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