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TX JC-0304 November 10, 2000

Can an out-of-state nonprofit be certified as a nonprofit health organization by the Texas Medical Board?

Short answer: The Attorney General concluded that the Texas State Board of Medical Examiners may certify only nonprofit corporations chartered under the Texas Non-Profit Corporation Act, not foreign (out-of-state) nonprofit corporations, as nonprofit health organizations under Occupations Code section 162.001(b). The statutory phrase 'a nonprofit corporation under the Act' is ambiguous, but the Board had read it for nearly thirty years to mean Texas-chartered corporations only, and that reading was reasonable, harmonized with the rest of the statute, and so controlling. Certification is a narrow exception to the ban on the corporate practice of medicine, and the Board concluded it cannot fully police a foreign corporation whose internal affairs are governed by another state's law.

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This page answers the general question as of 2000. Ezel answers yours: what it means for your facts, under current Texas law, with citations.

Currency note: this opinion is from 2000
Subsequent statutory amendments, court decisions, or later AG opinions may have changed the analysis. Treat this page as historical context, not current legal advice. Verify current law before relying on any specific rule, deadline, or remedy mentioned here.
Disclaimer: This is an official Texas Attorney General opinion. AG opinions are persuasive authority in Texas courts but are not binding precedent. This summary is for informational purposes only and is not legal advice. Statutes can be amended; verify current law before relying on anything here. Consult a licensed attorney for advice on your specific situation.
About this page: The plain-English summary, reader guidance, and Q&A below were written by Ezel based on the official AG opinion. The original opinion (linked on this page as a PDF) is the authoritative source for any reliance.
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Plain-English summary

Texas generally forbids the "corporate practice of medicine," meaning a corporation owned by non-physicians cannot employ doctors and bill for their medical services. The Occupations Code carves out a narrow exception: the Board of Medical Examiners can certify certain physician-controlled nonprofit "health organizations" that are allowed to employ doctors. The statute says the Board certifies an organization that "is a nonprofit corporation under the Texas Non-Profit Corporation Act." For decades the Board read that to mean only Texas-chartered (domestic) nonprofits. After the Board inadvertently certified eight out-of-state nonprofits, those corporations disagreed with the Board's reading, and the Board's executive director asked the Attorney General whether foreign (out-of-state) nonprofit corporations can be certified.

The Attorney General concluded that the Board's longstanding reading controls, so foreign nonprofits cannot be certified. The phrase "a nonprofit corporation under the Act" is genuinely ambiguous; it could mean a corporation meeting the Act's definition, one incorporated under the Act, or one merely subject to the Act (which would include a foreign corporation that obtained a certificate of authority). Under settled Texas law, when a statute can reasonably be read the way the enforcing agency has read it, and that reading harmonizes with the rest of the statute, courts accept the agency's construction even if other readings are possible. The Board had construed the statute the same way for twenty-nine years, the construction fit the surrounding requirements (the certified organization must be organized and directed solely by Texas-licensed physicians, and the Board must be able to police its internal affairs), and the Legislature had reenacted and reused the same language without overriding the Board, which the doctrine of legislative acceptance treats as endorsement.

The opinion also rejected a constitutional objection. Several foreign nonprofits argued that denying them certification would violate the Full Faith and Credit Clause by refusing to recognize the laws under which they were formed. The Attorney General found no case law supporting that, distinguished the one case the corporations cited (Wells v. Hiskett, which is about recognizing a validly issued foreign charter, not about a state restricting foreign corporations' activities), and pointed to Railway Express Agency v. Virginia for the principle that a state may refuse a foreign corporation a permit to do local business without taking out a local charter.

Currency note

This opinion was issued in 2000. Subsequent statutory amendments, court decisions, or later Attorney General opinions may have changed the analysis. Treat this page as historical context, not current legal advice. Verify current law before relying on any specific rule, deadline, or remedy mentioned here.

