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AN ACT
RELATING TO CHIROPRACTIC LICENSURE; ESTABLISHING THE ADVANCED
PRACTICE CHIROPRACTIC CERTIFICATION REGISTRY FOR CHIROPRACTIC
PHYSICIANS; AUTHORIZING A CERTIFIED ADVANCED PRACTICE
CHIROPRACTIC PHYSICIAN TO ISSUE PRESCRIPTIONS; AMENDING AND
ENACTING SECTIONS OF THE NMSA 1978.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
Section 1. A new section of the Chiropractic Physician
Practice Act is enacted to read:
"ADVANCED PRACTICE CHIROPRACTIC CERTIFICATION REGISTRY
ESTABLISHED.--The board shall establish by rule the advanced
practice chiropractic certification registry. A chiropractic
physician authorized by the board to use the title "certified
advanced practice chiropractic physician" shall have
prescriptive authority for therapeutic and diagnostic purposes
as authorized by statute. Only a chiropractic physician
included in the advanced practice chiropractic certification
registry may use the title certified advanced practice
chiropractic physician, and it is unlawful for a person to use
the certified advanced practice chiropractic physician title
unless the person is included in the advanced practice
chiropractic certification registry. The advanced practice
chiropractic certification registry shall include a
chiropractic physician who applies for the designation and:
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A. holds a chiropractic license in good standing;
B. has completed three years of post-graduate
clinical chiropractic practice or equivalent clinical
experience as established by the board;
C. has an advanced practice chiropractic
certification by a nationally recognized credentialing agency
providing credentialing and demonstrated competency by
examination and additionally, after December 31, 2012,
successful completion of a graduate degree in a chiropractic
clinical practice specialty;
D. has completed a minimum of ninety clinical and
didactic contact course hours in pharmacology, pharmacognosy,
medication administration and toxicology certified by an
examination from an institution of higher education approved
by the board and the New Mexico medical board; and
E. has completed annual continuing education for
advanced practice chiropractic physicians as set by the
board."
Section 2. A new section of the Chiropractic Physician
Practice Act is enacted to read:
"CERTIFIED ADVANCED PRACTICE CHIROPRACTIC PHYSICIAN
AUTHORITY DEFINED.--A certified advanced practice chiropractic
physician may prescribe, administer and dispense herbal
medicines, homeopathic medicines, vitamins, minerals, enzymes,
glandular products, naturally derived substances,
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protomorphogens, live cell products, gerovital, amino acids,
dietary supplements, foods for special dietary use,
bioidentical hormones, sterile water, sterile saline, sarapin
or its generic, caffeine, procaine, oxygen, epinephrine and
vapocoolants. A formulary shall be developed by the board and
approved by the New Mexico medical board and the board of
pharmacy."
Section 3. A new section of the Chiropractic Physician
Practice Act is enacted to read:
"USE OF CHIROPRACTIC NAME LIMITED.--The terms
"chiropractor", "chiropractic physician" or "chiropractic" may
be used only by persons licensed pursuant to the Chiropractic
Physician Practice Act."
Section 4. Section 26-1-2 NMSA 1978 (being Laws 1967,
Chapter 23, Section 2, as amended) is amended to read:
"26-1-2. DEFINITIONS.--As used in the New Mexico Drug,
Device and Cosmetic Act:
A. "board" means the board of pharmacy or its duly
authorized agent;
B. "person" includes an individual, partnership,
corporation, association, institution or establishment;
C. "biological product" means a virus, therapeutic
serum, toxin, antitoxin or analogous product applicable to the
prevention, treatment or cure of diseases or injuries of
humans and domestic animals and, as used within the meaning of
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this definition:
(1) a "virus" is interpreted to be a product
containing the minute living cause of an infectious disease
and includes filterable viruses, bacteria, rickettsia, fungi
and protozoa;
(2) a "therapeutic serum" is a product
obtained from blood by removing the clot or clot components
and the blood cells;
(3) a "toxin" is a product containing a
soluble substance poisonous to laboratory animals or humans in
doses of one milliliter or less of the product and having the
property, following the injection of nonfatal doses into an
animal, or causing to be produced therein another soluble
substance that specifically neutralizes the poisonous
substance and that is demonstrable in the serum of the animal
thus immunized; and
(4) an "antitoxin" is a product containing
the soluble substance in serum or other body fluid of an
immunized animal that specifically neutralizes the toxin
against which the animal is immune;
D. "controlled substance" means a drug, substance
or immediate precursor enumerated in Schedules I through V of
the Controlled Substances Act;
E. "drug" means articles:
(1) recognized in an official compendium;
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(2) intended for use in the diagnosis, cure,
mitigation, treatment or prevention of disease in humans or
other animals and includes the domestic animal biological
products regulated under the federal Virus-Serum-Toxin Act,
37 Stat 832-833, 21 U.S.C. 151-158, and the biological
products applicable to humans regulated under Federal 58
Stat 690, as amended, 42 U.S.C. 216, Section 351, 58 Stat 702,
