SENATE AMENDED PRIOR PRINTER'S NOS. 2207, 4429 PRINTER'S NO. 4632
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) 20010H1742B4632 - 3 -
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.
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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. <-- E22L63JLW/20010H1742B4632 - 16 -