What the opinion meant for those who asked

The Texas State Board of Medical Examiners (what the opinion held for it): The opinion held that the Board's nearly thirty-year construction, certifying only Texas-chartered nonprofit corporations as nonprofit health organizations, was a reasonable and harmonious reading entitled to deference and was controlling. It also accepted the Board's position that it cannot effectively regulate the internal affairs of a foreign corporation governed by another state's law.

Out-of-state (foreign) nonprofit corporations (what the opinion held for them): The opinion held that a foreign nonprofit, even one holding a certificate of authority to do business in Texas, may not be certified under section 162.001(b), and rejected their Full Faith and Credit argument. It noted the Board had inadvertently certified eight such corporations.

Physicians and health-care lawyers (what the opinion held for them): The opinion held that the certification exception to the corporate-practice-of-medicine ban runs only to Texas-chartered nonprofits organized and directed solely by Board-licensed physicians, framing the certified entity as a limited exception to that prohibition.

Common questions

Can an out-of-state nonprofit be certified as a Texas nonprofit health organization?
Under this opinion, no. The Attorney General accepted the Board's reading that section 162.001(b) allows certification only of nonprofit corporations chartered under the Texas Non-Profit Corporation Act.

Why did the agency's interpretation win when the statute was ambiguous?
Because Texas courts defer to an enforcing agency's reasonable, harmonious construction of an ambiguous statute. The Board had read the statute the same way for twenty-nine years, and the Legislature reenacted and reused the language without changing it, which the opinion treated as legislative acceptance.

What is the corporate practice of medicine, and how does this fit?
It is the general prohibition on non-physician-owned corporations employing doctors to practice medicine. The certified nonprofit health organization is a narrow exception that lets physician-controlled nonprofits employ doctors, which is why the Board insists on entities it can fully regulate.

Did refusing to certify foreign nonprofits violate the Constitution?
The opinion concluded it did not. It found no authority for the Full Faith and Credit argument, distinguished Wells v. Hiskett, and relied on Railway Express Agency v. Virginia for the rule that a state may require a foreign corporation to obtain a local charter to do local business.

Background and statutory framework

Under the Texas Non-Profit Corporation Act, a nonprofit corporation organized under the Act is a domestic corporation (art. 1396-1.02 A(1)), while one organized under another jurisdiction's law is a foreign corporation that cannot conduct affairs in Texas until it obtains a certificate of authority from the Secretary of State (arts. 1396-1.02 A(2), 1396-8.01 A). A foreign corporation with a certificate is generally subject to the same restrictions as a domestic corporation except as to its internal affairs and members' debt liability, which remain governed by the law of its incorporating jurisdiction (art. 1396-8.02 A).

Occupations Code section 162.001 directs the Board to certify qualifying health organizations. Subsection (b) covers a "nonprofit corporation under the Texas Non-Profit Corporation Act" organized for public-interest research, medical education, public health care, or public medical instruction, and requires that it be organized and directed solely by Board-licensed physicians; subsection (c) covers certain federally qualified and community health centers that are also section 501(c)(3) organizations; and section 162.003 lets the Board refuse or revoke certification for organizations operated to violate the medical practice laws. The corporate-practice ban itself appears in section 164.052(17) and related provisions (§§ 151.003, 152.001, 155.001, 155.003).

On interpretation, the opinion applied the rule that an ambiguous statute reasonably read by the enforcing agency in harmony with the whole is controlling, citing Monsanto Co. v. Cornerstones Municipal Utility District, Texas Water Commission v. Brushy Creek Municipal Utility District, Teleprofits of Texas v. Sharp, Berry v. State Farm Mutual Auto Insurance Co., Quick v. City of Austin, and Union Bankers Insurance Co. v. Shelton. On the corporate-practice background it cited Sampson v. Baptist Memorial Hospital System (noting the prohibition is the law in all states except Nebraska and Missouri), Garcia v. Texas State Board of Medical Examiners, and Flynn Brothers v. First Medical Associates. On legislative acceptance it relied on Sharp v. House of Lloyd and Southwestern Life Insurance Co. v. Montemayor, noting the Legislature amended the law in 1991 and 1995 and reused the same phrasing in subsection (c) in 1999 without overriding the Board. On the constitutional point it distinguished Wells v. Hiskett and cited Railway Express Agency v. Virginia.

