Legislation Clerk's Office Members Committees Meetings Home Senate
HB 25 - Med Examiners, Comp State Board; function as state agency
Randall, William (Billy) C (127th) Walker, Larry (141st) Irvin, Robert A (45th)
Status Summary HC: H&E SC: FR: 01/13/99 LA: 01/14/99 H - Read 2nd Time

First Reader Summary

A BILL to amend Chapter 34 of Title 43 of the Official Code of Georgia Annotated, relating to the regulation of physicians, physician's assistants, and respiratory care, so as to change the definition of a certain term; to provide that the Composite State Board of Medical Examiners shall function as a separate state agency and shall be a separate budget unit of state government; and for other purposes.

Page Numbers: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Code Sections - 43-34-21/ 43-34-22/ 43-34-22/ 43-34-22.1/ 43-34-24/ 43-34-24.1/ 43-34-32/ 43-34-32.1/ 43-34-35.1/ 43-34-35.2/ 43-34-36/ 43-34-37/ 43-34-37.1/ 43-34-37.2/ 43-34-37.3/ 43-34-38/ 43-34-39/ 43-34-47

House Action Senate
1/13/99 Read 1st Time
1/14/99 Read 2nd Time
Version by LC Number
LC 10 2611 As Introduced

HB 25                                              LC 10 2611 
 
 
 
 
 
 
                        A BILL TO BE ENTITLED 
                               AN ACT 
 
 
  1- 1  To amend Chapter 34 of Title 43 of the Official Code of 
  1- 2  Georgia Annotated, relating to the regulation of physicians, 
  1- 3  physician's assistants, and respiratory care, so as to 
  1- 4  change the definition of a certain term; to provide that the 
  1- 5  Composite State Board of Medical Examiners shall function as 
  1- 6  a separate state agency and shall be a separate budget unit 
  1- 7  of state government; to provide for the appointment of 
  1- 8  members to the Composite State Board of Medical Examiners; 
  1- 9  to provide for the removal of members from office for 
  1-10  certain cause; to provide that the Composite State Board of 
  1-11  Medical Examiners shall have the authority to contract with 
  1-12  medical associations or other professionally qualified 
  1-13  organizations to assist it in carrying out its duties as 
  1-14  required by this chapter or rules and regulations 
  1-15  promulgated by the board; to authorize such board to 
  1-16  establish administrative standards for the examination of 
  1-17  applicants for licensure; to provide for an executive 
  1-18  director and other employees of the Composite State Board of 
  1-19  Medical Examiners and for their powers and duties; to 
  1-20  provide for investigators; to provide for the determination 
  1-21  of fees and refunds; to authorize point credit for veterans 
  1-22  taking examinations given by the board; to provide that 
  1-23  certain laws applicable to various state examining boards 
  1-24  shall not apply to the Composite State Board of Medical 
  1-25  Examiners or this chapter; to repeal provisions relating to 
  1-26  the authority of the Secretary of State and the 
  1-27  joint-secretary of the state examining boards in connection 
  1-28  with regulating physicians, physician's assistants, and 
  1-29  respiratory care and in connection with the affairs of the 
  1-30  Composite State Board of Medical Examiners; to authorize the 
  1-31  Composite State Board of Medical Examiners to assume 
  1-32  additional powers and to exercise additional duties; to 
  1-33  require applicants for licensure to provide certain 
  1-34  information; to provide for the compensation and 
  1-35  reimbursement of members of such board; to change the 
  1-36  provisions relating to a temporary license to practice 
  1-37  medicine; to authorize the Composite State Board of Medical 
 
 
 
                                 -1- 
 
 
 
  2- 1  Examiners to provide for inactive status licenses; to change 
  2- 2  the provisions relating to the issuance of licenses to 
  2- 3  practice medicine upon presentation of evidence of required 
  2- 4  qualifications; to change the provisions relating to the 
  2- 5  recording of licenses to practice medicine with the clerk of 
  2- 6  the superior court; to change the provisions relating to the 
  2- 7  authority of the board to refuse a license to practice 
  2- 8  medicine or discipline a physician; to provide for 
  2- 9  additional remedies and actions which the board may take 
  2-10  against licensees or applicants for licensure; to provide 
  2-11  for cease and desist orders against persons practicing 
  2-12  medicine without a license; to provide civil penalties; to 
  2-13  provide that licensed professionals shall be subject to 
  2-14  regulation by the board; to provide for hearings; to provide 
  2-15  for venue; to provide for related matters; to provide an 
  2-16  effective date; to repeal conflicting laws; and for other 
  2-17  purposes. 
 
  2-18       BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA: 
 
  2-19                           SECTION 1. 
 
  2-20  Chapter 34 of Title 43 of the Official Code of Georgia 
  2-21  Annotated, relating to the regulation of physicians, 
  2-22  physician's assistants, and respiratory care, is amended by 
  2-23  striking in its entirety paragraph (3) of Code Section 
  2-24  43-34-20, relating to definitions applicable under said 
  2-25  chapter, and inserting in lieu thereof a new paragraph (3) 
  2-26  to read as follows: 
 
  2-27      "(3) 'To practice medicine' means to hold one's self 
  2-28      oneself out to the public as being engaged in the 
  2-29      diagnosis or treatment of disease, defects, or injuries 
  2-30      of human beings; or the suggestion, recommendation, or 
  2-31      prescribing of any form of treatment for the intended 
  2-32      palliation, relief, or cure of any physical, mental, or 
  2-33      functional ailment or defect of any person with the 
  2-34      intention of receiving therefor, either directly or 
  2-35      indirectly, any fee, gift, or compensation whatsoever; 
  2-36      or the maintenance of an office for the reception, 
  2-37      examination, and treatment of persons suffering from 
  2-38      disease, defect, or injury of body or mind; or attaching 
  2-39      the title 'M.D.,' 'Oph.,' 'D.,' 'Dop.,' 'Surgeon,' 
  2-40      'Doctor,' 'D.O.,' 'Doctor of Osteopathy,' either alone 
  2-41      or in connection with other words, or any other words or 
  2-42      abbreviations to one's name, indicating that such person 
  2-43      is engaged in the treatment or diagnosis of disease, 
 
 
 
                                 -2- 
 
 
 
  3- 1      defects, or injuries to human beings, provided that the 
  3- 2      terms 'doctors of medicine,' 'doctors of medicine 
  3- 3      licensed to practice in the state,' and similar terms 
  3- 4      wherever used or appearing in this article or elsewhere 
  3- 5      shall mean and include only those persons who are 
  3- 6      licensed to practice medicine under this article." 
 
  3- 7                           SECTION 2. 
 
  3- 8  Said chapter is further amended by striking in its entirety 
  3- 9  Code Section 43-34-21, relating to the creation of the 
  3-10  Composite State Board of Medical Examiners, and inserting in 
  3-11  lieu thereof a new Code Section 43-34-21 to read as follows: 
 
  3-12    "43-34-21. 
 
  3-13    (a) A board is established within state government to be 
  3-14    known as the Composite State Board of Medical Examiners. 
  3-15    All members of the board shall be citizens of the United 
  3-16    States and residents of this state. All appointments to 
  3-17    the board shall be made by the Governor and confirmed by 
  3-18    the Senate. The board shall function as a separate state 
  3-19    agency and shall be a budget unit within the meaning of 
  3-20    paragraph (10) of Code Section 45-12-71. 
 
