As Introduced 1 123rd General Assembly 4 Regular Session H. B. No. 341 5 1999-2000 6 REPRESENTATIVES SCHURING-VAN VYVEN-OGG-HOLLISTER- 8 PADGETT-JONES-NETZLEY-SCHULER-SULLIVAN-ALLEN 9 _________________________________________________________________ 10 A B I L L To enact sections 4762.01 to 4762.12 of the Revised 12 Code regarding the practice of acupuncture. 13 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO: 15 Section 1. That sections 4762.01, 4762.02, 4762.03, 17 4762.04, 4762.05, 4762.06, 4762.07, 4762.08, 4762.09, 4762.10, 18 4762.11, and 4762.12 of the Revised Code be enacted to read as 19 follows: Sec. 4762.01. AS USED IN THIS CHAPTER: 21 (A) "ACUPUNCTURE" MEANS A FORM OF HEALTH CARE PERFORMED BY 23 THE INSERTION AND REMOVAL OF SPECIALIZED NEEDLES, WITH OR WITHOUT 24 THE APPLICATION OF MOXIBUSTION OR ELECTRICAL STIMULATION, TO 25 SPECIFIC AREAS OF THE BODY FOR THE PROMOTION, MAINTENANCE, AND 27 RESTORATION OF HEALTH AND THE PREVENTION OF DISEASE. 28 (B) "ACUPUNCTURIST" MEANS AN INDIVIDUAL ENGAGED IN THE 30 PRACTICE OF ACUPUNCTURE IN ACCORDANCE WITH DIVISION (A) OF 31 SECTION 4762.03 OF THE REVISED CODE. 32 (C) "MOXIBUSTION" MEANS THE USE OF AN HERBAL HEAT SOURCE 34 ON ONE OR MORE ACUPUNCTURE POINTS BASED ON TRADITIONAL AND MODERN 35 ORIENTAL MEDICAL CONCEPTS, DIAGNOSIS, AND TREATMENT FOR THE 36 PURPOSE OF PROMOTION, MAINTENANCE, AND RESTORATION OF HEALTH AND 37 THE PREVENTION OF DISEASE. 38 (D) "PHYSICIAN" MEANS AN INDIVIDUAL AUTHORIZED UNDER 41 CHAPTER 4731. OF THE REVISED CODE TO PRACTICE MEDICINE AND SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY. 42 Sec. 4762.02. ACUPUNCTURE IS NOT THE PRACTICE OF MEDICINE 44 2 WITHIN THE MEANING OF SECTION 4731.34 OF THE REVISED CODE. 45 Sec. 4762.03. (A) EXCEPT AS PROVIDED IN DIVISION (B) OF 47 THIS SECTION, NO PERSON SHALL ENGAGE IN THE PRACTICE OF 48 ACUPUNCTURE UNLESS THE PERSON HAS BEEN DESIGNATED AS A DIPLOMATE 49 IN ACUPUNCTURE BY THE NATIONAL CERTIFICATION COMMISSION FOR 50 ACUPUNCTURE AND ORIENTAL MEDICINE AND THE DESIGNATION IS CURRENT 51 AND ACTIVE. (B) THE REQUIREMENT OF DIVISION (A) OF THIS SECTION TO BE 54 DESIGNATED AS A DIPLOMATE OF THE COMMISSION DOES NOT APPLY TO A 55 PHYSICIAN OR TO A PERSON WHO PERFORMS ACUPUNCTURE AS PART OF A TRAINING PROGRAM LEADING TOWARD DESIGNATION AS A DIPLOMATE IN 56 ACUPUNCTURE BY THE NATIONAL CERTIFICATION COMMISSION FOR 57 ACUPUNCTURE AND ORIENTAL MEDICINE. 58 Sec. 4762.04. (A) AN ACUPUNCTURIST SHALL PRACTICE 60 ACUPUNCTURE UNDER THE REFERRAL OR PRESCRIPTION AND GENERAL 61 SUPERVISION OF A PHYSICIAN AS SPECIFIED IN DIVISION (B) OF THIS 62 SECTION. THE SUPERVISING PHYSICIAN IS NOT REQUIRED TO BE 63 REGISTERED WITH A BOARD AS AN ACUPUNCTURIST. AN ACUPUNCTURIST IS 64 NOT REQUIRED TO PRACTICE ACUPUNCTURE ON THE PREMISES OF THE OFFICE OF A PHYSICIAN. 65 (B) A SUPERVISING PHYSICIAN SHALL DO ALL OF THE FOLLOWING: 67 (1) PRIOR TO ACUPUNCTURE TREATMENT, PERFORM A MEDICAL 69 DIAGNOSTIC EXAMINATION OR REVIEW THE RESULTS OF A RECENTLY 70 PERFORMED MEDICAL DIAGNOSTIC EXAMINATION WITH RESPECT TO ANY 71 AILMENT OR CONDITION TO BE TREATED BY ACUPUNCTURE; 72 (2) BE PERSONALLY AVAILABLE FOR CONSULTATION ON THE 74 PREMISES AT WHICH ACUPUNCTURE IS PERFORMED OR BE AVAILABLE BY 75 TELEPHONE CONTACT, CHART REVIEW, OR OTHER MEANS ACCEPTABLE TO THE 76 STATE MEDICAL BOARD; (3) PLACE CONDITIONS AND RESTRICTIONS ON THE COURSE OF 78 TREATMENT IF REQUIRED AS A MATTER OF SOUND MEDICAL PRACTICE. 