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Introduced Version House Bill 2752 History

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Key: Green = existing Code. Red = new code to be enacted
H. B. 2752


(By Delegates Angotti, Kominar, Warner,

J. Smith, Keener, Stemple and Perdue)


[Introduced March 6, 2001; referred to the

Committee on Government Organization.]




A BILL to repeal section two-a, article eight, chapter thirty of the code of West Virginia, one thousand nine hundred thirty-one, as amended; to amend and reenact sections two, two-a, two-b, three, three-a, three-b, four, five, six, seven, eight, nine and ten of said article; and to further amend said article by adding thereto a new section, designated section six-a, all relating to the board of optometry; removing certain fees and providing they be established by legislative rule; increasing criminal fines; providing licensure by endorsement; eliminating phrases no longer applicable; and updating archaic language.

Be it enacted by the Legislature of West Virginia:

That section two-a, article eight, chapter thirty of the code
of West Virginia, one thousand nine hundred thirty-one, as amended, be repealed; and that sections two, two-a, two-b, three, three-a, three-b, four, five, six, seven, eight, nine and ten of said article be amended and reenacted; and that said article be amended by adding thereto a new section, designated section six-a, all to read as follows:
ARTICLE 8. OPTOMETRISTS.

§30-8-2. Practice of optometry defined.

Any one or any combination of the following practices shall constitute the practice of optometry:

(a) The examination of the human eye, with or without the use of drugs, prescribable for the human eye which drugs may be used for diagnostic or therapeutic purposes, for topical application to the anterior segment of the human eye only and, by any method other than surgery, to diagnose, to treat or to refer for consultation or treatment any abnormal condition of the human eye or its appendages;

(b) The employment without the use of surgery of any instrument, device, method or diagnostic or therapeutic drug for topical application to the anterior segment of the human eye intended for the purpose of investigating, examining, treating,
diagnosing, improving or correcting any visual defect or abnormal condition of the human eye or its appendages;
(c) The prescribing, fitting, and application, or the replacement, or duplication or alteration of lenses, prisms, contact lenses, orthoptics, vision training, vision rehabilitation, diagnostic or therapeutic drugs, for topical application to the anterior segment of the human eye or the furnishing or providing of any prosthetic device, or any other method other than surgery necessary to correct or relieve any defects or abnormal conditions of the human eye or its appendages.

Nothing in this section shall be construed to permit an optometrist to perform surgery, use drugs by injection or to use or prescribe any drug for other than the specific purposes authorized by this section.

(c) Notwithstanding any provision of this section, the board of optometry may grant qualified optometrists prescriptive authority for oral antibiotics, oral nonsteroidal anti-inflammatory drugs, and oral carbonic anhydrase inhibitors.

§30-8-2a. Prescriptive authority.

Notwithstanding the provisions of section two of this article, The board of optometry may grant qualified optometrists
prescriptive authority for oral antibiotics, oral nonsteroidal anti-inflammatory drugs, and oral carbonic anhydrase inhibitors. Provided, That the board has proposed rules for legislative approval in accordance with the provisions of article three, chapter twenty-nine-a of this code, defining a certification process for individual optometrists that provide standards for education, training and adequate insurance coverage determined by the board to be conditions precedent to certification authorizing the individual optometrist to prescribe drugs excluded pursuant to the provisions of section two of this article but authorized by this section, and the optometrist desiring to employ the use of these pharmaceutical agents has met the necessary qualifications as established by rule
§30-8-2b. Expanded prescriptive authority.

Notwithstanding the provisions of section two of this article, on or before the thirty-first day of December, one thousand nine hundred ninety-seven, the board of optometry shall propose rules for legislative approval in accordance with the provisions of article three, chapter twenty-nine-a of this code, defining a certification process and drug formulary which is authorized by this section, except that no emergency rules may be proposed. The
board shall provide a formulary classifying those categories of oral drugs rational to the diagnosis and treatment of conditions or diseases of the human eye and its appendages, which may be prescribed by optometrists from Schedules III, IV and V of the Uniform Controlled Substances Act, article two, chapter sixty-a of this code. The board shall consult with other appropriate boards, including the board of pharmacy, in the development of the formulary. The rules shall further provide for individual certification of optometrists for this expanded scope of prescriptive authority. The rules shall provide standards for education and training determined by the board to be conditions precedent to individual certification authorizing an optometrist to prescribe drugs excluded pursuant to the provisions of section two of this article and included in a drug formulary to be adopted by the board; procedures for certification by the board of education and training courses; procedure standards for certification and recertification of individual optometrists for an expanded scope of practice prescriptive authority, which shall include a continuing education requirement; administrative fees necessary for the certification and recertification; procedures and standards for certification and training courses; procedures and standards for determining successful completion of education and training; and standards to ensure adequate insurance coverage, as well as compliance with the provisions of this section.
§30-8-3. Board of optometry; duties; disposition of moneys collected; compensation and expenses.

