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                                 SENATE AMENDED
        PRIOR PRINTER'S NOS. 2207, 4429               PRINTER'S NO. 4632

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1742 Session of 2001


        INTRODUCED BY HERSHEY, BARD, COY, BASTIAN, J. EVANS,
           T. ARMSTRONG, CASORIO, STRITTMATTER, GABIG, MYERS,
           YOUNGBLOOD, HORSEY, ROHRER, S. MILLER, AND G. ARMSTRONG,
           JUNE 13, 2001

        SENATOR THOMPSON, APPROPRIATIONS, IN SENATE, RE-REPORTED AS
           AMENDED, NOVEMBER 19, 2002

                                     AN ACT

     1  Amending the act of December 27, 1974 (P.L.995, No.326),
     2     entitled "An act regulating the practice of veterinary
     3     medicine and imposing penalties," further providing for
     4     definitions, for board approval of certain schools and
     5     colleges, for additional duties of board, for biennial
     6     education requirements and for grounds for disciplinary
     7     proceedings; providing for records and inspection of records;
     8     AND further providing for exemptions and exceptions; and       <--
     9     providing for privileged communications.

    10     The General Assembly of the Commonwealth of Pennsylvania
    11  hereby enacts as follows:
    12     Section 1.  Sections 3, 4(a), 8, 11, 18 and 21 of the act of
    13  December 27, 1974 (P.L.995, No.326), known as the Veterinary
    14  Medicine Practice Act, amended May 9, 1986 (P.L.166, No.54), are
    15  amended to read:
    16     Section 3.  Definitions.--As used in this act:
    17     (1)  "Board" means the Pennsylvania State Board of Veterinary
    18  Medicine.
    19     (2)  "Hearing" means any proceeding initiated before the


     1  board in which the legal rights, duties, privileges or
     2  immunities of a specific party or parties are determined.
     3     (3)  "Complainant" means the board or any other person who
     4  initiates a proceeding.
     5     (4)  "Respondent" means any person against whom a proceeding
     6  is initiated.
     7     (5)  "Current licensee or certificate holder" means the
     8  holder of a current license to practice veterinary medicine or
     9  the holder of a certificate of [animal health] veterinary
    10  technician, which license or certificate was issued under this
    11  act and which has not been suspended or revoked and has not
    12  expired.
    13     (6)  "Temporary permit" means temporary permission to
    14  practice veterinary medicine issued pursuant to section 10.
    15     (7)  "Veterinary college" means any board approved veterinary
    16  school, legally organized, [whose course of study in the art and
    17  science of veterinary medicine shall have been approved by the
    18  board and placed on its published list of approved schools.]
    19  that is accredited by an accrediting agency for veterinary
    20  medicine programs recognized by the United States Department of
    21  Education.
    22     (8)  "Licensed doctor of veterinary medicine" means a person
    23  qualified by educational training and experience in the science
    24  and techniques of veterinary medicine and who is currently
    25  licensed by the board to practice veterinary medicine.
    26     (9)  "Veterinary medicine" means that branch of medicine
    27  which deals with the diagnosis, prognosis, treatment,
    28  administration, prescription, operation or manipulation or
    29  application of any apparatus or appliance for any disease, pain,
    30  deformity, defect, injury, wound [or], physical condition or
    20010H1742B4632                  - 2 -

