ACUPUNCTURE LICENSURE 
RULES AND REGULATIONS 
4 CCR 738-1

Basis
These rules are promulgated and adopted by the Director of Registrations pursuant to § Section12-29.5-110(1)(a), C.R.S.

Purpose
These rules are adopted to implement the Director of Registration’s authority to license persons as acupuncturists and to set forth the requirements for being so licensed. 
 
Rule 1 – Requirement for Licensure (4 CCR 738-1) 
The purpose of this rule is to establish the qualifications for an acupuncturist license as required in § Section 12-29.5-104(3), C.R.S. 

A. 	In order to qualify for licensure, Section 12-29.5-104(3) requires an applicant to either successfully complete an education program that conforms to the standards approved by the Director of Registrations (Director) or provide documentation of qualifications that are substantially similar to an approved education program.  The Director approved education program would include any diploma program in acupuncture and Oriental medicine accredited by the Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM). 
B. 	To satisfy the licensure requirement in Section 12-29.5-104(3), the Director of Registrations requires an applicant to have a current certification at the time of initial license application by the National Certification Commission for Acupuncture and Oriental Medicine (“NCCAOM”). The applicant shall provide verification of this current certification in a manner prescribed by the Director. Verification of the certification must be provided directly from NCCAOM to the Colorado Office of Acupuncture Licensure. 

Rule 2 – Licensure by Endorsement (4 CCR 738-2) 
The purpose of this rule is to establish the qualifications that are “substantially equivalent” for an acupuncturist license by endorsement pursuant to Section § 12-29.5-104.5(2), C.R.S. 
A. 	For an applicant to establish “substantially equivalent credentials and qualifications” under Section § 12-29.5-104.5(1), the Director of Registrations (Director) requires the applicant to submit a current certification by the National Certification Commission for Acupuncture and Oriental Medicine (“NCCAOM”). Verification of the certification must be provided directly from NCCAOM in a manner prescribed by the Director. to the Colorado Office of Acupuncturists Licensure. 
B. 	In addition, verification of licensing in another state must be provided in a manner prescribed by the Director. directly from the state agency to the Colorado Office of Acupuncture Licensure. 

Rule 3 – Requirement for Reinstatement (4 CCR 738-3) 
The purpose of this rule is to state the requirements for reinstatement of a license that has expired, pursuant to Section 12-29.5-104(4), C.R.S.  or registration that lapsed due to nonpayment of the annual renewal fee under § 12-29.5-104(4), C.R.S. 

A. An acupuncturist may reinstate a license or registration that has lapsed due to nonpayment of the annual fee within 2 years provided that the acupuncturist has met the following requirements: 

1. Paid the appropriate renewal fee in effect at the time of reinstatement; 

2. Submitted a completed renewal questionnaire; and 

3. Provided proof of malpractice insurance in the amount required by statute. 

A.	An applicant seeking reinstatement of an expired license shall complete a reinstatement application, pay a reinstatement fee, and attest to malpractice insurance in the amount required by statute. 
B	If the license has been expired for more than two (2) years from the date of receipt of the reinstatement application, but less than five (5) years an applicant shall establish “competency to practice” under Sections 24-34-102(8)(d)(II), C.R.S. and 24-34-105, C.R.S., as follows:
1.	Verification of licensure in good standing from another state along with proof of active practice in that state for two (2) years of the previous five (5) years from the date of application for reinstatement.  OR
2.	Completion of thirty (30) hours of continuing education courses related to the practice of acupuncture during the two (2) years immediately preceding the application for reinstatement.  The continuing education must meet the approval of and shall be attested to in a manner prescribed by the Director of Registrations (Director). OR
3.	Providing documentation that the applicant has active certification by the National Certification Commission for Acupuncture and Oriental Medicine. OR
4.	By any other means approved by the Director.
C. 	An applicant seeking to reinstate a license that has been expired for more than five (5) years shall demonstrate “competency to practice” as required in Section 24-34-102(8)(d)(II), C.R.S. by:
	1.	Verification of licensure in good standing from another state along with proof of active practice for two (2) years of the previous five (5) years from the date of application for reinstatement.  OR
	2.	Supervised practice for a period no less than six (6) months subject to the terms established by the Director.  OR
	3.	By any other means approved by the Director.

Rule 4 – Unlicensed Persons in Acupuncture Training Programs (4 CCR 738-4) 
The purpose of this rule is to identify the circumstances and conditions a person in training may practice acupuncture without a valid and current license on file with the Division of Registrations pursuant to § Section 12-29.5-105(2), C.R.S. 

