H. B. 4664


(By Delegate P. White)
[Introduced March 2, 1994; referred to the
Committee on Health and Human Resources.]




A BILL to amend and reenact sections one, three, four-a, five, eight, ten, eleven and fifteen, article one, chapter thirty of the code of West Virginia, one thousand nine hundred thirty-one, as amended; and to further amend said article by adding thereto five new sections, designated sections four-b, five-a, six-a, six-b and seventeen, all relating to general provisions regarding the registration and service of health profession licensing board officers and limiting the number of consecutive terms an officer may serve; establishing a duty of health profession licensing boards to investigate and resolve complaints; granting the power to issue subpoenas and seek injunctive relief; establishing a method for application to health care profession boards for examination, licensure or registration; allowing health care profession boards to set examination fees; requiring boards to establish continuing professional education as a requirement for relicensure or reregistry; requiring health profession licensing boards to promulgate rules to delineate conduct, practices or acts which constitute a willful departure from accepted standards of professional conduct or which render an individual unqualified for authorization to practice; establishing special fund accounts for each health profession licensing board and limiting the sum which may be accumulated in each such account and requiring an annual audit of each account; continuing the office of the executive secretary of the health profession licensing boards, clarifying duties of the position and establishing minimum qualifications for the individual appointed to the position; expanding the list of health licensing boards; creating civil immunity for health profession licensing board members and establishing limited liability for health professionals who report or provide evidence of incompetence against a member of a health profession.

Be it enacted by the Legislature of West Virginia:

That sections one, three, four-a, five, eight, ten, eleven and fifteen, article one, chapter thirty of the code of West Virginia, one thousand nine hundred thirty-one, as amended, be amended and reenacted; and that said article be further amended by adding thereto five new sections, designated sections four-b, five-a, six-a, six-b and seventeen, all to read as follows:
ARTICLE 1. GENERAL PROVISIONS APPLICABLE TO ALL STATE BOARDS OF EXAMINATION OR REGISTRATION REFERRED TO IN CHAPTER.

§ 30-1-1. Application of article.

Unless otherwise specially specifically provided, every board of examination or registration referred to in this chapter including the West Virginia board of health, shall conform to the requirements prescribed in the following sections of this article.

§ 30-1-3. Officers; bond of secretary.
Every such board shall elect annually from its members a president and a secretary who shall hold their offices for one year and until their successors are elected:
Provided, That the state board of law examiners, the state board of examiners for nurses and the state board of dental examiners may each elect a secretary from outside its membership. Officers of health profession licensing boards enumerated in section fifteen of this article and those which may be hereinafter established by law, shall be registered annually with the governor, the commissioner of finance and administration, the legislative auditor and the secretary of state. The secretary shall execute a surety bond conditioned as required by law, which bond shall be approved by the attorney general as to form and by the auditor as to sufficiency, and, when so approved, shall be filed and recorded in the office of the secretary of state. The premium on said bond shall be regarded a proper and necessary expense of the board.
§ 30-1-4a. Lay members of health profession boards.

Notwithstanding any provisions of this code to the contrary, the governor shall appoint at least one lay person to represent the interests of the public on every health profession licensing board enumerated in section fifteen of this article referred to in this chapter and those which may be hereinafter established by law. If the total number of members on any of such boards after the appointment of one such lay person is an even number, one additional lay person shall be appointed. Said lay members shall serve in addition to any other members otherwise provided for by law or regulation. Such lay members shall be of the age of eighteen years or over, of good moral character, and competent to represent and safeguard the interests of the public. The lay member is empowered to participate in and vote on all transactions and businesses of the board, committee or group to which he or she is appointed.

Any person whose addition to a board as a lay member under the provisions of this section results in the addition of an odd number of lay additions to the board, shall serve for a term ending in an odd-numbered year on the date in that year on which terms of the professional members expire; of such members first appointed, each shall serve for a term ending on such date in the year one thousand nine hundred seventy-nine, and the successor to each such person shall serve for a term equal in length to the terms of the other professional members of the board. Any person whose addition to a board as a lay member under the provisions of this section results in the addition of an even number of lay additions to the board, shall serve for a term ending in an even-numbered year on the date in that year on which terms of the professional members expire; of such members first appointed, each shall serve for a term ending on such date in the year one thousand nine hundred seventy-eight, and the successor to each such person shall serve for a term equal in length to the terms of the other professional members of the board.
§ 30-1-4b. Limitation on number of terms a health professional board member may serve.

