205        

drugs, or other substances.                                                     

      (C)  Any professional ASSOCIATION OR society composed        3,207        

primarily of physician assistants that suspends or revokes an      3,208        

                                                          74     

                                                                 
individual's membership in that society for violations of          3,209        

professional ethics, or for reasons of professional incompetence   3,210        

or professional malpractice, within sixty days after a final       3,211        

decision, shall report to the board, on forms prescribed and       3,212        

provided by the board, the name of the member INDIVIDUAL, the      3,213        

action taken by the society PROFESSIONAL ORGANIZATION, and a       3,215        

summary of the underlying facts leading to the action taken.       3,216        

      The filing or nonfiling of a report with the board,          3,218        

investigation by the board, or any disciplinary action taken by    3,219        

the board, shall not preclude a professional society ORGANIZATION  3,221        

from taking disciplinary action against a physician assistant.     3,222        

      (D)  Any insurer providing professional liability insurance  3,225        

to any person holding a valid certificate of registration as a     3,226        

physician assistant or any other entity that seeks to indemnify    3,227        

the professional liability of a physician assistant shall notify   3,228        

the board within thirty days after the final disposition of any    3,229        

written claim for damages where such disposition results in a      3,230        

payment exceeding twenty-five thousand dollars.  The notice shall  3,231        

contain the following information:                                              

      (1)  The name and address of the person submitting the       3,233        

notification;                                                      3,234        

      (2)  The name and address of the insured who is the subject  3,237        

of the claim;                                                                   

      (3)  The name of the person filing the written claim;        3,239        

      (4)  The date of final disposition;                          3,241        

      (5)  If applicable, the identity of the court in which the   3,244        

final disposition of the claim took place.                                      

      (E)  On the basis of the reporting provisions in this        3,247        

section, the THE board may investigate possible violations of                   

this chapter or the rules adopted under it.  The board may also    3,248        

investigate THAT ARE BROUGHT TO ITS ATTENTION AS A RESULT OF THE   3,249        

REPORTING REQUIREMENTS OF THIS SECTION, EXCEPT THAT THE BOARD      3,251        

SHALL CONDUCT AN INVESTIGATION IF A POSSIBLE VIOLATION INVOLVES    3,252        

repeated malpractice.  As used in this division, "repeated         3,254        

                                                          75     

                                                                 
malpractice" means three or more claims for malpractice within     3,255        

the previous five-year period, each resulting in a judgment or     3,257        

settlement in excess of twenty-five thousand dollars in favor of   3,258        

the claimant, and each involving negligent conduct by the          3,259        

physician assistant.                                                            

      (F)  All summaries, reports, and records received and        3,262        

maintained by the board pursuant to this section shall be held in  3,263        

confidence and shall not be subject to discovery or introduction   3,264        

in evidence in any federal or state civil action involving a       3,265        

physician assistant, supervising physician, or health care                      

facility arising out of matters that are the subject of such THE   3,267        

reporting to the board REQUIRED BY THIS SECTION.  The board may    3,268        

use the information obtained only as the basis for an              3,270        

investigation, as evidence in a disciplinary hearing against a     3,271        

physician assistant or supervising physician, or in any                         

subsequent trial or appeal of a board action or order.             3,273        

      The board may disclose the summaries and reports it          3,275        

receives under this section only to health care facility           3,276        

committees within or outside this state that are involved in       3,278        

credentialing or recredentialing a physician assistant or          3,279        

supervising physician or reviewing their privilege to practice     3,281        

within a particular facility.  The board shall indicate whether    3,282        

or not the information has been verified.  Information thus        3,283        

transmitted by the board shall be subject to the same                           

confidentiality provisions as when maintained by the board.        3,284        

      (G)  Except for reports filed by an individual pursuant to   3,287        

division (B) of this section, THE BOARD SHALL SEND a copy of any   3,288        

reports or summaries received by the board IT RECEIVES pursuant    3,289        

to this section shall be sent to the physician assistant by the    3,290        

board.  The physician assistant shall have the right to file a     3,291        

statement with the board concerning the correctness or relevance   3,292        

of the information.  Such THE statement shall at all times         3,293        

accompany that part of the record in contention.                   3,295        

      (H)  A person, health care facility, association, society,   3,298        

                                                          76     

                                                                 
AN INDIVIDUAL or insurer ENTITY that reports to the board or       3,299        

refers an impaired physician assistant to a treatment provider     3,300        

approved by the board under section 4731.25 of the Revised Code    3,302        

shall not be subject to suit for civil damages as a result of the  3,303        

report, referral, or provision of the information.                 3,304        

      (I)  In the absence of fraud or bad faith, a professional    3,307        

association OR SOCIETY of physician assistants that sponsors a     3,308        

committee or program to provide peer assistance to a physician     3,309        

assistant with substance abuse problems, a representative or       3,310        

agent of such a committee or program, and a member of the state    3,311        

medical board shall not be held liable in damages to any person    3,312        

by reason of actions taken to refer a physician assistant to a     3,313        

treatment provider approved under section 4731.25 of the Revised   3,315        

Code for examination or treatment.                                              

      Sec. 4730.34.  In the absence of fraud or bad faith,         3,325        

neither the STATE MEDICAL board nor any, A current or former       3,327        

BOARD member, AN agent OF THE BOARD, A PERSON FORMALLY REQUESTED   3,328        

BY THE BOARD TO BE THE BOARD'S representative, or AN employee of   3,329        

the board shall NOT be held liable in damages to any person as     3,331        

the result of any act, omission, proceeding, conduct, or decision  3,332        

related to official duties undertaken or performed pursuant to     3,333        

this chapter.  If a current or former member, agent,               3,334        

representative, or employee ANY SUCH PERSON requests to be         3,335        

defended by the state against any claim or action arising out of   3,337        

any act, omission, proceeding, conduct, or decision related to     3,338        

the person's official duties, and if the request is made in        3,339        

writing at a reasonable time before trial and the person           3,340        

requesting defense cooperates in good faith in the defense of the  3,341        

claim or action, the state shall provide and pay for such THE      3,342        

PERSON'S defense and shall pay any resulting judgment,             3,343        

compromise, or settlement.  At no time shall the state pay that    3,344        

ANY part of a claim or judgment which THAT is for punitive or      3,345        

exemplary damages.                                                 3,346        

      Sec. 4731.08.  Except as provided in sections 4731.29 and    3,355        

                                                          77     

                                                                 
4731.291 to 4731.294 of the Revised Code, AND UNTIL NOVEMBER 15,   3,356        

1998, IN SECTION 4731.295 OF THE REVISED CODE, each person who     3,357        

desires to practice medicine and surgery or osteopathic medicine   3,359        

and surgery in this state shall file with the secretary of the     3,361        

state medical board a written application for admission to the                  

examination conducted by the board under section 4731.13 of the    3,362        

Revised Code.  The applicant shall file the application under      3,363        

oath on a form prescribed by the board.  The applicant shall       3,365        

furnish evidence satisfactory to the board that he THE APPLICANT   3,366        

is more than eighteen years of age and of good moral character.    3,367        

      Sec. 4731.13.  Except as provided in sections 4731.29 and    3,376        

4731.291 to 4731.294 of the Revised Code, AND UNTIL NOVEMBER 15,   3,377        

1998, IN SECTION 4731.295 OF THE REVISED CODE, the state medical   3,378        

board shall examine each individual who desires to practice        3,379        

medicine and surgery or osteopathic medicine and surgery in this   3,380        

state. The board shall conduct the examination of these            3,381        

individuals in accordance with rules the board shall adopt.  Each  3,382        

individual shall be examined in such subjects as the board         3,383        

requires.  The board shall examine in subjects pertinent to        3,384        

current medical educational standards.                             3,385        

      The board may use as its examination all or part of a        3,387        

standard medical licensing examination established for purposes    3,388        

of determining the competence of individuals to practice medicine  3,389        

and surgery or osteopathic medicine and surgery in the United      3,390        

States.                                                            3,391        

      Sec. 4731.142.  (A)  Except as provided in division (C)(B)   3,401        

of this section, an individual must demonstrate proficiency in     3,402        

spoken English to receive a certificate TO PRACTICE issued under   3,403        

section 4731.14 of the Revised Code if the individual's            3,405        

eligibility for the certificate is based in part on certification  3,407        

from the educational commission for foreign medical graduates and  3,408        

fulfillment of the undergraduate requirements established by       3,410        

section 4731.09 of the Revised Code at an institution outside the  3,411        

United States.  The individual may demonstrate such proficiency    3,412        

                                                          78     

                                                                 
only by one of the following:                                      3,413        

      (1)  Obtaining OBTAINING a score of fifty FORTY or higher    3,416        

on the test of spoken English conducted by the educational         3,418        

testing service;                                                   3,419        

      (2)  Obtaining a score of at least forty but less than       3,423        

fifty on the test of spoken English conducted by the educational   3,425        

testing service and being determined by the state medical board,   3,426        

following an appearance before the board, to be able to            3,427        

communicate adequately in spoken English for the practice of       3,428        

medicine and surgery or osteopathic medicine and surgery.          3,429        

      (B)  At an individual's request, the board shall afford the  3,432        

individual subject to division (A)(2) of this section an           3,433        

opportunity to appear before the board to demonstrate proficiency  3,434        

in spoken English.  The determination of whether the individual    3,435        

is able to communicate adequately in spoken English shall be made  3,436        

by vote of the majority of members present.  The individual is     3,437        

not entitled to appeal under Chapter 119. of the Revised Code a    3,438        

determination by the board that the individual's ability to        3,439        

communicate in spoken English is not adequate for the practice of  3,441        

medicine and surgery or osteopathic medicine and surgery.          3,442        

      (C)  An individual is not required to demonstrate            3,444        

proficiency in spoken English in accordance with division (A) of   3,445        

this section if the individual was required to demonstrate such    3,447        

proficiency as a condition of certification from the educational   3,448        

commission for foreign medical graduates.                          3,449        

      Sec. 4731.15.  (A)(1)  The state medical board also shall    3,458        

examine and register persons desiring to practice a limited        3,459        

branch of medicine or surgery, and shall establish rules           3,460        

governing such limited practice.  Such REGULATE THE FOLLOWING      3,461        

limited branches of medicine or surgery are:  massage THERAPY and  3,463        

cosmetic therapy, AND TO THE EXTENT SPECIFIED IN SECTION 4731.151  3,466        

OF THE REVISED CODE, NAPRAPATHY AND MECHANOTHERAPY.  THE BOARD                  

SHALL ADOPT RULES GOVERNING THE LIMITED BRANCHES OF MEDICINE       3,467        

UNDER ITS JURISDICTION.  THE RULES SHALL BE ADOPTED IN ACCORDANCE  3,468        

                                                          79     

                                                                 
WITH CHAPTER 119. OF THE REVISED CODE.                                          

      (2)  As used in this chapter:                                3,470        

      (a)  "Approved electric modalities" means electric           3,472        

modalities approved by the state medical board for use in          3,473        

cosmetic therapy.                                                  3,474        

      (b),  "Cosmetic COSMETIC therapy" means the systematic       3,477        

friction, stroking, slapping, and kneading or tapping to the       3,478        

face, neck, scalp, or shoulders through the use of approved        3,479        

electric modalities, and additionally may include the permanent    3,480        

removal of hair from the human body through the use of approved    3,481        

electric modalities APPROVED BY THE BOARD FOR USE IN COSMETIC      3,483        

THERAPY, AND ADDITIONALLY MAY INCLUDE THE SYSTEMATIC FRICTION,     3,485        

STROKING, SLAPPING, AND KNEADING OR TAPPING OF THE FACE, NECK,     3,486        

SCALP, OR SHOULDERS.                                                            

      (c)  "Cosmetic therapist" means a person who holds a         3,488        

certificate to practice cosmetic therapy issued by the state       3,489        

medical board under this chapter and who is registered with the    3,490        

board under this chapter.                                          3,491        

      (B)  All persons who hold a certificate to practice a        3,493        

limited branch of medicine or surgery issued by the state medical  3,494        

board, whether residents of this state or not, shall on or before  3,495        

the first day of June 1983, and on or before the first day of      3,496        

June every second year thereafter OF EACH ODD-NUMBERED YEAR,       3,497        

register with the state medical board on a form prescribed by the  3,499        

board and shall pay at such time a biennial registration fee of    3,500        

fifty dollars.  At least one month in advance of the date of       3,502        

registration, a written notice that the biennial registration fee  3,503        

is due on or before the first day of June shall be sent to each    3,504        

holder of a certificate to practice a limited branch of medicine   3,505        

or surgery, at the person's last known address.  All persons who   3,506        

hold a certificate to practice a limited branch of medicine or     3,507        

surgery issued by the state medical board shall provide the board  3,508        

written notice of any change of address.  A                        3,509        

      A certificate to practice a limited branch of medicine or    3,512        

                                                          80     

                                                                 
surgery shall be automatically suspended if the fee is not paid    3,513        

by the first day of September of the year it is due, and           3,514        

continued.  CONTINUED practice after the suspension of the         3,515        

certificate to practice shall be considered as practicing without  3,516        

a license in violation of sections 4731.34 and 4731.41 of the      3,517        

Revised Code.  An applicant for reinstatement of SUBJECT TO        3,518        

SECTION 4731.222 OF THE REVISED CODE, THE BOARD SHALL REINSTATE a  3,519        

certificate to practice suspended for failure to register shall    3,521        

submit the applicant's current and delinquent registration fees    3,522        

and a ON AN APPLICANT'S PAYMENT OF THE BIENNIAL REGISTRATION FEE   3,524        

AND THE APPLICABLE MONETARY PENALTY.  WITH REGARD TO                            

REINSTATEMENT OF A CERTIFICATE TO PRACTICE COSMETIC THERAPY, THE   3,525        

APPLICANT ALSO SHALL SUBMIT WITH THE APPLICATION A CERTIFICATION   3,526        

THAT THE NUMBER OF HOURS OF CONTINUING EDUCATION NECESSARY TO      3,527        

HAVE A SUSPENDED CERTIFICATE REINSTATED HAVE BEEN COMPLETED, AS    3,528        

SPECIFIED IN RULES THE BOARD SHALL ADOPT IN ACCORDANCE WITH        3,530        

CHAPTER 119. OF THE REVISED CODE.  THE penalty of FOR              3,533        

REINSTATEMENT SHALL BE twenty-five dollars IF THE CERTIFICATE HAS  3,534        

BEEN SUSPENDED FOR TWO YEARS OR LESS AND FIFTY DOLLARS IF THE      3,535        

CERTIFICATE HAS BEEN SUSPENDED FOR MORE THAN TWO YEARS.            3,536        

      Sec. 4731.151.  (A)  Notwithstanding the provisions of       3,545        

section 4731.15 of the Revised Code specifying the types of        3,546        

limited branches of medicine or surgery to be examined and         3,547        

registered by the state medical board, naprapaths NAPRAPATHS who   3,548        

received a certificate to practice from the board prior to March   3,549        

2, 1992, may continue to practice naprapathy, as defined in rules  3,550        

adopted by the board.  Such naprapaths shall practice in           3,551        

accordance with rules adopted by the board.                        3,552        

      (B)(1)  As used in this division:                            3,554        

      (a)  "Mechanotherapy" means all of the following:            3,556        

      (i)  Examining patients by verbal inquiry;                   3,558        

      (ii)  Examination of the musculoskeletal system by hand;     3,560        

      (iii)  Visual inspection and observation;                    3,562        

      (iv)  Diagnosing a patient's condition only as to whether    3,564        

                                                          81     

                                                                 
the patient has a disorder of the musculoskeletal system;          3,565        

      (v)  In the treatment of patients, employing the techniques  3,567        

of advised or supervised exercise; electrical neuromuscular        3,568        

stimulation; massage or manipulation; or air, water, heat, cold,   3,569        

sound, or infrared ray therapy only to those disorders of the      3,570        

musculoskeletal system that are amenable to treatment by such      3,571        

techniques and that are identifiable by examination performed in   3,572        

accordance with division (B)(1)(a)(i) of this section and          3,573        

diagnosable in accordance with division (B)(1)(a)(ii) of this      3,574        

section.                                                           3,575        

      (b)  "Educational requirements" means the completion of a    3,577        

course of study appropriate for certification to practice          3,578        

mechanotherapy on or before November 3, 1985, as determined by     3,579        

rules adopted under this chapter.                                  3,580        

      (2)  Notwithstanding the provisions of section 4731.15 of    3,582        

the Revised Code specifying the types of limited branches of       3,583        

medicine or surgery to be examined and registered by the board,    3,584        

mechanotherapists MECHANOTHERAPISTS who received a certificate to  3,585        

practice from the board prior to March 2, 1992, may continue to    3,586        

practice mechanotherapy, as defined in rules adopted by the        3,587        

board.  Such mechanotherapists shall practice in accordance with   3,588        

rules adopted by the board.                                        3,589        

      A person authorized by this division to practice as a        3,591        

mechanotherapist may examine, diagnose, and assume responsibility  3,592        

for the care of patients with due regard for first aid and the     3,593        

hygienic and nutritional care of the patients.  Roentgen rays      3,594        

shall be used by a mechanotherapist only for diagnostic purposes.  3,595        

      (3)  A person who holds a certificate to practice            3,597        

mechanotherapy and completed educational requirements in           3,598        

mechanotherapy on or before November 3, 1985, is entitled to use   3,599        

the title "doctor of mechanotherapy" and is a "physician" who      3,600        

performs "medical services" for the purposes of Chapters 4121.     3,601        

and 4123. of the Revised Code and the program established under    3,602        

section 5111.01 of the Revised Code, and shall receive payment or  3,603        

                                                          82     

                                                                 
reimbursement as provided under those chapters and that section.   3,604        

      (C)  Rules adopted under this section shall be adopted in    3,606        

accordance with Chapter 119. of the Revised Code.                  3,607        

      Sec. 4731.16.  The examination STATE MEDICAL BOARD SHALL     3,616        

CONDUCT EXAMINATIONS of all applicants for certification to        3,617        

practice a THE limited branch BRANCHES of medicine or surgery OF   3,619        

MASSAGE THERAPY AND COSMETIC THERAPY.  THE EXAMINATIONS shall be   3,620        

conducted under rules prescribed ADOPTED by the state medical      3,621        

board and at such times and places as the board may determine.     3,623        

Such THE FEE FOR EITHER EXAMINATION IS TWO HUNDRED FIFTY DOLLARS.  3,624        

      FOR THE PURPOSE OF CONDUCTING EXAMINATIONS, THE BOARD MAY    3,627        

CALL TO ITS AID ANY PERSON OF ESTABLISHED REPUTATION AND KNOWN     3,628        

ABILITY IN THE LIMITED BRANCH OF MEDICINE FOR WHICH THE                         

EXAMINATION IS BEING HELD.  A PERSON CALLED TO ASSIST IN AN        3,629        

EXAMINATION SHALL BE REIMBURSED FOR THE PERSON'S SERVICES.         3,630        

REIMBURSEMENT SHALL BE NOT MORE THAN ONE HUNDRED DOLLARS PER DAY   3,631        

AND AN AMOUNT FIXED AND ALLOWED BY THE BOARD FOR THE PERSON'S      3,632        

ACTUAL AND NECESSARY EXPENSES.                                     3,633        

      EACH examination shall be given in anatomy, physiology,      3,636        

chemistry, bacteriology, pathology, hygiene, diagnosis, and in     3,637        

such ANY other subjects appropriate to the limited branches        3,639        

BRANCH of medicine or surgery for which certification is           3,641        

requested as the board may require.  Applicants, EXCEPT THAT       3,642        

APPLICANTS for certificates to practice massage or Swedish         3,643        

movement THERAPY shall not be examined in pathology and            3,644        

diagnosis.                                                                      