     1  mental condition requiring medication of any animal or for the
     2  prevention of or the testing for the presence of any disease.
     3     (10)  "Practice of veterinary medicine" includes, but is not
     4  limited to, the practice by any person who (i) diagnoses,
     5  [prescribes, or administers a drug, medicine, biological
     6  product, appliance, application, or treatment of whatever
     7  nature, for the prevention, cure or relief of a wound, fracture
     8  or bodily injury or disease of animals,] treats, corrects,
     9  changes, relieves or prevents animal disease, deformity, injury
    10  or other physical, mental or dental conditions by any method or
    11  mode, including the prescription or administration of any drug,
    12  medicine, biologic, apparatus, application, anesthetic or other
    13  therapeutic or diagnostic substance or technique, (ii) performs
    14  a surgical operation, including cosmetic surgery, upon any
    15  animal, (iii) performs any manual procedure upon an animal for
    16  the diagnosis or treatment of sterility or infertility of
    17  animals, (iv) represents himself as engaged in the practice of
    18  veterinary medicine, (v) offers, undertakes, or holds himself
    19  out as being able to diagnose, treat, operate, vaccinate, or
    20  prescribe for any animal disease, pain, injury, deformity, or
    21  physical condition [or], (vi) uses any words, letters, or titles
    22  in such connection or under such circumstances as to induce the
    23  belief that the person using them is engaged in the practice of
    24  veterinary medicine and such use shall be prima facie evidence
    25  of the intention to represent himself as engaged in the practice
    26  of veterinary medicine[.], (vii) performs diagnostic veterinary
    27  pathology, (viii) implants electronic identification, as
    28  determined by the board, upon any animal, (ix) renders advice or
    29  recommendation by any means including the electronic
    30  transmission of data with regard to any of the above, or (x)
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     1  removes any embryo from an animal for the purpose of
     2  transferring such embryo into another animal or cryopreserving
     3  such embryo, except it shall not be considered the practice of
     4  veterinary medicine when: (a) a person or his full-time employee
     5  removes or transfers an embryo from the person's own animals for
     6  the purpose of transferring or cryopreserving the embryo, so
     7  long as ownership of the animal is not transferred or employment
     8  of the person is not changed for the purpose of circumventing
     9  this act, or (b) a person independently, with indirect
    10  veterinary supervision, implants any embryo into an animal.
    11     [(11)  "Animal health technician" means any person who is a
    12  graduate of a board-approved program of animal health technology
    13  and is employed within the field of veterinary medicine within
    14  the meaning of this act who, for compensation or personal
    15  profit, is employed by, or under the supervision of, a
    16  veterinarian to perform such duties as are required in the
    17  physical care of animals and in carrying out of assignments
    18  directed by a licensed veterinarian and requiring an
    19  understanding of animal science but not requiring the
    20  professional skill and judgment of a licensed veterinarian.]
    21     (12)  "Veterinary technology" means the science and art of
    22  providing all aspects of professional medical care and treatment
    23  for animals as determined by board regulation, with the
    24  exception of diagnosis, prognosis, surgery and prescription of
    25  medications. The term includes, but is not limited to, surgical
    26  nursing, induction and maintenance of anesthesia, preparation
    27  and dispensing of pharmaceuticals, biologicals and
    28  ectoparasiticides, administration of medication by all routes,
    29  dental prophylaxis, performance of diagnostic imaging, physical
    30  examinations, emergency and critical care nursing, including
    20010H1742B4632                  - 4 -

     1  catheterization by all routes, collection and administration of
     2  blood products, external cardiopulmonary resuscitation and
     3  performing laboratory procedures in hematology, clinical
     4  chemistry, parasitology and microbiology.
     5     (13)  "Certified veterinary technician" means an individual
     6  who has successfully completed a board-approved post-high school
     7  program of veterinary technology accredited by an accrediting
     8  agency for veterinary technology programs recognized by the
     9  United States Department of Education, is certified by the board
    10  as a veterinary technician and who may practice veterinary
    11  technology under appropriate supervision of a licensed
    12  veterinarian as defined by board regulation. Unless authorized
    13  to practice veterinary technology under this act, an individual
    14  may not practice veterinary technology nor use the title
    15  "certified veterinary technician," or the abbreviation "CVT."
    16     (14)  "Veterinary assistant" means an employee of a
    17  veterinarian who does not hold certification as a veterinary
    18  technician and whom the veterinarian deems competent to
    19  administer medication or render auxiliary or supporting           <--
    20  assistance under direct veterinary supervision or immediate
    21  veterinary supervision PERFORM TASKS INVOLVED IN THE CARE AND     <--
    22  TREATMENT OF ANIMALS as defined by board regulation.
    23     (15)  "Veterinarian-client-patient relationship" means a
    24  relationship satisfying all of the following conditions: (i) the
    25  veterinarian has assumed the responsibility for making
    26  veterinary medical judgments regarding the health of an animal
    27  and the need for veterinary medical treatment, and the client,
    28  owner or caretaker of the animal has agreed to follow the
    29  instructions of the veterinarian; (ii) the veterinarian has
    30  sufficient knowledge of the animal to initiate at least a
    20010H1742B4632                  - 5 -

