R156.  Commerce, Occupational and Professional Licensing.
R156-1.  General Rule of the Division of Occupational and Professional Licensing.
R156-1-101.  Title.
	This rule is known as the "General Rule of the Division of Occupational and Professional Licensing."

R156-1-102.  Definitions.
	In addition to the definitions in Title 58, as used in Title 58 or this rule:
	(1)  "Active and in good standing" means a licensure status which allows the licensee full privileges to engage in the practice of the occupation or profession subject to the scope of the licensee's license classification.  A license that has been placed on probation subject to terms and conditions is not active and in good standing.
	(2)  "Aggravating circumstances" means any consideration or factors that may justify an increase in the severity of an action to be imposed upon an applicant or licensee.  Aggravating circumstances include:
	(a)  prior record of disciplinary action, unlawful conduct, or unprofessional conduct;
	(b)  dishonest or selfish motive;
	(c)  pattern of misconduct;
	(d)  multiple offenses;
	(e)  obstruction of the disciplinary process by intentionally failing to comply with rules or orders of the Division;
	(f)  submission of false evidence, false statements or other deceptive practices during the disciplinary process including creating, destroying or altering records after an investigation has begun;
	(g)  refusal to acknowledge the wrongful nature of the misconduct involved, either to the client or to the Division;
	(h)  vulnerability of the victim;
	(i)  lack of good faith to make restitution or to rectify the consequences of the misconduct involved;
	(j)  illegal conduct, including the use of controlled substances; and
	(k)  intimidation or threats of withholding clients' records or other detrimental consequences if the client reports or testifies regarding the unprofessional or unlawful conduct.
	(3)  "Cancel" or "cancellation" means nondisciplinary action by the Division to rescind, repeal, annul, or void a license:
	(a)  issued to a licensee in error, such as where a license is issued to an applicant:
	(i)  whose payment of the required application fee is dishonored when presented for payment;
	(ii)  who has been issued a conditional license pending a criminal background check and the check cannot be completed due to the applicant's failure to resolve an outstanding warrant or to submit acceptable fingerprint cards;
	(iii)  who has been issued the wrong classification of licensure; or
	(iv)  due to any other error in issuing a license; or
	(b)  not issued erroneously, but where subsequently the licensee fails to maintain the ongoing qualifications for licensure, when such failure is not otherwise defined as unprofessional or unlawful conduct.
	(4)  "Charges" means the acts or omissions alleged to constitute either unprofessional or unlawful conduct or both by a licensee, which serve as the basis to consider a licensee for inclusion in the diversion program authorized in Section 58-1-404.
	(5)  "Conditional licensure" means an interim non-adverse licensure action, in which a license is issued to an applicant for initial, renewal, or reinstatement of licensure on a conditional basis in accordance with Section R156-1-308f, while an investigation, inspection, or audit is pending.
	(6)  "Denial of licensure" means action by the Division refusing to issue a license to an applicant for initial licensure, renewal of licensure, reinstatement of licensure or relicensure.
	(7)(a)  "Disciplinary action" means adverse licensure action by the Division under the authority of Subsections 58-1-401(2)(a) through (2)(b).
	(b)  "Disciplinary action", as used in Subsection 58-1-401(5), shall not be construed to mean an adverse licensure action taken in response to an application for licensure.  Rather, as used in Subsection 58-1-401(5), it shall be construed to mean an adverse action initiated by the Division.
	(8)  "Diversion agreement" means a formal written agreement between a licensee, the Division, and a diversion committee, outlining the terms and conditions with which a licensee must comply as a condition of entering in and remaining under the diversion program authorized in Section 58-1-404.
	(9)  "Diversion committees" mean diversion advisory committees authorized by Subsection 58-1-404(2)(a)(i) and created under Subsection R156-1-404a.
	(10)  "Duplicate license" means a license reissued to replace a license which has been lost, stolen, or mutilated.
	(11)  "Emergency review committees" mean emergency adjudicative proceedings review committees created by the Division under the authority of Subsection 58-1-108(2).
	(12)  "Expire" or "expiration" means the automatic termination of a license which occurs:
	(a)  at the expiration date shown upon a license if the licensee fails to renew the license before the expiration date; or
	(b)  prior to the expiration date shown on the license:
	(i)  upon the death of a licensee who is a natural person;
	(ii)  upon the dissolution of a licensee who is a partnership, corporation, or other business entity; or
	(iii)  upon the issuance of a new license which supersedes an old license, including a license which:
	(A)  replaces a temporary license;
	(B)  replaces a student or other interim license which is limited to one or more renewals or other renewal limitation; or
	(C)  is issued to a licensee in an upgraded classification permitting the licensee to engage in a broader scope of practice in the licensed occupation or profession.
	(13)  "Inactive" or "inactivation" means action by the Division to place a license on inactive status in accordance with Sections 58-1-305 and R156-1-305.
	(14)  "Investigative subpoena authority" means, except as otherwise specified in writing by the director, the Division regulatory and compliance officer, or if the Division regulatory and compliance officer is unable to so serve for any reason, a Department administrative law judge, or if both the Division regulatory and compliance officer and a Department administrative law judge are unable to so serve for any reason, an alternate designated by the director in writing.
	(15)  "License" means a right or privilege to engage in the practice of a regulated occupation or profession as a licensee.
	(16)  "Limit" or "limitation" means nondisciplinary action placing either terms and conditions or restrictions or both upon a license:
	(a)  issued to an applicant for initial licensure, renewal or reinstatement of licensure, or relicensure; or
	(b)  issued to a licensee in place of the licensee's current license or disciplinary status.
	(17)  "Mitigating circumstances" means any consideration or factors that may justify a reduction in the severity of an action to be imposed upon an applicant or licensee.
	(a)  Mitigating circumstances include:
	(i)  absence of prior record of disciplinary action, unlawful conduct or unprofessional conduct;
	(ii)  personal, mental or emotional problems provided such problems have not posed a risk to the health, safety or welfare of the public or clients served such as drug or alcohol abuse while engaged in work situations or similar situations where the licensee or applicant should know that they should refrain from engaging in activities that may pose such a risk;
	(iii)  timely and good faith effort to make restitution or rectify the consequences of the misconduct involved;
	(iv)  full and free disclosure to the client or Division prior to the discovery of any misconduct;
	(v)  inexperience in the practice of the occupation and profession provided such inexperience is not the result of failure to obtain appropriate education or consultation that the applicant or licensee should have known they should obtain prior to beginning work on a particular matter;
	(vi)  imposition of other penalties or sanctions if the other penalties and sanctions have alleviated threats to the public health, safety, and welfare; and
	(vii)  remorse.
	(b)  The following factors may not be considered as mitigating circumstances:
	(i)  forced or compelled restitution;
	(ii)  withdrawal of complaint by client or other affected persons;
	(iii)  resignation prior to disciplinary proceedings;
	(iv)  failure of injured client to complain;
	(v)  complainant's recommendation as to sanction; and
	(vi)  in an informal disciplinary proceeding brought pursuant to Subsection 58-1-501(2)(c) or (d) or Subsections R156-1-501(1) through (5):
	(A)  argument that a prior proceeding was conducted unfairly, contrary to law, or in violation of due process or any other procedural safeguard;
	(B)  argument that a prior finding or sanction was contrary to the evidence or entered without due consideration of relevant evidence;
	(C)  argument that a respondent was not adequately represented by counsel in a prior proceeding; and
	(D)  argument or evidence that former statements of a respondent made in conjunction with a plea or settlement agreement are not, in fact, true.
	(18)  "Nondisciplinary action" means adverse licensure action by the Division under the authority of Subsections 58-1-401(1) or 58-1-401(2)(c) through (2)(d).
	(19)  "Peer committees" mean advisory peer committees to boards created by the legislature in Title 58 or by the Division under the authority of Subsection 58-1-203(1)(f).
	(20)  "Probation" means disciplinary action placing terms and conditions upon a license;
	(a)  issued to an applicant for initial licensure, renewal or reinstatement of licensure, or relicensure; or
	(b)  issued to a licensee in place of the licensee's current license or disciplinary status.
	(21)  "Public reprimand" means disciplinary action to formally reprove or censure a licensee for unprofessional or unlawful conduct, with the documentation of the action being classified as a public record.
	(22)  "Regulatory authority" as used in Subsection 58-1-501(2)(d) means any governmental entity who licenses, certifies, registers, or otherwise regulates persons subject to its jurisdiction, or who grants the right to practice before or otherwise do business with the governmental entity.
	(23)  "Reinstate" or "reinstatement" means to activate an expired license or to restore a license which is restricted, as defined in Subsection (26)(b), or is suspended, or placed on probation, to a lesser restrictive license or an active in good standing license.
	(24)  "Relicense" or "relicensure" means to license an applicant who has previously been revoked or has previously surrendered a license.
	(25)  "Remove or modify restrictions" means to remove or modify restrictions, as defined in Subsection (25)(a), placed on a license issued to an applicant for licensure.
	(26)  "Restrict" or "restriction" means disciplinary action qualifying or limiting the scope of a license:
	(a)  issued to an applicant for initial licensure, renewal or reinstatement of licensure, or relicensure in accordance with Section 58-1-304; or
	(b)  issued to a licensee in place of the licensee's current license or disciplinary status.
	(27)  "Revoke" or "revocation" means disciplinary action by the Division extinguishing a license.
	(28)  "Suspend" or "suspension" means disciplinary action by the Division removing the right to use a license for a period of time or indefinitely as indicated in the disciplinary order, with the possibility of subsequent reinstatement of the right to use the license.
	(29)  "Surrender" means voluntary action by a licensee giving back or returning to the Division in accordance with Section 58-1-306, all rights and privileges associated with a license issued to the licensee.
	(30)  "Temporary license" or "temporary licensure" means a license issued by the Division on a temporary basis to an applicant for initial licensure, renewal or reinstatement of licensure, or relicensure in accordance with Section 58-1-303.
	(31)  "Unprofessional conduct" as defined in Title 58 is further defined, in accordance with Subsection 58-1-203(1)(e), in Section R156-1-501.
	(32)  "Warning or final disposition letters which do not constitute disciplinary action" as used in Subsection 58-1-108(3) mean letters which do not contain findings of fact or conclusions of law and do not constitute a reprimand, but which may address any or all of the following:
	(a)  Division concerns;
	(b)  allegations upon which those concerns are based;
	(c)  potential for administrative or judicial action; and
	(d)  disposition of Division concerns.

