SFC/SB 269
Page 1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
AN ACT
RELATING TO PROFESSIONAL LICENSING; CREATING THE
POLYSOMNOGRAPHY PRACTICE ACT; PROVIDING LICENSING
REQUIREMENTS FOR POLYSOMNOGRAPHIC TECHNOLOGISTS; GIVING
DUTIES TO THE NEW MEXICO MEDICAL BOARD; CREATING CRIMINAL AND
CIVIL PENALTIES; MAKING AN APPROPRIATION.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
Section 1. A new section of the Medical Practice Act is
enacted to read:
"SHORT TITLE.--Sections 1 through 10 of this act may be
cited as the "Polysomnography Practice Act"."
Section 2. A new section of the Medical Practice Act is
enacted to read:
"DEFINITIONS.--As used in the Polysomnography Practice
Act:
A. "board" means the New Mexico medical board;
B. "committee" means the polysomnography practice
advisory committee;
C. "direct supervision" means that the
polysomnographic technologist providing supervision shall be
present in the area where the polysomnographic procedure is
being performed and immediately available to furnish
assistance and direction throughout the performance of the
procedure;
pg_0002
SFC/SB 269
Page 2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
D. "general supervision" means that the
polysomnographic procedure is provided under a physician's
direction and control, but the physician's presence is not
required during the performance of the procedure;
E. "license" means an authorization issued by the
board that permits a person to engage in the practice of
polysomnography in the state;
F. "licensed provider" means a licensed physician,
licensed physician assistant, licensed certified nurse
practitioner or licensed psychologist;
G. "licensee" means a person licensed by the board
to engage in the practice of polysomnography;
H. "polysomnographic student" means a person who
is enrolled in an educational program that is accredited by
the commission on accreditation of allied health education
programs, as provided in Section 5 of the Polysomnography
Practice Act, and who may provide sleep-related services
under the direct supervision of a polysomnographic
technologist as a part of the person's educational program;
I. "polysomnographic technician" means a person
who has graduated from an accredited educational program
described in Section 5 of the Polysomnography Practice Act
but has not yet passed the national certifying examination
given by the board of registered polysomnographic
technologists, who has obtained a temporary permit from the
pg_0003
SFC/SB 269
Page 3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
board and who may provide sleep-related services under the
general supervision of a licensed physician;
J. "polysomnographic technologist" means a person
who is credentialed by the board of registered
polysomnographic technologists and is licensed by the board
to engage in the practice of polysomnography under the
general supervision of a licensed physician;
K. "polysomnographic trainee" means a person who
is enrolled in an accredited sleep technologist educational
program that is accredited by the American academy of sleep
medicine and who may provide sleep-related services under the
direct supervision of a polysomnographic technologist as a
part of the person's educational program;
L. "practice of polysomnography" means the
performance of diagnostic and therapeutic tasks, under the
general supervision of a licensed physician, including:
(1) monitoring and recording physiologic
activity and data during the evaluation or treatment of
sleep-related disorders, including sleep-related respiratory
disturbances, by applying appropriate techniques, equipment
and procedures, including:
(a) continuous or bi-level positive
airway pressure titration on patients using a nasal or oral
or a nasal and oral mask or appliance that does not extend
into the trachea or attach to an artificial airway, including
pg_0004
SFC/SB 269
Page 4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
the fitting and selection of a mask or appliance and the
selection and implementation of treatment settings;
(b) supplemental low-flow oxygen
therapy that is less than ten liters per minute using nasal
cannula or continuous or bi-level positive airway pressure
during a polysomnogram;
(c) capnography during a polysomnogram;
(d) cardiopulmonary resuscitation;
(e) pulse oximetry;
(f) gastroesophageal pH monitoring;
(g) esophageal pressure monitoring;
(h) sleep staging, including surface
electroencephalography, surface electrooculography and
surface submental electromyography;
(i) surface electromyography;
(j) electrocardiography;
(k) respiratory effort monitoring,
including thoracic and abdominal movement;
(l) respiratory plethysmography;
(m) arterial tonometry and additional
measures of autonomic nervous system tone;
(n) snore monitoring;
(o) audio or video monitoring;
(p) body movement monitoring;
(q) nocturnal penile tumescence
pg_0005
SFC/SB 269
Page 5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
monitoring;
(r) nasal and oral airflow monitoring;
(s) body temperature monitoring; and
(t) use of additional sleep-related
diagnostic technologies as determined by a rule adopted by
the board;
(2) observing and monitoring physical signs
and symptoms, general behavior and general physical response
to polysomnographic evaluation or treatment and determining
whether initiation, modification or discontinuation of a
treatment regimen is warranted;
