MONTANA STATUTES AND RULES COMBINED- updated 5/30/2012 ...

[Pages:93]MONTANA STATUTES AND RULES COMBINED- updated 5/30/2012

Table of Contents:

Definitions

page 2

Board of Pharmacy

page 6

Internship Regulations

page 13

Fees

page 15

Pharmacist Meal/Rest Breaks

page 16

Licensing

page 17

Registration for Out-of-State Volunteer Professionals page 17

Dispensing of Prescription Drugs

page 22

Transfer of Prescriptions

page 24

Transmission by Electronic Means

page 26

Vaccine Administration

page 27

Emergency prescription refills

page 28

Clinical Pharmacist Practitioner

page 28

Collaborative Care

page 29

Pricing

page 39

Technicians

page 30

Dispensing Restrictions

page 35

Reporting Obligations

page 36

Prescription Restrictions

page 37

Drug Product Selection (Generic Substitution)

page 37

Pharmacies, Community

page 39

Pharmacies, Hub

page 41

Limited Service Pharmacy

page 42

Prospective Drug Utilization Review and Patient Counseling page 44

Pharmacies, Out of State

page 45

Pharmacies, Institutional

page 48

Remote Medication Order Processing Services

page 51

Contingency Kits

page 52

Outpatient centers for surgical services

page 53

Pharmacies, Tele-pharmacy

page 54

Donated Drug Program

page 55

Cancer Drug Repository

page 58

Controlled Substances

page 61

Pseudoephedrine Restrictions

page 76

Medical Assistance Program

page 77

Prescription Drug Registry

page 80

License Renewal

page 86

Continuing Education

page 87

Registered Pharmacist (unprofessional conduct) page 88

Disciplinary/complaint procedures

page 91

Quality Improvement Program

page 92

Laws are represented by dashes (37-7-101) and rules by periods (24.174.301)

Without Wholesaler, designer drug and medical marijuana rules. 1

DEFINITIONS-STATUTE

37-7-101. Definitions. As used in this chapter, the following definitions apply: (1) (a) "Administer" means the direct application of a drug to the body of a patient by injection, inhalation, ingestion, or any other means. (b) Except as provided in [section 2], the term does not include immunization by injection for children under 18 years of age. Section 2. Administration of influenza vaccine. A pharmacist may administer immunization against the influenza virus by injection or inhalation for individuals who are 12 years of age or older. (2) "Board" means the board of pharmacy provided for in 2-15-1733. (3) "Cancer drug" means a prescription drug used to treat: (a) cancer or its side effects; or (b) the side effects of a prescription drug used to treat cancer or its side effects. (4) "Chemical" means medicinal or industrial substances, whether simple, compound, or obtained through the process of the science and art of chemistry, whether of organic or inorganic origin. (5) "Clinical pharmacist practitioner" means a licensed pharmacist in good standing who meets the requirements specified in 37-7-306. (6) "Collaborative pharmacy practice" means the practice of pharmacy by a pharmacist who has agreed to work in conjunction with one or more prescribers, on a voluntary basis and under protocol, and who may perform certain patient care functions under certain specified conditions or limitations authorized by the prescriber. (7) "Collaborative pharmacy practice agreement" means a written and signed agreement between one or more pharmacists and one or more prescribers that provides for collaborative pharmacy practice for the purpose of drug therapy management of patients. (8) "Commercial purposes" means the ordinary purposes of trade, agriculture, industry, and commerce, exclusive of the practices of medicine and pharmacy. (9) "Compounding" means the preparation, mixing, assembling, packaging, or labeling of a drug or device based on: (a) a practitioner's prescription drug order; (b) a professional practice relationship between a practitioner, pharmacist, and patient; (c) research, instruction, or chemical analysis, but not for sale or dispensing; or (d) the preparation of drugs or devices based on routine, regularly observed prescribing patterns. (10) "Confidential patient information" means privileged information accessed by, maintained by, or transmitted to a pharmacist in patient records or that is communicated to the patient as part of patient counseling. (11) "Controlled substance" means a substance designated n Schedule II through V of Title 50, chapter 32, part 2. (12)"Department" means the department of labor and industry provided for in Title 2, chapter 15, part 17. (13) "Device" has the same meaning as defined in 37-2-101. (14) "Dispense" or "dispensing" means the interpretation, evaluation, and implementation of a prescription drug order, including the preparation and delivery of a drug or device to a patient or patient's agent in a suitable container appropriately labeled for administration to or use by a patient. (15) "Distribute" means the delivery of a drug or device by means other than administering or dispensing. (16) "Drug" means a substance: (a) recognized as a drug in any official compendium or supplement; (b) intended for use in diagnosis, cure, mitigation, treatment, or prevention of disease in humans or animals; (c) other than food, intended to affect the structure or function of the body of humans or animals; and (d) intended for use as a component of a substance specified in subsection (15)(a), (15)(b), or (15)(c). (17) "Drug utilization review" means an evaluation of a prescription drug order and patient records for duplication of therapy, interactions, proper utilization, and optimum therapeutic outcomes. The term includes but is not limited to the following evaluations: (a) known allergies; (b) rational therapy contraindications; (c) reasonable dose and route administration; (d) reasonable directions for use; (e) drug-drug interactions; (f) drug-food interactions;