R156-1-102a.  Global Definitions of Levels of Supervision.
	(1)  Except as otherwise provided by statute or rule, the global definitions of levels of supervision herein shall apply to supervision terminology used in Title 58 and Title R156, and shall be referenced and used, to the extent practicable, in statutes and rules to promote uniformity and consistency.
	(2)  Except as otherwise provided by statute or rule, all unlicensed personnel specifically allowed to practice a regulated occupation or profession are required to practice under an appropriate level of supervision defined herein, as specified by the licensing act or licensing act rule governing each occupation or profession.
	(3)  Except as otherwise provided by statute or rule, all license classifications required to practice under supervision shall practice under an appropriate level of supervision defined herein, as specified by the licensing act or licensing act rule governing each occupation or profession.
	(4)  Levels of supervision are defined as follows:
	(a)  "Direct supervision" and "immediate supervision" mean the supervising licensee is present and available for face-to-face communication with the person being supervised when and where occupational or professional services are being provided.
	(b)  "Indirect supervision" means the supervising licensee:
	(i)  has given either written or verbal instructions to the person being supervised;
	(ii)  is present within the facility in which the person being supervised is providing services; and
	(iii)  is available to provide immediate face-to-face communication with the person being supervised as necessary.
	(c)  "General supervision" means that the supervising licensee:
	(i)  has authorized the work to be performed by the person being supervised;
	(ii)  is available for consultation with the person being supervised by personal face-to-face contact, or direct voice contact by telephone, radio or some other means, without regard to whether the supervising licensee is located on the same premises as the person being supervised; and
	(iii)  can provide any necessary consultation within a reasonable period of time and personal contact is routine.
	(5)  "Supervising licensee" means a licensee who has satisfied any requirements to act as a supervisor and has agreed to provide supervision of an unlicensed individual or a licensee in a classification or licensure status that requires supervision in accordance with the provisions of this chapter.

R156-1-103.  Authority - Purpose.
	This rule is adopted by the Division under the authority of Subsection 58-1-106(1)(a) to enable the Division to administer Title 58.

R156-1-106.  Division - Duties, Functions, and Responsibilities.
	(1)  In accordance with Subsection 58-1-106(2), the following responses to requests for lists of licensees may include multiple licensees per request and may include home telephone numbers, home addresses, and e-mail addresses, subject to the restriction that the addresses and telephone numbers shall only be used by a requester for purposes for which the requester is properly authorized:
	(a)  responses to requests from another governmental entity, government-managed corporation, a political subdivision, the federal government, another state, or a not-for-profit regulatory association to which the Division is a member;
	(b)  responses to requests from an occupational or professional association, private continuing education organizations, trade union, university, or school, for purposes of education programs for licensees;
	(c)  responses to a party to a prelitigation proceeding convened by the Division under Title 78, Chapter 14;
	(d)  responses to universities, schools, or research facilities for the purposes of research;
	(e)  responses to requests from licensed health care facilities or third party credentialing services, for the purpose of verifying licensure status for issuing credentialing or reimbursement purposes; and
	(f)  responses to requests from a person preparing for, participating in, or responding to:
	(i)  a national, state or local emergency;
	(ii)  a public health emergency as defined in Section 26-23b-102; or
	(iii)  a declaration by the President of the United States or other federal official requesting public health-related activities.
	(2)  In accordance with Subsection 58-1-106(3)(a) and (b), the Division may deny a request for an address or telephone number of a licensee to an individual who provides proper identification and the reason for the request, in writing, to the Division, if the reason for the request is deemed by the Division to constitute an unwarranted invasion of privacy or a threat to the public health, safety, and welfare.
	(3)  In accordance with Subsection 58-1-106(3)(c), proper identification of an individual who requests the address or telephone number of a licensee and the reason for the request, in writing, shall consist of the individual's name, mailing address, and daytime number, if available.

R156-1-107.  Organization of Rules - Content, Applicability and Relationship of Rules.
	(1)  The rules and sections in Title R156 shall, to the extent practicable, follow the numbering and organizational scheme of the chapters in Title 58.
	(2)  Rule R156-1 shall contain general provisions applicable to the administration and enforcement of all occupations and professions regulated in Title 58.
	(3)  The provisions of the other rules in Title R156 shall contain specific or unique provisions applicable to particular occupations or professions.
	(4)  Specific rules in Title R156 may supplement or alter Rule R156-1 unless expressly provided otherwise in Rule R156-1.