as amended, and 42 U.S.C. 262;
(3) other than food that affect the
structure or any function of the human body or the bodies of
other animals; and
(4) intended for use as a component of
Paragraph (1), (2) or (3) of this subsection, but does not
include devices or their component parts or accessories;
F. "dangerous drug" means a drug, other than a
controlled substance enumerated in Schedule I of the
Controlled Substances Act, that because of a potentiality for
harmful effect or the method of its use or the collateral
measures necessary to its use is not safe except under the
supervision of a practitioner licensed by law to direct the
use of such drug and hence for which adequate directions for
use cannot be prepared. "Adequate directions for use" means
directions under which the layperson can use a drug or device
safely and for the purposes for which it is intended. A drug
shall be dispensed only upon the prescription of a
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practitioner licensed by law to administer or prescribe the
drug if it:
(1) is a habit-forming drug and contains any
quantity of a narcotic or hypnotic substance or a chemical
derivative of such substance that has been found under the
federal act and the board to be habit forming;
(2) because of its toxicity or other
potential for harmful effect or the method of its use or the
collateral measures necessary to its use is not safe for use
except under the supervision of a practitioner licensed by law
to administer or prescribe the drug;
(3) is limited by an approved application by
Section 505 of the federal act to the use under the
professional supervision of a practitioner licensed by law to
administer or prescribe the drug;
(4) bears the legend: "Caution: federal
law prohibits dispensing without prescription.";
(5) bears the legend: "Caution: federal
law restricts this drug to use by or on the order of a
licensed veterinarian."; or
(6) bears the legend "RX only";
G. "counterfeit drug" means a drug that is
deliberately and fraudulently mislabeled with respect to its
identity, ingredients or sources. Types of such
pharmaceutical counterfeits may include:
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(1) "identical copies", which are
counterfeits made with the same ingredients, formulas and
packaging as the originals but not made by the original
manufacturer;
(2) "look-alikes", which are products that
feature high-quality packaging and convincing appearances but
contain little or no active ingredients and may contain
harmful substances;
(3) "rejects", which are drugs that have
been rejected by the manufacturer for not meeting quality
standards; and
(4) "relabels", which are drugs that have
passed their expiration dates or have been distributed by
unauthorized foreign sources and may include placebos created
for late-phase clinical trials;
H. "device", except when used in Subsection P of
this section and in Subsection G of Section 26-1-3, Subsection
L and Paragraph (4) of Subsection A of Section 26-1-11 and
Subsection C of Section 26-1-24 NMSA 1978, means an
instrument, apparatus, implement, machine, contrivance,
implant, in vitro reagent or other similar or related article,
including any component, part or accessory, that is:
(1) recognized in an official compendium;
(2) intended for use in the diagnosis of
disease or other conditions or in the cure, mitigation,
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treatment or prevention of disease in humans or other animals;
or
(3) intended to affect the structure or a
function of the human body or the bodies of other animals and
that does not achieve any of its principal intended purposes
through chemical action within or on the human body or the
bodies of other animals and that is not dependent on being
metabolized for achievement of any of its principal intended
purposes;
I. "prescription" means an order given
individually for the person for whom prescribed, either
directly from a licensed practitioner or the practitioner's
agent to the pharmacist, including by means of electronic
transmission, or indirectly by means of a written order signed
by the prescriber, and bearing the name and address of the
prescriber, the prescriber's license classification, the name
and address of the patient, the name and quantity of the drug
prescribed, directions for use and the date of issue;
J. "practitioner" means a certified advanced
practice chiropractic physician, physician, doctor of oriental
medicine, dentist, veterinarian, certified nurse practitioner,
clinical nurse specialist, pharmacist, pharmacist clinician,
certified nurse-midwife, physician assistant, prescribing
psychologist or other person licensed or certified to
prescribe and administer drugs that are subject to the New
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Mexico Drug, Device and Cosmetic Act;
K. "cosmetic" means:
(1) articles intended to be rubbed, poured,
sprinkled or sprayed on, introduced into or otherwise applied
to the human body or any part thereof for cleansing,
beautifying, promoting attractiveness or altering the
appearance; and
(2) articles intended for use as a component
of any articles enumerated in Paragraph (1) of this
subsection, except that the term shall not include soap;
L. "official compendium" means the official United
States pharmacopoeia national formulary or the official
homeopathic pharmacopoeia of the United States or any
supplement to either of them;
M. "label" means a display of written, printed or
graphic matter upon the immediate container of an article. A