There shall be a state board of examiners in optometry, known as the "West Virginia board of optometry," which shall consist of five optometrists, who shall be appointed by the governor, by and with the advice and consent of the Senate. Each optometric member of the board, at the time of his or her appointment, shall have been a resident and a registered practicing optometrist of this state for a period of not less than three years or more immediately preceding his or her
appointment.
The optometric members of the board in office on the first day of July, one, one thousand nine hundred sixty-seven two thousand one, shall, unless sooner removed, continue to serve until their successors have been appointed and have qualified. On or before the first day of July, one thousand nine hundred sixty-seven two thousand one, and annually thereafter, as their respective terms expire, the governor shall appoint their successors so that one year he or she
shall appoint one member and in each of the two succeeding years he or she shall appoint two members, each for a term of three years commencing on the first day of July. Any member shall be eligible for reappointment.
All fees and other moneys collected by the board pursuant to the provisions of this article shall be kept in a separate fund and expended solely for the purpose of this article. No part of this special fund shall revert to the general funds of this state. The compensation for the members of the board and all expenses incurred under this article shall be paid from this special fund. No compensation or expense incurred under this article shall be a charge against the general funds of this state.
The board shall make necessary rules, and regulations subject to the provisions of chapter twenty-nine-a of this code, which are not inconsistent with any other provision or section of this article:
(a) For the proper performance of its duties;
(b) To govern the ethical practice of optometry for the safety, protection and welfare of the public; and
(c) To govern the time, place and manner of conducting examinations in optometry, and the manner and form in which applicants for such examination shall be filed.
§30-8-3a. Registration of optometric corporations.

When one or more optometrists duly registered to practice optometry in the state of West Virginia wish to form an optometric corporation, such optometrist or optometrists shall file a written application with the board of optometry, on a form prescribed by the board, and shall furnish proof satisfactory to the board that the signer is a duly registered optometrist, or if there be more than one that all the signers of such application are such duly registered optometrists. A fee of twenty-five dollars as determined by legislative rule shall accompany each such application, no part of which shall may be returnable refundable.
If the board finds that the signer is a duly registered optometrist, or if there be more than one that all of the signers of such application are such duly registered optometrists, The board shall notify the secretary of state that a certificate of authorization has been issued to the individual or individuals signing such application, to form an optometric corporation.
When the secretary of state receives notification from the board of optometry that an individual or individuals, duly registered to practice optometry in the state of West Virginia have been issued a certificate of authorization, he or she
shall attach such authorization to the agreement of incorporation and upon compliance by the corporation with the applicable provisions of chapter thirty-one of this code, shall notify the incorporators that such corporation, through a duly registered optometrist or optometrists, may engage in the practice of optometry.
§30-8-3b. Practice of optometry by optometric corporations; limitations; optometrist-patient relationship not affected; biennial registration; penalty; severability.