R156-1-109.  Presiding Officers.
	In accordance with Subsection 63G-4-103(1)(h), Sections 58-1-104, 58-1-106, 58-1-109, 58-1-202, 58-1-203, 58-55-103, and 58-55-201, except as otherwise specified in writing by the Director, or for Title 58, Chapter 55, the Construction Services Commission, the designation of presiding officers is clarified or established as follows:
	(1)  The Division Regulatory and Compliance Officer is designated as the presiding officer for issuance of notices of agency action and for issuance of notices of hearing issued concurrently with a notice of agency action or issued in response to a request for agency action, provided that if the Division Regulatory and Compliance Officer is unable to so serve for any reason, a replacement specified by the Director is designated as the alternate presiding officer.
	(2)  Subsections 58-1-109(2) and 58-1-109(4) are clarified with regard to defaults as follows.  Unless otherwise specified in writing by the Director, or with regard to Title 58, Chapter 55, by the Construction Services Commission, a department administrative law judge is designated as the presiding officer for entering an order of default against a party, for conducting any further proceedings necessary to complete the adjudicative proceeding, and for issuing a recommended order to the Director or Commission, respectively, determining the discipline to be imposed, licensure action to be taken, relief to be granted, etc.
	(3)  Except as provided in Subsection (4) or otherwise specified in writing by the Director, the presiding officer for adjudicative proceedings before the Division are as follows:
	(a)  Director.  The Director shall be the presiding officer for:
	(i)  formal adjudicative proceedings described in Subsections R156-46b-201(1)(b), and R156-46b-201(2)(a) through (c), however resolved, including stipulated settlements and hearings; and
	(ii)  informal adjudicative proceedings described in Subsections R156-46b-202(1)(g), (i), (l), (m), (o), (p), and (r), and R156-46b-202(2)(a), (b)(ii), (c), and (d), however resolved, including memoranda of understanding and stipulated settlements.
	(b)  Bureau Managers or Program Coordinators.  Except for Title 58, Chapter 55, the bureau manager or program coordinator over the occupation or profession or program involved shall be the presiding officer for:
	(i)  formal adjudicative proceedings described in Subsection R156-46b-201(1)(c), for purposes of determining whether a request for a board of appeal is properly filed as set forth in Subsections R156-15A-210(1) through (4); and
	(ii)  informal adjudicative proceedings described in Subsections R156-46b-202(1)(a) through (d),(f), (h), (j), (n) and R156-46b-202(2)(b)(iii).
	(iii)  At the direction of a bureau manager or program coordinator, a licensing technician or program technician may sign an informal order in the name of the licensing technician or program technician provided the wording of the order has been approved in advance by the bureau manager or program coordinator and provided the caption "FOR THE BUREAU MANAGER" or "FOR THE PROGRAM COORDINATOR" immediately precedes the licensing technician's or program technician's signature.
	(c)  Citation Hearing Officer.  The Division Regulatory and Compliance Officer or other citation hearing officer designated in writing by the Director shall be the presiding officer for the adjudicative proceeding described in Subsection R156-46b-202(1)(k).
	(d)  Uniform Building Code Commission.  The Uniform Building Code Commission shall be the presiding officer for the adjudicative proceeding described in Subsection R156-46b-202(1)(e) for convening a board of appeal under Subsection 15A-1-207(3), for serving as fact finder at any evidentiary hearing associated with a board of appeal, and for entering the final order associated with a board of appeal.  An administrative law judge shall perform the role specified in Subsection 58-1-109(2).
	(e)  Residence Lien Recovery Fund Advisory Board.  The Residence Lien Recovery Fund Advisory Board shall be the presiding officer to serve as the factfinder for formal adjudicative proceedings involving the Residence Lien Recovery Fund.
	(f)  Residence Lien Recovery Fund Manager.  The Residence Lien Recovery Fund manager, bureau manager, or program coordinator designated in writing by the Director shall be the presiding officer for the informal adjudicative proceeding described in Subsection R156-46b-202(1)(q), for approval or denial of an application for a tax credit certificate.
	(4)  Unless otherwise specified in writing by the Construction Services Commission, the presiding officers and process for adjudicative proceedings under Title 58, Chapter 55, are established or clarified as follows:
	(a)  Commission.
	(i)  The Construction Services Commission shall be the presiding officer for all adjudicative proceedings under Title 58, Chapter 55, except as otherwise delegated by the Commission in writing or as otherwise provided in this rule; provided, however, that all orders adopted by the Commission as a presiding officer shall require the concurrence of the Director.
	(ii)  Unless otherwise specified in writing by the Construction Services Commission, the Commission is designated as the presiding officer:
	(A)  for informal adjudicative proceedings described in Subsections R156-46b-202(1)(l), (m), (o), (p), and (q), and R156-46b-202(2)(b)(i), (c), and (d), however resolved, including memoranda of understanding and stipulated settlements;
	(B)  to serve as fact finder and adopt orders in formal evidentiary hearings associated with adjudicative proceedings involving persons licensed as or required to be licensed under Title 58, Chapter 55; and
	(C)  to review recommended orders of a board, an administrative law judge, or other designated presiding officer who acted as the fact finder in an evidentiary hearing involving a person licensed or required to be licensed under Title 58, Chapter 55, and to adopt an order of its own.  In adopting its order, the Commission may accept, modify or reject the recommended order.
	(iii)  If the Construction Services Commission is unable for any reason to act as the presiding officer as specified, it shall designate another presiding officer in writing to so act.
	(iv)  Orders of the Construction Services Commission shall address all issues before the Commission and shall be based upon the record developed in an adjudicative proceeding conducted by the Commission.  In cases in which the Commission has designated another presiding officer to conduct an adjudicative proceeding and submit a recommended order, the record to be reviewed by the Commission shall consist of the findings of fact, conclusions of law, and recommended order submitted to the Commission by the presiding officer based upon the evidence presented in the adjudicative proceeding before the presiding officer.
	(v)  The Construction Services Commission or its designee shall submit adopted orders to the director for the Director's concurrence or rejection within 30 days after it receives a recommended order or adopts an order, whichever is earlier.  An adopted order shall be deemed issued and constitute a final order upon the concurrence of the Director.
	(vi)  In accordance with Subsection 58-55-103(10), if the Director or the Director's designee refuses to concur in an adopted order of the Construction Services Commission or its designee, the Director or the Director's designee shall return the order to the Commission or its designee with the reasons set forth in writing for refusing to concur.  The Commission or its designee shall reconsider and resubmit an adopted order, whether or not modified, within 30 days of the date of the initial or subsequent return.  The Director or the Director's designee shall consider the Commission's resubmission of an adopted order and either concur rendering the order final, or refuse to concur and issue a final order, within 90 days of the date of the initial recommended order.  Provided the time frames in this subsection are followed, this subsection shall not preclude an informal resolution such as an executive session of the Commission or its designee and the Director or the Director's designee to resolve the reasons for the Director's refusal to concur in an adopted order.
	(vii)  The record of the adjudicative proceeding shall include recommended orders, adopted orders, refusals to concur in adopted orders, and final orders.
	(viii)  The final order issued by the Construction Services Commission and concurred in by the Director or the Director's designee, or nonconcurred in by the Director or the Director's Designee, and issued by the Director or the Director's designee, may be appealed by filing a request for agency review with the Executive Director or the Director's designee within the Department.
	(ix)  The content of all orders shall comply with the requirements of Subsection 63G-4-203(1)(i) and Sections 63G-4-208 and 63G-4-209.
	(b)  Director.  The Director or the Director's designee is designated as the presiding officer for the concurrence role, except where the Director or the Director's designee refuses to concur and issues the final order as provided by Subsection (a), on disciplinary proceedings under Subsections R156-46b-202(2)(b)(i), (c), and (d) as required by Subsection 58-55-103(1)(b)(iv).
	(c)  Administrative Law Judge.  Unless otherwise specified in writing by the Construction Services Commission, a Department administrative law judge is designated as the presiding officer to conduct formal adjudicative proceedings before the Commission and its advisory boards, as specified in Subsection 58-1-109(2).
	(d)  Bureau Manager.  Unless otherwise specified in writing by the Construction Services Commission, the responsible bureau manager is designated as the presiding officer for conducting informal adjudicative proceedings specified in Subsections R156-46b-202(1)(a) through (d),(h), and (n).
	(e)  At the direction of a bureau manager, a licensing technician may sign an informal order in the name of the licensing technician provided the wording of the order has been approved in advance by the bureau manager and provided the caption "FOR THE BUREAU MANAGER" immediately precedes the licensing technician's signature.
	(f)  Plumbers Licensing Board.  Except as set forth in Subsection (c) or as otherwise specified in writing by the commission, the Plumbers Licensing Board is designated as the presiding officer to serve as the fact finder and to issue recommended orders to the Construction Services Commission in formal evidentiary hearings associated with adjudicative proceedings involving persons licensed as or required to be licensed as plumbers.
	(g)  Electricians Licensing Board.  Except as set forth in Subsection (c) or as otherwise specified in writing by the commission, the Electricians Licensing Board is designated as the presiding officer to serve as the fact finder and to issue recommended orders to the Construction Services Commission in formal evidentiary hearings associated with adjudicative proceedings involving persons licensed as or required to be licensed as electricians.
	(h)  Alarm System Security and Licensing Board.  Except as set forth in Subsection (c) or as otherwise specified in writing by the Commission, the Alarm System Security and Licensing Board is designated as the presiding officer to serve as the fact finder and to issue recommended orders to the Construction Services Commission in formal evidentiary hearings associated with adjudicative proceedings involving persons licensed as or required to be licensed as alarm companies or agents.

R156-1-110.  Issuance of Investigative Subpoenas.
	(1)  All requests for subpoenas in conjunction with a Division investigation made pursuant to Subsection 58-1-106(1)(c), shall be made in writing to the investigative subpoena authority and shall be accompanied by an original of the proposed subpoena.
	(a)  Requests to the investigative subpoena authority shall contain adequate information to enable the subpoena authority to make a finding of sufficient need, including:  the factual basis for the request, the relevance and necessity of the particular person, evidence, documents, etc., to the investigation, and an explanation why the subpoena is directed to the particular person upon whom it is to be served.
	(b)  Approved subpoenas shall be issued under the seal of the Division and the signature of the subpoena authority.
	(2)  The person who requests an investigative subpoena is responsible for service of the subpoena.
	(3)(a)  Service may be made:
	(i)  on a person upon whom a summons may be served pursuant to the Utah Rules of Civil Procedure; and
	(ii)  personally or on the agent of the person being served.
	(b)  If a party is represented by an attorney, service shall be made on the attorney.
	(4)(a)  Service may be accomplished by hand delivery or by mail to the last known address of the intended recipient.
	(b)  Service by mail is complete upon mailing.
	(c)  Service may be accomplished by electronic means.
	(d)  Service by electronic means is complete on transmission if transmission is completed during normal business hours at the place receiving the service; otherwise, service is complete on the next business day.
	(5)  There shall appear on all investigative subpoenas a certificate of service.
	(6)  The investigative subpoena authority may quash or modify an investigative subpoena if it is shown to be unreasonable or oppressive.
	(a)  A motion to quash or modify an investigative subpoena shall be filed with and served upon the subpoena authority no later than ten days after service of the investigative subpoena.
	(b)  A response by the Division to a motion to quash or modify an investigative subpoena shall be filed with and served upon the subpoena authority no later than five business days after receipt of a motion to quash or modify an investigative subpoena.
	(c)  No final reply by the recipient of an investigative subpoena who files a motion to quash or modify shall be permitted.

R156-1-111.  Qualifications for Tax Certificate - Definitions - Application Requirements.
	(1)  In addition to the definitions in Title 58, Chapter 1, as used in Title 58, Chapter 1, or in this rule:
	(a)  "Psychiatrist", as defined under Subsection 58-1-111(1)(d, is further defined to include a licensed physician who is board eligible or board certified for a psychiatry specialization recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association's Bureau of Osteopathic Specialists (BOS).
	(b)  Under Subsection 58-1-111(1)(f)(ii), the definition of a "volunteer retired psychiatrist" is further defined to mean a physician or osteopathic physician licensed under Title 58, Chapter 81, Retired Volunteer Health Practitioner Act, who is previously or currently board certified for a psychiatry specialization recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association's Bureau of Osteopathic Specialists (BOS).
	(2)  An applicant for a tax credit certificate under Section 58-1-111 shall provide to the Division:
	(a)  the original application made available on the Division's website, containing the signed attestation of compliance; and
	(b)  any additional documentation that may be required by the Division to verify the applicant's representations made in the application.

R156-1-205.  Peer or Advisory Committees - Executive Director to Appoint - Terms of Office - Vacancies in Office - Removal from Office - Quorum Requirements - Appointment of Chairman - Division to Provide Secretary - Compliance with Open and Public Meetings Act - Compliance with Utah Administrative Procedures Act - No Provision for Per Diem and Expenses.
	(1)  The executive director shall appoint the members of peer or advisory committees established under Title 58 or Title R156.
	(2)  Except for ad hoc committees whose members shall be appointed on a case-by-case basis, the term of office of peer or advisory committee members shall be for four years.  The executive director shall, at the time of appointment or reappointment, adjust the length of terms to ensure that the terms of committee members are staggered so that approximately half of the peer or advisory committee is appointed every two years.
	(3)  No peer or advisory committee member may serve more than two full terms, and no member who ceases to serve may again serve on the peer or advisory committee until after the expiration of two years from the date of cessation of service.
	(4)  If a vacancy on a peer or advisory committee occurs, the executive director shall appoint a replacement to fill the unexpired term.  After filling the unexpired term, the replacement may be appointed for only one additional full term.
	(5)  If a peer or advisory committee member fails or refuses to fulfill the responsibilities and duties of a peer or advisory committee member, including the attendance at peer committee meetings, the executive director may remove the peer or advisory committee member and replace the member in accordance with this section. After filling the unexpired term, the replacement may be appointed for only one additional full term.
	(6)  Committee meetings shall only be convened with the approval of the appropriate board and the concurrence of the Division.
	(7)  Unless otherwise approved by the Division, peer or advisory committee meetings shall be held in the building occupied by the Division.
	(8)  A majority of the peer or advisory committee members shall constitute a quorum and may act in behalf of the peer or advisory committee.
	(9)  Peer or advisory committees shall annually designate one of their members to serve as peer or advisory committee chairman.  The Division shall provide a Division employee to act as committee secretary to take minutes of committee meetings and to prepare committee correspondence.
	(10)  Peer or advisory committees shall comply with the procedures and requirements of Title 52, Chapter 4, Open and Public Meetings, in their meetings.
	(11)  Peer or advisory committees shall comply with the procedures and requirements of Title 63G, Chapter 4, Administrative Procedures Act, in their adjudicative proceedings.
	(12)  Peer or advisory committee members shall perform their duties and responsibilities as public service and shall not receive a per diem allowance, or traveling or accommodations expenses incurred in peer or advisory committees business, except as otherwise provided in Title 58 or Title R156.