  3-21    (b) Twelve of the members shall be practicing physicians 
  3-22    of integrity and ability and shall be duly licensed to 
  3-23    practice in this state. Ten of the 12 physician members 
  3-24    shall be graduates of reputable medical schools conferring 
  3-25    the M.D. degree; the other two physician members shall be 
  3-26    graduates of reputable osteopathic schools conferring the 
  3-27    D.O. degree. All of the physician members shall have been 
  3-28    engaged in the active practice of their profession within 
  3-29    this state for a period of at least five years. Any 
  3-30    vacancy occurring in a post held by a holder of the D.O. 
  3-31    degree shall be filled by a D.O. from the state at large. 
 
  3-32    (c) Two members The thirteenth member of the board shall 
  3-33    be appointed from the state at large and shall have no 
  3-34    connection whatsoever with the practice of medicine. 
 
  3-35    (d) The board shall perform such duties and possess and 
  3-36    exercise such powers relative to the protection of the 
  3-37    public health and the control of regulation of the 
  3-38    practice of medicine and osteopathy as this chapter 
  3-39    prescribes and confers upon it and shall have the power to 
  3-40    carry out investigations, either through the 
  3-41    joint-secretary or independently; provided, however, that 
  3-42    the member of the board who is not a practicing physician 
 
 
 
                                 -3- 
 
 
 
  4- 1    may vote only on matters relating to administration and 
  4- 2    policy which do not directly relate to practical and 
  4- 3    scientific examination of physicians in this state. 
 
  4- 4      (e)(1) The board shall appoint a Physician's Assistants 
  4- 5      Advisory Committee composed of four physicians, at least 
  4- 6      two of whom shall be members of the board, and four 
  4- 7      licensed physician's assistants, who shall each serve 
  4- 8      for terms of office of two years and until their 
  4- 9      successors are appointed and qualified. The committee 
  4-10      shall review matters to come before the board which 
  4-11      relate to physician's assistants, including but not 
  4-12      limited to applicants for physician's assistant 
  4-13      licensure and relicensure and education requirements 
  4-14      therefor, and proposed board regulations concerning 
  4-15      physician's assistants.  The committee shall 
  4-16      periodically make recommendations to the board regarding 
  4-17      matters reviewed.  Each member of the advisory committee 
  4-18      shall be entitled to the same expense allowances, 
  4-19      mileage allowances, and reimbursement as members of the 
  4-20      board as provided for in subsection (f) of Code Section 
  4-21      43-1-2. 
 
  4-22      (2) The committee shall appoint a physician's assistant 
  4-23      in an advisory capacity to the board. The advisory 
  4-24      person shall serve at the pleasure of the committee as 
  4-25      an ex officio adviser to the board in all matters 
  4-26      relating to physician's assistants and shall share in 
  4-27      the privileges and benefits of the board without a vote. 
 
  4-28    (f) The board shall examine applicants to test their 
  4-29    qualifications to practice medicine. The board shall also 
  4-30    establish administrative standards for the examination of 
  4-31    applicants for licensure, notwithstanding any other 
  4-32    provisions of law to the contrary.  These administrative 
  4-33    standards shall include setting of the date, time, and 
  4-34    location of examinations.  The board may adopt examination 
  4-35    criteria, grading procedures, fees, passing score 
  4-36    requirements, and other matters pertaining to the 
  4-37    examination of applicants for licensure as necessary to 
  4-38    implement licensing standards.  Examination standards, 
  4-39    including examination criteria, grading procedures, and 
  4-40    passing score requirements, developed in agreement or in 
  4-41    conjunction with a national association of state boards or 
  4-42    other related national association for the administration 
  4-43    of a nationally recognized uniform examination may be 
  4-44    adopted in lieu of state standards by the board. 
 
 
 
                                 -4- 
 
 
 
  5- 1    (g) When funds are specifically appropriated for such 
  5- 2    purpose, the board shall publish an informational booklet 
  5- 3    on breast cancer and the treatment of breast cancer. The 
  5- 4    booklet shall contain a summary of the latest information 
  5- 5    on breast cancer and, in brief form, shall discuss the 
  5- 6    generally accepted and widely prevailing medical and 
  5- 7    surgical treatments for breast cancer. The booklet shall 
  5- 8    include a valid assessment of the relative risks and 
  5- 9    benefits of the accepted and widely prevailing methods of 
  5-10    treatment. A copy of the booklet shall be made available 
  5-11    by the board to every appropriate physician in the state. 
  5-12    A letter by the board shall accompany this booklet stating 
  5-13    that the board urges the physician to distribute a copy of 
  5-14    the booklet to each and every patient whose suspected 
  5-15    disease, disease, or course of treatment is covered by the 
  5-16    material in the booklet. Copies shall also be available to 
  5-17    any person upon request at a fee prescribed by the 
  5-18    joint-secretary board sufficient to cover the cost of 
  5-19    printing and distribution. The booklet shall be updated 
  5-20    and redistributed at such times as the board shall deem 
  5-21    necessary. 
 
  5-22    (h) The board shall have the authority to contract with 
  5-23    medical associations or other professionally qualified 
  5-24    organizations to conduct impaired physicians programs. 
 
  5-25    (i) Upon the approval of the Office of Planning and 
  5-26    Budget, the board shall have the authority to enter into 
  5-27    such contracts as are deemed necessary to assist it in 
  5-28    carrying out its duties as required by this chapter or 
  5-29    rules and regulations promulgated by the board; provided, 
  5-30    however, that the board shall not enter into exclusive 
  5-31    contracts with medical associations or other organizations 
  5-32    for the purpose of conducting peer review. 
 
  5-33    (j) The provisions of Chapter 1 and Chapter 1A of this 
  5-34    title shall not apply to the Composite State Board of 
  5-35    Medical Examiners or to the regulation of physicians, 
  5-36    physician's assistants, and respiratory care; provided, 
  5-37    however, that the board shall be authorized to provide 
  5-38    point credit for veterans taking an examination under this 
  5-39    chapter the same as allowed in Chapter 1 of this title or 
  5-40    under other rules or conditions." 
 
 
 
 
 
 
 
                                 -5- 
 
 
 
  6- 1                           SECTION 3. 
 
  6- 2  Said chapter is further amended by striking in its entirety 
  6- 3  Code Section 43-34-22, relating to the composition of the 
  6- 4  State Board of Medical Examiners, which reads as follows: 
 
  6- 5    "43-34-22. 
 
  6- 6    The members of the State Board of Medical Examiners shall 
  6- 7    serve for terms of four years each and until successors 
  6- 8    are appointed and qualified.  All reappointments and new 
  6- 9    appointments shall be made so that the various geographic 
  6-10    regions of the state shall be represented.  Any vacancy 
  6-11    that may occur in the board as a result of death, 
  6-12    resignation, removal from the state, or other cause shall 
  6-13    be filled for the unexpired term in the same manner as 
  6-14    regular appointments are made.", 
 
  6-15  and inserting in lieu thereof the following: 
 
  6-16    "43-34-22. 
 
  6-17    (a) The Governor is authorized to appoint any person who 
  6-18    is otherwise qualified as provided in this chapter to 
  6-19    serve as a member of the board for a regular term or for 
  6-20    an unexpired term notwithstanding the fact that the 
  6-21    Governor is required to appoint members from a list of 
  6-22    nominees submitted by state medical associations. 
 