Citations

Statutory provisions:

  • Tex. Occ. Code Ann. §§ 151.003, 152.001, 155.001, 155.003, 162.001, 162.003, 164.052(17) (Vernon 2000)
  • Tex. Rev. Civ. Stat. Ann. arts. 1396-1.02 A(1), A(2), A(3), 1396-8.01 A, 1396-8.02 A (Vernon 1997)

Cases:

  • Monsanto Co. v. Cornerstones Mun. Util. Dist., 865 S.W.2d 937 (Tex. 1993)
  • Texas Water Comm'n v. Brushy Creek Mun. Util. Dist., 917 S.W.2d 19 (Tex. 1996)
  • Teleprofits of Tex., Inc. v. Sharp, 875 S.W.2d 748 (Tex. App.—Austin 1994, no writ)
  • Berry v. State Farm Mut. Auto Ins. Co., 9 S.W.3d 884 (Tex. App.—Austin 2000, no pet.)
  • Quick v. City of Austin, 7 S.W.3d 109 (Tex. 1998)
  • Union Bankers Ins. Co. v. Shelton, 889 S.W.2d 278 (Tex. 1994)
  • Sampson v. Baptist Mem'l Hosp. Sys., 940 S.W.2d 128 (Tex. App.—San Antonio 1996), rev'd on other grounds, 969 S.W.2d 945 (Tex. 1998)
  • Garcia v. Texas State Bd. of Med. Exam'rs, 384 F. Supp. 434 (W.D. Tex. 1974), aff'd, 421 U.S. 995 (1975)
  • Flynn Bros., Inc. v. First Med. Assocs., 715 S.W.2d 782 (Tex. App.—Dallas 1986, writ ref'd n.r.e.)
  • Sharp v. House of Lloyd, Inc., 815 S.W.2d 245 (Tex. 1991)
  • Southwestern Life Ins. Co. v. Montemayor, 24 S.W.3d 581 (Tex. App.—Austin 2000, pet. denied)
  • Wells v. Hiskett, 288 S.W.2d 257 (Tex. Civ. App.—Texarkana 1956, writ ref'd n.r.e.)
  • Railway Express Agency, Inc. v. Virginia, 282 U.S. 440 (1931)

Source

Original opinion text

Best-effort transcription from the official scanned PDF. Minor character-level errors from the source OCR have been corrected; the linked PDF is authoritative.

November 10, 2000

F.M. "Skip" Langley, D.V.M., M.D., J.D.
Executive Director
Texas State Board of Medical Examiners
P.O. Box 2018
Austin, Texas 78768-2018

Opinion No. JC-0304

Re: Whether the Texas Board of Medical Examiners may certify a foreign nonprofit corporation, organized under the laws of a jurisdiction other than Texas, as a nonprofit health organization under section 162.001(b) of the Occupations Code (RQ-0250-JC)

Dear Dr. Langley:

Section 162.001(b) of the Occupations Code directs the Board of Medical Examiners (the "Board") to certify a health organization that "is a nonprofit corporation under the Texas Non-Profit Corporation Act" and that meets the other requirements set out in that section. TEX. OCC. CODE ANN. § 162.001(b) (Vernon 2000). The Board construes this provision to mean that it may certify only nonprofit corporations organized under the Texas statute. The Texas Non-Profit Corporation Act deals with both nonprofit corporations incorporated thereunder and nonprofit corporations incorporated under the laws of other jurisdictions, namely, foreign corporations. Because of the inadvertent certification of eight foreign corporations and their disagreement with the Board's interpretation of section 162.001(b), your predecessor in office asked whether the Board may certify foreign nonprofit corporations under this section.[1] We conclude that the Board's long-standing construction that the statute allows certification of only Texas nonprofit corporations is a reasonable interpretation in harmony with the rest of the statute and is controlling.