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(g) drug-disease interactions; and (h) adverse drug reactions. (18) "Equivalent drug product" means a drug product that has the same established name, active ingredient or ingredients, strength or concentration, dosage form, and route of administration and meets the same standards as another drug product as determined by any official compendium or supplement. Equivalent drug products may differ in shape, scoring, configuration, packaging, excipients, and expiration time. (19) "Health care facility" has the meaning provided in 50-5-101. (20) (a) "Health clinic" means a facility in which advice, counseling, diagnosis, treatment, surgery, care, or services relating to preserving or maintaining health are provided on an outpatient basis for a period of less than 24 consecutive hours to a person not residing at or confined to the facility. (b) The term includes an outpatient center for primary care and an outpatient center for surgical services, as those terms are defined in 50-5-101, and a local public health agency as defined in 50-1-101. (c) The term does not include a facility that provides routine health screenings, health education, or immunizations. (21) "Hospital" has the meaning provided in 50-5-101. (22) "Intern" means: (a) a person who is licensed by the state to engage in the practice of pharmacy while under the personal supervision of a preceptor and who is satisfactorily progressing toward meeting the requirements for licensure as a pharmacist; (b) a graduate of an accredited college of pharmacy who is licensed by the state for the purpose of obtaining practical experience as a requirement for licensure as a pharmacist; (c) a qualified applicant awaiting examination for licensure; or (d) a person participating in a residency or fellowship program. (23) "Long-term care facility" has the meaning provided in 50-5-101. (24) (a) "Manufacturing" means the production, preparation, propagation, conversion, or processing of a drug or device, either directly or indirectly, by extraction from substances of natural origin or independently by means of chemical or biological synthesis. (b) Manufacturing includes: (i) any packaging or repackaging; (ii) labeling or relabeling; (iii) promoting or marketing; and (iv) preparing and promoting commercially available products from bulk compounds for resale by pharmacies, practitioners, or other persons. (25) "Medicine" means a remedial agent that has the property of curing, preventing, treating, or mitigating diseases or which is used for this purpose. (26) "Participant" means a physician's office, pharmacy, hospital, or health clinic that has elected to voluntarily participate in the cancer drug repository program provided for in 37-7-1403 and that accepts donated cancer drugs or devices under rules adopted by the board. (27) "Patient counseling" means the communication by the pharmacist of information, as defined by the rules of the board, to the patient or caregiver in order to ensure the proper use of drugs or devices. (28) "Person" includes an individual, partnership, corporation, association, or other legal entity. (29) "Pharmaceutical care" means the provision of drug therapy and other patient care services intended to achieve outcomes related to the cure or prevention of a disease, elimination or reduction of a patient's symptoms, or arresting or slowing of disease process. (30) "Pharmacist" means a person licensed by the state to engage in the practice of pharmacy and who may affix to the person's name the term "R.Ph.". (31) "Pharmacy" means an established location, either physical or electronic, registered by the board where drugs or devices are dispensed with pharmaceutical care or where pharmaceutical care is provided. (32) "Pharmacy technician" means an individual who assists a pharmacist in the practice of pharmacy. (33) "Poison" means a substance that, when introduced into the system, either directly or by absorption, produces violent, morbid, or fatal changes or that destroys living tissue with which it comes in contact. (34) "Practice of pharmacy" means: (a) interpreting, evaluating, and implementing prescriber orders; (b) administering drugs and devices pursuant to a collaborative practice agreement and compounding, labeling,