  6-23    (b) Each person appointed by the Governor as a member of 
  6-24    the board shall be confirmed by the Senate, and any such 
  6-25    appointment made when the Senate is not in session shall 
  6-26    be effective until the appointment is acted upon. 
 
  6-27    (c) The Governor, after notice and opportunity for 
  6-28    hearing, may remove from office any member of the board 
  6-29    for any of the following: 
 
  6-30      (1) Inability or neglect to perform the duties required 
  6-31      of members; 
 
  6-32      (2) Incompetence; or 
 
  6-33      (3) Dishonest conduct. 
 
  6-34    43-34-22.1. 
 
  6-35    The members of the Composite State Board of Medical 
  6-36    Examiners shall serve for terms of four years each and 
  6-37    until successors are appointed and qualified.  All 
  6-38    reappointments and new appointments shall be made so that 
  6-39    the various geographic regions of the state shall be 
 
 
 
                                 -6- 
 
 
 
  7- 1    represented.  Public notice of a vacancy on the board 
  7- 2    shall be given prior to any new appointment or 
  7- 3    reappointment.  Any vacancy that may occur on the board as 
  7- 4    a result of death, resignation, removal from the state, or 
  7- 5    other cause shall be filled for the unexpired term in the 
  7- 6    same manner as regular appointments are made." 
 
  7- 7                           SECTION 4. 
 
  7- 8  Said chapter is further amended by striking Code Section 
  7- 9  43-34-24, relating to the election of members of the 
  7-10  Composite State Board of Medical Examiners and reimbursement 
  7-11  of members, and inserting in lieu thereof a new Code Section 
  7-12  43-34-24 to read as follows: 
 
  7-13    "43-34-24. 
 
  7-14    (a) Immediately after the appointment and qualification of 
  7-15    the members, the board shall meet and organize and shall 
  7-16    elect a president, and vice-president, and 
  7-17    secretary-treasurer. The board shall operate under the 
  7-18    terms of Chapter 1 of this title, providing for a 
  7-19    joint-secretary; and the joint-secretary shall serve the 
  7-20    board as provided by law this chapter and the rules and 
  7-21    regulations promulgated by the board. Each member of the 
  7-22    board shall be reimbursed as provided for in subsection 
  7-23    (f) of Code Section 43-1-2 may receive the same expense 
  7-24    allowance as that received by members of the General 
  7-25    Assembly and the same mileage allowance for the use of a 
  7-26    personal car as that received by all other state officials 
  7-27    and employees or a travel allowance of actual 
  7-28    transportation cost if traveling by public carrier within 
  7-29    the state. Any board member shall also be reimbursed for 
  7-30    any conference or meeting registration fee incurred in the 
  7-31    performance of his or her duties as a board member. For 
  7-32    each day's service outside of the state as a board member, 
  7-33    such member shall receive actual expenses as an expense 
  7-34    allowance as well as the same mileage allowance for the 
  7-35    use of a personal car as that received by other state 
  7-36    officials and employees or a travel allowance of actual 
  7-37    transportation cost if traveling by public carrier or by 
  7-38    rental motor vehicle. Expense vouchers submitted by 
  7-39    members of the board are subject to approval by the 
  7-40    president and the secretary-treasurer of the board. 
 
  7-41    (b) The board shall hold two regular meetings each year, 
  7-42    one in May or June and one in October. Call meetings may 
  7-43    be held at the discretion of the president. All meetings 
 
 
 
                                 -7- 
 
 
 
  8- 1    will be held at a location to be approved by the board. 
  8- 2    The board shall adopt a seal, which must be affixed to all 
  8- 3    licenses issued by the board. 
 
  8- 4    (c) A majority of the appointed members of the board shall 
  8- 5    constitute a quorum for the transaction of business by the 
  8- 6    board. 
 
  8- 7    (c)(d) The board shall from time to time adopt such rules 
  8- 8    and regulations as it may deem necessary for the 
  8- 9    performance of its duties and shall examine and pass upon 
  8-10    the qualifications of applicants for the practice of 
  8-11    medicine. 
 
  8-12    (d)(e) The board shall recommend to the Secretary of 
  8-13    State, and the Secretary of State may appoint, 
  8-14    professionally qualified persons to serve as members of 
  8-15    peer review committees. 
 
  8-16      (f)(1) The board may appoint an executive director and 
  8-17      such other employees and investigators as the board 
  8-18      deems necessary to assist it in carrying out its duties 
  8-19      as specified under this chapter. The board shall 
  8-20      determine the compensation and benefits for any such 
  8-21      personnel. 
 
  8-22      (2) Persons hired for the purpose of conducting 
  8-23      investigations for the board shall be designated as 
  8-24      investigators and any person so designated shall have 
  8-25      all the powers of a peace officer of this state when 
  8-26      engaged in the enforcement of this chapter or of any of 
  8-27      the laws creating or related to the board. Such 
  8-28      investigators shall be authorized, upon the written 
  8-29      approval of the president of the board, notwithstanding 
  8-30      Code Sections 16-11-126, 16-11-128, and 16-11-129, to 
  8-31      carry firearms of a caliber not greater than the 
  8-32      standard police .38 handgun. Any person designated as an 
  8-33      investigator within the meaning of this subsection shall 
  8-34      be considered to be a peace officer. 
 
  8-35    (g) The board is authorized to charge an examination fee, 
  8-36    license fee, license renewal fee, or similar fee and may 
  8-37    establish the amount of the fee to be charged. Each fee so 
  8-38    established shall be reasonable and shall be determined in 
  8-39    such a manner that the total amount of fees charged by the 
  8-40    board shall approximate the total of the direct and 
  8-41    indirect costs to the state of the operations of the 
  8-42    board. Fees may be refunded for good cause, as determined 
  8-43    by the board." 
 
 
                                 -8- 
 
 
 
  9- 1                           SECTION 5. 
 
  9- 2  Said chapter is further amended by adding between Code 
  9- 3  Sections 43-34-24 and 43-34-25 a new Code Section 43-34-24.1 
  9- 4  to read as follows: 
 
  9- 5    "43-34-24.1. 
 
  9- 6    (a) It shall be the duty of the executive director to 
  9- 7    bring together and keep all records relating to the board, 
  9- 8    receive all applications for licenses, schedule the time 
  9- 9    and place for examinations and hearings, and issue 
  9-10    certificates upon the authority of the board.  The 
  9-11    executive director may provide for inactive status 
  9-12    licenses for the board. 
 
  9-13    (b) Except as otherwise provided by law, the executive 
  9-14    director shall collect all fees required by law in 
  9-15    connection with the licensing of professionals under this 
  9-16    chapter and shall remit such fees to the Office of 
  9-17    Treasury and Fiscal Services for deposit into the general 
  9-18    fund of the state. Notwithstanding any other provision of 
  9-19    law, the executive director is authorized to retain all 
  9-20    funds received as collection fees for use in defraying the 
  9-21    cost of the collection of fees required under this 
  9-22    chapter; provided, however, that nothing in this Code 
  9-23    section shall be construed so as to allow the executive 
  9-24    director to retain any funds required by the Constitution 
  9-25    to be paid into the state treasury; and provided, further, 
  9-26    that the executive director shall comply with all 
  9-27    provisions of Part 1 of Article 4 of Chapter 12 of Title 
  9-28    45, the 'Budget Act,' except Code Section 45-12-92, prior 
  9-29    to expending any such funds. 
 