     1  general, preliminary or tentative diagnosis of the medical
     2  condition of the animal; (iii) the veterinarian is acquainted
     3  with the keeping and care of the animal by virtue of an
     4  examination of the animal or medically appropriate and timely
     5  visits to the premises where the animal is kept; (iv) the
     6  veterinarian is available for consultation in cases of adverse
     7  reactions to or failure of the regimen of therapy; (v) the
     8  veterinarian maintains records on the animal examined in
     9  accordance with regulations established by the board.
    10     Section 4.  Pennsylvania State Board of Veterinary Medical
    11  Examiners.--(a)  There is hereby established within the
    12  Department of State the State Board of Veterinary Medicine. The
    13  board shall consist of nine members, as follows:
    14     (1)  The Commissioner of Professional and Occupational
    15  Affairs.
    16     (2)  Two members representing the general public who shall be
    17  appointed by the Governor with the advice and consent of a
    18  majority of the members elected to the Senate.
    19     (3)  Five members, appointed by the Governor with the advice
    20  and consent of a majority of the members elected to the Senate,
    21  who are licensed to practice veterinary medicine under the laws
    22  of this Commonwealth and who have been engaged in the full-time
    23  practice of veterinary medicine in this Commonwealth for at
    24  least five years immediately preceding their appointment.
    25     (4)  One member, appointed by the Governor with the advice
    26  and consent of a majority of the members elected to the Senate,
    27  who is certified as [an animal health] a veterinary technician
    28  in accordance with this act.
    29     * * *
    30     Section 8.  Board May Approve Schools and Colleges of
    20010H1742B4632                  - 6 -

     1  Veterinary Medicine and Programs of [Animal Health] Veterinary
     2  Technology.--The board may approve schools and colleges of
     3  veterinary medicine and programs of [animal health] veterinary
     4  technology [which maintain standards of training and
     5  reputability sufficient to admit their graduates to the
     6  examinations required by the board.] that are accredited by an
     7  accrediting agency for veterinary medicine and veterinary
     8  technology programs recognized by the United States Department
     9  of Education.
    10     Section 11.  Additional Duties of Board of Examiners; [Animal
    11  Health] Veterinary Technicians.--It shall further be the
    12  responsibility of the board to promulgate by regulation the
    13  qualifications and requirements for the certification and
    14  regulation of [animal health] veterinary technicians. Such
    15  regulations shall provide for disciplinary action and shall
    16  prescribe the grounds for such action. The board shall have
    17  authority to establish reasonable fees for certification as
    18  hereinafter provided in this act.
    19     Section 18.  Biennial Educational Requirements.--Each
    20  [license] holder of a license to practice veterinary medicine
    21  under this act shall be required to [attend eight] complete
    22  thirty clock hours of educational programs in the twenty-four
    23  months preceding each renewal date[.], and each holder of a
    24  certificate to practice veterinary technology under this act
    25  shall be required to complete sixteen clock hours of educational
    26  programs in the twenty-four months preceding each renewal date.
    27  Certification of such [attendance] completion shall be in
    28  accordance with regulations of the board. All such educational
    29  programs shall be first approved by the board and shall meet the
    30  standards [to be] promulgated by the board to ensure that the
    20010H1742B4632                  - 7 -