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dispensing, and distributing drugs and devices, including patient counseling; (c) properly and safely procuring, storing, distributing, and disposing of drugs and devices and maintaining proper records; (d) monitoring drug therapy and use; (e) initiating or modifying drug therapy in accordance with collaborative pharmacy practice agreements established and approved by health care facilities or voluntary agreements with prescribers; (f) participating in quality assurance and performance improvement activities; (g) providing information on drugs, dietary supplements, and devices to patients, the public, and other health care providers; and (h) participating in scientific or clinical research as an investigator or in collaboration with other investigators. (35) "Practice telepharmacy" means to provide pharmaceutical care through the use of information technology to patients at a distance. (36) "Preceptor" means an individual who is registered by the board and participates in the instructional training of a pharmacy intern. (37) "Prescriber" has the same meaning as provided in 37-7-502. (38) "Prescription drug" means any drug that is required by federal law or regulation to be dispensed only by a prescription subject to section 503(b) of the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. 353. (39) "Prescription drug order" means an order from a prescriber for a drug or device that is communicated directly or indirectly by the prescriber to the furnisher by means of a signed order, by electronic transmission, in person, or by telephone. The order must include the name and address of the prescriber, the prescriber's license classification, the name and address of the patient, the name, strength, and quantity of the drug, drugs, or device prescribed, the directions for use, and the date of its issue. These stipulations apply to written, oral, electronically transmitted, and telephoned prescriptions and orders derived from collaborative pharmacy practice. (40) "Provisional community pharmacy" means a pharmacy that has been approved by the board, including but not limited to federally qualified health centers, as defined in 42 CFR 405.2401, where prescription drugs are dispensed to appropriately screened, qualified patients. (41) "Qualified patient" means a person who is uninsured, indigent, or has insufficient funds to obtain needed prescription drugs or cancer drugs. (42)"Registry" means the prescription drug registry provided for in [section 3]. (43) "Utilization plan" means a plan under which a pharmacist may use the services of a pharmacy technician in the practice of pharmacy to perform tasks that: (a) do not require the exercise of the pharmacist's independent professional judgment; and (b) are verified by the pharmacist. (44) "Wholesale" means a sale for the purpose of resale.

24.174.301 DEFINITIONS-REGULATION

(1) "Biological safety cabinet" means a contained unit suitable for the preparation of low to moderate risk agents and where there is a need for protection of the product, personnel, and environment according to National Sanitation Foundation Standard 49. (2) "Class 100 environment" means an atmospheric environment which contains fewer than 100 particles 0.5 microns in diameter per cubic foot of air, according to Federal Standard 209E. (3) "Clean room" means a room in which the concentration of airborne particles is controlled. (4) "Contingency kit" means a secured kit containing those drugs which may be required to meet the short-term therapeutic need of patients within an institution not having an in-house pharmacy or 24-hour access to dispensing services, and which would not be available from any other authorized source in sufficient time, and without which would compromise the quality of care of the patient. (5) "Cytotoxic" means a pharmaceutical agent capable of killing living cells. (6) "DEA" means the Drug Enforcement Administration of the United States Department of Justice. (7) "Deliver" or "delivery" means the actual, constructive, or attempted transfer of a drug or device from one person to another, whether or not for a consideration.