We begin by briefly reviewing the provisions of the Texas Non-Profit Corporation Act (the "Act") and chapter 162 of the Occupations Code relevant to your question. The Act defines a non-profit corporation as "a corporation no part of the income of which is distributable to its members, directors, or officers." TEX. REV. CIV. STAT. ANN. art. 1396-1.02 A(3) (Vernon 1997). A nonprofit corporation organized under the Act is a domestic corporation. See id. art. 1396-1.02 A(1). A nonprofit corporation organized under the laws of a jurisdiction other than Texas is a foreign corporation and is prohibited from conducting affairs in this state until it has procured a certificate of authority from the Secretary of State to do so. See id. arts. 1396-1.02 A(2), 1396-8.01 A. A foreign corporation that obtains a certificate of authority enjoys the same privileges and is subject to the restrictions of a domestic corporation except with respect to its internal affairs and debt liability of its members. Id. art. 1396-8.02 A.

Chapter 162 of the Occupations Code deals with Board certification of nonprofit health organizations. Section 162.001(a) directs the "board by rule [to] certify a health organization" that applies for certification and satisfies the further requirements of subsection (b) or (c). TEX. OCC. CODE ANN. § 162.001(a) (Vernon 2000). Subsection (b) directs the Board to approve and certify a health organization that "is a nonprofit corporation under the Texas Non-Profit Corporation Act [articles 1396-1.01 to 1396-11.01 of the Revised Civil Statutes] organized" to conduct public-interest research, support medical education, improve and develop medical education and practice, deliver public health care, or provide public medical and health instruction. Id. § 162.001(b)(1). Additionally, the organization must be "organized and incorporated" only by persons licensed by the Board; and its directors and trustees must also be Board licensed and actively practicing medicine. Id. § 162.001(b)(2), (3). Subsection (c) directs the Board to certify a health organization to contract or employ licensed physicians if the organization is "a nonprofit corporation under the . . . Act" and section 501(c)(3) of the United States Code, and is organized and operated as a migrant, community, or homeless health center or a federally qualified health center. Id. § 162.001(c). Finally, section 162.003 authorizes the Board to refuse and revoke certification if the Board determines that the organization is established or operated with the intent to violate or violates the provisions regarding the practice of medicine. See id. § 162.003.

Your predecessor's question requires us to construe the phrase "a nonprofit corporation under the . . . Act" as used in section 162.001(b). The goal of statutory construction is to give effect to legislative intent, and where the language in the statute is unambiguous, that intent must be found in the plain and common meaning of the words used. Monsanto Co. v. Cornerstones Mun. Util. Dist., 865 S.W.2d 937, 939 (Tex. 1993); see also Texas Water Comm'n v. Brushy Creek Mun. Util. Dist., 917 S.W.2d 19, 21 (Tex. 1996) ("We resort to rules of construction only when the statute in question is ambiguous."). The language of section 162.001(b), however, is not unambiguous. A "nonprofit corporation under the . . . Act" may reasonably be understood to mean: (1) a corporation meeting the definition of a nonprofit corporation under the Act; (2) a nonprofit corporation incorporated under the Act, i.e., a domestic corporation; or (3) a nonprofit corporation subject to the Act, i.e., a domestic corporation or a foreign corporation that has obtained a certificate of authority to do business in Texas. See Teleprofits of Tex., Inc. v. Sharp, 875 S.W.2d 748, 750 (Tex. App.—Austin 1994, no writ) (statute is ambiguous when it is capable of being understood by reasonably well-informed persons in two or more senses); see also TEX. REV. CIV. STAT. ANN. arts. 1396-1.01-1396-11.01 (Vernon 1997 & Supp. 2000).