A. A person in training must be supervised on-site by an acupuncturist licensed in Colorado who holds an active and unrestricted license. 

B. A person in training may engage in the full scope of the “practice of acupuncture” as defined in § 12-29.5-102(3.5), C.R.S. 

C. If for any reason the training program is terminated, the supervising acupuncturist shall notify the Director of Registrations, in writing, within 10 days. 

A.	A person in training may practice acupuncture without a valid and current license on file with the Director of Registrations (Director) if such practice takes place in the course of a bona fide training program.  A bona fide training program is a training or apprenticeship program with an accredited school of acupuncture. 
B.	A person in training shall be supervised by an acupuncturist licensed in Colorado who holds an active and unrestricted license to practice acupuncture in Colorado.
C.	Section 12-29.5-105(2)(a), C.R.S., requires a supervising acupuncturists to provide direct, on-site supervision of persons in training.  Direct supervision shall mean supervision that is on the premises and in the same building where any such unlicensed personnel are practicing.
D.	A person in training may engage in the full scope of the “practice of acupuncture” as defined in Section 12.29.5-102(3.5), C.R.S.
E.	The supervising acupuncturist is responsible for maintaining documentation of when the bona fide training program began and for ensuring that, within thirty (30) days of occurring, the names and current addresses of all supervised persons in training and the training termination date, as reported to the Director in writing. 

Rule 5 – Use of Title and Restrictions (4 CCR 738-5) 
The purpose of this rule is to clarify the use of title “licensed acupuncturist” or “diplomat of acupuncture”, and use of designation “L.Ac.” or “Dipl. Ac.” under § 12-29.5-105(1.5)(b)(II), C.R.S. 

A. 	Obtaining an acupuncturist license does not automatically entitle or confer upon the licensee the right to use the title “Dr.” or “Doctor”. 

B. 	A licensed acupuncturist can use the title “Doctor” or “Dr.” only when such licensee has, in fact, been awarded a doctorate degree from an acupuncture or oriental medicine academic/educational institution. 

In such instances where a licensee qualifies to use the title “Doctor” or “Dr.”, an acupuncturist can use the title “Doctor” or “Dr.” only when accompanied by the words “Doctor of Acupuncture” or letters “D.Ac.”, “Oriental Medicine Doctor” or “OMD”, “Doctor of Acupuncture and Oriental Medicine” or “D.Ac.OM”, “Doctor of Traditional Chinese Medicine” or “DTCM”, “Doctor of Acupuncture and Oriental Medicine” or “DAOM”, or any other doctoral degree recognized and approved by the Director of Registrations.
 Rule 6 – Declaratory Orders (4 CCR 738-6) 
The purpose of this rule is to establish procedures for the handling of requests for declaratory orders filed pursuant to the Colorado Administrative Procedures Act at § 24-4-105(11), C.R.S. 

A. 	Any person or entity may petition the Director for a declaratory order to terminate controversies or remove uncertainties as to the applicability of any statutory provision or of any rule or order of the Director. 
B. 	The Director will determine, at her discretion and without notice to petitioner, whether to rule upon such petition. If the Director determines that she will not rule upon such a petition, the Director shall promptly notify the petitioner of her action and state the reasons for such decision. 
C. 	In determining whether to rule upon a petition filed pursuant to this rule, the Director will consider the following matters, among others: 

1. Whether a ruling on the petition will terminate a controversy or remove uncertainties as to the applicability to petitioner of any statutory provisions or rule or order of the Director. 

2. Whether the petition involves any subject, question or issue that is the subject of a formal or informal matter or investigation currently pending before the Director or a court involving one or more petitioners. 

3. Whether the petition involves any subject, question or issue that is the subject of a formal or informal matter or investigation currently pending before the Director or a court but not involving any petitioner. 

4. Whether the petition seeks a ruling on a moot or hypothetical question or will result in an advisory ruling or opinion. 

5. Whether the petitioner has some other adequate legal remedy, other than an action for declaratory relief pursuant to CRCP 57, which will terminate the controversy or remove any uncertainty as to the applicability to the petitioner of the statute, rule, or order in question. 