R156-1-206.  Emergency Adjudicative Proceeding Review Committees - Appointment - Terms - Vacancies - Removal - Quorum - Chairman and Secretary - Open and Public Meetings Act - Utah Administrative Procedures Act - Per Diem and Expenses.
	(1)  The chairman of the board for the profession of the person against whom an action is proposed may appoint the members of emergency review committees on a case-by-case or period-of-time basis.
	(2)  With the exception of the appointment and removal of members and filling of vacancies by the chairman of a board, emergency review committees, committees shall serve in accordance with Subsections R156-1-205(7), and (9) through (12).

R156-1-301.  Application for Licensure - Filing Date - Applicable Requirements for Licensure - Issuance Date.
	(1)  The filing date for an application for licensure shall be the postmark date of the application or the date the application is received and date stamped by the Division, whichever is earlier.
	(2)  Except as otherwise provided by statute, rule or order, the requirements for licensure applicable to an application for licensure shall be the requirements in effect on the filing date of the application.
	(3)  The issuance date for a license issued to an applicant for licensure shall be as follows:
	(a)  the date the approval is input into the Division's electronic licensure database for applications submitted and processed manually; or
	(b)  the date printed on the verification of renewal certificate for renewal applications submitted and processed electronically via the Division's Internet Renewal System.

R156-1-302.  Consideration of Good Moral Character, Unlawful Conduct, Unprofessional Conduct, or Other Mental or Physical Condition.
	(1)  This section applies in circumstances where an applicant or licensee:
	(a)  is not automatically disqualified from licensure pursuant to a statutory provision; and
	(b)(i)  has history that reflects negatively on the person's moral character, including past unlawful or unprofessional conduct; or
	(ii)  has a mental or physical condition that, when considered with the duties and responsibilities of the license held or to be held, demonstrates a threat or potential threat to the public health, safety or welfare.
	(2)  In a circumstance described in Section (1), the following factors are relevant to a licensing decision:
	(a)  aggravating circumstances, as defined in Subsection R156-1-102(2);
	(b)  mitigating circumstances, as defined in Subsection R156-1-102(17);
	(c)  the degree of risk to the public health, safety or welfare;
	(d)  the degree of risk that a conduct will be repeated;
	(e)  the degree of risk that a condition will continue;
	(f)  the magnitude of the conduct or condition as it relates to the harm or potential harm;
	(g)  the length of time since the last conduct or condition has occurred;
	(h)  the current criminal probationary or parole status of the applicant or licensee;
	(i)  the current administrative status of the applicant or licensee;
	(j)  results of previously submitted applications, for any regulated profession or occupation;
	(k)  results from any action, taken by any professional licensing agency, criminal or administrative agency, employer, practice monitoring group, entity or association;
	(l)  evidence presented indicating that restricting or monitoring an individual's practice, conditions or conduct can protect the public health, safety or welfare;
	(m)  psychological evaluations; or
	(n)  any other information the Division or the board reasonably believes may assist in evaluating the degree of threat or potential threat to the public health, safety or welfare.

R156-1-303.  Temporary Licenses in Declared Disaster or Emergency.
	(1)  In accordance with Section 53-2a-1203, persons who provide services under this exemption from licensure, shall within 30 days file a notice with the Division as provided under Subsection 53-2a-1205(1) using forms posted on the Division internet site.
	(2)  In accordance with Section 53-2a-1205 and Subsection 58-1-303(1), a person who provides services under the exemption from licensure as provided in Section 53-2a-1203 for a declared disaster or emergency shall, after the disaster period ends and before continuing to provide services, meet all the normal requirements for occupational or professional licensure under this title, unless:
	(a)  prior to practicing after the declared disaster the person is issued a temporary license under the provisions of Subsection 58-1-303(1)(c); or
	(b)  the person qualifies under another exemption from licensure.

R156-1-305.  Inactive Licensure.
	(1)  In accordance with Section 58-1-305, except as provided in Subsection (2), a licensee may not apply for inactive licensure status.
	(2)  The following licenses issued under Title 58 that are active in good standing may be placed on inactive licensure status:
	(a)  architect;
	(b)  audiologist;
	(c)  certified public accountant emeritus;
	(d)  certified court reporter;
	(e)  certified social worker;
	(f)  chiropractic physician;
	(g)  clinical mental health counselor;
	(h)  clinical social worker;
	(i)  contractor;
	(j)  deception detection examiner;
	(k)  deception detection intern;
	(l)  dental hygienist;
	(m)  dentist;
	(n)  dispensing medical practitioner - advanced practice registered nurse;
	(o)  dispensing medical practitioner - physician and surgeon;
	(p)  dispensing medical practitioner - physician assistant;
	(q)  dispensing medical practitioner - osteopathic physician and surgeon;
	(r)  dispensing medical practitioner - optometrist;
	(s)  dispensing medical practitioner - clinic pharmacy;
	(t)  genetic counselor;
	(u)  health facility administrator;
	(v)  hearing instrument specialist;
	(w)  landscape architect;
	(x)  licensed advanced substance use disorder counselor;
	(y)  marriage and family therapist;
	(z)  naturopath/naturopathic physician;
	(aa)  optometrist;
	(bb)  osteopathic physician and surgeon;
	(cc)  pharmacist;
	(dd)  pharmacy technician;
	(ee)  physician assistant;
	(ff)  physician and surgeon;
	(gg)  podiatric physician;
	(hh)  private probation provider;
	(ii)  professional engineer;
	(jj)  professional land surveyor;
	(kk)  professional structural engineer;
	(ll)  psychologist;
	(mm)  radiology practical technician;
	(nn)  radiologic technologist;
	(oo)  security personnel;
	(pp)  speech-language pathologist;
	(qq)  substance use disorder counselor; and
	(rr)  veterinarian.
	(3)  Applicants for inactive licensure shall apply to the Division in writing upon forms available from the Division.  Each completed application shall contain documentation of requirements for inactive licensure, shall be verified by the applicant, and shall be accompanied by the appropriate fee.
	(4)  If all requirements are met for inactive licensure, the Division shall place the license on inactive status.
	(5)  A license may remain on inactive status indefinitely except as otherwise provided in Title 58 or rules which implement Title 58.
	(6)  An inactive license may be activated by requesting activation in writing upon forms available from the Division.  Unless otherwise provided in Title 58 or rules which implement Title 58, each reactivation application shall contain documentation that the applicant meets current renewal requirements, shall be verified by the applicant, and shall be accompanied by the appropriate fee.
	(7)  An inactive licensee whose license is activated during the last 12 months of a renewal cycle shall, upon payment of the appropriate fees, be licensed for a full renewal cycle plus the period of time remaining until the impending renewal date, rather than being required to immediately renew their activated license.
	(8)  A Controlled Substance license may be placed on inactive status if attached to a primary license listed in Subsection R156-1-305(2) and the primary license is placed on inactive status.

R156-1-308a.  Renewal Dates.
	(1)  The following standard two-year renewal cycle renewal dates are established by license classification in accordance with the Subsection 58-1-308(1):