(a) An optometric corporation may practice optometry only through an individual optometrist or optometrists duly registered to practice optometry in the state of West Virginia, but such optometrist or optometrists may be employees rather than shareholders of such corporation, and nothing herein contained shall be construed to require a license or other legal authorization of any individual employed by such corporation to perform services for which no license or other legal authorization is otherwise required. Nothing contained in sections three-a and ten and this section of this article is meant or intended to change in any way the rights, duties, privileges, responsibilities and liabilities incident to the optometrist-patient relationship nor is it meant or intended to change in any way the personal character of the optometrist- patient relationship. A corporation holding such certificate of authorization shall register biennially, on or before the thirtieth day of June, on a form prescribed by the board of optometry and shall pay an annual a biennial registration fee of fifty dollars as determined by legislative rule.
(b) An optometric corporation holding a certificate of authorization shall cease to engage in the practice of optometry upon being notified by the board of optometry that any of its shareholders is no longer a duly registered optometrist in this state, or when any shares of such corporation have been sold or disposed of to a person who is not a duly registered optometrist: Provided, That the personal representative of a deceased shareholder shall have a period, not to exceed twelve months from the date of such shareholder's death, to dispose of such shares; but nothing contained herein shall be construed as affecting the existence of such corporation or its right to continue to operate for all lawful purposes other than the practice of optometry.
(c) No corporation shall practice optometry, or any of its branches, or hold itself out as being capable of doing so, without a certificate from the board, or after its certificate has been revoked, or if suspended, during the term of such suspension. A certificate signed by the secretary of the board of optometry to which is affixed the official seal of the board to the effect that it appears from the records of the board that no such certificate to practice optometry or any of its branches in the state has been issued to any such corporation specified therein or that such certificate has been revoked or suspended shall be admissible in evidence in all courts of this state and shall be prima facie evidence of the facts stated therein.
(d) Any officer, shareholder or employee of such corporation who participates in a violation of any provision of this section shall be guilty of a misdemeanor and, upon conviction thereof, shall be fined not more less than one thousand dollars nor more than five thousand dollars.
(e) If any provision of section three-a or this section of this article be held to be invalid, such invalidity shall not affect the other provisions of said sections, and to this end the provisions of said sections are severable.
§30-8-4. Registration prerequisite to practice of optometry; exceptions.

No person shall practice or offer to practice optometry in this state without first applying for and obtaining a certificate of registration for such purpose from the West Virginia board of optometry; but the following persons, firms and corporations are exempt from the operation of this article, except as hereinafter provided:
(a) Persons who have heretofore been registered as optometrists in this state, or who were engaged in the practice of optometry in this state before the passage of any law by this state regulating such practice, and who have heretofore received from the board of examiners certificates of exemption from examination;
(b) (a) Persons authorized under the laws of this state to practice medicine and surgery or osteopathy;
(c) (b) Persons, firms and corporations who sell eyeglasses or spectacles in a store, shop or other permanently established place of business on prescriptions from persons authorized under the laws of this state to practice either optometry or medicine and surgery;
(d) (c) Persons, firms and corporations who manufacture or deal in eyeglasses or spectacles in a store, shop or other permanently established place of business, and who neither practice nor attempt to practice optometry.
§30-8-5. Qualifications of applicant for registration; examination; duties of board as to examinations and certifications; education necessary for use of pharmaceutical agents.

An applicant for registration shall present satisfactory evidence that he or she
is at least eighteen twenty-one years of age, of good moral character and temperate habits, and has graduated from a high school or secondary school, or has completed an equivalent course of study approved by the West Virginia board of optometry, has satisfactorily completed all preoptometry or premedical college requirements and has graduated from a school or college of optometry approved accepted by said board. No school or college of optometry shall be approved accepted by the West Virginia board of optometry unless at first it has been accredited by a regional or professional accreditation organization which is recognized by the national commission on accreditation or the United States commission of education. Each applicant shall submit to and be examined in all phases of optometry as is provided by the a school or college of optometry. and shall include, but not be limited to, anatomy and physiology of the human eye, the use of instruments such as the ophthalmoscope, retinoscope, tonometer, slit lamp biomicroscope, the general laws of optics and refraction, general and ocular pharmacology, general and ocular pathology and other such subjects or instrumentation as the board of optometry may deem necessary
The West Virginia board of optometry shall be responsible to determine the educational training received by the applicant from the schools and colleges of optometry, the educational qualifications of each applicant and the administering of the examination and certification of each applicant commensurate with his or her
education. No optometrist shall be registered or certified to practice optometry in the state of West Virginia in any area that is beyond the scope of his or her educational training as determined by the West Virginia board of optometry. Provided, That any optometrist presently registered in the state of West Virginia and who desires to employ the use of pharmaceutical agents must submit to the West Virginia board of optometry evidence of satisfactory completion of all necessary educational requirements as made mandatory by the West Virginia board of optometry: Provided further, That the West Virginia board of optometry shall provide for continuing educational requirements to be completed from time to time by all optometrists desiring to employ the use of pharmaceutical agents
§30-8-6. Certificate of registration or exemption shall be displayed.

