Arkansas Administrative Code
Agency 190 - Board of Acupuncture and Related Techniques
Rule 190.00.11-001 - Rules that include: Definitions, Scope of Practice, Board Composition and Duties, Public Records, Meetings of the Board, Adoption of Rules and Regulations, Applications, Requirements for Licensing, Complaint and Disciplinary Procedures, and Prohibited Acts and Conduct of Licensed Professionals
Universal Citation: AR Admin Rules 190.00.11-001
Current through Register Vol. 49, No. 2, February 2024
RULES AND REGULATIONS ARKANSAS STATE BOARD OF ACUPUNCTURE & RELATED TECHNIQUES
TITLE I
A.
DEFINITIONS:
For the purpose of these rules the following definitions apply in addition to
those in the Act.
1. "Act" is the
Arkansas Acupuncture Practices Act, as found in Ark. Code Ann. §
17-102-101 et seq.
2.
"Acupuncture" means the insertion, manipulation, and removal of
acupuncture needles from the body, and the use of other modalities and
procedures at specific locations on the body, for the prevention, cure, or
correction of a malady, illness, injury, pain, or other condition or disorder
by controlling and regulating the flow and balance of energy and functioning of
the patient to restore and maintain health. Acupuncture shall not be considered
surgery.
3.
"Acupuncturist" means a person licensed under the Act to practice
acupuncture and related techniques in the State of Arkansas, and includes the
term licensed acupuncturist, and the abbreviation "L.Ac."
4. "Applicant" is a person who
has submitted to the Board an application for licensure.
5. "Board" is the Arkansas State
Board of Acupuncture and Related Techniques.
6. "Clinical Experience" is the
practice of acupuncture and related techniques as defined in the Act, after
graduation from an educational program in acupuncture and related techniques as
required herein. A year of clinical experience shall be consistent with the
National Commission for the Certification of Acupuncture and Oriental
Medicine's (NCCAOM) requirements.
7. "Institution" is a school
that teaches an educational program in acupuncture and related techniques,
certified by the Accreditation Commission for Acupuncture and Oriental Medicine
(ACAOM) and that has been approved by the Board, pursuant to Ark. Code Ann.
§
17-102-304(b).
8.
"Licensee" is an individual licensed pursuant to the Act and
defined as an acupuncturist under Title I. A.3. of these Rules. Those persons
exempted under §
17-102-311 shall not be considered as licensed under the
Act and shall not use the descriptive term "licensed" referring to an
acupuncture practice in Arkansas.
9. "Moxibustion" means the use
of heat on, or above, or on acupuncture needles, at specific locations on the
body for the prevention, cure, or correction of a malady, illness, injury,
pain, or other condition or disorder.
10. "Office" is the physical
facility used for the practice of acupuncture and related techniques.
11. "Related Techniques" are the
techniques used in the Chinese and Asian traditional healing arts in addition
to acupuncture as set out in Title I, Section B, Scope of Practice herein,
including Chinese herbs.
12.
"Rules" are the rules and regulations, promulgated pursuant to the
Act, governing acupuncturists, applicants, educational programs, educational
institutions, and all matters covered by the Act.
13. "Supervised Clinical
Practice" is the observation and application of acupuncture and related
techniques in actual treatment situations under appropriate supervision, as
defined by NCCAOM.
14.
"Supervision" is the coordination, direction and continued
evaluation at first hand of the person in training or engaged in obtaining
clinical practice and shall be provided by a qualified instructor or tutor as
set forth in a board-approved institute of acupuncture and related techniques
.
B.
SCOPE OF
PRACTICE: The practice of acupuncture and related techniques in Arkansas
is a distinct system of primary health care with the goal of prevention, cure,
or correction of any illness, injury pain or other disorder or condition by
controlling and regulating the flow and balance of energy and functioning of
the person to restore and maintain health. Acupuncture and related techniques
include all of the allied traditional and modern diagnostic, treatment, and
therapeutic methods of the Chinese/Asian healing arts. The scope of practice of
acupuncturists shall include but is not limited to:
1. Evaluation and management
services.
2. Examination and
diagnostic testing.
3. The ordering
of radiological, laboratory or other diagnostic tests.
4. The stimulation of points or areas of the
body using needles, moxabustion and other heating modalities, cold, light,
lasers, sound, vibration, magnetism, electricity, cuppings bleeding, suction,
pressure, ion pumping cords, or other devices or means.
5. Physical medicine modalities and
techniques, including, tuina, gua sha, Shiatsu, anmo, and other massage
incidental to acupuncture and related techniques.
6. Therapeutic exercises, breathing
techniques, meditation, and the use of biofeedback and other devices that
utilize color, light, sound, electromagnetic energy and other means
therapeutically.
7. Dietary and
nutritional counseling and the administration of food, beverages and dietary
supplements therapeutically.
8. The
recommendation of any Chinese herbal medicine, Western herbal medicine, or
substances such as vitamins, minerals, enzymes, amino acids, nutritional
supplements, and glandulars, lawfully and commercially available in the United
States.
9. Counseling regarding
physical, emotional and spiritual lifestyle balance.
C. Provided, however, the practice of
acupuncture in Arkansas shall not involve:
a.