     1  programs meet the educational and professional requirements of
     2  the profession and are designed to keep the members of the
     3  profession abreast with current learning and scholarship. No
     4  credit shall be given for any course in office management or
     5  practice building.
     6     Section 21.  Grounds for Disciplinary Proceedings.--The board
     7  shall suspend or revoke any license or certificate or otherwise
     8  discipline an applicant [or], licensee or certificate holder who
     9  is found guilty by the board or by a court of one or more of the
    10  following:
    11     (1)  Wilful or repeated violations of any provisions of this
    12  act or any of the rules and regulations of the board.
    13     (2)  Fraud or deceit in the procuring or attempting to
    14  procure a license to practice veterinary medicine or presenting
    15  to the board dishonest or fraudulent evidence of qualifications.
    16  Fraud or deception in the process of examination for the purpose
    17  of securing a license.
    18     (3)  The wilful failure to display a license.
    19     (4)  Fraud, deception, misrepresentation, dishonest or
    20  illegal practices in or connected with the practice of
    21  veterinary medicine.
    22     (5)  Wilfully making any misrepresentation in the inspection
    23  of food for human consumption.
    24     (6)  Fraudulently issuing or using any health certificate,
    25  inspection certificate, vaccination certificate, test chart or
    26  other blank forms used in the practice of veterinary medicine to
    27  prevent the dissemination of animal disease. Transportation of
    28  diseased animals or the sale of inedible products of animal
    29  origin for human consumption.
    30     (7)  Fraud or dishonesty in applying, treating or reporting
    20010H1742B4632                  - 8 -

     1  on any diagnostic or other biological test.
     2     (8)  Failure to keep the equipment and premises of the
     3  business establishment in a clean and sanitary condition.
     4     (9)  Refusing to permit the board, or duly authorized
     5  representatives of the board, to inspect the business premises
     6  of the licensee [during regular business hours].
     7     (10)  Circulating untrue, fraudulent, misleading or deceptive
     8  advertising.
     9     (11)  Incompetence, gross negligence or other malpractice, or
    10  the departure from, or failure to conform to, the standards of
    11  acceptable and prevailing veterinary medical practice, in which
    12  case actual injury need not be established.
    13     (12)  Engaging in practices in connection with the practice
    14  of veterinary medicine which are in violation of the standards
    15  of professional conduct as defined herein or prescribed by the
    16  rules of the board.
    17     (13)  Revocation [or], suspension or other disciplinary
    18  action by another state of a license to practice veterinary
    19  medicine or veterinary technology in that state on grounds
    20  similar to those which in this State allow disciplinary
    21  proceedings, in which case the record of such revocation [or],
    22  suspension or other disciplinary action shall be conclusive
    23  evidence.
    24     (14)  Conviction of a violation of "The Controlled Substance,
    25  Drug, Device and Cosmetic Act" in which case a record of
    26  conviction shall be conclusive evidence.
    27     (15)  Conviction of a felony or misdemeanor crime related to
    28  the profession or crime of moral turpitude in the courts of this
    29  State or any other state, territory or country which, if
    30  committed in this State, would be deemed a felony or misdemeanor
    20010H1742B4632                  - 9 -

     1  crime related to the profession or crime of moral turpitude and
     2  suspension or revocation of the license is in the best interest
     3  of the public health and the general safety and welfare of the
     4  public.
     5     A record of conviction in a court of competent jurisdiction
     6  shall be sufficient evidence for disciplinary action to be taken
     7  as may be deemed proper by the board.
     8     (16)  Permitting or allowing another to use his or her
     9  license for the purpose of treating or offering to treat sick,
    10  injured or afflicted animals.
    11     (17)  Engaging in the practice of veterinary medicine under a
    12  false or assumed name or the impersonation of another
    13  practitioner of a like, similar or different name.
    14     (18)  Maintaining a professional or business connection with
    15  any other person who continues to violate any of the provisions
    16  of this act or rules of the board after ten days' notice in
    17  writing by the board.
    18     (19)  Addiction to the habitual use of intoxicating liquors,
    19  narcotics or stimulants to such an extent as to incapacitate him
    20  or her from the performance of his or her professional
    21  obligations and duties.
    22     (20)  Professional incompetence.
    23     (21)  The wilful making of any false statement as to material
    24  matter in any oath or affidavit which is required by this act.
    25     (22)  Knowingly maintaining a professional connection or
    26  association with any person who is in violation of this act or
    27  regulation of the board or knowingly aiding, assisting,
    28  securing, advising, or having in the licensee's employment any
    29  unlicensed person to practice veterinary medicine contrary to
    30  this act or regulations of the board.
    20010H1742B4632                 - 10 -

