(C) "Clinical laboratory" means a facility for the | 22 |
biological, microbiological, serological, chemical, | 23 |
immunohematological, hematological, biophysical, cytological, | 24 |
pathological, or other examination of substances derived from the | 25 |
human body for the purpose of providing information for the | 26 |
diagnosis, prevention, or treatment of any disease, or in the | 27 |
assessment or impairment of the health of human beings. | 28 |
Sec. 4731.22. (A) The state medical board,
by an
affirmative | 82 |
vote of not fewer than six of its members,
may revoke
or may | 83 |
refuse to grant a certificate to a person found by the
board to | 84 |
have committed fraud during the administration of the
examination | 85 |
for a certificate to practice or to have
committed
fraud, | 86 |
misrepresentation, or deception in applying for
or securing
any | 87 |
certificate to practice or certificate of
registration issued
by | 88 |
the board. | 89 |
(B) The board, by an affirmative
vote of not fewer than
six | 90 |
members, shall, to the extent permitted by law, limit,
revoke, or | 91 |
suspend an individual's certificate to
practice, refuse to | 92 |
register an individual, refuse
to reinstate a certificate, or | 93 |
reprimand or place on
probation the
holder of a certificate for | 94 |
one or more of the following reasons: | 95 |
(3) Selling, giving away, personally furnishing,
prescribing, | 104 |
or
administering drugs for other than legal and
legitimate | 105 |
therapeutic purposes
or a plea of guilty to, a judicial
finding of | 106 |
guilt of, or a
judicial finding of eligibility for
intervention in | 107 |
lieu of conviction
of, a violation of any federal
or state law | 108 |
regulating the possession,
distribution, or use of
any drug; | 109 |
For purposes of this division, "willfully betraying a | 111 |
professional
confidence" does not include providing any | 112 |
information, documents, or reports
to a child fatality review | 113 |
board under sections 307.621 to 307.629 of the
Revised Code and | 114 |
does not include the making of a report of an
employee's use of a | 115 |
drug of abuse, or a report of a condition of
an employee other | 116 |
than one involving the use of a drug of abuse,
to the employer of | 117 |
the employee as described in division (B) of
section 2305.33 of | 118 |
the Revised Code.
Nothing in this division
affects the immunity | 119 |
from
civil liability conferred by that section upon a physician | 120 |
who
makes either type of report in accordance with division (B) of | 121 |
that section. As used in this division, "employee," "employer," | 122 |
and "physician" have the same meanings as in section 2305.33 of | 123 |
the Revised Code. | 124 |
(5) Making a false, fraudulent,
deceptive, or misleading | 125 |
statement
in the solicitation of or advertising
for patients; in | 126 |
relation
to the practice of medicine and surgery, osteopathic | 127 |
medicine
and surgery, podiatric medicine and surgery, or a
limited | 128 |
branch of medicine;
or in securing or attempting to secure
any | 129 |
certificate
to practice or certificate of registration issued
by | 130 |
the board. | 131 |
As used in this division, "false, fraudulent, deceptive, or | 132 |
misleading statement" means a statement that includes a | 133 |
misrepresentation of fact, is likely to mislead or deceive
because | 134 |
of a failure to disclose material facts, is intended or
is likely | 135 |
to create false or unjustified expectations of
favorable results, | 136 |
or includes representations or implications
that in reasonable | 137 |
probability will cause an ordinarily prudent
person to | 138 |
misunderstand or be deceived. | 139 |
(18) Subject to section 4731.226 of the Revised Code, | 177 |
violation of
any provision of a code of ethics
of the American | 178 |
medical association, the American osteopathic
association, the | 179 |
American podiatric medical association, or any
other national | 180 |
professional organizations that
the board specifies by
rule. The | 181 |
state medical board shall
obtain and keep on file current copies | 182 |
of the codes of ethics of
the various national professional | 183 |
organizations. The
individual whose certificate is being
suspended | 184 |
or
revoked
shall not be found to have violated any
provision of a | 185 |
code of
ethics of an organization not appropriate
to the | 186 |
individual's profession. | 187 |
For purposes of this division, a "provision of a code
of | 188 |
ethics of a national professional organization" does not
include | 189 |
any provision that would preclude the making of a
report by a | 190 |
physician of an employee's use of a drug of abuse, or
of a | 191 |
condition of an employee other than one involving the use of
a | 192 |
drug of abuse, to the employer of the employee as described in | 193 |
division (B) of section 2305.33 of the Revised Code. Nothing
in | 194 |
this division affects the
immunity from civil liability conferred | 195 |
by that section upon a
physician who makes either type of report | 196 |
in accordance with
division (B) of that section. As used in this | 197 |
division,
"employee," "employer," and "physician" have the same | 198 |
meanings as
in section 2305.33 of the Revised Code. | 199 |
In enforcing this division, the board, upon a
showing of a | 205 |
possible violation, may compel any individual
authorized to | 206 |
practice by this chapter or
who has
submitted an application | 207 |
pursuant to this chapter
to submit to a mental examination, | 208 |
physical
examination, including an HIV test, or both a mental
and | 209 |
a physical
examination. The expense of the
examination is the | 210 |
responsibility of the individual compelled to be
examined.