requirement made by or under the authority of the New Mexico
Drug, Device and Cosmetic Act that any word, statement or
other information appear on the label shall not be considered
to be complied with unless the word, statement or other
information also appears on the outside container or wrapper,
if any, of the retail package of the article or is easily
legible through the outside container or wrapper;
N. "immediate container" does not include package
liners;
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O. "labeling" means all labels and other written,
printed or graphic matter:
(1) on an article or its containers or
wrappers; or
(2) accompanying an article;
P. "misbranded" means a label to an article that
is misleading. In determining whether the label is
misleading, there shall be taken into account, among other
things, not only representations made or suggested by
statement, word, design, device or any combination of the
foregoing, but also the extent to which the label fails to
reveal facts material in the light of such representations or
material with respect to consequences that may result from the
use of the article to which the label relates under the
conditions of use prescribed in the label or under such
conditions of use as are customary or usual;
Q. "advertisement" means all representations
disseminated in any manner or by any means, other than by
labeling, for the purpose of inducing, or that are likely to
induce, directly or indirectly, the purchase of drugs, devices
or cosmetics;
R. "antiseptic", when used in the labeling or
advertisement of an antiseptic, shall be considered to be a
representation that it is a germicide, except in the case of a
drug purporting to be or represented as an antiseptic for
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inhibitory use as a wet dressing, ointment, dusting powder or
such other use as involves prolonged contact with the body;
S. "new drug" means a drug:
(1) the composition of which is such that
the drug is not generally recognized, among experts qualified
by scientific training and experience to evaluate the safety
and efficacy of drugs, as safe and effective for use under the
conditions prescribed, recommended or suggested in the
labeling thereof; or
(2) the composition of which is such that
the drug, as a result of investigation to determine its safety
and efficacy for use under such conditions, has become so
recognized, but that has not, otherwise than in such
investigations, been used to a material extent or for a
material time under such conditions;
T. "contaminated with filth" applies to a drug,
device or cosmetic not securely protected from dirt, dust and,
as far as may be necessary by all reasonable means, from all
foreign or injurious contaminations, or a drug, device or
cosmetic found to contain dirt, dust, foreign or injurious
contamination or infestation;
U. "selling of drugs, devices or cosmetics" shall
be considered to include the manufacture, production,
processing, packing, exposure, offer, possession and holding
of any such article for sale and the sale and the supplying or
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applying of any such article in the conduct of a drug or
cosmetic establishment;
V. "color additive" means a material that:
(1) is a dye, pigment or other substance
made by a process of synthesis or similar artifice or
extracted, isolated or otherwise derived, with or without
intermediate or final change of identity, from a vegetable,
mineral, animal or other source; or
(2) when added or applied to a drug or
cosmetic or to the human body or a part thereof, is capable,
alone or through reaction with other substances, of imparting
color thereto; except that such term does not include any
material that has been or hereafter is exempted under the
federal act;
W. "federal act" means the Federal Food, Drug and
Cosmetic Act;
X. "restricted device" means a device for which
the sale, distribution or use is lawful only upon the written
or oral authorization of a practitioner licensed by law to
administer, prescribe or use the device and for which the
federal food and drug administration requires special training
or skills of the practitioner to use or prescribe. This
definition does not include custom devices defined in the
federal act and exempt from performance standards or premarket
approval requirements under Section 520(b) of the federal act;
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Y. "prescription device" means a device that,
because of its potential for harm, the method of its use or
the collateral measures necessary to its use, is not safe
except under the supervision of a practitioner licensed in
this state to direct the use of such device and for which
"adequate directions for use" cannot be prepared, but that
bears the label: "Caution: federal law restricts this device
to sale by or on the order of a __________", the blank to be
filled with the word "physician", "physician assistant",
"certified advanced practice chiropractic physician", "doctor
of oriental medicine", "dentist", "veterinarian", "certified
nurse practitioner", "clinical nurse specialist",
"pharmacist", "pharmacist clinician" or "certified nurse-
midwife" or with the descriptive designation of any other
practitioner licensed in this state to use or order the use of
the device;
Z. "valid practitioner-patient relationship" means
a professional relationship, as defined by the practitioner's
licensing board, between the practitioner and the patient; and
AA. "pedigree" means the recorded history of a
drug."
