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        PRIOR PRINTER'S NOS. 1254, 1615, 1868         PRINTER'S NO. 1956

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 1007 Session of 2001


        INTRODUCED BY RHOADES, DENT, TOMLINSON, LAVALLE, KUKOVICH,
           BOSCOLA, CONTI, THOMPSON, KITCHEN, KASUNIC, CORMAN, GERLACH,
           BODACK, TARTAGLIONE, PUNT, WAUGH, STOUT, O'PAKE, HUGHES,
           SCHWARTZ, WOZNIAK AND STACK, JUNE 21, 2001

        SENATE AMENDMENTS TO HOUSE AMENDMENTS, APRIL 29, 2002

                                     AN ACT

     1  Amending the act of February 14, 1986 (P.L.2, No.2), entitled
     2     "An act regulating the right to practice acupuncture;
     3     requiring the registration of acupuncturists; and providing a
     4     penalty," providing for the definition of "acupuncture
     5     educational program"; and further providing for the
     6     regulations of the practice of acupuncture.

     7     The General Assembly of the Commonwealth of Pennsylvania
     8  hereby enacts as follows:
     9     Section 1.  Section 2 of the act of February 14, 1986 (P.L.2,
    10  No.2), known as the Acupuncture Registration Act, is amended by
    11  adding a definition to read:
    12  Section 2.  Definitions.
    13     The following words and phrases when used in this act shall
    14  have the meanings given to them in this section unless the
    15  context clearly indicates otherwise:
    16     * * *
    17     "Acupuncture educational program."  Training and instruction
    18  in acupuncture or supplemental acupuncture techniques offered by
    19  a degree-granting institution authorized by the Department of

     1  Education of the Commonwealth that leads to a master's degree,
     2  master's level certificate or diploma or first professional
     3  degree, that meets the relevant and appropriate requirements of
     4  22 Pa. Code (relating to education) and 24 Pa.C.S. Ch. 65
     5  (relating to private colleges, universities and seminaries) and
     6  that meets or exceeds the standards required for acupuncture or
     7  oriental medicine programs established by an accrediting agency
     8  recognized by the United States Department of Education.
     9     * * *
    10     Section 2.  Section 3 of the act, amended December 15, 1986
    11  (P.L.1618, No.183), is amended to read:
    12  Section 3.  Regulation of the practice of acupuncture.
    13     (a)  Registration required.--Except as provided in subsection
    14  [(e)] (g) (H), an individual, including a physician, shall be     <--
    15  registered with one of the boards before the individual may
    16  practice acupuncture in this Commonwealth. Individuals shall
    17  renew their registrations biennially with the appropriate board.
    18     (b)  Regulations to be promulgated.--The boards shall each
    19  promulgate regulations requiring the proper training of
    20  individuals, including physicians, before they may be registered
    21  to practice acupuncture in this Commonwealth. Proper training
    22  shall include, to the extent determined by the appropriate
    23  board, education or demonstrated experience in the practice of
    24  acupuncture. If a board requires successful completion of a
    25  written, oral or practical examination in order to qualify for
    26  registration under this act, the examination shall be prepared
    27  and administered by a qualified and approved professional
    28  testing organization in the manner required for written
    29  examinations by section 812.1 of the act of April 9, 1929
    30  (P.L.177, No.175), known as The Administrative Code of 1929. The
    20010S1007B1956                  - 2 -

     1  board may promulgate such other regulations as are deemed proper
     2  and necessary regarding the practice of acupuncture. If an
     3  individual is registered to practice acupuncture with one of the
     4  boards, the individual shall be considered to have met the
     5  requirements to be registered by the other board.
     6     [(c)  Practice to be under general supervision of a
     7  physician.--An acupuncturist is not required to practice
     8  acupuncture on the premises of the office of a physician;
     9  however, an acupuncturist, other than a physician or a person
    10  exempted as provided for in subsection (e), is required to
    11  practice acupuncture under the general supervision of a
    12  physician. The supervising physician is not required to be
    13  registered with a board as an acupuncturist. "General
    14  supervision" means the supervising physician shall:
    15         (1)  Perform a medical diagnostic examination or review
    16     the results of a recently performed medical diagnostic
    17     examination with respect to any ailment or condition to be
    18     treated by acupuncture prior to such treatment.
    19         (2)  Be personally available for consultation on the
    20     premises or be available by telephone contact, chart review
    21     or other means approved by the appropriate board.
    22         (3)  Place conditions and restrictions on the course of
    23     treatment if required as a matter of sound medical practice.]
    24     (c)  Practice of certain acupuncturists.--An acupuncturist,
    25  other than a licensed physician or a person exempted as provided
    26  for in subsection (h) shall, prior to administering the first
    27  treatment do all of the following:
    28         (1)  Ensure that the patient has secured a written
    29     referral for treatment by acupuncture from a licensed
    30     physician. A referral under this paragraph shall place
    20010S1007B1956                  - 3 -