79 Sec. 4762.05. ONLY A PERSON WHO IS DESIGNATED AS A CURRENT 81 AND ACTIVE DIPLOMATE IN ACUPUNCTURE BY THE NATIONAL CERTIFICATION 82 COMMISSION FOR ACUPUNCTURE AND ORIENTAL MEDICINE MAY USE ANY OF 83 3 THE FOLLOWING TITLES, INITIALS, OR ABBREVIATIONS, OR THE 84 EQUIVALENT OF SUCH TITLES, INITIALS, OR ABBREVIATIONS: 85 "ACUPUNCTURIST," "C.A.," "C.AC.," "CERTIFIED ACUPUNCTURIST," 87 "DIPL. AC (NCCAOM)," "DIPLOMATE OF ACUPUNCTURE (NCCAOM)," 89 "L.AC.," "LIC. AC.," "LICENSED ACUPUNCTURIST," "NATIONAL BOARD 90 CERTIFIED IN ACUPUNCTURE (NCCAOM)," "(O.M.P.)," "ORIENTAL 92 MEDICINE PRACTITIONER," "R.AC.," OR "REG. AC." 94 Sec. 4762.06. PRIOR TO TREATING A PATIENT, AN 96 ACUPUNCTURIST SHALL ADVISE THE PATIENT THAT ACUPUNCTURE IS NOT A 97 SUBSTITUTE FOR CONVENTIONAL MEDICAL DIAGNOSIS AND TREATMENT AND 98 REQUEST THAT THE PATIENT SIGN A FORM STATING THAT THE PATIENT 99 ACKNOWLEDGES THAT IT IS THE PATIENT'S RESPONSIBILITY TO RETURN TO 100 A PHYSICIAN FOR ANY NECESSARY CONVENTIONAL MEDICAL TREATMENT. THE ACUPUNCTURIST SHALL SIGN THE FORM AND KEEP A COPY OF IT WITH 102 THE PATIENT'S RECORDS. THE ACUPUNCTURIST MAY NOT COMMENCE 103 TREATMENT UNLESS THE PATIENT SIGNS AND DATES THE FORM. 104 Sec. 4762.07. WHEN FIRST MEETING A PATIENT IN PERSON, AN 106 ACUPUNCTURIST SHALL PROVIDE IN WRITING THE ACUPUNCTURIST'S NAME, 107 BUSINESS ADDRESS, AND BUSINESS TELEPHONE NUMBER, AND INFORMATION 109 ON ACUPUNCTURE, INCLUDING THE TECHNIQUES THAT ARE USED. 110 Sec. 4762.08. AN ACUPUNCTURIST SHALL COMPLY WITH THE 112 STANDARDS OF THE NATIONAL CERTIFICATION COMMISSION FOR 113 ACUPUNCTURE AND ORIENTAL MEDICINE REGARDING ALL OF THE FOLLOWING: 114 (A) PROFESSIONAL ETHICS; 116 (B) COMMITMENT TO PATIENTS; 118 (C) COMMITMENT TO THE PROFESSION; 120 (D) COMMITMENT TO THE PUBLIC. 122 Sec. 4762.09. AN ACUPUNCTURIST SHALL MAINTAIN RECORDS FOR 124 EACH PATIENT TREATED. THE RECORDS SHALL BE RETAINED FOR NOT LESS 126 THAN THREE YEARS FOLLOWING TERMINATION OF TREATMENT. Sec. 4762.10. AN ACUPUNCTURIST SHALL CONSPICUOUSLY DISPLAY 128 AT THE ACUPUNCTURIST'S PRIMARY PLACE OF BUSINESS BOTH OF THE 129 FOLLOWING: (A) THE CERTIFICATE OR OTHER DOCUMENT RECEIVED FROM THE 131 4 NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL 132 MEDICINE AS EVIDENCE THAT THE ACUPUNCTURIST HAS BEEN DESIGNATED 133 BY THE COMMISSION AS A DIPLOMATE IN ACUPUNCTURE; 134 (B) A NOTICE SPECIFYING THAT THE PRACTICE OF ACUPUNCTURE 136 IS DISCIPLINED BY THE COMMISSION AND THE ADDRESS AND TELEPHONE 137 NUMBER OF THE COMMISSION'S EXECUTIVE OFFICE. 138 Sec. 4762.11. AN ACUPUNCTURIST SHALL USE ONLY STERILE 140 SINGLE USE DISPOSABLE, OR EQUIVALENT, NEEDLES. 141 AN ACUPUNCTURIST IS SUBJECT TO AND SHALL COMPLY WITH THE 144 RULES ADOPTED UNDER SECTION 4731.051 OF THE REVISED CODE 145 ESTABLISHING UNIVERSAL BLOOD AND BODY FLUID PRECAUTIONS. 146 Sec. 4762.12. WHENEVER IT APPEARS THAT A PERSON IS 148 VIOLATING OR THREATENING TO VIOLATE ANY PROVISION OF THIS 149 CHAPTER, THE ATTORNEY GENERAL SHALL BRING AN ACTION IN A COURT OF 150 COMPETENT JURISDICTION TO ENJOIN THE ALLEGED VIOLATION. THE 151 COURT SHALL GRANT APPROPRIATE RELIEF ON A SHOWING THAT THE PERSON 152 IS VIOLATING OR THREATENING TO VIOLATE A PROVISION OF THIS 153 CHAPTER. Section 2. It is the intent of the General Assembly in 155 enacting Chapter 4762. of the Revised Code in this act to 156 supersede the holding of the Ohio Supreme Court in State v. Rich 157 (1975), 44 Ohio St. 2d 195, that acupuncture constitutes the 158 practice of medicine within the meaning of section 4731.34 of the 159 Revised Code, and therefore, pursuant to section 4731.41 of the Revised Code, only a person who holds a certificate to practice 160 medicine or surgery from the State Medical Board may perform it. 161