	TABLE
	RENEWAL DATES

Acupuncturist                      May 31       even years
Advanced Practice Registered Nurse January 31   even years
Advanced Practice Registered
  Nurse-CRNA                       January 31   even years
Architect                          May 31       even years
Athlete Agent                      September 30 even years
Athletic Trainer                   May 31       odd years
Audiologist                        May 31       odd years
Barber                             September 30 odd years
Barber Apprentice                  September 30 odd years
Barber School                      September 30 odd years
Behavior Analyst and
  Assistant Behavior Analyst       September 30 even years
Behavior Specialist and
  Assistant Behavior Specialist    September 30 even years
Building Inspector                 November 30  odd years
Burglar Alarm Security             March 31     odd years
C.P.A. Firm                        December 31  even years
Certified Court Reporter           May 31       even years
Certified Dietitian                September 30 even years
Certified Medical Language Interpreter March 31 odd years
Certified Nurse Midwife            January 31   even years
Certified Public Accountant        December 31  even years
Certified Social Worker            September 30 even years
Chiropractic Physician             May 31       even years
Clinical Mental Health Counselor   September 30 even years
Clinical Social Worker             September 30 even years
Contractor                         November 30  odd years
Controlled Substance License       Attached to primary
                                   license renewal
Controlled Substance Precursor     May 31       odd years
Controlled Substance Handler       September 30 odd years
Cosmetologist/Barber               September 30 odd years
Cosmetologist/Barber Apprentice    September 30 odd years
Cosmetology/Barber School          September 30 odd years
Deception Detection                November 30  even years
  Deception Detection Examiner,
  Deception Detection Intern,
  Deception Detection Administrator
Dental Hygienist                   May 31       even years
Dentist                            May 31       even years
Direct-entry Midwife               September 30 odd years
Dispensing Medical Practitioner
  Advanced Practice Registered Nurse,
  Optometrist, Osteopathic Physician
  and Surgeon, Physician and Surgeon,
  Physician Assistant              September 30 odd years
Dispensing Medical Practitioner
  Clinic Pharmacy                  September 30 odd years
Electrician
  Apprentice, Journeyman, Master,
  Residential Journeyman,
  Residential Master               November 30  even years
Electrologist                      September 30 odd years
Electrology School                 September 30 odd years
Elevator Mechanic                  November 30  even years
Environmental Health Scientist     May 31       odd years
Esthetician                        September 30 odd years
Esthetician Apprentice             September 30 odd years
Esthetics School                   September 30 odd years
Factory Built Housing Dealer       September 30 even years
Funeral Service Director           May 31       even years
Funeral Service Establishment      May 31       even years
Genetic Counselor                  September 30 even years
Hair Designer                      September 30 odd years
Hair Designer Instructor           September 30 odd years
Hair Designer School               September 30 odd years
Health Facility Administrator      May 31       odd years
Hearing Instrument Specialist      September 30 even years
Internet Facilitator               September 30 odd years
Landscape Architect                May 31       even years
Licensed Advanced Substance
  Use Disorder Counselor           May 31       odd years
Licensed Practical Nurse           January 31   even years
Licensed Substance                 May 31       odd years
  Use Disorder Counselor
Marriage and Family Therapist      September 30 even years
Massage Apprentice                 May 31       odd years
Massage Therapist                  May 31       odd years
Master Esthetician                 September 30 odd years
Master Esthetician Apprentice      September 30 odd years
Medication Aide Certified          March 31     odd years
Music Therapist                    March 31     odd years
Nail Technologist                  September 30 odd years
Nail Technologist Apprentice       September 30 odd years
Nail Technology School             September 30 odd years
Naturopath/Naturopathic            May 31       even years
  Physician
Occupational Therapist             May 31       odd years
Occupational Therapy Assistant     May 31       odd years
Optometrist                        September 30 even years
Osteopathic Physician and          May 31       even years
  Surgeon, Online Prescriber,
  Restricted Associate Osteopathic
  Physician
Outfitter/Hunting Guide            May 31       even years
Pharmacy Class A-B-C-D-E,          September 30 odd years
  Online Contract Pharmacy
Pharmacist                         September 30 odd years
Pharmacy Technician                September 30 odd years
Physical Therapist                 May 31       odd years
Physical Therapist Assistant       May 31       odd years
Physician Assistant                May 31       even years
Physician and Surgeon,             January 31   even years
  Online Prescriber, Restricted
  Associate Physician
Plumber
  Apprentice, Journeyman,
  Master, Residential Master,
  Residential Journeyman           November 30  even years
Podiatric Physician                September 30 even years
Pre Need Funeral Arrangement
  Sales Agent                      May 31       even years
Private Probation Provider         May 31       odd years
Professional Engineer              March 31     odd years
Professional Geologist             March 31     odd years
Professional Land Surveyor         March 31     odd years
Professional Structural            March 31     odd years
  Engineer
Psychologist                       September 30 even years
Radiologic Technologist,           May 31       odd years
  Radiology Practical Technician
  Radiologist Assistant
Recreational Therapy
  Therapeutic Recreation Technician,
  Therapeutic Recreation Specialist,
  Master Therapeutic
  Recreation Specialist            May 31       odd years
Registered Nurse                   January 31   odd years
Respiratory Care Practitioner      September 30 even years
Security Personnel                 November 30  even years
Social Service Worker              September 30 even years
Speech-Language Pathologist        May 31       odd years
State Certified Commercial
  Interior Designer                March 31     odd years
Veterinarian                       September 30 even years
Vocational Rehabilitation          March 31    odd years
  Counselor
	
	(2)  The following non-standard renewal terms and renewal or extension cycles are established by license classification in accordance with Subsection 58-1-308(1) and in accordance with specific requirements of the license:
	(a)  Associate Clinical Mental Health Counselor licenses shall be issued for a three year term and may be extended if the licensee presents satisfactory evidence to the Division and the Board that reasonable progress is being made toward passing the qualifying examinations or is otherwise on a course reasonably expected to lead to licensure.
	(b)  Associate Marriage and Family Therapist licenses shall be issued for a three year term and may be extended if the licensee presents satisfactory evidence to the Division and the board that reasonable progress is being made toward passing the qualifying examinations or is otherwise on a course reasonably expected to lead to licensure; but the period of the extension may not exceed two years past the date the minimum supervised experience requirement has been completed.
	(c)  Certified Advanced Substance Use Disorder Counselor licenses shall be issued for a period of four years and may be extended if the licensee presents satisfactory evidence to the Division and Board that reasonable progress is being made toward completing the required hours of supervised experience necessary for the next level of licensure.
	(d)  Certified Advanced Substance Use Disorder Counselor Intern licenses shall be issued for a period of six months or until the examination is passed whichever occurs first.
	(e)  Certified Medical Language Interpreter Tier 1 and 2 licenses shall be issued for a period of three years and may be renewed.  The initial renewal date of March 31, 2017, is established for these license classifications, subject to the provisions of Subsection R156-1-308c(7) to establish the length of the initial license period.
	(f)  Certified Substance Use Disorder Counselor licenses shall be issued for a period of two years and may be extended if the licensee presents satisfactory evidence to the Division and Board that reasonable progress is being made toward completing the required hours of supervised experience necessary for the next level of licensure.
	(g)  Certified Social Worker Intern licenses shall be issued for a period of six months or until the examination is passed whichever occurs first.
	(h)  Certified Substance Use Disorder Counselor Intern licenses shall be issued for a period of six months or until the examination is passed, whichever occurs first.
	(i)  Funeral Service Intern licenses shall be issued for a two year term and may be extended for an additional two year term if the licensee presents satisfactory evidence to the Division and the board that reasonable progress is being made toward passing the qualifying examinations or is otherwise on a course reasonably expected to lead to licensure.
	(j)  Hearing Instrument Intern licenses shall be issued for a three year term and may be extended if the licensee presents satisfactory evidence to the Division and the Board that reasonable progress is being made toward passing the qualifying examination, but a circumstance arose beyond the control of the licensee, to prevent the completion of the examination process.
	(k)  Pharmacy technician trainee licenses shall be issued for a period of two years and may be extended if the licensee presents satisfactory evidence to the Division and the Board that reasonable progress is being made toward completing the requirements necessary for the next level of licensure.
	(l)  Psychology Resident licenses shall be issued for a two year term and may be extended if the licensee presents satisfactory evidence to the Division and the board that reasonable progress is being made toward passing the qualifying examinations or is otherwise on a course reasonably expected to lead to licensure; but the period of the extension may not exceed two years past the date the minimum supervised experience requirement has been completed.
	(m)  Type I Foreign Trained Physician-Educator licenses will be issued initially for a one-year term and thereafter renewed every two years following issuance.
	(n)  Type II Foreign Trained Physician-Educator licenses will be issued initially for an annual basis and thereafter renewed annually up to four times following issuance if the licensee continues to satisfy the requirements described in Subsection 58-67-302.7(3) and completes the required continuing education requirements established under Section 58-67-303.

R156-1-308b.  Renewal Periods - Adjustment of Renewal Fees for an Extended or Shortened Renewal Period.
	(1)  Except as otherwise provided by statute or as required to establish or reestablish a renewal period, each renewal period shall be for a period of two years.
	(2)  The renewal fee for a renewal period which is extended or shortened by more than one month to establish or reestablish a renewal period shall increased or decreased proportionately.

R156-1-308c.  Renewal of Licensure Procedures.
	The procedures for renewal of licensure shall be as follows:
	(1)  The Division shall send a renewal notice to each licensee at least 60 days prior to the expiration date shown on the licensee's license.  The notice shall include directions for the licensee to renew the license via the Division's website.
	(2)  Except as provided in Subsection(4), renewal notices shall be sent by mail deposited in the post office with postage prepaid, addressed to the last mailing address shown on the Division's automated license system.
	(3)  In accordance with Subsection 58-1-301.7(1), each licensee is required to maintain a current mailing address with the Division.  In accordance with Subsection 58-1-301.7(2), mailing to the last mailing address furnished to the Division constitutes legal notice.
	(4)  If a licensee has authorized the Division to send a renewal notice by email, a renewal notice may be sent by email to the last email address shown on the Division's automated license system.  If selected as the exclusive method of receipt of renewal notices, such mailing shall constitute legal notice.  It shall be the duty and responsibility of each licensee who authorizes the Division to send a renewal notice by email to maintain a current email address with the Division.
	(5)  Renewal notices shall provide that the renewal requirements are outlined in the online renewal process and that each licensee is required to document or certify that the licensee meets the renewal requirements prior to renewal.
	(6)  Renewal notices shall advise each licensee that a license that is not renewed prior to the expiration date shown on the license automatically expires and that any continued practice without a license constitutes a criminal offense under Subsection 58-1-501(1)(a).
	(7)  Licensees licensed during the last 12 months of a renewal cycle shall be licensed for a full renewal cycle plus the period of time remaining until the impending renewal date, rather than being required to immediately renew their license.

