MISSISSIPPI LEGISLATURE

2014 Regular Session

To: Public Health and Human Services

By: Representative Mayo

House Bill 1271

AN ACT TO AMEND SECTION 73-43-13, MISSISSIPPI CODE OF 1972, TO REQUIRE THAT THE EXECUTIVE DIRECTOR OF THE STATE BOARD OF MEDICAL LICENSURE BE A PHYSICIAN; TO AMEND SECTIONS 73-43-11, 73-25-29 AND 73-25-30, MISSISSIPPI CODE OF 1972, TO AUTHORIZE THE BOARD TO DISCIPLINE LICENSEES BY FINING THEM; TO AMEND SECTION 73-25-53, MISSISSIPPI CODE OF 1972, TO AUTHORIZE A PHYSICIAN'S LICENSE TO BE RESTRICTED OR SUSPENDED UNDER THE DISABLED PHYSICIAN LAW FOR DISRUPTIVE BEHAVIOR; TO AMEND SECTION 41-29-159, MISSISSIPPI CODE OF 1972, TO PROVIDE THAT THE BOARD IS RESPONSIBLE FOR REGULATING AND CHECKING THE LEGITIMATE DRUG TRAFFIC AMONG PHYSICIAN ASSISTANTS; AND FOR RELATED PURPOSES.

     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

     SECTION 1.  Section 73-43-13, Mississippi Code of 1972, is amended as follows:

     73-43-13.  The board shall appoint an executive director who possesses the necessary qualifications and experience to enable him to carry out the duties required by his office. The executive director * * * who mayshall be a physician, shall receive a salary set by the board, subject to the approval of the State Personnel Board, and shall serve at the will and pleasure of the board.  The executive officers shall be vested with all the authority of the board when it is not in session, and he shall be subject to such rules and regulations as may be prescribed by the board.

     SECTION 2.  Section 73-43-11, Mississippi Code of 1972, is amended as follows:

     73-43-11.  The State Board of Medical Licensure shall have the following powers and responsibilities:

          (a)  Setting policies and professional standards regarding the medical practice of physicians, osteopaths, podiatrists and physician assistants practicing with physician supervision;

          (b)  Considering applications for licensure;

          (c)  Conducting examinations for licensure;

          (d)  Investigating alleged violations of the medical practice act;

          (e)  Conducting hearings on disciplinary matters involving violations of state and federal law, probation, suspension and revocation of licenses, and fining licensees;

          (f)  Considering petitions for termination of probationary and suspension periods, and restoration of revoked licenses;

          (g)  To promulgate and publish reasonable rules and regulations necessary to enable it to discharge its functions and to enforce the provisions of law regulating the practice of medicine;

          (h)  To enter into contracts with any other state or federal agency, or with any private person, organization or group capable of contracting, if it finds such action to be in the public interest and in the furtherance of its responsibilities; and

          (i)  Perform the duties prescribed by Sections 73-26-1 through 73-26-5.

     SECTION 3.  Section 73-25-29, Mississippi Code of 1972, is amended as follows:

     73-25-29.  The grounds for the nonissuance, suspension, revocation or restriction of a license or the denial of reinstatement or renewal of a license, or for fining a licensee are:

          (1)  Habitual personal use of narcotic drugs, or any other drug having addiction-forming or addiction-sustaining liability.

          (2)  Habitual use of intoxicating liquors, or any beverage, to an extent which affects professional competency.

          (3)  Administering, dispensing or prescribing any narcotic drug, or any other drug having addiction-forming or addiction-sustaining liability otherwise than in the course of legitimate professional practice.

          (4)  Conviction of violation of any federal or state law regulating the possession, distribution or use of any narcotic drug or any drug considered a controlled substance under state or federal law, a certified copy of the conviction order or judgment rendered by the trial court being prima facie evidence thereof, notwithstanding the pendency of any appeal.

          (5)  Procuring, or attempting to procure, or aiding in, an abortion that is not medically indicated.

          (6)  Conviction of a felony or misdemeanor involving moral turpitude, a certified copy of the conviction order or judgment rendered by the trial court being prima facie evidence thereof, notwithstanding the pendency of any appeal.

          (7)  Obtaining or attempting to obtain a license by fraud or deception.

          (8)  Unprofessional conduct, which includes, but is not limited to:

               (a)  Practicing medicine under a false or assumed name or impersonating another practitioner, living or dead.