      IF AN APPLICANT FAILS AN EXAMINATION MORE THAN TWICE, IN     3,647        

WHOLE OR IN PART, THE BOARD MAY REQUIRE THAT THE APPLICANT OBTAIN  3,648        

ADDITIONAL TRAINING AS A CONDITION OF BEING ELIGIBLE FOR FURTHER   3,649        

EXAMINATION.                                                                    

      Sec. 4731.17.  For the purpose of conducting examinations    3,658        

provided for in sections 4731.15 and 4731.16 of the Revised Code,  3,659        

the state medical board shall call to its aid any person of        3,660        

established reputation and known ability in the particular         3,661        

                                                          83     

                                                                 
limited branch in which the examination is being held.  Any        3,662        

person called by the board to its aid, as provided in this         3,663        

section, shall be reimbursed for the person's services not more    3,665        

than one hundred dollars per day and the person's actual and       3,666        

necessary expenses to be fixed and allowed by the board.                        

      If the AN applicant passes such THE examination TO PRACTICE  3,669        

MASSAGE THERAPY OR COSMETIC THERAPY CONDUCTED UNDER SECTION                     

4731.16 OF THE REVISED CODE and has paid the fee of two hundred    3,671        

fifty dollars REQUIRED UNDER THAT SECTION, the STATE MEDICAL       3,672        

board shall issue its TO THE APPLICANT THE APPROPRIATE             3,673        

certificate to that effect PRACTICE.  Such certificate shall       3,674        

authorize the holder thereof to practice such THE limited branch   3,676        

of medicine or surgery as may be specified therein, but shall not  3,678        

permit the holder to practice any other LIMITED branch of          3,679        

medicine or surgery, nor shall it permit the holder to treat       3,681        

infectious, contagious, or venereal diseases, or to prescribe or   3,682        

administer drugs, or to perform surgery OR PRACTICE MEDICINE IN    3,683        

ANY OTHER FORM.                                                                 

      Sec. 4731.18.  The state medical board may dispense with     3,692        

the examination of applicants for limited certificates to          3,693        

practice a THE limited branch BRANCHES of medicine or surgery      3,695        

upon OF MASSAGE THERAPY AND COSMETIC THERAPY IN the same                        

reciprocal conditions with respect to such limited branches as     3,696        

are provided in MANNER THAT CERTIFICATES ARE ISSUED UNDER section  3,698        

4731.29 of the Revised Code with respect to physicians and         3,699        

surgeons generally TO INDIVIDUALS TO PRACTICE MEDICINE AND         3,700        

SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY.  In such cases the                 

state medical THE board shall MAY recognize ANY national           3,702        

examining boards of the appropriate limited branches of medicine.  3,704        

      Sec. 4731.19.  The state medical board shall determine the   3,713        

standing of the schools, colleges, or institutions giving          3,715        

instruction in THE limited branches of medicine or surgery OF      3,716        

MASSAGE THERAPY AND COSMETIC THERAPY.  If there shall at any time  3,717        

be such schools, colleges, or institutions giving instruction in   3,719        

                                                          84     

                                                                 
such limited branches, the applicant for a certificate to          3,721        

practice a limited branch of medicine or surgery shall, as a       3,722        

condition of admission to the examination, produce a diploma or    3,723        

certificate from a school, college, or institution in good         3,725        

standing as determined by the board, showing the completion of     3,727        

the required courses of instruction.                               3,728        

      The entrance examiner of the board shall determine the       3,730        

sufficiency of the preliminary education of applicants for such    3,731        

limited certificate as is provided in A CERTIFICATE TO PRACTICE    3,732        

MASSAGE THERAPY OR COSMETIC THERAPY IN THE SAME MANNER THAT        3,733        

SUFFICIENCY OF PRELIMINARY EDUCATION IS DETERMINED UNDER section   3,735        

4731.09 of the Revised Code.  The, EXCEPT THAT THE board may       3,736        

adopt rules defining and establishing for any THE limited branch   3,737        

of medicine or surgery such preliminary educational requirements,  3,738        

THAT ARE less exacting than those prescribed by such section, as   3,739        

the nature of the case may require.                                3,740        

      Sec. 4731.20.  Sections 4731.07, 4731.08, and 4731.14 to     3,749        

4731.26 of the Revised Code shall govern THE POWERS AND DUTIES     3,750        

CONFERRED BY THIS CHAPTER ON the state medical board, INCLUDING    3,751        

all of the BOARD'S officers mentioned therein, and the applicants  3,752        

for and recipients of limited certificates to practice a limited   3,753        

branch of medicine or surgery.  In addition to FOR PURPOSES OF     3,755        

REGULATING THE PRACTICES OF MEDICINE AND SURGERY, OSTEOPATHIC      3,756        

MEDICINE AND SURGERY, AND PODIATRY, SHALL APPLY IN THE SAME                     

MANNER, WITH ANY MODIFICATIONS THE BOARD CONSIDERS NECESSARY, FOR  3,757        

PURPOSES OF REGULATING THE PRACTICES OF LIMITED BRANCHES OF        3,758        

MEDICINE, INCLUDING the power of the board to revoke and suspend   3,760        

certificates provided for in TAKE DISCIPLINARY ACTIONS UNDER       3,761        

section 2301.373 or 4731.22 of the Revised Code it may also        3,762        

revoke or suspend the certificate of any one to whom a limited     3,763        

certificate has been issued upon proof of violation of the rules   3,764        

established by the board governing such limited practice.          3,765        

      Sec. 4731.22.  (A)  The state medical board, pursuant to an  3,774        

adjudication under Chapter 119. of the Revised Code and by a AN    3,776        

                                                          85     

                                                                 
AFFIRMATIVE vote of not fewer than six of its members, may revoke  3,777        

or may refuse to grant a certificate to a person found by the      3,778        

board to have committed fraud in passing DURING THE                3,779        

ADMINISTRATION OF the examination FOR A CERTIFICATE TO PRACTICE    3,780        

or to have committed fraud, misrepresentation, or deception in     3,781        

applying for or securing any license or certificate TO PRACTICE    3,782        

OR CERTIFICATE OF REGISTRATION issued by the board.                3,783        

      (B)  The board, pursuant to an adjudication under Chapter    3,786        

119. of the Revised Code and by a AN AFFIRMATIVE vote of not       3,787        

fewer than six members, shall, to the extent permitted by law,     3,788        

limit, revoke, or suspend a AN INDIVIDUAL'S certificate TO         3,789        

PRACTICE, refuse to register or AN INDIVIDUAL, refuse to           3,791        

reinstate an applicant A CERTIFICATE, or reprimand or place on     3,792        

probation the holder of a certificate for one or more of the       3,794        

following reasons:                                                              

      (1)  Permitting one's name or one's CERTIFICATE TO PRACTICE  3,796        

OR certificate of registration to be used by a person, group, or   3,798        

corporation when the individual concerned is not actually          3,799        

directing the treatment given;                                     3,800        

      (2)  Failure to use reasonable care discrimination in        3,802        

MAINTAIN MINIMAL STANDARDS APPLICABLE TO the SELECTION OR          3,804        

administration of drugs, or failure to employ acceptable                        

scientific methods in the selection of drugs or other modalities   3,805        

for treatment of disease;                                          3,806        

      (3)  Selling, giving away, personally furnishing,            3,808        

prescribing, or administering drugs for other than legal and       3,809        

legitimate therapeutic purposes or a plea of guilty to, or a       3,811        

judicial finding of guilt of, OR A JUDICIAL FINDING OF             3,812        

ELIGIBILITY FOR TREATMENT IN LIEU OF CONVICTION OF, a violation    3,814        

of any federal or state law regulating the possession,                          

distribution, or use of any drug;                                  3,815        

      (4)  Willfully betraying a professional confidence.  For     3,817        

      FOR purposes of this division, "willfully betraying a        3,819        

professional confidence" does not include the making of a report   3,820        

                                                          86     

                                                                 
of an employee's use of a drug of abuse, or a report of a          3,821        

condition of an employee other than one involving the use of a     3,822        

drug of abuse, to the employer of the employee as described in     3,823        

division (B) of section 2305.33 of the Revised Code, and nothing.  3,824        

NOTHING in this division affects the immunity from civil           3,827        

liability conferred by that section upon a physician who makes     3,828        

either type of report in accordance with division (B) of that      3,829        

section.  As used in this division, "employee," "employer," and    3,830        

"physician" have the same meanings as in section 2305.33 of the    3,831        

Revised Code.                                                                   

      (5)  Soliciting patients or publishing MAKING a false,       3,833        

fraudulent, deceptive, or misleading statement IN THE              3,836        

SOLICITATION OF OR ADVERTISING FOR PATIENTS; IN RELATION TO THE    3,838        

PRACTICE OF MEDICINE AND SURGERY, OSTEOPATHIC MEDICINE AND         3,839        

SURGERY, PODIATRY, OR A LIMITED BRANCH OF MEDICINE; OR IN          3,840        

SECURING OR ATTEMPTING TO SECURE ANY CERTIFICATE TO PRACTICE OR    3,841        

CERTIFICATE OF REGISTRATION ISSUED BY THE BOARD.                                

      As used in this division, "false, fraudulent, deceptive, or  3,843        

misleading statement" means a statement that includes a            3,844        

misrepresentation of fact, is likely to mislead or deceive         3,845        

because of a failure to disclose material facts, is intended or    3,846        

is likely to create false or unjustified expectations of           3,847        

favorable results, or includes representations or implications     3,848        

that in reasonable probability will cause an ordinarily prudent    3,849        

person to misunderstand or be deceived.                            3,850        

      (6)  A departure from, or the failure to conform to,         3,852        

minimal standards of care of similar practitioners under the same  3,853        

or similar circumstances, whether or not actual injury to a        3,854        

patient is established;                                            3,855        

      (7)  Representing, with the purpose of obtaining             3,857        

compensation or other advantage for self AS PERSONAL GAIN or for   3,858        

any other person, that an incurable disease or injury, or other    3,860        

incurable condition, can be permanently cured;                     3,861        

      (8)  The obtaining of, or attempting to obtain, money or     3,863        

                                                          87     

                                                                 
anything of value by fraudulent misrepresentations in the course   3,864        

of practice;                                                       3,865        

      (9)  A plea of guilty to, or a judicial finding of guilt     3,867        

of, OR A JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF  3,868        

CONVICTION FOR, a felony;                                          3,869        

      (10)  Commission of an act that constitutes a felony in      3,871        

this state, regardless of the jurisdiction in which the act was    3,872        

committed;                                                         3,873        

      (11)  A plea of guilty to, or a judicial finding of guilt    3,875        

of, OR A JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF  3,876        

CONVICTION FOR, a misdemeanor committed in the course of           3,877        

practice;                                                                       

      (12)  Commission of an act IN THE COURSE OF PRACTICE that    3,879        

constitutes a misdemeanor in this state, regardless of the         3,881        

jurisdiction in which the act was committed, if the act was        3,882        

committed in the course of practice;                                            

      (13)  A plea of guilty to, or a judicial finding of guilt    3,884        

of, OR A JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF  3,885        

CONVICTION FOR, a misdemeanor involving moral turpitude;           3,886        

      (14)  Commission of an act INVOLVING MORAL TURPITUDE that    3,888        

constitutes a misdemeanor in this state, regardless of the         3,890        

jurisdiction in which the act was committed, if the act involves   3,891        

moral turpitude;                                                                

      (15)  Violation of the conditions of limitation placed by    3,893        

the board upon a certificate to practice or violation of the       3,894        

conditions of limitation upon which a limited or temporary         3,895        

registration or certificate to practice is issued;                 3,896        

      (16)  Failure to pay license renewal fees specified in this  3,898        

chapter;                                                           3,899        

      (17)  Engaging in the division of fees for referral of       3,902        

patients, or the receiving of a thing of value in return for a     3,904        

specific referral of a patient to utilize a particular service or  3,905        

business;                                                                       

      (18)(a)  Subject to section 4731.226 of the Revised Code,    3,907        

                                                          88     

                                                                 
violation of any provision of a code of ethics of the American     3,909        

medical association, the American osteopathic association, the     3,910        

American podiatric medical association, or any other national      3,911        

professional organizations as are determined, THAT THE BOARD       3,912        

SPECIFIES by rule, by the state medical board.  The state medical  3,913        

board shall obtain and keep on file current copies of the codes    3,914        

of ethics of the various national professional organizations.      3,915        

The practitioner INDIVIDUAL whose certificate is being suspended   3,916        

or revoked shall not be found to have violated any provision of a  3,918        

code of ethics of an organization not appropriate to the           3,919        

practitioner's INDIVIDUAL'S profession.                            3,920        

      (b)  For purposes of this division, a "provision of a code   3,922        

of ethics of a national professional organization" does not        3,923        

include any provision of a code of ethics of a specified national  3,924        

professional organization that would preclude the making of a      3,925        

report by a physician of an employee's use of a drug of abuse, or  3,926        

of a condition of an employee other than one involving the use of  3,927        

a drug of abuse, to the employer of the employee as described in   3,928        

division (B) of section 2305.33 of the Revised Code, and nothing.  3,930        

NOTHING in this division affects the immunity from civil           3,932        

liability conferred by that section upon a physician who makes     3,933        

either type of report in accordance with division (B) of that      3,934        

section.  As used in this division, "employee," "employer," and    3,935        

"physician" have the same meanings as in section 2305.33 of the    3,936        

Revised Code.                                                                   