R156-1-308d.  Waiver of Continuing Education Requirements - Credit for Volunteer Service.
	(1)(a)  In accordance with Subsection 58-1-203(1)(g), a licensee may request a waiver of any continuing education requirement established under this title or an extension of time to complete any requirement on the basis that the licensee was unable to complete the requirement due to a medical or related condition, humanitarian or ecclesiastical services, extended presence in a geographical area where continuing education is not available, etc.
	(b)  A request must be submitted no later than the deadline for completing any continuing education requirement.
	(c)  A licensee submitting a request has the burden of proof and must document the reason for the request to the satisfaction of the Division.
	(d)  A request shall include the beginning and ending dates during which the licensee was unable to complete the continuing education requirement and a detailed explanation of the reason why.  The explanation shall include the extent and duration of the impediment, extent to which the licensee continued to be engaged in practice of his profession, the nature of the medical condition, the location and nature of the humanitarian services, the geographical area where continuing education is not available, etc.
	(e)  The Division may require that a specified number of continuing education hours, courses, or both, be obtained prior to reentering the practice of the profession or within a specified period of time after reentering the practice of the profession, as recommended by the appropriate board, in order to assure competent practice.
	(f)  While a licensee may receive a waiver from meeting the minimum continuing education requirements, the licensee shall not be exempted from the requirements of Subsection 58-1-501(2)(i), which requires that the licensee provide services within the competency, abilities and education of the licensee.  If a licensee cannot competently provide services, the waiver of meeting the continuing education requirements may be conditioned upon the licensee limiting practice to areas in which the licensee has the required competency, abilities and education.
	(2)(a)  In accordance with Subsection 58-1-203(1)(g) and 58-55-302.5(2)(e)(i), the Division may grant continuing education credit to a licensee for volunteering as a subject-matter expert in the review and development of licensing exams for the licensee's profession.
	(b)  Subject to specific limitations established by rule by the Division, in collaboration with a licensing board, or the Construction Services Commission, this volunteer continuing education credit shall:
	(i)  apply to the license period or periods during which the volunteer service was provided;
	(ii)  be granted on a 1:1 ratio, meaning that for each hour of attendance, the licensee may receive one hour of credit;
	(iii)  be deemed "core", "classroom", or "live" credit, regardless of whether the licensee attended meetings in person or electronically; and
	(iv)  at the licensee's discretion, all or part of the credit hours may be counted towards any law or ethics continuing education requirements.
	(c)  The licensee shall be responsible for maintaining information with respect to the licensee's volunteer services to demonstrate the services meet the requirements of this subsection.
	(3)  In accordance with Section 58-13-3, a health care professional licensee may fulfill up to 15% of the licensee's continuing education requirements by providing volunteer services at a qualified location, within the scope of the licensee's license, earning one hour of continuing education credit for every four documented hours of volunteer services.

R156-1-308e.  Automatic Expiration of Licensure Upon Dissolution of Licensee.
	(1)  A license that automatically expires prior to the expiration date shown on the license due to the dissolution of the licensee's registration with the Division of Corporations, with the registration thereafter being retroactively reinstated pursuant to Section 16-10a-1422, shall:
	(a)  upon written application for reinstatement of licensure submitted prior to the expiration date shown on the license, be retroactively reinstated to the date of expiration of licensure; and
	(b)  upon written application for reinstatement submitted after the expiration date shown on the current license, be reinstated on the effective date of the approval of the application for reinstatement, rather than relating back retroactively to the date of expiration of licensure.

R156-1-308f.  Denial of Renewal of Licensure - Classification of Proceedings - Conditional Renewal of Licensure During Adjudicative Proceedings - Conditional Initial, Renewal, or Reinstatement Licensure During Audit or Investigation.
	(1)  When an initial, renewal or reinstatement applicant under Subsections 58-1-301(2) through (3) or 58-1-308(5) or (6)(b) is selected for audit, is under investigation, or is pending inspection, the Division may conditionally issue an initial license to an applicant for initial licensure, or renew or reinstate the license of an applicant pending the completion of the audit, investigation or inspection.
	(2)  The undetermined completion of a referenced audit, investigation or inspection, rather than the established expiration date, shall be indicated as the expiration date of a conditionally issued, renewed, or reinstated license.
	(3)  A conditional issuance, renewal, or reinstatement shall not constitute an adverse licensure action.
	(4)  Upon completion of the audit, investigation, or inspection, the Division shall notify the initial license, renewal, or reinstatement applicant whether the applicant's license is unconditionally issued, renewed, reinstated, denied, or partially denied or reinstated.
	(5)  A notice of unconditional denial or partial denial of licensure to an applicant the Division conditionally licensed, renewed, or reinstated shall include the following:
	(a)  that the applicant's unconditional initial issuance, renewal, or reinstatement of licensure is denied or partially denied and the basis for such action;
	(b)  the Division's file or other reference number of the audit or investigation; and
	(c)  that the denial or partial denial of unconditional initial licensure, renewal, or reinstatement of licensure is subject to review and a description of how and when such review may be requested.

R156-1-308g.  Reinstatement of Licensure which was Active and in Good Standing at the Time of Expiration of Licensure - Requirements.
	The following requirements shall apply to reinstatement of licensure which was active and in good standing at the time of expiration of licensure:
	(1)  In accordance with Subsection 58-1-308(5), if an application for reinstatement is received by the Division between the date of the expiration of the license and 30 days after the date of the expiration of the license, the applicant shall:
	(a)  submit a completed renewal form as furnished by the Division demonstrating compliance with requirements and/or conditions of license renewal; and
	(b)  pay the established license renewal fee and a late fee.
	(2)  In accordance with Subsection 58-1-308(5), if an application for reinstatement is received by the Division between 31 days after the expiration of the license and two years after the date of the expiration of the license, the applicant shall:
	(a)  submit a completed renewal form as furnished by the Division demonstrating compliance with requirements and/or conditions of license renewal; and
	(b)  pay the established license renewal fee and reinstatement fee.
	(3)  In accordance with Subsection 58-1-308(6)(a), if an application for reinstatement is received by the Division more than two years after the date the license expired and the applicant has not been active in the licensed occupation or profession while in the full-time employ of the United States government or under license to practice that occupation or profession in any other state or territory of the United States during the time the license was expired, the applicant shall:
	(a)  submit an application for licensure complete with all supporting documents as is required of an individual making an initial application for license demonstrating the applicant meets all current qualifications for licensure;
	(b)  provide information requested by the Division and board to clearly demonstrate the applicant is currently competent to engage in the occupation or profession for which reinstatement of licensure is requested; and
	(c)  pay the established license fee for a new applicant for licensure.
	(4)  In accordance with Subsection 58-1-308(6)(b), if an application for reinstatement is received by the Division more than two years after the date the license expired but the applicant has been active in the licensed occupation or profession while in the full-time employ of the United States government or under license to practice that occupation or profession in any other state or territory of the United States shall:
	(a)  provide documentation that the applicant has continuously, since the expiration of the applicant's license in Utah, been active in the licensed occupation or profession while in the full-time employ of the United States government or under license to practice that occupation or profession in any other state or territory of the United States;
	(b)  provide documentation that the applicant has completed or is in compliance with any renewal qualifications;
	(c)  provide documentation that the applicant's application was submitted within six months after reestablishing domicile within Utah or terminating full-time government service; and
	(d)  pay the established license renewal fee and the reinstatement fee.

R156-1-308h.  Reinstatement of Restricted, Suspended, or Probationary Licensure During Term of Restriction, Suspension, or Probation - Requirements.
	(1)  Reinstatement of restricted, suspended, or probationary licensure during the term of limitation, suspension, or probation shall be in accordance with the disciplinary order which imposed the discipline.
	(2)  Unless otherwise specified in a disciplinary order imposing restriction, suspension, or probation of licensure, the disciplined licensee may, at reasonable intervals during the term of the disciplinary order, petition for reinstatement of licensure.
	(3)  Petitions for reinstatement of licensure during the term of a disciplinary order imposing restriction, suspension, or probation, shall be treated as a request to modify the terms of the disciplinary order, not as an application for licensure.

R156-1-308i.  Reinstatement of Restricted, Suspended, or Probationary Licensure After the Specified Term of Suspension of the License or After the Expiration of Licensure in a Restricted, Suspended or Probationary Status - Requirements.
	Unless otherwise provided by a disciplinary order, an applicant who applies for reinstatement of a license after the specified term of suspension of the license or after the expiration of the license in a restricted, suspended or probationary status shall:
	(1)  submit an application for licensure complete with all supporting documents as is required of an individual making an initial application for license demonstrating the applicant meets all current qualifications for licensure and compliance with requirements and conditions of license reinstatement;
	(2)  pay the established license renewal fee and the reinstatement fee;
	(3)  provide information requested by the Division and board to clearly demonstrate the applicant is currently competent to be reinstated to engage in the occupation or profession for which the applicant was suspended, restricted, or placed on probation; and
	(4)  pay any fines or citations owed to the Division prior to the expiration of license.

R156-1-308j.  Relicensure Following Revocation of Licensure - Requirements.
	An applicant for relicensure following revocation of licensure shall:
	(1)  submit an application for licensure complete with all supporting documents as is required of an individual making an initial application for license demonstrating the applicant meets all current qualifications for licensure and compliance with requirements and/or conditions of license reinstatement;
	(2)  pay the established license fee for a new applicant for licensure; and
	(3)  provide information requested by the Division and board to clearly demonstrate the applicant is currently competent to be relicensed to engage in the occupation or profession for which the applicant was revoked.

R156-1-308k.  Relicensure Following Surrender of Licensure - Requirements.
	The following requirements shall apply to relicensure applications following the surrender of licensure:
	(1)  An applicant who surrendered a license that was active and in good standing at the time it was surrendered shall meet the requirements for licensure listed in Sections R156-1-308a through R156-1-308l.
	(2)  An applicant who surrendered a license while the license was active but not in good standing as evidenced by the written agreement supporting the surrender of license shall:
	(a)  submit an application for licensure complete with all supporting documents as is required of an individual making an initial application for license demonstrating the applicant meets all current qualifications for licensure and compliance with requirements and/or conditions of license reinstatement;
	(b)  pay the established license fee for a new applicant for licensure;
	(c)  provide information requested by the Division and board to clearly demonstrate the applicant is currently competent to be relicensed to engage in the occupation or profession for which the applicant was surrendered;
	(d)  pay any fines or citations owed to the Division prior to the surrender of license.