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(8) "Device" is defined in 37-2-101, MCA, and is required under federal law to bear the label "Caution: Federal law requires dispensing by or on the order of a physician" or "Rx only." (9) "Drug order" means a written or electronic order issued by an authorized practitioner, or a verbal order promptly reduced to writing, for the compounding and dispensing of a drug or device to be administered to patients within the facility. (10) "Drug room" means a secure, lockable temperature-controlled location within a facility that does not have an institutional pharmacy and which contains drugs and devices for administration to patients within the facility pursuant to a valid drug order. (11) "Electronic signature" means a confidential personalized method of affixing a signature to an electronic document that will guarantee the identity of the prescriber. (12) "Emergency drug cart" or "crash cart" means a secure lockable cart containing drugs and devices necessary to meet the immediate therapeutic needs of inpatients or outpatients and which cannot be obtained from any other authorized source in sufficient time to prevent risk or harm or death to patients. (13) "Emergency kits" are sealed kits containing those drugs which may be required to meet the immediate therapeutic needs of patients within an institution not having an in-house pharmacy, and which would not be available from any other authorized source in sufficient time to prevent risk or harm or death to patients. (14) "Facility" means an outpatient center for surgical services, a hospital and/or long-term care facility, or a home infusion facility. (15) "Floor stock" means prescription drugs not labeled for a specific patient, which are maintained at a nursing station or other hospital department other than the pharmacy, and which are administered to patients within the facility pursuant to a valid drug order. Floor stock shall be maintained in a secure manner pursuant to written policies and procedures, which shall include, but not be limited to, automated dispensing devices. (16) "Formulary" means a current compilation of pharmaceuticals authorized for use within the institution by representatives of the medical staff and pharmacy department. (17) "Home infusion facility" means a facility where parenteral solutions are compounded and distributed to outpatients for home infusion pursuant to a valid prescription or drug order. (18) "Institutional pharmacy" means that physical portion of an institutional facility where drugs, devices and other material used in the diagnosis and treatment of injury, illness, and disease are dispensed, compounded, and distributed to other healthcare professionals for administration to patients within or outside the facility, and pharmaceutical care is provided. (19) "Labeling" means the process of preparing and affixing a label to any drug container exclusive, however, of the labeling by a manufacturer, packer, or distributor of a nonprescription drug or commercially packaged legend drug or device. Any such label shall include all information required by federal and Montana law or rule. (20) "Long-term care facility" has the same meaning as provided in 50-5-101, MCA, and means a facility or part of a facility that provides skilled nursing care, residential care, intermediate nursing care, or intermediate developmental disability care to a total of two or more individuals or that provides personal care. (21) "Medical gas" means any gaseous substance that meets medical purity standards and has application in a medical environment. Examples of medical gases include, but are not limited to, oxygen, carbon dioxide, nitrous oxide, cyclopropane, helium, nitrogen, and air. (22) "Medical gas distributor" is a person engaged I the manufacture, processing, packaging, labeling, or distribution of a medical gas to a person other than a consumer or patient. (23) "Medical gas supplier" is a person engaged in selling, transferring, or delivering to a patient or a patient's agent one or more doses of medical gas in the manufacturer's or distributor's original container for subsequent use by the patient. (24) "Night cabinet" means a secure locked cabinet or other enclosure located outside the pharmacy, containing drugs which authorized personnel may access in the absence of a pharmacist. (25) "Nonprescription drug" means a drug which may be sold without a prescription and which is labeled for consumer use in accordance with the requirements of the laws and rules of Montana and the federal government. (26) "Outpatient center for surgical services" is as defined in 50-5-101, MCA. (27) "Parenteral" means a sterile preparation of drugs for injection through one or more layers of skin. (28) "Pharmacist-in-charge" means a pharmacist licensed in Montana who accepts responsibility for the operation of a pharmacy in conformance with all laws and rules pertinent to the practice of pharmacy, who assures that the

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pharmacy and all pharmacy personnel working in the pharmacy have current and appropriate licensure and certification, and who is personally in full and actual charge of such pharmacy. The Pharmacist-in-charge at an outof-state mail service pharmacy does not have to be licensed in Montana. (29) "Provisional pharmacy" means a pharmacy licensed by the Montana Board of Pharmacy and includes, but is not limited to, federally qualified health centers as defined in 42 CFR 405.2401, where prescription drugs are dispensed to appropriately screened, qualified patients. (30) "Qualified patients" means patients who are uninsured, indigent, or have insufficient funds to obtain needed prescription drugs. (31) "Remote pharmacy" means a licensed pharmacy at which prescriptions may be filled or transmitted to a central hub pharmacy for filling and subsequent delivery to the remote site or the patient's home. Patient counseling by a pharmacist may occur at this site. (32) "Remote telepharmacy dispensing machine site" means a licensed site containing prescription inventory which is secured in an automated dispensing device and which has access to its parent pharmacy and registered pharmacists via computer, video, and audio link at all times during business hours. (33) "Remote telepharmacy site" means a licensed site staffed by a registered pharmacy technician with access to its parent pharmacy and registered pharmacists via computer, video, and audio link at all times during business hours. (34) "Satellite pharmacy" means a specialized inpatient pharmacy staffed by a pharmacist which is adjacent to or near the department served and is connected via computer to the central institutional pharmacy. (35) "Security" or "secure system" means a system to maintain the confidentiality and integrity of patient records, which are being sent electronically. (36) "Sterile pharmaceutical" means any dosage form containing no viable microorganisms including, but not limited to, parenterals and ophthalmics. (37) "Verification audit" means a comparison and verification of written patient orders with medications removed for that patient.