      (19)  Inability to practice according to acceptable and      3,938        

prevailing standards of care by reason of mental illness or        3,939        

physical illness, including, but not limited to, physical          3,940        

deterioration that adversely affects cognitive, motor, or          3,941        

perceptive skills.  In                                             3,942        

      IN enforcing this division, the board, upon a showing of a   3,945        

possible violation, may compel any individual licensed or          3,946        

certified AUTHORIZED to practice by this chapter or who has        3,947        

applied for licensure or certification SUBMITTED AN APPLICATION    3,948        

                                                          89     

                                                                 
pursuant to this chapter to submit to a mental or EXAMINATION,     3,950        

physical examination, INCLUDING AN HIV TEST, or both, as required  3,952        

by and at the expense of the board A MENTAL AND A PHYSICAL                      

EXAMINATION.  THE EXPENSE OF THE EXAMINATION IS THE                3,954        

RESPONSIBILITY OF THE INDIVIDUAL COMPELLED TO BE EXAMINED.         3,955        

Failure of any individual to submit to a mental or physical        3,956        

examination when directed OR CONSENT TO AN HIV TEST ORDERED BY     3,957        

THE BOARD constitutes an admission of the allegations against the  3,958        

individual unless the failure is due to circumstances beyond the   3,960        

individual's control, and a default and final order may be         3,961        

entered without the taking of testimony or presentation of         3,962        

evidence.  If the board finds a physician AN INDIVIDUAL unable to  3,963        

practice because of the reasons set forth in this division, the    3,965        

board shall require the physician INDIVIDUAL to submit to care,    3,967        

counseling, or treatment by physicians approved or designated by   3,968        

the board, as a condition for initial, continued, reinstated, or   3,969        

renewed licensure AUTHORITY to practice.  An individual licensed   3,971        

by this chapter affected under this division shall be afforded an  3,972        

opportunity to demonstrate to the board that the individual can    3,973        

THE ABILITY TO resume practice in compliance with acceptable and   3,974        

prevailing standards under the provisions of the individual's      3,975        

certificate.  For the purpose of this division, any individual     3,977        

licensed or certified WHO APPLIES FOR OR RECEIVES A CERTIFICATE    3,978        

to practice by UNDER this chapter accepts the privilege of         3,979        

practicing in this state and, by so doing or by the making and     3,981        

filing of a registration or application to practice in this        3,982        

state, shall be deemed to have given consent to submit to a        3,983        

mental or physical examination when directed to do so in writing   3,984        

by the board, and to have waived all objections to the             3,985        

admissibility of testimony or examination reports that constitute  3,986        

a privileged communication.                                        3,987        

      (20)  Except as provided in division (B)(27) of this         3,989        

section and WHEN CIVIL PENALTIES ARE IMPOSED UNDER section         3,990        

4731.225 OR 4731.281 of the Revised Code, and subject to section   3,991        

                                                          90     

                                                                 
4731.226 of the Revised Code, violating or attempting to violate,  3,993        

directly or indirectly, or assisting in or abetting the violation  3,994        

of, or conspiring to violate, any provisions of this chapter or    3,995        

any rule promulgated by the board.  This                           3,996        

      THIS division does not apply to a violation or attempted     3,998        

violation of, assisting in or abetting the violation of, or a      3,999        

conspiracy to violate, any provision of this chapter or any rule   4,000        

promulgated ADOPTED by the board that would preclude the making    4,001        

of a report by a physician of an employee's use of a drug of       4,003        

abuse, or of a condition of an employee other than one involving   4,004        

the use of a drug of abuse, to the employer of the employee as     4,005        

described in division (B) of section 2305.33 of the Revised Code,  4,006        

and nothing.  NOTHING in this division affects the immunity from   4,009        

civil liability conferred by that section upon a physician who     4,010        

makes either type of report in accordance with division (B) of     4,011        

that section.  As used in this division, "employee," "employer,"   4,012        

and "physician" have the same meanings as in section 2305.33 of    4,013        

the Revised Code.                                                               

      (21)  The violation of any abortion rule adopted by the      4,015        

public health council pursuant to section 3701.341 of the Revised  4,016        

Code;                                                              4,017        

      (22)  The ANY OF THE FOLLOWING ACTIONS TAKEN BY THE STATE    4,020        

AGENCY RESPONSIBLE FOR REGULATING THE PRACTICE OF MEDICINE AND     4,021        

SURGERY, OSTEOPATHIC MEDICINE AND SURGERY, PODIATRY, OR THE        4,022        

LIMITED BRANCHES OF MEDICINE IN ANOTHER STATE, FOR ANY REASON      4,023        

OTHER THAN THE NONPAYMENT OF FEES:  THE limitation, revocation,    4,025        

or suspension by another state of a AN INDIVIDUAL'S license or     4,026        

certificate to practice issued by the proper licensing authority   4,028        

of that state, the; ACCEPTANCE OF AN INDIVIDUAL'S LICENSE          4,029        

SURRENDER; DENIAL OF A LICENSE; refusal to license, register,      4,031        

RENEW or reinstate an applicant by that authority, the A LICENSE;  4,033        

imposition of probation by that authority,; or the issuance of an  4,035        

order of censure or other reprimand by that authority for any      4,036        

reason, other than nonpayment of fees;                             4,037        

                                                          91     

                                                                 
      (23)  The violation of section 2919.12 of the Revised Code   4,039        

or the performance or inducement of an abortion upon a pregnant    4,040        

woman with actual knowledge that the conditions specified in       4,041        

division (B) of section 2317.56 of the Revised Code have not been  4,042        

satisfied or with a heedless indifference as to whether those      4,043        

conditions have been satisfied, unless an affirmative defense as   4,044        

specified in division (H)(2) of that section would apply in a      4,045        

civil action authorized by division (H)(1) of that section;        4,046        

      (24)  The revocation, suspension, restriction, reduction,    4,048        

or termination of clinical privileges by the UNITED STATES         4,050        

department of defense, or the DEPARTMENT OF veterans               4,051        

administration of the United States, for any act or acts that      4,053        

also would constitute a violation of this chapter AFFAIRS OR THE   4,055        

TERMINATION OR SUSPENSION OF A CERTIFICATE OF REGISTRATION TO      4,056        

PRESCRIBE DRUGS BY THE DRUG ENFORCEMENT ADMINISTRATION OF THE      4,057        

UNITED STATES DEPARTMENT OF JUSTICE;                               4,058        

      (25)  Termination or suspension from PARTICIPATION IN THE    4,060        

medicare or medicaid programs by the department of health and      4,062        

human services or other responsible agency for any act or acts     4,063        

that also would constitute a violation of division (B)(2), (3),    4,064        

(6), (8), or (19) of this section;                                 4,065        

      (26)  Impairment of ability to practice according to         4,067        

acceptable and prevailing standards of care because of habitual    4,068        

or excessive use or abuse of drugs, alcohol, or other substances   4,069        

that impair ability to practice.                                   4,070        

      For the purposes of this division, any individual licensed   4,072        

or certified under AUTHORIZED TO PRACTICE BY this chapter accepts  4,073        

the privilege of practicing in this state subject to supervision   4,075        

by the board.  By filing a registration or AN application for      4,076        

licensure or by holding a license or certificate TO PRACTICE       4,078        

under this chapter, an individual shall be deemed to have given    4,080        

consent to submit to a mental or physical examination when         4,081        

ordered to do so by the board in writing, and to have waived all   4,082        

objections to the admissibility of testimony or examination        4,083        

                                                          92     

                                                                 
reports that constitute privileged communications.                 4,084        

      If it has reason to believe that any individual licensed or  4,086        

certified under AUTHORIZED TO PRACTICE BY this chapter or any      4,087        

applicant for a license or certification TO PRACTICE suffers such  4,089        

impairment, the board may compel the individual to submit to a     4,091        

mental or physical examination, or both.  The EXPENSE OF THE       4,092        

examination shall be at IS the expense RESPONSIBILITY of the       4,093        

board INDIVIDUAL COMPELLED TO BE EXAMINED.  Any mental or          4,095        

physical examination required under this division shall be         4,096        

undertaken by a treatment provider or physician who is qualified                

to conduct the examination and who is chosen by the board.         4,098        

      Failure of the individual to submit to a mental or physical  4,100        

examination ordered by the board constitutes an admission of the   4,101        

allegations against the individual unless the failure is due to    4,102        

circumstances beyond the individual's control, and a default and   4,103        

final order may be entered without the taking of testimony or      4,104        

presentation of evidence.  If the board determines that the        4,105        

individual's ability to practice is impaired, the board shall      4,106        

suspend the individual's certificate or deny the individual's      4,108        

application and shall require the individual, as a condition for   4,109        

initial, continued, reinstated, or renewed licensure               4,110        

CERTIFICATION to practice, to submit to treatment.                 4,112        

      Before being eligible to apply for reinstatement of a        4,114        

license CERTIFICATE suspended under this division, the IMPAIRED    4,116        

practitioner shall demonstrate to the board that the practitioner  4,117        

can ABILITY TO resume practice in compliance with acceptable and   4,119        

prevailing standards of care under the provisions of the           4,120        

practitioner's certificate.  The demonstration shall include, but  4,122        

shall not be limited to, the following:                                         

      (a)  Certification from a treatment provider approved under  4,124        

section 4731.25 of the Revised Code that the practitioner          4,125        

INDIVIDUAL has successfully completed any required inpatient       4,127        

treatment;                                                                      

      (b)  Evidence of continuing full compliance with an          4,129        

                                                          93     

                                                                 
aftercare contract or consent agreement;                           4,130        

      (c)  Two written reports indicating that the individual's    4,132        

ability to practice has been assessed and that the individual has  4,133        

been found capable of practicing according to acceptable and       4,134        

prevailing standards of care.  The reports shall be made by        4,135        

individuals or providers approved by the board for making the      4,136        

assessments and shall describe the basis for this THEIR            4,137        

determination.                                                                  

      The board may reinstate a license CERTIFICATE suspended      4,139        

under this division after that demonstration and after the         4,141        

individual has entered into a written consent agreement.           4,142        

      When the impaired practitioner resumes practice after        4,144        

reinstatement of the practitioner's license, the board shall       4,145        

require continued monitoring of the practitioner, which            4,147        

INDIVIDUAL.  THE MONITORING shall include, but not be limited to,  4,149        

compliance with the written consent agreement entered into before  4,150        

reinstatement or with conditions imposed by board order after a    4,151        

hearing, and, upon termination of the consent agreement,           4,152        

submission to the board for at least two years of annual written   4,153        

progress reports made under penalty of perjury stating whether     4,154        

the practitioner INDIVIDUAL has maintained sobriety.               4,155        

      (27)  A second or subsequent violation of section 4731.66    4,157        

or 4731.69 of the Revised Code;                                    4,158        

      (28)  Except as provided in division (J)(N) of this          4,160        

section:                                                                        

      (a)  Waiving the payment of all or any part of a deductible  4,163        

or copayment that a patient, pursuant to a health insurance or     4,164        

health care policy, contract, or plan that covers the              4,165        

practitioner's INDIVIDUAL'S services, otherwise would be required  4,166        

to pay if the waiver is used as an enticement to a patient or      4,167        

group of patients to receive health care services from that        4,168        

provider INDIVIDUAL;                                               4,169        

      (b)  Advertising that the practitioner INDIVIDUAL will       4,171        

waive the payment of all or any part of a deductible or copayment  4,173        

                                                          94     

                                                                 
that a patient, pursuant to a health insurance or health care      4,174        

policy, contract, or plan that covers the practitioner's           4,175        

INDIVIDUAL'S services, otherwise would be required to pay.         4,177        

      (29)  Failure to use universal blood and body fluid          4,179        

precautions established by rules adopted under section 4731.051    4,180        

of the Revised Code;                                               4,181        

      (30)  Failure of a collaborating physician to perform the    4,184        

responsibilities agreed to by the physician in the protocol        4,185        

established between the physician and an advanced practice nurse   4,186        

in accordance with section 4723.56 of the Revised Code;            4,187        

      (31)  Failure to provide notice to, and receive              4,189        

acknowledgment of the notice from, a patient when required by      4,191        

section 4731.143 of the Revised Code prior to providing            4,192        

nonemergency professional services, or failure to maintain that    4,193        

notice in the patient's file;                                                   

      (32)  Failure of a physician supervising a physician         4,195        

assistant to maintain supervision in accordance with the           4,196        

requirements of Chapter 4730. of the Revised Code and the rules    4,197        

adopted under that chapter;                                                     

      (33)  Failure of a physician or podiatrist to maintain a     4,199        

standard care arrangement with a clinical nurse specialist,        4,200        

certified nurse-midwife, or certified nurse practitioner with      4,201        

whom the physician or podiatrist is in collaboration pursuant to   4,202        

section 4731.27 of the Revised Code and practice in accordance     4,203        

with the arrangement;                                                           

      (34)  Failure to comply with the terms of a consult          4,205        

agreement entered into with a pharmacist pursuant to section       4,206        

4729.39 of the Revised Code;                                       4,207        

      (35)  FAILURE TO COOPERATE IN AN INVESTIGATION CONDUCTED BY  4,209        

THE BOARD UNDER DIVISION (F) OF THIS SECTION, INCLUDING FAILURE    4,211        

TO COMPLY WITH A SUBPOENA OR ORDER ISSUED BY THE BOARD OR FAILURE  4,212        

TO ANSWER TRUTHFULLY A QUESTION PRESENTED BY THE BOARD AT A        4,213        

DEPOSITION OR IN WRITTEN INTERROGATORIES, EXCEPT THAT FAILURE TO   4,214        

COOPERATE WITH AN INVESTIGATION SHALL NOT CONSTITUTE GROUNDS FOR   4,215        

                                                          95     

                                                                 
DISCIPLINE UNDER THIS SECTION IF A COURT OF COMPETENT              4,216        

JURISDICTION HAS ISSUED AN ORDER THAT EITHER QUASHES A SUBPOENA    4,217        

OR PERMITS THE INDIVIDUAL TO WITHHOLD THE TESTIMONY OR EVIDENCE    4,218        

IN ISSUE.                                                                       

      (C)  DISCIPLINARY ACTIONS TAKEN BY THE BOARD UNDER           4,220        

DIVISIONS (A) AND (B) OF THIS SECTION SHALL BE TAKEN PURSUANT TO   4,221        

AN ADJUDICATION UNDER CHAPTER 119. OF THE REVISED CODE, EXCEPT     4,222        

THAT IN LIEU OF AN ADJUDICATION, THE BOARD MAY ENTER INTO A        4,223        

CONSENT AGREEMENT WITH AN INDIVIDUAL TO RESOLVE AN ALLEGATION OF   4,224        

A VIOLATION OF THIS CHAPTER OR ANY RULE ADOPTED UNDER IT.  A       4,225        

CONSENT AGREEMENT, WHEN RATIFIED BY AN AFFIRMATIVE VOTE OF NOT     4,226        

FEWER THAN SIX MEMBERS OF THE BOARD, SHALL CONSTITUTE THE          4,227        

FINDINGS AND ORDER OF THE BOARD WITH RESPECT TO THE MATTER         4,228        

ADDRESSED IN THE AGREEMENT.  IF THE BOARD REFUSES TO RATIFY A      4,229        

CONSENT AGREEMENT, THE ADMISSIONS AND FINDINGS CONTAINED IN THE    4,230        

CONSENT AGREEMENT SHALL BE OF NO FORCE OR EFFECT.                  4,231        

      (D)  For purposes of divisions (B)(10), (12), and (14) of    4,233        

this section, the commission of the act may be established by a    4,234        

finding by the board, pursuant to an adjudication under Chapter    4,236        

119. of the Revised Code, that the applicant or certificate        4,237        

holder INDIVIDUAL committed the act.  The board does not have      4,238        

jurisdiction under those divisions if the trial court renders a    4,239        

final judgment in the certificate holder's INDIVIDUAL'S favor and  4,240        

that judgment is based upon an adjudication on the merits.  The    4,242        

board has jurisdiction under those divisions if the trial court    4,243        

issues an order of dismissal upon technical or procedural          4,244        

grounds.                                                                        

      (E)  The sealing of conviction records BY ANY COURT shall    4,246        

have no effect upon a prior board order entered under this         4,247        

section or upon the board's jurisdiction to take action under      4,248        

this section if a notice of an opportunity for a hearing has been  4,250        

issued, based upon a conviction, plea of guilty, or A judicial     4,252        

finding of guilt prior to the court order, OR A JUDICIAL FINDING   4,253        

OF ELIGIBILITY FOR TREATMENT IN LIEU OF CONVICTION, THE BOARD      4,254        

                                                          96     

                                                                 
ISSUED A NOTICE OF OPPORTUNITY FOR A HEARING PRIOR TO THE COURT'S  4,255        

ORDER TO SEAL THE RECORDS.  THE BOARD SHALL NOT BE REQUIRED TO     4,256        

SEAL, DESTROY, REDACT, OR OTHERWISE MODIFY ITS RECORDS TO REFLECT  4,257        

THE COURT'S SEALING OF CONVICTION RECORDS.                         4,258        

      (C)(F)(1)  The board shall investigate evidence that         4,260        

appears to show that any A person has violated any provision of    4,261        

this chapter or any rule adopted under it.  Any person may report  4,262        

to the board in a signed writing any information that the person   4,264        

may have that appears to show a violation of any provision of      4,265        

this chapter or any rule adopted under it.  In the absence of bad  4,266        

faith, any person who reports information of that nature or who    4,267        

testifies before the board in any adjudication hearing conducted   4,268        

under Chapter 119. of the Revised Code shall not be liable in      4,270        

damages in a civil action as a result of the report or testimony.  4,271        

EACH                                                                            

      Each complaint or allegation of a violation received by the  4,273        

board shall be assigned a case number and shall be recorded by     4,274        

the board.  Information received by the board pursuant to an       4,275        

investigation shall be confidential and not subject to discovery   4,276        

in any civil action.                                               4,277        

      (2)  Investigations of alleged violations of this chapter    4,279        

or any rule adopted under it shall be supervised by the            4,281        

supervising member elected by the board in accordance with         4,282        

section 4731.02 of the Revised Code and by the secretary as        4,283        

provided in section 4731.39 of the Revised Code.  The president                 

may designate another member of the board to supervise the         4,285        

investigation in place of the supervising member.  No member of                 

the board who supervises the investigation of a case shall         4,287        

participate in further adjudication of the case.                                