Section 5. Section 30-31-2 NMSA 1978 (being Laws 1972,
Chapter 84, Section 2, as amended) is amended to read:
"30-31-2. DEFINITIONS.--As used in the Controlled
Substances Act:
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A. "administer" means the direct application of a
controlled substance by any means to the body of a patient or
research subject by a practitioner or the practitioner's
agent;
B. "agent" includes an authorized person who acts
on behalf of a manufacturer, distributor or dispenser. It
does not include a common or contract carrier, public
warehouseperson or employee of the carrier or warehouseperson;
C. "board" means the board of pharmacy;
D. "bureau" means the narcotic and dangerous drug
section of the criminal division of the United States
department of justice, or its successor agency;
E. "controlled substance" means a drug or
substance listed in Schedules I through V of the Controlled
Substances Act or rules adopted thereto;
F. "counterfeit substance" means a controlled
substance that bears the unauthorized trademark, trade name,
imprint, number, device or other identifying mark or likeness
of a manufacturer, distributor or dispenser other than the
person who in fact manufactured, distributed or dispensed the
controlled substance;
G. "deliver" means the actual, constructive or
attempted transfer from one person to another of a controlled
substance or controlled substance analog, whether or not there
is an agency relationship;
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H. "dispense" means to deliver a controlled
substance to an ultimate user or research subject pursuant to
the lawful order of a practitioner, including the
administering, prescribing, packaging, labeling or compounding
necessary to prepare the controlled substance for that
delivery;
I. "dispenser" means a practitioner who dispenses
and includes hospitals, pharmacies and clinics where
controlled substances are dispensed;
J. "distribute" means to deliver other than by
administering or dispensing a controlled substance or
controlled substance analog;
K. "drug" or "substance" means substances
recognized as drugs in the official United States
pharmacopoeia, official homeopathic pharmacopoeia of the
United States or official national formulary or any respective
supplement to those publications. It does not include devices
or their components, parts or accessories;
L. "hashish" means the resin extracted from any
part of marijuana, whether growing or not, and every compound,
manufacture, salt, derivative, mixture or preparation of such
resins;
M. "manufacture" means the production,
preparation, compounding, conversion or processing of a
controlled substance or controlled substance analog by
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extraction from substances of natural origin or independently
by means of chemical synthesis or by a combination of
extraction and chemical synthesis and includes any packaging
or repackaging of the substance or labeling or relabeling of
its container, except that this term does not include the
preparation or compounding of a controlled substance:
(1) by a practitioner as an incident to
administering or dispensing a controlled substance in the
course of the practitioner's professional practice; or
(2) by a practitioner, or by the
practitioner's agent under the practitioner's supervision, for
the purpose of or as an incident to research, teaching or
chemical analysis and not for sale;
N. "marijuana" means all parts of the plant
cannabis, including any and all varieties, species and
subspecies of the genus Cannabis, whether growing or not, the
seeds thereof and every compound, manufacture, salt,
derivative, mixture or preparation of the plant or its seeds.
It does not include the mature stalks of the plant, hashish,
tetrahydrocannabinols extracted or isolated from marijuana,
fiber produced from the stalks, oil or cake made from the
seeds of the plant, any other compound, manufacture, salt,
derivative, mixture or preparation of the mature stalks,
fiber, oil or cake, or the sterilized seed of the plant that
is incapable of germination;
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O. "narcotic drug" means any of the following,
whether produced directly or indirectly by extraction from
substances of vegetable origin or independently by means of
chemical synthesis or by a combination of extraction and
chemical synthesis:
(1) opium and opiate and any salt, compound,
derivative or preparation of opium or opiate;
(2) any salt, compound, isomer, derivative
or preparation that is a chemical equivalent of any of the
substances referred to in Paragraph (1) of this subsection,
except the isoquinoline alkaloids of opium;
(3) opium poppy and poppy straw, including
all parts of the plant of the species Papaver somniferum L.
except its seeds; or
(4) coca leaves and any salt, compound,
derivative or preparation of coca leaves, any salt, compound,
isomer, derivative or preparation that is a chemical
equivalent of any of these substances except decocainized coca
leaves or extractions of coca leaves that do not contain
cocaine or ecgonine;
P. "opiate" means any substance having an
addiction-forming or addiction-sustaining liability similar to
morphine or being capable of conversion into a drug having
addiction-forming or addiction-sustaining liability. "Opiate"
does not include, unless specifically designated as controlled
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under Section 30-31-5 NMSA 1978, the dextrorotatory isomer of
3-methoxy-n-methylmorphinan and its salts, dextromethorphan.
