Bill Text: TX SB613 | 2025-2026 | 89th Legislature | Introduced


Bill Title: Relating to the regulation of the practice of veterinary medicine; increasing a civil penalty.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-12-13 - Filed [SB613 Detail]

Download: Texas-2025-SB613-Introduced.html
  89R3057 CMO-F
 
  By: Hinojosa S.B. No. 613
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the regulation of the practice of veterinary medicine;
  increasing a civil penalty.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 801.002, Occupations Code, is amended by
  amending Subdivisions (1) and (1-a) and adding Subdivisions (1-b)
  and (1-c) to read as follows:
               (1)  "Affiliate" means a legal entity that directly or
  indirectly controls, is controlled by, or is under common control
  with another legal entity or that shares common branding with
  another legal entity by means of:
                     (A)  the ownership of, or the power to vote, more
  than 25 percent of the outstanding shares or participation shares
  of any class of voting security of a legal entity;
                     (B)  the power to control in any manner the
  election of a majority of the directors of, or individuals
  exercising similar functions with respect to, a legal entity; or
                     (C)  the power to exercise in any manner a
  controlling influence over the management or policies of a legal
  entity, including by ownership of equity or securities or by
  contract.
               (1-a) "Board" means the State Board of Veterinary
  Medical Examiners.
               (1-b) "Business entity" means an entity recognized by
  law through which business for profit is conducted, including:
                     (A)  a private equity firm, service management
  organization, sole proprietorship, corporation, limited or general
  partnership, limited liability company, limited liability
  partnership, business trust, investment asset manager, real estate
  investment trust, joint venture, joint stock company, holding
  company, receivership, firm, organization, estate, association, or
  other entity or successor in interest recognized by law through
  which business for profit is conducted; and
                     (B)  a wholly owned subsidiary, majority-owned
  subsidiary, parent company, or affiliate of an entity or
  association described by Paragraph (A).
               (1-c) [(1-a)]  "Certified veterinary assistant" means
  a person who has been certified as a certified veterinary assistant
  by the Texas Veterinary Medical Association and is employed by a
  licensed veterinarian.
         SECTION 2.  Section 801.352, Occupations Code, is amended by
  amending Subsection (a) and adding Subsections (c-1) and (e) to
  read as follows:
         (a)  The professional services of a veterinarian may not be
  controlled or exploited, including by contract, by a person who:
               (1)  is not a veterinarian; and
               (2)  intervenes between the veterinarian and the
  veterinarian's client.
         (c-1)  Unless each owner, partner, or shareholder, as
  appropriate, of a business entity holds a license to practice
  veterinary medicine issued under this chapter:
               (1)  for purposes of Subsection (a), the business
  entity is considered a person who is not a veterinarian; and
               (2)  for purposes of Subsections (b) and (c), the
  business entity is considered a person who does not hold a license
  to practice veterinary medicine.
         (e)  For purposes of this section:
               (1)  conduct prohibited by Section 801.506(b) is
  considered to be an intervention with respect to a veterinarian's
  practice of veterinary medicine; and
               (2)  a contract or other arrangement between a
  veterinarian and another person that provides the person with a
  controlling influence over the veterinarian's practice of
  veterinary medicine, including by authorizing any conduct
  prohibited by Section 801.506(b), is considered to be submission to
  interference with the practice of veterinary medicine.
         SECTION 3.  Subchapter H, Chapter 801, Occupations Code, is
  amended by adding Section 801.3525 to read as follows:
         Sec. 801.3525.  CERTAIN CONTRACTS AND CONTRACT PROVISIONS
  PROHIBITED. (a)  A contract between a veterinarian and a private
  equity firm, or a person owned or controlled in any manner or to any
  extent by a private equity firm, that involves either the
  furnishing of business or management services to the veterinarian
  or the purchase of property related to the veterinarian's practice
  may not include a provision that prohibits the veterinarian from:
               (1)  competing with another veterinarian in which the
  private equity firm or person has a financial interest; or
               (2)  disparaging or commenting on any issues involving
  the quality of care, utilization of care, ethical or professional
  standards or guidelines, or revenue-increasing strategies employed
  or influenced by the private equity firm or person.
         (b)  A contract provision described by Subsection (a) is
  void.
         (c)  A veterinarian may not enter into a contract described
  by Section 801.506(b)(15) with a private equity firm or a person
  owned or controlled in any manner or to any extent by a private
  equity firm.  A contract described by this subsection is void.