In these circumstances, "[i]f a statute can be reasonably read as the agency has ruled, and that reading is in harmony with the rest of the statute, then [the court is] bound to accept that interpretation even if other reasonable interpretations exist." Berry v. State Farm Mut. Auto Ins. Co., 9 S.W.3d 884, 893 (Tex. App.—Austin 2000, no pet.); see also Quick v. City of Austin, 7 S.W.3d 109, 123 (Tex. 1998) ("While not controlling, contemporaneous construction of a statute by the administrative agency charged with its enforcement is entitled to great weight."). Additionally, we may consider legislative history and former statutory provisions, the circumstances under which the statute was enacted, the object sought to be obtained, and the consequences of a particular construction. See Union Bankers Ins. Co. v. Shelton, 889 S.W.2d 278, 280 (Tex. 1994).

For the past twenty-nine years, the Board has interpreted the statute to authorize certification only of domestic nonprofit corporations. This interpretation is a reasonable interpretation in harmony with the other certification requirements of the statute. See Berry, 9 S.W.3d at 893 (court bound to accept administrative agency's reasonable and harmonious reading). The legislature has assigned to the Board the authority to enforce section 162.001 and other provisions of the Occupations Code dealing with the practice of medicine. See TEX. OCC. CODE ANN. §§ 151.003 (as matter of public policy, necessary to regulate practice of medicine and Board to remain primary means of licensing, regulating and disciplining physicians); 152.001 (Board authorized to regulate practice of medicine); 162.001(a) ("The board by rule shall certify . . . .") (Vernon 2000). The legislature adopted the substance of subsections (a) and (b) of section 162.001 in 1971. See Act of May 25, 1971, 62d Leg., R.S., ch. 627, § 4, 1971 Tex. Gen. Laws 2037, 2041 (amending predecessor, former article 4509a of the Revised Civil Statutes). Since that time, the Board has consistently construed the law to authorize certification only of nonprofit corporations incorporated under the Act. See Request Letter, supra note 1, at 10-12. The Board's construction was set out explicitly in the Texas Administrative Code from 1976 until 1996, when it was changed to comport with the statutory language. See id.[2] The Board's construction comports with the other provisions of the statute requiring the Board to investigate and ensure that nonprofit health organizations are organized and operated in accordance with section 162.001 to regulate, in turn, the corporate practice of medicine.

The corporate practice of medicine is prohibited under the Occupations Code. A physician or an applicant for medical license is prohibited from aiding or abetting the practice of medicine by a person, partnership, association, or corporation not licensed to practice medicine by the Board. See TEX. OCC. CODE ANN. § 164.052(17) (Vernon 2000); see also id. §§ 155.001 (person may not practice medicine without license), .003 (to be eligible for medical license, person must be twenty-one years old, of good professional character, and have completed medical school and training); Sampson v. Baptist Mem'l Hosp. Sys., 940 S.W.2d 128, 137 n.6 (Tex. App.—San Antonio 1996), rev'd on other grounds, 969 S.W.2d 945 (Tex. 1998) ("The prohibition of the corporate practice of medicine is the law in all states except Nebraska and Missouri."). Texas courts have held that a corporation comprised of lay-persons that employs licensed physicians to treat patients and receives fees for the services provided is engaged in the unlawful practice of medicine; and the licensed physician so employed violates section 164.052(17) and is subject to having his or her medical license cancelled, revoked or suspended by the Board. See Garcia v. Texas State Bd. of Med. Exam'rs, 384 F. Supp. 434 (W.D. Tex. 1974), aff'd, 421 U.S. 995 (1975) (upholding constitutionality of predecessor to sections 162.001(b)(2) and 164.052(17)); see also Flynn Bros., Inc. v. First Med. Assocs., 715 S.W.2d 782, 784 (Tex. App.—Dallas 1986, writ ref'd n.r.e.) (and cases cited therein).

