As Passed by the Senate

125th General Assembly
Regular Session
2003-2004
Sub. H. B. No. 126


REPRESENTATIVES Brinkman, Blasdel, Buehrer, Callender, Clancy, Collier, Daniels, DeWine, Distel, Driehaus, Faber, Fessler, Flowers, Gibbs, Gilb, Grendell, Hagan, Hughes, Husted, McGregor, Niehaus, T. Patton, Raga, Raussen, Reidelbach, Reinhard, Schneider, Seaver, Wagner, Schaffer, Seitz, Sferra, Taylor, Widowfield, Willamowski, Williams, White, Young, Kearns, Hoops, Jolivette, Aslanides, Calvert, Carmichael, Cates, DePiero, C. Evans, Martin, Schlichter, Schmidt, Setzer, Widener, Wolpert

SENATORS Jacobson, Jordan, Wachtmann, Amstutz, Austria, Carey, Harris, Hottinger, Schuler, Schuring, Spada, Mumper, Nein



A BILL
To amend sections 4729.29, 4731.22, and 4731.223 and 1
to enact section 2919.123 of the Revised Code 2
regarding the provision or use of RU-4863
(mifepristone) for an abortion.4


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

       Section 1. That sections 4729.29, 4731.22, and 4731.223 be 5
amended and section 2919.123 of the Revised Code be enacted to 6
read as follows:7

       Sec. 2919.123. (A) No person shall knowingly give, sell,8
dispense, administer, otherwise provide, or prescribe RU-4869
(mifepristone) to another for the purpose of inducing an abortion10
in any person or enabling the other person to induce an abortion11
in any person, unless the person who gives, sells, dispenses, 12
administers, or otherwise provides or prescribes the RU-486 13
(mifepristone) is a physician, the physician satisfies all the 14
criteria established by federal law that a physician must satisfy 15
in order to provide RU-486 (mifepristone) for inducing abortions, 16
and the physician provides the RU-486 (mifepristone) to the other 17
person for the purpose of inducing an abortion in accordance with 18
all provisions of federal law that govern the use of RU-486 19
(mifepristone) for inducing abortions. A person who gives, sells, 20
dispenses, administers, otherwise provides, or prescribes RU-486 21
(mifepristone) to another as described in division (A) of this 22
section shall not be prosecuted based on a violation of the 23
criteria contained in this division unless the person knows that 24
the person is not a physician, that the person did not satisfy all 25
the specified criteria established by federal law, or that the 26
person did not provide the RU-486 (mifepristone) in accordance 27
with the specified provisions of federal law, whichever is 28
applicable.29

       (B) No physician who provides RU-486 (mifepristone) to 30
another for the purpose of inducing an abortion as authorized 31
under division (A) of this section shall knowingly fail to comply 32
with the applicable requirements of any federal law that pertain 33
to follow-up examinations or care for persons to whom or for whom 34
RU-486 (mifepristone) is provided for the purpose of inducing an 35
abortion.36

        (C)(1) If a physician provides RU-486 (mifepristone) to 37
another for the purpose of inducing an abortion as authorized 38
under division (A) of this section and if the physician knows that 39
the person who uses the RU-486 (mifepristone) for the purpose of40
inducing an abortion experiences during or after the use an41
incomplete abortion, severe bleeding, or an adverse reaction to42
the RU-486 (mifepristone) or is hospitalized, receives a43
transfusion, or experiences any other serious event, the physician44
promptly must provide a written report of the incomplete abortion,45
severe bleeding, adverse reaction, hospitalization, transfusion,46
or serious event to the state medical board. The board shall47
compile and retain all reports it receives under this division.48
Except as otherwise provided in this division, all reports the49
board receives under this division are public records open to50
inspection under section 149.43 of the Revised Code. In no case51
shall the board release to any person the name or any other52
personal identifying information regarding a person who uses53
RU-486 (mifepristone) for the purpose of inducing an abortion and54
who is the subject of a report the board receives under this55
division.56

       (2) No physician who provides RU-486 (mifepristone) to 57
another for the purpose of inducing an abortion as authorized 58
under division (A) of this section shall knowingly fail to file a 59
report required under division (C)(1) of this section.60

       (D) Division (A) of this section does not apply to any of the 61
following:62

       (1) A pregnant woman who obtains or possesses RU-486 63
(mifepristone) for the purpose of inducing an abortion to 64
terminate her own pregnancy;65

       (2) The legal transport of RU-486 (mifepristone) by any 66
person or entity and the legal delivery of the RU-486 67
(mifepristone) by any person to the recipient, provided that this 68
division does not apply regarding any conduct related to the 69
RU-486 (mifepristone) other than its transport and delivery to the 70
recipient;71

       (3) The distribution, provision, or sale of RU-486 72
(mifepristone) by any legal manufacturer or distributor of RU-486 73
(mifepristone), provided the manufacturer or distributor made a 74
good faith effort to comply with any applicable requirements of 75
federal law regarding the distribution, provision, or sale.76