Manipulation, mobilization or adjustment to the spine or extra-spinal
articulations;
b. The prescribing,
dispensing, injection or administering of any substance or legend drug as
defined under A.C.A. 20-64-503;
TITLE II
A.1
BOARD COMPOSITION AND DUTIES: In addition to its duties described
in the Act, the Board shall:
1. Meet in
special meetings at any time. Notice of special meetings shall be provided to
Board members, the media which have requested notification, and all other
interested parties who have requested notification of such meeting at least
twenty-four (24) hours in advance of such special meetings.
2. Meet in regular meetings upon such a
schedule as shall be set by the Board. Notice of regular meetings shall be
provided to Board members, the media, and all interested parties who have
requested notification of such meeting at least three (3) days in advance of
such regular meetings.
3. Incur and
pay expenses for the employ of personnel, legal counsel, independent
contractors, or such assistants, as it may deem necessary for the functioning
of and fulfilling the duties of the Board as prescribed in the Act.
4. Keep a file of all approved educational
programs.
5. Keep a file of all
licensees and provisional licensees.
6. Issue certificates of approval of
educational programs and educational institutions.
7. Delegate its ministerial duties if it so
chooses, as provided by the Act.
8.
Notify the Governor when any board member has missed three consecutive
meetings, whether special or regular meetings.
9. Elect a President, Secretary, and
Treasurer at the first Board meeting held each May.
10. Perform such other duties and shall
exercise such other powers as may be conferred upon it by statute, or as may be
reasonably implied from such statutory powers and duties and as may be
reasonably necessary in the performance of its responsibilities under the Act,
pursuant to Ark. Code Ann. § 17-102-108.
A.2
PUBLIC RECORDS: All records
kept by the Board shall be available for public inspection pursuant to the
Arkansas Freedom of Information Act and the Arkansas Administrative Procedures
Act.
B.
MEETINGS OF THE
BOARD
(a)
Regular
Meetings. The Board shall meet at least once in every six (6) months,
and may meet more often.
(b)
Special Meetings. The Board may meet in special meetings called at
any time at the pleasure of the President or by the Secretary upon the request
of any two (2) full members of the Board.
(c)
Quorum. A quorum of the
Board shall consist of three (3) full members of the Board in attendance at any
meeting. For purposes of determining a quorum, the ex officio member shall not
be considered a full member.
(d)
Voting. Any and every official action taken by the Board shall
require an affirmative vote of a majority of the full membership of the Board
that is three (3) out of the five (5) full members. No vote on any official
action shall include a vote by the ex officio member.
C.
ADOPTION OF RULES AND
REGULATIONS
The Board may adopt such rules and regulations as are necessary to conduct its business and administer its duties as found in the Act. All rules and regulations shall be adopted pursuant to the provisions of the Arkansas Administrative Procedures Act. Prior to any proposed rule being submitted to the Administrative Rules and Regulations Committee of the Arkansas Legislative Council, said rule shall be approved in writing by the Arkansas State Medical Board.
In addition to rules and regulations proposed by the Board, interested parties may petition the Board for a change in or addition to the rules and regulations pursuant to the Arkansas Administrative Procedure Act. The Board shall consider such written request at its next regular meeting.
TITLE III
A.1
GENERAL
All agency action regarding licensure shall be governed by the Arkansas Acupuncture Practice Act, A.C.A. 17-102-101 and, when applicable, A.C.A. §§ 25-15-208 to 213.
A.2
REQUIREMENT TO KEEP CURRENT
ADDRESSES ON FILE
All persons holding a license issued by Arkansas State Board of Acupuncture and Related Techniques are required to provide the board with information so that the board can remain in contact and provide notice of complaints and/or hearings. The licensee is required to provide written notice to the board of any change in business and/or residence address within 10 working days of the change. Service of notices of hearing sent by mail will be addressed to the latest address on file with the board.
A.3
APPLICATION FOR LICENSURE
The Board shall not cause a license to be issued to any person it has deemed to be unqualified pursuant to the provisions of the Act and these rules and regulations. All applicants are required to be at least 21 years of age, be a citizen of the United States and/or a legal resident, not have had a license to practice acupuncture and related techniques in any other state suspended or revoked nor have been placed on probation for any cause, not have been convicted of a felony and not be a habitual user of intoxicants, drugs or hallucinatory preparations.
(a) Every
Applicant must provide a statement signed by the Applicant and the signature
verified by a Notary Public as to whether he or she:
(1) Has been subject to any disciplinary
action in any jurisdiction related to the practice of acupuncture and related
techniques, or related to any other health care professions for which the
Applicant is licensed, certified, registered or legally recognized to
practice;
(2) Has been a defendant
in litigation in any jurisdiction related to his or her practice of
acupuncture, and related techniques, or related to any other health care
professions for which the Applicant is licensed, certified, registered or
legally recognized to practice; and
(3) Has been convicted of a felony in any
jurisdiction.
(b) Any
Applicant who is licensed, certified, registered or legally recognized to
practice any other health care professions, in any jurisdiction, pursuant to
any authority other than the Arkansas Acupuncture Practices Act shall provide a
certificate from each such jurisdiction stating the disciplinary record of the
Applicant. A copy of the certificate may be substituted if verified as a true
and correct copy by the keeper of the records in that jurisdiction.
