management clinic" means a publicly or privately owned facility for
carisoprodol, but not including suboxone.
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
Sec. 168.002.AAEXEMPTIONS.AAThis chapter does not apply to:
(1)AAa medical or dental school or an outpatient clinic
associated with a medical or dental school;
(2)AAa hospital, including any outpatient facility or
97.403 or defined by 42 C.F.R. Section 418.3;
(4)AAa facility maintained or operated by this state;
(6)AAa health organization certified by the board under
treats patients within the physician ’s area of specialty and who
personally uses other forms of treatment, including surgery, with
the issuance of a prescription for a majority of the patients; or
(8)AAa clinic owned or operated by an advanced practice
nurse licensed in this state who treats patients in the nurse ’s area
of specialty and who personally uses other forms of treatment with
the issuance of a prescription for a majority of the patients.
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
Acts 2013, 83rd Leg., R.S., Ch. 956 (H.B. ), Sec. 7, eff.
(2)AApersonnel requirements for the clinic, including
requirements for a physician who practices at a clinic;
(3)AAstandards to ensure quality of patient care;
(5)AAinspections and complaint investigations; and
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
practicing at the clinic, as necessary to ensure compliance with
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
complaint alleging a violation of this chapter or a rule adopted
under this chapter by a pain management clinic certified under this
chapter or a physician who owns or operates a clinic in the same
manner as other complaints under this subtitle.
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
Sec. 168.101.AACERTIFICATE REQUIRED.
clinic may not operate in this state unless the clinic is certified
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
Sec. 168.102.AACERTIFICATE APPLICATION AND ISSUANCE.
physician who owns or operates a pain management clinic shall apply
management clinic must be owned and operated by a medical director
who is a physician who practices in this state under an unrestricted
(b)AAAn applicant for a certificate under this chapter must
submit an application to the board on a form prescribed by the
(c)AAThe board shall issue a certificate if the board finds
that the pain management clinic meets the requirements of this
chapter and the standards adopted by the board under this chapter.
(d)AAIf an applicant for a certificate under this chapter is
under investigation by the board for a violation of this subtitle,
substance, the board may not make a decision on the application
until the board has reached a final decision on the matter under
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
Acts 2013, 83rd Leg., R.S., Ch. 1226 (S.B. ), Sec. 5, eff.
Sec. 168.151.AAEXPIRATION OF CERTIFICATE.
issued under this chapter expires on the second anniversary of the
(b)AAThe board shall grant a 180-day grace period from the
expiration date of a certificate to renew the certificate.
(c)AAThe owner or operator of a pain management clinic for
which a certificate has expired may not continue to operate the
clinic until the clinic ’s certificate is renewed.
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
Sec. 168.152.AAREQUIREMENTS FOR RENEWAL.
certificate issued to the clinic under this chapter by:
(1)AAsubmitting a renewal application to the board on
the form prescribed by the board before the expiration of the grace
(2)AAcomplying with any other requirements adopted by
(b)AAIf a certificate is not renewed before the expiration of
the grace period under Section 168.151, the pain management clinic
must reapply for an original certificate to operate the clinic.
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
SUBCHAPTER E. REGULATION OF CLINICS; ENFORCEMENT
Sec. 168.201.AAREGULATION OF PERSON AFFILIATED WITH CLINIC.
The owner or operator of a pain management clinic, an employee
of the clinic, or a person with whom a clinic contracts for services
(1)AAhave been denied, by any jurisdiction, a license
under which the person may prescribe, dispense, administer, supply,
(2)AAhave held a license issued by any jurisdiction,
under which the person may prescribe, dispense, administer, supply,
or sell a controlled substance, that has been restricted; or
(3)AAhave been subject to disciplinary action by any
licensing entity for conduct that was a result of inappropriately
prescribing, dispensing, administering, supplying, or selling a
(b)AAA pain management clinic may not be owned wholly or
partly by a person who has been convicted of, pled nolo contendere
to, or received deferred adjudication for:
(1)AAan offense that constitutes a felony; or
facts of which relate to the distribution of illegal prescription
drugs or a controlled substance as defined by Section 551.003(11).
(c)AAThe owner or operator of a pain management clinic shall:
(1)AAbe on-site at the clinic at least 33 percent of the
clinic ’s total number of operating hours; and
(2)AAreview at least 33 percent of the total number of
patient files of the clinic, including the patient files of a clinic
employee or contractor to whom authority for patient care has been
(d)AAA person who owns or operates a pain management clinic
is engaged in the practice of medicine.
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
Acts 2013, 83rd Leg., R.S., Ch. 956 (H.B. ), Sec. 8, eff.
this chapter or a rule adopted under this chapter is grounds for
restriction under Section 164.059, against a pain management clinic
certified under this chapter or an owner or operator of a clinic
(b)AAA violation of this chapter may be enforced in the same
manner as any other violation of this subtitle.
Redesignated from Occupations Code, Chapter 167 by Acts 2011, 82nd
Leg., R.S., Ch. 91 (S.B. ), Sec. 27.001(45), eff. September 1,
Acts 2013, 83rd Leg., R.S., Ch. 1226 (S.B. ), Sec. 6, eff.
Holland Park Child Care Centre Asthma Policy Reviewed by Management/Staff and Families Jan 2011 Link to CCQA Principles Quality Practices Draft (2007) – Standard 13 Quality Improvement and Accreditation System (QIAS) Policy statement As of the 15th January 2007 children with asthma will need to have an Asthma Record Card and First Aid plan. Parents/guardians will need to
Managing Herbaceous Perennial Diseases in the Nursery and Landscape Cornell University – Long Island Horticultural Research & Extension Center Botrytis blight Botrytis cinerea is found on all plants, B. elliptica on lilies, B. paeoniae on peony. Avoid excessive leaf wetness, low Ca or excess N; remove dead plants or plant parts. Protect plants with Decree, Chipco 26019/Sextant, D