       (E) Whoever violates this section is guilty of unlawful77
distribution of an abortion-inducing drug, a felony of the fourth78
degree. If the offender previously has been convicted of or79
pleaded guilty to a violation of this section or of section80
2919.12, 2919.121, 2919.13, 2919.14, 2919.151, 2919.17, or 2919.1881
of the Revised Code, unlawful distribution of an abortion-inducing82
drug is a felony of the third degree.83

       If the offender is a professionally licensed person, in84
addition to any other sanction imposed by law for the offense, the85
offender is subject to sanctioning as provided by law by the86
regulatory or licensing board or agency that has the87
administrative authority to suspend or revoke the offender's88
professional license, including the sanctioning provided in89
section 4731.22 of the Revised Code for offenders who have a90
certificate to practice or certificate of registration issued91
under that chapter.92

        (F) As used in this section:93

        (1) "Federal law" means any law, rule, or regulation of the94
United States or any drug approval letter of the food and drug95
administration of the United States that governs or regulates the96
use of RU-486 (mifepristone) for the purpose of inducing97
abortions.98

       (2) "Personal identifying information" has the same meaning99
as in section 2913.49 of the Revised Code.100

       (3) "Physician" has the same meaning as in section 2305.113101
of the Revised Code.102

       (4) "Professionally licensed person" has the same meaning as103
in section 2925.01 of the Revised Code.104

       Sec. 4729.29.  (A) Divisions (A) and (B) of section 4729.01105
and section 4729.28 of the Revised Code do not do either of the 106
following:107

       (1) Apply to a licensed health professional authorized to 108
prescribe drugs or prevent a prescriber from personally furnishing 109
the prescriber's patients with drugs, within the prescriber's 110
scope of professional practice, that seem proper to the 111
prescriber.112

       (2) Apply to the sale of oxygen, peritoneal dialysis113
solutions, or the sale of drugs that are not dangerous drugs by a 114
retail dealer, in original packages when labeled as required by 115
the "Federal Food, Drug, and Cosmetic Act," 52 Stat. 1040 (1938), 116
21 U.S.C.A. 301, as amended.117

       (B) When a prescriber personally furnishes drugs to a patient 118
pursuant to division (A)(1) of this section, the prescriber shall 119
ensure that the drugs are labeled and packaged in accordance with 120
state and federal drug laws and any rules and regulations adopted 121
pursuant to those laws. Records of purchase and disposition of all 122
drugs personally furnished to patients shall be maintained by the 123
prescriber in accordance with state and federal drug statutes and 124
any rules adopted pursuant to those statutes.125

       When personally furnishing to a patient RU-486 126
(mifepristone), a prescriber is subject to section 2919.123 of the 127
Revised Code. A prescription for RU-486 (mifepristone) shall be in 128
writing and in accordance with section 2919.123 of the Revised 129
Code.130

       Sec. 4731.22.  (A) The state medical board, by an affirmative 131
vote of not fewer than six of its members, may revoke or may132
refuse to grant a certificate to a person found by the board to133
have committed fraud during the administration of the examination 134
for a certificate to practice or to have committed fraud, 135
misrepresentation, or deception in applying for or securing any 136
certificate to practice or certificate of registration issued by 137
the board.138

       (B) The board, by an affirmative vote of not fewer than six139
members, shall, to the extent permitted by law, limit, revoke, or140
suspend an individual's certificate to practice, refuse to141
register an individual, refuse to reinstate a certificate, or142
reprimand or place on probation the holder of a certificate for143
one or more of the following reasons:144

       (1) Permitting one's name or one's certificate to practice or145
certificate of registration to be used by a person, group, or146
corporation when the individual concerned is not actually147
directing the treatment given;148

       (2) Failure to maintain minimal standards applicable to the149
selection or administration of drugs, or failure to employ150
acceptable scientific methods in the selection of drugs or other151
modalities for treatment of disease;152

       (3) Selling, giving away, personally furnishing, prescribing, 153
or administering drugs for other than legal and legitimate 154
therapeutic purposes or a plea of guilty to, a judicial finding of 155
guilt of, or a judicial finding of eligibility for intervention in156
lieu of conviction of, a violation of any federal or state law 157
regulating the possession, distribution, or use of any drug;158

       (4) Willfully betraying a professional confidence.159

       For purposes of this division, "willfully betraying a160
professional confidence" does not include providing any161
information, documents, or reports to a child fatality review162
board under sections 307.621 to 307.629 of the Revised Code and163
does not include the making of a report of an employee's use of a164
drug of abuse, or a report of a condition of an employee other165
than one involving the use of a drug of abuse, to the employer of166
the employee as described in division (B) of section 2305.33 of167
the Revised Code. Nothing in this division affects the immunity168
from civil liability conferred by that section upon a physician169
who makes either type of report in accordance with division (B) of170
that section. As used in this division, "employee," "employer,"171
and "physician" have the same meanings as in section 2305.33 of172
the Revised Code.173

       (5) Making a false, fraudulent, deceptive, or misleading174
statement in the solicitation of or advertising for patients; in175
relation to the practice of medicine and surgery, osteopathic176
medicine and surgery, podiatric medicine and surgery, or a limited 177
branch of medicine; or in securing or attempting to secure any 178
certificate to practice or certificate of registration issued by 179
the board.180