R156-1-308l.  Reinstatement of Licensure and Relicensure - Term of Licensure.
	Except as otherwise governed by the terms of an order issued by the Division, a license issued to an applicant for reinstatement or relicensure issued during the last 12 months of a renewal cycle shall, upon payment of the appropriate fees, be issued for a full renewal cycle plus the period of time remaining until the impending renewal date, rather than requiring the licensee to immediately renew their reinstated or relicensed license.

R156-1-310.  Application for Division Determination Regarding Criminal Conviction.
	The application procedures for a Division determination pursuant to Section 58-1-310 are clarified and established as follows:
	(1)  An individual applying for a determination shall submit the Application for Criminal History Determination form made available on the Division's website, containing a signed attestation and release.
	(2)  An individual shall submit a separate application for criminal history determination with processing fee for each occupational or professional license that the individual is interested in seeking.
	(3)  Pursuant to Subsection 58-1-310(2), the individual's complete criminal conviction history shall include:
	(a)  criminal convictions, pleas of nolo contendere, and pleas of guilty or nolo contendere which are held in abeyance pending the successful completion of probation; and
	(b)  current restrictions from possession, purchase, transfer, or ownership of a firearm or ammunition.
	(4)  Pursuant to Subsection 58-1-310(2)(e), the individual shall provide any additional documentation that may be required by the Division to verify or evaluate the individual's representations made in their application.
	(5)  A determination shall be based solely on the information contained in the individual's application and supporting documents.
	(6)  An individual whose application has been denied as incomplete, or who has received an unfavorable determination that their criminal record would disqualify them from obtaining the license, may submit a request for agency review to the executive director within 30 days of the date of issuance of the denial or of the unfavorable determination.

R156-1-404a.  Diversion Advisory Committees Created.
	(1)  There are created diversion advisory committees of at least three members for the professions regulated under Title 58.  The diversion committees are not required to be impaneled by the director until the need for the diversion committee arises.  Diversion committees may be appointed with representatives from like professions providing a multi-disciplinary committee.
	(2)  Committee members are appointed by and serve at the pleasure of the director.
	(3)  A majority of the diversion committee members shall constitute a quorum and may act on behalf of the diversion committee.
	(4)  Diversion committee members shall perform their duties and responsibilities as public service and shall not receive a per diem allowance, or traveling or accommodations expenses incurred in diversion committees business.

R156-1-404b.  Diversion Committees Duties.
	The duties of diversion committees shall include:
	(1)  reviewing the details of the information regarding licensees referred to the diversion committee for possible diversion, interviewing the licensees, and recommending to the director whether the licensees meet the qualifications for diversion and if so whether the licensees should be considered for diversion;
	(2)  recommending to the director terms and conditions to be included in diversion agreements;
	(3)  supervising compliance with all terms and conditions of diversion agreements;
	(4)  advising the director at the conclusion of a licensee's diversion program whether the licensee has completed the terms of the licensee's diversion agreement; and
	(5)  establishing and maintaining continuing quality review of the programs of professional associations and/or private organizations to which licensees approved for diversion may enroll for the purpose of education, rehabilitation or any other purpose agreed to in the terms of a diversion agreement.

R156-1-404c.  Diversion - Eligible Offenses.
	In accordance with Subsection 58-1-404(4), the unprofessional conduct which may be subject to diversion is set forth in Subsections 58-1-501(2)(e) and (f).

R156-1-404d.  Diversion - Procedures.
	(1)  No later than 60 days following the referral of a licensee to the diversion committee for possible diversion, diversion committees shall complete the duties described in Subsection R156-1-404b(1) and (2).
	(2)  Following the completion of diversion committee duties, the Division shall prepare and serve upon the licensee a proposed diversion agreement.  The licensee shall have a period of time determined by the Division not to exceed 30 days from the service of the proposed diversion agreement, to negotiate a final diversion agreement with the director.  The final diversion agreement shall comply with Subsection 58-1-404.
	(3)  If a final diversion agreement is not reached with the director within 30 days from service of the proposed diversion agreement, or if the director finds that the licensee does not meet the qualifications for diversion, the Division shall pursue appropriate disciplinary action against the licensee in accordance with Section 58-1-108.
	(4)  In accordance with Subsection 58-1-404(5), a licensee may be represented, at the licensee's discretion and expense, by legal counsel during negotiations for diversion, at the time of execution of the diversion agreement, and at any hearing before the director relating to a diversion program.

R156-1-404e.  Diversion - Agreements for Rehabilitation, Education or Other Similar Services or Coordination of Services.
	(1)  The Division may enter into agreements with professional or occupational organizations or associations, education institutions or organizations, testing agencies, health care facilities, health care practitioners, government agencies or other persons or organizations for the purpose of providing rehabilitation, education or any other services necessary to facilitate an effective completion of a diversion program for a licensee.
	(2)  The Division may enter into agreements with impaired person programs to coordinate efforts in rehabilitating and educating impaired professionals.
	(3)  Agreements shall be in writing and shall set forth terms and conditions necessary to permit each party to properly fulfill its duties and obligations thereunder.  Agreements shall address the circumstances and conditions under which information concerning the impaired licensee will be shared with the Division.
	(4)  The cost of administering agreements and providing the services thereunder shall be borne by the licensee benefiting from the services.  Fees paid by the licensee shall be reasonable and shall be in proportion to the value of the service provided.  Payments of fees shall be a condition of completing the program of diversion.
	(5)  In selecting parties with whom the Division shall enter agreements under this section, the Division shall ensure the parties are competent to provide the required services.  The Division may limit the number of parties providing a particular service within the limits or demands for the service to permit the responsible diversion committee to conduct quality review of the programs given the committee's limited resources.

R156-1-501.  Unprofessional Conduct.
	"Unprofessional conduct" includes:
	(1)  surrendering licensure to any other licensing or regulatory authority having jurisdiction over the licensee or applicant in the same occupation or profession while an investigation or inquiry into allegations of unprofessional or unlawful conduct is in progress or after a charging document has been filed against the applicant or licensee alleging unprofessional or unlawful conduct;
	(2)  practicing a regulated occupation or profession in, through, or with a limited liability company which has omitted the words "limited company," "limited liability company," or the abbreviation "L.C." or "L.L.C." in the commercial use of the name of the limited liability company;
	(3)  practicing a regulated occupation or profession in, through, or with a limited partnership which has omitted the words "limited partnership," "limited," or the abbreviation "L.P." or "Ltd." in the commercial use of the name of the limited partnership;
	(4)  practicing a regulated occupation or profession in, through, or with a professional corporation which has omitted the words "professional corporation" or the abbreviation "P.C." in the commercial use of the name of the professional corporation;
	(5)  using a DBA (doing business as name) which has not been properly registered with the Division of Corporations and with the Division of Occupational and Professional Licensing;
	(6)  failing, as a prescribing practitioner, to follow the "Model Policy for the Use of Controlled Substances for the Treatment of Pain", 2004, established by the Federation of State Medical Boards, which is hereby adopted and incorporated by reference;
	(7)  failing, as a prescribing practitioner, to follow the "Model Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain", July 2013, adopted by the Federation of State Medical Boards, which is incorporated by reference;
	(8)  violating any term, condition, or requirement contained in a "diversion agreement", as defined in Subsection 58-1-404(6)(a); or
	(9)  failing, as a health care provider, to follow the health care claims practices of Subsection 31A-26-301.5(4), in violation of Subsection 58-1-508(2).

R156-1-501.1.  Cheating on Examinations.
	(1)  Policy.
	The passing of an examination, when required as a condition of obtaining or maintaining a license issued by the Division, is considered to be a critical indicator that an applicant or licensee meets the minimum qualifications for licensure.  Failure to pass an examination is considered to be evidence that an applicant or licensee does not meet the minimum qualifications for licensure.  Accordingly, the accuracy of the examination result as a measure of an applicant's or licensee's competency must be assured.  Cheating by an applicant or licensee on any examination required as a condition of obtaining a license or maintaining a license shall be considered unprofessional conduct and shall result in imposition of an appropriate penalty against the applicant or licensee.
	(2)  Cheating Defined.
	Cheating is defined as the use of any means or instrumentality by or for the benefit of an examinee to alter the results of an examination in any way to cause the examination results to inaccurately represent the competency of an examinee with respect to the knowledge or skills about which they are examined.  Cheating includes:
	(a)  communication between examinees inside of the examination room or facility during the course of the examination;
	(b)  communication about the examination with anyone outside of the examination room or facility during the course of the examination;
	(c)  copying another examinee's answers or looking at another examinee's answers while an examination is in progress;
	(d)  permitting anyone to copy answers to the examination;
	(e)  substitution by an applicant or licensee or by others for the benefit of an applicant or licensee of another person as the examinee in place of the applicant or licensee;
	(f)  use by an applicant or licensee of any written material, audio material, video material or any other mechanism not specifically authorized during the examination for the purpose of assisting an examinee in the examination;
	(g)  obtaining, using, buying, selling, possession of or having access to a copy of any portion of the examination prior to administration of the examination.
	(3)  Action Upon Detection of Cheating.
	(a)  The person responsible for administration of an examination, upon evidence that an examinee is or has been cheating on an examination shall notify the Division of the circumstances in detail and the identity of the examinees involved with an assessment of the degree of involvement of each examinee;
	(b)  If cheating is detected prior to commencement of the examination, the examinee may be denied the privilege of taking the examination; or if permitted to take the examination, the examinee shall be notified of the evidence of cheating and shall be informed that the Division may consider the examination to have been failed by the applicant or licensee because of the cheating; or
	(c)  If cheating is detected during the examination, the examinee may be requested to leave the examination facility and in that case the examination results shall be the same as failure of the examination; however, if the person responsible for administration of the examination determines the cheating detected has not yet compromised the integrity of the examination, such steps as are necessary to prevent further cheating shall be taken and the examinee may be permitted to continue with the examination.
	(d)  If cheating is detected after the examination, the Division shall make appropriate inquiry to determine the facts concerning the cheating and shall thereafter take appropriate action.
	(e)  Upon determination that an applicant has cheated on an examination, the applicant may be denied the privilege of retaking the examination for a reasonable period of time, and the Division may deny the applicant a license and may establish conditions the applicant must meet to qualify for a license including the earliest date on which the Division will again consider the applicant for licensure.