     1     (23)  Failing to furnish a copy of a patient's medical
     2  records or failing to provide a patient's radiographs to another
     3  treating veterinarian, hospital or clinic upon the written
     4  request of an owner or owner's agent, or failing to provide the
     5  owner or owner's agent with a copy of the medical records within
     6  a reasonable period of time and upon proper request or waiver by
     7  the owner or owner's agent, or failing to comply with any other
     8  law or regulation relating to medical records. The furnishing of
     9  a summary of a patient's medical records shall be permissible
    10  only when a summary and not a copy of the records is requested.
    11     (24)  Failing to maintain required veterinary medical,
    12  surgical and/or diagnostic procedure logs and/or medical
    13  records.
    14     Section 2.  The act is amended by adding a section to read:
    15     Section 27.1.  Records; Inspection of Records.--(a)  A
    16  veterinarian subject to the provisions of this section shall, as
    17  required by regulation of the board, keep or cause to be kept a
    18  written record of all animals or groups of animals, as the case
    19  may be, receiving veterinary services, and provide a summary or
    20  copy of that record to the owner of the animals when requested.
    21  The minimum amount of information which shall be included in
    22  written or electronically maintained records and summaries and
    23  the minimum duration of time for which a veterinarian shall
    24  retain the records or a complete copy of the records shall be
    25  established by the board.
    26     (b)  (1)  Copies of all records required to be kept by a
    27  veterinarian under this section, including, but not limited to,
    28  records pertaining to diagnosis and treatment of animals and
    29  records pertaining to drugs or devices for use on animals, shall
    30  be provided to the board immediately upon request. The records
    20010H1742B4632                 - 11 -

     1  shall also be open to inspection by the board or its authorized
     2  representatives during an inspection as part of an inspection
     3  program adopted by the board or during an investigation
     4  initiated in response to a complaint that a licensee has
     5  violated any law or regulation that constitutes grounds for
     6  disciplinary action by the board.
     7     (2)  Equipment and drugs on the premises or any other place
     8  where veterinary medicine, dentistry or surgery is being
     9  practiced, or otherwise in the possession of a veterinarian for
    10  purposes of the practice of veterinary medicine, shall be open
    11  to inspection by the board or its authorized representatives
    12  during an inspection as part of an inspection program adopted by
    13  the board or during an investigation initiated in response to a
    14  complaint that a licensee has violated any law or regulation
    15  which constitutes grounds for disciplinary action by the board.
    16     Section 3.  Section 32 of the act, amended May 9, 1986
    17  (P.L.166, No.54), is amended to read:
    18     Section 32.  Exemptions and Exceptions.--This act shall not
    19  apply to:
    20     (1)  Students in schools or colleges of veterinary medicine
    21  and programs of [animal health] veterinary technology approved
    22  by the board pursuant to section 8 in the performance of duties
    23  or actions assigned by their instructors or when working under
    24  the immediate supervision of a licensee.
    25     (2)  [Any lawfully qualified doctor of veterinary medicine
    26  residing in some other state or country when meeting in
    27  consultation with a licensed doctor of veterinary medicine of
    28  this State.] Licensed veterinarians in good standing with their
    29  respective states who are called from their states, provinces of
    30  Canada or United States territories to consult with licensees of
    20010H1742B4632                 - 12 -

     1  this State but who: (i) do not open an office or appoint a place
     2  to do business within this State; (ii) do not print or use
     3  letterhead or business cards reflecting addresses in this State;
     4  (iii) do not establish answering services or advertise the
     5  existence of a practice's address within this State; (iv) do not
     6  practice veterinary medicine as consultants rendering services
     7  directly to the public without the direction and consultation of
     8  licensees of this State more than 16 days per calendar year; or
     9  (v) are providing services for organizations conducting public
    10  events lasting less than ten days that utilize animals in need
    11  of veterinary examinations, treatments or oversight to promote
    12  the safety and health of the public, the event or the animal
    13  participants.
    14     (3)  Any doctor of veterinary medicine in the employ of the
    15  United States Government while actually engaged in the
    16  performance of his or her official duties: Provided, however,
    17  That this exemption shall not apply to such person when he or
    18  she is not engaged in carrying out his or her official duties or
    19  is not working at the installations for which his or her
    20  services were engaged.
    21     (4)  Any person or his or her regular employe or agent while
    22  practicing veterinary medicine on his or her own animals. This
    23  exemption shall not apply in the case of a temporary transfer of
    24  ownership of an animal to a person not licensed in accordance
    25  with this act if the purpose of the transfer is the rendering of
    26  veterinary treatment or care by such unlicensed person.
    27     (5)  Accredited schools, institutions, foundations, business
    28  corporations or associations, physicians licensed to practice
    29  medicine and surgery in all its branches[, graduate doctors of
    30  veterinary medicine] or persons under the direct supervision
    20010H1742B4632                 - 13 -