       As used in this division, "false, fraudulent, deceptive, or181
misleading statement" means a statement that includes a182
misrepresentation of fact, is likely to mislead or deceive because183
of a failure to disclose material facts, is intended or is likely184
to create false or unjustified expectations of favorable results,185
or includes representations or implications that in reasonable186
probability will cause an ordinarily prudent person to187
misunderstand or be deceived.188

       (6) A departure from, or the failure to conform to, minimal189
standards of care of similar practitioners under the same or190
similar circumstances, whether or not actual injury to a patient191
is established;192

       (7) Representing, with the purpose of obtaining compensation193
or other advantage as personal gain or for any other person, that194
an incurable disease or injury, or other incurable condition, can195
be permanently cured;196

       (8) The obtaining of, or attempting to obtain, money or197
anything of value by fraudulent misrepresentations in the course198
of practice;199

       (9) A plea of guilty to, a judicial finding of guilt of, or a 200
judicial finding of eligibility for intervention in lieu of201
conviction for, a felony;202

       (10) Commission of an act that constitutes a felony in this203
state, regardless of the jurisdiction in which the act was204
committed;205

       (11) A plea of guilty to, a judicial finding of guilt of, or206
a judicial finding of eligibility for intervention in lieu of207
conviction for, a misdemeanor committed in the course of practice;208

       (12) Commission of an act in the course of practice that209
constitutes a misdemeanor in this state, regardless of the210
jurisdiction in which the act was committed;211

       (13) A plea of guilty to, a judicial finding of guilt of, or212
a judicial finding of eligibility for intervention in lieu of213
conviction for, a misdemeanor involving moral turpitude;214

       (14) Commission of an act involving moral turpitude that215
constitutes a misdemeanor in this state, regardless of the216
jurisdiction in which the act was committed;217

       (15) Violation of the conditions of limitation placed by the218
board upon a certificate to practice;219

       (16) Failure to pay license renewal fees specified in this220
chapter;221

       (17) Except as authorized in section 4731.31 of the Revised222
Code, engaging in the division of fees for referral of patients,223
or the receiving of a thing of value in return for a specific224
referral of a patient to utilize a particular service or business;225

       (18) Subject to section 4731.226 of the Revised Code,226
violation of any provision of a code of ethics of the American227
medical association, the American osteopathic association, the228
American podiatric medical association, or any other national229
professional organizations that the board specifies by rule. The230
state medical board shall obtain and keep on file current copies231
of the codes of ethics of the various national professional232
organizations. The individual whose certificate is being suspended 233
or revoked shall not be found to have violated any provision of a 234
code of ethics of an organization not appropriate to the235
individual's profession.236

       For purposes of this division, a "provision of a code of237
ethics of a national professional organization" does not include238
any provision that would preclude the making of a report by a239
physician of an employee's use of a drug of abuse, or of a240
condition of an employee other than one involving the use of a241
drug of abuse, to the employer of the employee as described in242
division (B) of section 2305.33 of the Revised Code. Nothing in243
this division affects the immunity from civil liability conferred244
by that section upon a physician who makes either type of report245
in accordance with division (B) of that section. As used in this246
division, "employee," "employer," and "physician" have the same247
meanings as in section 2305.33 of the Revised Code.248

       (19) Inability to practice according to acceptable and249
prevailing standards of care by reason of mental illness or250
physical illness, including, but not limited to, physical251
deterioration that adversely affects cognitive, motor, or252
perceptive skills.253

       In enforcing this division, the board, upon a showing of a254
possible violation, may compel any individual authorized to255
practice by this chapter or who has submitted an application256
pursuant to this chapter to submit to a mental examination,257
physical examination, including an HIV test, or both a mental and258
a physical examination. The expense of the examination is the259
responsibility of the individual compelled to be examined. Failure260
to submit to a mental or physical examination or consent to an HIV261
test ordered by the board constitutes an admission of the262
allegations against the individual unless the failure is due to263
circumstances beyond the individual's control, and a default and264
final order may be entered without the taking of testimony or265
presentation of evidence. If the board finds an individual unable266
to practice because of the reasons set forth in this division, the267
board shall require the individual to submit to care, counseling,268
or treatment by physicians approved or designated by the board, as269
a condition for initial, continued, reinstated, or renewed270
authority to practice. An individual affected under this division271
shall be afforded an opportunity to demonstrate to the board the272
ability to resume practice in compliance with acceptable and273
prevailing standards under the provisions of the individual's274
certificate. For the purpose of this division, any individual who275
applies for or receives a certificate to practice under this276
chapter accepts the privilege of practicing in this state and, by277
so doing, shall be deemed to have given consent to submit to a278
mental or physical examination when directed to do so in writing279
by the board, and to have waived all objections to the280
admissibility of testimony or examination reports that constitute281
a privileged communication.282

       (20) Except when civil penalties are imposed under section283
4731.225 or 4731.281 of the Revised Code, and subject to section284
4731.226 of the Revised Code, violating or attempting to violate,285
directly or indirectly, or assisting in or abetting the violation286
of, or conspiring to violate, any provisions of this chapter or287
any rule promulgated by the board.288