               (b)  Knowingly performing any act which in any way assists an unlicensed person to practice medicine.

               (c)  Making or willfully causing to be made any flamboyant claims concerning the licensee's professional excellence.

               (d)  Being guilty of any dishonorable or unethical conduct likely to deceive, defraud or harm the public.

               (e)  Obtaining a fee as personal compensation or gain from a person on fraudulent representation of a disease or injury condition generally considered incurable by competent medical authority in the light of current scientific knowledge and practice can be cured or offering, undertaking, attempting or agreeing to cure or treat the same by a secret method, which he refuses to divulge to the board upon request.

               (f)  Use of any false, fraudulent or forged statement or document, or the use of any fraudulent, deceitful, dishonest or immoral practice in connection with any of the licensing requirements, including the signing in his professional capacity any certificate that is known to be false at the time he makes or signs such certificate.

               (g)  Failing to identify a physician's school of practice in all professional uses of his name by use of his earned degree or a description of his school of practice.

          (9)  The refusal of a licensing authority of another state or jurisdiction to issue or renew a license, permit or certificate to practice medicine in that jurisdiction or the revocation, suspension or other restriction imposed on a license, permit or certificate issued by such licensing authority which prevents or restricts practice in that jurisdiction, a certified copy of the disciplinary order or action taken by the other state or jurisdiction being prima facie evidence thereof, notwithstanding the pendency of any appeal.

          (10)  Surrender of a license or authorization to practice medicine in another state or jurisdiction or surrender of membership on any medical staff or in any medical or professional association or society while under disciplinary investigation by any of those authorities or bodies for acts or conduct similar to acts or conduct which would constitute grounds for action as defined in this section.

          (11)  Final sanctions imposed by the United States Department of Health and Human Services, Office of Inspector General or any successor federal agency or office, based upon a finding of incompetency, gross misconduct or failure to meet professionally recognized standards of health care; a certified copy of the notice of final sanction being prima facie evidence thereof.  As used in this paragraph, the term "final sanction" means the written notice to a physician from the United States Department of Health and Human Services, Officer of Inspector General or any successor federal agency or office, which implements the exclusion.

          (12)  Failure to furnish the board, its investigators or representatives information legally requested by the board.

          (13)  Violation of any provision(s) of the Medical Practice Act or the rules and regulations of the board or of any order, stipulation or agreement with the board.

          (14)  Violation(s) of the provisions of Sections 41-121-1 through 41-121-9 relating to deceptive advertisement by health care practitioners.  This paragraph shall stand repealed on July 1, 2016.

     In addition to the grounds specified above, the board shall be authorized to suspend the license of any licensee for being out of compliance with an order for support, as defined in Section 93-11-153.  The procedure for suspension of a license for being out of compliance with an order for support, and the procedure for the reissuance or reinstatement of a license suspended for that purpose, and the payment of any fees for the reissuance or reinstatement of a license suspended for that purpose, shall be governed by Section 93-11-157 or 93-11-163, as the case may be.  If there is any conflict between any provision of Section 93-11-157 or 93-11-163 and any provision of this chapter, the provisions of Section 93-11-157 or 93-11-163, as the case may be, shall control.

     SECTION 4.  Section 73-25-30, Mississippi Code of 1972, is amended as follows:

     73-25-30.  (1)  The Mississippi State Board of Medical Licensure, in exercising its authority under the provisions of Section 73-25-29, shall have the power to discipline the holder of a license who has been found by the board in violation of that statute after notice and a hearing as provided by law, and the licensee shall be disciplined as follows:

          (a)  By placing him upon probation, the terms of which may be set by the board, or

          (b)  By suspending his right to practice for a time deemed proper by the board, or

          (c)  By revoking his license, or

          (d)  By fining him not to exceed Five Hundred Dollars ($500.00), or

          ( * * *de)  By taking any other action in relation to his license as the board may deem proper under the circumstances.

     (2)  Upon the execution of a disciplinary order by the board, either following a hearing or in lieu of a hearing, the board, in addition to the disciplinary powers specified in subsection (1) of this section, may assess the licensee for those reasonable costs that are expended by the board in the investigation and conduct of a proceeding for licensure disciplinary action including, but not limited to, the cost of process service, court reporters, witness fees, expert witnesses, investigators, and other related expenses. Money collected by the board under this section shall be deposited to the credit of the special fund of the board to reimburse the existing current year appropriated budget.