(3) analyzing and scoring data collected
during the monitoring described in Paragraphs (1) and (2) of
this subsection for the purpose of assisting a licensed
provider in the diagnosis and treatment of sleep and wake
disorders that result from developmental defects, the aging
process, physical injury, disease or actual or anticipated
somatic dysfunction;
(4) implementing a written or verbal order
from a licensed provider that requires the practice of
polysomnography;
(5) educating a patient regarding the
treatment regimen that assists that patient in improving the
patient's sleep; and
(6) initiating and monitoring treatment,
pg_0006
SFC/SB 269
Page 6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
under the orders of a licensed provider, for sleep-related
breathing disorders by providing continuous positive airway
pressure and bi-level positive airway pressure devices and
accessories, including masks that do not extend into the
trachea or attach to an artificial airway, to a patient for
home use, together with educating the patient about the
treatment and managing the treatment; and
M. "sleep-related services" means acts performed
by polysomnographic technicians, polysomnographic trainees,
polysomnographic students and other persons permitted to
perform these services under the Polysomnography Practice
Act, in a setting described in Subsection D of Section 4 of
the Polysomnography Practice Act, that would be considered
the practice of polysomnography if performed by a
polysomnographic technologist."
Section 3. A new section of the Medical Practice Act is
enacted to read:
"LICENSE REQUIRED--EXCEPTIONS--PRACTICE LIMITATIONS--
APPLICABILITY.--
A. On and after July 1, 2010, a person who is
engaged in the practice of polysomnography must have a valid
polysomnographic technologist license issued by the board.
It shall be unlawful for a person to engage in the practice
of polysomnography after that date unless the person has a
valid polysomnographic technologist license issued by the
pg_0007
SFC/SB 269
Page 7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
board.
B. Prior to July 1, 2010, any person who is
engaged in the practice of polysomnography without being
licensed under the Polysomnography Practice Act shall not be
deemed to be in violation of that act."
Section 4. A new section of the Medical Practice Act is
enacted to read:
"EXEMPTIONS.--
A. The following classes of persons may provide
sleep-related services without being licensed as a
polysomnographic technologist:
(1) a polysomnographic technician under the
general supervision of a licensed physician for no more than
two years from the date of the person's graduation from one
of the accredited programs described in Section 5 of the
Polysomnography Practice Act; provided that the board may
grant a one-time extension of up to one year beyond the
original two-year period;
(2) a polysomnographic trainee who may
provide sleep-related services under the direct supervision
of a polysomnographic technologist as a part of the trainee's
educational program while actively enrolled in an accredited
sleep technologist educational program that is accredited by
the American academy of sleep medicine;
(3) a polysomnographic student who may
pg_0008
SFC/SB 269
Page 8
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
provide uncompensated sleep-related services under the direct
supervision of a polysomnographic technologist as a part of
the student's educational program while actively enrolled in
a polysomnographic educational program that is accredited by
the commission on accreditation of allied health education
programs; and
(4) a person, other than a respiratory care
practitioner licensed under the Respiratory Care Act,
credentialed in one of the health-related fields accepted by
the board of registered polysomnographic technologists, who
may provide sleep-related services under the direct
supervision of a polysomnographic technologist for a period
of up to one year while obtaining the clinical experience
necessary to be eligible to take the examination given by the
board of registered polysomnographic technologists.
B. Before providing any sleep-related services:
(1) a polysomnographic technician shall
obtain a temporary permit from the board and when providing
services shall wear a badge that appropriately identifies the
person as a polysomnographic technician;
(2) a polysomnographic trainee shall give
notice to the board that the trainee is enrolled in an
accredited sleep technologist educational program accredited
by the American academy of sleep medicine. When providing
services, the trainee shall wear a badge that appropriately
pg_0009
SFC/SB 269
Page 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
identifies the person as a polysomnographic trainee;
(3) a person who is obtaining clinical
experience pursuant to Paragraph (4) of Subsection A of this
section shall give notice to the board that the person is
working under the direct supervision of a polysomnographic
technologist in order to gain the experience to be eligible
to take the examination given by the board of registered
polysomnographic technologists. When providing services, the
person shall wear a badge that appropriately identifies that
the person is obtaining clinical experience; and
(4) a polysomnographic student shall wear a
badge that appropriately identifies the person as a
polysomnographic student.