       This division does not apply to a violation or attempted289
violation of, assisting in or abetting the violation of, or a290
conspiracy to violate, any provision of this chapter or any rule291
adopted by the board that would preclude the making of a report by292
a physician of an employee's use of a drug of abuse, or of a293
condition of an employee other than one involving the use of a294
drug of abuse, to the employer of the employee as described in295
division (B) of section 2305.33 of the Revised Code. Nothing in296
this division affects the immunity from civil liability conferred297
by that section upon a physician who makes either type of report298
in accordance with division (B) of that section. As used in this299
division, "employee," "employer," and "physician" have the same300
meanings as in section 2305.33 of the Revised Code.301

       (21) The violation of any abortion rule adopted by the public 302
health council pursuant to section 3701.341 of the Revised Code;303

       (22) Any of the following actions taken by the agency304
responsible for regulating the practice of medicine and surgery,305
osteopathic medicine and surgery, podiatric medicine and surgery,306
or the limited branches of medicine in another jurisdiction, for307
any reason other than the nonpayment of fees: the limitation,308
revocation, or suspension of an individual's license to practice;309
acceptance of an individual's license surrender; denial of a310
license; refusal to renew or reinstate a license; imposition of311
probation; or issuance of an order of censure or other reprimand;312

       (23) The violation of section 2919.12 of the Revised Code or313
the performance or inducement of an abortion upon a pregnant woman314
with actual knowledge that the conditions specified in division315
(B) of section 2317.56 of the Revised Code have not been satisfied316
or with a heedless indifference as to whether those conditions317
have been satisfied, unless an affirmative defense as specified in318
division (H)(2) of that section would apply in a civil action319
authorized by division (H)(1) of that section;320

       (24) The revocation, suspension, restriction, reduction, or321
termination of clinical privileges by the United States department322
of defense or department of veterans affairs or the termination or323
suspension of a certificate of registration to prescribe drugs by324
the drug enforcement administration of the United States325
department of justice;326

       (25) Termination or suspension from participation in the327
medicare or medicaid programs by the department of health and328
human services or other responsible agency for any act or acts329
that also would constitute a violation of division (B)(2), (3),330
(6), (8), or (19) of this section;331

       (26) Impairment of ability to practice according to332
acceptable and prevailing standards of care because of habitual or333
excessive use or abuse of drugs, alcohol, or other substances that334
impair ability to practice.335

       For the purposes of this division, any individual authorized336
to practice by this chapter accepts the privilege of practicing in337
this state subject to supervision by the board. By filing an338
application for or holding a certificate to practice under this339
chapter, an individual shall be deemed to have given consent to340
submit to a mental or physical examination when ordered to do so341
by the board in writing, and to have waived all objections to the342
admissibility of testimony or examination reports that constitute343
privileged communications.344

       If it has reason to believe that any individual authorized to345
practice by this chapter or any applicant for certification to346
practice suffers such impairment, the board may compel the347
individual to submit to a mental or physical examination, or both.348
The expense of the examination is the responsibility of the349
individual compelled to be examined. Any mental or physical350
examination required under this division shall be undertaken by a351
treatment provider or physician who is qualified to conduct the352
examination and who is chosen by the board.353

       Failure to submit to a mental or physical examination ordered354
by the board constitutes an admission of the allegations against355
the individual unless the failure is due to circumstances beyond356
the individual's control, and a default and final order may be357
entered without the taking of testimony or presentation of358
evidence. If the board determines that the individual's ability to 359
practice is impaired, the board shall suspend the individual's360
certificate or deny the individual's application and shall require361
the individual, as a condition for initial, continued, reinstated,362
or renewed certification to practice, to submit to treatment.363

       Before being eligible to apply for reinstatement of a364
certificate suspended under this division, the impaired365
practitioner shall demonstrate to the board the ability to resume366
practice in compliance with acceptable and prevailing standards of367
care under the provisions of the practitioner's certificate. The368
demonstration shall include, but shall not be limited to, the369
following:370

       (a) Certification from a treatment provider approved under371
section 4731.25 of the Revised Code that the individual has372
successfully completed any required inpatient treatment;373

       (b) Evidence of continuing full compliance with an aftercare374
contract or consent agreement;375

       (c) Two written reports indicating that the individual's376
ability to practice has been assessed and that the individual has377
been found capable of practicing according to acceptable and378
prevailing standards of care. The reports shall be made by379
individuals or providers approved by the board for making the380
assessments and shall describe the basis for their determination.381

       The board may reinstate a certificate suspended under this382
division after that demonstration and after the individual has383
entered into a written consent agreement.384

       When the impaired practitioner resumes practice, the board385
shall require continued monitoring of the individual. The386
monitoring shall include, but not be limited to, compliance with387
the written consent agreement entered into before reinstatement or388
with conditions imposed by board order after a hearing, and, upon389
termination of the consent agreement, submission to the board for390
at least two years of annual written progress reports made under391
penalty of perjury stating whether the individual has maintained392
sobriety.393

       (27) A second or subsequent violation of section 4731.66 or394
4731.69 of the Revised Code;395

