2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle E - Regulation of Nursing › Chapter 301 - Nurses › Subchapter J. Prohibited Practices and Disciplinary Actions › Section 301.4521. Physical and Psychological Evaluation

Sec. 301.4521.  PHYSICAL AND PSYCHOLOGICAL EVALUATION.  (a)  In this section:
(1)  "Applicant" means:
(A)  a petitioner for a declaratory order of eligibility for a license; or
(B)  an applicant for an initial license or  renewal of a license.
(2)  "Evaluation" means a physical or psychological evaluation conducted to determine a person's fitness to practice nursing.
(b)  The board may require a nurse or applicant to submit to an evaluation only if the board has probable cause to believe that the nurse or applicant is unable to practice nursing with reasonable skill and safety to patients because of:
(1)  physical impairment;
(2)  mental impairment; or
(3)  chemical dependency or abuse of drugs or alcohol.
(c)  A demand for an evaluation under Subsection (b) must be in writing and state:
(1)  the reasons probable cause exists to require the evaluation; and
(2)  that refusal by the nurse or applicant to submit to the evaluation will result in an administrative hearing to be held to make a final determination of whether probable cause for the evaluation exists.
(d)  If the nurse or applicant refuses to submit to the evaluation, the board shall schedule a hearing on the issue of probable cause to be conducted by the State Office of Administrative Hearings.  The nurse or applicant must be notified of the hearing by personal service or certified mail.   The hearing is limited to the issue of whether the board had probable cause to require an evaluation. The nurse or applicant may present testimony and other evidence at the hearing to show why the nurse or applicant should not be required to submit to the evaluation.  The board has the burden of proving that probable cause exists.  At the conclusion of the hearing, the hearing officer shall enter an order requiring the nurse or applicant to submit to the evaluation or an order rescinding the board's demand for an evaluation.  The order may not be vacated or modified under Section 2001.058, Government Code.
(e)  If a nurse or applicant refuses to submit to an evaluation after an order requiring the evaluation is entered under Subsection (d), the board may:
(1)  refuse to issue or renew a license;
(2)  suspend a license; or
(3)  issue an order limiting the license.
(f)  The board may request a nurse or applicant to consent to an evaluation by a practitioner approved by the board for a reason other than a reason listed in Subsection (b).  A request for an evaluation under this subsection must be in writing and state:
(1)  the reasons for the request;
(2)  the type of evaluation requested;
(3)  how the board may use the evaluation;
(4)  that the nurse or applicant may refuse to submit to an evaluation; and
(5)  the procedures for submitting an evaluation as evidence in any hearing regarding the issuance or renewal of the nurse's or applicant's license.
(g)  If a nurse or applicant refuses to consent to an evaluation under Subsection (f), the nurse or applicant may not introduce an evaluation into evidence at a hearing to determine the nurse's or applicant's right to be issued or retain a nursing license unless the nurse or applicant:
(1)  not later than the 30th day before the date of the hearing, notifies the board that an evaluation will be introduced into evidence at the hearing;
(2)  provides the board the results of that evaluation;
(3)  informs the board of any other evaluations by any other practitioners; and
(4)  consents to an evaluation by a practitioner that meets board standards established under Subsection (h).
(h)  The board shall establish by rule the qualifications for a licensed practitioner to conduct an evaluation under this section.  The board shall maintain a list of qualified practitioners.  The board may solicit qualified practitioners located throughout the state to be on the list.
(i)  A nurse or applicant shall pay the costs of an evaluation conducted under this section.
(j)  The results of an evaluation under this section are:
(1)  confidential and not subject to disclosure under Chapter 552, Government Code; and
(2)  not subject to disclosure by discovery, subpoena, or other means of legal compulsion for release to anyone, except that the results may be:
(A)  introduced as evidence in a proceeding before the board or a hearing conducted by the State Office of Administrative Hearings under this chapter;
(B)  included in the findings of fact and conclusions of law in a final board order; and
(C)  disclosed to a peer assistance program approved by the board under Chapter 467, Health and Safety Code, and to which the board has referred the nurse.
(k)  If the board determines there is insufficient evidence to bring action against a person based on the results of any evaluation under this section, the evaluation must be expunged from the board's records.
(l)  The board shall adopt guidelines for requiring or requesting a nurse or applicant to submit to an evaluation under this section.
(m)  The authority granted to the board under this section is in addition to the board's authority to make licensing decisions under this chapter.
Added by Acts 2009, 81st Leg., R.S., Ch. 999 (H.B. 3961), Sec. 10, eff. June 19, 2009.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 878 (S.B. 193), Sec. 4, eff. September 1, 2011.