D. 	Any petition filed pursuant to this rule shall set forth the following: 

1. The name and address of the petitioner and whether the petitioner is licensed pursuant to Title 12, Article 29.5. 

2. The statute, rule, or order to which the petition relates. 

3. A concise statement of all of the facts necessary to show the nature of the controversy or uncertainty and the manner in which the statute, rule, or order in question applies or potentially applies to the petitioner. 
E. 	If the Director determines that she will rule on the petition, the following procedures shall apply: 

1. The Director may rule upon the petition based solely upon the facts presented in the petition. In such a case: 
a. Any ruling of the Director will apply only to the extent of the facts presented in the petition and any amendment to the petition. 

b. The Director may order the petitioner to file a written brief, memorandum, or statement of position. 

c. The Director may set the petition, upon due notice to petitioner, for a non-evidentiary hearing. 

d. The Director may dispose of the petition on the sole basis of the matters set forth in the petition. 

e. The Director may request the petitioner to submit additional facts in writing. In such event, such additional facts will be considered as an amendment to the petition. 

f. The Director may take administrative notice of facts pursuant to the Colorado Administrative Procedures Act at § 24-4-105(8), C.R.S., and may utilize her experience, technical competence, and specialized knowledge in the disposition of the petition. 

2. If the Director rules upon the petition without a hearing, she shall promptly notify the petitioner of her decision. 

3. The Director may, at her discretion, set the petition for hearing, upon due notice to petitioner, for the purpose of obtaining additional facts or information or to determine the truth of any facts set forth in the petition or to hear oral argument on the petition. The hearing notice to the petitioner shall set forth, to the extent known, the factual or other matters that the Director intends to inquire. 

For the purpose of such a hearing, to the extent necessary, the petitioner shall have the burden of proving all the facts stated in the petition; all of the facts necessary to show the nature of the controversy or uncertainty; and the manner in which the statute, rule, or order in question applies or potentially applies to the petitioner and any other facts the petitioner desires the Director to consider. 

F. 	The parties to any proceeding pursuant to this rule shall be the Director and the petitioner. Any other person may seek leave of the Director to intervene in such a proceeding, and leave to intervene will be granted at the sole discretion of the Director. A petition to intervene shall set forth the same matters as are required 
by Section D of this Rule. Any reference to a "petitioner" in this rule also refers to any person who has been granted leave to intervene by the Director. 

Any declaratory order or other order disposing of a petition pursuant to this rule shall constitute agency action subject to judicial review pursuant to the Colorado Administrative Procedures Act at § 24-4-106, C.R.S.

Rule 6	– Declaratory Orders
The purpose of this rule is to establish procedures for the handling of requests for declaratory orders filed pursuant to the Colorado Administrative Procedures Act at Section 24-4-105(11), C.R.S.
	
A.	Any person or entity may petition the Director of Registrations (Director) for a declaratory order to terminate controversies or remove uncertainties as to the applicability of any statutory provision or of any rule or order of the Director.
B.	The Director will determine, at her discretion and without notice to petitioner, whether to rule upon such petition. If the Director determines that she will not rule upon such a petition, the Director shall promptly notify the petitioner of her action and state the reasons for such decision.
C.	In determining whether to rule upon a petition filed pursuant to this rule, the Director will consider the following matters, among others:
1.	Whether a ruling on the petition will terminate a controversy or remove uncertainties as to the applicability to petitioner of any statutory provisions or rule or order of the Director.
2.	Whether the petition involves any subject, question or issue that is the subject of a formal or informal matter or investigation currently pending before the Director or a court involving one or more petitioners.
3.	Whether the petition involves any subject, question or issue that is the subject of a formal or informal matter or investigation currently pending before the Director or a court but not involving any petitioner.
4.	Whether the petition seeks a ruling on a moot or hypothetical question or will result in an advisory ruling or opinion.
5.	Whether the petitioner has some other adequate legal remedy, other than an action for declaratory relief pursuant to Colorado Rules of Civil Procedure 57, which will terminate the controversy or remove any uncertainty as to the applicability to the petitioner of the statute, rule, or order in question.
D.	Any petition filed pursuant to this rule shall set forth the following:
1.	The name and address of the petitioner and whether the petitioner is licensed pursuant to Title 12, Article 29.5.
2.	The statute, rule, or order to which the petition relates.
3.	A concise statement of all of the facts necessary to show the nature of the controversy or uncertainty and the manner in which the statute, rule, or order in question applies or potentially applies to the petitioner.
E.	If the Director determines that she will rule on the petition, the following procedures shall apply:
1.	The Director may rule upon the petition based solely upon the facts presented in the petition. In such a case:
a.	Any ruling of the Director will apply only to the extent of the facts presented in the petition and any amendment to the petition.
b.	The Director may order the petitioner to file a written brief, memorandum, or statement of position.
c.	The Director may set the petition, upon due notice to petitioner, for a non-evidentiary hearing.
d.	The Director may dispose of the petition on the sole basis of the matters set forth in the petition.
e.	The Director may request the petitioner to submit additional facts in writing. In such event, such additional facts will be considered as an amendment to the petition.
f.	The Director may take administrative notice of facts pursuant to the Colorado Administrative Procedures Act at Section 24-4-105(8), C.R.S., and may utilize her experience, technical competence, and specialized knowledge in the disposition of the petition.
2.	If the Director rules upon the petition without a hearing, she shall promptly notify the petitioner of her decision.
3.	The Director may, at her discretion, set the petition for hearing, upon due notice to petitioner, for the purpose of obtaining additional facts or information or to determine the truth of any facts set forth in the petition or to hear oral argument on the petition. The hearing notice to the petitioner shall set forth, to the extent known, the factual or other matters that the Director intends to inquire.
For the purpose of such a hearing, to the extent necessary, the petitioner shall have the burden of proving all the facts stated in the petition; all of the facts necessary to show the nature of the controversy or uncertainty; and the manner in which the statute, rule, or order in question applies or potentially applies to the petitioner and any other facts the petitioner desires the Director to consider.
F.	The parties to any proceeding pursuant to this rule shall be the Director and the petitioner. Any other person may seek leave of the Director to intervene in such a proceeding, and leave to intervene will be granted at the sole discretion of the Director. A petition to intervene shall set forth the same matters as are required by Section D of this Rule. Any reference to a “petitioner” in this rule also refers to any person who has been granted leave to intervene by the Director.
G.	Any declaratory order or other order disposing of a petition pursuant to this rule shall constitute agency action subject to judicial review pursuant to the Colorado Administrative Procedures Act at Section 24-4-106, C.R.S.