Notwithstanding any provision of this code to the contrary, no health profession licensing board member may serve more than two consecutive terms on any health profession licensing board enumerated in section fifteen of this article or referred to in this chapter.

§ 30-1-5. Meetings; quorum; power to compel attendance of witnesses and to take testimony.

Every such board shall hold at least two meetings each year, at such times and places as it may prescribe by rule, for the examination of applicants who desire to practice their respective professions or occupations in this state, and for the transaction of such other business as may legally come before it. The board may hold such additional meetings as may be necessary, which shall be called by the secretary at the direction of the president or upon the written request of any three members. A majority of the members of the board shall constitute a quorum for the transaction of its business. The board shall have the power to compel the attendance of witnesses and to take testimony and proof concerning any matter within its jurisdiction, and for such purposes the president and secretary of the board shall have the power to administer oaths. In addition, health profession licensing boards enumerated in section fifteen of this article may issue subpoenas, conduct investigations and hire an investigator.

§ 30-1-5a. Duty of professional health care boards to investigate and resolve complaints and to make application to circuit courts for restraining orders.

Every health profession licensing board enumerated in section fifteen of this article and those which may be hereinafter established by law, has a duty to, and shall in a timely manner, investigate and resolve complaints made to it, and shall provide the public access to the disposition of complaints made to it in accordance with the provisions of chapter twenty-nine-b of this code. Every such board has a duty to report, and shall report in a timely manner, upon receiving notice thereof, violations of individual practice acts within this chapter by an individual to the health profession licensing board where such individual may be licensed. Every person licensed or registered by any health profession licensing board enumerated in section fifteen of this article and those which may be hereinafter established by law has a duty to report, and shall report in a timely manner, to the board which licenses or registers such person a known or observed violation of the practice act or the board's rules and regulations promulgated thereunder by any other person licensed by the same board. Law-enforcement agencies and courts shall report in a timely manner to the appropriate board any violations of individual practice acts by any individual.

Whenever a health profession licensing board obtains information that a person subject to its authority has engaged in, is engaging in or is about to engage in any act which constitutes, or will constitute, a violation of the provisions of this chapter which are administered and enforced by such board, the board may make application to the circuit court for an order enjoining such acts, and upon a showing that such person has engaged, is engaging or is about to engage in any such acts, an injunction, restraining order, or such other order as the court may deem appropriate may be entered by the court.
§ 30-1-6a. Application for professional health care examinations, licensure or registration; examination fee; reexamination.

Notwithstanding any other provision in this chapter to the contrary, each health profession licensing board enumerated in section fifteen of this article and those which may be hereinafter established by law is hereby authorized to establish by rule a deadline for application for examination which shall be no less than ten nor more than ninety days prior to the date of the examination.

Notwithstanding any other provision in this chapter to the contrary, health profession licensing boards enumerated in section fifteen of this article and those which may be hereinafter established by law may set by rule fees relating to the licensing or registering of individuals, which fees shall be sufficient to enable the boards to carry out effectively their responsibilities of licensure or registration and discipline of individuals subject to their authority.
Notwithstanding any provision in this chapter to the contrary, no applicant who fails to pass an examination to the satisfaction of the governing health profession licensing board is entitled to reexamination without reapplication and payment of such examination fees determined by that board for such reexamination.
§ 30-1-6b. Continuing professional education as a requirement for relicensure or reregistry by health professional licensing boards.

All health profession licensing boards enumerated in section fifteen of this article shall promulgate rules which require continuing professional education as a condition of relicensure or reregistry. These rules will be promulgated no later than the first day of July, one thousand nine hundred ninety-five. At a minimum, each health profession licensing board's rules shall require continuing education as a condition of continued licensure or relicensure, shall specify the amount of continuing education required over a set period of time, and shall establish compliance reporting requirements.

§ 30-1-8. Denial, suspension or revocation of a license of registration; proceedings; effect of suspension or revocation; transcript; report; judicial review.

(a) Every health profession licensing board is hereby authorized to promulgate rules in accordance with the provisions of chapter twenty-nine-a of this code, to delineate conduct, practices or acts which in the judgment of the board, constitute a willful departure from accepted standards of professional conduct or which may render an individual unqualified for licensure or other authorization to practice. Every health profession licensing board enumerated in section fifteen of this article and those which may be hereinafter established by law, is hereby authorized to suspend or revoke the license of any person found guilty of a crime which bears a rational nexus to his or her practice as a licensed or registered health professional. The word "crime," as used in this subsection, means an act or omission in violation of a law of this state, the United States, or any other state which bears a rational nexus between the violation and the rights and interests of the public in the health care professional's performance of his or her duties.