Failure | 211 |
to submit to a mental or physical examination
or consent
to an HIV | 212 |
test ordered by the board
constitutes an admission of
the | 213 |
allegations against the
individual
unless the failure is due
to | 214 |
circumstances beyond the individual's control,
and a default
and | 215 |
final order may be entered without the taking
of testimony or | 216 |
presentation of evidence. If the board finds an
individual unable | 217 |
to practice because of the reasons
set forth in
this division, the | 218 |
board shall require the individual
to submit to
care, counseling, | 219 |
or treatment by physicians approved or
designated by the board, as | 220 |
a condition for initial, continued,
reinstated, or renewed | 221 |
authority to practice. An
individual
affected under this division | 222 |
shall be
afforded an opportunity to demonstrate to the board the | 223 |
ability to
resume practice in compliance with acceptable and | 224 |
prevailing
standards under the provisions of the individual's | 225 |
certificate.
For the
purpose of this division, any individual who | 226 |
applies for or receives a certificate to
practice under this | 227 |
chapter accepts the privilege of
practicing in
this state and, by | 228 |
so doing, shall be
deemed to have given consent to submit to a | 229 |
mental or
physical examination when directed to do so in writing | 230 |
by the
board, and to have waived all objections to the | 231 |
admissibility of
testimony or examination reports that constitute | 232 |
a privileged
communication. | 233 |
(20) Except when civil penalties are imposed under section | 234 |
4731.225
or 4731.281 of the Revised Code, and subject to section | 235 |
4731.226 of the Revised Code, violating or
attempting to violate, | 236 |
directly or indirectly, or assisting in or
abetting the violation | 237 |
of, or conspiring to violate, any
provisions of this chapter or | 238 |
any rule promulgated by the board. | 239 |
This division does not apply to a violation or attempted | 240 |
violation of, assisting in or abetting the violation of, or a | 241 |
conspiracy to violate, any provision of this chapter or any rule | 242 |
adopted by the board that would preclude the making
of a
report by | 243 |
a physician of an employee's use of a drug of abuse, or
of a | 244 |
condition of an employee other than one involving the use of
a | 245 |
drug of abuse, to the employer of the employee as described in | 246 |
division (B) of section 2305.33 of the Revised Code. Nothing
in | 247 |
this division affects the
immunity from civil liability conferred | 248 |
by that section upon a
physician who makes either type of report | 249 |
in accordance with
division (B) of that section. As used in this | 250 |
division,
"employee," "employer," and "physician" have the same | 251 |
meanings as
in section 2305.33 of the Revised Code. | 252 |
(22) Any of the following actions taken by the agency | 256 |
responsible for regulating the practice of medicine and surgery, | 257 |
osteopathic
medicine and surgery, podiatric medicine and surgery, | 258 |
or the limited branches of medicine in
another jurisdiction, for | 259 |
any reason other than the
nonpayment of fees: the
limitation, | 260 |
revocation, or suspension of an individual's license
to practice; | 261 |
acceptance of an
individual's license surrender; denial of a | 262 |
license; refusal to
renew or reinstate
a license; imposition of | 263 |
probation; or
issuance of an order of censure or other reprimand; | 264 |
(23) The violation of section 2919.12 of the Revised Code
or | 265 |
the performance or inducement of an abortion upon a pregnant
woman | 266 |
with actual knowledge that the conditions specified in
division | 267 |
(B) of section 2317.56 of the Revised Code have not been
satisfied | 268 |
or with a heedless indifference as to whether those
conditions | 269 |
have been satisfied, unless an affirmative defense as
specified in | 270 |
division (H)(2) of that section would apply in a
civil action | 271 |
authorized by division (H)(1) of that section; | 272 |
For the purposes of this division, any individual authorized | 288 |
to practice
by this chapter accepts
the privilege of
practicing in | 289 |
this state subject to supervision by the board. By
filing an | 290 |
application for or
holding a
certificate to practice under this | 291 |
chapter, an
individual shall
be deemed to have given consent to | 292 |
submit to a mental or
physical examination when ordered to do so | 293 |
by the board in
writing, and to have waived all objections to the | 294 |
admissibility
of testimony or examination reports that constitute | 295 |
privileged
communications. | 296 |