      For the purpose of investigation of (3)  IN INVESTIGATING a  4,290        

possible violation of division (B)(3), (8), (9), (11), or (15) of  4,291        

this section, the board may administer oaths, order the taking of  4,292        

depositions, issue subpoenas, and compel the attendance of         4,293        

witnesses and production of books, accounts, papers, records,      4,294        

                                                          97     

                                                                 
documents, and testimony.                                          4,295        

      In investigating possible violations of all remaining        4,297        

divisions of this section and sections of this chapter or any      4,298        

rule adopted under this chapter, the board also may administer     4,300        

oaths, order the taking of depositions, issue subpoenas, and       4,301        

compel the attendance of witnesses and production of books,        4,302        

accounts, papers, records, documents, and testimony.  However, in  4,303        

those instances, other than for patient records provided to the    4,304        

board pursuant to the reporting provisions of division (A) of      4,305        

section 4731.224 of the Revised Code, EXCEPT THAT a subpoena for   4,306        

patient record information shall not be issued without                          

consultation with the attorney general's office and approval of    4,307        

the secretary of the board, the AND supervising member, and a      4,308        

member of the board who holds a certificate issued under this      4,311        

chapter authorizing the practice of medicine and surgery,          4,312        

osteopathic medicine and surgery, or podiatry.  Before issuance    4,313        

of a subpoena of that nature FOR PATIENT RECORD INFORMATION, the   4,314        

three board members SECRETARY AND SUPERVISING MEMBER shall         4,315        

determine whether there is probable cause to believe that the      4,317        

complaint filed alleges a violation of this chapter or any rule    4,318        

adopted under it and that the records sought are relevant to the   4,320        

alleged violation and material to the investigation.  Those THE    4,321        

SUBPOENA MAY APPLY ONLY TO records must THAT cover a reasonable    4,322        

period of time surrounding the alleged violation.  Upon            4,323        

      ON failure to comply with any subpoena issued by the board   4,326        

and after reasonable notice to the person being subpoenaed, the    4,327        

board may move for an order compelling the production of persons   4,328        

or records pursuant to the Rules of Civil Procedure.  Each         4,329        

officer                                                                         

      A SUBPOENA ISSUED BY THE BOARD MAY BE SERVED BY A SHERIFF,   4,331        

THE SHERIFF'S DEPUTY, OR A BOARD EMPLOYEE DESIGNATED BY THE        4,332        

BOARD.  SERVICE OF A SUBPOENA ISSUED BY THE BOARD MAY BE MADE BY   4,334        

DELIVERING A COPY OF THE SUBPOENA TO THE PERSON NAMED THEREIN,     4,335        

READING IT TO THE PERSON, OR LEAVING IT AT THE PERSON'S USUAL      4,336        

                                                          98     

                                                                 
PLACE OF RESIDENCE.  WHEN THE PERSON BEING SERVED IS A PERSON      4,337        

WHOSE PRACTICE IS AUTHORIZED BY THIS CHAPTER, SERVICE OF THE       4,338        

SUBPOENA MAY BE MADE BY CERTIFIED MAIL, RESTRICTED DELIVERY,       4,339        

RETURN RECEIPT REQUESTED, AND THE SUBPOENA SHALL BE DEEMED SERVED  4,340        

ON THE DATE DELIVERY IS MADE OR THE DATE THE PERSON REFUSES TO     4,341        

ACCEPT DELIVERY.                                                                

      A SHERIFF'S DEPUTY who serves a subpoena of that nature      4,344        

shall receive the same fees as a sheriff, and each.  EACH witness  4,345        

who appears, BEFORE THE BOARD in obedience to a subpoena, before   4,347        

the board, shall receive the fees and mileage provided for         4,348        

witnesses in civil cases in the courts of common pleas.            4,349        

      (4)  All hearings and investigations of the board shall be   4,351        

considered civil actions for the purposes of section 2305.251 of   4,352        

the Revised Code.                                                  4,353        

      (5)  INFORMATION RECEIVED BY THE BOARD PURSUANT TO AN        4,355        

INVESTIGATION IS CONFIDENTIAL AND NOT SUBJECT TO DISCOVERY IN ANY  4,356        

CIVIL ACTION.                                                      4,357        

      The board shall conduct all investigations and proceedings   4,359        

in a manner that protects patient THE confidentiality OF PATIENTS  4,361        

AND PERSONS WHO FILE COMPLAINTS WITH THE BOARD.  The board shall   4,363        

not make public THE names or ANY other identifying information     4,364        

about patients OR COMPLAINANTS unless proper consent is given or,  4,365        

IN THE CASE OF A PATIENT, a waiver of the patient privilege        4,366        

exists under division (B) of section 2317.02 of the Revised Code,  4,367        

except that no consent or A waiver of that nature is NOT required  4,368        

if the board possesses reliable and substantial evidence that no   4,370        

bona fide physician-patient relationship exists.                   4,371        

      (2)  In the absence of fraud or bad faith, neither the       4,373        

board, nor any current or former member, agent, representative,    4,374        

or employee of the board, nor any provider of educational and      4,375        

assessment services selected by the board for the quality          4,376        

intervention program shall be held liable in damages to any        4,377        

person as the result of any act, omission, proceeding, conduct,    4,378        

or decision related to official duties undertaken or performed     4,380        

                                                          99     

                                                                 
pursuant to this chapter.  If a current or former member, agent,                

representative, or employee of the board or a provider of          4,381        

educational and assessment services selected by the board for the  4,382        

quality intervention program requests the state to defend against  4,383        

any claim or action arising out of any act, omission, proceeding,  4,384        

conduct, or decision related to the person's official duties, if   4,385        

the request is made in writing at a reasonable time before trial,  4,386        

and if the person requesting defense cooperates in good faith in   4,387        

the defense of the claim or action, the state shall provide and    4,388        

pay for the defense and shall pay any resulting judgment,          4,389        

compromise, or settlement.  At no time shall the state pay that    4,390        

part of a claim or judgment that is for punitive or exemplary      4,391        

damages.                                                                        

      (3)  On THE BOARD MAY SHARE ANY INFORMATION IT RECEIVES      4,395        

PURSUANT TO AN INVESTIGATION, INCLUDING PATIENT RECORDS AND        4,396        

PATIENT RECORD INFORMATION, WITH OTHER LICENSING BOARDS AND        4,397        

GOVERNMENTAL AGENCIES THAT ARE INVESTIGATING ALLEGED PROFESSIONAL  4,398        

MISCONDUCT AND WITH LAW ENFORCEMENT AGENCIES AND OTHER             4,399        

GOVERNMENTAL AGENCIES THAT ARE INVESTIGATING OR PROSECUTING        4,400        

ALLEGED CRIMINAL OFFENSES.  A BOARD OR AGENCY THAT RECEIVES THE    4,401        

INFORMATION SHALL COMPLY WITH THE SAME REQUIREMENTS REGARDING      4,402        

CONFIDENTIALITY AS THOSE WITH WHICH THE STATE MEDICAL BOARD MUST   4,403        

COMPLY, NOTWITHSTANDING ANY CONFLICTING PROVISION OF THE REVISED                

CODE OR PROCEDURE OF THE BOARD OR AGENCY THAT APPLIES WHEN THE     4,404        

BOARD OR AGENCY IS DEALING WITH OTHER INFORMATION IN ITS           4,405        

POSSESSION.  THE INFORMATION MAY BE ADMITTED INTO EVIDENCE IN A    4,406        

CRIMINAL TRIAL IN ACCORDANCE WITH THE RULES OF EVIDENCE, BUT THE   4,407        

COURT SHALL REQUIRE THAT APPROPRIATE MEASURES ARE TAKEN TO ENSURE  4,408        

THAT CONFIDENTIALITY IS MAINTAINED WITH RESPECT TO ANY PART OF     4,409        

THE INFORMATION THAT CONTAINS NAMES OR OTHER IDENTIFYING           4,410        

INFORMATION ABOUT PATIENTS OR COMPLAINANTS WHOSE CONFIDENTIALITY   4,411        

WAS PROTECTED BY THE STATE MEDICAL BOARD WHEN THE INFORMATION WAS  4,412        

IN THE BOARD'S POSSESSION.  MEASURES TO ENSURE CONFIDENTIALITY                  

THAT MAY BE TAKEN BY THE COURT INCLUDE SEALING ITS RECORDS OR      4,413        

                                                          100    

                                                                 
DELETING SPECIFIC INFORMATION FROM ITS RECORDS.                    4,415        

      (6)  ON a quarterly basis, the board shall prepare a report  4,418        

that documents the disposition of all cases during the preceding   4,419        

three months.  The report shall contain the following information  4,420        

for each case with which the board has completed its activities:   4,421        

      (a)  The case number assigned to the complaint or alleged    4,423        

violation pursuant to division (C)(1) of this section;             4,424        

      (b)  The type of license or certificate to practice, if      4,426        

any, held by the individual against whom the complaint is          4,427        

directed;                                                          4,428        

      (c)  A description of the allegations contained in the       4,430        

complaint;                                                         4,431        

      (d)  The disposition of the case.                            4,433        

      The report shall state how many cases are still pending and  4,436        

shall be prepared in a manner that protects the identity of each   4,438        

person involved in each case.  The report shall be a public        4,439        

record under section 149.43 of the Revised Code.                                

      (D)(G)  If the secretary and supervising member determine    4,441        

that there is clear and convincing evidence that a certificate     4,442        

holder AN INDIVIDUAL has violated division (B) of this section     4,443        

and that the certificate holder's INDIVIDUAL'S continued practice  4,444        

presents a danger of immediate and serious harm to the public,     4,446        

they may recommend that the board suspend the certificate          4,447        

holder's INDIVIDUAL'S certificate TO PRACTICE without a prior      4,449        

hearing.  Written allegations shall be prepared for consideration               

by the board members.                                              4,450        

      The board, upon review of those allegations and by a AN      4,452        

AFFIRMATIVE vote of not fewer than six of its members, excluding   4,454        

the secretary and supervising member, may suspend a certificate    4,455        

without a prior hearing.  A telephone conference call may be       4,456        

utilized for reviewing the allegations and taking the vote ON THE  4,457        

SUMMARY SUSPENSION.                                                4,458        

      The board shall issue a written order of suspension by       4,460        

certified mail or in person in accordance with section 119.07 of   4,461        

                                                          101    

                                                                 
the Revised Code.  The order shall not be subject to suspension    4,463        

by the court during pendency of any appeal filed under section     4,464        

119.12 of the Revised Code.  If the certificate holder INDIVIDUAL  4,465        

SUBJECT TO THE SUMMARY SUSPENSION requests an adjudicatory         4,467        

hearing by the board, the date set for that THE hearing shall be   4,468        

within fifteen days, but not earlier than seven days, after the    4,469        

certificate holder has requested a INDIVIDUAL REQUESTS THE         4,470        

hearing, unless otherwise agreed to by both the board and the      4,471        

certificate holder INDIVIDUAL.                                     4,472        

      Any summary suspension imposed under this division shall     4,474        

remain in effect, unless reversed on appeal, until a final         4,475        

adjudicative order issued by the board pursuant to this section    4,476        

and Chapter 119. of the Revised Code becomes effective.  The       4,477        

board shall issue its final adjudicative order within sixty days   4,478        

after completion of its hearing.  A failure to issue the order     4,479        

within sixty days shall result in dissolution of the summary       4,480        

suspension order but shall not invalidate any subsequent, final    4,481        

adjudicative order.                                                4,482        

      (E)(H)  If the board takes action under division (B)(9),     4,485        

(11), or (13) of this section and the conviction, judicial                      

finding of guilt, or guilty plea, OR JUDICIAL FINDING OF           4,486        

ELIGIBILITY FOR TREATMENT IN LIEU OF CONVICTION is overturned on   4,487        

appeal, upon exhaustion of the criminal appeal, a petition for     4,489        

reconsideration of the order may be filed with the board along     4,490        

with appropriate court documents.  Upon receipt of a petition of   4,491        

that nature and supporting court documents, the board shall        4,492        

reinstate the petitioner's INDIVIDUAL'S certificate TO PRACTICE.   4,493        

The board may then hold an adjudication UNDER CHAPTER 119. OF THE  4,494        

REVISED CODE to determine whether the applicant or certificate     4,495        

holder INDIVIDUAL committed the act in question.  Notice of an     4,497        

opportunity for a hearing shall be given in accordance with        4,498        

Chapter 119. of the Revised Code.  If the board finds, pursuant    4,499        

to an adjudication held under this division, that the applicant    4,500        

or certificate holder INDIVIDUAL committed the act or if no        4,502        

                                                          102    

                                                                 
hearing is requested, the board may order any of the sanctions                  

identified under division (B) of this section.  The board does     4,504        

not have jurisdiction under division (B)(10), (12), or (14) of                  

this section if the trial court renders a final judgment in the    4,506        

certificate holder's favor and that judgment is based upon an      4,507        

adjudication on the merits.  The board has jurisdiction under      4,508        

those divisions if the trial court issues an order of dismissal    4,509        

upon technical or procedural grounds.                              4,510        

      (F)(I)  The certificate or license TO PRACTICE issued to an  4,513        

individual under this chapter and the individual's practice in     4,515        

this state are automatically suspended as of the date the          4,516        

individual pleads guilty to, is found by a judge or jury to be     4,518        

guilty of, or is subject to a judicial finding of eligibility for  4,519        

treatment in lieu of conviction for either ANY of the following:   4,520        

      (1)  In this state, aggravated CRIMINAL OFFENSES IN THIS     4,522        

STATE OR A SUBSTANTIALLY EQUIVALENT CRIMINAL OFFENSE IN ANOTHER    4,523        

JURISDICTION:  AGGRAVATED murder, murder, voluntary manslaughter,  4,526        

felonious assault, kidnapping, rape, sexual battery, gross sexual  4,527        

imposition, aggravated arson, aggravated robbery, or aggravated    4,528        

burglary;                                                                       

      (2)  In another jurisdiction, any criminal offense           4,530        

substantially equivalent to those specified in division (F)(1) of  4,531        

this section.  CONTINUED                                           4,532        

      Continued practice after suspension of the individual's      4,535        

certificate or license shall be considered practicing without a    4,537        

certificate or license.  The                                                    

      THE board shall notify the individual subject to the         4,541        

suspension by certified mail or in person in accordance with       4,542        

section 119.07 of the Revised Code.  If an individual whose        4,543        

certificate or license is suspended under this division fails to   4,544        

make a timely request for an adjudicatory hearing ADJUDICATION     4,545        

UNDER CHAPTER 119. OF THE REVISED CODE, the board shall enter a    4,546        

final order PERMANENTLY revoking the INDIVIDUAL'S certificate or   4,547        

license TO PRACTICE.                                                            

                                                          103    

                                                                 
      (G)(J)  If the board is required by Chapter 119. of the      4,550        

Revised Code to give notice of an opportunity for a hearing and    4,551        

if the applicant or certificate holder INDIVIDUAL SUBJECT TO THE   4,552        

NOTICE does not timely request a hearing in accordance with        4,553        

section 119.07 of the Revised Code, the board is not required to   4,555        

hold a hearing, but may adopt, by a AN AFFIRMATIVE vote of not     4,556        

fewer than six of its members, a final order that contains the     4,557        

board's findings.  In that final order, the board may order any    4,558        

of the sanctions identified under division (A) OR (B) of this      4,560        

section.                                                                        

      (H)(K)  Any action taken by the board under division (B) of  4,562        

this section resulting in a suspension from practice shall be      4,563        

accompanied by a written statement of the conditions under which   4,564        

the INDIVIDUAL'S certificate holder TO PRACTICE may be reinstated  4,566        

to practice.  The board shall adopt rules governing conditions to  4,567        

be imposed for reinstatement.  Reinstatement of a certificate      4,568        

suspended pursuant to division (B) of this section requires an     4,569        

affirmative vote of not fewer than six members of the board.       4,570        

      (I)(L)  WHEN THE BOARD REFUSES TO GRANT A CERTIFICATE TO AN  4,573        

APPLICANT, REVOKES AN INDIVIDUAL'S CERTIFICATE TO PRACTICE,        4,575        

REFUSES TO REGISTER AN APPLICANT, OR REFUSES TO REINSTATE AN       4,576        

INDIVIDUAL'S CERTIFICATE TO PRACTICE, THE BOARD MAY SPECIFY THAT   4,577        

ITS ACTION IS PERMANENT.  AN INDIVIDUAL SUBJECT TO A PERMANENT     4,578        

ACTION TAKEN BY THE BOARD IS FOREVER THEREAFTER INELIGIBLE TO      4,579        

HOLD A CERTIFICATE TO PRACTICE AND THE BOARD SHALL NOT ACCEPT AN   4,580        

APPLICATION FOR REINSTATEMENT OF THE CERTIFICATE OR FOR ISSUANCE   4,581        

OF A NEW CERTIFICATE.                                                           

      (M)  Notwithstanding any other provision of the Revised      4,583        

Code, no ALL OF THE FOLLOWING APPLY:                               4,584        

      (1)  THE surrender of a license or certificate issued under  4,586        

this chapter shall NOT be effective unless or until accepted by    4,588        

the board.  Reinstatement of a certificate surrendered to the      4,589        

board requires an affirmative vote of not fewer than six members   4,590        

of the board.                                                                   

                                                          104    

                                                                 
      Notwithstanding any other provision of the Revised Code, no  4,592        

      (2)  AN application for a license or certificate made under  4,595        

the provisions of this chapter may NOT be withdrawn without        4,597        

approval of the board.                                                          

      (3)  FAILURE BY AN INDIVIDUAL TO RENEW A CERTIFICATE OF      4,600        

REGISTRATION IN ACCORDANCE WITH THIS CHAPTER SHALL NOT REMOVE OR                

LIMIT THE BOARD'S JURISDICTION TO TAKE ANY DISCIPLINARY ACTION     4,602        

UNDER THIS SECTION AGAINST THE INDIVIDUAL.                         4,603        

      (J)(N)  Sanctions shall not be imposed under division        4,605        

(B)(28) of this section against any person who waives deductibles  4,607        

and copayments as follows:                                                      