(c) Any Applicant who has been subject to any
disciplinary action or proceeding in another jurisdiction comprehended by this
section may be denied a license by the Board.
A.4
APPLICATION: Every person
seeking a license to practice acupuncture and related techniques shall file an
application on the current form provided by the Board. All applications must be
complete and in English.
(a)
EXHIBITS
REQUIRED: Every application shall be accompanied by:
1. The fee for application for licensure
specified in Title III, C.
2. A
passport-type photograph of the Applicant taken not more than six months prior
to the submission of the application.
3. Two (2) affidavits certifying the
Applicant's good moral character by acupuncturists not related to the
Applicant, who have known the Applicant not less than one year. These
affidavits shall be on a form provided by the Board.
4. A notarized form signed by the Applicant
authorizing the release to the Board of additional information regarding the
Applicant and his or her qualifications for licensure, including but not
limited to educational background, criminal background check, transcripts,
credentials, and accreditation information on educational
institutions.
(b)
VERIFICATION: Verification of the Applicant's education shall
include:
1. A copy of the Applicant's
certificate or diploma from an accredited educational institution evidencing
completion of the required program of study in acupuncture and related
techniques. This copy shall include on it an affidavit certifying that it is a
true copy of the original.
2. An
official copy of the Applicant's transcript that shall be sent directly to the
Board by the approved educational institution from which the Applicant received
the certificate or diploma, and that shall verify the Applicant's satisfactory
completion of the required academic and clinical education and that shall
designate the completed subjects and the hours of study completed in each
subject; and
(c)
DOCUMENTS IN A FOREIGN LANGUAGE: All documents submitted in a
foreign language must be accompanied by a certified translation in English.
Each translated document shall bear the affidavit of the translator certifying
that he or she is competent in both the language of the document and the
English language and that the translation is a true and complete translation of
the foreign language original. Each translated document shall also bear the
affidavit of the Applicant certifying that the translation is a true and
complete translation of the original. Each affidavit shall be signed before a
notary public. The translation of any document relevant to an Applicant's
application shall be at the expense of the Applicant.
(d)
SUFFICIENCY OF DOCUMENT: The
Board shall determine the sufficiency of the documentation to support the
application for licensure. The Board may, in its sole discretion, request
further documentation, proof of qualifications and/or require a personal
interview with any Applicant to establish his or her qualifications.
B.
AUTHORIZED FORMS
The Board shall authorize such forms as are necessary from time to time for the application for licenses, and the renewal of licenses. The authorized forms may be reproduced without permission from the Board but shall not be altered or changed in any way by any prospective Licensee. Authorized forms shall be available from the Board to any member of the public or any prospective Licensee. Requests for forms may be made in writing or by telephone call to the Board at its offices, or to the Board Secretary.
C.1
REQUIREMENTS FOR LICENSING
(a)
EDUCATIONAL REQUIREMENTS:
Every Applicant shall provide satisfactory proof that he or she has completed
and graduated from an approved four year academic educational program in
acupuncture and related techniques and has received a certificate or diploma
for completion of the approved educational program from an institute approved
under C.1. (a) 1. The program must include an extensive education in Chinese
herbal medicine.
(1)
APPROVED
EDUCATIONAL INSTITUTION AND PROGRAM. For the Board to determine that an
institution meets the standards of professional education, the institution must
require a program of study of at least four (4) academic years which must meet
Accreditation Commission for Acupuncture and Oriental Medicine's (ACAOM) level
of education and standards or other criteria as found reasonable by the Board,
require participation by students in a supervised clinical or internship
program which includes a minimum of eight hundred (800) hours of supervised
clinical practice, and confer a certificate, diploma, or degree only after
personal attendance in classes and clinics. An applicant from a foreign
institution shall provide documentation to show that the institution and
program meets the same or higher standards.
(2)
PREREQUISITES: Has
successfully completed not fewer than sixty (60) semester credit hours of
college education, to include a minimum of thirty (30) semester credit hours in
a relevant field of science, including but not limited to biology, chemistry,
anatomy, physiology, and psychology.
C.2
FEES: The Board shall charge
fees for the following, in compliance with A.C.A. Section 17-102-304(d)
(1) -(7):
(a) Initial application for
licensing, set at $250.00;
(b)
Biennial licensing renewal, set at $400.00;
(c) Late renewal (in addition to the
application fee), set at $100.00;
(d) Continuing education provider one-time
registration fee, set at $200.00;
(e) Administrative support fee (annual), set
at $100.00;
The board will set each of the above fees at its initial meeting of each fiscal year. A schedule of fees will be provided in writing to each licensee subsequent to that meeting.
D.
RECIPROCAL LICENSING: The
Board may enter into reciprocal licensing agreements with other states or
jurisdictions, provided the requirements and qualifications for licensure in
that state or jurisdiction meet or exceed the requirements and qualifications
for licensure in Arkansas.
E.