If it has reason to believe that any individual authorized to | 297 |
practice by
this chapter or any applicant for
certification to | 298 |
practice suffers such impairment, the board may compel
the | 299 |
individual to submit to a mental or physical examination, or
both. | 300 |
The expense of the examination is the
responsibility of the | 301 |
individual
compelled to be examined. Any
mental or physical | 302 |
examination required under this division shall
be undertaken by a | 303 |
treatment provider or physician who is qualified to
conduct the | 304 |
examination and who is chosen by the
board. | 305 |
Failure to submit to a mental or physical
examination ordered | 306 |
by the board constitutes an admission of the
allegations against | 307 |
the individual unless the failure is due to
circumstances beyond | 308 |
the individual's control, and a default and
final order may be | 309 |
entered without the taking of testimony or
presentation of | 310 |
evidence. If the board determines that the
individual's ability
to | 311 |
practice is impaired, the board shall
suspend the individual's | 312 |
certificate or deny the
individual's application and shall require | 313 |
the individual, as a condition for initial, continued,
reinstated, | 314 |
or renewed certification to practice, to
submit to treatment. | 315 |
When the impaired practitioner resumes practice, the board | 337 |
shall
require continued
monitoring of the individual. The | 338 |
monitoring shall include, but not be
limited to, compliance with | 339 |
the written consent agreement entered
into before reinstatement or | 340 |
with conditions imposed by board
order after a hearing, and, upon | 341 |
termination of the consent
agreement, submission to the board for | 342 |
at least two years of
annual written progress reports made under | 343 |
penalty of perjury
stating whether the individual has maintained | 344 |
sobriety. | 345 |
(34) Failure to cooperate in an investigation conducted by | 382 |
the board under division (F) of this section, including
failure to | 383 |
comply with a subpoena or order issued by the board
or failure to | 384 |
answer truthfully a question presented by the
board at a | 385 |
deposition or in written interrogatories, except that
failure to | 386 |
cooperate with an investigation shall not constitute
grounds for | 387 |
discipline under this section if a court of
competent jurisdiction | 388 |
has issued an order that either quashes a
subpoena or permits the | 389 |
individual to withhold the testimony or
evidence in issue; | 390 |
(C) Disciplinary actions taken by the board under divisions | 402 |
(A) and (B) of this section shall be taken pursuant to an | 403 |
adjudication under Chapter 119. of the Revised Code, except that | 404 |
in lieu of an
adjudication, the board may enter into a consent | 405 |
agreement with an
individual to resolve an allegation of a | 406 |
violation of this chapter or any rule
adopted under it. A consent | 407 |
agreement, when ratified by an
affirmative vote of not fewer than | 408 |
six members of the board,
shall constitute the findings and order | 409 |
of the board with
respect to the matter addressed in the | 410 |
agreement. If the board
refuses to ratify a consent agreement,
the | 411 |
admissions and
findings contained in the consent agreement
shall | 412 |
be of no force
or effect. | 413 |
If the board takes disciplinary action against an individual | 414 |
under division (B) of this section for a second or subsequent plea | 415 |
of guilty to, or judicial finding of guilt of, a violation of | 416 |
section 2919.123 of the Revised Code, the disciplinary action | 417 |
shall consist of a suspension of the individual's certificate to | 418 |
practice for a period of at least one year or, if determined | 419 |
appropriate by the board, a more serious sanction involving the | 420 |
individual's certificate to practice. Any consent agreement | 421 |
entered into under this division with an individual that pertains | 422 |
to a second or subsequent plea of guilty to, or judicial finding | 423 |
of guilt of, a violation of that section shall provide for a | 424 |
suspension of the individual's certificate to practice for a | 425 |
period of at least one year or, if determined appropriate by the | 426 |
board, a more serious sanction involving the individual's | 427 |
certificate to practice. | 428 |
(D) For purposes of divisions (B)(10), (12), and (14) of
this | 429 |
section, the commission of the act may be established by a
finding | 430 |
by the board, pursuant to an adjudication under
Chapter
119. of | 431 |
the Revised Code, that the individual committed the act.