         SECTION 4.  Section 801.354, Occupations Code, is amended to
  read as follows:
         Sec. 801.354.  AUTHORIZED BUSINESS PRACTICES.  (a) It is not
  a violation of this chapter for a veterinarian, or a business entity
  authorized under this chapter to render veterinary services, to, in
  connection with providing veterinary services:
               (1)  lease space for the purpose of providing
  veterinary services;
               (2)  pay for franchise fees [or other services] on a
  percentage-of-receipts basis; [or]
               (3)  sell, transfer, or assign accounts receivable to a
  lending institution;
               (4)  repair, renovate, or replace any facility,
  information system, or medical equipment owned or leased by the
  veterinarian or business entity;
               (5)  provide accounting, financial planning, payroll,
  bookkeeping, budget, investment, billing and collection, tax
  compliance, or similar financial services;
               (6)  provide clerical, reception, secretarial,
  messaging, scheduling, boarding, cleaning, or similar services;
               (7)  provide advertising, marketing, or public
  relations services in compliance with rules adopted by the board;
               (8)  provide contract negotiation, drafting, or
  similar legal services;
               (9)  assist in recruiting, training, including
  continuing education, or legal and logistical peer review services;
  or
               (10)  provide insurance, purchasing, or claims
  services.
         (b)  The payment or receipt of consideration for services
  described by Subsection (a) that is based on a percentage of gross
  revenue, or a similar type of contract, is not a violation of this
  chapter if the consideration is commensurate with:
               (1)  the value of the services provided; or
               (2)  the fair rental value of any space leased or
  provided.
         SECTION 5.  Section 801.402, Occupations Code, is amended to
  read as follows:
         Sec. 801.402.  GENERAL GROUNDS FOR LICENSE DENIAL OR
  DISCIPLINARY ACTION.  A person is subject to denial of a license or
  to disciplinary action under Section 801.401 if the person:
               (1)  presents to the board dishonest or fraudulent
  evidence of the person's qualifications;
               (2)  commits fraud or deception in the examination
  process or to obtain a license;
               (3)  is chronically or habitually intoxicated,
  chemically dependent, or addicted to drugs;
               (4)  engages in dishonest or illegal practices in, or
  connected with, the practice of veterinary medicine or the practice
  of equine dentistry;
               (5)  is convicted of a felony under the laws of this
  state, another state, or the United States;
               (6)  engages in practices or conduct that violates this
  chapter, a rule adopted by the board, or the board's rules of
  professional conduct;
               (7)  permits another to use the person's license to
  practice veterinary medicine or to practice equine dentistry in
  this state;
               (8)  fraudulently issues a health certificate,
  vaccination certificate, test chart, or other form used in the
  practice of veterinary medicine or the practice of equine dentistry
  that relates to the presence or absence of animal disease;
               (9)  issues a false certificate relating to the sale
  for human consumption of inedible animal products;
               (10)  commits fraud in connection with the application
  or reporting of a test of animal disease;
               (11)  pays or receives a kickback, rebate, bonus, or
  other remuneration for treating an animal or for referring a client
  to another provider of veterinary or equine dental services or
  goods;
               (12)  performs or prescribes unnecessary or
  unauthorized treatment;
               (13)  orders a prescription drug or controlled
  substance for the treatment of an animal without first establishing
  a veterinarian-client-patient relationship;
               (14)  refuses to admit a board representative to
  inspect the person's client and patient records and business
  premises during regular business hours;
               (15)  fails to keep the person's equipment and business
  premises in a sanitary condition;
               (16)  commits gross malpractice or a pattern of acts
  that indicate consistent malpractice, negligence, or incompetence
  in the practice of veterinary medicine or the practice of equine
  dentistry;
               (17)  is subject to disciplinary action in another
  jurisdiction, including the suspension, probation, or revocation
  of a license to practice veterinary medicine or to practice equine
  dentistry issued by another jurisdiction;
               (18)  is convicted for an offense under Section 42.09,
  42.091, or 42.092, Penal Code;
               (19)  represents the person as a veterinarian without a
  license issued under this chapter;
               (20)  practices veterinary medicine or assists in the
  practice of veterinary medicine without a license issued under this
  chapter, including by directly or indirectly aiding or abetting an
  unlicensed person in connection with the practice of veterinary
  medicine without the appropriate license; or
               (21)  violates Section 801.353 or a rule adopted by the
  board related to confidentiality.
         SECTION 6.  Section 801.502, Occupations Code, is amended by
  adding Subsections (c) and (d) to read as follows:
         (c)  Violation of an injunction issued under this section may
  be punished as contempt. Instead of the fine authorized by Section
  21.002(b), Government Code, the punishment for contempt under this
  section is a fine of not more than $1,000 for each day the violation
  of the injunction continues.
         (d)  A district or county attorney who prevails in an action
  brought under this section may recover reasonable attorney's fees
  and court costs.
         SECTION 7.  Section 801.503, Occupations Code, is amended by
  amending Subsections (a) and (b) and adding Subsections (c) and (d)
  to read as follows:
         (a)  A person not licensed under this chapter, including a
  corporation, organization, business trust, estate, trust,
  partnership, association, or other legal entity, who violates this
  chapter or a rule adopted by the board under this chapter is subject
  to a civil penalty of $5,000 [$1,000] for each day of violation.
         (b)  The attorney general or a district or county attorney
  may bring an action to recover a civil penalty authorized by this
  section.  At the request of the board, the attorney general shall
  bring the [an] action [to recover a civil penalty authorized by this
  section].