  9-30    (c) The executive director shall prepare and maintain a 
  9-31    roster containing the names and addresses of all current 
  9-32    licensees.  A copy of such roster shall be available to 
  9-33    any person upon request at a fee prescribed by the 
  9-34    executive director sufficient to cover the cost of 
  9-35    printing and distribution. Information which shall be 
  9-36    treated as confidential and need not be disclosed without 
  9-37    the approval of the board shall include applications and 
  9-38    other personal information submitted by applicants; 
  9-39    information, favorable or unfavorable, submitted by a 
  9-40    reference source concerning an applicant; examination 
  9-41    questions and other examination materials; and board 
  9-42    deliberations with respect to an application, examination, 
  9-43    complaint, investigation, or disciplinary proceeding.  The 
 
 
 
                                 -9- 
 
 
 
 10- 1    confidentiality of certain information pursuant to this 
 10- 2    subsection shall be an exception to Article 4 of Chapter 
 10- 3    18 of Title 50, except for entries regarding such 
 10- 4    information that may be contained in official board 
 10- 5    minutes. 
 
 10- 6    (d) All orders and processes of the board shall be signed 
 10- 7    and attested by the executive director in the name of the 
 10- 8    board with the seal of such board attached.  Any notice or 
 10- 9    legal process necessary to be served upon the board may be 
 10-10    served upon the executive director." 
 
 10-11                           SECTION 6. 
 
 10-12  Said chapter is further amended by striking subparagraph 
 10-13  (a)(1)(A) of Code Section 43-34-27, relating to license 
 10-14  requirement for persons engaged in practice of medicine, and 
 10-15  inserting in lieu thereof a new subparagraph (a)(1)(A) to 
 10-16  read as follows: 
 
 10-17        "(a)(1)(A) Any person who wishes to obtain the right 
 10-18        to practice medicine in this state and who was not, 
 10-19        prior to March 16, 1970, registered or licensed to 
 10-20        practice medicine, either by the State Board of 
 10-21        Medical Examiners or the State Board of Examiners in 
 10-22        Osteopathy, shall, before it shall be lawful for him 
 10-23        or her to practice medicine in this state, make 
 10-24        application to the board through the joint-secretary, 
 10-25        upon such forms and in such manner as shall be adopted 
 10-26        and prescribed by the board, and shall obtain from the 
 10-27        board a license to practice medicine.  Any person who 
 10-28        practices medicine without first having obtained a 
 10-29        license shall be deemed to have violated this chapter. 
 10-30        All applicants for a license to practice medicine or 
 10-31        for a renewal of any such license which has been 
 10-32        revoked shall furnish the board with evidence of good 
 10-33        moral character. Applications from candidates to 
 10-34        practice medicine or surgery in any of its branches 
 10-35        shall be accompanied by proof that the applicant is a 
 10-36        graduate of one of the two four colleges of medicine 
 10-37        now existing in this state, or from some other legally 
 10-38        incorporated medical college or osteopathic college." 
 
 10-39                           SECTION 7. 
 
 10-40  Said chapter is further amended by striking Code Section 
 10-41  43-34-32, relating to temporary licenses, and inserting in 
 10-42  lieu thereof a new Code Section 43-34-32 to read as follows: 
 
 
 
                                 -10- 
 
 
 
 11- 1    "43-34-32. 
 
 11- 2    The joint-secretary, with the approval of the president of 
 11- 3    the board, may in his its discretion issue a temporary 
 11- 4    license to an applicant, which license shall have the same 
 11- 5    force and effect as a permanent license until the next 
 11- 6    regular meeting of the board when the temporary license 
 11- 7    shall become void. A temporary license shall not be 
 11- 8    recorded." 
 
 11- 9                           SECTION 8. 
 
 11-10  Said chapter is further amended by adding between Code 
 11-11  Sections 43-34-32 and 43-34-33 a new Code Section 43-34-32.1 
 11-12  to read as follows: 
 
 11-13    "43-34-32.1. 
 
 11-14    The board may provide for inactive status licenses." 
 
 11-15                           SECTION 9. 
 
 11-16  Said chapter is further amended by striking subsection (b) 
 11-17  of Code Section 43-34-35, relating to the issuance of a 
 11-18  license upon presentation of evidence of required 
 11-19  qualifications and display of licenses, and inserting in 
 11-20  lieu thereof a new subsection (b) to read as follows: 
 
 11-21    "(b) It shall be the duty of the joint-secretary, under 
 11-22    the direction of the board, to aid Attorney General to 
 11-23    assist the board in the enforcement of this chapter and in 
 11-24    the prosecution of all persons charged with violations of 
 11-25    its provisions." 
 
 11-26                          SECTION 10. 
 
 11-27  Said chapter is further amended by adding between Code 
 11-28  Sections 43-34-35 and 43-34-36 new Code Sections 43-34-35.1 
 11-29  and 43-34-35.2 to read as follows: 
 
 11-30    "43-34-35.1. 
 
 11-31    Each application for a license to practice medicine shall 
 11-32    include a question as to whether the applicant for such 
 11-33    license: 
 
 11-34      (1) Has had revoked, suspended, or otherwise sanctioned 
 11-35      any license issued to the applicant by any board or 
 11-36      agency in this state or any other state; or 
 
 11-37      (2) Was denied issuance of or, pursuant to disciplinary 
 11-38      proceedings, refused renewal of a license by any board 
 11-39      or agency in this state or any other state. 
 
 
                                 -11- 
 
 
 
 12- 1    Such question shall be answered under oath and the answer, 
 12- 2    if applicable, shall include the name of the board or 
 12- 3    agency which revoked, suspended, denied, refused renewal 
 12- 4    of, or otherwise sanctioned the license. 
 
 12- 5    43-34-35.2. 
 
 12- 6    (a) The executive director shall determine the expiration, 
 12- 7    renewal, and penalty dates for each license and 
 12- 8    certificate issued by the board which is subject to 
 12- 9    renewal.  Before becoming effective, such expiration, 
 12-10    renewal, and penalty dates must be approved by the board. 
 
 12-11    (b) Each license and certificate issued by the board which 
 12-12    is subject to renewal shall be valid for up to two years 
 12-13    and shall be renewable biennially on the renewal date 
 12-14    established by the executive director and as approved by 
 12-15    the board. 
 
 12-16    (c) The executive director is authorized to adopt the 
 12-17    necessary rules and regulations to implement the biennial 
 12-18    renewal of licenses and certificates in such a manner as 
 12-19    to ensure that the number of renewals is reasonably evenly 
 12-20    distributed throughout each two-year period." 
 
 12-21                          SECTION 11. 
 
 12-22  Said chapter is further amended by striking Code Section 
 12-23  43-34-36, relating to the recording of licenses with clerk 
 12-24  of the superior court, and inserting in lieu thereof a new 
 12-25  Code Section 43-34-36 to read as follows: 
 
 12-26    "43-34-36. 
 
 12-27    Before any person who obtains a license from the board may 
 12-28    lawfully practice medicine, he or she shall cause the 
 12-29    license to be recorded in the office of the clerk of the 
 12-30    superior court of the county in which he or she resides. 
 12-31    The license shall be recorded by the clerk in a book kept 
 12-32    for that purpose and shall be indexed in the name of the 
 12-33    person to whom the license is granted. The clerk's fee for 
 12-34    recording the license shall be the same as for recording a 
 12-35    deed. The clerk shall make a report to the joint-secretary 
 12-36    board, on December 31 of each year, of all licenses 
 12-37    registered with him the clerk. Each applicant receiving a 
 12-38    license from the board shall cause the same to be 
 12-39    registered within 30 days." 
 