The board | 432 |
does not have jurisdiction under those divisions if
the
trial | 433 |
court renders a final judgment in the individual's favor and
that | 434 |
judgment is based upon an
adjudication on
the merits. The
board | 435 |
has jurisdiction under those
divisions if the trial court
issues | 436 |
an order of
dismissal upon technical or procedural grounds. | 437 |
(E) The sealing of conviction records by any court shall
have | 438 |
no effect upon a prior board order entered under this section
or | 439 |
upon the board's jurisdiction to take action under this section | 440 |
if,
based upon a plea of guilty,
a judicial finding of guilt, or a | 441 |
judicial finding of eligibility for intervention in
lieu of | 442 |
conviction, the board issued a notice of opportunity for
a hearing | 443 |
prior to the court's order to seal the records. The
board shall | 444 |
not be required to seal, destroy, redact, or
otherwise modify its | 445 |
records to reflect the court's sealing of
conviction records. | 446 |
(F)(1) The board shall investigate evidence that appears
to | 447 |
show that a person has violated any provision of this
chapter or | 448 |
any rule adopted under it. Any person may report to the board
in
a | 449 |
signed writing
any information that the person may have that | 450 |
appears to show a
violation of any provision of this chapter or | 451 |
any rule
adopted under it. In the absence of bad
faith, any
person | 452 |
who reports information of that nature or who testifies
before the | 453 |
board in any adjudication conducted under
Chapter 119.
of the | 454 |
Revised Code shall not be liable
in damages in a civil
action as a | 455 |
result of the report or
testimony. Each
complaint or
allegation of | 456 |
a violation received by the
board shall be assigned
a case number | 457 |
and shall be recorded by
the board. | 458 |
(2) Investigations of alleged violations of this chapter or | 459 |
any rule
adopted under it shall
be supervised by the supervising | 460 |
member elected by the board in
accordance with section 4731.02 of | 461 |
the Revised Code and by the
secretary as provided in section | 462 |
4731.39 of the Revised Code. The president
may designate another | 463 |
member of the board to
supervise the investigation in place of the | 464 |
supervising member. No member of
the board who supervises the | 465 |
investigation of a case
shall participate in further adjudication | 466 |
of the case. | 467 |
(3) In investigating a possible violation of
this chapter or | 468 |
any rule adopted
under this chapter, the board
may administer | 469 |
oaths, order the taking of depositions, issue
subpoenas, and | 470 |
compel the attendance of witnesses and production
of books, | 471 |
accounts, papers, records, documents, and testimony, except
that a | 472 |
subpoena for patient record information shall not be issued | 473 |
without
consultation with the attorney general's office and | 474 |
approval of
the secretary and supervising member
of the board. | 475 |
Before issuance of a
subpoena for patient record information, the | 476 |
secretary and supervising member shall
determine
whether there is | 477 |
probable cause to believe that the complaint filed alleges a | 478 |
violation of this chapter or any rule adopted under it and that | 479 |
the records
sought are relevant
to the alleged violation and | 480 |
material to the investigation.