Every person practicing optometry shall display his or her
certificate of registration or exemption in a conspicuous place in the principal office wherein he or she practices optometry and, whenever required, shall exhibit such certificate to the board of examiners or its authorized representatives. And whenever practicing the profession of optometry outside of or away from said office or place of business, he shall deliver to each customer or person so fitted with glasses a bill of purchase which shall contain his signature, home post-office address, and the number of his certificate of registration or exemption, together with a specification of the lenses furnished
§30-8-6a. Licensure by endorsement.

(a) Applicants for licensure by endorsement must meet the following requirements:
(1) Presentation of a certified copy or an original certificate of registration or license in good standing issued to the applicant by another state where requirements for licensure are equivalent to those of this state.
(2) Payment of a fee established by legislative rule.
(3) Unless waived by the board, all applicants for licensure by endorsement must:
(A) Apply for the highest level of therapeutic licensure in this state;
(B) Be current in the continuing education requirements of their current state of licensure;
(C) Have engaged in the active practice of optometry for at least five of the seven years immediately preceding his or her application;
(D) Have not committed any act that would constitute grounds for disciplinary action under this article or under any legislative rule;
(E) Submit to an oral or written examination and interview as considered necessary by the board at a time and place prescribed by the board;
(F) Pass a West Virginia optometry law examination as required by the board to be given at such time and place as prescribed by the board.
(b) An applicant may not be considered for licensure by endorsement in this state if he or she has failed the West Virginia optometry board examination within the ten years preceding the date on which the application for endorsement is filed.
§30-8-7. Biennial renewal of registration; restoration of expired certificate.

Every registered optometrist who desires to continue in active practice or service shall, annually biennially, on or before the first day of August, of each that year, renew his or her
certificate of registration and pay an annual a biennial renewal fee of twenty dollars as determined by legislative rule. Every certificate of registration which has not been renewed during the month of August in any one year shall expire on the first day of September August of that year. A registered optometrist whose certificate of registration has expired for three years or less may have the same restored only upon payment of the all required renewal fee and late fees for each lapsed year, and submit proof of accumulated continuing education hours for each year that has lapsed. Any registered optometrist who retires from the practice of optometry for more than five years may renew his certificate of registration upon payment of all lapsed renewal fees.
§30-8-8. Refusal to issue, suspension or revocation of certificate; false and deceptive advertising.

The board may either refuse to issue, or may refuse to renew, or may suspend or revoke any certificate of registration for any one, or any combination, of the following causes: Violation of a rule or regulation governing the ethical practice of optometry promulgated by the board under the authority granted by this article; conviction of a felony, as shown by a certified copy of the record of the court wherein such conviction was had; the obtaining of, or the attempt to obtain, a certificate of registration, or practice in the profession of optometry, or money, or any other thing of value, by fraudulent misrepresentation; gross malpractice; continued practice by a person knowingly having an infectious disease; habitual drunkenness, or addiction to the use of morphine, cocaine, or other habit-forming drugs; substance abuse involving alcohol or controlled substances; advertising, practicing, or attempting to practice under a name other than one's own; advertising by means of knowingly false or deceptive statements. All advertising, whether by means of newspapers, or in any manner, whatsoever, of the following statements, or statements of similar import, that are "false and deceptive" within the meaning of this law, shall be prohibited. False and deceptive advertising shall include, but not be limited to the following: (a) Advertising of complete glasses, that is to say, lenses and frames or mountings, at a stated price, either alone or in conjunction with professional services; (b) Advertising "free examination of eyes," or "free consultation," or "free advice," or words of similar import and meaning; (c) (b) advertising frames or mountings for glasses, by advertisement contact lenses, or other optical devices which does not accurately describe the same in all its component parts. (all such advertisements shall state clearly, in type equal in size to the price figures given, that such price does not include cost of lenses, or professional services in examining of eyes), and, (d) advertising a particular sum or sums of money required as a "down" or cash payment, or any definite amount or amounts of future payments, or when the same shall be paid
§30-8-9. Offenses; penalties; jurisdiction of magistrates.

