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TITLE 22EXAMINING BOARDS
PART 3TEXAS BOARD OF CHIROPRACTIC EXAMINERS
CHAPTER 72FEES, LICENSE APPLICATIONS, AND RENEWALS
RULE §72.18Criminal History

(a) This section establishes guidelines and criteria on the eligibility of persons with criminal backgrounds to obtain licenses as chiropractors or chiropractic radiologic technologists (CRTs).

(b) The board may suspend or revoke a current license, disqualify a person from receiving a license, or deny to a person the opportunity to be examined for a license because of a person's conviction of a felony or misdemeanor that directly relates to the duties and responsibilities of a licensed chiropractor or registered CRT. This subsection applies to persons who are not imprisoned at the time the board considers the conviction.

(c) The board shall revoke a license upon the licensee's imprisonment following a felony conviction or revocation of felony community supervision, parole, or mandatory supervision. A person in prison is not eligible for a license.

(d) In considering whether a criminal conviction directly relates to the occupation of chiropractic or chiropractic radiology, the board shall consider:

  (1) the nature and seriousness of the crime;

  (2) the relationship of the crime to the purposes for requiring a license to engage in chiropractic or chiropractic radiology;

  (3) the extent to which a license might afford an opportunity to repeat the criminal activity in which the person had been involved; and

  (4) the relationship of the crime to the ability, capacity, or fitness required to perform the duties and discharge the responsibilities of a licensed chiropractor or registered CRT.

(e) In reaching a decision required by this section, the board shall also determine the person's fitness to perform the duties and discharge the responsibilities of a licensed chiropractor or registered CRT. In making this determination, the board shall consider the following factors listed in paragraphs (1) - (6) of this subsection:

  (1) the extent and nature of the person's past criminal activity;

  (2) the age of the person at the time of the commission of the crime;

  (3) the amount of time that has elapsed since the person's last criminal activity;

  (4) the conduct and work activity of the person prior to and following the criminal activity;

  (5) evidence of the person's rehabilitation or rehabilitative effort while incarcerated or following release; and

  (6) other evidence of the person's present fitness, including letters of recommendation from:

    (A) prosecution, law enforcement, and correctional officers who prosecuted, arrested, or had custodial responsibility for the person;

    (B) the sheriff and chief of police in the community where the person resides; and

    (C) any other persons in contact with the convicted person.

(f) An applicant for a license from the board shall disclose in writing to the board any conviction or deferred adjudication against him or her at the time of application. A current licensee shall disclose in writing to the board any conviction or deferred adjudication against him or her at the time of renewal or no later than 30 days after judgment in the trial court, whichever date is earlier. The applicant for a license or current licensee shall provide certified copies of the indictment or information and the judgment of the court with this notification.

(g) Upon notification of a conviction or deferred adjudication, the board shall request that the person respond to the board as to why the board should not deny the application or take disciplinary action against the person, if already licensed.

(h) A person with a conviction or deferred adjudication shall provide the response in writing to the board within 15 days after receipt of the notice of a conviction and may submit any information that he or she believes is relevant to the determinations required by this section. If the person fails to respond, the matter will be referred to the Enforcement Committee or the Licensure/Educational Standards Committee as provided in subsection (i) of this section. The person shall also:

  (1) to the extent possible, secure and provide to the board the recommendations of the prosecution, law enforcement, and correctional authorities specified in subsection (e)(6) of this section;

  (2) cooperate with the board by providing the information required by subsection (e) of this section, including proof, in the form indicated in subparagraphs (A) - (D) of this paragraph, that he or she has:

    (A) maintained a record of steady employment, as evidenced by salary stubs, income tax records or other employment records for the time since the conviction and/or release from imprisonment;

    (B) supported his or her dependents, as evidenced by salary stubs, income tax records or other employment records for the time since the conviction and/or release from imprisonment, and a letter from the spouse or other parent;

    (C) maintained a record of good conduct as evidenced by letters of recommendation, absence of other criminal activity or documentation of community service since conviction; and

    (D) paid all outstanding court costs, supervision fees, fines, and restitution as may have been ordered in all criminal cases in which he or she has been convicted, as evidenced by certified copies of a court release or other documentation from the court system that all monies have been paid.

(i) Determinations under this section will be considered enforcement matters and made in accordance with this chapter, except that the executive director will review the application for licensure of a person with a criminal conviction and refer it to the Licensure/Educational Standards Committee (LESC), upon receipt of all information required by this section. The LESC shall determine whether the applicant may sit for examination or be granted a license. Upon a recommendation to deny an application by the LESC, the matter will be referred to the Executive Director for informal settlement or, if necessary, a hearing as provided by §78.8(d) of this title (relating to Complaint Procedures).

(j) The board shall notify the affected person in its order that denies, suspends, or revokes a license under this section, or otherwise in writing, after hearing, if necessary, of:

  (1) the reason for the suspension, revocation, denial, or disqualification;

  (2) the review procedure provided by Occupations Code, §53.052; and

  (3) the earliest date the person may appeal the action of the licensing authority.

(k) Section 201.502 authorizes the board to revoke or impose other sanctions for violations of certain specified conduct, including deception and fraud in the practice of chiropractic, conviction of a felony or a misdemeanor of moral turpitude, grossly unprofessional conduct, habitual conduct that is harmful to patients, and lack of diligence in the chiropractic profession. Chiropractors and the healthcare profession generally are held to high standards of professional conduct. To protect the public and patients, the board has a duty to ensure that licensees are persons who possess integrity, honesty and a high standard of conduct as well as the skill, education, and training to perform their duties and responsibilities. The crimes listed in paragraphs (1) - (6) of this subsection relate to the license issued by the board. These crimes generally indicate an inability or a tendency for the person to be unable to perform or to be unfit for licensure because violation of such crimes indicates a lack of integrity and respect for one's fellow human being and the community at large. The direct relationship to a board issued license is obvious when the crime occurs in connection with the practice of chiropractic.

  (1) practicing chiropractic without a license and other violations of the Chiropractic Act;

  (2) deceptive business practices;

  (3) medicare or medicaid fraud;

  (4) a misdemeanor or felony offense involving:

    (A) murder;

    (B) assault;

    (C) burglary;

    (D) robbery;

    (E) theft;

    (F) sexual assault;

    (G) injury to a child;

    (H) injury to an elderly person;

    (I) child abuse or neglect;

    (J) tampering with a governmental record;

    (K) forgery;

    (L) perjury;

    (M) failure to report abuse;

    (N) bribery;

    (O) harassment;

    (P) insurance claim fraud, including under the Penal Code §32.55;

    (Q) solicitation under the Penal Code §38.12(d) or Occupations Code, Chapter 102; or

    (R) mail fraud;

  (5) delivery, possession, manufacture, or use of or the dispensing or prescribing a controlled substance, dangerous drug, or narcotic; or

  (6) other misdemeanors or felonies, including violations of the Penal Code, Titles 4, 5, 7, 9, and 10, which indicate an inability or tendency for the person to be unable to perform as a licensee or to be unfit for licensure if action by the board will promote the intent of the Chiropractic Act, board rules including this chapter, and Occupations Code, Chapter 53.


Source Note: The provisions of this §72.18 adopted to be effective January 29, 2015, 40 TexReg 379; amended to be effective June 19, 2018, 43 TexReg 3885; transferred effective November 1, 2018, as published in the Texas Register October 19, 2018, 43 TexReg 6963

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