The subpoena may apply only to | 481 |
records that cover a
reasonable period of time surrounding the | 482 |
alleged violation. | 483 |
A subpoena issued by the board may be served by a sheriff, | 488 |
the sheriff's deputy, or a board employee designated by the
board. | 489 |
Service of a subpoena issued by the board may be
made by | 490 |
delivering a copy of the subpoena to the
person named therein, | 491 |
reading it to the person, or leaving it at
the person's usual | 492 |
place of residence. When the person being
served is a person
whose | 493 |
practice is authorized by this chapter,
service of the
subpoena | 494 |
may be made by certified mail,
restricted delivery,
return receipt | 495 |
requested, and the subpoena
shall be deemed served
on the date | 496 |
delivery is made or the date
the person refuses to
accept | 497 |
delivery. | 498 |
The board shall conduct all investigations and proceedings
in | 510 |
a manner that protects the
confidentiality of patients and persons | 511 |
who file complaints with the
board. The
board shall not make | 512 |
public the names or any other identifying
information about | 513 |
patients or complainants unless proper consent is
given or, in the | 514 |
case of a patient, a
waiver of the patient privilege exists under | 515 |
division (B) of
section 2317.02 of the Revised Code, except that | 516 |
consent
or a waiver of that nature is not required if the board | 517 |
possesses reliable and
substantial evidence that no bona fide | 518 |
physician-patient
relationship exists. | 519 |
The board may
share any information it receives pursuant to | 520 |
an investigation, including
patient records and patient record | 521 |
information, with law
enforcement agencies, other licensing | 522 |
boards, and other
governmental
agencies that are prosecuting, | 523 |
adjudicating, or investigating alleged
violations of statutes or | 524 |
administrative rules. An agency
or board that receives the | 525 |
information shall comply with the same
requirements regarding | 526 |
confidentiality as those with which the state medical
board must | 527 |
comply, notwithstanding any conflicting provision
of the Revised | 528 |
Code or procedure
of the agency or board that applies when it is | 529 |
dealing with
other information in its possession. In a judicial | 530 |
proceeding,
the information
may
be admitted into evidence only in | 531 |
accordance with
the Rules of Evidence, but the court shall require | 532 |
that appropriate measures are taken to ensure that
confidentiality | 533 |
is maintained with respect to any part of the information that | 534 |
contains names or other identifying information about patients or | 535 |
complainants
whose confidentiality was protected by the state | 536 |
medical board when the
information was in the board's possession. | 537 |
Measures to ensure confidentiality
that may be taken by the court | 538 |
include sealing its records or deleting
specific information
from | 539 |
its records. | 540 |
The board shall issue a written order of suspension by | 570 |
certified mail or in person in accordance with section 119.07 of | 571 |
the Revised Code. The order shall not be subject to
suspension
by | 572 |
the court during pendency of any appeal filed under section
119.12 | 573 |
of the Revised Code. If the individual
subject to the summary | 574 |
suspension requests
an adjudicatory hearing by the board, the date | 575 |
set for the
hearing shall be within fifteen days, but not earlier | 576 |
than seven
days, after the individual
requests the hearing,
unless | 577 |
otherwise agreed to by both the board and the individual. | 578 |
Any summary suspension imposed under this division shall | 579 |
remain in effect, unless reversed on appeal, until a final | 580 |
adjudicative order issued by the board pursuant to this section | 581 |
and Chapter 119. of the Revised Code becomes effective. The
board | 582 |
shall issue its final adjudicative order within seventy-five
days | 583 |
after
completion of its hearing. A failure to issue the order | 584 |
within
seventy-five days shall result in dissolution of the | 585 |
summary
suspension
order but shall not invalidate any subsequent, | 586 |
final
adjudicative
order. | 587 |
(H) If the board takes action under division
(B)(9), (11),
or | 588 |
(13) of this section and the judicial
finding of guilt, guilty | 589 |
plea, or judicial finding of
eligibility for intervention in lieu | 590 |
of conviction is
overturned on appeal,
upon
exhaustion of the | 591 |
criminal appeal, a petition for reconsideration
of the order may | 592 |
be filed with the board along with appropriate
court documents. | 593 |
Upon receipt of a petition of that
nature and supporting court | 594 |
documents, the board shall reinstate the
individual's certificate | 595 |
to practice. The
board may then hold an adjudication under
Chapter | 596 |
119. of the Revised Code to
determine whether the
individual | 597 |
committed
the act in question. Notice of an
opportunity for a | 598 |
hearing
shall be given in accordance with
Chapter 119. of the | 599 |
Revised Code. If the
board finds, pursuant to
an adjudication held | 600 |
under this division,
that the individual
committed
the act or if | 601 |
no hearing is requested, the board may
order any of the sanctions | 602 |
identified under division (B) of this
section. | 603 |
(I) The certificate to practice issued to an individual
under | 604 |
this chapter and the individual's practice in this
state are | 605 |
automatically suspended as of the date of the individual's second | 606 |
or subsequent plea of guilty to, or judicial finding of guilt of, | 607 |
a violation of section 2919.123 of the Revised Code, or the date | 608 |
the individual pleads
guilty to, is found by a judge
or jury to be | 609 |
guilty of, or is
subject to a judicial
finding of eligibility for | 610 |
intervention in
lieu of conviction in this state
or treatment or | 611 |
intervention in
lieu of conviction in another
jurisdiction for
any | 612 |
of the
following
criminal offenses in this state or a | 613 |
substantially
equivalent criminal offense in another jurisdiction: | 614 |
aggravated
murder, murder, voluntary
manslaughter, felonious | 615 |
assault,
kidnapping, rape, sexual
battery, gross sexual | 616 |
imposition,
aggravated arson, aggravated
robbery, or aggravated | 617 |
burglary.