         (c)  The venue provisions of Section 801.502(b) apply to an
  action brought against a person subject to the civil penalty under
  this section.
         (d)  A district or county attorney who prevails in an action
  brought under this section may recover reasonable attorney's fees
  and court costs.
         SECTION 8.  Section 801.504(a), Occupations Code, is amended
  to read as follows:
         (a)  A person, including an entity, commits an offense if the
  person violates this chapter or a rule adopted by the board under
  this chapter.
         SECTION 9.  Subchapter K, Chapter 801, Occupations Code, is
  amended by adding Section 801.5045 to read as follows:
         Sec. 801.5045.  DUTY TO PROVIDE EVIDENCE OF CRIMINAL
  OFFENSE. Notwithstanding Section 801.207, the board shall provide
  to the appropriate prosecuting attorney a copy of any evidence in
  the board's possession of an offense under Section 801.504.
         SECTION 10.  Sections 801.506(a) and (b), Occupations Code,
  are amended to read as follows:
         (a)  A business entity [sole proprietorship, partnership, or
  corporation] may not engage in veterinary medicine unless each
  [the] owner, [each] partner, [or each] shareholder, director, or
  officer, as appropriate, holds a license to practice veterinary
  medicine issued under this chapter.
         (b)  A business entity [corporation, organization, business
  trust, estate, trust, partnership, association, or other legal
  entity] not owned exclusively by one or more persons licensed to
  practice veterinary medicine under this chapter may not:
               (1)  engage in veterinary medicine;
               (2)  employ a veterinarian to practice veterinary
  medicine;
               (3)  determine the compensation of a veterinarian for
  the practice of veterinary medicine;
               (4)  determine the fees or other amounts to be charged
  by a veterinarian for the veterinarian's practice of veterinary
  medicine;
               (5)  determine the number of patients a veterinarian
  may see in a specified time or the number of hours a veterinarian
  may work;
               (6)  determine the amount of time a veterinarian may
  spend with a patient;
               (7)  own a drug, biologic, anesthetic, apparatus, or
  other therapeutic or diagnostic substance or technique used in the
  practice of veterinary medicine, unless owned in compliance with
  applicable state or federal law;
               (8)  own or otherwise determine the content of patient
  and business records of a veterinarian in violation of Section
  801.355(f);
               (9)  mandate compliance with specific professional
  standards, protocols, or practice guidelines relating to the
  practice of veterinary medicine;
               (10)  place limitations or conditions on
  communications the subject of which are primarily clinical between
  a veterinarian and the veterinarian's clients;
               (11)  require a veterinarian to make a referral to
  another provider of veterinary or equine dental services or goods
  in violation of Section 801.402;
               (12)  reduce or delay any financial benefit owed to or
  institute any adverse change to the working conditions of a
  veterinarian in response to the veterinarian reporting a violation
  of a law regulating the practice of veterinary medicine;
               (13)  require a veterinarian to violate Section 801.353
  or a rule adopted by the board related to the confidential
  relationship between the veterinarian and the veterinarian's
  client;
               (14)  determine the coding and billing procedures for
  the veterinarian's practice of veterinary medicine;
               (15)  enter into a contract with a veterinarian to
  provide business or management services in exchange for a
  percentage of revenue received directly or indirectly from:
                     (A)  the performance of a veterinary service by
  the veterinarian;
                     (B)  the collection of the veterinarian's
  accounts receivable; or
                     (C)  fees or other amounts to be charged by the
  veterinarian or passed through by the veterinarian directly or
  indirectly to a client or insurer covering veterinary services;
               (16)  set conditions under which a veterinarian is
  legally obligated to enter into a contract with a vendor or insurer;
               (17)  set conditions under which a veterinarian is
  legally obligated to enter into a contract with another
  veterinarian for the delivery of care; or
               (18)  exercise control over, exploit, be delegated the
  power to approve, intervene in, or interfere with, a
  veterinarian's:
                     (A)  selection or use of a type or quality of
  medical supplies, medical equipment, or pharmaceuticals in the
  practice of veterinary medicine;
                     (B)  professional medical judgment regarding the
  health of an animal patient; or
                     (C)  practice of veterinary medicine.
         SECTION 11.  Chapter 801, Occupations Code, as amended by
  this Act, applies only to a contract entered into or renewed on or
  after the effective date of this Act.  A contract entered into or
  renewed before the effective date of this Act is governed by the law
  in effect on the date the contract was entered into or renewed, and
  the former law is continued in effect for that purpose.
         SECTION 12.  Chapter 801, Occupations Code, as amended by
  this Act, applies only to conduct that occurs on or after the
  effective date of this Act.  Conduct that occurs before the
  effective date of this Act is governed by the law in effect on the
  date the conduct occurred, and the former law is continued in effect
  for that purpose.
         SECTION 13.  This Act takes effect September 1, 2025.
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