      (1)  In compliance with the health benefit plan that         4,609        

expressly allows such a practice.  Waiver of the deductibles or    4,610        

copayments shall be made only with the full knowledge and consent  4,611        

of the plan purchaser, payer, and third-party administrator.       4,612        

Documentation of the consent shall be made available to the board  4,613        

upon request.                                                                   

      (2)  For professional services rendered to any other person  4,615        

authorized to practice pursuant to this chapter, to the extent     4,617        

allowed by this chapter and rules adopted by the board.            4,618        

      (K)(O)  Under the board's investigative duties described in  4,620        

this section and subject to division (C)(F) of this section, the   4,622        

board shall develop and implement a quality intervention program   4,624        

designed to improve physicians' clinical and communication skills  4,625        

through remedial education THE CLINICAL AND COMMUNICATION SKILLS   4,626        

OF INDIVIDUALS AUTHORIZED UNDER THIS CHAPTER TO PRACTICE MEDICINE  4,627        

AND SURGERY, OSTEOPATHIC MEDICINE AND SURGERY, AND PODIATRY.  In   4,628        

developing and implementing the quality intervention program, the  4,629        

board may do all of the following:                                 4,630        

      (1)  Offer in appropriate cases as determined by the board   4,632        

an educational and assessment program to physicians pursuant to    4,633        

an investigation the board conducts under this section;            4,635        

      (2)  Select providers of educational and assessment          4,637        

services for physicians, including a quality intervention program  4,638        

                                                          105    

                                                                 
panel of case reviewers;                                           4,639        

      (3)  Refer physicians MAKE REFERRALS to educational and      4,641        

assessment service providers and approve individual educational    4,643        

programs recommended by those providers.  The board shall monitor  4,644        

the progress of each physician INDIVIDUAL undertaking an A         4,645        

RECOMMENDED INDIVIDUAL educational program of that nature.         4,646        

      (4)  Determine WHAT CONSTITUTES successful completion of an  4,648        

INDIVIDUAL educational program undertaken by a referred physician  4,650        

and require further monitoring of a physician THE INDIVIDUAL WHO   4,651        

COMPLETED THE PROGRAM or other action that the board determines    4,652        

to be appropriate;                                                              

      (5)  Adopt rules in accordance with Chapter 119. of the      4,654        

Revised Code to further implement the quality intervention         4,656        

program.                                                                        

      A physician AN INDIVIDUAL who participates in an individual  4,658        

educational program pursuant to this division shall pay the        4,660        

financial obligations arising from that educational program.       4,661        

      Sec. 4731.221.  If the state medical board has reason to     4,670        

believe that any person who has been granted a certificate under   4,671        

Chapter 4731. of the Revised Code is mentally ill or mentally      4,672        

incompetent, it may file in the probate court of the county in     4,673        

which such person has a legal residence an affidavit in the form   4,674        

prescribed in section 5122.11 of the Revised Code and signed by    4,675        

the board secretary or a member of his THE BOARD SECRETARY'S       4,676        

staff, whereupon the same proceedings shall be had as provided in  4,678        

Chapter 5122. of the Revised Code.  The attorney general may       4,679        

represent the board in any proceeding commenced under this         4,680        

section.                                                                        

      If any person who has been granted a certificate is          4,682        

adjudged by a probate court to be mentally ill or mentally         4,683        

incompetent, his THE PERSON'S certificate shall be automatically   4,684        

suspended until such person has filed with the state medical       4,686        

board a certified copy of an adjudication by a probate court of    4,687        

his THE PERSON'S subsequent restoration to competency or has       4,689        

                                                          106    

                                                                 
submitted to such board proof, satisfactory to the board, that he  4,690        

THE PERSON has been discharged as having a restoration to          4,692        

competency in the manner and form provided in section 5122.38 of   4,693        

the Revised Code.  The judge of such court shall forthwith notify  4,694        

the state medical board of an adjudication of incompetence, and    4,695        

shall note any suspension of a certificate in the margin of the    4,696        

court's record of such certificate.  In the absence of fraud or    4,697        

bad faith, neither the state medical board nor any member, agent,  4,698        

representative, or employee thereof shall be held liable in        4,699        

damages by any person by reason of the filing of the affidavit     4,700        

referred to in this section.                                       4,701        

      Sec. 4731.222.  Before restoring to good standing a          4,710        

certificate issued under this chapter that has been in a           4,711        

suspended or inactive state for any cause for more than two        4,712        

years, or before issuing a certificate pursuant to section         4,713        

4731.18, 4731.29, 4731.295, 4731.57, or 4731.571 of the Revised    4,715        

Code to an applicant who for more than two years has not been                   

engaged in the practice of medicine, osteopathic medicine, or      4,717        

podiatry, OR A LIMITED BRANCH OF MEDICINE as an active             4,718        

practitioner, as a participant in a postgraduate training program  4,720        

approved by the state medical board, or PROGRAM OF GRADUATE        4,721        

MEDICAL EDUCATION, AS DEFINED IN SECTION 4731.091 OF THE REVISED   4,722        

CODE, as a student in good standing at a medical or osteopathic    4,723        

school or A college of podiatry approved DETERMINED by the board   4,724        

TO BE IN GOOD STANDING, OR AS A STUDENT IN A SCHOOL, COLLEGE, OR   4,725        

INSTITUTION GIVING INSTRUCTION IN A LIMITED BRANCH OF MEDICINE     4,726        

DETERMINED BY THE BOARD TO BE IN GOOD STANDING UNDER SECTION                    

4731.19 OF THE REVISED CODE, the state medical board may require   4,728        

the applicant to pass an oral or written examination, or both, to  4,729        

determine the applicant's present fitness to resume practice.      4,730        

      The authority of the board to impose terms and conditions    4,732        

includes the following:                                            4,733        

      (A)  Requiring the applicant to obtain additional training   4,735        

and to pass an examination upon completion of such training;       4,736        

                                                          107    

                                                                 
      (B)  Restricting or limiting the extent, scope, or type of   4,738        

practice of the applicant.                                         4,739        

      The board shall consider the moral background and the        4,741        

activities of the applicant during the period of suspension or     4,742        

inactivity, in accordance with section 4731.08 of the Revised      4,743        

Code.                                                              4,744        

      Sec. 4731.223.  (A)  As used in this section, "prosecutor"   4,753        

has the same meaning as in section 2935.01 of the Revised Code.    4,754        

      (B)  Whenever any person holding a valid certificate issued  4,756        

pursuant to this chapter is convicted of or pleads guilty to, IS   4,758        

SUBJECT TO A JUDICIAL FINDING OF GUILT OF, OR IS SUBJECT TO A      4,759        

JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN LIEU OF                        

CONVICTION FOR a violation of Chapter 2907., 2925., or 3719. of    4,760        

the Revised Code or of any substantively comparable ordinance of   4,762        

a municipal corporation in connection with the person's practice,  4,763        

the prosecutor in the case, on forms prescribed and provided by    4,765        

the state medical board, shall promptly notify the board of the    4,766        

conviction or guilty plea.  Within thirty days of receipt of that  4,767        

information, the board shall initiate action in accordance with    4,769        

Chapter 119. of the Revised Code to determine whether to suspend   4,770        

or revoke the certificate under section 4731.22 of the Revised     4,771        

Code.                                                                           

      (C)  The prosecutor in any case against any person holding   4,773        

a valid certificate issued pursuant to this chapter, on forms      4,775        

prescribed and provided by the state medical board, shall notify                

the board of any of the following:                                 4,776        

      (1)  A plea of guilty to, or a finding of guilt by a jury    4,778        

or court of, OR JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN   4,780        

LIEU OF CONVICTION FOR a felony, or a case in which the trial      4,782        

court issues an order of dismissal upon technical or procedural    4,783        

grounds of a felony charge;                                        4,784        

      (2)  A plea of guilty to, or a finding of guilt by a jury    4,787        

or court of, OR JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN   4,789        

LIEU OF CONVICTION FOR a misdemeanor committed in the course of    4,791        

                                                          108    

                                                                 
practice, or a case in which the trial court issues an order of    4,792        

dismissal upon technical or procedural grounds of a charge of a    4,794        

misdemeanor, if the alleged act was committed in the course of     4,795        

practice;                                                                       

      (3)  A plea of guilty to, or a finding of guilt by a jury    4,797        

or court of, OR JUDICIAL FINDING OF ELIGIBILITY FOR TREATMENT IN   4,799        

LIEU OF CONVICTION FOR a misdemeanor involving moral turpitude,    4,801        

or a case in which the trial court issues an order of dismissal    4,802        

upon technical or procedural grounds of a charge of a misdemeanor  4,804        

involving moral turpitude.                                         4,805        

      The report shall include the name and address of the         4,807        

certificate holder, the nature of the offense for which the        4,808        

action was taken, and the certified court documents recording the  4,809        

action.                                                            4,810        

      Sec. 4731.224.  (A)  Within sixty days after the completion  4,819        

IMPOSITION of any formal disciplinary procedure ACTION taken by    4,821        

any HEALTH CARE FACILITY, INCLUDING A hospital or, HEALTH CARE     4,822        

FACILITY OPERATED BY A HEALTH INSURING CORPORATION, ambulatory     4,823        

surgical center, OR SIMILAR FACILITY, against any person           4,824        

INDIVIDUAL holding a valid certificate TO PRACTICE issued          4,826        

pursuant to this chapter, the chief administrator or executive     4,827        

officer of the facility shall report to the STATE MEDICAL board    4,828        

the name of the certificate holder INDIVIDUAL, the action taken    4,829        

by the facility, and a summary of the underlying facts leading to  4,830        

the action taken.  Upon request, the board shall be provided       4,831        

CERTIFIED copies of the patient records minus patient identifiers  4,832        

which THAT were the basis for the facility's action.  Prior to     4,833        

release to the board, the summary shall be approved by the peer    4,834        

review committee which THAT reviewed the case or by the governing  4,835        

board of the facility.  As used in this division, "formal          4,837        

disciplinary procedure ACTION" means any procedure ACTION          4,838        

resulting in the revocation, restriction, reduction, or            4,840        

termination of clinical privileges for violations of professional  4,841        

ethics, or for reasons of medical incompetence, medical            4,842        

                                                          109    

                                                                 
malpractice, or drug or alcohol abuse.  "FORMAL DISCIPLINARY       4,843        

ACTION" INCLUDES A SUMMARY ACTION, AN ACTION THAT TAKES EFFECT     4,844        

NOTWITHSTANDING ANY APPEAL RIGHTS THAT MAY EXIST, AND AN ACTION    4,845        

THAT RESULTS IN AN INDIVIDUAL SURRENDERING CLINICAL PRIVILEGES     4,846        

WHILE UNDER INVESTIGATION AND DURING PROCEEDINGS REGARDING THE     4,847        

ACTION BEING TAKEN OR IN RETURN FOR NOT BEING INVESTIGATED OR      4,848        

HAVING PROCEEDINGS HELD.  "Formal disciplinary procedure ACTION"   4,849        

does not include any action taken for the sole reason of failure   4,851        

to maintain records on a timely basis or failure to attend staff   4,852        

or section meetings.                                                            

      The filing or nonfiling of a report with the board,          4,854        

investigation by the board, or any disciplinary action taken by    4,855        

the board, shall not preclude any action by a health care          4,856        

facility or professional society to suspend, restrict, or revoke   4,857        

the INDIVIDUAL'S CLINICAL privileges or membership of such         4,858        

physician.                                                         4,859        

      IN THE ABSENCE OF FRAUD OR BAD FAITH, NO INDIVIDUAL OR       4,861        

ENTITY THAT PROVIDES PATIENT RECORDS TO THE BOARD SHALL BE LIABLE  4,862        

IN DAMAGES TO ANY PERSON AS A RESULT OF PROVIDING THE RECORDS.     4,863        

      (B)  If any individual authorized to practice under this     4,866        

chapter or any PROFESSIONAL association or society of SUCH         4,867        

individuals authorized to practice under this chapter believes     4,869        

that a violation of any provision of this chapter, Chapter 4730.   4,870        

of the Revised Code, or any rule of the board has occurred, the    4,871        

individual, association, or society shall report to the board the  4,872        

information upon which the belief is based.  This division does    4,873        

not require any person or organization that is a treatment         4,874        

provider approved by the board under section 4731.25 of the        4,877        

Revised Code or any employee, agent, or representative of such a   4,878        

provider to make reports with respect to a AN IMPAIRED                          

practitioner participating in treatment or aftercare so FOR        4,879        

SUBSTANCE ABUSE AS long as the practitioner maintains              4,881        

participation in accordance with the requirements of section       4,882        

4731.25 of the Revised Code, and so AS long as the association,    4,883        

                                                          110    

                                                                 
society, or individual TREATMENT PROVIDER OR EMPLOYEE, AGENT, OR   4,884        

REPRESENTATIVE OF THE PROVIDER has no reason to believe that the   4,885        

practitioner has violated any provision of this chapter or any     4,886        

rule adopted under it, other than the provisions of division       4,887        

(B)(26) of section 4731.22 of the Revised Code.  This division     4,889        

does not require reporting by any member of an impaired            4,890        

practitioner committee established by a hospital HEALTH CARE       4,891        

FACILITY or by any representative or agent of a committee or       4,892        

program sponsored by a professional association OR SOCIETY of      4,893        

individuals authorized to practice under this chapter to provide   4,895        

peer assistance to practitioners with substance abuse problems     4,896        

with respect to a practitioner who has been referred for           4,897        

examination to a treatment program approved by the board under     4,898        

section 4731.25 of the Revised Code if the practitioner            4,899        

cooperates with the referral for examination and with any          4,900        

determination that the physician assistant PRACTITIONER should     4,902        

enter treatment and so AS long as the committee member,                         

representative, or agent has no reason to believe that the         4,903        

practitioner has ceased to participate in the treatment program    4,904        

in accordance with section 4731.25 of the Revised Code or has      4,905        

violated any provision of this chapter or any rule adopted under   4,907        

it, other than the provisions of division (B)(26) of section       4,909        

4731.22 of the Revised Code.                                                    

      (C)  Any professional ASSOCIATION OR society composed        4,911        

primarily of doctors of medicine and surgery, doctors of           4,913        

osteopathic medicine and surgery, or doctors of podiatry, OR       4,914        

PRACTITIONERS OF LIMITED BRANCHES OF MEDICINE that suspends or     4,915        

revokes an individual's membership in that society for violations  4,916        

of professional ethics, or for reasons of professional             4,917        

incompetence or professional malpractice, within sixty days after  4,918        

a final decision shall report to the board, on forms prescribed    4,919        

and provided by the board, the name of the member INDIVIDUAL, the  4,921        

action taken by the society PROFESSIONAL ORGANIZATION, and a                    

summary of the underlying facts leading to the action taken.       4,923        

                                                          111    

                                                                 
      THE FILING OF A REPORT WITH THE BOARD OR DECISION NOT TO     4,925        

FILE A REPORT, INVESTIGATION BY THE BOARD, OR ANY DISCIPLINARY     4,926        

ACTION TAKEN BY THE BOARD, DOES NOT PRECLUDE A PROFESSIONAL        4,927        

ORGANIZATION FROM TAKING DISCIPLINARY ACTION AGAINST AN            4,928        

INDIVIDUAL.                                                                     