       (28) Except as provided in division (N) of this section:396

       (a) Waiving the payment of all or any part of a deductible or 397
copayment that a patient, pursuant to a health insurance or health 398
care policy, contract, or plan that covers the individual's399
services, otherwise would be required to pay if the waiver is used400
as an enticement to a patient or group of patients to receive401
health care services from that individual;402

       (b) Advertising that the individual will waive the payment of 403
all or any part of a deductible or copayment that a patient,404
pursuant to a health insurance or health care policy, contract, or405
plan that covers the individual's services, otherwise would be406
required to pay.407

       (29) Failure to use universal blood and body fluid408
precautions established by rules adopted under section 4731.051 of409
the Revised Code;410

       (30) Failure of a collaborating physician to fulfill the411
responsibilities agreed to by the physician and an advanced412
practice nurse participating in a pilot program under section413
4723.52 of the Revised Code;414

       (31) Failure to provide notice to, and receive acknowledgment 415
of the notice from, a patient when required by section 4731.143 of 416
the Revised Code prior to providing nonemergency professional 417
services, or failure to maintain that notice in the patient's 418
file;419

       (32) Failure of a physician supervising a physician assistant 420
to maintain supervision in accordance with the requirements of 421
Chapter 4730. of the Revised Code and the rules adopted under that 422
chapter;423

       (33) Failure of a physician or podiatrist to enter into a424
standard care arrangement with a clinical nurse specialist,425
certified nurse-midwife, or certified nurse practitioner with whom426
the physician or podiatrist is in collaboration pursuant to427
section 4731.27 of the Revised Code or failure to fulfill the428
responsibilities of collaboration after entering into a standard429
care arrangement;430

       (34) Failure to comply with the terms of a consult agreement431
entered into with a pharmacist pursuant to section 4729.39 of the432
Revised Code;433

       (35) Failure to cooperate in an investigation conducted by434
the board under division (F) of this section, including failure to435
comply with a subpoena or order issued by the board or failure to436
answer truthfully a question presented by the board at a437
deposition or in written interrogatories, except that failure to438
cooperate with an investigation shall not constitute grounds for439
discipline under this section if a court of competent jurisdiction440
has issued an order that either quashes a subpoena or permits the441
individual to withhold the testimony or evidence in issue;442

       (36) Failure to supervise an acupuncturist in accordance with443
Chapter 4762. of the Revised Code and the board's rules for444
supervision of an acupuncturist;445

       (37) Failure to supervise an anesthesiologist assistant in446
accordance with Chapter 4760. of the Revised Code and the board's447
rules for supervision of an anesthesiologist assistant;448

       (38) Assisting suicide as defined in section 3795.01 of the449
Revised Code.450

       (C) Disciplinary actions taken by the board under divisions451
(A) and (B) of this section shall be taken pursuant to an452
adjudication under Chapter 119. of the Revised Code, except that453
in lieu of an adjudication, the board may enter into a consent454
agreement with an individual to resolve an allegation of a455
violation of this chapter or any rule adopted under it. A consent456
agreement, when ratified by an affirmative vote of not fewer than457
six members of the board, shall constitute the findings and order458
of the board with respect to the matter addressed in the459
agreement. If the board refuses to ratify a consent agreement, the 460
admissions and findings contained in the consent agreement shall 461
be of no force or effect.462

       If the board takes disciplinary action against an individual463
under division (B) of this section for a second or subsequent plea464
of guilty to, or judicial finding of guilt of, a violation of465
section 2919.123 of the Revised Code, the disciplinary action466
shall consist of a suspension of the individual's certificate to467
practice for a period of at least one year or, if determined468
appropriate by the board, a more serious sanction involving the469
individual's certificate to practice. Any consent agreement470
entered into under this division with an individual that pertains471
to a second or subsequent plea of guilty to, or judicial finding472
of guilt of, a violation of that section shall provide for a473
suspension of the individual's certificate to practice for a474
period of at least one year or, if determined appropriate by the475
board, a more serious sanction involving the individual's476
certificate to practice.477

       (D) For purposes of divisions (B)(10), (12), and (14) of this478
section, the commission of the act may be established by a finding 479
by the board, pursuant to an adjudication under Chapter 119. of 480
the Revised Code, that the individual committed the act. The board481
does not have jurisdiction under those divisions if the trial 482
court renders a final judgment in the individual's favor and that 483
judgment is based upon an adjudication on the merits. The board 484
has jurisdiction under those divisions if the trial court issues 485
an order of dismissal upon technical or procedural grounds.486

       (E) The sealing of conviction records by any court shall have487
no effect upon a prior board order entered under this section or 488
upon the board's jurisdiction to take action under this section489
if, based upon a plea of guilty, a judicial finding of guilt, or a490
judicial finding of eligibility for intervention in lieu of491
conviction, the board issued a notice of opportunity for a hearing492
prior to the court's order to seal the records. The board shall493
not be required to seal, destroy, redact, or otherwise modify its494
records to reflect the court's sealing of conviction records.495

