(1) Actions - Upon
a finding by the Board that any provision of the Tennessee Massage Therapist
Practice Act or the rules promulgated pursuant thereto has been violated, the
Board may impose any of the following actions separately or in any combination
deemed appropriate to the offense.
(a) Denial
of an application for licensure.
(b) "Letter of warning." This is a written
action. It is informal and advisory in nature and does not constitute a formal
disciplinary action.
(c) "Formal
reprimand." This is a written action. It is a formal disciplinary
action.
(d) "Probation." This is a
formal disciplinary action for a fixed period of time.
(e) "Licensure suspension." This is a formal
disciplinary action which suspends a licensee's right to practice for a fixed
period of time. It contemplates the re-entry of the licensee into the practice
under the license previously issued.
(f) "Licensure revocation." This is a formal
disciplinary action which removes a licensee from the practice of the
profession and terminates the license previously issued. No new application for
licensure from a person whose license was revoked shall be considered prior to
the expiration of at least one (1) year unless otherwise stated in the Board's
revocation order.
(g) Conditions -
Any action deemed appropriate by the Board to be required of a disciplined
licensee in any of the following circumstances:
1. During any period of probation,
suspension;
2. As a prerequisite to
the lifting of probation or suspension; or
3. As a stand-alone requirement or
requirements in any disciplinary action.
(h) Civil penalty - A monetary disciplinary
action assessed by the Board pursuant to paragraph three (3) of this
rule.
(i) Once ordered, probation,
suspension, assessment of a civil penalty, or any other condition(s) of any
type of disciplinary action may not be lifted unless and until the licensee
appears before the Board after the period of initial probation, suspension, or
other conditioning has run and all conditions placed on the probation,
suspension, have been met, and after any civil penalties assessed have been
paid.
(2) Order
Modifications - A licensee can petition the Board to modify a previously issued
disciplinary order if the licensee cannot fulfill the conditions of the imposed
discipline. This procedure is only available after all reconsideration and
appeal rights have been either exhausted or not timely pursued. This procedure
cannot be used to modify any findings of fact, conclusions of law, or the
reasons for the decision contained in the order.
(a) The Board will entertain petitions for
modification of the disciplinary portion of previously issued orders upon
strict compliance with the procedures set forth in subparagraph (b) only when
the petitioner can prove that compliance with any one or more of the conditions
or terms of the discipline previously ordered is impossible. For purposes of
this rule the term "impossible" does not mean that compliance is inconvenient
or impractical for personal, financial, scheduling or other reasons.
(b) Procedures
1. The petitioner shall submit a written and
signed Petition for Order Modification to the Board's Office that shall contain
all of the following:
(i) A copy of the
previously issued order; and
(ii) A
statement of why the petitioner believes it is impossible to comply with the
order as issued; and
(iii) A copy
of all documents that proves that compliance is impossible. If proof of
impossibility of compliance requires testimony of an individual(s), including
that of the petitioner, the petitioner must submit signed and notarized
statements from every individual the petitioner intends to rely upon attesting,
under oath, to the reasons why compliance is impossible. No documentation or
testimony other than that submitted will be considered in making an initial
determination on, or a final order in response to, the petition.
2. The Board authorizes
administrative staff to make an initial determination on the petition and take
one of the following actions:
(i) Certify
impossibility of compliance and forward the petition to the Office of General
Counsel for presentation to the Board as an uncontested matter; or
(ii) Deny the petition, after consultation
with the Office of General Counsel, if impossibility of compliance with the
provisions of the previous order is not proven and notify the petitioner of
what proof of impossibility of compliance was either not sufficient or not
submitted.
3. If the
petition is granted, a new order shall be issued reflecting the modifications
authorized by the Board that it deemed appropriate and necessary in relation to
the violations found in the previous order.
4. If the petition is denied either initially
by staff or after presentation to the Board and the petitioner believes
impossibility of compliance with the order has been sufficiently proven, the
petitioner may request, in writing, to appear before the Board not less than
thirty (30) days before the next regularly scheduled meeting of the
Board.
(3)
Civil Penalties - The purpose of this rule is to set out a schedule designating
the minimum and maximum civil penalties which may be assessed pursuant to
T.C.A. §
63-1-134.
(a) Schedule and Amount of Civil Penalties
1. A Type A civil penalty may be imposed
whenever the Board finds the person who is required to be licensed by the Board
is guilty of a violation of T.C.A. § 63-18-101, et seq. or regulations
promulgated pursuant thereto, to such an extent that there is, or is likely to
be a substantial threat to the health, safety and welfare of an individual
client or the public. For purposes of this section, a type A penalty shall
include, but not be limited to, a person who is or was practicing massage
therapy without a license from the Board. Type A civil penalties shall be
assessed in the amount of not less than $500 and not more than $1,000.
2. A Type B civil penalty may be
imposed whenever the Board finds the person required to be licensed by the
Board is guilty of a violation of T.C.A. §
63-18-101, et seq. or regulations
promulgated pursuant thereto in such manner as to impact directly on the care
of clients or the public. Type B civil penalties may be assessed in the amount
of not less than $100 and not more than $500.
3. A Type C civil penalty may be imposed
whenever the Board finds the person required to be licensed, permitted, or
authorized by the Board is guilty of a violation of T.C.A. §
63-18-101, et seq. or regulations
promulgated pursuant thereto, which is neither directly detrimental to the
clients or public, nor directly impacts their care, but has only an indirect
relationship to client care or the public. Type C civil penalties may be
assessed in the amount of not less than $1 and not more than $100.
(b) Procedures for Assessing Civil
Penalties
1. During a contested case
proceeding the Board may assess civil penalties in a type and amount which was
not recommended by the Office of General Counsel.
2. In assessing civil penalties pursuant to
these rules the Board may consider the following factors:
(i) Whether the amount imposed will be a
substantial economic deterrent to the violator;
(ii) The circumstances leading to the
violation;
(iii) The severity of
the violation and the risk of harm to the public;
(iv) The economic benefits gained by the
violator as a result of non - compliance; and
(v) The interest of the public.
3. All proceedings for the
assessment of civil penalties shall be governed by the contested case
provisions of T.C.A. Title 4, Chapter 5.