 
 
 
 
                                 -12- 
 
 
 
 13- 1                          SECTION 12. 
 
 13- 2  Said chapter is further amended by striking Code Section 
 13- 3  43-34-37, relating to the authority of the board to refuse a 
 13- 4  license to or to discipline a physician, and inserting in 
 13- 5  lieu thereof a new Code Section 43-34-37 to read as follows: 
 
 13- 6    "43-34-37. 
 
 13- 7    (a) The board shall have authority to refuse to grant a 
 13- 8    license to an applicant or to discipline a physician 
 13- 9    licensed under this chapter or any antecedent law upon a 
 13-10    finding by the board that the licensee or applicant has: 
 
 13-11      (1) Failed to demonstrate the qualifications or 
 13-12      standards for a license contained in this chapter or in 
 13-13      the rules and regulations of the board. It shall be 
 13-14      incumbent upon the applicant to demonstrate to the 
 13-15      satisfaction of the board that he or she meets all 
 13-16      requirements for the issuance of a license; and, if the 
 13-17      board is not satisfied as to the applicant's 
 13-18      qualifications, it shall not issue a license; 
 
 13-19      (2) Knowingly made misleading, deceptive, untrue, or 
 13-20      fraudulent representations in the practice of medicine 
 13-21      or in any document connected therewith, or practiced 
 13-22      fraud or deceit or intentionally made any false 
 13-23      statement in obtaining a license to practice medicine, 
 13-24      or made a false or deceptive biennial registration with 
 13-25      the board; 
 
 13-26      (3) Been convicted of a felony in the courts of this 
 13-27      state or any other state, territory, country, or of the 
 13-28      United States. As used in this paragraph, the term 
 13-29      'conviction of a felony' shall include a conviction of 
 13-30      an offense which if committed in this state would be 
 13-31      deemed a felony under either state or federal law, 
 13-32      without regard to its designation elsewhere. As used in 
 13-33      this paragraph, the term 'conviction' shall include a 
 13-34      finding or verdict of guilt, a plea of guilty, or a plea 
 13-35      of nolo contendere in a criminal proceeding, regardless 
 13-36      of whether the adjudication of guilt or sentence is 
 13-37      withheld or not entered thereon; 
 
 13-38      (4) Committed a crime involving moral turpitude, without 
 13-39      regard to conviction; the conviction of a crime 
 13-40      involving moral turpitude shall be evidence of the 
 13-41      commission of such crime. As used in this paragraph, the 
 13-42      term 'conviction' shall have the meaning prescribed in 
 
 
 
                                 -13- 
 
 
 
 14- 1      paragraph (3) of this subsection Been arrested, charged, 
 14- 2      and sentenced for the commission of any felony or any 
 14- 3      crime involving moral turpitude for which first offender 
 14- 4      treatment without adjudication of guilt pursuant to the 
 14- 5      charge was granted or an adjudication of guilt or 
 14- 6      sentence was otherwise withheld or not entered on the 
 14- 7      charge, except with respect to a plea of nolo 
 14- 8      contendere.  An order entered pursuant to the provisions 
 14- 9      of Article 3 of Chapter 8 of Title 42 or any other first 
 14-10      offender treatment shall be conclusive evidence of 
 14-11      arrest and sentencing for such crime. For the purpose of 
 14-12      this chapter, a conviction or plea of guilty or of nolo 
 14-13      contendere to a charge or indictment by either federal 
 14-14      or state government for income tax evasion shall not be 
 14-15      considered a crime involving moral turpitude; 
 
 14-16      (5) Had his or her license to practice medicine revoked, 
 14-17      suspended, or annulled by any lawful licensing 
 14-18      authority; or had other disciplinary action taken 
 14-19      against him or her by any lawful licensing authority; or 
 14-20      was been denied a license by any lawful licensing 
 14-21      authority; or been refused the renewal of a license by 
 14-22      any such lawful licensing authority other than the 
 14-23      board, pursuant to disciplinary proceedings; 
 
 14-24      (6) Advertised for or solicited patients; obtained a fee 
 14-25      or other thing of value on the representation that a 
 14-26      manifestly incurable disease can be permanently cured; 
 14-27      or made untruthful or improbable statements, or 
 14-28      flamboyant or extravagant claims concerning his or her 
 14-29      professional excellence; 
 
 14-30      (7) Engaged in any unprofessional, unethical, deceptive, 
 14-31      or deleterious conduct or practice harmful to the 
 14-32      public, which conduct or practice need not have resulted 
 14-33      in actual injury to any person. As used in this 
 14-34      paragraph, the term 'unprofessional conduct' shall 
 14-35      include any departure from, or failure to conform to, 
 14-36      the minimal standards of acceptable and prevailing 
 14-37      medical practice and shall also include, but not be 
 14-38      limited to, the prescribing or use of drugs, treatment, 
 14-39      or diagnostic procedures which are detrimental to the 
 14-40      patient as determined by the minimal standards of 
 14-41      acceptable and prevailing medical practice or by rule of 
 14-42      the board; 
 
 14-43      (8) Performed, procured, or aided or abetted in 
 14-44      performing or procuring a criminal abortion; 
 
 
                                 -14- 
 
 
 
 15- 1      (9) Knowingly maintained a professional connection or 
 15- 2      association with any person who is in violation of this 
 15- 3      chapter or the rules or regulations of the board; or 
 15- 4      knowingly aided, assisted, procured, or advised any 
 15- 5      person to practice medicine contrary to this chapter or 
 15- 6      to the rules and regulations of the board; or knowingly 
 15- 7      performed any act which in any way aids, assists, 
 15- 8      procures, advises, or encourages aided, assisted, 
 15- 9      procured, advised, or encouraged any unlicensed person 
 15-10      or entity to practice medicine; or divided fees or 
 15-11      agreed to divide fees received for professional services 
 15-12      with any person, firm, association, corporation, or 
 15-13      other entity for bringing or referring a patient; 
 
 15-14      (10) Violated or attempted to violate a law, rule, or 
 15-15      regulation of this state, any other state, the board, 
 15-16      the United States, or any other lawful authority without 
 15-17      regard to whether the violation is criminally 
 15-18      punishable, which law, rule, or regulation relates to or 
 15-19      in part regulates the practice of medicine, when the 
 15-20      licensee or applicant knows or should know that such 
 15-21      action is violative of such law, rule, or regulation; or 
 15-22      violated a lawful order of the board, previously entered 
 15-23      by the board in a disciplinary hearing; 
 
 15-24      (11) Committed any act or omission which is indicative 
 15-25      of bad moral character or untrustworthiness; 
 
 15-26      (12) Been adjudged mentally incompetent by a court of 
 15-27      competent jurisdiction, within or outside this state. 
 15-28      Any such adjudication shall automatically suspend the 
 15-29      license of any such person and shall prevent the 
 15-30      reissuance or renewal of any license so suspended for as 
 15-31      long as the adjudication of incompetence is in effect 
 15-32      unless the board, upon a finding that the licensee is 
 15-33      mentally competent, orders otherwise. Any applicant who 
 15-34      has been so adjudged to be mentally incompetent shall 
 15-35      not receive a license unless the board, upon a finding 
 15-36      that the applicant is mentally competent, orders 
 15-37      otherwise; or 
 
 15-38      (13) Become unable to practice medicine with reasonable 
 15-39      skill and safety to patients by reason of illness or use 
 15-40      of alcohol, drugs, narcotics, chemicals, or any other 
 15-41      type of material, or as a result of any mental or 
 15-42      physical condition subject to the following:. 
 