Each of the following shall constitute a misdemeanor punishable, upon conviction, for the first offense, by a fine of not less than one hundred thousand nor more than two hundred five thousand dollars and, upon conviction for a second or subsequent offense, by a fine of not less than two hundred five thousand nor more than five hundred ten thousand dollars, or by imprisonment for not less than thirty nor more than ninety days, or by both such fine and imprisonment, at the discretion of the court: The practice of, or an attempt to practice, optometry, without a certificate of registration as a registered optometrist, except as hereinbefore provided; permitting any person in one's employ, supervision or control, to practice optometry, unless such person has a certificate of registration as a registered optometrist in the state of West Virginia when such certificate is required by this article; the obtaining of, or an attempt to obtain, a certificate of registration, or practice in the profession, or money, or anything of value, by fraudulent misrepresentation; the making of any wilfully willfully false oath or affirmation, whenever an oath or affirmation is required by this article; the violation of the provisions of section six of this article.
Justices of the peace Magistrates shall have concurrent jurisdiction with circuit and criminal courts for the enforcement of this article.
§30-8-10. Unlawful practice of optometry by or for a corporation, etc.; practice in connection with commercial or mercantile establishment; penalties; injunctions.

Except as provided in sections three-a and three-b of this article, no corporation or voluntary association shall practice, or assume to practice, or in any manner hold itself out to the public as being entitled to practice the profession of optometry, or advertise the title of optometrist in such manner as to convey the impression to the public that it is entitled to practice optometry, or furnish optometric advice and services, or advertise that, either alone or together with or by or through any person, whether a duly registered and licensed optometrist or not, it has, owns, conducts or maintains an office or place for practice of optometry. Any individual or corporate entity who influences or attempts to influence patient care, diagnostic or treatment decisions, chargeable fees, hours of operation, or patient scheduling of a licensed optometrist under the individual's or corporate entity's control shall be considered as practicing optometry without a license. Except as provided in sections three-a and three-b of this article, no duly registered and licensed optometrist shall associate himself themselves with any corporation or voluntary association for the practice of optometry, or in any manner practice such profession, on a salary or commission basis, for any such corporation or voluntary association. Any corporation or voluntary association violating any of the provisions of this section, or any officer, trustee, director, agent, or employee of such corporation or voluntary association who, either directly or indirectly, engages in any of the acts herein prohibited, or assists such corporation or voluntary association to do such prohibited acts, shall be guilty of a misdemeanor and, upon conviction thereof, shall be fined not less than one hundred thousand nor more than one five thousand dollars. The fact that any such officer, trustee, director, agent or employee shall be a duly registered and licensed optometrist shall not be held to permit or allow any such corporation or voluntary association to do the acts prohibited herein, nor shall such fact be a defense upon the trial of any of the persons hereinbefore mentioned for a violation of this section. Any duly registered and licensed optometrist who shall violate the provisions of this section shall be guilty of a misdemeanor and, upon conviction thereof, shall be fined not less than ten one thousand dollars nor more than twenty-five five thousand dollars, and each and every day such violation continues shall constitute a separate offense; and in addition to the foregoing penalties, such offending optometrist shall have his or her license to practice suspended for a period of one year by the court in which such conviction is had: Provided, That this section shall not apply to a partnership of two or more duly registered and licensed optometrists who practice under their own names.
It shall be unlawful for any registered optometrist to practice his or her profession as an employee, lessee, or sublessee of any commercial or mercantile establishment or to practice his or her profession in connection therewith, or to advertise either in person or through any commercial or mercantile establishment that he or she is a duly registered practitioner, and is practicing or will practice optometry as an employee, lessee, or sublessee of any such commercial or mercantile establishment or in connection therewith. But nothing herein shall be construed to prohibit or prevent the rendering of professional services to the officers and employees of any person, firm or corporation by an optometrist, whether or not the compensation for such services is paid by the officers and employees, or by the employer, or jointly by all or any of them. Any person violating this provision shall be guilty of a misdemeanor and, upon conviction thereof, shall be fined not less than fifty one thousand nor more than five hundred thousand dollars, and each and every day such violation continues shall constitute a separate offense.
The circuit court of any county in which the violation occurred shall have jurisdiction to restrain by injunction the violation of any of the provisions of this article.




NOTE: The purpose of this bill is to make certain changes to current law applicable to the board of optometry, including: Removing certain fees and providing they be established by legislative rule; increasing criminal fines; providing licensure by endorsement; eliminating phrases no longer applicable; and updating archaic language.

Strike-throughs indicate language that would be stricken from the present law, and underscoring indicates new language that would be added.

§30-8-6a is new; therefore, strike-throughs and underscoring have been omitted.


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