Continued
practice after suspension shall be considered | 618 |
practicing
without a certificate. | 619 |
(1) If the automatic suspension under this division is for a | 627 |
second or subsequent plea of guilty to, or judicial finding of | 628 |
guilt of, a violation of section 2919.123 of the Revised Code, the | 629 |
board shall enter an order suspending the individual's certificate | 630 |
to practice for a period of at least one year or, if determined | 631 |
appropriate by the board, imposing a more serious sanction | 632 |
involving the individual's certificate to practice. | 633 |
(J) If the board is required by
Chapter 119. of the Revised | 637 |
Code to give notice of an
opportunity for a hearing and if the | 638 |
individual subject to the notice
does not timely request a
hearing | 639 |
in accordance with section
119.07 of the Revised Code, the board | 640 |
is not required
to hold a hearing, but may adopt, by an | 641 |
affirmative vote of
not fewer than
six of its members, a final | 642 |
order that contains the board's
findings. In that final order,
the | 643 |
board may order any of the
sanctions identified under division
(A) | 644 |
or (B) of this section. | 645 |
(K) Any action taken by the board under division (B) of
this | 646 |
section resulting in a suspension from practice shall be | 647 |
accompanied by a written statement of the conditions under which | 648 |
the individual's certificate to practice may be
reinstated. The | 649 |
board
shall adopt rules governing conditions to be imposed for | 650 |
reinstatement. Reinstatement of a certificate suspended pursuant | 651 |
to division (B) of this section requires an affirmative vote of | 652 |
not fewer than six members of the board. | 653 |
(L) When the board
refuses to grant a certificate to an | 654 |
applicant,
revokes an individual's
certificate to practice, | 655 |
refuses to register an applicant, or
refuses to reinstate an | 656 |
individual's certificate to practice,
the board may specify that | 657 |
its action is permanent. An
individual subject to a permanent | 658 |
action taken by the board is
forever thereafter ineligible to hold | 659 |
a certificate to practice
and the board shall not accept an | 660 |
application for reinstatement of the
certificate or for issuance | 661 |
of a new certificate. | 662 |
(O) Under the board's investigative duties described in
this | 687 |
section and subject to division (F) of this section, the
board | 688 |
shall
develop and implement a quality intervention program | 689 |
designed to improve
through remedial
education the clinical and | 690 |
communication skills of individuals authorized
under this chapter | 691 |
to practice medicine and surgery, osteopathic medicine and | 692 |
surgery, and podiatric medicine and surgery. In
developing and | 693 |
implementing the quality intervention program, the board may do | 694 |
all of the following: | 695 |
Sec. 4731.722. (A) Subject to division (B) of this section, | 734 |
no physician shall
charge, bill, or
otherwise solicit payment, | 735 |
directly or indirectly, for anatomic pathology
services unless | 736 |
the services are personally rendered by the
physician or | 737 |
rendered under the direct supervision of the
physician in | 738 |
accordance with 42 U.S.C. 263a. | 739 |