EXAMINATIONS: The Board shall be authorized to give examinations
to all Applicants for licensure, or to accept the scores of an Applicant on
Board-approved nationally recognized examinations on acupuncture and Chinese
herbal medicine.
(a) Examination topics to be
covered shall be anatomy and physiology, pathology, diagnosis, hygiene,
sanitation, sterilization techniques, acupuncture and related principles,
practices and techniques, and Chinese herbal medicine.
(b) If the Board conducts its own examination
of applicants for licensure, applicants for a license shall be notified in
writing by the Board at least sixty (60) days in advance of the date set for
the examination.
(c) Every
applicant for a license pursuant to the Act shall achieve a score of not less
than seventy percent (70%) on each topic on the examination administered by the
Board, or a passing score on a Board-approved nationally recognized examination
on acupuncture and Chinese herbal medicine.
(d) The Board shall maintain a list of every
Board-approved nationally recognized examination at its offices.
F.
ACUPUNCTURE DETOX
SPECIALISTS. Detox specialists shall register with the Board by
providing a certified copy of documentation of the completion of the National
Acupuncture Detoxification Association (NADA) certification course. They shall
be permitted to practice only under the supervision of an acupuncturist who is
licensed by the Arkansas State Board of Acupuncture and Related Techniques.
They shall be permitted to use only the five (5) point ear protocol of NAD A
for substance abuse and shall not treat or offer treatment in any other
capacity.
TITLE IV
A.1
LICENSE RENEWAL: Every
Applicant for license renewal must provide a statement as to whether he or she,
since applying for licensure or since last applying for license renewal, which
ever occurred most recently:
(a) Has been
subject to any disciplinary action in any jurisdiction related to the practice
of acupuncture and related techniques, or related to any other health care
professions for which the Applicant for license renewal is licensed, certified,
registered or legally recognized to practice;
(b) Has been a defendant in any litigation in
any jurisdiction related to his or her practice of acupuncture and related
techniques, or related to any other health care professions for which the
Applicant for license renewal is licensed, certified, registered or legally
recognized to practice; and
(c) Has
been convicted of a felony in any jurisdiction.
Any Applicant for license renewal who has been subject to any action or proceeding comprehended by Title III.A.1 may be subject to disciplinary action, including denial, suspension or revocation of licensure.
A.2
LICENSING PERIOD: The licensing period shall ran from January 1 to
the second consecutive December 31. A newly licensed acupuncturist_shall be
issued a license that shall be required to be renewed on the second December 31
following the initial date of licensure. If license is not renewed by this
date, license shall expire and licensee shall not practice until such time that
renewal requirements have been met. The Board shall send renewal notifications
to licensees no later than December 1.
A.3
LICENSE RENEWAL: Except as
provided otherwise in the Act, or in these Rules, or pursuant to other State
law, each licensed acupuncturist shall be granted renewal of his or her license
for two years upon receipt by the Board of his or her renewal application that
shall include any continuing education documentation required by Ark. Code Ann.
17-102-308 and Title IV.B. of these Rules and the fee for the biennial license
renewal specified in Title III.C.2.
A.4
LATE LICENSE RENEWAL: Each
licensee shall be required to pay biennial license renewal fees and meet
continuing education requirements as specified in the Act and in these Rules.
During a grace period of 30 days after the expiration of the license (December
31), no late fee will be required. However, if a license is expired for thirty
(30) days to one (1) year, the late renewal fee shall be assessed and the
licensee shall meet all of requirements of renewal. Practice of acupuncture and
related techniques is not allowed during any period of expiration. A licensee
who fails to renew his or her license within one (1) year after its expiration
may not renew it, and it may not be restored, reissued, or reinstated
thereafter, but that person may apply for and obtain a new license if he or she
meets the following requirements:
(1) Meets
all current standards of the Arkansas State Board of Acupuncture and Related
Techniques; and
(2) Takes and
passes the required examination(s) and pays all fees associated therewith as if
seeking a license for the first time.
A.5
EXPIRED LICENSE: A licensee
shall not practice acupuncture and related techniques following the expiration
of the license, until such time that the expired license is renewed pursuant to
Title IV.A.3 and Title IV.A.4.
B.1
CONTINUING EDUCATION: The Board shall not renew the license of any
licensee unless the licensee presents to the Board evidence of attendance at a
board- approved educational session or sessions of not less than twenty-four
(24) hours of continuing education within the previous biennial period, which
shall include a CPR course for healthcare professionals, to be considered as
two (2) hours of the required twenty-four (24) hours of continuing education.
Approved continuing education courses may not be retaken for credit in consecutive biennial periods. Proof of teaching courses related to acupuncture or related techniques may be applied to a maximum of four (4) hours of continuing education, subject to approval by the board.
B.2 The Board may accept hours from Board
approved courses or NCCAOM approved courses as valid continuing education
hours, provided that documentation contains: provider contact information,
course information (including any relevant NCCAOM reference), and official seal
or signature.
(a) If the course has not been
approved by NCCAOM or the Board for continuing education, the licensee shall
submit information to the Board about the course, including the person or
organization sponsoring or presenting the course, an outline of the subject
matter covered by the course and the length of the course in hours.