"Opiate" does include its racemic and levorotatory forms;
Q. "person" means an individual, partnership,
corporation, association, institution, political subdivision,
government agency or other legal entity;
R. "practitioner" means a physician, certified
advanced practice chiropractic physician, doctor of oriental
medicine, dentist, physician assistant, certified nurse
practitioner, clinical nurse specialist, certified nurse-
midwife, prescribing psychologist, veterinarian, pharmacist,
pharmacist clinician or other person licensed or certified to
prescribe and administer drugs that are subject to the
Controlled Substances Act;
S. "prescription" means an order given
individually for the person for whom is prescribed a
controlled substance, either directly from a licensed
practitioner or the practitioner's agent to the pharmacist,
including by means of electronic transmission, or indirectly
by means of a written order signed by the prescriber, bearing
the name and address of the prescriber, the prescriber's
license classification, the name and address of the patient,
the name and quantity of the drug prescribed, directions for
use and the date of issue and in accordance with the
Controlled Substances Act or rules adopted thereto;
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T. "scientific investigator" means a person
registered to conduct research with controlled substances in
the course of the person's professional practice or research
and includes analytical laboratories;
U. "ultimate user" means a person who lawfully
possesses a controlled substance for the person's own use or
for the use of a member of the person's household or for
administering to an animal under the care, custody and control
of the person or by a member of the person's household;
V. "drug paraphernalia" means all equipment,
products and materials of any kind that are used, intended for
use or designed for use in planting, propagating, cultivating,
growing, harvesting, manufacturing, compounding, converting,
producing, processing, preparing, testing, analyzing,
packaging, repackaging, storing, containing, concealing,
injecting, ingesting, inhaling or otherwise introducing into
the human body a controlled substance or controlled substance
analog in violation of the Controlled Substances Act. It
includes:
(1) kits used, intended for use or designed
for use in planting, propagating, cultivating, growing or
harvesting any species of plant that is a controlled substance
or controlled substance analog or from which a controlled
substance can be derived;
(2) kits used, intended for use or designed
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for use in manufacturing, compounding, converting, producing,
processing or preparing controlled substances or controlled
substance analogs;
(3) isomerization devices used, intended for
use or designed for use in increasing the potency of any
species of plant that is a controlled substance;
(4) testing equipment used, intended for use
or designed for use in identifying or in analyzing the
strength, effectiveness or purity of controlled substances or
controlled substance analogs;
(5) scales or balances used, intended for
use or designed for use in weighing or measuring controlled
substances or controlled substance analogs;
(6) diluents and adulterants, such as
quinine hydrochloride, mannitol, mannite dextrose and lactose,
used, intended for use or designed for use in cutting
controlled substances or controlled substance analogs;
(7) separation gins and sifters used,
intended for use or designed for use in removing twigs and
seeds from, or in otherwise cleaning and refining, marijuana;
(8) blenders, bowls, containers, spoons and
mixing devices used, intended for use or designed for use in
compounding controlled substances or controlled substance
analogs;
(9) capsules, balloons, envelopes and other
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containers used, intended for use or designed for use in
packaging small quantities of controlled substances or
controlled substance analogs;
(10) containers and other objects used,
intended for use or designed for use in storing or concealing
controlled substances or controlled substance analogs;
(11) hypodermic syringes, needles and other
objects used, intended for use or designed for use in
parenterally injecting controlled substances or controlled
substance analogs into the human body;
(12) objects used, intended for use or
designed for use in ingesting, inhaling or otherwise
introducing marijuana, cocaine, hashish or hashish oil into
the human body, such as:
(a) metal, wooden, acrylic, glass,
stone, plastic or ceramic pipes, with or without screens,
permanent screens, hashish heads or punctured metal bowls;
(b) water pipes;
(c) carburetion tubes and devices;
(d) smoking and carburetion masks;
(e) roach clips, meaning objects used
to hold burning material, such as a marijuana cigarette, that
has become too small to hold in the hand;
(f) miniature cocaine spoons and
cocaine vials;
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(g) chamber pipes;
(h) carburetor pipes;
(i) electric pipes;
(j) air-driven pipes;
(k) chilams;
(l) bongs; or
(m) ice pipes or chillers; and
(13) in determining whether an object is
drug paraphernalia, a court or other authority should
consider, in addition to all other logically relevant factors,
the following:
(a) statements by the owner or by
anyone in control of the object concerning its use;
(b) the proximity of the object, in
time and space, to a direct violation of the Controlled
Substances Act or any other law relating to controlled
substances or controlled substance analogs;
(c) the proximity of the object to
controlled substances or controlled substance analogs;
(d) the existence of any residue of a
controlled substance or controlled substance analog on the
object;
(e) instructions, written or oral,
provided with the object concerning its use;
(f) descriptive materials accompanying
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the object that explain or depict its use;
(g) the manner in which the object is
displayed for sale; and
(h) expert testimony concerning its
use;
W. "controlled substance analog" means a substance
other than a controlled substance that has a chemical
structure substantially similar to that of a controlled
substance in Schedule I, II, III, IV or V or that was
specifically designed to produce effects substantially similar
to that of controlled substances in Schedule I, II, III, IV or
V. Examples of chemical classes in which controlled substance
analogs are found include the following:
(1) phenethylamines;
(2) N-substituted piperidines;
(3) morphinans;
(4) ecgonines;
(5) quinazolinones;
(6) substituted indoles; and
(7) arylcycloalkylamines.