(a) (b) Notwithstanding any other provision of law to the contrary, no certificate, license, registration or authority issued under the provisions of this chapter may be suspended or revoked without a prior hearing before the board or court issuing said certificate, license, registration or authority:
Provided, That this subsection does not apply in cases where a health profession licensing board enumerated in section fifteen of this article and those which may be hereinafter established by law is authorized to suspend or revoke a certificate, license, registration or authority prior to a hearing if the individual's continuation in practice constitutes an immediate danger to the public.
(b) (c) In all proceedings before a board or court for the suspension or revocation of any certificate, license, registration or authority issued under the provisions of this chapter, a statement of the charges against the holder thereof and a notice of the time and place of hearing shall be served upon such person as a notice is served under section one, article two, chapter fifty-six of this code, at least thirty days prior to the hearing, and he or she may appear with witnesses and be heard in person, by counsel, or both. The board may take such oral or written proof, for or against the accused, as it may deem advisable. If upon such hearing the board finds that the charges are true, it may suspend or revoke the certificate, license, registration or authority, and such suspension or revocation shall take from the person all rights and privileges acquired thereby.
(c) (d) Any person denied a license, certificate, registration or authority who believes such denial was in violation of this article or the article under which said license, certificate, registration or authority is authorized shall be entitled to a hearing on the action denying said license, certificate, registration or authority. Hearings under this subsection shall be in accordance with the provisions for hearings set forth in subsection (b) (c).
(d) (e) A stenographic report of each proceeding on the denial, suspension or revocation of a certificate, license, registration or authority shall be made at the expense of the board and a transcript thereof retained in its files. The board shall make a written report of its findings, which shall constitute part of the record.
(e) (f) All proceedings under the provisions of this section shall be subject to review by the supreme court of appeals.
§ 30-1-10. Disposition of moneys; report to auditor.

The secretary of every such board shall receive and account for all moneys derived by virtue of the provisions of this chapter applicable to such board, and shall pay them into the state treasury monthly, on or before the tenth day of the month succeeding the month in which such moneys were received. He shall also, on the first day of January and July in each year, or within five days thereafter, certify to the state auditor a detailed statement of all such moneys received by him during the preceding six months. Moneys paid into the state treasury by each health profession licensing board enumerated in section fifteen of this article and those which may be hereinafter established by law shall be placed into separate special funds of the state treasury established for each board. Such funds shall be used exclusively by each board for purposes of administration and enforcement of its statute: Provided, That when any special fund of any such board accumulates in excess of two times the annual budget of that board or ten thousand dollars, whichever is greater, the amount in excess shall be transferred by the state treasurer to the state general revenue fund: Provided , however, That any and all fines levied shall be deposited in the state treasury. The legislative auditor shall conduct an annual audit of the financial records of each health profession licensing board enumerated in section fifteen of this article and those which may be hereinafter established by law and shall report the findings of each audit to the audited board and to the Legislature.

§ 30-1-11. Compensation of members; expenses.

Each member of every such board shall receive thirty-five dollars for each day actually spent in attending the sessions of the board, or of its committees, and in necessary travel, and shall be reimbursed for all actual and necessary expenses incurred in carrying out the provisions of this chapter applicable to such board. The secretary shall receive such salary as may be prescribed by the board, but in proceedings relative to the fixing of his or her salary the secretary shall have no vote. All authorized compensation and all expenses certified by the board as properly and necessarily incurred in the discharge of its duties shall be paid out of the state treasury, from funds appropriated for that purpose, on warrants of the state auditor issued on requisitions signed by the president and secretary of the board except that all authorized compensation and all expenses certified by health profession licensing boards enumerated in section fifteen of this article and those which may be hereinafter established by law shall be paid out of the special fund established for each board by section ten of this article.

§ 30-1-15. Office of executive secretary of the health profession licensing boards; appointment of executive secretary; duties.