(b) It is the Board's intention to respond to
all submissions of continuing education courses for approval in a timely
manner. If the submission is not specifically denied in writing by the Board
within 60 days after the postmark of the applicant's submission, the submission
shall be approved.
(c) Applications
for approval of providers of continuing education shall be on an individual
course basis, provider applicants shall be responsible for obtaining and
submitting the proper information and fees to the Board.
(d) If the Board denies approval for any
course or courses upon application for license renewal, the applicant shall
have an additional 90 days to obtain the required hours during which time the
applicant can continue to practice. Failure to acquire the proper hours within
said 90 days shall result in non-renewal of the license.
TITLE V
A.
HEARING PROCEDURES ON DENIED
APPLICATIONS
(a) If a preliminary
determination is made by the board that an application for license should be
denied the board will inform the applicant of the grounds or basis of the
proposed denial in writing. Any Applicant who is denied the issuance of a
license by the Board may appeal such decision and request a hearing before the
full Board on the application. The Applicant shall file the appeal in writing
with the Board within thirty (30) days of receipt of the notice of
denial.
(b) Within thirty (30) days
of the filing of the appeal on the denial of a license, the Board shall hold a
hearing on the application. The Applicant shall be notified in writing of the
date, time, and location of the hearing at least twenty (20) days in advance of
the hearing on the appeal.
(c) The
Board and the Applicant shall disclose no later than ten (10) days before the
hearing on the merits the names, addresses and telephone numbers of all persons
who they intend to call as witnesses at the hearing, and shall provide a list
of exhibits which will be offered for introduction into evidence.
(d) The Applicant shall not engage in
communications with any member of the Board on any matter related to the
application or the appeal prior to the date set for the hearing, nor shall the
Board members engage in communications in violation of the Arkansas
Administrative Procedures Act or the Arkansas Freedom of Information
Act.
(e) At the hearing, the
Applicant shall be provided the opportunity to present evidence, by testimony
or by documents, cross examine all witnesses, and call witnesses for the Board
to consider with respect to the grant or denial of the license sought by the
Applicant.
(f) Hearings before the
Board are governed by the Arkansas Administrative Procedures Act, and the Board
shall not be bound by the Arkansas Rules of Evidence or the Arkansas Rules of
Civil Procedure in its proceedings. However, the Rules may serve as a guide to
the presiding officer for the conduct of the hearing. The President of the
Board shall rule on all motions as well as all evidentiary and procedural
matters that arise during the hearing. The Board may appoint an impartial
hearing officer to preside at or assist the Board.
(g) The Board shall not cause a license to be
issued to a person it has deemed to be unqualified until and unless the Board
has been satisfied that the Applicant has complied with all the terms,
conditions, and requirements set forth in the Act and these rules and
regulations, and that the Applicant is capable of safely and ethically engaging
in the practice of acupuncture and related techniques.
(h) When an Applicant has been denied a
license, he or she may not reapply for a license until one of the following has
taken place:
(1) one full year has passed
since the date the license was denied; or
(2) there has been a significant change in
circumstances or facts with respect to the applicant's credentials and/or
qualifications.
B.1
COMPLAINT AND DISCIPLINARY
PROCEDURES
(a) A complaint may be
initiated by any person by a telephone call, a written complaint, or a walk-in
complaint presented to any Board Member or the Board's representative. The
Board shall prepare a complaint form. This form shall be available at the
office of the Board or from the Secretary of the Board. A written complaint
form shall be submitted to the Board to initiate the review process. If a
complaint is made by telephone, a complaint form shall be mailed to the
complainant.
(b) The Secretary of
the Board shall maintain a written log of all complaints received which records
the date of the complaint, the name, address and telephone number of the
Complainant, the name of the subject of the complaint (Respondent), the method
by which the complaint was made (e.g., telephone, letter, sworn written
complaint, etc.), and other pertinent data as the Board may direct.
(c) Acupuncturists shall have every patient
sign a form that contains the following information: "All licensed
acupuncturists are governed by Arkansas statutes A.C.A. §
17-102-101 et
seq, and the Rules and Regulations of the Arkansas State Board of Acupuncture
and Related Techniques (ASBART). Patients may contact ASBART for information or
complaints."
B.2
PROCEDURES FOR RECEIPT OF A COMPLAINT
(a) Upon receipt of a written, signed
complaint, or upon the Board's own action as initiated by a vote of the
majority of the members of the Board acting at a duly convened meeting of the
Board, and as then reduced to a written complaint, if the Board has reasonable
cause to believe that the Act or the Rules promulgated pursuant thereto have
been or are being violated, the Board Secretary shall:
1. Log in the date of receipt of any
complaint initiated by the Board or any other party.
2. Determine whether the Respondent is
licensed by the Board to practice acupuncture and related techniques in the
State of Arkansas, or is an Applicant for licensure.
3. Assign a complaint number and create an
individual file. Complaint numbering shall begin with the last two digits of
the year in which the complaint is filed and shall then continue sequentially
(e.g. 11-001).
4. Within seven (7)
working days of the date of receipt of the complaint, send written
acknowledgment of receipt of the complaint to the Complainant.