      (D)  Any insurer providing professional liability insurance  4,930        

to any person holding a valid certificate issued pursuant to AN    4,931        

INDIVIDUAL AUTHORIZED TO PRACTICE UNDER this chapter, or any       4,932        

other entity that seeks to indemnify the professional liability    4,933        

of any person holding a valid certificate issued pursuant to this  4,934        

chapter SUCH AN INDIVIDUAL, shall notify the board within thirty   4,935        

days after the final disposition of any written claim for damages  4,936        

where such disposition results in a payment which exceeds          4,937        

EXCEEDING twenty-five thousand dollars.  Such THE notice shall     4,938        

contain the following information:                                 4,939        

      (1)  The name and address of the person submitting the       4,941        

notification;                                                      4,942        

      (2)  The name and address of the insured who is the subject  4,944        

of the claim;                                                      4,945        

      (3)  The name of the person filing the written claim;        4,947        

      (4)  The date of final disposition;                          4,949        

      (5)  If applicable, the identity of the court in which the   4,951        

final disposition of the claim took place.                         4,952        

      (E)  On the basis of the reporting provisions in this        4,954        

section, the THE board may investigate possible violations of      4,955        

this chapter or a rule THE RULES adopted under it.  The board may  4,956        

also investigate THAT ARE BROUGHT TO ITS ATTENTION AS A RESULT OF  4,957        

THE REPORTING REQUIREMENTS OF THIS SECTION, EXCEPT THAT THE BOARD  4,959        

SHALL CONDUCT AN INVESTIGATION IF A POSSIBLE VIOLATION INVOLVES    4,960        

repeated malpractice.  As used in this division, "repeated         4,962        

malpractice" is MEANS three or more claims for medical             4,963        

malpractice within the previous five-year period, each resulting   4,964        

in a judgment or settlement in excess of twenty-five thousand      4,965        

dollars in favor of the claimant, and each involving negligent     4,966        

                                                          112    

                                                                 
conduct by the physician PRACTICING INDIVIDUAL.                    4,967        

      (F)  All summaries, reports, and records received and        4,969        

maintained by the board pursuant to this section shall be held in  4,970        

confidence and shall not be subject to discovery or introduction   4,971        

in evidence in any federal or state civil action involving a       4,972        

health care professional or facility arising out of matters which  4,973        

THAT are the subject of such THE reporting to the board REQUIRED   4,975        

BY THIS SECTION.  The board may only use the information obtained  4,976        

ONLY as the basis for an investigation, as evidence in a           4,977        

disciplinary hearing against the certificate holder AN INDIVIDUAL  4,978        

WHOSE PRACTICE IS REGULATED UNDER THIS CHAPTER, or in any                       

subsequent trial or appeal of a board action or order.             4,980        

      The board may only disclose the summaries and reports which  4,982        

it receives under this section ONLY to hospital HEALTH CARE        4,983        

FACILITY committees within or outside Ohio which THIS STATE THAT   4,985        

are involved in credentialling CREDENTIALING or recredentialling   4,986        

RECREDENTIALING the certificate holder INDIVIDUAL or in reviewing  4,987        

his THE INDIVIDUAL'S clinical privileges.  The board shall         4,988        

indicate whether or not the information has been verified.         4,989        

Information thus transmitted by the board shall be subject to the  4,990        

same confidentiality provisions as when maintained by the board.   4,991        

      (G)  Except for reports filed by an individual pursuant to   4,994        

division (B) of this section, THE BOARD SHALL SEND a copy of any   4,995        

reports or summaries received by the board IT RECEIVES pursuant    4,996        

to this section shall be sent to the certificate holder by the     4,997        

board INDIVIDUAL WHO IS THE SUBJECT OF THE REPORTS OR SUMMARIES.   4,998        

The certificate holder INDIVIDUAL shall have the right to file a   4,999        

statement with the board concerning the correctness or relevance   5,000        

of the information.  Such THE statement shall at all times         5,001        

accompany that part of the record in contention.                   5,002        

      (H)  Any person, health care facility, association,          5,004        

society, AN INDIVIDUAL or insurer who ENTITY THAT, pursuant to     5,006        

this section, reports to the board or who refers an impaired       5,007        

practitioner to a treatment provider approved by the board under   5,008        

                                                          113    

                                                                 
section 4731.25 of the Revised Code shall not be subject to suit   5,009        

for civil damages as a result of the report, referral, or          5,011        

provision of the information.                                                   

      (I)  In the absence of fraud or bad faith, no professional   5,013        

association OR SOCIETY of individuals authorized to practice       5,014        

under this chapter that sponsors a committee or program to         5,016        

provide peer assistance to practitioners with substance abuse      5,017        

problems, no representative or agent of such a committee or        5,018        

program, and no member of the state medical board shall be held    5,019        

liable in damages to any person by reason of actions taken to      5,020        

refer a practitioner to a treatment provider approved under        5,021        

section 4731.25 of the Revised Code for examination or treatment.  5,022        

      Sec. 4731.225.  If the holder of a certificate ISSUED under  5,032        

this chapter violates division (A), (B), or (C) of section         5,033        

4731.66 or section 4731.69 of the Revised Code, or if any other    5,034        

person violates division (B) or (C) of section 4731.66 or section  5,036        

4731.69 of the Revised Code, the state medical board, pursuant to               

an adjudication hearing conducted in accordance with UNDER         5,037        

Chapter 119. of the Revised Code and a AN AFFIRMATIVE vote of not  5,038        

fewer than six of its members, shall:                              5,039        

      (A)  For a first violation, impose a civil penalty of not    5,041        

more than five thousand dollars;                                   5,042        

      (B)  For each subsequent violation, impose a civil penalty   5,044        

of not more than twenty thousand dollars and, if the violator is   5,045        

a certificate holder, proceed under division (B)(27) of section    5,046        

4731.22 of the Revised Code.                                                    

      Sec. 4731.25.  The state medical board, in accordance with   5,055        

Chapter 119. of the Revised Code, shall adopt and may amend and    5,056        

rescind rules establishing standards for approval of physicians    5,057        

and facilities as treatment providers for impaired practitioners   5,058        

who are regulated under this chapter or Chapter 4730. of the       5,059        

Revised Code.  The rules shall include standards for both          5,060        

inpatient and outpatient treatment.  The rules shall provide that  5,061        

in order to be approved, a treatment provider must have the        5,062        

                                                          114    

                                                                 
capability of making an initial examination to determine what      5,063        

type of treatment an impaired practitioner requires.  Subject to   5,064        

the rules, the board shall review and approve treatment providers  5,065        

on a regular basis.  The board, at its discretion, may withdraw    5,066        

or deny approval subject to the rules.                             5,067        

      An approved impaired practitioner treatment provider shall:  5,069        

      (A)  Report to the board the name of any practitioner        5,071        

suffering or showing evidence of suffering impairment as           5,072        

described in division (B)(6)(5) of section 4730.25 of the Revised  5,074        

Code or division (B)(26) of section 4731.22 of the Revised Code    5,076        

who fails to comply within one week with a referral for                         

examination;                                                       5,077        

      (B)  Report to the board the name of any impaired            5,079        

practitioner who fails to enter treatment within forty-eight       5,080        

hours following the provider's determination that the              5,081        

practitioner needs treatment;                                      5,082        

      (C)  Require every practitioner who enters treatment to      5,084        

agree to a treatment contract establishing the terms of treatment  5,085        

and aftercare, including any required supervision or restrictions  5,086        

of practice during treatment or aftercare;                         5,087        

      (D)  Require a practitioner to suspend practice upon entry   5,089        

into any required inpatient treatment;                             5,090        

      (E)  Report to the board any failure by an impaired          5,092        

practitioner to comply with the terms of the treatment contract    5,093        

during inpatient or outpatient treatment or aftercare;             5,094        

      (F)  Report to the board the resumption of practice of any   5,096        

impaired practitioner before the treatment provider has made a     5,097        

clear determination that the practitioner is capable of            5,098        

practicing according to acceptable and prevailing standards of     5,099        

care;                                                              5,100        

      (G)  Require a practitioner who resumes practice after       5,102        

completion of treatment to comply with an aftercare contract that  5,103        

meets the requirements of rules adopted by the board for approval  5,104        

of treatment providers;                                            5,105        

                                                          115    

                                                                 
      (H)  Report the identity of any practitioner practicing      5,107        

under the terms of an aftercare contract to hospital               5,108        

administrators, medical chiefs of staff, and chairpersons of       5,109        

impaired practitioner committees of all health care institutions   5,111        

at which the practitioner holds clinical privileges or otherwise   5,112        

practices.  If the practitioner does not hold clinical privileges  5,114        

at any health care institution, the treatment provider shall       5,115        

report the practitioner's identity to the impaired physicians      5,116        

PRACTITIONER committee of the county medical society, osteopathic  5,117        

academy, or podiatric medical association in every county in       5,118        

which the practitioner practices.  If there are no impaired        5,119        

physicians PRACTITIONER committees in the county, the treatment    5,121        

provider shall report the practitioner's identity to the           5,122        

president or other designated member of the county medical         5,123        

society, osteopathic academy, or podiatric medical association.    5,124        

      (I)  Report to the board the identity of any practitioner    5,126        

who suffers a relapse at any time during or following aftercare.   5,127        

      Any individual authorized to practice under this chapter     5,130        

who enters into treatment by an approved treatment provider shall  5,131        

be deemed to have waived any confidentiality requirements that     5,132        

would otherwise prevent the treatment provider from making         5,133        

reports required under this section.                               5,134        

      In the absence of fraud or bad faith, no person or           5,136        

organization that conducts an approved impaired practitioner       5,137        

treatment program, no member of such an organization, and no       5,139        

employee, representative, or agent of the treatment provider       5,140        

shall be held liable in damages to any person by reason of         5,141        

actions taken or recommendations made by the treatment provider    5,142        

or its employees, representatives, or agents.                                   

      Sec. 4731.281.  (A)  On or before the deadline established   5,152        

under division (B) of this section for applying for renewal of a   5,154        

certificate of registration, each person holding a certificate     5,156        

under this chapter to practice medicine and surgery, osteopathic   5,157        

medicine and surgery, or podiatry shall certify to the state       5,158        

                                                          116    

                                                                 
medical board that in the preceding two years the person has       5,159        

completed one hundred hours of continuing medical education.  The  5,160        

certification shall be made upon the application for BIENNIAL      5,161        

registration furnished by the board SUBMITTED pursuant to          5,163        

DIVISION (B) OF this section.  For purposes of meeting this        5,165        

requirement, THE BOARD SHALL ADOPT RULES PROVIDING FOR PRO RATA    5,166        

REDUCTIONS BY MONTH OF THE NUMBER OF HOURS OF CONTINUING           5,168        

EDUCATION REQUIRED FOR PERSONS WHO ARE IN THEIR FIRST              5,169        

REGISTRATION PERIOD, WHO HAVE A REGISTRATION PERIOD OF LESS THAN   5,170        

TWO YEARS DUE TO INITIAL IMPLEMENTATION OF THE STAGGERED RENEWAL   5,171        

SCHEDULE ESTABLISHED UNDER DIVISION (B) OF THIS SECTION, WHO HAVE  5,172        

BEEN DISABLED DUE TO ILLNESS OR ACCIDENT, OR WHO HAVE BEEN ABSENT  5,174        

FROM THE COUNTRY.                                                               

      IN DETERMINING WHETHER A COURSE, PROGRAM, OR ACTIVITY        5,176        

QUALIFIES FOR CREDIT AS CONTINUING MEDICAL EDUCATION, THE BOARD    5,177        

SHALL APPROVE all continuing medical education taken by persons    5,179        

holding a certificate to practice medicine and surgery shall be    5,180        

THAT IS certified by the Ohio state medical association and        5,181        

approved by the board;, all continuing medical education taken by  5,182        

persons holding a certificate to practice osteopathic medicine     5,183        

and surgery shall be THAT IS certified by the Ohio osteopathic     5,184        

association and approved by the board;, and all continuing         5,185        

medical education taken by persons holding a certificate to        5,187        

practice podiatry shall be THAT IS certified by the Ohio           5,188        

podiatric medical association and approved by the board.  The      5,190        

board shall adopt rules providing for pro rata adjustments by      5,191        

month of the hours of continuing education required by this        5,193        

section for persons who are in their first registration period,    5,194        

who have a registration period of less than two years due to       5,195        

initial implementation of the staggered renewal schedule           5,196        

established under division (B) of this section, who have been      5,197        

disabled due to illness or accident, or who have been absent from  5,198        

the country.  Each person holding a certificate to practice under  5,199        

this chapter shall be given sufficient choice of continuing        5,200        

                                                          117    

                                                                 
education programs to ensure that the person has had a reasonable  5,201        

opportunity to participate in continuing education programs that   5,203        

are relevant to the person's medical practice in terms of subject  5,205        

matter and level.  The                                                          

      THE board may require a random sample of persons holding a   5,208        

certificate to practice under this chapter to submit materials     5,209        

documenting completion of the continuing medical education         5,210        

requirement during the preceding registration period, but this     5,211        

provision shall not limit the board's authority to investigate     5,212        

pursuant to section 4731.22 of the Revised Code.                   5,213        

      (B)(1)  Every person holding a certificate under this        5,215        

chapter to practice medicine and surgery, osteopathic medicine     5,216        

and surgery, or podiatry wishing to renew that certificate shall   5,217        

apply to the board for a certificate of registration upon an       5,219        

application furnished by the board, and pay TO THE BOARD AT THE    5,220        

TIME OF APPLICATION a fee of two hundred seventy-five dollars to   5,221        

the board, according to the following schedule:                    5,222        

      (a)  Persons whose last name begins with the letters "A"     5,224        

through "B," on or before April 1, 2001, and the first day of      5,225        

April of every odd-numbered year thereafter;                       5,226        

      (b)  Persons whose last name begins with the letters "C"     5,228        

through "D," on or before January 1, 2001, and the first day of    5,229        

January of every odd-numbered year thereafter;                     5,230        

      (c)  Persons whose last name begins with the letters "E"     5,233        

through "G," on or before October 1, 2000, and the first day of    5,236        

October of every even-numbered year thereafter;                    5,237        

      (d)  Persons whose last name begins with the letters "H"     5,240        

through "K," on or before July 1, 2000, and the first day of July  5,243        

of every even-numbered year thereafter;                            5,244        

      (e)  Persons whose last name begins with the letters "L"     5,247        

through "M," on or before April 1, 2000, and the first day of      5,250        

April of every even-numbered year thereafter;                      5,251        

      (f)  Persons whose last name begins with the letters "N"     5,254        

through "R," on or before January 1, 2000, and the first day of    5,257        

                                                          118    

                                                                 
January of every even-numbered year thereafter;                    5,258        

      (g)  Persons whose last name begins with the letter "S," on  5,261        

or before October 1, 1999, and the first day of October of every   5,263        

odd-numbered year thereafter;                                      5,264        

      (h)  Persons whose last name begins with the letters "T"     5,267        

through "Z," on or before July 1, 1999, and the first day of July  5,268        

of every odd-numbered year thereafter.                             5,269        

      The board shall deposit the fee in accordance with section   5,272        

4731.24 of the Revised Code, except that, until July 30, 2001,     5,274        

the board shall deposit twenty dollars of the fee into the state   5,275        

treasury to the credit of the physician loan repayment fund        5,276        

created by section 3702.78 of the Revised Code.                    5,277        

      The board shall assess a penalty of twenty-five dollars for  5,280        

late applications.  The board shall deposit penalties in           5,281        

accordance with section 4731.24 of the Revised Code.               5,282        

      (2)  The board shall mail or cause to be mailed to every     5,285        

person registered to practice medicine and surgery, osteopathic    5,286        

medicine and surgery, or podiatry, an application for              5,287        

registration addressed to the PERSON'S last known post-office      5,288        

address of such person or may cause such THE application to be     5,290        

sent to such THE person through the secretary of any recognized    5,292        

medical, osteopathic, or podiatric society, according to the       5,294        

following schedule:                                                             

      (a)  To persons whose last name begins with the letters "A"  5,296        

through "B," on or before January 1, 2001, and the first day of    5,298        

January of every odd-numbered year thereafter;                     5,299        

      (b)  To persons whose last name begins with the letters "C"  5,302        

through "D," on or before October 1, 2000, and the first day of    5,305        

October of every even-numbered year thereafter;                    5,306        

      (c)  To persons whose last name begins with the letters "E"  5,309        

through "G," on or before July 1, 2000, and the first day of July  5,312        

of every even-numbered year thereafter;                            5,313        

      (d)  To persons whose last name begins with the letters "H"  5,316        

through "K," on or before April 1, 2000, and the first day of      5,319        

                                                          119    

                                                                 
April of every even-numbered year thereafter;                      5,320        

      (e)  To persons whose last name begins with the letters "L"  5,323        

through "M," on or before January 1, 2000, and the first day of    5,326        

January of every even-numbered year thereafter;                    5,327        

      (f)  To persons whose last name begins with the letters "N"  5,330        

through "R," on or before October 1, 1999, and the first day of    5,333        

October of every odd-numbered year thereafter;                     5,334        

      (g)  To persons whose last name begins with the letter "S,"  5,337        

on or before July 1, 1999, and the first day of July of every      5,339        

odd-numbered year thereafter;                                      5,340        

      (h)  To persons whose last name begins with the letters "T"  5,343        

through "Z," on or before April 1, 1999, and the first day of      5,346        

April of every odd-numbered year thereafter.                       5,347        

      Failure of any person to receive an application from the     5,350        

board shall not excuse the person from the requirements contained  5,351        

in this section.  The application shall contain proper spaces for  5,352        

the applicant's signature and the insertion of the required        5,353        

information, including a statement that the person has fulfilled   5,355        

the continuing education requirements imposed by this section.     5,356        

      The applicant shall write or cause to be written upon the    5,358        

application so furnished the applicant's full name, principal      5,360        

practice address and residence address, the number of the          5,362        

applicant's certificate to practice, and any other facts for the   5,364        

identification of the applicant as a person holding a certificate  5,365        

to practice under this chapter as the board considers necessary.   5,366        

The applicant shall include with the application a list of the     5,367        

names and addresses of any clinical nurse specialists, certified   5,368        

nurse-midwives, or certified nurse practitioners with whom the     5,369        

applicant is currently collaborating, as defined in section        5,370        

4723.02 of the Revised Code.  The applicant shall execute and      5,373        

deliver the application to the board by mail or in person.  Every  5,374        

person registered under this section shall give written notice to  5,375        

the board of any change of principal practice address or           5,376        

residence address or in the list within thirty days of the         5,377        

                                                          120    

                                                                 
change.                                                                         

      The applicant shall report any criminal offense that         5,379        

constitutes grounds for refusal of registration under section      5,380        

4731.22 of the Revised Code TO WHICH THE APPLICANT HAS PLEADED     5,381        

GUILTY, of which the applicant has been found guilty, or to which  5,384        

the applicant has entered a plea of guilty or no contest FOR       5,385        

WHICH THE APPLICANT HAS BEEN FOUND ELIGIBLE FOR TREATMENT IN LIEU  5,386        

OF CONVICTION, since the LAST signing of the applicant's latest    5,387        

preceding AN application for a certificate to practice medicine    5,389        

or surgery OF REGISTRATION.                                                     