C. A licensed dentist shall make or direct the
making and use of any oral appliance used in the practice of
polysomnography and shall evaluate the structures of a
patient's oral and maxillofacial region for purposes of
fitting the appliance.
D. The practice of polysomnography shall take
place only in a hospital, a stand-alone sleep laboratory or
sleep center or in a patient's home in accordance with a
licensed provider's order; provided that the scoring of data
and the education of patients may take place in settings
other than in a hospital, sleep laboratory, sleep center or
patient's home.
pg_0010
SFC/SB 269
Page 10
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
E. The Polysomnography Practice Act shall not
apply to:
(1) a physician licensed under the Medical
Practice Act;
(2) diagnostic electroencephalograms
conducted in accordance with the guidelines of the American
clinical neurophysiology society;
(3) a person who is employed in the practice
of polysomnography by a federal government facility or agency
in New Mexico; or
(4) a person qualified as a member of a
recognized profession, the practice of which requires a
license or is regulated pursuant to the laws of New Mexico,
who renders services within the scope of the person's license
or other regulatory authority; provided that the person does
not represent that the person is a polysomnographic
technologist."
Section 5. A new section of the Medical Practice Act is
enacted to read:
"REQUIREMENTS FOR LICENSING.--
A. The board shall grant a license to engage in
the practice of polysomnography to a person who has submitted
to the board:
(1) a completed application for licensing on
the form provided by the board;
pg_0011
SFC/SB 269
Page 11
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(2) required documentation as determined by
the board;
(3) the required fees;
(4) an affidavit stating that the applicant
has not been found guilty of unprofessional conduct or
incompetence;
(5) satisfactory documentation of either:
(a) graduation from a polysomnographic
educational program that is accredited by the commission on
accreditation of allied health education programs;
(b) graduation from a respiratory care
educational program that is accredited by the commission on
accreditation of allied health education programs and
completion of the curriculum for a polysomnography
certificate established and accredited by the committee on
accreditation for respiratory care of the commission on
accreditation of allied health education programs;
(c) graduation from an
electroneurodiagnostic technologist educational program with
a polysomnographic technology track that is accredited by the
commission on accreditation of allied health education
programs; or
(d) successful completion of an
accredited sleep technologist educational program that is
accredited by the American academy of sleep medicine;
pg_0012
SFC/SB 269
Page 12
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
provided, however, this optional requirement shall not be
available after the date on which there are at least three
polysomnographic technologist educational programs in New
Mexico that have been accredited by the commission on
accreditation of allied health education programs for at
least the two years immediately preceding that date; and
(6) satisfactory documentation of having:
(a) passed the national certifying
examination given by the board of registered polysomnographic
technologists or having passed a national certifying
examination equivalent to the board of registered
polysomnographic technologists' examination as determined by
a rule adopted by the New Mexico medical board;
(b) been credentialed by the board of
registered polysomnographic technologists or by another
national entity equivalent to the board of polysomnographic
technologists as determined by rule adopted by the New Mexico
medical board;
(c) met any additional educational or
clinical requirements established by the board pursuant to
rule; and
(d) met all other requirements of the
Polysomnography Practice Act.
B. A person who is engaged in the practice of
polysomnography on July 1, 2008 shall be eligible for a
pg_0013
SFC/SB 269
Page 13
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
license under the Polysomnography Practice Act without
meeting the educational requirement of Paragraph (5) of
Subsection A of this section, provided that the person meets
the requirements of Paragraph (6) of Subsection A of this
section.
C. The board may require:
(1) a personal interview with an applicant
to evaluate that person's qualifications for a license; and
(2) fingerprints and other information
necessary for a state and national criminal background
check."
Section 6. A new section of the Medical Practice Act is
enacted to read:
"LICENSE RENEWAL.--
A. A licensee shall renew the licensee's
polysomnographic technologist's license biennially by
submitting prior to the date established by the board:
(1) the completed application for license
renewal on the form provided by the board; and
(2) the required fee for biennial license
renewal.
B. The board may require proof of continuing
education or other proof of competence as a requirement for
renewal.