     1  thereof, which or who conduct experiments, and scientific
     2  research on animals in the development of pharmaceuticals,
     3  biologicals, serums, or methods of treatment or techniques for
     4  the diagnosis or treatment of human ailments or graduate doctors
     5  of veterinary medicine when engaged in the study and development
     6  of methods and techniques directly or indirectly applicable to
     7  the problems and practice of veterinary medicine or when engaged
     8  in the practice of veterinary medicine in a facility or program
     9  operated by a board-approved school of veterinary medicine or
    10  veterinary technology.
    11     (6)  Any nurse, laboratory technician or other employe of a
    12  licensed doctor of veterinary medicine when administering
    13  medication or rendering auxiliary or supporting assistance under
    14  the responsible supervision of such licensed practitioner,
    15  provided that this exemption shall not apply to the performance
    16  of duties by any employe other than a nurse or laboratory
    17  technician if those duties require an understanding of animal
    18  science and provided further that this exemption shall not apply
    19  to any graduate of a board-approved school or college of
    20  veterinary medicine or to any graduate of a board-approved
    21  program of animal health technology.
    22     (7)  Any person performing normal husbandry practices on
    23  bovine, porcine, caprine, ovine or equine animals or avis.
    24     (8)  Any person performing grooming services on canine or
    25  feline animals.
    26     (9)  The care and rehabilitation of wildlife species by
    27  wildlife rehabilitators.
    28     (10)  The preparation, mixing, alteration or providing of
    29  animal feed, including the addition of any substance to animal
    30  feed for purposes of improving the nutritional quality of the
    20010H1742B4632                 - 14 -

     1  feed, maintaining or improving the health or productivity of the
     2  animal or preventing animal disease.
     3     (11)  Farriers or persons actively engaged in the art or
     4  profession of horseshoeing.
     5     Section 4.  The act is amended by adding a section to read:    <--
     6     Section 37.  Privileged Communication.--(a)  Veterinarians
     7  shall not disclose any information concerning the veterinarian's
     8  care of an animal except:
     9     (1)  on written authorization or other waiver by the animal's
    10  owner or the veterinarian's client;
    11     (2)  when the owner is unavailable, the information is
    12  essential to the health of the animal or other animals exposed
    13  or likely to be exposed to the animal, and the information is
    14  being supplied to a veterinary colleague rendering medical care
    15  to the animal or to a humane society or animal control agency
    16  that has lawful custody of the animal;
    17     (3)  upon demand by the board or in response to an
    18  appropriate court order or subpoena;
    19     (4)  for medical communications attendant to referrals of
    20  patients between veterinarians;
    21     (5)  for the documentation and reporting of events associated
    22  with the use of medications in animals;
    23     (6)  when the disclosure of information is essential to the
    24  immediate treatment of a life-threatening condition of the
    25  animal or is necessary to protect other animals from exposure to
    26  a serious transmissible disease that the animal has incurred and
    27  written consent cannot be immediately obtained; or
    28     (7)  when disclosure of information is essential to the
    29  public health and safety.
    30     (b)  This section shall not apply to any laws relating to
    20010H1742B4632                 - 15 -

     1  cruelty to animals, communicable diseases or laws providing for
     2  public health and safety when such laws apply in the course of a
     3  veterinarian's examination or treatment of an animal. In any of
     4  those circumstances a veterinarian may communicate relevant and
     5  otherwise privileged information to the appropriate individuals
     6  or entities empowered by the Commonwealth to enforce such laws.
     7     Section 5 4.  This act shall take effect in 60 days.           <--
















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