       (F)(1) The board shall investigate evidence that appears to496
show that a person has violated any provision of this chapter or497
any rule adopted under it. Any person may report to the board in a 498
signed writing any information that the person may have that499
appears to show a violation of any provision of this chapter or500
any rule adopted under it. In the absence of bad faith, any person 501
who reports information of that nature or who testifies before the 502
board in any adjudication conducted under Chapter 119. of the 503
Revised Code shall not be liable in damages in a civil action as a 504
result of the report or testimony. Each complaint or allegation of 505
a violation received by the board shall be assigned a case number 506
and shall be recorded by the board.507

       (2) Investigations of alleged violations of this chapter or508
any rule adopted under it shall be supervised by the supervising509
member elected by the board in accordance with section 4731.02 of510
the Revised Code and by the secretary as provided in section511
4731.39 of the Revised Code. The president may designate another512
member of the board to supervise the investigation in place of the513
supervising member. No member of the board who supervises the514
investigation of a case shall participate in further adjudication515
of the case.516

       (3) In investigating a possible violation of this chapter or517
any rule adopted under this chapter, the board may administer518
oaths, order the taking of depositions, issue subpoenas, and519
compel the attendance of witnesses and production of books,520
accounts, papers, records, documents, and testimony, except that a521
subpoena for patient record information shall not be issued522
without consultation with the attorney general's office and523
approval of the secretary and supervising member of the board.524
Before issuance of a subpoena for patient record information, the525
secretary and supervising member shall determine whether there is526
probable cause to believe that the complaint filed alleges a527
violation of this chapter or any rule adopted under it and that528
the records sought are relevant to the alleged violation and529
material to the investigation. The subpoena may apply only to530
records that cover a reasonable period of time surrounding the531
alleged violation.532

       On failure to comply with any subpoena issued by the board533
and after reasonable notice to the person being subpoenaed, the534
board may move for an order compelling the production of persons535
or records pursuant to the Rules of Civil Procedure.536

       A subpoena issued by the board may be served by a sheriff,537
the sheriff's deputy, or a board employee designated by the board.538
Service of a subpoena issued by the board may be made by539
delivering a copy of the subpoena to the person named therein,540
reading it to the person, or leaving it at the person's usual541
place of residence. When the person being served is a person whose 542
practice is authorized by this chapter, service of the subpoena 543
may be made by certified mail, restricted delivery, return receipt 544
requested, and the subpoena shall be deemed served on the date 545
delivery is made or the date the person refuses to accept 546
delivery.547

       A sheriff's deputy who serves a subpoena shall receive the548
same fees as a sheriff. Each witness who appears before the board549
in obedience to a subpoena shall receive the fees and mileage550
provided for witnesses in civil cases in the courts of common551
pleas.552

       (4) All hearings and investigations of the board shall be553
considered civil actions for the purposes of section 2305.252 of554
the Revised Code.555

       (5) Information received by the board pursuant to an556
investigation is confidential and not subject to discovery in any557
civil action.558

       The board shall conduct all investigations and proceedings in559
a manner that protects the confidentiality of patients and persons560
who file complaints with the board. The board shall not make561
public the names or any other identifying information about562
patients or complainants unless proper consent is given or, in the563
case of a patient, a waiver of the patient privilege exists under564
division (B) of section 2317.02 of the Revised Code, except that565
consent or a waiver of that nature is not required if the board566
possesses reliable and substantial evidence that no bona fide567
physician-patient relationship exists.568

       The board may share any information it receives pursuant to569
an investigation, including patient records and patient record570
information, with law enforcement agencies, other licensing571
boards, and other governmental agencies that are prosecuting,572
adjudicating, or investigating alleged violations of statutes or573
administrative rules. An agency or board that receives the574
information shall comply with the same requirements regarding575
confidentiality as those with which the state medical board must576
comply, notwithstanding any conflicting provision of the Revised577
Code or procedure of the agency or board that applies when it is578
dealing with other information in its possession. In a judicial579
proceeding, the information may be admitted into evidence only in580
accordance with the Rules of Evidence, but the court shall require581
that appropriate measures are taken to ensure that confidentiality582
is maintained with respect to any part of the information that583
contains names or other identifying information about patients or584
complainants whose confidentiality was protected by the state585
medical board when the information was in the board's possession.586
Measures to ensure confidentiality that may be taken by the court587
include sealing its records or deleting specific information from588
its records.589

       (6) On a quarterly basis, the board shall prepare a report590
that documents the disposition of all cases during the preceding591
three months. The report shall contain the following information592
for each case with which the board has completed its activities:593

       (a) The case number assigned to the complaint or alleged594
violation;595

       (b) The type of certificate to practice, if any, held by the596
individual against whom the complaint is directed;597

       (c) A description of the allegations contained in the598
complaint;599

       (d) The disposition of the case.600

       The report shall state how many cases are still pending and601
shall be prepared in a manner that protects the identity of each602
person involved in each case. The report shall be a public record603
under section 149.43 of the Revised Code.604

       (G) If the secretary and supervising member determine that605
there is clear and convincing evidence that an individual has606
violated division (B) of this section and that the individual's607
continued practice presents a danger of immediate and serious harm608
to the public, they may recommend that the board suspend the609
individual's certificate to practice without a prior hearing.610
Written allegations shall be prepared for consideration by the611
board.612