C. A sixty-day grace period shall be allowed a
pg_0014
SFC/SB 269
Page 14
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
licensee after the end of the licensing period, during which
time the license may be renewed by submitting:
(1) the completed application for license
renewal on the form provided by the board;
(2) the required fee for biennial license
renewal; and
(3) the required late fee.
D. A polysomnographic technologist's license not
renewed at the end of the grace period shall be considered
expired, and the licensee shall not be eligible to practice
within the state. For reinstatement of an expired license
within one year of the date of renewal, the board shall
establish requirements or fees that are in addition to the
fee for biennial license renewal and may require the former
licensee to reapply as a new applicant."
Section 7. A new section of the Medical Practice Act is
enacted to read:
"LICENSE--CONTENTS--DISPLAY--FEES.--
A. A license issued by the board shall contain the
name of the person to whom it is issued, the date and number
of the license and other information the board may require.
B. The most recent address contained in the
board's records for each licensee is the address deemed
sufficient for purposes of service of process and
correspondence and notice from the board. Any licensee whose
pg_0015
SFC/SB 269
Page 15
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
address changes shall, within thirty days of the change,
notify the board of the address change.
C. A licensee who wishes to retire from the
practice of polysomnography shall file with the board an
affidavit, in a form to be furnished by the board, stating
the date on which the person retired from practice and other
information the board may require. If that person wishes to
reenter the practice of polysomnography, the person shall
meet requirements established by the board for license
renewal.
D. A licensee shall display the license in the
office or place in which the licensee practices in a location
clearly visible to patients.
E. The board shall establish license and
administrative fees, but no individual fee shall exceed five
hundred dollars ($500)."
Section 8. A new section of the Medical Practice Act is
enacted to read:
"COMMITTEE--CREATION--ORGANIZATION--PER DIEM AND
MILEAGE--REMOVAL.--
A. The "polysomnography practice advisory
committee" is created to advise the board on all matters
related to the Polysomnography Practice Act. The board shall
provide administrative and financial support to the
committee.
pg_0016
SFC/SB 269
Page 16
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
B. The committee shall have five members, who are
residents of New Mexico, appointed by the board as follows:
(1) two members who are credentialed by the
board of registered polysomnographic technologists; provided
that when the New Mexico medical board begins issuing
licenses, this category of committee members shall be three
licensed polysomnographic technologists, with the
then-sitting members in this category being given a
reasonable amount of time to become licensed;
(2) one licensed physician who is certified
in sleep medicine by a national certifying body recognized by
the American academy of sleep medicine;
(3) one person whose background is at the
discretion of the board; and
(4) one member of the public who is not
economically or professionally associated with the health
care field.
C. Term-length conditions for appointments to the
committee are:
(1) for initial appointments, two members
each for four-year, three-year and two-year terms and one
member for a one-year term;
(2) for regular appointments after the
initial appointments, four-year terms;
(3) for a vacancy appointment, the balance
pg_0017
SFC/SB 269
Page 17
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
of the term; and
(4) for any one member, no more than two
terms, including an initial appointment term; provided that a
member shall continue to serve on the committee until a
replacement is appointed.
D. The committee shall elect annually a
chairperson and other officers as the committee determines to
be necessary.
E. The committee shall meet at least twice per
calendar year and otherwise as often as necessary to conduct
business, with four members constituting a quorum and
meetings subject to the Open Meetings Act.
F. Members of the committee shall be reimbursed as
nonsalaried public officers pursuant to the Per Diem and
Mileage Act, and members shall receive no other compensation,
perquisite or allowance for their service on the committee.
G. The board may remove from office a member of
the committee for neglect of duties required by the
Polysomnography Practice Act, malfeasance in office,
incompetence or unprofessional conduct."
Section 9. A new section of the Medical Practice Act is
enacted to read:
"BOARD--COMMITTEE--POWERS AND DUTIES.--
A. The board, with the advice of the committee,
shall have powers regarding licensing of polysomnographic
pg_0018
SFC/SB 269
Page 18
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
technologists, temporary permitting of polysomnographic
technicians, approval of polysomnography curricula, approval
of degree programs in polysomnography and any other matters
that are necessary to ensure the training and licensing of
competent polysomnographic technologists.