(b) Furnish the Respondent with a
copy of the complaint and all documents filed in relation to the complaint by
certified mail within seven (7) working days of the receipt of the complaint by
the Board. The Respondent shall also be informed in writing at this time that
the Board has initiated an investigation into the complaint, and that the
Respondent may furnish the Board documents relevant to the complaint.
(c) Both parties shall refrain from
contacting any member of the Board while the complaint is under investigation,
and until the matter has been resolved.
B.3
REVIEW OF THE COMPLAINT
(a) The Board will review all written, signed
complaints filed against a Licensee or Applicant.
(b) The Respondent shall be provided at least
twenty (20) calendar days in which to file a written response to the complaint,
and shall be advised that he or she is required to provide all documents and
exhibits in support of his or her position.
(c) If the Board determines that further
information is needed, it may issue subpoenas, or employ an investigator, or
experts, or other persons whose services are determined to be necessary, in
order to assist in the processing and investigation of the complaint.
(d) Upon completion of the investigation, the
Board will prepare a written summary of its initial findings. The summary shall
not identify any of the parties by name, but by case number only until the
issue has been set for a hearing. The Board shall provide a copy of its
findings to the Complainant and Respondent prior to the matter being set for a
hearing.
(e) If the Board
determines that it does not have jurisdiction, or if it does have jurisdiction
but finds that no violation exists, both the Complainant and Respondent will be
notified in writing. The letter will explain why the case cannot be accepted
for investigation and/or action (e.g. due to the statute of limitations, or the
nature of the complaint being a fee dispute, or there being no violation of the
Act or the Rules), or it may note that the complaint can be referred to another
agency. A letter from the Board will be sent within thirty (30) days of the
date of the Board's decision to both the Complainant and Respondent. The letter
will state the Board's action and the reasons for its decision. The letter will
be signed by the President.
B.4
HEARING BY THE BOARD
(a) Unless the Board dismisses the complaint
pursuant to Title V. B.3(e), above, the complaint shall be set for a hearing
before the full Board. The matter shall be referred to only by the assigned
case number, and shall be brought pursuant to the provisions of the Arkansas
Administrative Procedure Act.
(b)
The Respondent shall be notified of the hearing at least thirty (30) days in
advance of the date set for the hearing. The Complainant shall also receive a
copy of the notice of hearing. The notice of hearing shall set forth the
charges and allegations against Respondent in sufficient detail so as to
provide full disclosure and notice of all violations of the Act and
regulations.
(c) The Respondent may
file a response to the notice of hearing, but is not required to do so. Any
written response to the charges must be filed with the Board ten (10) days in
advance of the date set for the hearing on the complaint.
(d) The Respondent may waive a hearing on the
notice and complaint. Such waiver of the right to a hearing must be in writing,
signed by the Respondent, and filed with the Board.
(e) At any time the Board may enter into a
settlement agreement with the Licensee as a means of resolving a complaint. Any
proposed settlement agreement must be approved by the Board upon a majority
vote of those qualified to vote, and must be approved further by the Licensee
or Applicant, upon a knowing and intentional waiver by the Licensee or
Applicant of his or her right to a hearing.
(f) The Board is empowered to issue subpoenas
pursuant to the Ark. Code Ann. §
17-102-206(c) and Ark. Code Ann. §
17-80-102.
(g) The Board may
appoint an impartial hearing officer to preside at or assist the Board in any
hearing.
B.5
DISCIPLINARY PROCEEDINGS
(a) The
parties shall disclose to each other no later than ten (10) days before the
hearing on the merits the names, addresses and telephone numbers of all persons
who they intend to call as witnesses at the hearing, and shall provide a list
of exhibits which each intends to offer for introduction into evidence. If the
opposing party is not in possession of a copy of any of the listed exhibits,
the party which intends to offer the exhibits shall provide copies of all such
exhibits at the time the written exhibit list is provided.
(b) The Respondent shall not engage in
communications with any member of the Board on any matter after a notice of
hearing has been issued by the Board, nor shall the Board members engage in
ex-parte communications in violation of the Arkansas Administrative Procedures
Act or the Arkansas Freedom of Information Act.
(c) At the hearing, each party shall be
provided the opportunity to present evidence, by testimony or by documents,
cross examine witnesses and call witnesses.
(d) Hearings before the Board are governed by
the Arkansas Administrative Procedures Act and shall not be bound by the
Arkansas Rules of Evidence or the Arkansas Rules of Civil Procedure in its
proceedings. However, the Rules may serve as a guide to the presiding officer
for the conduct of the hearing. The President of the Board or its duly
appointed hearing officer shall rule on all motions as well as all evidentiary
and procedural matters that arise during the hearing.
(e) When a Licensee is found guilty of any of
the acts set forth in the Act or a violation of any Order of the Board, or of a
violation of these rules and regulations, the Board may impose the following
sanctions:
1. Refuse to issue a license to the
Applicant;
2. Revoke or suspend the
license of the Licensee;
3.
Restrict the practice of the Licensee;
4. Impose an administrative fine not to
exceed five thousand dollars ($5,000.00) for each count or separate offense of
which the Licensee is found guilty;
5. Reprimand the Licensee; or
6. Place the Licensee on probation for such
period of time as the Board deems is appropriate and impose such conditions as
the Board may specify for the conduct of the Licensee's practice.