R156-1-502.  Administrative Penalties.
	(1)  In accordance with Subsection 58-1-401(5) and Section 58-1-502, except as otherwise provided by a specific chapter under Title R156, the following fine schedule shall apply to citations issued under the referenced authority:

	TABLE

FINE SCHEDULE

FIRST OFFENSE

Violation                Fine
58-1-501(1)(a)           $ 500.00
58-1-501(1)(c)           $ 800.00
58-1-501(2)(o)           $ 0 - $250.00
58-1-508(2)              $ 250.00

SECOND OFFENSE
58-1-501(1)(a)           $1,000.00
58-1-501(1)(c)           $1,600.00
58-1-501(2)(o)           $251.00 - $500.00
58-1-508(2)              $  500.00

THIRD OFFENSE

Double the amount for a second offense with a maximum amount not to exceed the maximum fine allowed under Subsection 58-1-502(2)(j)(iii).
	
	(2)  Citations shall not be issued for third offenses, except in extraordinary circumstances approved by the investigative supervisor.
	(3)  If multiple offenses are cited on the same citation, the fine shall be determined by evaluating the most serious offense.
	(4)  An investigative supervisor or chief investigator may authorize a deviation from the fine schedule based upon the aggravating or mitigating circumstances.
	(5)  The presiding officer for a contested citation shall have the discretion, after a review of the aggravating and mitigating circumstances, to increase or decrease the fine amount imposed by an investigator based upon the evidence reviewed.

R156-1-503.  Reporting Disciplinary Action.
	The Division may report disciplinary action to other state or federal governmental entities, state and federal data banks, the media, or any other person who is entitled to such information under the Government Records Access and Management Act.

R156-1-506.  Supervision of Cosmetic Medical Procedures.
	The 80 hours of documented education and experience required under Subsection 58-1-506(2)(f)(iii) to maintain competence to perform nonablative cosmetic medical procedures is defined to include the following:
	(1)  the appropriate standards of care for performing nonablative cosmetic medical procedures;
	(2)  physiology of the skin;
	(3)  skin typing and analysis;
	(4)  skin conditions, disorders, and diseases;
	(5)  pre and post procedure care;
	(6)  infection control;
	(7)  laser and light physics training;
	(8)  laser technologies and applications;
	(9)  safety and maintenance of lasers;
	(10)  cosmetic medical procedures an individual is permitted to perform under this title;
	(11)  recognition and appropriate management of complications from a procedure; and
	(12)  current cardio-pulmonary resuscitation (CPR) certification for health care providers from one of the following organizations:
	(a)  American Heart Association;
	(b)  American Red Cross or its affiliates; or
	(c)  American Safety and Health Institute.

R156-1-601.  Telehealth - Definitions.
	In accordance with Section 26-60-103 and Subsection 26-60-104(1), in addition to the definitions in Title 58 and Rule R156, as used in this section:
	(1)  "Asynchronous store and forward transfer" means the same as defined in Subsection 26-60-102(1).
	(2)  "Standards of Practice" means those standards of practice applicable in a traditional health care setting, as provided in Subsection 26-60-103(1)(a)(ii).
	(3)  "Distant site" means the same as defined in Subsection 26-60-102(2).
	(4)  "Originating site" means the same as defined in Subsection 26-60-102(3).
	(5)  "Patient" means the same as defined in Subsection 26-60-102(4).
	(6)  "Patient Encounter" means any encounter where medical treatment and/or evaluation and management services are provided.  For purposes of this rule, the entire course of an inpatient stay in a healthcare facility or treatment in an emergency department is considered a single patient encounter.
	(7)  "Provider" means the same as defined in Subsection 26-60-102(5)(b), an individual licensed under Title 58 to provide health care services, and:
	(a)  shall include an individual exempt from licensure as defined in Section 58-1-307 who provides health care services within the individual's scope of practice under Title 58; and
	(b)  for purposes of this section, "provider" may include multiple providers obtaining informed consent and providing care as a team, consistent with the standards of practice applicable to a broader practice model found in traditional health care settings.
	(8)  "Synchronous interaction" means the same as defined in Subsection 26-60-102(6).
	(9)  "Telehealth services" means the same as defined in Subsection 26-60-102(7).
	(10)  "Telemedicine services" means the same as defined in Subsection 26-60-102(8).

R156-1-602.  Telehealth - Scope of Telehealth Practice.
	(1)  This rule is not intended to alter or amend the applicable standard of practice for any healthcare field or profession.  The provider shall be held to the same standards of practice including maintaining patient confidentiality and recordkeeping that would apply to the provision of the same health care services in an in-person setting.
	(2)  In accordance with Section 26-60-103 and Subsection 26-60-104(1), a provider offering telehealth services shall, prior to each patient encounter:
	(a)  verify the patient's identity and originating site;
	(b)  obtain informed consent to the use of telehealth services by clear disclosure of:
	(i)  additional fees for telehealth services, if any, and how payment is to be made for those additional fees if they are charged separately from any fees for face-to-face services provided to the patient in combination with the telehealth services;
	(ii)  to whom patient health information may be disclosed and for what purpose, including clear reference to any patient consent governing release of patient-identifiable information to a third-party;
	(iii)  the rights of patients with respect to patient health information;
	(iv)  appropriate uses and limitations of the site, including emergency health situations;
	(v)  information:
	(A)  affirming that the telehealth services meet industry security and privacy standards, and comply with all laws referenced in Subsection 26-60-102(8)(b)(ii);
	(B)  warning of potential risks to privacy notwithstanding the security measures;
	(C)  warning that information may be lost due to technical failures, and clearly referencing any patient consent to hold the provider harmless for such loss; and
	(D)  disclosing the website owner/operator, location, and contact information; and
	(c)  allow the patient an opportunity to select their provider rather than being assigned a provider at random, to the extent possible;
	(d)  ensure that the online site from which the provider offers telehealth services does not restrict a patient's choice to select a specific pharmacy for pharmacy services.
	(3)  In accordance with Subsection 26-60-103(1)(b), it is not an acceptable standard of care for a provider offering telehealth services to establish a diagnosis and identify underlying conditions and contraindications to a recommended treatment based solely on an online questionnaire, except as specifically provided in Title 58, Chapter 83, the Online Prescribing, Dispensing and Facilitation Licensing Act.
	(4)  In accordance with Subsection 26-60-103(1)(c), a provider offering telehealth services shall be available to the patient for subsequent care related to the initial telemedicine services, by:
	(a)  providing the patient with a clear mechanism to:
	(i)  access, supplement, and amend patient-provided personal health information;
	(ii)  contact the provider for subsequent care;
	(iii)  obtain upon request an electronic or hard copy of the patient's medical record documenting the telemedicine services, including the informed consent provided; and
	(iv)  request a transfer to another provider of the patient's medical record documenting the telemedicine services;
	(b)  if the provider recommends that the patient needs to be seen in person, such as where diagnosis requires a physical examination, lab work, or imaging studies:
	(i)  arranging to see the patient in person, or directing the patient to the patient's regular provider, or if none, to an appropriate provider; and
	(ii)  documenting the recommendation in the patient's medical record; and
	(c)  upon patient request, electronically transferring to another provider the patient's medical record documenting the telemedicine services, within a reasonable time frame allowing for timely care of the patient by that provider.
	(5)  In accordance with Subsection 26-60-103(1)(d), a provider offering telehealth services shall be familiar with available medical resources, including emergency resources near the originating site.
	(6)  In settings and circumstances where an established provider-patient relationship is not present, a provider offering telehealth services shall establish a provider-patient relationship during the patient encounter, in a manner consistent with standards of practice including providing the provider's licensure and credentials.
	(7)  Nothing in this section shall prohibit electronic communications consistent with standards of practice applicable in traditional health care settings, including those:
	(a)  between a provider and a patient with a preexisting provider-patient relationship;
	(b)  between a provider and another provider concerning a patient with whom the other provider has a provider-patient relationship;
	(c)  in on-call or cross coverage situations in which the provider has access to patient records;
	(d)  in broader practice models where multiple providers provide care as a team, including, for example:
	(i)  within an existing organization; or
	(ii)  within an emergency department; or
	(e)  in an emergency, which as used in this section means a situation in which there is an occurrence posing an imminent threat of a life-threatening condition or severe bodily harm.

KEY:  diversion programs, licensing, supervision, evidentiary restrictions
Date of Enactment or Last Substantive Amendment:  December 23, 2019
Notice of Continuation:  December 6, 2016
Authorizing, and Implemented or Interpreted Law:  58-1-106(1)(a); 58-1-308; 58-1-501(2)