      (C)  The board shall issue to any person holding a           5,391        

certificate under this chapter to practice medicine and surgery,   5,392        

osteopathic medicine and surgery, or podiatry, upon application    5,393        

and qualification therefor in accordance with this section, a      5,394        

certificate of registration under the seal of the board.  Such A   5,395        

certificate OF REGISTRATION shall be valid for a two-year period,  5,396        

commencing on the first day of the third month after the           5,398        

registration fee is due and expiring on the last day of the month  5,400        

two years thereafter.                                              5,401        

      The board shall publish and cause to be mailed to each       5,405        

person registered under this section, upon request, a printed      5,406        

list of the persons so registered.                                              

      (D)  Failure of any certificate holder to register and       5,408        

comply with this section shall operate automatically to suspend    5,409        

the holder's certificate to practice, and the continued.           5,411        

CONTINUED practice after the suspension of the certificate to      5,413        

practice shall be considered as practicing without a license IN    5,414        

VIOLATION OF SECTION 4731.41, 4731.43, OR 4731.60 OF THE REVISED   5,415        

CODE.  A SUBJECT TO SECTION 4731.222 OF THE REVISED CODE, THE      5,416        

BOARD SHALL REINSTATE A certificate to practice suspended for      5,418        

less than two years for failure to register shall be reinstated    5,419        

by the board upon AN APPLICANT'S submission of the current and     5,420        

delinquent BIENNIAL registration fees FEE, the twenty-five-dollar  5,422        

APPLICABLE MONETARY penalty for late applications, and             5,423        

                                                          121    

                                                                 
certification by signature of the applicant that the applicant     5,424        

has completed the requisite continuing medical education.  THE     5,425        

PENALTY FOR REINSTATEMENT SHALL BE FIFTY DOLLARS IF THE            5,427        

CERTIFICATE HAS BEEN SUSPENDED FOR TWO YEARS OR LESS AND ONE       5,428        

HUNDRED DOLLARS IF THE CERTIFICATE HAS BEEN SUSPENDED FOR MORE                  

THAN TWO YEARS.  THE BOARD SHALL DEPOSIT THE PENALTIES IN          5,429        

ACCORDANCE WITH SECTION 4731.24 OF THE REVISED CODE.               5,431        

      (E)  IF AN INDIVIDUAL CERTIFIES COMPLETION OF THE NUMBER OF  5,433        

HOURS AND TYPE OF CONTINUING MEDICAL EDUCATION REQUIRED TO         5,435        

RECEIVE A CERTIFICATE OF REGISTRATION OR REINSTATEMENT OF A        5,436        

CERTIFICATE TO PRACTICE, AND THE BOARD FINDS THROUGH THE RANDOM    5,437        

SAMPLES IT CONDUCTS UNDER THIS SECTION OR THROUGH ANY OTHER MEANS  5,438        

THAT THE INDIVIDUAL DID NOT COMPLETE THE REQUISITE CONTINUING      5,439        

MEDICAL EDUCATION, THE BOARD MAY IMPOSE A CIVIL PENALTY OF NOT     5,440        

MORE THAN FIVE THOUSAND DOLLARS.  THE BOARD'S FINDING SHALL BE     5,441        

MADE PURSUANT TO AN ADJUDICATION UNDER CHAPTER 119. OF THE         5,443        

REVISED CODE AND BY AN AFFIRMATIVE VOTE OF NOT FEWER THAN SIX      5,444        

MEMBERS.                                                                        

      A CIVIL PENALTY IMPOSED UNDER THIS DIVISION MAY BE IN        5,446        

ADDITION TO OR IN LIEU OF ANY OTHER ACTION THE BOARD MAY TAKE      5,447        

UNDER SECTION 4731.22 OF THE REVISED CODE.  THE BOARD SHALL        5,449        

DEPOSIT CIVIL PENALTIES IN ACCORDANCE WITH SECTION 4731.24 OF THE  5,450        

REVISED CODE.                                                                   

      (E)(F)  The state medical board may obtain information not   5,452        

protected by statutory or common law privilege from courts and     5,453        

other sources concerning malpractice claims against any person     5,454        

holding a certificate to practice under this chapter or            5,455        

practicing as provided in section 4731.36 of the Revised Code.     5,456        

      Sec. 4731.29.  (A)  When a person licensed to practice       5,465        

medicine and surgery or osteopathic medicine and surgery by the    5,466        

licensing department of another state, a diplomate of the          5,467        

national board of medical examiners or the national board of       5,468        

examiners for osteopathic physicians and surgeons, or a            5,469        

licentiate of the medical council of Canada wishes to remove to    5,470        

                                                          122    

                                                                 
this state to practice his profession, he THE PERSON shall file    5,472        

an application with the state medical board.  The board may, in                 

its discretion, by an affirmative vote of not less than six of     5,473        

its members, issue to him a ITS certificate to practice medicine   5,474        

and surgery or osteopathic medicine and surgery without requiring  5,475        

the applicant to submit to examination, provided he THE APPLICANT  5,476        

submits evidence satisfactory to the board that he meets OF        5,478        

MEETING the same age, moral character, and educational             5,479        

requirements individuals must meet under sections 4731.08,         5,480        

4731.09, 4731.091, and 4731.14 of the Revised Code and, if         5,481        

applicable, that he demonstrates proficiency in spoken English in  5,482        

accordance with division (E) of this section.                      5,483        

      (B)  The state medical board shall issue or deny its         5,485        

certificate TO PRACTICE within sixty days after the receipt of a   5,486        

complete application to practice medicine and surgery, or          5,487        

osteopathic medicine and surgery, under division (A) of this       5,488        

section.  Within thirty days after receipt of an application, the  5,489        

state medical board shall provide the applicant with written       5,490        

notice, by certified mail, of any information required before an   5,491        

application can be considered complete for purposes of this        5,492        

section.                                                                        

      (C)  If an applicant is under investigation pursuant to      5,494        

section 4731.22 of the Revised Code, the state medical board       5,495        

shall conclude the investigation within ninety days of receipt of  5,496        

a complete application unless extended by written consent of the   5,497        

applicant or unless the board determines that a substantial        5,498        

question of such a violation OF THIS CHAPTER OR THE RULES ADOPTED  5,499        

UNDER IT exists and the board has notified the applicant in        5,500        

writing of the reasons for the continuation of the investigation.  5,501        

If the board determines that the applicant has IS not violated     5,502        

section 4731.22 of the Revised Code IN VIOLATION, it shall issue   5,504        

a certificate within forty-five days of that determination.                     

      (D)  A fee of three hundred dollars shall be submitted with  5,506        

each application for certification under this section.             5,507        

                                                          123    

                                                                 
      (E)(1)  Except as otherwise provided in this division        5,509        

(E)(2) OF THIS SECTION, an applicant licensed to practice          5,510        

medicine and surgery or osteopathic medicine and surgery by the    5,512        

licensing department of another state who received that license    5,513        

based in part on certification from the educational commission     5,514        

for foreign medical graduates shall demonstrate proficiency in     5,515        

spoken English if he THE APPLICANT fulfilled the undergraduate     5,516        

requirements for a certificate issued under this section at an     5,518        

institution outside the United States. The applicant may           5,519        

demonstrate such proficiency only in the manner described in       5,520        

section 4731.142 of the Revised Code for individuals attempting    5,521        

to receive certificates issued under section 4731.14 of the        5,522        

Revised Code.  An                                                               

      (2)  AN applicant DESCRIBED IN DIVISION (E)(1) OF THIS       5,525        

SECTION is not required to demonstrate proficiency in spoken       5,526        

English if either of the following apply:                                       

      (1)(a)  During the five years immediately preceding the      5,528        

date of his application, the applicant's license has been          5,529        

unrestricted and the applicant has been actively practicing        5,530        

medicine and surgery or osteopathic medicine and surgery in the    5,531        

United States.                                                                  

      (2)(b)  The applicant was required to demonstrate such       5,533        

proficiency as a condition of his RECEIVING certification from     5,534        

the educational commission for foreign medical graduates.          5,536        

      Sec. 4731.291.  (A)  The state medical board may issue,      5,545        

without examination, a training certificate to any person who      5,546        

wishes AN INDIVIDUAL SEEKING to pursue an internship, residency,   5,547        

or clinical fellowship program in this state, WHO DOES NOT HOLD A  5,549        

CERTIFICATE TO PRACTICE MEDICINE AND SURGERY OR OSTEOPATHIC        5,551        

MEDICINE OR SURGERY ISSUED UNDER THIS CHAPTER, SHALL APPLY TO THE  5,552        

STATE MEDICAL BOARD FOR A TRAINING CERTIFICATE.  THE APPLICATION   5,553        

SHALL BE MADE ON FORMS THAT THE BOARD SHALL FURNISH AND SHALL BE   5,554        

ACCOMPANIED BY AN APPLICATION FEE OF SEVENTY-FIVE DOLLARS.         5,555        

      (B)  An applicant for a training certificate shall furnish   5,557        

                                                          124    

                                                                 
proof satisfactory to the board of all the following:              5,558        

      (1)  The EVIDENCE SATISFACTORY TO THE BOARD THAT THE         5,560        

applicant is at least eighteen years of age and is of good moral   5,563        

character.                                                                      

      (2)  The EVIDENCE SATISFACTORY TO THE BOARD THAT THE         5,565        

applicant has been accepted or appointed to participate in this    5,568        

state in one of the following:                                                  

      (a)  An internship or residency program accredited by        5,570        

either the accreditation council for graduate medical education    5,571        

of the American medical association or the American osteopathic    5,572        

association;                                                       5,573        

      (b)  A clinical fellowship program at an institution with a  5,575        

residency program accredited by either the accreditation council   5,576        

for graduate medical education of the American medical             5,577        

association or the American osteopathic association that is in a   5,578        

clinical field the same as or related to the clinical field of     5,579        

the fellowship program.                                            5,580        

      The applicant shall indicate;                                5,582        

      (3)  INFORMATION IDENTIFYING the beginning and ending dates  5,584        

of the period for which the applicant has been accepted or         5,585        

appointed to participate in the internship, residency, or          5,587        

clinical fellowship program;                                       5,588        

      (4)  ANY OTHER INFORMATION THAT THE BOARD REQUIRES.          5,590        

      (C)  A (B)  IF NO GROUNDS FOR DENYING A CERTIFICATE UNDER    5,592        

SECTION 4731.22 OF THE REVISED CODE APPLY, AND THE APPLICANT       5,594        

MEETS THE REQUIREMENTS OF DIVISION (A) OF THIS SECTION, THE BOARD  5,595        

SHALL ISSUE A TRAINING CERTIFICATE TO THE APPLICANT.  THE BOARD    5,596        

SHALL NOT REQUIRE AN EXAMINATION AS A CONDITION OF RECEIVING A     5,597        

TRAINING CERTIFICATE.                                                           

      A training certificate issued pursuant to this section       5,599        

shall be valid only for the period of one year, but may in the     5,600        

discretion of the board and upon application duly made, be         5,601        

renewed annually for a maximum of five years.  The fee for         5,602        

RENEWAL OF a training certificate or any renewal thereof shall be  5,603        

                                                          125    

                                                                 
thirty-five dollars.  The                                          5,604        

      THE board shall maintain a register of all individuals who   5,608        

hold training certificates.                                                     

      (D)(C)  The holder of a valid training certificate shall be  5,610        

entitled to perform such acts as may be prescribed by or           5,611        

incidental to the holder's internship, residency, or clinical      5,613        

fellowship program, but the holder shall not be entitled           5,614        

otherwise to engage in the practice of medicine and surgery or                  

osteopathic medicine and surgery in this state.  The holder shall  5,616        

limit activities under the certificate to the programs of the      5,617        

hospitals or facilities for which the training certificate is      5,618        

issued.  The holder shall train only under the supervision of the  5,619        

physicians responsible for supervision as part of the internship,  5,620        

residency, or clinical fellowship program.  A training             5,621        

certificate may be revoked by the board upon proof, satisfactory   5,622        

to the board, that the holder thereof has engaged in practice in   5,623        

this state outside the scope of the internship, residency, or      5,624        

clinical fellowship program for which the training certificate     5,625        

has been issued, or upon proof, satisfactory to the board, that    5,626        

the holder thereof has engaged in unethical conduct or that there  5,627        

are grounds for action against the holder under section 4731.22    5,628        

of the Revised Code.                                                            

      (E)(D)  The board may adopt rules as the board finds         5,630        

necessary to effect the purpose of this section.                   5,632        

      Sec. 4731.341.  The practice of medicine in all of its       5,642        

branches or the treatment of human ailments without the use of     5,645        

drugs or medicines and without operative surgery by any person     5,646        

not at that time holding a valid and current certificate as        5,650        

provided by Chapter 4723., 4725., or 4731. of the Revised Code is  5,651        

hereby declared to be inimical to the public welfare and to        5,652        

constitute a public nuisance.  The attorney general, the           5,653        

prosecuting attorney of any county in which the offense was        5,654        

committed or the offender resides, the state medical board, or     5,655        

any other person having knowledge of a person engaged EITHER       5,656        

                                                          126    

                                                                 
DIRECTLY OR BY COMPLICITY in the practice of medicine without      5,657        

having first obtained a certificate to do so pursuant to such      5,658        

chapters, may on or after January 1, 1969, in accord with          5,659        

provisions of the Revised Code governing injunctions, maintain an  5,660        

action in the name of the state to enjoin any person from          5,661        

engaging EITHER DIRECTLY OR BY COMPLICITY in the unlawful          5,663        

practice of medicine in all of its branches, or the treatment of   5,664        

human ailments without the use of drugs or medicines and without   5,665        

operative surgery, by applying for an injunction in any court of   5,667        

competent jurisdiction.                                            5,668        

      Prior to application for such injunction, the secretary of   5,670        

the state medical board shall notify the person allegedly engaged  5,671        

EITHER DIRECTLY OR BY COMPLICITY in the unlawful practice of       5,672        

medicine or any of its branches by registered mail that the        5,674        

secretary has received information indicating that this person is  5,675        

so engaged.  Said person shall answer the secretary within thirty  5,676        

days showing that the person is either properly licensed for the   5,678        

stated activity or that the person is not in violation of Chapter  5,680        

4723. or 4731. of the Revised Code.  If the answer is not          5,681        

forthcoming within thirty days after notice by the secretary, the  5,683        

secretary shall request that the attorney general, the             5,684        

prosecuting attorney of the county in which the offense was                     

committed or the offender resides, or the state medical board      5,685        

proceed as authorized in this section.                             5,686        

      Upon the filing of a verified petition in court, the court   5,688        

shall conduct a hearing on the petition and shall give the same    5,689        

preference to this proceeding as is given all proceedings under    5,690        

Chapter 119. of the Revised Code, irrespective of the position of  5,693        

the proceeding on the calendar of the court.                                    

      Such injunction proceedings shall be in addition to, and     5,695        

not in lieu of, all penalties and other remedies provided in       5,696        

Chapters 4723. and 4731. of the Revised Code.                      5,697        

      Sec. 4731.41.  No person shall practice medicine or AND      5,707        

surgery, or any of its branches, without a THE APPROPRIATE         5,709        

                                                          127    

                                                                 
certificate from the state medical board; no TO ENGAGE IN THE      5,710        

PRACTICE.  NO person shall advertise or announce himself as CLAIM  5,711        

TO THE PUBLIC TO BE a practitioner of medicine or AND surgery, or  5,712        

any of its branches, without a certificate from the board; no.     5,713        

NO person not being a licensee shall open or conduct an office or  5,714        

other place for such practice without a certificate from the       5,715        

board; no.  NO person shall conduct an office in the name of some  5,716        

person who has a certificate to practice medicine or AND surgery,  5,717        

or any of its branches; and no.  NO person shall practice          5,718        

medicine or AND surgery, or any of its branches, after a THE       5,720        

PERSON'S certificate has been revoked, or, if suspended, during    5,721        

the time of such suspension.  Any person licensed as a cosmetic    5,722        

therapist and holding a certificate issued by the state medical    5,723        

board pursuant to Chapter 4731. of the Revised Code may advertise  5,724        

and offer the service of cosmetic therapy and conduct an office    5,725        

for the practice thereof under such rules and regulations as may   5,726        

be prescribed by the state medical board.  Section 1701.03 of the  5,727        

Revised Code is not applicable to the practice of cosmetic         5,728        

therapy, except that no corporation shall be licensed to practice  5,729        

cosmetic therapy.                                                               

      A certificate signed by the secretary OF THE BOARD to which  5,731        

is affixed the official seal of the board to the effect that it    5,732        

appears from the records of the board that no such certificate to  5,733        

practice medicine or AND surgery, or any of its branches, in the   5,734        

THIS state has been issued to any such THE person specified        5,736        

therein, or that a certificate TO PRACTICE, if issued, has been    5,737        

revoked or suspended, shall be received as prima-facie evidence    5,738        

of the record of such THE board in any court or before any         5,740        

officer of the state.                                                           