B. The board, with the advice of the committee,
shall hold hearings and adopt rules regarding:
(1) the licensing of polysomnographic
technologists, the practice of polysomnography and the
minimum qualifications and hours of clinical experience and
standards of care required for being licensed as a
polysomnographic technologist;
(2) criteria for continuing education
requirements;
(3) the manner in which records of
examinations and treatments shall be kept and maintained;
(4) professional conduct, ethics and
responsibility;
(5) disciplinary actions, including the
denial, suspension or revocation of or the imposition of
restrictions or conditions on a license, and the
circumstances that require disciplinary action;
(6) a means to provide information to all
polysomnographic technologists licensed in the state;
(7) the inspection of the business premises
pg_0019
SFC/SB 269
Page 19
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
of a licensee when the board determines that an inspection is
necessary;
(8) the investigation of complaints against
licensees or persons holding themselves out as engaging in
the practice of polysomnography in the state;
(9) the publication of information for the
public about licensees and the practice of polysomnography in
the state;
(10) an orderly process for reinstatement of
a license;
(11) criteria for acceptance of
polysomnography credentials or licenses issued in other
jurisdictions;
(12) criteria for advertising or promotional
materials; and
(13) any matter necessary to implement the
Polysomnography Practice Act."
Section 10. A new section of the Medical Practice Act
is enacted to read:
"OFFENSES--CRIMINAL PENALTIES.--A person who engages in
the practice of polysomnography without a license is guilty
of a misdemeanor and shall be sentenced in accordance with
the provisions of Section 31-19-1 NMSA 1978."
Section 11. Section 61-6-5 NMSA 1978 (being Laws 1973,
Chapter 361, Section 2, as amended) is amended to read:
pg_0020
SFC/SB 269
Page 20
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
"61-6-5. DUTIES AND POWERS.--The board shall:
A. enforce and administer the provisions of the
Medical Practice Act, the Physician Assistant Act, the
Anesthesiologist Assistants Act, the Impaired Health Care
Provider Act and the Polysomnography Practice Act;
B. adopt, publish and file, in accordance with the
Uniform Licensing Act and the State Rules Act, all rules for
the implementation and enforcement of the provisions of the
Medical Practice Act, the Physician Assistant Act, the
Anesthesiologist Assistants Act, the Impaired Health Care
Provider Act and the Polysomnography Practice Act;
C. adopt and use a seal;
D. administer oaths to all applicants, witnesses
and others appearing before the board, as appropriate;
E. take testimony on matters within the board's
jurisdiction;
F. keep an accurate record of all its meetings,
receipts and disbursements;
G. maintain records in which the name, address and
license number of all licensees shall be recorded, together
with a record of all license renewals, suspensions,
revocations, probations, stipulations, censures, reprimands
and fines;
H. grant, deny, review, suspend and revoke
licenses to practice medicine and censure, reprimand, fine
pg_0021
SFC/SB 269
Page 21
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
and place on probation and stipulation licensees and
applicants in accordance with the Uniform Licensing Act for
any cause stated in the Medical Practice Act and the Impaired
Health Care Provider Act;
I. hire staff and administrators as necessary to
carry out the provisions of the Medical Practice Act;
J. have the authority to hire or contract with
investigators to investigate possible violations of the
Medical Practice Act;
K. have the authority to hire a competent attorney
to give advice and counsel in regard to any matter connected
with the duties of the board, to represent the board in any
legal proceedings and to aid in the enforcement of the laws
in relation to the medical profession and to fix the
compensation to be paid to such attorney; provided, however,
that such attorney shall be compensated from the funds of the
board;
L. establish continuing medical education
requirements for licensed physicians and continuing education
requirements for physician assistants;
M. establish committees as it deems necessary for
carrying on its business;
N. hire or contract with a licensed physician to
serve as medical director and fulfill specified duties of the
secretary-treasurer; and
pg_0022
SFC/SB 269
Page 22
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
O. establish and maintain rules related to the
management of pain based on review of national standards for
pain management."