In the event that the Board revokes or suspends the license of an acupuncturist, the license shall not be reinstated until such time as the Board is satisfied that the Licensee has complied with all the terms and conditions set forth in the final disciplinary order of the Board, and that the Licensee is capable of safely and ethically engaging in the practice of acupuncture and related techniques. Upon written request by the Licensee for reinstatement, the Board shall review the case to determine whether a license should be reissued.
TITLE VI
A.
PROHIBITED ACTS AND CONDUCT OF LICENSED PROFESSIONALS: Any
Applicant for license renewal who provides the Board with false information or
makes a false statement to the Board with regard to any action or proceeding
comprehended by the Act or these rules and regulations may be subject to
disciplinary action, including denial, suspension or revocation of licensure.
Prior to the entry of a final order to suspend or revoke a license, or to
impose other sanctions upon a licensee, the Board will serve the licensee a
complaint and notice hearing in writing. The licensee shall be afforded the
opportunity for a hearing and the Board has the burden of proving the alleged
facts and violations of law stated in the complaint.
The following acts or omissions may be considered as grounds for disciplinary action by the Board, following notice and hearing, or for the denial of application for licensure:
(1)
PROFESSIONAL INCOMPETENCE:
Failure to possess or apply the knowledge, or to use the skill and care
ordinarily used by reasonably well-qualified acupuncturists practicing under
similar circumstances, giving due consideration to the locality
involved.
(2)
FAILURE TO
FOLLOW PROPER INSTRUMENT STERILIZATION PROCEDURE:
Failure to use sterile instruments or failure to follow proper instrument sterilization procedures including the use of biological monitors and the keeping of accurate records of sterilization cycles and equipment service maintenance as described in the manufacturer's instruction manual, and the current edition of "Clean Needle Technique For Acupuncturists--A Manual" published by the National Commission For The Certification Of Acupuncturists. This provision shall not apply to needles, which may not be re-used or sterilized for a subsequent use on more than one patient under any circumstances.
(3)
FAILURE TO FOLLOW CLEAN NEEDLE TECHNIQUE: Failure to follow clean
needle technique as defined in the current edition of "Clean Needle Technique
For Acupuncturist--A Manual" published by the National Commission For The
Certification Of Acupuncturists.
(4)
FALSE REPORTING: Willfully
making or filing false reports or records in his or her practice as an
acupuncturist, or filing false statements for collection of fees for services
that were not rendered.
(5)
OUT OF STATE DISCIPLINARY ACTION: Committing any act or omission
which has resulted in disciplinary action against the acupuncturist or
applicant by the acupuncture licensing or disciplinary authority or court in
another state, territory, or country.
(6)
PROCURING LICENSE BY BRIBERY,
FRAUD, OR DECEIT: Committing fraud or deceit in procuring or attempting
to procure or renew a license or a provisional license to practice in the
profession of acupuncture and related techniques by making false statements, or
providing false information the application for licensure. An acupuncturist or
an applicant shall be guilty of bribery if he or she attempts to pay money or
provide anything of value to a member of the licensing Board in return for
having a license issued.
(7)
MISREPRESENTATION: Advertising, practicing, or attempting to
practice under a name other than one's own.
(8)
FALSE ADVERTISING:
Soliciting or advertising for patronage by any means which is misleading,
fraudulent, deceptive, or dishonest. It also constitutes false advertising for
an acupuncturist to identify himself or herself as a doctor or
physician.
(9)
EDUCATIONAL
FRAUD: Practicing fraud, deceit, gross negligence, or misconduct in the
operation of an educational program in acupuncture and related
techniques.
(10)
FAILURE TO
KEEP RECORDS: Failure to keep written records reflecting the course of
treatment of the patient. Records shall be kept for a period of no less than
five (5) years, and shall be subject to review by the Board.
(11)
FAILURE TO PROVIDE RECORDS TO
PATIENT: Failure to make available to a patient or client, upon request,
copies of documents in the possession or under the control of the Licensee that
have been prepared for and paid for by the patient or client.
(12)
BREACH OF CONFIDENTIALITY:
Revealing personally identifiable facts, data or information obtained in a
professional capacity, without the prior consent of the patient or client,
except as authorized or required by law.
(13)
DELEGATING RESPONSIBILITIES TO
UNQUALIFIED PERSONS:
a. Delegating
professional responsibilities to a person when the acupuncturist delegating
such responsibilities knows or has reason to know that the person is not
qualified by education, by experience or by licensure or certification to
perform the responsibilities; or
b.
Failure to exercise appropriate supervision over Provisional Licensees or
students who are authorized to practice only under the supervision of the
acupuncturist.
(14)
EXERCISING INFLUENCE WITHIN A PATIENT-DOCTOR RELATIONSHIP FOR PURPOSES OF
ENGAGING A PATIENT IN SEXUAL ACTIVITY: Exercising influence within a
patient-doctor relationship for the purpose of engaging in sexual activity with
a patient.