BOARD OF PHARMACY

2-15-1733. Board of pharmacy. (1) There is a board of pharmacy. (2) The board consists of seven members appointed by the governor with the consent of the senate. Four members must be licensed pharmacists, one member must be a registered pharmacy technician, and two members must be from the general public. (a) Each licensed pharmacist member must have graduated and received the first professional undergraduate degree from the school of pharmacy of the university of Montana-Missoula or from an accredited pharmacy degree program that has been approved by the board. Each licensed pharmacist member must have at least 5 consecutive years of practical experience as a pharmacist immediately before appointment to the board. A licensed pharmacist member who, during the member's term of office, ceases to be actively engaged in the practice of pharmacy in this state must be automatically disqualified from membership on the board. (b) A registered pharmacy technician member must have at least 5 consecutive years of practical experience as a pharmacy technician immediately before appointment to the board. A registered pharmacy technician member who, during the member's term of office, ceases to be actively engaged as a pharmacy technician in this state must be automatically disqualified from membership on the board. (c) Each public member of the board must be a resident of the state and may not be or ever have been: (i) a member of the profession of pharmacy or the spouse of a member of the profession of pharmacy; (ii) a person having any material financial interest in the providing of pharmacy services; or (iii) a person who has engaged in any activity directly related to the practice of pharmacy. (3) Members shall serve staggered 5-year terms. A member may not serve more than two consecutive full terms. For the purposes of this section, an appointment to fill an unexpired term does not constitute a full term. (4) A member must be removed from office by the governor: (a) upon proof of malfeasance or misfeasance in office, after reasonable notice of charges against the member and after a hearing; or (b) upon refusal or inability to perform the duties of a board member in an efficient, responsible, and professional manner.

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37-1-101. Duties of department. In addition to the provisions of 2-15-121, the department shall: (1) establish and provide all the administrative, legal, and clerical services needed by the boards within the department, including corresponding, receiving and processing routine applications for licenses as defined by a board, issuing and renewing routine licenses as defined by a board, disciplining licensees, setting administrative fees, preparing agendas and meeting notices, conducting mailings, taking minutes of board meetings and hearings, and filing; (2) standardize policies and procedures and keep in Helena all official records of the boards; (3) make arrangements and provide facilities in Helena for all meetings, hearings, and examinations of each board or elsewhere in the state if requested by the board; (4) contract for or administer and grade examinations required by each board; (5) investigate complaints received by the department of illegal or unethical conduct of a member of the profession or occupation under the jurisdiction of a board or a program within the department; (6) assess the costs of the department to the boards and programs on an equitable basis as determined by the department; (7) adopt rules setting administrative fees and expiration, renewal, and termination dates for licenses; (8) issue a notice to and pursue an action against a licensed individual, as a party, before the licensed individual's board after a finding of reasonable cause by a screening panel of the board pursuant to 37-1-307(1)(d); (9) (a) provide notice to the board and to the appropriate legislative interim committee when a board cannot operate in a cost-effective manner; (b) suspend all duties under this title related to the board except for services related to renewal of licenses; (c) review the need for a board and make recommendations to the legislative interim committee with monitoring responsibility for the boards for legislation revising the board's operations to achieve fiscal solvency; and (d) notwithstanding 2-15-121, recover the costs by one-time charges against all licensees of the board after providing notice and meeting the requirements under the Montana Administrative Procedure Act; (10) monitor a board's cash balances to ensure that the balances do not exceed two times the board's annual appropriation level and adjust fees through administrative rules when necessary; (11) establish policies and procedures to set fees for administrative services, as provided in 37-1-134, commensurate with the cost of the services provided. Late penalty fees may be set without being commensurate with the cost of services provided. (12) adopt uniform rules for all boards and department programs to comply with the public notice requirements of 37-1-311 and 37-1-405. The rules may require the posting of only the licensee's name and the fact that a hearing is being held when the information is being posted on a publicly available website prior to a decision leading to a suspension or revocation of a license or other final decision of a board or the department. (5) The board is allocated to the department for administrative purposes only as prescribed in 2-15-121.