While the legislative history is silent regarding the purpose of section 162.001(b),[3] its apparent purpose is to create a limited exception to the prohibition against the corporate practice of medicine. See Union Bankers Ins. Co., 889 S.W.2d at 280 (when legislative intent cannot be discerned from statutory language, circumstances under which statute was enacted, legislative objective, and consequences of particular construction may be considered). The statute, by its terms, authorizes the Board to "certify" as health organizations those nonprofit corporations organized and directed by physicians licensed by the Board. They are "special health organizations because they allow the employment of physicians for the purpose of practicing medicine by a corporation, thus providing an exception to the prohibition against the corporate practice of medicine in Texas." Request Letter, supra note 1, at 4. Although a foreign corporation that obtains a certificate of authority to do business under the Act is generally subject to the restrictions and liabilities imposed on similar domestic corporations with respect to affairs conducted within the state, the law of its incorporating jurisdiction governs significant aspects of a foreign corporation. The Act provides that:

[T]he laws of the jurisdiction of incorporation of a foreign corporation shall govern (1) the internal affairs of the foreign corporation, including but not limited to the rights, powers, and duties of its board of directors and members and matters relating to its membership, and (2) the liability, if any, of members of the foreign corporation for the debts, liabilities, and obligations of the foreign corporation for which they are not otherwise liable by statute or agreement.

TEX. REV. CIV. STAT. ANN. art. 1396-8.02 A (Vernon 1997). Section 162.001(b) requires the Board to investigate and regulate the internal affairs of a nonprofit health organization to ensure that it is "organized and incorporated solely by persons licensed by the board" and "its directors and trustees . . . are . . . licensed by the board; and actively engaged in the practice of medicine." TEX. OCC. CODE ANN. § 162.001(b)(2), (3) (Vernon 2000); see id. § 164.052(17). The Board is expressly authorized to refuse certification if it determines that an organization is established, organized, or operated in violation of the law or with intent to violate the law. See id. § 162.003(1). And, it must revoke a certification granted to such an organization. See id. § 162.003(2). The Board asserts it cannot effectively perform these duties with respect to foreign corporations whose internal affairs and structure are governed by the laws of other jurisdictions; and we cannot say, as a matter of law, that the Board is incorrect.

The doctrine of legislative acceptance lends further support to the Board's interpretation. When the legislature reenacts without substantial change an ambiguous statute that has been previously construed by an agency charged with its execution, a court should ordinarily adopt the agency's construction. See Sharp v. House of Lloyd, Inc., 815 S.W.2d 245, 248 (Tex. 1991); Southwestern Life Ins. Co. v. Montemayor, 24 S.W.3d 581, 585 (Tex. App.—Austin 2000, pet. denied). Since 1971, the legislature has twice substantively amended the law now codified in section 162.001, but has not changed the language at issue to explicitly overrule the Board's consistent and long-standing interpretation that only domestic nonprofit corporations may be certified as nonprofit health organizations. See Act of May 25, 1991, 72d Leg., R.S., ch. 721, § 1, 1991 Tex. Gen. Laws 2559; Act of May 18, 1995, 74th Leg., R.S., ch. 392, § 1, 1995 Tex. Gen. Laws 2939. In fact, the legislature again used the language at issue in the subsequently adopted subsection (c) authorizing the Board to certify an organization that "is a nonprofit corporation under the" Act and section 501(c)(3) of the United States Code, and that is organized and operated as a migrant, community, or homeless health center or a federally qualified health center. See TEX. OCC. CODE ANN. § 162.001(c) (Vernon 2000); Act of May 13, 1999, 76th Leg., R.S., ch. 388, § 1, sec. 162.001, 1999 Tex. Gen. Laws 1431, 1510.