(15)
LACK OF
FITNESS TO PRACTICE: Continuing to practice and provide treatment for
patients when the Licensee:
a. Has become
mentally incompetent or unfit, or has become incompetent by reason of
negligence, habits, or other related causes; or
b. Has become habitually intemperate or
addicted to the use of habit-forming drugs, illegal drugs, and/or
alcohol.
(16)
INSURANCE FRAUD: Knowingly committing fraud or deceit in the
filing of insurance forms, documents, or information pertaining to the health
or welfare of a patient, or knowingly allows an employee to file insurance
forms, documents, or information pertaining to health or welfare benefits which
are false.
(17)
WILLFUL
VIOLATIONS: Willfully or repeatedly violating any of the provisions of
the Act or any of the provisions of these rules and regulations, or any lawful
order of the Board.
(18)
POSTING OF LICENSE: An acupuncturist who has been licensed by this
Board shall post his or her license in a conspicuous location at his or her
office or place of practice; failure to post the license may be considered
unprofessional conduct.
(19)
PUBLIC HEALTH AND SANITATION:
a.
Failure to use only pre-sterilized, disposable needles in the administration of
acupuncture;
b. Using staples in
the practice of acupuncture;
c.
Failing to wash hands with soap and water or other disinfectants before
handling needles and between treatments of different patients;
d. Re-using the same needles on more than one
patient in the administration of acupuncture.
(20)
CRIMES RELATING TO
ACUPUNCTURE: Having pled guilty or nolo contendere to, or having been
found guilty of, a crime in any jurisdiction which directly relates to the
practice of acupuncture and related techniques or to the ability to practice
same.
(21)
INCOMPETENCE AND
UNPROFESSIONAL CONDUCT: The foregoing specifications of unprofessional
conduct shall not be exclusive of the types of acts and omissions that may be
found by the Board to constitute incompetence or unprofessional
conduct.
B.
EMERGENCY ACTION
(1) If the Board
finds that the public health, safety, or welfare imperatively requires
emergency action and incorporates that finding in its order, the Board can
summarily suspend, limit, or restrict a license. The notice requirement in
Title V. B.4 does not apply and must not be construed to prevent a hearing at
the earliest time practicable.
(2)
Emergency Order:
An emergency adjudicative order must contain findings that the public health, safety, and welfare imperatively require emergency action to be taken by the Board. The written order must include notification of the date on which Board proceedings are scheduled for completion.
Written Notice:
The written emergency adjudicative order will be immediately delivered to persons who are required to comply with the order. One or more of the following procedures will be used:
a. Personal delivery;
b. Certified mail, return receipt requested,
to the last address on file with the Board;
c. First class mail to the last address on
file with the Board
d. Fax. Fax may
be used as the sole method of delivery if the person required to comply with
the order has filed a written request that Board orders be sent by fax and has
provided a fax number for that purpose
e. Oral Notice. Unless the written emergency
order is served by personal delivery on the same day that the order issues, the
Board shall make reasonable immediate efforts to contact by telephone the
persons who are required to comply with the order.
f. Electronic mail (email) to the last known
email address, with a request for an immediate acknowledgement of receipt by
the persons.
(3) Unless
otherwise provided by law, within 10 days after emergency action taken pursuant
to paragraph B.(1) of this rule, the Board must initiate a formal suspension or
revocation proceeding.
C.
VOLUNTARY SURRENDER OF
LICENSE
The licensee, in lieu of formal disciplinary proceedings, may offer to surrender his or her license, subject to the Board's determination to accept the proffered surrender, rather than conducting a formal disciplinary proceeding.
D.
REINSTATEMENT AFTER SUSPENSION
(1) An order suspending a license may provide
that a person desiring reinstatement may file with the Board a verified
petition requesting reinstatement.
(2) The petition for reinstatement must set
out the following:
a. That the individual has
fully and promptly complied with the requirements of Title V.B.5(e) of these
rules pertaining to the duty of a sanctioned professional;
b. That the individual has refrained from
practicing in this profession during the period of suspension;
c. That the individual's license fee is
current or has been tendered to the Board; and
d. That the individual has fully complied
with the requirements imposed as conditions for reinstatement.
(3) Any knowing misstatement of
fact may constitute grounds for denial or revocation of
reinstatement.
(4) Failure to
comply with the provisions of these Rules precludes consideration for
reinstatement.
(5) No individual
will be reinstated unless the Arkansas State Board of Acupuncture and Related
Techniques approves reinstatement by majority vote.
E.
RE-LICENSURE FOR REVOKED OR
SURRENDERED LICENSE
(1) No individual
who has had his or her license revoked or who has surrendered his or her
license will be licensed, except on petition made to the Board. The petition
for re-licensure is not allowed until at least two years after the revocation
or surrender of license took effect.
(2) The applicant bears the burden of proof
that he or she is rehabilitated following the revocation or surrender of his or
her license, that he or she can engage in the conduct authorized by the license
without undue risk to the public health, safety, and welfare, and that he or
she is otherwise qualified for the license pursuant to §
17-102-101 et
seq.
(3) The Board may impose any
appropriate conditions or limitations on a license to protect the public
health, safety, and welfare.
(4)
The Board may require that the person seeking re-licensure take the licensing
examination.
Disclaimer: These regulations may not be the most recent version. Arkansas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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