{"kind":"expression","expression":{"expr_id":"2202","doc_id":"2202","label":"Health Practice (Amendment and Validation) Bill, 2020","is_as_enacted":"f","commenced_on":null,"superseded_on":null,"valid_from":null,"valid_to":null,"is_current":"t","incorporating":null,"akn_expr_iri":"\/akn\/ky\/bill\/2020\/1\/eng@2020-01-01","akn_envelope":"{\"_canary\": {\"iri\": {\"work\": \"\/akn\/ky\/bill\/2020\/1\", \"expression\": \"\/akn\/ky\/bill\/2020\/1\/eng@2020-01-01\", \"manifestation\": \"\/akn\/ky\/bill\/2020\/1\/eng@2020-01-01.pdf\"}, \"pdf\": {\"md5\": \"7774c8ef5b83771b67a1e6e1f98ebf82\", \"path\": \"\/Users\/q\/kyleg-data\/working\/BILLS\/2020\/2020-0001\/2020-0001.pdf\", \"pages\": 10, \"filename\": \"2020-0001.pdf\"}, \"errors\": [], \"extraction\": {\"model\": null, \"stats\": {\"word_count\": 1637, \"paragraph_count\": 10, \"text_char_count\": 11529}, \"usage\": null, \"method\": \"pymupdf-text\", \"version\": \"kyleg-akn-1.0\", \"extracted_at\": \"2026-07-18\"}, \"classification\": \"text_layer\", \"validation_flags\": [], \"docai_processor_id\": null}, \"akomaNtoso\": {\"act\": null, \"doc\": null, \"bill\": {\"body\": [{\"eId\": \"sec_n1\", \"num\": null, \"text\": \"HEALTH PRACTICE (AMENDMENT AND VALIDATION) BILL, 2020 A BILL FOR A LAW TO AMEND THE HEALTH PRACTICE LAW (2017 REVISION) TO DISTINGUISH BETWEEN PRACTISING LICENCES ISSUED TO FULLY REGISTERED PRACTITIONERS AND PRACTISING LICENCES ISSUED TO INSTITUTIONALLY AND PROVISIONALLY REGISTERED PRACTITIONERS; TO VALIDATE THE HEALTH PRACTICE REGISTRATION (AMENDMENT) REGULATIONS, 2013 AND THE PRACTISING LICENCES ISSUED UNDER THE REGULATIONS; AND FOR INCIDENTAL AND CONNECTED PURPOSES Introduced PUBLISHING DETAILS Objects and Reasons Introduced Memorandum of OBJECTS AND REASONS This Bill seeks to amend the Health Practice Law (2017 Revision) (the \u201cprincipal Law\u201d), to, among other things, distinguish between practising licences issued to fully registered practitioners and practising licences issued to institutionally and provisionally registered practitioners, and to validate the Health Practice Registration (Amendment) Regulations, 2013. Clause 1 provides the short title of the legislation. Clause 2 provides for the interpretation of certain expressions used in the legislation. Clause 3 provides for the deletion of the word \u201cchairman\u201d and substitution with the word \u201cchairperson\u201d throughout the legislation to promote the use of gender-neutral language. Clause 4 amends section 2 of the principal Law to insert a definition for \u201cChief Medical Officer\u201d. Clause 5 amends section 24A of the principal Law to provide that the registration period for institutionally registered practitioners shall be for an initial period of two years and may be renewed for consecutive periods not exceeding two years in any period. Clause 6 amends section 27A of the principal Law to distinguish between practising licences issued to fully registered practitioners and practising licences issued to institutionally registered practitioners and provisionally registered practitioners. A practising licence issued to a fully registered practitioner shall, unless renewed, revoked or surrendered, expire on the second anniversary of the birth of the licensee following the date of the first issue or re-issue thereof. A practising licence issued to an institutionally registered practitioner or a provisionally registered practitioner shall, unless renewed, revoked or surrendered, be valid for a period not exceeding two years. Clause 7 amends Schedule 1 of the principal Law to, among other things, provide for the appointment of two more members to the Health Practice Commission, namely the Chief Medical Officer and a person who is not a registered practitioner or a manager or operator of a health care facility. Clause 8 provides for the validation of the Health Practice Registration (Amendment) Regulations, 2013. That clause further provides that practising licences issued to institutionally registered practitioners during the specified period are deemed to be as lawful and valid as if the practising licences had been issued, and had expired, in accordance with the Health Practice Law (2005 Revision) and any amendments to that Law prior to the commencement of this amending and validating Law. Clause 9 provides for immunity from suit. Notwithstanding any law to the contrary, no legal proceedings or other action of any kind shall be commenced or continued against any person in respect, or in consequence, of an act, decision or omission of an Objects and Reasons Introduced institutionally registered practitioner done, taken, made or conducted during the specified period, if the act, decision, omission, or proceeding would have been lawful and valid had the practising licence been issued in accordance with the Health Practice Law (2005 Revision) and any amendments to that Law prior to the commencement of this amending and validating Law. Arrangement of Clauses Introduced HEALTH PRACTICE (AMENDMENT AND VALIDATION) BILL, 2020 Arrangement of Clauses Clause 1. 2.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_3\", \"num\": \"3.\", \"text\": \"Amendment of the Health Practice Law (2017 Revision) - deletion of \u201cchairman\u201d and 4. 5. 6. 7. 8.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_9\", \"num\": \"9.