Section 12. Section 61-6-6 NMSA 1978 (being Laws 1973,
Chapter 361, Section 1, as amended) is amended to read:
"61-6-6. DEFINITIONS.--As used in Chapter 61, Article 6
NMSA 1978:
A. "approved postgraduate training program" means
a program approved by the accrediting council on graduate
medical education of the American medical association or by
the board;
B. "board" means the New Mexico medical board;
C. "licensed physician" means a medical doctor
licensed under the Medical Practice Act to practice medicine
in New Mexico;
D. "licensee" means a medical doctor, physician
assistant, polysomnographic technologist or anesthesiologist
assistant licensed by the board to practice in New Mexico;
E. "medical college or school in good standing"
means a board-approved medical college or school that has as
high a standard as that required by the association of
American medical colleges and the council on medical
education of the American medical association;
F. "medical student" means a student enrolled in a
board-approved medical college or school in good standing;
pg_0023
SFC/SB 269
Page 23
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
G. "physician assistant" means a health
professional who is licensed by the board to practice as a
physician assistant and who provides services to patients
under the supervision and direction of a licensed physician;
H. "intern" means a first-year postgraduate
student upon whom a degree of doctor of medicine and surgery
or equivalent degree has been conferred by a medical college
or school in good standing;
I. "resident" means a graduate of a medical
college or school in good standing who is in training in a
board-approved and accredited residency training program in a
hospital or facility affiliated with an approved hospital and
who has been appointed to the position of "resident" or
"fellow" for the purpose of postgraduate medical training;
J. "the practice of medicine" consists of:
(1) advertising, holding out to the public
or representing in any manner that one is authorized to
practice medicine in this state;
(2) offering or undertaking to administer,
dispense or prescribe a drug or medicine for the use of
another person, except as authorized pursuant to a
professional or occupational licensing statute set forth in
Chapter 61 NMSA 1978;
(3) offering or undertaking to give or
administer, dispense or prescribe a drug or medicine for the
pg_0024
SFC/SB 269
Page 24
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
use of another person, except as directed by a licensed
physician;
(4) offering or undertaking to perform an
operation or procedure upon a person;
(5) offering or undertaking to diagnose,
correct or treat in any manner or by any means, methods,
devices or instrumentalities any disease, illness, pain,
wound, fracture, infirmity, deformity, defect or abnormal
physical or mental condition of a person;
(6) offering medical peer review,
utilization review or diagnostic service of any kind that
directly influences patient care, except as authorized
pursuant to a professional or occupational licensing statute
set forth in Chapter 61 NMSA 1978; or
(7) acting as the representative or agent of
a person in doing any of the things listed in this
subsection;
K. "the practice of medicine across state lines"
means:
(1) the rendering of a written or otherwise
documented medical opinion concerning diagnosis or treatment
of a patient within this state by a physician located outside
this state as a result of transmission of individual patient
data by electronic, telephonic or other means from within
this state to the physician or the physician's agent; or
pg_0025
SFC/SB 269
Page 25
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(2) the rendering of treatment to a patient
within this state by a physician located outside this state
as a result of transmission of individual patient data by
electronic, telephonic or other means from within this state
to the physician or the physician's agent;
L. "sexual contact" means touching the primary
genital area, groin, anus, buttocks or breast of a patient or
allowing a patient to touch another's primary genital area,
groin, anus, buttocks or breast in a manner that is commonly
recognized as outside the scope of acceptable medical
practice;
M. "sexual penetration" means sexual intercourse,
cunnilingus, fellatio or anal intercourse, whether or not
there is any emission, or introducing any object into the
genital or anal openings of another in a manner that is
commonly recognized as outside the scope of acceptable
medical practice; and
N. "United States" means the fifty states, its
territories and possessions and the District of Columbia."
Section 13. Section 61-6-15 NMSA 1978 (being Laws 1969,
Chapter 46, Section 6, as amended) is amended to read:
"61-6-15. LICENSE MAY BE REFUSED, REVOKED OR
SUSPENDED--LICENSEE MAY BE FINED, CENSURED OR REPRIMANDED--
PROCEDURE--PRACTICE AFTER SUSPENSION OR REVOCATION--PENALTY--
UNPROFESSIONAL AND DISHONORABLE CONDUCT DEFINED--FEES AND
pg_0026
SFC/SB 269
Page 26
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
EXPENSES.--
A. The board may refuse to license and may revoke
or suspend a license that has been issued by the board or a
previous board and may fine, censure or reprimand a licensee
upon satisfactory proof being made to the board that the
applicant for or holder of the license has been guilty of
unprofessional or dishonorable conduct. The board may also
refuse to license an applicant who is unable to practice
medicine, practice as a physician assistant or an
anesthesiologist assistant or engage in the practice of
polysomnography, pursuant to Section 61-7-3 NMSA 1978. All
proceedings shall be as required by the Uniform Licensing Act
or the Impaired Health Care Provider Act.