Rule 7	 – Reporting Convictions, Judgments and Administrative Proceedings 
The purpose of the rule is to clarify the procedures for reporting convictions, and other adverse actions to include judgments and administrative proceedings pursuant to Sections 12-29.5-103, 12-29.5-104 and 12-29.5-106, C.R.S.

A licensee as defined in Section 12-29.5-102, C.R.S., shall inform the Director of Registrations (Director), in a manner set forth by the Director, within thirty (30) days of any of the following events: 

A.	The conviction of the licensee of a felony under the laws of any state or of the United States, which would be a violation of Section 12-29.5-106, C.R.S.  A guilty verdict, a plea of guilty or a plea of nolo contendere (no contest) accepted by the court is considered a conviction; 
B.   A disciplinary action imposed upon the licensee by another jurisdiction that licenses acupuncturists, which would be a violation of Section 12-29.5-106, C.R.S., including, but not limited to, a citation, sanction, probation, civil penalty, or a denial, suspension, revocation, or modification of a license whether it is imposed by consent decree, order, or other decision, for any cause other than failure to pay a license fee by the due date or failure to meet continuing professional education requirements; 
C.   Revocation or suspension by another state board, municipality, federal or state agency of any health services related license, other than a lapsed license for acupuncture as described in Section 12-29.5-106, C.R.S.; 
D.  Any judgment, award or settlement of a civil action or arbitration in which there was a final judgment or settlement against the licensee for malpractice of acupuncture. 
E.	The notice to the Director shall include the following information; 
1.	If the event is an action by a governmental agency (as described above), the name of the agency, its jurisdiction, the case name, court docket, proceeding or case number by which the event is designated, and a copy of the consent decree, order or decision; 
2.	 If the event is a felony conviction, the court, its jurisdiction, the case name, the case number, a description of the matter or a copy of the indictment or charges, and any plea or verdict entered by the court. The licensee shall also provide to the Director a copy of the imposition of sentence related to the felony conviction and the completion of all terms of the sentence with thirty (30) days of such action; 
3. 	If the event concerns a civil action or arbitration proceeding, the court or arbiter, the jurisdiction, the case name, the case number, court docket, a description of the matter or a copy of the complaint, and a copy of the verdict, the court or arbitration decision, or, if settled, the settlement agreement and court’s order of dismissal; 
F.	The licensee notifying the Director may submit a written statement with the notice to be included with the licensee records. 

Rule 8	- Exceptions and Director’s Review of Initial Decisions
The purpose of these rules and regulations is to set forth the procedures surrounding the filing of exceptions and review of initial decisions pursuant to Sections 12-29.5-106(1), 24-4-105(14) and (15), C.R.S.

