Bill Text: TX HB1413 | 2015-2016 | 84th Legislature | Introduced
Bill Title: Relating to the practice of therapeutic optometry.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2015-03-09 - Referred to Public Health [HB1413 Detail]
Download: Texas-2015-HB1413-Introduced.html
84R8850 EES-D | ||
By: Goldman | H.B. No. 1413 |
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relating to the practice of therapeutic optometry. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 351.002(7), Occupations Code, is amended | ||
to read as follows: | ||
(7) "Practice of therapeutic optometry" means using | ||
objective or subjective means, [ |
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prohibited under Section 351.4521 [ |
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(A) determine or measure the powers of vision of | ||
the human eye as provided by Section 351.355; | ||
(B) examine or diagnose visual defects, abnormal | ||
conditions, or diseases of the human eye or adnexa; | ||
(C) prescribe or fit lenses or prisms to correct | ||
or remedy a defect or abnormal condition of vision as provided by | ||
Section 351.356; | ||
(D) administer or prescribe a drug or physical | ||
treatment in the manner authorized by this chapter; or | ||
(E) treat the visual system, including the eye or | ||
adnexa as authorized by this chapter. | ||
SECTION 2. Sections 351.358(b) and (c), Occupations Code, | ||
are amended to read as follows: | ||
(b) A therapeutic optometrist may: | ||
(1) administer, perform, or prescribe ophthalmic | ||
devices, procedures, and appropriate medications administered by | ||
topical, subconjunctival, or oral means[ |
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abnormal conditions, or diseases of the human vision system, | ||
including the eye and adnexa; or | ||
(2) administer medication by parenteral means for a | ||
purpose and in a manner prescribed by Subsection (e). | ||
(c) A therapeutic optometrist may administer or prescribe | ||
oral analgesic medications only in the following classifications of | ||
oral pharmaceuticals: | ||
(1) [ |
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classified as a controlled substance under Schedule [ |
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(2) one three-day supply of hydrocodone or of a | ||
hydrocodone combination medication classified as a controlled | ||
substance under Schedule II of 21 U.S.C. Section 812 | ||
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SECTION 3. The heading to Section 351.3581, Occupations | ||
Code, is amended to read as follows: | ||
Sec. 351.3581. [ |
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SECTION 4. Section 351.3581(a), Occupations Code, is | ||
amended to read as follows: | ||
(a) A therapeutic optometrist may not administer or | ||
prescribe an oral or parenteral medication or treat glaucoma unless | ||
the therapeutic optometrist holds a certificate issued by the | ||
board. A therapeutic optometrist certified under this section | ||
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To obtain a certificate, a therapeutic optometrist must [ |
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(1) complete an instructional clinical review course; | ||
and | ||
(2) pass an examination approved by the board. | ||
SECTION 5. Section 351.4521, Occupations Code, is amended | ||
to read as follows: | ||
Sec. 351.4521. PERFORMANCE OF CERTAIN SURGICAL PROCEDURES | ||
BY THERAPEUTIC OPTOMETRISTS [ |
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therapeutic optometrist may not perform the following surgical | ||
procedures: | ||
(1) retinal laser procedures, laser-assisted in situ | ||
keratomileusis (LASIK), photorefractive keratectomy (PRK), or | ||
laser epithelial keratomileusis (LASEK); | ||
(2) penetrating keratoplasty, corneal transplant, or | ||
lamellar keratoplasty; | ||
(3) a surgical procedure that requires the | ||
administration of general anesthesia; | ||
(4) intraocular injection; | ||
(5) a surgical procedure relating to the removal of | ||
the eye from a living person; | ||
(6) a surgical procedure requiring full-thickness | ||
incision or excision of the cornea or sclera other than | ||
paracentesis in an emergency situation requiring immediate | ||
reduction of the pressure inside of the eye; | ||
(7) a surgical procedure requiring incision or | ||
excision of the iris and ciliary body, including iris diathermy and | ||
cryotherapy; | ||
(8) a surgical procedure requiring incision or | ||
excision of the vitreous; | ||
(9) a surgical procedure requiring incision or | ||
excision of the retina; | ||
(10) surgical extraction of the crystalline lens; | ||
(11) surgical intraocular implants; | ||
(12) incisional or excisional surgery of the | ||
extraocular muscles; | ||
(13) surgery of the eyelid for a suspected eyelid | ||
malignancy; | ||
(14) surgery of the eyelid, including the incisional, | ||
excisional, or mechanical repair of blepharochalasis, | ||
dermatochalasis, or ptosis; | ||
(15) tarsorrhaphy; | ||
(16) surgery of the bony orbit, including orbital | ||
implants; | ||
(17) incisional or excisional surgery of the lacrimal | ||
system other than lacrimal probing and related procedures; | ||
(18) a surgical procedure requiring full-thickness | ||
conjunctivoplasty with graft or flap; | ||
(19) retrobulbar injection or injection into the | ||
extraocular orbital space; and | ||
(20) pterygium surgery [ |
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(b) This section does not prevent a therapeutic optometrist | ||
from providing preoperative or postoperative care relating to a | ||
surgical procedure listed in Subsection (a). | ||
SECTION 6. The following provisions of the Occupations Code | ||
are repealed: | ||
(1) Section 351.358(d); and | ||
(2) Sections 351.3581(b), (c), (d), (e), (f), (g), | ||
(h), (i), and (j). | ||
SECTION 7. This Act takes effect September 1, 2015. |