 
 
 
                                 -15- 
 
 
 
 16- 1        (A) In enforcing this paragraph the board may, upon 
 16- 2        reasonable grounds, require a licensee or applicant to 
 16- 3        submit to a mental or physical examination by 
 16- 4        physicians designated by the board. The results of 
 16- 5        such examination shall be admissible in any hearing 
 16- 6        before the board, notwithstanding any claim of 
 16- 7        privilege under a contrary rule of law or statute, 
 16- 8        including, but not limited to, Code Section 24-9-21. 
 16- 9        Every person who shall accept the privilege of 
 16-10        practicing medicine in this state or who shall file an 
 16-11        application for a license to practice medicine in this 
 16-12        state shall be deemed to have given his or her consent 
 16-13        to submit to such mental or physical examination and 
 16-14        to have waived all objections to the admissibility of 
 16-15        the results in any hearing before the board, upon the 
 16-16        grounds that the same constitutes a privileged 
 16-17        communication. If a licensee or applicant fails to 
 16-18        submit to such an examination when properly directed 
 16-19        to do so by the board, unless such failure was due to 
 16-20        circumstances beyond his or her control, the board may 
 16-21        enter a final order upon proper notice, hearing, and 
 16-22        proof of such refusal. Any licensee or applicant who 
 16-23        is prohibited from practicing medicine under this 
 16-24        paragraph shall at reasonable intervals be afforded an 
 16-25        opportunity to demonstrate to the board that he or she 
 16-26        can resume or begin the practice of medicine with 
 16-27        reasonable skill and safety to patients.; 
 
 16-28        (B) For the purposes of this paragraph, the board may 
 16-29        obtain through subpoena by the executive director or 
 16-30        president of the board, upon reasonable grounds, 
 16-31        obtain any and all records relating to the mental or 
 16-32        physical condition of a licensee or applicant, 
 16-33        including psychiatric records; and such records shall 
 16-34        be admissible in any hearing before the board, 
 16-35        notwithstanding any privilege under a contrary rule of 
 16-36        law or statute, including, but not limited to, Code 
 16-37        Section 24-9-21. Every person who shall accept the 
 16-38        privilege of practicing medicine in this state or who 
 16-39        shall file an application to practice medicine in this 
 16-40        state shall be deemed to have given his or her consent 
 16-41        to the board's obtaining any such records and to have 
 16-42        waived all objections to the admissibility of such 
 16-43        records in any hearing before the board, upon the 
 16-44        grounds that the same constitute a privileged 
 16-45        communication.; and 
 
 
 
                                 -16- 
 
 
 
 17- 1        (C) If any licensee or applicant could, in the absence 
 17- 2        of this paragraph, invoke a privilege to prevent the 
 17- 3        disclosure of the results of the examination provided 
 17- 4        for in subparagraph (A) of this paragraph or the 
 17- 5        records relating to the mental or physical condition 
 17- 6        of such licensee or applicant obtained pursuant to 
 17- 7        subparagraph (B) of this paragraph, all such 
 17- 8        information shall be received by the board in camera 
 17- 9        and shall not be disclosed to the public, nor shall 
 17-10        any part of the record containing such information be 
 17-11        used against any licensee or applicant in any other 
 17-12        type of proceeding; or 
 
 17-13      (14) Failed to comply with an order for child support as 
 17-14      defined by Code Section 19-11-9.3; it shall be incumbent 
 17-15      upon the applicants or licensee to supply a notice of 
 17-16      release to the board from the child support agency 
 17-17      within the Department of Human Resources indicating that 
 17-18      such applicant or licensee has come into compliance with 
 17-19      an order for child support so that a license may be 
 17-20      issued or granted if all other conditions for licensure 
 17-21      are met. 
 
 17-22      (b)(1) When the board finds that any person is 
 17-23      unqualified to be granted a license or finds that any 
 17-24      person should be disciplined pursuant to subsection (a) 
 17-25      of this Code section, the board may take any one or more 
 17-26      of the following actions: 
 
 17-27        (A) Refuse to grant a license to an applicant; 
 
 17-28        (B) Administer a public or private reprimand, provided 
 17-29        that a private reprimand shall not be disclosed to any 
 17-30        person except the licensee; 
 
 17-31        (C) Issue a letter of concern, provided that the 
 17-32        letter shall not be disclosed to any person except the 
 17-33        licensee or applicant; 
 
 17-34        (C)(D) Suspend any license for a definite period; 
 
 17-35        (D)(E) Limit or restrict any license; 
 
 17-36        (E)(F) Revoke any license; or 
 
 17-37        (F)(G) Condition the penalty, or withhold formal 
 17-38        disposition, upon the physician's submission to the 
 17-39        care, counseling, or treatment of physicians or other 
 17-40        professional persons, and the completion of such care, 
 17-41        counseling, or treatment, as directed by the board;. 
 
 
 
                                 -17- 
 
 
 
 18- 1        (H) Impose a fine not to exceed $500.00 for each 
 18- 2        violation of a law, rule, or regulation relating to 
 18- 3        the practice of medicine; or 
 
 18- 4        (I) Impose on a licensee or applicant fees or charges 
 18- 5        in an amount necessary to reimburse the board for the 
 18- 6        administrative and legal costs incurred by the board 
 18- 7        in conducting an investigative or disciplinary 
 18- 8        proceeding. 
 
 18- 9      (2) In addition to and in conjunction with the actions 
 18-10      enumerated pursuant to paragraph (1) of this subsection, 
 18-11      the board may make a finding adverse to the licensee or 
 18-12      applicant but withhold imposition of judgment and 
 18-13      penalty; or it may impose the judgment and penalty but 
 18-14      suspend enforcement thereof and place the physician on 
 18-15      probation, which probation may be vacated upon 
 18-16      noncompliance with such reasonable terms as the board 
 18-17      may impose. 
 
 18-18    (c) The provisions of Chapter 13 of Title 50, the 'Georgia 
 18-19    Administrative Procedure Act,' with respect to emergency 
 18-20    action by a state examining board and the summary 
 18-21    suspension of a license are adopted and incorporated by 
 18-22    reference into this Code section. 
 
 18-23    (d) The voluntary surrender of a license or the failure to 
 18-24    renew a license by the end of an established penalty 
 18-25    period shall have the same effect as a revocation of such 
 18-26    license, subject to reinstatement of such license in the 
 18-27    discretion of the board.  The board may restore and 
 18-28    reissue a license and, as a condition thereof, may impose 
 18-29    any disciplinary sanction provided by this Code section or 
 18-30    the rules and regulations of the board. 
 
 18-31    (c)(e) In its discretion, the board may restore reinstate 
 18-32    and reissue a license to practice medicine issued under 
 18-33    this chapter or any antecedent law and, as a condition 
 18-34    thereof, may impose any disciplinary or corrective measure 
 18-35    provided in this chapter. 
 