Specifically excluded from the definition of "controlled
substance analog" are those substances that are generally
recognized as safe and effective within the meaning of the
Federal Food, Drug and Cosmetic Act or have been manufactured,
distributed or possessed in conformance with the provisions of
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an approved new drug application or an exemption for
investigational use within the meaning of Section 505 of the
Federal Food, Drug and Cosmetic Act;
X. "human consumption" includes application,
injection, inhalation, ingestion or any other manner of
introduction;
Y. "drug-free school zone" means a public school,
parochial school or private school or property that is used
for a public, parochial or private school purpose and the area
within one thousand feet of the school property line, but it
does not mean any post-secondary school; and
Z. "valid practitioner-patient relationship" means
a professional relationship, as defined by the practitioner's
licensing board, between the practitioner and the patient."
Section 6. Section 30-31B-2 NMSA 1978 (being Laws 1989,
Chapter 177, Section 2, as amended by Laws 2004, Chapter 9,
Section 2 and by Laws 2004, Chapter 12, Section 2) is amended
to read:
"30-31B-2. DEFINITIONS.--As used in the Drug Precursor
Act:
A. "administer" means the direct application of a
controlled substance by any means to the body of a patient or
research subject by a practitioner or the practitioner's
agent;
B. "agent" includes an authorized person who acts
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on behalf of a manufacturer, distributor or dispenser.
"Agent" does not include a common or contract carrier, public
warehouseperson or employee of the carrier or
warehouseperson;
C. "board" means the board of pharmacy;
D. "bureau" means the bureau of narcotics and
dangerous drugs of the United States department of justice or
its successor agency;
E. "controlled substance" means a drug or
substance listed in Schedules I through V of the Controlled
Substances Act or regulations adopted thereto;
F. "controlled substance analog" means a substance
other than a controlled substance that has a chemical
structure substantially similar to that of a controlled
substance in Schedule I, II, III, IV or V or that was
specifically designed to produce effects substantially similar
to that of controlled substances in Schedule I, II, III, IV or
V. Examples of chemical classes in which controlled substance
analogs are found include, but are not limited to, the
following:
(1) phenethylamines;
(2) N-substituted piperidines;
(3) morphinans;
(4) ecgonines;
(5) quinazolinones;
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(6) substituted indoles; and
(7) arylcycloalkylamines.
Specifically excluded from the definition of "controlled
substance analog" are those substances that are generally
recognized as safe and effective within the meaning of the
Federal Food, Drug and Cosmetic Act or have been manufactured,
distributed or possessed in conformance with the provisions of
an approved new drug application or an exemption for
investigational use within the meaning of Section 505 of the
Federal Food, Drug and Cosmetic Act;
G. "deliver" means the actual, constructive or
attempted transfer from one person to another of a controlled
substance or controlled substance analog, whether or not there
is an agency relationship;
H. "dispense" means to deliver a controlled
substance to an ultimate user or research subject pursuant to
the lawful order of a practitioner, including the
administering, prescribing, packaging, labeling or compounding
necessary to prepare the controlled substance for that
delivery;
I. "dispenser" means a practitioner who dispenses
and includes hospitals, pharmacies and clinics where
controlled substances are dispensed;
J. "distribute" means to deliver other than by
administering or dispensing a controlled substance or
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controlled substance analog;
K. "drug" means substances recognized as drugs in
the official United States pharmacopoeia, official homeopathic
pharmacopoeia of the United States, official national
formulary or any respective supplement to these publications.
