CHAPTER 254. BOARD POWERS AND DUTIES

OCCUPATIONS CODE

TITLE 3. HEALTH PROFESSIONS

SUBTITLE D. DENTISTRY

CHAPTER 254. BOARD POWERS AND DUTIES

Sec. 254.001. GENERAL RULEMAKING AUTHORITY. (a) The board may

adopt and enforce rules necessary to:

(1) perform its duties; and

(2) ensure compliance with state laws relating to the practice

of dentistry to protect the public health and safety.

(b) The board may adopt rules governing:

(1) the board's proceedings; and

(2) the examination of applicants for a license to practice

dentistry.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Sec. 254.0011. RULES RELATING TO CONTROL OF DENTAL PRACTICE.

(a) The board may adopt rules relating to the practice of

dentistry as described by Section 251.003(a)(9) to prohibit a

dentist from engaging in contracts that allow a person who is not

a dentist to influence or interfere with the exercise of the

dentist's independent professional judgment.

(b) Rules adopted by the board under this subtitle may not

preclude a dentist's right to contract with a management service

organization. Rules affecting contracts for provision of

management services apply the same to dentists contracting with

management service organizations and to dentists otherwise

contracting for management services.

Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.074(a), eff.

Sept. 1, 2001.

Sec. 254.002. RULES REGARDING ADVERTISING AND COMPETITIVE

BIDDING. (a) Except as provided by Section 259.005, the board

may not adopt rules restricting advertising or competitive

bidding except to prohibit false, misleading, and deceptive

practices by the license holder.

(b) The board may adopt and enforce reasonable restrictions to

regulate advertising relating to the practice of dentistry by a

person engaged in the practice of dentistry as provided by

Section 259.005.

(c) The board may not include in the board's rules to prohibit

false, misleading, or deceptive advertising under Subsection (a)

a rule that:

(1) restricts the use of any advertising medium;

(2) restricts a person's personal appearance or use of the

person's voice in an advertisement;

(3) relates to the size or duration of a person's advertisement;

or

(4) restricts the person's advertisement under a trade name,

except the board may require that a trade name advertisement

include the name of each dental owner of the practice.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Sec. 254.003. RULES REGARDING INFECTION CONTROL. The board

shall investigate infection control in the dental profession and

may adopt and enforce rules to control the spread of infection in

the practice of dentistry as necessary to protect the public

health and safety.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Sec. 254.004. FEES. (a) The board shall establish reasonable

and necessary fees so that the fees, in the aggregate, produce

sufficient revenue to cover the cost of administering this

subtitle.

(b) The amount of the dental application fee and dentist annual

renewal fee is the amount set by the board under Subsection (a)

and an additional charge of $200. Of each fee increase collected

under this subsection, $50 shall be deposited to the credit of

the foundation school fund and $150 shall be deposited to the

credit of the general revenue fund.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 14.075(a), eff.

Sept. 1, 2001.

Sec. 254.005. SIGNATURE AND SEAL ON LICENSE REQUIRED. A license

issued to a dentist must be signed by each board member and

imprinted with the board's seal.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Sec. 254.006. BOARD RECORDS AND CONFIDENTIALITY OF RECORDS. (a)

Except as provided by this section, the investigation files and

other records of the board are public records and open to

inspection at reasonable times.

(b) Investigation files and other records are confidential and

shall be divulged only to the persons investigated at the

completion of the investigation. The board may share

investigation files and other records with another state

regulatory agency or a local, state, or federal law enforcement

agency.

(c) The exception from public disclosure of investigation files

and records provided by this section does not apply to the

disclosure of a disciplinary action of the board, including:

(1) the revocation or suspension of a license;

(2) the imposition of a fine on a license holder;

(3) the placement on probation with conditions of a license

holder whose license has been suspended;

(4) the reprimand of a license holder; or

(5) the issuance of a warning letter to a license holder.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 14.076(a), eff.

Sept. 1, 2001.

Sec. 254.007. RECORDS REGARDING PERSONS AUTHORIZED TO PRACTICE.

(a) The board shall keep records of the name, permanent address,

and place of business of each person authorized under this

subtitle to practice dentistry, dental hygiene, or another

profession or business under the board's jurisdiction as provided

by law.

(b) The board shall collect annually from each licensed dentist

the dentist's name, age, practice locations, hours worked each

week, weeks worked each year, and number and type of auxiliaries

employed.

(c) The information collected under Subsection (b) shall be

compiled in report form by practice composition and by county

reflecting the overall full-time equivalency tabulations as

defined by the federal Department of Health and Human Services.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 14.076(b), eff.

Sept. 1, 2001.

Sec. 254.008. CIVIL LIABILITY. (a) In the absence of fraud,

conspiracy, or malice, a member of the board, a full-time or

part-time employee of the board, a person who contracts with the

board, a witness called to testify by the board, or a consultant

or hearing officer appointed by the board is not liable or

subject to suit in a civil action for any damage caused by the

person for an investigation, report, recommendation, statement,

evaluation, finding, order, or award made in the performance of

the person's official duties.

(b) The purpose of this section is to protect the persons

designated by Subsection (a) from being harassed and threatened

with legal action while performing official duties.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 14.077(a), eff.

Sept. 1, 2001.

Sec. 254.009. ASSISTANCE OF PROSECUTOR. (a) The board shall

aid in the enforcement of state law regulating the practice of

dentistry.

(b) A board member may present to a prosecuting officer a

complaint relating to a violation of state law regulating the

practice of dentistry.

(c) The board and its members, officers, counsel, and agents may

assist the prosecuting officer in the trial of a case involving

an alleged violation of state law.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Sec. 254.010. MONITORING OF LICENSE HOLDER. (a) The board by

rule shall develop a system to monitor a license holder's

compliance with this subtitle.