B. The board may, in its discretion and for good
cause shown, place the licensee on probation on the terms and
conditions it deems proper for protection of the public, for
the purpose of rehabilitation of the probationer or both.
Upon expiration of the term of probation, if a term is set,
further proceedings may be abated by the board if the holder
of the license furnishes the board with evidence that the
licensee is competent to practice, is of good moral character
and has complied with the terms of probation.
C. If evidence fails to establish to the
satisfaction of the board that the licensee is competent and
is of good moral character or if evidence shows that the
pg_0027
SFC/SB 269
Page 27
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
licensee has not complied with the terms of probation, the
board may revoke or suspend the license. If a license to
practice in this state is suspended, the holder of the
license may not practice during the term of suspension. A
person whose license has been revoked or suspended by the
board and who thereafter practices or attempts or offers to
practice in New Mexico, unless the period of suspension has
expired or been modified by the board or the license
reinstated, is guilty of a felony and shall be punished as
provided in Section 61-6-20 NMSA 1978.
D. "Unprofessional or dishonorable conduct", as
used in this section, means, but is not limited to because of
enumeration, conduct of a licensee that includes the
following:
(1) procuring, aiding or abetting a criminal
abortion;
(2) employing a person to solicit patients
for the licensee;
(3) representing to a patient that a
manifestly incurable condition of sickness, disease or injury
can be cured;
(4) obtaining a fee by fraud or
misrepresentation;
(5) willfully or negligently divulging a
professional confidence;
pg_0028
SFC/SB 269
Page 28
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(6) conviction of an offense punishable by
incarceration in a state penitentiary or federal prison or
conviction of a misdemeanor associated with the practice of
the licensee. A copy of the record of conviction, certified
by the clerk of the court entering the conviction, is
conclusive evidence;
(7) habitual or excessive use of intoxicants
or drugs;
(8) fraud or misrepresentation in applying
for or procuring a license to practice in this state or in
connection with applying for or procuring renewal, including
cheating on or attempting to subvert the licensing
examinations;
(9) making false or misleading statements
regarding the skill of the licensee or the efficacy or value
of the medicine, treatment or remedy prescribed or
administered by the licensee or at the direction of the
licensee in the treatment of a disease or other condition of
the human body or mind;
(10) impersonating another licensee,
permitting or allowing a person to use the license of the
licensee or practicing as a licensee under a false or assumed
name;
(11) aiding or abetting the practice of a
person not licensed by the board;
pg_0029
SFC/SB 269
Page 29
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(12) gross negligence in the practice of a
licensee;
(13) manifest incapacity or incompetence to
practice as a licensee;
(14) discipline imposed on a licensee by
another state, including denial, probation, suspension or
revocation, based upon acts by the licensee similar to acts
described in this section. A certified copy of the record of
suspension or revocation of the state making the suspension
or revocation is conclusive evidence;
(15) the use of a false, fraudulent or
deceptive statement in a document connected with the practice
of a licensee;
(16) fee splitting;
(17) the prescribing, administering or
dispensing of narcotic, stimulant or hypnotic drugs for other
than accepted therapeutic purposes;
(18) conduct likely to deceive, defraud or
harm the public;
(19) repeated similar negligent acts;
(20) employing abusive billing practices;
(21) failure to report to the board any
adverse action taken against the licensee by:
(a) another licensing jurisdiction;
(b) a peer review body;
pg_0030
SFC/SB 269
Page 30
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(c) a health care entity;
(d) a professional or medical society
or association;
(e) a governmental agency;
(f) a law enforcement agency; or
(g) a court for acts or conduct similar
to acts or conduct that would constitute grounds for action
as defined in this section;
(22) failure to report to the board
surrender of a license or other authorization to practice in
another state or jurisdiction or surrender of membership on
any medical staff or in any medical or professional
association or society following, in lieu of and while under
disciplinary investigation by any of those authorities or
bodies for acts or conduct similar to acts or conduct that
would constitute grounds for action as defined in this
section;
(23) failure to furnish the board, its
investigators or representatives with information requested
by the board;
(24) abandonment of patients;
(25) being found mentally incompetent or
insane by a court of competent jurisdiction;
(26) injudicious prescribing, administering
or dispensing of a drug or medicine;