"Drug" does not include devices or their components, parts or
accessories;
L. "drug precursor" means a substance, material,
compound, mixture or preparation listed in Section 30-31B-3
NMSA 1978 or regulations adopted thereto or any of their salts
or isomers. "Drug precursor" specifically excludes those
substances, materials, compounds, mixtures or preparations
that are prepared for dispensing pursuant to a prescription or
over-the-counter distribution as a substance that is generally
recognized as safe and effective within the meaning of the
Federal Food, Drug and Cosmetic Act or have been manufactured,
distributed or possessed in conformance with the provisions of
an approved new drug application or an exemption for
investigational use within the meaning of Section 505 of the
Federal Food, Drug and Cosmetic Act, unless the board makes
the findings required pursuant to Subsection B of Section
30-31B-4 NMSA 1978;
M. "immediate precursor" means a substance that is
a compound commonly used or produced primarily as an immediate
chemical intermediary used in the manufacture of a controlled
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substance, the control of which is necessary to prevent,
curtail or limit the manufacture of controlled substances;
N. "license" means a license issued by the board
to manufacture, possess, transfer or transport a drug
precursor;
O. "manufacture" means the production,
preparation, compounding, conversion or processing of a drug
precursor by extraction from substances of natural origin,
independently by means of chemical synthesis or by a
combination of extraction and chemical synthesis and includes
any packaging or repackaging of the substance or labeling or
relabeling of its container, except that this term does not
include the preparation or compounding of a controlled
substance by a practitioner:
(1) as an incident to the practitioner's
administering or dispensing of a controlled substance in the
course of professional practice; or
(2) by the practitioner's agent under the
practitioner's supervision for the purpose of or as an
incident to research, teaching or chemical analysis and not
for sale;
P. "person" includes an individual, sole
proprietorship, partnership, corporation, association, the
state or a political subdivision of the state or other legal
entity;
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Q. "possession" means to actively or
constructively exercise dominion over;
R. "practitioner" means a physician, certified
advanced practice chiropractic physician, dentist,
veterinarian or other person licensed to prescribe and
administer drugs that are subject to the Controlled Substances
Act;
S. "prescription" means an order given
individually for the person for whom is prescribed a
controlled substance, either directly from the prescriber to
the pharmacist or indirectly by means of a written order
signed by the prescriber and in accordance with the Controlled
Substances Act or regulations adopted thereto; and
T. "transfer" means the sale, possession with
intent to sell, barter or giving away of a drug precursor."
Section 7. Section 61-4-2 NMSA 1978 (being Laws 1968,
Chapter 3, Section 2, as amended) is amended to read:
"61-4-2. DEFINITIONS.--As used in the Chiropractic
Physician Practice Act:
A. "advanced practice chiropractic certification
registry" means a compendium kept by the board that meets and
maintains the board's established credentials for certified
advanced practice chiropractic physicians;
B. "certified advanced practice chiropractic
physician" means a chiropractic physician who has been
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included in the advanced practice chiropractic certification
registry;
C. "chiropractic" means the science, art and
philosophy of things natural, the science of locating and
removing interference with the transmissions or expression of
nerve forces in the human body by the correction of
misalignments or subluxations of the articulations and
adjacent structures, more especially those of the vertebral
column and pelvis, for the purpose of restoring and
maintaining health for treatment of human disease primarily
by, but not limited to, adjustment and manipulation of the
human structure. It shall include, but not be limited to, the
prescribing and administering of all natural agents to assist
in the healing act, such as food, water, heat, cold,
electricity, mechanical appliances and medical devices; the
selling of herbs, nutritional supplements and homeopathic
remedies; the administering of a drug by injection by a
certified advanced practice chiropractic physician; and any
necessary diagnostic procedure, excluding invasive procedures,
except as provided by the board by rule and regulation. It
shall exclude operative surgery, the prescription or use of
controlled or dangerous drugs and the practice of acupuncture;
D. "board" means the chiropractic board;
E. "chiropractic physician" includes doctor of
chiropractic, chiropractor and chiropractic physician and
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means a person who practices chiropractic as defined in the
Chiropractic Physician Practice Act; and
F. "chiropractic assistant" means a person who
practices under the on-premises supervision of a licensed
chiropractic physician."
Section 8. Section 61-4-3 NMSA 1978 (being Laws 1968,
Chapter 3, Section 3, as amended) is amended to read:
"61-4-3. BOARD CREATED--APPOINTMENT--OFFICERS--DUTIES--
COMPENSATION.--
A. There is created the "chiropractic board". The
board shall be administratively attached to the regulation and
licensing department. The board shall consist of six persons.
Four shall have been continuously engaged in the practice of
chiropractic in New Mexico for five years immediately prior to
their appointment. Two persons shall represent the public and
shall not have practiced chiropractic in this state or any
other jurisdiction. A person shall not be appointed to the
board who is an officer or employee of or who is financially
interested in any school or college of chiropractic, medicine,
surgery or osteopathy.
B. Members of the board shall be appointed by the
governor for staggered terms of five years or less and in a
manner that the term of one board member expires on July 1 of
each year. A list of five names for each professional member
vacancy shall be submitted by the New Mexico chiropractic
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association to the governor for consideration in the
appointment of board members. A vacancy shall be filled by
appointment for the unexpired term. Board members shall serve
until their successors have been appointed and qualified.
C. The board shall annually elect a chair and a
secretary-treasurer. A majority of the board constitutes a
quorum. The board shall meet quarterly. Special meetings may
be called by the chair and shall be called upon the written
request of two members of the board. Notification of special
meetings shall be made by certified mail unless such notice is
waived by the entire board and the action noted in the
minutes. Notice of all regular meetings shall be made by
regular mail at least ten days prior to the meeting, and
copies of the minutes of all meetings shall be mailed to each
board member within thirty days after a meeting.