 18-36    (d)(f) The joint-secretary board is vested with the power 
 18-37    and authority to make, or cause to be made through 
 18-38    employees or agents of the board, such investigations as 
 18-39    he or she, or the board, or any district attorney may deem 
 18-40    necessary or advisable in the enforcement of this chapter. 
 18-41    Any person properly conducting an investigation on behalf 
 18-42    of the board shall have access to and may examine any 
 18-43    writing, document, or other material, except that as to 
 
 
                                 -18- 
 
 
 
 19- 1    which privilege has not been denied or deemed waived by 
 19- 2    this chapter, and which is deemed by the president of the 
 19- 3    board, or vice-president if the president is not 
 19- 4    available, to be related to the fitness of any licensee or 
 19- 5    applicant to practice medicine. The joint-secretary 
 19- 6    executive director or the president of the board, or 
 19- 7    vice-president if the president is not available, may 
 19- 8    issue subpoenas to compel such access. When a subpoena is 
 19- 9    disobeyed, the board may apply to the superior court of 
 19-10    the county where the person to whom the subpoena is issued 
 19-11    resides for an order requiring obedience. Failure to 
 19-12    comply with such order shall be punishable as for contempt 
 19-13    of court. The results of any investigations whatsoever 
 19-14    shall be reported only to the board, and the records of 
 19-15    such investigations shall be kept by the board; no part of 
 19-16    any such record shall be released for any purpose other 
 19-17    than a hearing before the board; nor shall such records be 
 19-18    subject to subpoena. 
 
 19-19    (e)(g) In any hearing to determine a licensee's or 
 19-20    applicant's fitness to practice medicine, any record 
 19-21    relating to any patient of the licensee or applicant shall 
 19-22    be admissible into evidence, regardless of any statutory 
 19-23    privilege which such patient might otherwise be able to 
 19-24    invoke. In addition, no such patient may withhold 
 19-25    testimony bearing upon a licensee's or applicant's fitness 
 19-26    to practice medicine on the ground of privilege between 
 19-27    such licensee or applicant and such patient. Any testimony 
 19-28    or written evidence relating to a patient of a licensee or 
 19-29    applicant or to the record of any such patient shall be 
 19-30    received by the board in camera and shall not be disclosed 
 19-31    to the public. 
 
 19-32    (f)(h) In any hearing in which the fitness of a licensee 
 19-33    or applicant to practice medicine is in question, the 
 19-34    board may exclude all persons from its deliberation of the 
 19-35    appropriate action to be taken and may, when in its 
 19-36    discretion it deems it necessary, speak to a licensee or 
 19-37    applicant in private. 
 
 19-38    (g)(i) This Code section is enacted in the public welfare 
 19-39    and shall be liberally construed. 
 
 19-40    (h)(j) A person, partnership, firm, corporation, 
 19-41    association, authority, or other entity shall be immune 
 19-42    from civil and criminal liability for reporting or 
 19-43    investigating the acts or omissions of a licensee or 
 19-44    applicant which violate the provisions of subsection (a) 
 
 
                                 -19- 
 
 
 
 20- 1    of this Code section or any other provisions of law 
 20- 2    relating to a licensee's or applicant's fitness to 
 20- 3    practice medicine or for initiating or conducting 
 20- 4    proceedings against such licensee or applicant, if such 
 20- 5    report is made or action is taken in good faith without 
 20- 6    fraud or malice. Any person who testifies in good faith 
 20- 7    without fraud or malice before the board in any proceeding 
 20- 8    involving a violation of subsection (a) of this Code 
 20- 9    section or any other law relating to a licensee's or 
 20-10    applicant's fitness to practice medicine, or who makes a 
 20-11    recommendation to the board in the nature of peer review, 
 20-12    shall be immune from civil and criminal liability for so 
 20-13    testifying. 
 
 20-14    (i)(k) The board shall investigate a licensee's fitness to 
 20-15    practice medicine if the board has received regarding that 
 20-16    licensee a notification, pursuant to Code Section 33-3-27, 
 20-17    of a medical malpractice judgment or settlement in excess 
 20-18    of $100,000.00 or a notification pursuant to Code Section 
 20-19    33-3-27 that there have been two or more previous 
 20-20    judgments against or settlements with the licensee 
 20-21    relating to the practice of medicine. Every licensee shall 
 20-22    notify the board of any settlement involving the licensee 
 20-23    and relating to the practice of medicine in excess of 
 20-24    $20,000.00. 
 
 20-25    (l) This Code section shall apply equally to all licensees 
 20-26    or applicants for licensure whether individuals, partners, 
 20-27    or members of any other incorporated or unincorporated 
 20-28    associations, corporations, limited liability companies, 
 20-29    or other associations of any kind whatsoever. 
 
 20-30    (m) Any licensed individual who is convicted under the 
 20-31    laws of this state, the United States, or any other state, 
 20-32    territory, or country of a felony as defined in paragraph 
 20-33    (3) of subsection (a) of this Code section shall be 
 20-34    required to notify the board of the conviction within ten 
 20-35    days of the conviction.  The failure of a licensed 
 20-36    individual to notify the board of a conviction shall be 
 20-37    considered grounds for revocation of his or her license or 
 20-38    registration to practice medicine pursuant to this 
 20-39    chapter. 
 
 20-40    (n) Notwithstanding any provision of this Code section to 
 20-41    the contrary, the licensing boards of those other health 
 20-42    care professionals licensed under this title or Title 26 
 20-43    shall have original authority and jurisdiction over their 
 20-44    licensees.  The Composite State Board of Medical Examiners 
 
 
                                 -20- 
 
 
 
 21- 1    shall have secondary authority and jurisdiction over such 
 21- 2    other licensees only when the complaint involves the 
 21- 3    practice of medicine without a license.  In such cases, 
 21- 4    the board shall have authority to investigate the 
 21- 5    complaint, seek equitable relief as provided in Code 
 21- 6    Section 43-34-43, and refer the case to the appropriate 
 21- 7    law enforcement agency for prosecution." 
 
 21- 8                          SECTION 13. 
 
 21- 9  Said chapter is further amended by adding between Code 
 21-10  Sections 43-34-37 and 43-34-38 new Code Sections 43-34-37.1, 
 21-11  43-34-37.2, and 43-34-37.3 to read as follows: 
 
 21-12    "43-34-37.1. 
 
 21-13    (a) Notwithstanding any other provisions of the law to the 
 21-14    contrary, after notice and hearing, the board may issue a 
 21-15    cease and desist order prohibiting any person from 
 21-16    violating the provisions of this chapter by engaging in 
 21-17    the practice of medicine without a license. 
 
 21-18    (b) The violation of any cease and desist order of the 
 21-19    board issued under subsection (a) of this Code section 
 21-20    shall subject the person violating the order to further 
 21-21    proceedings before the board, and the board shall be 
 21-22    authorized to impose a fine not to exceed $500.00 for each 
 21-23    transaction constituting a violation thereof. Each day 
 21-24    that a person practices in violation of this chapter shall 
 21-25    constitute a separate violation. 
 
 21-26    (c) Initial judicial review of the decision of the board 
 21-27    entered pursuant to this Code section shall be available 
 21-28    solely in the superior court of the county of domicile of 
 21-29    the board. The court may assess reasonable and necessary 
 21-30    attorney's fees and expenses of litigation in any such 
 21-31    review if, upon the motion of any party or the court 
 21-32    itself, it finds that an attorney or any party aggrieved 
 21-33    by an action of the board appealed such action of the 
 21-34    board or any part thereof when such appeal lacked 
 21-35    substantial justification.  As used in this subsection, 
 21-36    'lacked substantial justification' means substantially 
 21-37    frivolous, groundless, or vexatious. 
 