pg_0031
SFC/SB 269
Page 31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(27) failure to adequately supervise, as
provided by board rule, a medical or surgical assistant or
technician or professional licensee who renders health care;
(28) sexual contact with a patient or person
who has authority to make medical decisions for a patient,
other than the spouse of the licensee;
(29) conduct unbecoming in a person licensed
to practice or detrimental to the best interests of the
public;
(30) the surrender of a license or
withdrawal of an application for a license before another
state licensing board while an investigation or disciplinary
action is pending before that board for acts or conduct
similar to acts or conduct that would constitute grounds for
action pursuant to this section;
(31) sexual contact with a former mental
health patient of the licensee, other than the spouse of the
licensee, within one year from the end of treatment;
(32) sexual contact with a patient when the
licensee uses or exploits treatment, knowledge, emotions or
influence derived from the previous professional
relationship;
(33) improper management of medical records,
including failure to maintain timely, accurate, legible and
complete medical records;
pg_0032
SFC/SB 269
Page 32
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(34) failure to provide pertinent and
necessary medical records to a physician or patient of the
physician in a timely manner when legally requested to do so
by the patient or by a legally designated representative of
the patient;
(35) undertreatment of pain as provided by
board rule;
(36) interaction with physicians, hospital
personnel, patients, family members or others that interferes
with patient care or could reasonably be expected to
adversely impact the quality of care rendered to a patient;
(37) soliciting or receiving compensation by
a physician assistant or anesthesiologist assistant from a
person who is not an employer of the assistant; or
(38) willfully or negligently divulging
privileged information or a professional secret.
E. As used in this section, "fee splitting"
includes offering, delivering, receiving or accepting any
unearned rebate, refunds, commission preference, patronage
dividend, discount or other unearned consideration, whether
in the form of money or otherwise, as compensation or
inducement for referring patients, clients or customers to a
person, irrespective of any membership, proprietary interest
or co-ownership in or with a person to whom the patients,
clients or customers are referred.
pg_0033
SFC/SB 269
Page 33
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
F. Licensees whose licenses are in a probationary
status shall pay reasonable expenses for maintaining
probationary status, including laboratory costs when
laboratory testing of biological fluids are included as a
condition of probation."
Section 14. Section 61-6-31 NMSA 1978 (being Laws 1989,
Chapter 269, Section 27, as amended) is amended to read:
"61-6-31. DISPOSITION OF FUNDS--NEW MEXICO MEDICAL
BOARD FUND CREATED--METHOD OF PAYMENTS.--
A. There is created the "New Mexico medical board
fund".
B. All funds received by the board and money
collected under the Medical Practice Act, the Physician
Assistant Act, the Anesthesiologist Assistants Act, the
Polysomnography Practice Act and the Impaired Health Care
Provider Act shall be deposited with the state treasurer who
shall place the same to the credit of the New Mexico medical
board fund.
C. All payments out of the fund shall be made on
vouchers issued and signed by the secretary-treasurer of the
board or the designee of the secretary-treasurer upon
warrants drawn by the department of finance and
administration in accordance with the budget approved by that
department.
D. All amounts in the New Mexico medical board
pg_0034
SFC/SB 269
Page 34
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
fund shall be subject to the order of the board and shall be
used only for the purpose of meeting necessary expenses
incurred in:
(1) the performance of the provisions of the
Medical Practice Act, the Physician Assistant Act, the
Anesthesiologist Assistants Act, the Polysomnography Practice
Act and the Impaired Health Care Provider Act and the duties
and powers imposed by those acts; and
(2) the promotion of medical education and
standards in this state within the budgetary limits.
E. All funds that may have accumulated to the
credit of the board under any previous law shall be
transferred to the New Mexico medical board fund and shall
continue to be available for use by the board in accordance
with the provisions of the Medical Practice Act, the
Physician Assistant Act, the Anesthesiologist Assistants Act,
the Polysomnography Practice Act and the Impaired Health Care
Provider Act. All money unused at the end of the fiscal year
shall not revert, but shall remain in the fund for use in
accordance with the provisions of the Medical Practice Act,
the Physician Assistant Act, the Anesthesiologist Assistants
Act, the Polysomnography Practice Act and the Impaired Health
Care Provider Act."
Section 15. EFFECTIVE DATE.--The effective date of the
provisions of this act is July 1, 2008.