A.	Written Form, Service, Time, and Filing Requirements.
1.	All designations of record, requests, motions, exceptions, and any responses thereto  (hereinafter “Pleading” or “Pleadings”) must be in written form, and mailed with a certificate of service to Acupuncture Licensure Office (Office) and the opposing party.  
2.	In the event that an electronic filing system is implemented in the Division of Registrations for the receipt of Pleadings, any Pleadings may be submitted in electronic form with a certificate of filing to the Office and the opposing party.
3.	All Pleadings must be received by the Office by 5:00 p.m. on the date the filing is due and must be served on the opposing party.  This rule does not confer any additional time for service by mail than that allowed pursuant to Section 24-4-105, C.R.S.  
4.	All Pleadings shall be filed with the Office; not with the Office of Administrative Courts.  Any pleading filed in error with the Office of Administrative Courts shall not be considered. 
B.	Designation of Record and Transcripts.
1.	Any party seeking to reverse or modify the initial decision of the administrative law judge shall file with the Office a designation of the relevant parts of the record for review (“Designation of Record”).  Designations of Record are due and must be received by the Office within twenty days (20) of the date on which the Office mails the initial decision to the parties’ address of record with the Office.
2.	In the absence of a Designation of Record, the record for purposes of the Director’s review of the Initial Decision as set forth in Section 24-4-105(14)(a), C.R.S. shall in all cases include the following:
a.	All Pleadings filed with the Office of Administrative Courts or applicable hearing tribunal;
b.	All applications presented or considered during the hearing;
c.	All documentary or other exhibits admitted into evidence at the hearing;
d.	All documentary or other exhibits presented or considered during the hearing;
e.	All matters officially noticed during the hearing; and
f.	Any findings of fact and conclusions of law proposed by any party at the hearing. 
3.	Transcripts:  Transcripts shall not be deemed part of a Designation of Record unless specifically identified, ordered and timely filed.  To designate a transcript or portion thereof, the following procedures apply:

a.	The Designation of Record must identify with specificity the transcript or portion thereof to be transcribed.  For example, a party may designate the entire transcript, testimony of particular witness(es), a legal ruling or argument, or other information necessary to identify the portion of the transcript to be transcribed.
b.	Any party who includes a transcript or a portion thereof as part of the Designation of Record must order the transcript or relevant portions by the date on which the Designation of Record is due.  As noted above, a Designation of Record is due within twenty days of the date on which the Office mails the initial decision to the parties.
c.	When ordering the transcript, the ordering party shall request the court reporter to complete and provide the Office the transcript and one copy of the transcript within thirty days and shall timely pay all fees associated with such a request.  
d.	If a party designates a portion of the transcript, the opposing party may file a Supplemental Designation of Record identifying additional portions of the transcript.  This Supplemental Designation of Record is due and must be received by the Office within ten days after the date on which the original Designation of Record was due and received by the Office.
e.	A party filing a Supplemental Designation of Record shall request the court reporter to complete and provide the Office the supplemental transcript and one copy of the supplemental transcript within thirty days of the Supplemental Designation of Record and shall timely pay all fees associated with such a request.  
f.	Transcripts that are ordered by either party and not provided to the Office in a timely manner by the court reporter due to non-payment, insufficient payment or failure to request as set forth above will not be considered by the Director.
C.	Exceptions and Responsive Pleadings
1.	Any party filing exceptions shall adhere to the following timelines:
a.	If no transcripts are ordered, exceptions are due within thirty (30) days from the date the Office mails the initial decision to the parties.  Both parties’ exceptions are due on the same date.  
b.	If transcripts are ordered by either party, the following procedure shall apply:  
(1).	Upon timely receipt of all transcripts identified in the Designations of Record, the Office shall mail notification to the parties stating that the transcripts have been received.  Exceptions are due within thirty (30) days from the date on which such notification is mailed.  Both parties’ exceptions are due on the same date.  
2.	Either party may provide a responsive pleading to the other party’s exceptions.  All responsive pleadings shall be due and received by the Office within ten (10) days of the date on which the exceptions were due.  No other pleadings will be considered except for good cause shown.
3.	The Director may in her sole discretion, upon a showing of good cause, grant an extension of time to provide a designation of record, exceptions or responsive pleadings, or may delegate the discretion to grant such an extension of time to the Office’s Program Director or the Program Director’s designee.
D.  Request for Oral Argument
1	All requests for oral argument must be in writing and filed by the deadline for responsive pleadings.  Requests received by the Office after this time will not be considered.
2.	It is within the sole discretion of the Director to grant or deny a request for oral argument.  If oral argument is granted, both parties shall have the opportunity to participate.
3.	Each side shall be permitted five minutes for oral argument unless such time is extended by the Director or the Program Director.