D. A board member failing to attend three
consecutive meetings, either regular or special, shall
automatically be removed as a member of the board.
E. The board shall adopt a seal.
F. The board shall promulgate and file, in
accordance with the State Rules Act, all rules and regulations
necessary for the implementation and enforcement of the
provisions of the Chiropractic Physician Practice Act,
including educational requirements for a chiropractic
assistant.
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G. The board, for the purpose of protecting the
health and well-being of the citizens of this state and
maintaining and continuing informed professional knowledge and
awareness, shall establish by regulations adopted in
accordance with the provisions of the Uniform Licensing Act
mandatory continuing education requirements for chiropractic
physicians and certified advanced practice chiropractic
physicians licensed in this state.
H. Failure to comply with the rules and
regulations adopted by the board shall be grounds for
investigation, which may lead to revocation of license.
I. Members of the board shall be reimbursed as
provided in the Per Diem and Mileage Act, but shall receive no
other compensation, perquisite or allowance for each day
necessarily spent in the discharge of their duties."
Section 9. Section 61-4-4 NMSA 1978 (being Laws 1968,
Chapter 3, Section 4, as amended) is amended to read:
"61-4-4. APPLICATION REQUIREMENTS--EVALUATION.--
A. Each applicant for a license to practice
chiropractic shall:
(1) make application on forms furnished by
the board;
(2) submit evidence on oath satisfactory to
the board that the applicant has reached the age of majority,
has completed a preliminary education equal to the
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requirements for graduation from high school, is of good moral
character and, after January 1, 1976, except for any student
currently enrolled in a college of chiropractic, has completed
two years of college-level study in an accredited institution
of higher learning and is a graduate of a college of
chiropractic that meets the standards of professional
education prescribed in Section 61-4-5 NMSA 1978; and
(3) pay in advance to the board fees:
(a) for examination; and
(b) for issuance of a license.
B. In evaluating an application, the board may use
the services of a professional background information service
that compiles background information regarding applicants from
multiple sources.
C. Each applicant for inclusion in the advanced
practice chiropractic certification registry shall furnish
materials and proof of education and training as established
by rule of the board."
Section 10. Section 61-4-6 NMSA 1978 (being Laws 1968,
Chapter 3, Section 6, as amended) is amended to read:
"61-4-6. EXAMINATION--SUBJECTS--METHOD OF TREATMENT--
RECORDING LICENSE.--
A. The board shall recognize successful completion
of all parts of the examination conducted by the national
board of chiropractic examiners.
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B. The board shall examine each applicant in the
act of chiropractic adjusting, procedures and methods as shall
reveal the applicant's qualifications; provided that the board
may waive the requirement for the board-administered
examination upon proof of satisfactory completion of the
examination conducted by the national board of chiropractic
examiners.
C. The board shall issue a license to all
applicants whose applications have been filed with and
approved by the board and who have paid the required fees and
passed either the board-administered examination with a
general average of not less than seventy-five percent with no
subject below sixty-five percent or the examination conducted
by the national board of chiropractic examiners with a general
average of not less than seventy-five percent with no subject
below sixty-five percent. A license shall be refused to an
applicant who fails to make application as provided in this
section, fails the examination or fails to pay the required
fees.
D. The license, when granted by the board, carries
with it the title of doctor of chiropractic and entitles the
holder to diagnose using any necessary diagnostic procedures,
excluding invasive procedures, except as provided by the board
by rule, and treat injuries, deformities or other physical or
mental conditions relating to the basic concepts of
pg_0036
chiropractic by the use of any methods as provided in this
section, including but not limited to palpating, diagnosing,
adjusting and treating injuries and defects of human beings by
the application of manipulative, manual and mechanical means,
including all natural agencies imbued with the healing act,
such as food, water, heat, cold, electricity and mechanical
appliances, herbs, nutritional supplements and homeopathic
remedies, but excluding operative surgery and prescription or
use of controlled or dangerous drugs. The holder may also
supervise the use of any natural agencies imbued with the
healing act, such as food, water, heat, cold, electricity,
mechanical appliances, herbs, nutritional supplements and
homeopathic remedies administered by a chiropractic assistant.
E. Failure to display the license shall be grounds
for the suspension of the license to practice chiropractic
until so displayed and shall subject the licensee to the
penalties for practicing without a license.
F. The board shall certify a chiropractic
physician as a "certified advanced practice chiropractic
physician" when the chiropractic physician has demonstrated
completion of advanced coursework and met other requirements
established in the Chiropractic Physician Practice Act and by
rule of the board."
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