Finally, we are unpersuaded that the Board's interpretation violates the federal constitution. A brief submitted on behalf of several foreign nonprofit corporations contends that a construction denying certification to foreign nonprofit corporations would violate the Full Faith and Credit Clause of the United States Constitution, because "Texas would be refusing to give full faith and credit to the laws of the other states under which the foreign corporations are formed, instead requiring that the corporations be formed as Texas Corporations in order to do business in the state."[4] We are unaware of any case law supporting this legal proposition. And the only case the brief cites in support, Wells v. Hiskett, 288 S.W.2d 257 (Tex. Civ. App.—Texarkana 1956, writ ref'd n.r.e.), is inapposite. Wells does not address the constitutionality, under the Full Faith and Credit Clause, of a state statute excluding or restricting foreign corporations from engaging in an activity in that state. See also Railway Express Agency, Inc. v. Virginia, 282 U.S. 440, 444 (1931) ("[Virginia is under its constitution] simply . . . refusing to grant a foreign corporation a permit to transact local business without taking out a charter from the jurisdiction within which [the] business must be done. There is no substantial evidence that the refusal would impose a burden on interstate commerce and it is presumed to be constitutional."). Instead, Wells merely deals with judicial recognition of a corporate entity by giving "full faith and credit" to its validly issued foreign charter:

Appellees also alleged that the Corporation was not duly incorporated; that its permit to do business in Texas was obtained by fraud; . . . and that its charter and permit were in violation of the laws of Texas and Oklahoma. . . . The record in this case shows that the corporate charter of the Corporation granted by . . . Oklahoma was regular and valid; [and] that the permit and renewal permit issued . . . by . . . Texas was valid and legal. . . . We must give "full faith and credit" to public acts of other states, which includes the issuance of charters to corporations.

Wells, 288 S.W.2d at 263 (citations omitted).

In sum, although there may be other reasonable interpretations, the phrase "a nonprofit corporation under the . . . Act" in section 162.001(b) of the Occupations Code can reasonably be read as the Board has interpreted it, i.e., a nonprofit corporation organized under the Texas Non-Profit Corporation Act. As that interpretation is in harmony with the rest of the statute, we accept the Board's interpretation and it is controlling.

SUMMARY

Because the phrase "a nonprofit corporation under the . . . Act" in section 162.001(b) of the Occupations Code can reasonably be read as the Board of Medical Examiners has interpreted it, i.e., a nonprofit corporation organized under the Texas Non-Profit Corporation Act, and is in harmony with the rest of the statute, we accept that interpretation and it is controlling.

JOHN CORNYN
Attorney General of Texas

ANDY TAYLOR
First Assistant Attorney General

CLARK KENT ERVIN
Deputy Attorney General - General Counsel

SUSAN D. GUSKY
Chair, Opinion Committee

Sheela Rai
Assistant Attorney General - Opinion Committee

[1] See Letter from Bruce A. Levy, M.D., J.D., Executive Director, Texas State Board of Medical Examiners, to Honorable John Cornyn, Texas Attorney General (June 19, 2000) (on file with Opinion Committee) [hereinafter Request Letter].

[2] Former section 177.2(a), which became effective on January 1, 1976, required the Board to obtain an organization's application for a charter from the Secretary of State and to establish that the "[a]pplication is for charter for a nonprofit corporation under the Texas Civil Statutes article 1396-1.01 et seq." Tex. Board of Medical Examiners, Rule 177.2 (effective 1/1/76) (repealed 1992); see also Request Letter at 10-11. The 1976 provision was repealed in 1992 and replaced by a provision requiring "a copy of the certificate of incorporation under the Texas Non-Profit Corporation Act." Proposed 17 Tex. Reg. 1171 (1992), adopted 17 Tex. Reg. 2393, 2394 (1992). The 1992 provision was repealed in 1996 and replaced by a provision written to reflect the statutory language. See proposed 20 Tex. Reg. 9246, 9247 (1996), adopted 21 Tex. Reg. 107 (1996) (codified at 22 TEX. ADMIN. CODE § 177.3(3) (2000)).

[3] See House Comm. on Public Health, Bill Analysis, Tex. H.B. 882, 62d Leg., R.S. (1971). The legislature did not begin audio-taping public hearings or floor debates until the following 1973 legislative session.

[4] See Brief from David W. Hilgers, Hilgers & Watkins, to Honorable John Cornyn, Texas Attorney General at 6-8 (Sept. 11, 2000) (on file with Opinion Committee).

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