 21-38    (d) Nothing in this Code section shall be construed to 
 21-39    prohibit the board from seeking remedies otherwise 
 21-40    available by statute without first seeking a cease and 
 21-41    desist order in accordance with the provisions of this 
 21-42    Code section. 
 
 
 
                                 -21- 
 
 
 
 22- 1    43-34-37.2. 
 
 22- 2    The executive director is authorized to provide to any 
 22- 3    lawful licensing authority of this or any other state upon 
 22- 4    inquiry by such authority information regarding a past or 
 22- 5    pending investigation of or disciplinary sanction against 
 22- 6    any applicant for licensure by or licensee of the board 
 22- 7    notwithstanding the provisions of subsections (f) through 
 22- 8    (h) of Code Section 43-34-37 or any other law to the 
 22- 9    contrary regarding the confidentiality of that 
 22-10    information.  Nothing in this Code section or chapter 
 22-11    shall be construed to prohibit or limit the authority of 
 22-12    the executive director to disclose to any person or entity 
 22-13    information concerning the existence of any investigation 
 22-14    for unlicensed practice being conducted against any person 
 22-15    who is not licensed or is not an applicant for licensure 
 22-16    by the board. 
 
 22-17    43-34-37.3. 
 
 22-18    Any person licensed by the board and who practices a 
 22-19    'profession,' as defined in Chapter 7 of Title 14, the 
 22-20    'Georgia Professional Corporation Act,' or who renders 
 22-21    'professional services,' as defined in Chapter 10 of Title 
 22-22    14, 'The Professional Association Act,' whether such 
 22-23    person is practicing or rendering services as a 
 22-24    proprietorship, partnership, professional corporation, 
 22-25    professional association, other corporation, limited 
 22-26    liability company, or any other business entity, shall 
 22-27    remain subject to regulation by the board, and such 
 22-28    practice or rendering of services in that business entity 
 22-29    shall not change the law or existing standards applicable 
 22-30    to the relationship between that person rendering a 
 22-31    professional service and the person receiving such 
 22-32    service, including but not limited to the rules of 
 22-33    privileged communication and the contract, tort, and other 
 22-34    legal liabilities and professional relationships between 
 22-35    such persons." 
 
 22-36                          SECTION 14. 
 
 22-37  Said chapter is further amended by striking in its entirety 
 22-38  Code Section 43-34-38, relating to prior notice and hearing 
 22-39  in disciplinary proceedings, and inserting in lieu thereof a 
 22-40  new Code Section 43-34-38 to read as follows: 
 
 
 
 
 
 
                                 -22- 
 
 
 
 23- 1    "43-34-38. 
 
 23- 2    (a) A notice of hearing, initial or recommended decision, 
 23- 3    or final decision of the board in a disciplinary 
 23- 4    proceeding shall be served personally upon the licensee or 
 23- 5    applicant for licensure or shall be served by certified 
 23- 6    mail, return receipt requested, to the last known address 
 23- 7    for the licensee or applicant for licensure contained in 
 23- 8    the files of the board.  If such material is served by 
 23- 9    certified mail and is returned marked 'unclaimed' or 
 23-10    'refused' or is otherwise undeliverable and if the 
 23-11    licensee or applicant cannot, after diligent effort, be 
 23-12    located, the executive director shall be deemed to be the 
 23-13    agent for service for such licensee or applicant for 
 23-14    purposes of this Code section, and service upon the 
 23-15    executive director shall be deemed to be service upon the 
 23-16    licensee or applicant. 
 
 23-17    (b) Proceedings before the board wherein a licensee's 
 23-18    right to practice medicine in this state is terminated, 
 23-19    suspended, or limited or wherein a public reprimand is 
 23-20    administered shall require prior notice to the licensee as 
 23-21    provided in subsection (a) of this Code section and an 
 23-22    opportunity for hearing; and such proceedings shall be 
 23-23    considered contested cases within the meaning of Chapter 
 23-24    13 of Title 50, the 'Georgia Administrative Procedure 
 23-25    Act.' Neither refusal of a license nor a private reprimand 
 23-26    nor a letter of concern shall be considered a contested 
 23-27    case within the meaning of Chapter 13 of Title 50, and 
 23-28    notice and hearing within the meaning of such chapter 
 23-29    shall not be required; but the provided, however, that an 
 23-30    applicant physician for licensure shall be allowed to 
 23-31    appear before the board if he so requests prior to the 
 23-32    board making a final decision regarding the denial of the 
 23-33    application for licensure. The power to subpoena as set 
 23-34    forth in Chapter 13 of Title 50 shall include the power to 
 23-35    subpoena any book, writing, paper, or document. If any 
 23-36    licensee or applicant for licensure fails to appear at any 
 23-37    hearing after reasonable notice, the board may proceed to 
 23-38    hear the evidence against such licensee or applicant for 
 23-39    licensure and take action as if such licensee had been 
 23-40    present." 
 
 23-41                          SECTION 15. 
 
 23-42  Said chapter is further amended by striking Code Section 
 23-43  43-34-39, relating to the duty of the joint-secretary to 
 23-44  transmit a copy of revocation order to the clerk of superior 
 
 
                                 -23- 
 
 
 
 24- 1  court, and inserting in lieu thereof a new Code Section 
 24- 2  43-34-39 to read as follows: 
 
 24- 3    "43-34-39. 
 
 24- 4    In all cases wherein a license has been revoked and no 
 24- 5    appeal has been entered within the time allowed by law, it 
 24- 6    shall be the duty of the joint-secretary board, 
 24- 7    immediately after the expiration of the time allowed for 
 24- 8    appeal, to transmit to the clerk of the superior court in 
 24- 9    whose office the revoked license is recorded a copy of the 
 24-10    order of the board revoking the license, certified by the 
 24-11    joint-secretary secretary-treasurer of the board, with the 
 24-12    appropriate fee; and it shall be the duty of the clerk to 
 24-13    cancel the record of the license by entering upon the face 
 24-14    thereof a copy of the certified order. In a case in which 
 24-15    appeal proceedings are had and not sustained, the revoked 
 24-16    license shall be canceled in the manner above provided, 
 24-17    immediately after the final termination of such case." 
 
 24-18                          SECTION 16. 
 
 24-19  Said chapter is further amended by adding following Code 
 24-20  Section 43-34-46 a new Code Section 43-34-47 to read as 
 24-21  follows: 
 
 24-22    "43-34-47. 
 
 24-23    The venue of any action involving the members of the board 
 24-24    shall be governed by the laws of this state pertaining to 
 24-25    venue.  The executive director shall not be considered a 
 24-26    member of the board in determining the venue of any such 
 24-27    action, and no court shall have jurisdiction of any such 
 24-28    action solely by virtue of the executive director residing 
 24-29    or maintaining a residence within its jurisdiction." 
 
 24-30                          SECTION 17. 
 
 24-31  This Act shall become effective July 1, 2000. 
 
 24-32                          SECTION 18. 
 
 24-33  All laws and parts of laws in conflict with this Act are 
 24-34  repealed. 
 
 
 
 
 
 
 
 
 
                                 -24- 

Clerk of the House
Robert E. Rivers, Jr., Clerk
Last Updated on 02/24/99