(b) Rules adopted under this section must include procedures to:

(1) monitor for compliance a license holder who is ordered by

the board to perform a certain act; and

(2) identify and monitor each license holder who represents a

risk to the public.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Sec. 254.011. AGREEMENT WITH HEALTH AND HUMAN SERVICES

COMMISSION. The board shall enter into an agreement with the

Health and Human Services Commission to improve coordination on

issues relating to the state Medicaid program. The agreement must

require each agency to:

(1) refer to the other agency, as appropriate, cases involving

fraud, abuse, or insufficient quality of care under the state

Medicaid program;

(2) maintain a log of cases referred to the other agency;

(3) share information with the other agency, subject to

confidentiality requirements, including investigative reports on

cases within the jurisdiction of both agencies; and

(4) collaborate with the other agency in the investigation of

cases and the initiation of appropriate disciplinary action

whenever possible.

Added by Acts 2003, 78th Leg., ch. 17, Sec. 8, eff. Sept. 1,

2003.

Sec. 254.012. INCLUSION OF MEDICAID-RELATED INFORMATION IN

ANNUAL FINANCIAL REPORT. The board shall include in the annual

financial report required by Section 2101.011, Government Code,

information on all cases handled by the board during the

preceding fiscal year involving fraud, abuse, or insufficient

quality of care under the state Medicaid program, including:

(1) the number of cases handled;

(2) an explanation of the legal basis and reason for each case;

(3) the action taken in each case; and

(4) for each case the board closed without taking action, an

explanation of the reason the case was closed without action.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Amended by Acts 2003, 78th Leg., ch. 17, Sec. 9, eff. Sept. 1,

2003.

Sec. 254.013. PEACE OFFICERS. (a) The board may commission as

a peace officer to enforce this subtitle an employee who has been

certified as qualified to be a peace officer by the Commission on

Law Enforcement Officer Standards and Education.

(b) An employee commissioned as a peace officer under this

subtitle has the powers, privileges, and immunities of a peace

officer while carrying out duties as a peace officer under this

subtitle.

Added by Acts 2003, 78th Leg., ch. 474, Sec. 2, eff. June 20,

2003.

Sec. 254.014. USE OF ALTERNATIVE RULEMAKING AND DISPUTE

RESOLUTION PROCEDURES. (a) The board shall develop and

implement a policy to encourage the use of:

(1) negotiated rulemaking procedures under Chapter 2008,

Government Code, for the adoption of board rules; and

(2) appropriate alternative dispute resolution procedures under

Chapter 2009, Government Code, to assist in the resolution of

internal and external disputes under the board's jurisdiction.

(b) The board's procedures relating to alternative dispute

resolution must conform, to the extent possible, to any model

guidelines issued by the State Office of Administrative Hearings

for the use of alternative dispute resolution by state agencies.

(c) The board shall designate a trained person to:

(1) coordinate the implementation of the policy adopted under

Subsection (a);

(2) serve as a resource for any training needed to implement the

procedures for negotiated rulemaking or alternative dispute

resolution; and

(3) collect data concerning the effectiveness of those

procedures, as implemented by the board.

Added by Acts 2003, 78th Leg., ch. 17, Sec. 10, eff. Sept. 1,

2003.

Sec. 254.015. USE OF TECHNOLOGY. The board shall develop and

implement a policy requiring the executive director and board

employees to research and propose appropriate technological

solutions to improve the board's ability to perform its

functions. The technological solutions must:

(1) ensure that the public is able to easily find information

about the board on the Internet;

(2) ensure that persons who want to use the board's services are

able to:

(A) interact with the board through the Internet; and

(B) access any service that can be provided effectively through

the Internet; and

(3) be cost-effective and developed through the board's planning

processes.

Added by Acts 2003, 78th Leg., ch. 17, Sec. 10, eff. Sept. 1,

2003.

Renumbered from Occupations Code, Section 254.013 by Acts 2005,

79th Leg., Ch.

728, Sec. 23.001(70), eff. September 1, 2005.

Sec. 254.016. INFORMATION PROVIDED TO LICENSE HOLDERS. At least

once each biennium, the board shall provide to license holders

information on:

(1) prescribing and dispensing pain medications, with particular

emphasis on Schedule II and Schedule III controlled substances;

(2) abusive and addictive behavior of certain persons who use

prescription pain medications;

(3) common diversion strategies employed by certain persons who

use prescription pain medications, including fraudulent

prescription patterns; and

(4) the appropriate use of pain medications and the differences

between addiction, pseudo-addiction, tolerance, and physical

dependence.

Added by Acts 2003, 78th Leg., ch. 1163, Sec. 3, eff. Sept. 1,

2003.

Renumbered from Occupations Code, Section 254.013 by Acts 2005,

79th Leg., Ch.

728, Sec. 23.001(71), eff. September 1, 2005.

Sec. 254.017. POISON CONTROL CENTER INFORMATION. The board

shall provide to license holders information regarding the

services provided by poison control centers.

Added by Acts 2003, 78th Leg., ch. 1163, Sec. 3, eff. Sept. 1,

2003.

Renumbered from Occupations Code, Section 254.014 by Acts 2005,

79th Leg., Ch.

728, Sec. 23.001(72), eff. September 1, 2005.

Sec. 254.018. EXPERT TESTIMONY. A member of the board may not

serve as an expert witness in a suit involving a health care

liability claim against a dentist for injury to or death of a

patient unless the member receives approval from the board or an

executive committee of the board to serve as an expert witness.

Added by Acts 2007, 80th Leg., R.S., Ch.

1119, Sec. 3, eff. September 1, 2007.