       The board, upon review of those allegations and by an613
affirmative vote of not fewer than six of its members, excluding614
the secretary and supervising member, may suspend a certificate615
without a prior hearing. A telephone conference call may be616
utilized for reviewing the allegations and taking the vote on the617
summary suspension.618

       The board shall issue a written order of suspension by619
certified mail or in person in accordance with section 119.07 of620
the Revised Code. The order shall not be subject to suspension by621
the court during pendency of any appeal filed under section 119.12622
of the Revised Code. If the individual subject to the summary623
suspension requests an adjudicatory hearing by the board, the date624
set for the hearing shall be within fifteen days, but not earlier625
than seven days, after the individual requests the hearing, unless626
otherwise agreed to by both the board and the individual.627

       Any summary suspension imposed under this division shall628
remain in effect, unless reversed on appeal, until a final629
adjudicative order issued by the board pursuant to this section630
and Chapter 119. of the Revised Code becomes effective. The board631
shall issue its final adjudicative order within sixty days after632
completion of its hearing. A failure to issue the order within633
sixty days shall result in dissolution of the summary suspension634
order but shall not invalidate any subsequent, final adjudicative635
order.636

       (H) If the board takes action under division (B)(9), (11), or 637
(13) of this section and the judicial finding of guilt, guilty638
plea, or judicial finding of eligibility for intervention in lieu639
of conviction is overturned on appeal, upon exhaustion of the640
criminal appeal, a petition for reconsideration of the order may641
be filed with the board along with appropriate court documents.642
Upon receipt of a petition of that nature and supporting court643
documents, the board shall reinstate the individual's certificate644
to practice. The board may then hold an adjudication under Chapter 645
119. of the Revised Code to determine whether the individual646
committed the act in question. Notice of an opportunity for a 647
hearing shall be given in accordance with Chapter 119. of the 648
Revised Code. If the board finds, pursuant to an adjudication held 649
under this division, that the individual committed the act or if650
no hearing is requested, the board may order any of the sanctions651
identified under division (B) of this section.652

       (I) The certificate to practice issued to an individual under653
this chapter and the individual's practice in this state are654
automatically suspended as of the date of the individual's second655
or subsequent plea of guilty to, or judicial finding of guilt of,656
a violation of section 2919.123 of the Revised Code, or the date 657
the individual pleads guilty to, is found by a judge or jury to be 658
guilty of, or is subject to a judicial finding of eligibility for 659
intervention in lieu of conviction in this state or treatment or 660
intervention in lieu of conviction in another jurisdiction for any 661
of the following criminal offenses in this state or a662
substantially equivalent criminal offense in another jurisdiction: 663
aggravated murder, murder, voluntary manslaughter, felonious 664
assault, kidnapping, rape, sexual battery, gross sexual 665
imposition, aggravated arson, aggravated robbery, or aggravated 666
burglary. Continued practice after suspension shall be considered 667
practicing without a certificate.668

       The board shall notify the individual subject to the669
suspension by certified mail or in person in accordance with670
section 119.07 of the Revised Code. If an individual whose671
certificate is automatically suspended under this division fails 672
to make a timely request for an adjudication under Chapter 119. of 673
the Revised Code, the board shall enterdo whichever of the674
following is applicable:675

       (1) If the automatic suspension under this division is for a676
second or subsequent plea of guilty to, or judicial finding of677
guilt of, a violation of section 2919.123 of the Revised Code, the678
board shall enter an order suspending the individual's certificate679
to practice for a period of at least one year or, if determined680
appropriate by the board, imposing a more serious sanction681
involving the individual's certificate to practice.682

       (2) In all circumstances in which division (I)(1) of this 683
section does not apply, enter a final order permanently revoking 684
the individual's certificate to practice.685

       (J) If the board is required by Chapter 119. of the Revised686
Code to give notice of an opportunity for a hearing and if the687
individual subject to the notice does not timely request a hearing688
in accordance with section 119.07 of the Revised Code, the board689
is not required to hold a hearing, but may adopt, by an690
affirmative vote of not fewer than six of its members, a final691
order that contains the board's findings. In that final order, the 692
board may order any of the sanctions identified under division (A) 693
or (B) of this section.694

       (K) Any action taken by the board under division (B) of this695
section resulting in a suspension from practice shall be696
accompanied by a written statement of the conditions under which697
the individual's certificate to practice may be reinstated. The698
board shall adopt rules governing conditions to be imposed for699
reinstatement. Reinstatement of a certificate suspended pursuant700
to division (B) of this section requires an affirmative vote of701
not fewer than six members of the board.702

       (L) When the board refuses to grant a certificate to an703
applicant, revokes an individual's certificate to practice,704
refuses to register an applicant, or refuses to reinstate an705
individual's certificate to practice, the board may specify that706
its action is permanent. An individual subject to a permanent707
action taken by the board is forever thereafter ineligible to hold708
a certificate to practice and the board shall not accept an709
application for reinstatement of the certificate or for issuance710
of a new certificate.711

       (M) Notwithstanding any other provision of the Revised Code,712
all of the following apply:713

