(a) Purpose. These disciplinary sanction guidelines are designed to provide guidance in assessing sanctions for violations of the Occupations Code, Chapter 507, and the Council's rules. The purpose of disciplinary sanctions is to protect the public, deter future violations, offer opportunities for rehabilitation if appropriate, punish violators, and deter others from violations. These guidelines are intended to promote consistent sanctions for similar violations, facilitate timely resolution of cases, and encourage settlements.
  (1) Single Violation. The standard disciplinary sanctions outlined in the applicable schedule of sanctions shall apply to cases involving a single violation, and in which there are no aggravating or mitigating factors.
  (2) Multiple Violations. The Council may impose more severe or restrictive sanctions for multiple violations.
  (3) Aggravating and Mitigating Factors. The Council may impose more or less severe or restrictive sanctions, based on any aggravating and/or mitigating factors that are found to apply in a particular case.
  (4) The standard and minimum disciplinary sanctions outlined below are applicable to persons who are being sanctioned for the first time. The Council may consider more severe or restrictive sanctions if a person has had a sanction assessed against them previously.
  (5) The maximum disciplinary sanction in all cases is revocation of the license, which may be accompanied by an administrative penalty of up to $5,000 per violation. In accordance with §507.352 of the Occupations Code, each day the violation continues or occurs is a separate violation.
  (6) Each violation constitutes a separate offense, even if arising out of a single act.
  (7) Failure to list a specific violation or Council rule in this rule does not prevent the Council from taking disciplinary action for such a violation.
  (8) If a sanction for a violation of state or federal law is not listed in this rule, or specifically stated elsewhere, the sanction shall be a reprimand and administrative penalty.
  (9) Notwithstanding paragraph (8) of this subsection, the Council will evaluate and determine the appropriate sanction for a licensee with a qualifying criminal conviction in accordance with §53.021 of the Occupations Code.
  (10) The Council may combine an administrative penalty with another standard disciplinary sanction to protect the public or deter future violations.
(b) Standard Disciplinary Sanctions. The Council may impose the following disciplinary sanctions which are listed in descending order of severity:
  (1) Revocation;
  (2) Suspension for a definite period of time;
  (3) Suspension plus probation of any or all of the suspension period;
  (4) Probation of the license for a definite period of time;
  (5) Reprimand; and
  (6) Administrative penalty.
(c) The following standard disciplinary sanctions shall apply to violations of:
Attached Graphic
(d) Additional Conditions. The Council may impose additional conditions or restrictions upon a license deemed necessary to facilitate the rehabilitation and education of the licensee and to protect the public, including but not limited to:
  (1) Consultation with the licensee on matters of ethics rules, laws and standards of practice by a licensed professional approved by the Council;
  (2) Restrictions on the licensee's ability to provide certain types of services or to provide services to certain classes of patients;
  (3) Restrictions on the licensee's supervision of others in a particular area of practice;
  (4) Completion of a specified number of continuing education hours on specified topics approved in advance by the Council in addition to any minimum number required of all licensees as a condition of licensure;
  (5) Taking and passing with the minimum required score of any examination required by the Council of a licensee; and
  (6) Undergoing a psychological or medical evaluation by a qualified professional approved in advance by the Council and undergoing any treatment recommended pursuant to the evaluation.
(e) Aggravating Factors. Aggravating factors are those which may increase the severity of unprofessional conduct, justifying the imposition of a more severe penalty. Such factors include, but are not limited to the following:
  (1) Physical or emotional harm and the type and severity thereof;
  (2) Economic harm to any individual or entity and the severity thereof;
  (3) Increased potential for harm to the public;
  (4) Attempted concealment of misconduct;
  (5) Premeditated conduct;
  (6) Intentional misconduct;
  (7) Prior written warnings or written admonishments from any supervisor or governmental agency or official regarding statutes or regulations pertaining to the licensee's practice;
  (8) Prior misconduct of a similar or related nature;
  (9) Disciplinary history;
  (10) Likelihood of future misconduct of a similar nature;
  (11) Violation of a Council order;
  (12) Failure to implement remedial measures to correct or alleviate harm arising from the misconduct;
  (13) Lack of rehabilitative effort or potential; and
  (14) Improper or inappropriate motive.
(f) Mitigating Factors. Mitigating factors are those which may reduce the severity of unprofessional conduct. Such factors include, but are not limited to the following:
  (1) Acceptance of responsibility;
  (2) Self-reporting of unprofessional conduct;
  (3) Implementation of remedial measures to correct or mitigate harm arising from the unprofessional conduct;
  (4) Good-faith motive;
  (5) Rehabilitative efforts or potential; and
  (6) Prior community service.

Source Note: The provisions of this §884.20 adopted to be effective September 1, 2020, 45 TexReg 4767; amended to be effective September 21, 2022, 47 TexReg 5865