The office of the executive secretary of the health profession licensing boards is hereby created hereby continued under the secretary of the department of health and human resources. The health profession licensing boards shall include, but not be limited to, those boards provided for in articles two-a, three, four, five, six, seven, seven-a, eight, ten, fourteen, fourteen-a, fifteen, sixteen, seventeen, twenty, twenty-one, twenty-three, twenty-five, and twenty-six, twenty-eight, thirty, thirty-one, thirty-two and thirty-three, of chapter thirty of this code. Notwithstanding any other provision of this code to the contrary the office space, personnel, records and like business affairs of the health profession licensing boards shall may be within the office of the executive secretary of the health profession licensing boards. To the extent needed as defined by the executive secretary, the secretaries of each of the health profession licensing boards shall may coordinate purchasing, record keeping, personnel, use of reporters and like matters under the executive secretary in order to achieve the most efficient and economical fulfillment of their functions. The executive secretary shall be appointed by the director of health secretary of the department of health and human resources and shall report to the secretary. The individual so appointed shall have, as a minimum qualification, a working knowledge of the licensing and disciplining of professionals. This knowledge must be demonstrated by education, training and successful experience in the licensing and disciplining of professionals. and shall report to the director. The executive secretary shall keep the fiscal records and accounts of each of the boards. The executive secretary shall keep the director secretary of the department of health and human resources informed as to the needs of each of the boards. The executive secretary shall coordinate the activities and efforts of the boards with the activities of the health resources advisory council secretary of health and human resources and shall see that the needs for health manpower care professionals perceived by the boards are communicated to the secretary of health and human resources. advisory council The executive secretary shall keep any statistics and information on health professions, collected by or for the boards and shall make such statistics and information available to the secretary of health and human resources advisory council to aid it in carrying out its the secretary's responsibilities. The statistics and information kept by the executive secretary shall include, but not be limited to, the name, profession, location, education, employer and years of service of each health professional, health professional shortage areas, and projections of needs by health profession category.

All members of the health profession licensing boards covered by this chapter shall enjoy immunity from individual civil liability while acting within the scope of their duties as board members.
§ 30 - 1 - 1 7 . Civil immunity for health profession licensing board members, liability limitations of health professionals reporting to boards, peer review committees and professional standards review committees; reporting results of litigation to committees; procedure for imposing penalties.

(a) All members of the health profession licensing boards covered by this chapter shall enjoy immunity from individual civil liability while acting within the scope of their duties as board members.

(b) Any member of a health professional group or organization covered by this chapter who, pursuant to the provisions of this chapter, or pursuant to any rule or regulation promulgated by the applicable governing board for that profession, or pursuant to the rules, regulations or bylaws of any peer review organization, reports or otherwise provides evidence of the negligence, impairment, or incompetence of another member of his or her profession to the governing board for such profession or to any peer review organization, is not liable to any person for making such a report if such report is made without actual malice and in the reasonable belief that such report is warranted by the facts known to him or her at the time.
(c) In the event a claim or cause of action is asserted against a member of any health profession included in this chapter or hereinafter established by law, whether an individual or an entity, as a result of the filing of a report by such member pursuant to the provisions of this chapter, or the rules of the applicable governing board for that profession, or pursuant to rules, regulations or bylaws of any peer review organization, and such claim or cause of action is subsequently dismissed, settled, or adjudicated in favor of the person or entity making the required report, the person or persons who initiated the claim or action are liable for all attorneys fees, costs, and expenses incurred by the reporting professional.
(d) Within thirty days of the dismissal, settlement, adjudication or other termination of any claim or cause of action asserted against any professional reporting under the provisions of this chapter, the person or persons filing such claim or cause of actions shall submit to the applicable governing board the following information:
(1) The names of the parties involved;
(2) The name of the court in which the action was filed, if applicable;
(3) The basis and nature of the claim or cause of action; and
(4) The results of such claim or cause of action, including dismissal, settlement, court or jury verdict, or other means of termination.
(e) The governing boards of each profession included in this chapter shall promulgate legislative rules pursuant to the provisions of chapter twenty-nine-a of this code, establishing procedures for imposing sanctions and penalties against any member of such profession who fails to submit to the board the information required by this section.
(f) The provisions of this section do not preclude the application of any immunity protections which may be set forth under any article in this chapter.



NOTE: The purpose of this bill is to improve the ability of health profession licensing boards to protect the public from incompetent, negligent or willful misconduct of licensed health care professions. The bill also delineates which professions are considered health professions and requires health profession licensing boards to establish continuing education criteria for relicensure or reregistry. In addition, the bill establishes civil immunity for health profession licensing board members and limits liability for health professionals who report or present evidence of negligence, misconduct or incompetence against a licensed or registered health care professional.

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

Sections four-b, five-a, six-a, six-b and seventeen are new; therefore, strike-throughs and underscoring have been omitted.