     1     conditions and restrictions on the course of treatment if
     2     required as a matter of sound medical practice.
     3         (2)  Ensure that the patient has undergone a medical
     4     diagnostic examination or has had the results of a recently
     5     performed medical diagnostic examination reviewed by a
     6     licensed physician.
     7         (3)  Keep a copy of the referral and the results of the
     8     medical diagnostic examination in the patient's file.
     9     (d)  Supervision of students in acupuncture educational
    10  programs.--Nothing in this act shall prohibit students enrolled
    11  in an acupuncture educational program from performing
    12  acupuncture or supplemental acupuncture techniques in the course
    13  of their instruction, provided that a licensed physician is
    14  readily available for consultations and that an acupuncturist is
    15  on site and responsible for the direct supervision of students.
    16     (e)  Faculty in acupuncture educational programs.--Nothing in
    17  this act shall prohibit faculty teaching in an acupuncture
    18  educational program or visiting guest lecturers from performing
    19  acupuncture or supplemental acupuncture techniques in the course
    20  of student instruction or during professional development
    21  seminars, provided that such individuals are registered as
    22  acupuncturists in this Commonwealth or registered as
    23  acupuncturists in another jurisdiction recognized by this
    24  Commonwealth and obtain temporary registration in this
    25  Commonwealth.
    26     (f)  Supplemental techniques.--The practice of acupuncture
    27  shall also encompass, as regulated by the board, the use of
    28  traditional and modern oriental therapeutics, heat therapy,
    29  moxibustion, electrical and low-level laser stimulation,
    30  acupressure and other forms of massage, herbal therapy and
    20010S1007B1956                  - 4 -

     1  counseling that shall include the therapeutic use of foods and
     2  supplements and lifestyle modifications and any other techniques
     3  approved by the board. These supplemental techniques may be for
     4  use within the public domain or for use by any other licensed or
     5  registered health professionals, according to State law and
     6  regulation. None of the supplemental techniques under this
     7  subsection shall be a mandated coverage under an insurance
     8  policy.
     9     [(d)] (g)  Disciplinary and corrective measures.--
    10  Acupuncturists registered with the State Board of Medicine shall
    11  be subject to all disciplinary provisions applicable to medical
    12  doctors as set forth in the act of December 20, 1985 (P.L.457,
    13  No.112), known as the Medical Practice Act of 1985.
    14  Acupuncturists registered with the State Board of Osteopathic
    15  Medicine shall be subject to all disciplinary provisions
    16  applicable to osteopathic medical doctors as set forth in the
    17  act of October 5, 1978 (P.L.1109, No.261), known as the
    18  Osteopathic Medical Practice Act.
    19     [(e)] (h)  Section not applicable to dentists, podiatrists
    20  and veterinarians.--This section shall not apply to a dentist
    21  performing acupuncture in connection with the practice of
    22  dentistry, a podiatrist performing acupuncture in connection
    23  with the practice of podiatry or a veterinarian performing
    24  acupuncture on animals in connection with the practice of
    25  veterinary medicine. The State Board of Dentistry with regard to
    26  dentists, the State Board of Podiatry with regard to podiatrists
    27  and the State Board of Veterinary Medical Examiners with regard
    28  to veterinarians shall assure that licensees of that board who
    29  perform acupuncture have what that board determines to be the
    30  proper education or demonstrated experience in the performance
    20010S1007B1956                  - 5 -

     1  of acupuncture.
     2     Section 3.  The act is amended by adding a section to read:
     3  Section 6.1.  Approval of acupuncture educational programs.
     4     The Department of Education of the Commonwealth shall approve
     5  any acupuncture educational program that meets the relevant and
     6  appropriate requirements of 22 Pa. Code (relating to education)
     7  and 24 Pa.C.S. Ch. 65 (relating to private colleges,
     8  universities and seminaries), that meets or exceeds the
     9  standards required for acupuncture or oriental medicine programs
    10  established by an accrediting agency recognized by the United
    11  States Department of Education.
    12     Section 4.  This act shall take effect in 60 days.












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