      Sec. 4731.61.  The certificate of a podiatrist may be        5,749        

revoked, limited, or suspended; the holder of a certificate may    5,751        

be placed on probation or reprimanded; or an applicant may be      5,753        

refused registration or reinstatement for violations of section    5,755        

4731.22 or sections 4731.51 to 4731.60 of the Revised Code by a    5,757        

                                                          128    

                                                                 
AN AFFIRMATIVE vote of not less than six members of the state      5,758        

medical board.                                                     5,759        

      This section does not preclude the application to, or limit  5,761        

the operation or effect upon, podiatrists of other sections of     5,763        

Chapter 4731. of the Revised Code.                                 5,765        

      Sec. 4731.98.  IN THE ABSENCE OF FRAUD OR BAD FAITH, THE     5,768        

STATE MEDICAL BOARD, A CURRENT OR FORMER BOARD MEMBER, AN AGENT                 

OF THE BOARD, A PERSON FORMALLY REQUESTED BY THE BOARD TO BE THE   5,770        

BOARD'S REPRESENTATIVE, AN EMPLOYEE OF THE BOARD, OR A PROVIDER    5,771        

OF EDUCATIONAL AND ASSESSMENT SERVICES SELECTED BY THE BOARD FOR   5,772        

THE QUALITY INTERVENTION PROGRAM SHALL NOT BE HELD LIABLE IN       5,773        

DAMAGES TO ANY PERSON AS THE RESULT OF ANY ACT, OMISSION,          5,774        

PROCEEDING, CONDUCT, OR DECISION RELATED TO OFFICIAL DUTIES        5,775        

UNDERTAKEN OR PERFORMED PURSUANT TO THIS CHAPTER.  IF ANY SUCH     5,777        

PERSON ASKS TO BE DEFENDED BY THE STATE AGAINST ANY CLAIM OR       5,779        

ACTION ARISING OUT OF ANY ACT, OMISSION, PROCEEDING, CONDUCT, OR   5,780        

DECISION RELATED TO THE PERSON'S OFFICIAL DUTIES, AND IF THE       5,781        

REQUEST IS MADE IN WRITING AT A REASONABLE TIME BEFORE TRIAL AND   5,782        

THE PERSON REQUESTING DEFENSE COOPERATES IN GOOD FAITH IN THE      5,783        

DEFENSE OF THE CLAIM OR ACTION, THE STATE SHALL PROVIDE AND PAY    5,784        

FOR THE PERSON'S DEFENSE AND SHALL PAY ANY RESULTING JUDGMENT,     5,785        

COMPROMISE, OR SETTLEMENT.  AT NO TIME SHALL THE STATE PAY ANY     5,786        

PART OF A CLAIM OR JUDGMENT THAT IS FOR PUNITIVE OR EXEMPLARY      5,787        

DAMAGES.                                                                        

      Sec. 4731.99.  (A)  Whoever violates section 4731.41 or,     5,796        

4731.43, OR 4731.60 of the Revised Code is guilty of a             5,797        

misdemeanor FELONY of the first FIFTH degree on a first offense    5,799        

and a felony of the fifth FOURTH degree on each subsequent         5,800        

offense.                                                                        

      (B)  Whoever violates section 4731.49, 4731.50, 4731.60, or  5,802        

4731.81 of the Revised Code is guilty of a misdemeanor of the      5,803        

fourth degree on a first offense and a misdemeanor of the first    5,804        

degree on each subsequent offense.                                 5,805        

      (C)  Whoever violates section 4731.46 or 4731.47 of the      5,807        

                                                          129    

                                                                 
Revised Code is guilty of a felony of the fifth degree.            5,808        

      (D)  Whoever violates section 4731.48 of the Revised Code    5,810        

is guilty of a misdemeanor of the fourth degree.                   5,811        

      (E)  Whoever violates division (A), (B), (C), or (D) of      5,813        

section 4731.224 of the Revised Code is guilty of a minor          5,814        

misdemeanor on a first offense and a misdemeanor of the fourth     5,815        

degree on each subsequent offense, except that an individual       5,818        

guilty of a subsequent offense shall not be subject to             5,819        

imprisonment, but to a fine alone of up to one thousand dollars    5,820        

for each offense.                                                               

      Sec. 4773.01.  As used in this chapter:                      5,829        

      (A)  "General x-ray machine operator" means an individual    5,831        

who performs standard, diagnostic, radiologic procedures; whose    5,832        

performance of radiologic procedures is limited to specific body   5,833        

sites; and who does not, to any significant degree, determine the  5,834        

site or dosage of radiation to which a patient is exposed.         5,835        

      (B)  "Chiropractor" means an individual licensed under       5,837        

Chapter 4734. of the Revised Code to practice chiropractic.        5,838        

      (C)  "Ionizing radiation" means any electromagnetic or       5,840        

particulate radiation that interacts with atoms to produce         5,841        

ionization in matter, including x-rays, gamma rays, alpha and      5,842        

beta particles, high speed electrons, neutrons, and other nuclear  5,843        

particles.                                                         5,844        

      (D)  "Physician" means an individual who holds a             5,846        

certificate issued under Chapter 4731. of the Revised Code         5,847        

authorizing him THE INDIVIDUAL to practice medicine and surgery    5,848        

or osteopathic medicine and surgery.                               5,849        

      (E)  "Podiatrist" means an individual who holds a            5,851        

certificate issued under Chapter 4731. of the Revised Code         5,852        

authorizing him THE INDIVIDUAL to practice podiatry.               5,853        

      (F)  "Nuclear medicine technologist" means an individual     5,855        

who prepares and administers radio-pharmaceuticals to human        5,856        

beings and conducts in vivo or in vitro detection and measurement  5,857        

of radioactivity for medical purposes.                             5,858        

                                                          130    

                                                                 
      (G)  "Radiation therapy technologist" means an individual    5,860        

who utilizes ionizing radiation-generating equipment for           5,861        

therapeutic purposes on human subjects.                            5,862        

      (H)  "Radiographer" means an individual who performs a       5,864        

comprehensive scope of diagnostic radiologic procedures employing  5,865        

equipment that emits ionizing radiation, exposes radiographs, and  5,866        

performs other procedures that contribute significantly to         5,867        

determining the site or dosage of ionizing radiation to which a    5,868        

patient is exposed.                                                5,869        

      (I)  "Mechanotherapist" means an individual who holds a      5,871        

certificate issued under section 4731.151 4731.15 of the Revised   5,873        

Code authorizing him THE INDIVIDUAL to practice mechanotherapy.    5,874        

      Sec. 5123.61.  (A)  As used in this section:                 5,883        

      (1)  "Mentally retarded or developmentally disabled adult"   5,885        

means a person who is eighteen years of age or older and is a      5,886        

mentally retarded or developmentally disabled person.              5,887        

      (2)  "Law enforcement agency" means the state highway        5,889        

patrol, the police department of a municipal corporation, or a     5,890        

county sheriff.                                                    5,891        

      (B)  The department of mental retardation and developmental  5,893        

disabilities shall establish a registry office for the purpose of  5,894        

maintaining reports of abuse and neglect made to the department    5,895        

under this section and reports received from county boards of      5,896        

mental retardation and developmental disabilities under section    5,897        

5126.31 of the Revised Code.                                       5,898        

      (C)(1)  Any person listed in division (C)(2) of this         5,900        

section, having reason to believe that a mentally retarded or      5,901        

developmentally disabled adult has suffered any wound, injury,     5,902        

disability, or condition of such a nature as to reasonably         5,903        

indicate abuse or neglect of that adult, shall immediately report  5,904        

or cause reports to be made of such information to a law           5,905        

enforcement agency or to the county board of mental retardation    5,906        

and developmental disabilities, except that if the report          5,907        

concerns a resident of a facility operated by the department of    5,908        

                                                          131    

                                                                 
mental retardation and developmental disabilities the report       5,909        

shall be made either to a law enforcement agency or to the         5,910        

department.                                                        5,911        

      (2)  All of the following persons are required to make a     5,913        

report under division (C)(1) of this section:                      5,914        

      (a)  Any physician, including a hospital intern or           5,916        

resident, any dentist, podiatrist, chiropractor, practitioner of   5,917        

a limited branch of medicine or surgery as defined SPECIFIED in    5,919        

section 4731.15 of the Revised Code, hospital administrator or     5,920        

employee of a hospital, nurse licensed under Chapter 4723. of the  5,921        

Revised Code, employee of an ambulatory health facility as         5,922        

defined in section 5101.61 of the Revised Code, employee of a      5,923        

home health agency, employee of an adult care facility licensed    5,924        

under Chapter 3722. OF THE Revised Code, or employee of a          5,925        

community mental health facility;                                  5,926        

      (b)  Any school teacher or school authority, social worker,  5,928        

psychologist, attorney, peace officer, coroner, clergyman, or      5,929        

residents' rights advocate as defined in section 3721.10 of the    5,930        

Revised Code;                                                      5,931        

      (c)  A superintendent, board member, or employee of a        5,933        

county board of mental retardation and developmental               5,934        

disabilities; an administrator, board member, or employee of a     5,935        

residential facility licensed under section 5123.19 of the         5,936        

Revised Code; or an administrator, board member, or employee of    5,937        

any other public or private provider of services to a mentally     5,938        

retarded or developmentally disabled adult;                        5,939        

      (d)  A member of a citizen's advisory council established    5,941        

at an institution or branch institution of the department of       5,942        

mental retardation and developmental disabilities under section    5,943        

5123.092 of the Revised Code;                                      5,944        

      (e)  A person who, while acting in an official or            5,946        

professional capacity, renders spiritual treatment through prayer  5,948        

in accordance with the tenets of an organized religion.                         

      (3)  The reporting requirements of this division do not      5,950        

                                                          132    

                                                                 
apply to members of the legal rights service commission or to      5,951        

employees of the legal rights service.                             5,952        

      (D)  The reports required under division (C) of this         5,954        

section shall be made forthwith by telephone or in person and      5,955        

shall be followed by a written report.  The reports shall contain  5,956        

the following:                                                     5,957        

      (1)  The names and addresses of the mentally retarded or     5,959        

developmentally disabled adult and the adult's custodian, if       5,960        

known;                                                                          

      (2)  The mentally retarded or developmentally disabled       5,962        

adult's age and the nature and extent of the adult's injuries or   5,963        

physical neglect, including any evidence of previous injuries or   5,964        

physical neglect;                                                  5,965        

      (3)  Any other information which might be helpful in         5,967        

establishing the cause of the injury, abuse, or physical neglect.  5,968        

      (E)  When a physician performing services as a member of     5,970        

the staff of a hospital or similar institution has reason to       5,971        

believe that a mentally retarded or developmentally disabled       5,972        

adult has suffered injury, abuse, or physical neglect, the         5,973        

physician shall notify the person in charge of the institution or  5,974        

that person's designated delegate, who shall make the necessary    5,975        

reports.                                                                        

      (F)  Any person having reasonable cause to believe that a    5,977        

mentally retarded or developmentally disabled adult has suffered   5,978        

abuse or neglect may report the belief, or cause a report to be    5,979        

made, to a law enforcement agency or the county board of mental    5,980        

retardation and developmental disabilities, or, if the adult is a  5,981        

resident of a facility operated by the department of mental        5,982        

retardation and developmental disabilities, to a law enforcement   5,983        

agency or to the department.                                       5,984        

      (G)(1)  Upon the receipt of a report concerning the          5,986        

possible nonaccidental infliction of a physical injury upon a      5,987        

mentally retarded or developmentally disabled adult, the law       5,988        

enforcement agency shall inform the county board of mental         5,989        

                                                          133    

                                                                 
retardation and developmental disabilities or, if the adult is a   5,990        

resident of a facility operated by the department of mental        5,991        

retardation and developmental disabilities, the director of the    5,992        

department or the director's designee.                             5,993        

      (2)  On receipt of a report under this section, the          5,995        

department of mental retardation and developmental disabilities    5,996        

shall notify the law enforcement agency.                           5,997        

      (3)  When a county board of mental retardation and           5,999        

developmental disabilities receives a report under this section,   6,000        

the superintendent of the board or an individual the               6,001        

superintendent designates under division (H) of this section       6,003        

shall notify the law enforcement agency and the department of      6,004        

mental retardation and developmental disabilities.                 6,005        

      (H)  The superintendent of the board may designate an        6,007        

individual to be responsible for notifying the law enforcement     6,008        

agency and the department when the county board receives a report  6,009        

under this section.                                                6,010        

      (I)  A mentally retarded or developmentally disabled adult   6,012        

about whom a report is made may be removed from the adult's place  6,013        

of residence only by law enforcement officers who consider that    6,014        

the adult's immediate removal is essential to protect the adult    6,015        

from further injury or abuse or in accordance with the order of a  6,016        

court made pursuant to section 5126.33 of the Revised Code.        6,017        

      (J)  A law enforcement agency shall investigate each report  6,019        

of abuse or neglect made under this section.  In addition, the     6,020        

department, in cooperation with law enforcement officials, shall   6,021        

investigate each report regarding a resident of a facility         6,022        

operated by the department to determine the circumstances          6,023        

surrounding the injury, the cause of the injury, and the person    6,024        

responsible.  The department shall determine, with the registry    6,025        

office which shall be maintained by the department, whether prior  6,026        

reports have been made concerning the mentally retarded or         6,027        

developmentally disabled adult or other principals in the case.    6,028        

The department shall submit a report of its investigation, in      6,029        

                                                          134    

                                                                 
writing, to the law enforcement agency, and with the consent of    6,030        

the adult, shall provide such protective services as are           6,031        

necessary to protect the adult.  The law enforcement agency shall  6,032        

make a written report of its findings to the department.           6,033        

      If the adult is not a resident of a facility operated by     6,035        

the department, the county board of mental retardation and         6,036        

developmental disabilities shall review the report of abuse or     6,037        

neglect in accordance with sections 5126.30 to 5126.33 of the      6,038        

Revised Code and the law enforcement agency shall make the         6,039        

written report of its findings to the county board.                6,040        

      (K)  Any person or any hospital, institution, school,        6,042        

health department, or agency participating in the making of        6,043        

reports pursuant to this section, any person participating as a    6,044        

witness in an administrative or judicial proceeding resulting      6,045        

from the reports, or any person or governmental entity that        6,046        

discharges responsibilities under sections 5126.31 to 5126.33 of   6,047        

the Revised Code shall be immune from any civil or criminal        6,048        

liability that might otherwise be incurred or imposed as a result  6,049        

of such actions except liability for perjury, unless the person    6,050        

or governmental entity has acted in bad faith or with malicious    6,051        

purpose.                                                           6,052        

      (L)  No employer or any person with the authority to do so   6,054        

shall discharge, demote, transfer, prepare a negative work         6,055        

performance evaluation, reduce pay or benefits, terminate work     6,056        

privileges, or take any other action detrimental to an employee    6,057        

or retaliate against an employee as a result of the employee's     6,058        

having made a report under this section.  This division does not   6,059        

preclude an employer or person with authority from taking action   6,060        

with regard to an employee who has made a report under this        6,061        

section if there is another reasonable basis for the action.       6,062        

      (M)  Reports made under this section are not public records  6,064        

as defined in section 149.43 of the Revised Code.  Information     6,065        

contained in the reports on request shall be made available to     6,066        

the adult who is the subject of the report, to the adult's legal   6,067        

                                                          135    

                                                                 
counsel, and to agencies authorized to receive information in the  6,069        

report by the department or by a county board of mental            6,070        

retardation and developmental disabilities.                        6,071        

      (N)  Notwithstanding section 4731.22 of the Revised Code,    6,073        

the physician-patient privilege shall not be a ground for          6,074        

excluding evidence regarding a mentally retarded or                6,075        

developmentally disabled adult's injuries or physical neglect or   6,076        

the cause thereof in any judicial proceeding resulting from a      6,077        

report submitted pursuant to this section.                         6,078        

      Section 2.  That existing sections 109.79, 119.12, 121.22,   6,080        

503.41, 1785.01, 2151.421, 2317.02, 2925.01, 4713.01, 4713.12,     6,082        

4713.14, 4730.10, 4730.12, 4730.25, 4730.26, 4730.27, 4730.31,     6,083        

4730.32, 4730.34, 4731.08, 4731.13, 4731.142, 4731.15, 4731.151,   6,084        

4731.16, 4731.17, 4731.18, 4731.19, 4731.20, 4731.22, 4731.221,    6,085        

4731.222, 4731.223, 4731.224, 4731.225, 4731.25, 4731.281,         6,086        

4731.29, 4731.291, 4731.341, 4731.41, 4731.61, 4731.99, 4773.01,   6,087        

and 5123.61 of the Revised Code are hereby repealed.               6,088        

      Section 3.  Section 2151.421 of the Revised Code is          6,090        

presented in this act as a composite of the section as amended by  6,091        

both Am. Sub. H.B. 215 and Sub. H.B. 408 of the 122nd General      6,092        

Assembly, with the new language of neither of the acts shown in    6,094        

capital letters.  Section 2317.02 of the Revised Code is           6,095        

presented in this act as a composite of the section as amended by  6,096        

both Sub. S.B. 223 and Am. Sub. S.B. 230 of the 121st General      6,097        

Assembly, with the new language of neither of the acts shown in    6,099        

capital letters.  Section 2925.01 of the Revised Code is           6,100        

presented in this act as a composite of the section as amended by  6,101        

both Am. Sub. S.B. 66 and Am. S.B. 117 of the 122nd General        6,103        

Assembly, with the new language of neither of the acts shown in    6,104        

capital letters.  This is in recognition of the principle stated   6,106        

in division (B) of section 1.52 of the Revised Code that such      6,107        

amendments are to be harmonized where not substantively            6,108        

irreconcilable and constitutes a legislative finding that such is  6,109        

the resulting version in effect prior to the effective date of     6,110        

                                                          136    

                                                                 
this act.