       (1) The surrender of a certificate issued under this chapter714
shall not be effective unless or until accepted by the board.715
Reinstatement of a certificate surrendered to the board requires716
an affirmative vote of not fewer than six members of the board.717

       (2) An application for a certificate made under the718
provisions of this chapter may not be withdrawn without approval719
of the board.720

       (3) Failure by an individual to renew a certificate of721
registration in accordance with this chapter shall not remove or722
limit the board's jurisdiction to take any disciplinary action723
under this section against the individual.724

       (N) Sanctions shall not be imposed under division (B)(28) of725
this section against any person who waives deductibles and726
copayments as follows:727

       (1) In compliance with the health benefit plan that expressly 728
allows such a practice. Waiver of the deductibles or copayments 729
shall be made only with the full knowledge and consent of the plan 730
purchaser, payer, and third-party administrator. Documentation of731
the consent shall be made available to the board upon request.732

       (2) For professional services rendered to any other person733
authorized to practice pursuant to this chapter, to the extent734
allowed by this chapter and rules adopted by the board.735

       (O) Under the board's investigative duties described in this736
section and subject to division (F) of this section, the board737
shall develop and implement a quality intervention program738
designed to improve through remedial education the clinical and739
communication skills of individuals authorized under this chapter740
to practice medicine and surgery, osteopathic medicine and741
surgery, and podiatric medicine and surgery. In developing and742
implementing the quality intervention program, the board may do743
all of the following:744

       (1) Offer in appropriate cases as determined by the board an745
educational and assessment program pursuant to an investigation746
the board conducts under this section;747

       (2) Select providers of educational and assessment services,748
including a quality intervention program panel of case reviewers;749

       (3) Make referrals to educational and assessment service750
providers and approve individual educational programs recommended751
by those providers. The board shall monitor the progress of each752
individual undertaking a recommended individual educational753
program.754

       (4) Determine what constitutes successful completion of an755
individual educational program and require further monitoring of756
the individual who completed the program or other action that the757
board determines to be appropriate;758

       (5) Adopt rules in accordance with Chapter 119. of the759
Revised Code to further implement the quality intervention760
program.761

       An individual who participates in an individual educational762
program pursuant to this division shall pay the financial763
obligations arising from that educational program.764

       Sec. 4731.223.  (A) As used in this section, "prosecutor" has 765
the same meaning as in section 2935.01 of the Revised Code.766

       (B) Whenever any person holding a valid certificate issued767
pursuant to this chapter pleads guilty to, is subject to a768
judicial finding of guilt of, or is subject to a judicial finding769
of eligibility for intervention in lieu of conviction for a770
violation of Chapter 2907., 2925., or 3719. of the Revised Code or771
of any substantively comparable ordinance of a municipal772
corporation in connection with the person's practice, or for a773
second or subsequent time pleads guilty to, or is subject to a774
judicial finding of guilt of, a violation of section 2919.123 of775
the Revised Code, the prosecutor in the case, on forms prescribed776
and provided by the state medical board, shall promptly notify the777
board of the conviction or guilty plea. Within thirty days of778
receipt of that information, the board shall initiate action in779
accordance with Chapter 119. of the Revised Code to determine780
whether to suspend or revoke the certificate under section 4731.22781
of the Revised Code.782

       (C) The prosecutor in any case against any person holding a783
valid certificate issued pursuant to this chapter, on forms784
prescribed and provided by the state medical board, shall notify785
the board of any of the following:786

       (1) A plea of guilty to, a finding of guilt by a jury or787
court of, or judicial finding of eligibility for intervention in788
lieu of conviction for a felony, or a case in which the trial789
court issues an order of dismissal upon technical or procedural790
grounds of a felony charge;791

       (2) A plea of guilty to, a finding of guilt by a jury or792
court of, or judicial finding of eligibility for intervention in793
lieu of conviction for a misdemeanor committed in the course of794
practice, or a case in which the trial court issues an order of795
dismissal upon technical or procedural grounds of a charge of a796
misdemeanor, if the alleged act was committed in the course of797
practice;798

       (3) A plea of guilty to, a finding of guilt by a jury or799
court of, or judicial finding of eligibility for intervention in800
lieu of conviction for a misdemeanor involving moral turpitude, or801
a case in which the trial court issues an order of dismissal upon802
technical or procedural grounds of a charge of a misdemeanor803
involving moral turpitude.804

       The report shall include the name and address of the805
certificate holder, the nature of the offense for which the action806
was taken, and the certified court documents recording the action.807

       Section 2. That existing sections 4729.29, 4731.22, and 808
4731.223 of the Revised Code are hereby repealed.809

       Section 3.  Section 4731.22 of the Revised Code is presented 810
in this act as a composite of the section as amended by both Am. 811
Sub. H.B. 474 and Sub. S.B. 179 of the 124th General Assembly. The 812
General Assembly, applying the principle stated in division (B) of 813
section 1.52 of the Revised Code that amendments are to be 814
harmonized if reasonably capable of simultaneous operation, finds 815
that the composite is the resulting version of the section in 816
effect prior to the effective date of the section as presented in 817
this act.818