     (3)  An assessment of costs under this section shall be paid to the board by the licensee, upon the expiration of the period allowed for appeals under Section 73-25-27, or may be paid sooner if the licensee elects.  Cost assessed under this section shall not exceed Ten Thousand Dollars ($10,000.00). 

     (4)  When an assessment of costs by the board against a licensee in accordance with this section is not paid by the licensee when due under this section, the licensee shall be prohibited from practicing medicine until the full amount is paid. In addition, the board may institute and maintain proceedings in its name for enforcement of payment in the Chancery Court of the First Judicial District of Hinds County.  When those proceedings are instituted, the board shall certify the record of its proceedings, together with all documents and evidence, to the chancery court.  The matter shall be heard in due course by the court, which shall review the record and make its determination thereon.  The hearing on the matter, in the discretion of the chancellor, may be tried in vacation.

     SECTION 5.  Section 73-25-53, Mississippi Code of 1972, is amended as follows:

     73-25-53.  The license of any physician to practice medicine in this state shall be subject to restriction, suspension or revocation, as hereinafter provided, in case of inability of the licensee to practice medicine with reasonable skill or safety to patients by reason of one or more of the following:

          (a)  Mental illness;

          (b)  Physical illness, including, but not limited to, deterioration through the aging process, or loss of motor skill;

          (c)  Excessive use or abuse of drugs, including alcohol * * *.;

          (d)  Disruptive behavior.

     SECTION 6.  Section 41-29-159, Mississippi Code of 1972, is amended as follows:

     41-29-159.  (a)  Any officer or employee of the Mississippi Bureau of Narcotics, investigative unit of the State Board of Pharmacy, investigative unit of the State Board of Medical Licensure, investigative unit of the State Board of Dental Examiners, investigative unit of the Mississippi Board of Nursing, investigative unit of the State Board of Optometry, any duly sworn peace officer of the State of Mississippi, any enforcement officer of the Mississippi Department of Transportation, or any highway patrolman, may, while engaged in the performance of his statutory duties:

          (1)  Carry firearms;

          (2)  Execute and serve search warrants, arrest warrants, subpoenas, and summonses issued under the authority of this state;

          (3)  Make arrests without warrant for any offense under this article committed in his presence, or if he has probable cause to believe that the person to be arrested has committed or is committing a crime; and

          (4)  Make seizures of property pursuant to this article.

     (b)  As divided among the Mississippi Bureau of Narcotics, the State Board of Pharmacy, the State Board of Medical Licensure,  the State Board of Dental Examiners, the Mississippi Board of Nursing and the State Board of Optometry, the primary responsibility of the illicit street traffic or other illicit traffic of drugs is delegated to agents of the Mississippi Bureau of Narcotics.  The State Board of Pharmacy is delegated the responsibility of regulating and checking the legitimate drug traffic among pharmacists, pharmacies, hospitals, nursing homes, drug manufacturers, and any other related professions and facilities with the exception of the medical, dental, nursing, optometric and veterinary professions.  The State Board of Medical Licensure is responsible for regulating and checking the legitimate drug traffic among physicians, physician assistants, podiatrists and veterinarians.  The Mississippi Board of Dental Examiners is responsible for regulating and checking the legitimate drug traffic among dentists and dental hygienists.  The Mississippi Board of Nursing is responsible for regulating and checking the legitimate drug traffic among nurses.  The State Board of Optometry is responsible for regulating and checking the legitimate drug traffic among optometrists.

     (c)  The provisions of this section shall not be construed to limit or preclude the detection or arrest of persons in violation of Section 41-29-139 by any local law enforcement officer, sheriff, deputy sheriff or peace officer.

     (d)  Agents of the bureau are authorized to investigate the circumstances of deaths which are caused by drug overdose or which are believed to be caused by drug overdose, and health care providers, coroners and law enforcement officers shall notify the bureau of any death caused by a drug overdose within twenty-four (24) hours.

     (e)  Any person who shall impersonate in any way the director or any agent, or who shall in any manner hold himself out as being, or represent himself as being, an officer or agent of the Mississippi Bureau of Narcotics shall be guilty of a misdemeanor, and upon conviction thereof shall be punished by a fine of not less than One Hundred Dollars ($100.00) nor more than Five Hundred Dollars ($500.00) or by imprisonment for not more than one (1) year, or by both such fine and imprisonment.

     SECTION 7.  This act shall take effect and be in force from and after July 1, 2014.