37-1-104. Standardized forms. The department shall adopt standardized forms and processes to be used by the boards and department programs. The standardization is to streamline processes, expedite services, reduce costs and waste, and facilitate computerization.

37-1-105. Reporting disciplinary actions against licensees. The department has the authority and shall require that all licensing boards within the department require all applicants for licensure or renewal to report any legal or disciplinary actions against them that relate to the propriety of the applicants' practice of or their fitness to practice the profession or occupation for which they seek licensure. Failure to furnish the required information, except pursuant to 37-1-138, or the filing of false information is grounds for denial or revocation of a license.

37-1-106. Biennial report. The department, in cooperation with each licensing board, shall prepare a biennial report. The biennial report of the department shall contain for each board a summary of the board's activities, the board's goals and objectives, a detailed breakdown of board revenues and expenditures, statistics illustrating board activities concerning licensing, summary of complaints received and their disposition, number of licenses revoked or suspended, legislative or court action affecting the board, and any other information the department or board considers relevant. The department shall submit the report to the office of budget and program planning as a part of the information required by 17-7-111.

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37-1-121. Duties of commissioner. In addition to the powers and duties under 2-15-112 and 2-15-121, the commissioner of labor and industry shall: (1) at the request of a party, appoint an impartial hearings examiner to conduct hearings whenever any board or department program holds a contested case hearing. The hearings examiner shall conduct hearings in a proper and legal manner. (2) establish the qualifications of and hire all personnel to perform the administrative, legal, and clerical functions of the department for the boards. Boards within the department do not have authority to establish the qualifications of, hire, or terminate personnel. The department shall consult with the boards regarding recommendations for qualifications for executive or executive director positions. (3) approve all contracts and expenditures by boards within the department. A board within the department may not enter into a contract or expend funds without the approval of the commissioner.

37-1-130. Definitions. As used in this part, the following definitions apply: (1) "Administrative fee" means a fee established by the department to cover the cost of administrative services as provided for in 37-1-134. (2) "Board" means a licensing board created under Title 2, chapter 15, that regulates a profession or occupation and that is administratively attached to the department as provided in 2-15-121. (3) "Board fee" means: (a) a fee established by the board to cover program area costs as provided in 37-1-134; and (b) any other legislatively prescribed fees specific to boards and department programs. (4) "Department" means the department of labor and industry established in 2-15-1701. (5) "Department program" means a program administered by the department pursuant to this title and not affiliated with a board. (6) "Expired license" means a license that is not reactivated within the period of 46 days to 2 years after the renewal date for the license. (7) "Lapsed license" means a license that is not renewed by the renewal date and that may be reactivated within the first 45-day period after the renewal date for the license. (8) "License" means permission granted under a chapter of this title to engage in or practice at a specific level in a profession or occupation, regardless of the specific term used for the permission, including permit, certificate, recognition, or registration. (9) "Terminated license" means a license that is not renewed or reactivated within 2 years of the license lapsing.

37-1-131. Duties of boards -- quorum required. (1) A quorum of each board within the department shall: (a) set and enforce standards and rules governing the licensing, certification, registration, and conduct of the members of the particular profession or occupation within the board's jurisdiction; (b) sit in judgment in hearings for the suspension, revocation, or denial of a license of an actual or potential member of the particular profession or occupation within the board's jurisdiction. The hearings must be conducted by a hearings examiner when required under 37-1-121. (c) suspend, revoke, or deny a license of a person who the board determines, after a hearing as provided in subsection (1)(b), is guilty of knowingly defrauding, abusing, or aiding in the defrauding or abusing of the workers' compensation system in violation of the provisions of Title 39, chapter 71; (d) pay to the department the board's pro rata share of the assessed costs of the department under 37-1-101(6); (e) consult with the department before the board initiates a program expansion, under existing legislation, to determine if the board has adequate money and appropriation authority to fully pay all costs associated with the proposed program expansion. The board may not expand a program if the board does not have adequate money and appropriation authority available. (2) A board, board panel, or subcommittee convened to conduct board business must have a majority of its members, which constitutes a quorum, present to conduct business. (3) A board that requires continuing education or continued state, regional, or national certification for licensees shall require licensees reactivating an expired license to submit proof of meeting the requirements of this subsection for the renewal cycle. (4) The board or the department program may: (a) establish the qualifications of applicants to take the licensure examination; (b) determine the standards, content, type, and method of examination required for licensure or reinstatement of a

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