\", \"text\": \"Clause 1 Introduced HEALTH PRACTICE (AMENDMENT AND VALIDATION) BILL, 2020 A BILL FOR A LAW TO AMEND THE HEALTH PRACTICE LAW (2017 REVISION) TO DISTINGUISH BETWEEN PRACTISING LICENCES ISSUED TO FULLY REGISTERED PRACTITIONERS AND PRACTISING LICENCES ISSUED TO INSTITUTIONALLY AND PROVISIONALLY REGISTERED PRACTITIONERS; TO VALIDATE THE HEALTH PRACTICE REGISTRATION (AMENDMENT) REGULATIONS, 2013 AND THE PRACTISING LICENCES ISSUED UNDER THE REGULATIONS; AND FOR INCIDENTAL AND CONNECTED PURPOSES ENACTED by the Legislature of the Cayman Islands.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_1\", \"num\": \"1.\", \"text\": \"Short title 1. This Law may be cited as the Health Practice (Amendment and Validation) Law, 2020. Clause 2 Introduced\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_2\", \"num\": \"2.\", \"text\": \"Interpretation 2. In this Law, \u201cspecified period\u201d means the period commencing on 1st July, 2013, which is the date of the commencement of the Health Practice (Amendment) Law, 2013, and ending on the commencement of this Law. 3. Amendment of the Health Practice Law (2017 Revision) - deletion of \u201cchairman\u201d and substitution with \u201cchairperson\u201d 3. The Health Practice Law (2017 Revision), in this Law referred to as the \u201cprincipal Law\u201d, is amended by deleting the word \u201cchairman\u201d wherever it appears and substituting the word \u201cchairperson\u201d.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_4\", \"num\": \"4.\", \"text\": \"Amendment of section 2 - definitions 4. The principal Law is amended in section 2 by inserting after the definition of \u201cauthorised insurer\u201d, the following definition \u2014 \u201c \u201cChief Medical Officer\u201d means the person appointed to or acting in that position in the Ministry responsible for health;\u201d.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_5\", \"num\": \"5.\", \"text\": \"Amendment of section 24A - institutional registration 5. The principal Law is amended in section 24A by repealing subsection (4) and substituting the following subsections \u2014 \u201c(4) Registration under this section shall be for an initial period of two years and may be renewed for consecutive periods not exceeding two years in any period. (4A)  A registered practitioner on the institutional registration list who wishes to renew that registered practitioner\u2019s registration shall apply for the renewal not less than sixty days prior to the expiration of the registration.\u201d.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_6\", \"num\": \"6.\", \"text\": \"Amendment of section 27A \u2013 practising licence 6. The principal Law is amended in section 27A by repealing subsection (2) and substituting the following subsections\u2014 \u201c(2)  A practising licence issued to a registered practitioner on the principal list shall, unless renewed, revoked or surrendered, expire on the second anniversary of the birth of the licensee following the date of the first issue or re-issue of the practising licence. (2A) A practising licence issued to a registered practitioner on the institutional registration list or the provisional list shall, unless renewed, revoked or surrendered, be valid for a period not exceeding two years. (2B) Where an application for the renewal of a practising licence under subsection (2) or (2A) is made before the expiry of the practising Clause 7 Introduced licence but has not been dealt with by the relevant Council at the time the practising licence is due to expire, the practising licence continues in force until the application for renewal is dealt with; and any renewal in such a case shall be taken to have commenced from the day on which the practising licence would have expired but for the renewal.\u201d.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_7\", \"num\": \"7.\", \"text\": \"Amendment of Schedule 1 - Health Practice Commission 7. The principal Law is amended in Schedule 1, in paragraph 1, as follows \u2014 (a) in subparagraph (1) as follows \u2014 (i) by deleting the word \u201cand\u201d appearing at the end of subsubparagraph (d); and (ii) by inserting after subsubparagraph (d), the following subsubparagraphs \u2014 \u201c(da)  a person who is not \u2014 (i) a registered practitioner; or (ii)  a manager or operator of a health care facility; (db) the Chief Medical Officer, who shall be an exofficio member; and\u201d; (b) in subparagraph (5), as follows \u2014 (i) by inserting after the words \u201cthe Commission\u201d the words \u201cexcept an ex-officio member\u201d; and (ii) by deleting the words \u201csuch appointment\u201d and substituting the words \u201ceach appointment\u201d; and (c) in subparagraph (6), by inserting after the words \u201cthe Commission\u201d the words \u201cexcept an ex-officio member\u201d.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_8\", \"num\": \"8.\", \"text\": \"Validation 8. (1)  The Health Practice Registration (Amendment) Regulations, 2013 are deemed to be lawful and valid as if the Health Practice Registration (Amendment) Regulations, 2013 had been made in accordance with the Health Practice Law (2005 Revision). (2) Practicing licences issued to institutionally registered practitioners during the specified period are validated and deemed to have been issued and expired, in accordance with the Health Practice Law (2005 Revision) and any amendments to that Law prior to the commencement of this amending and validating Law. Clause 9 Introduced 9. Immunity from suit 9. (1)  Notwithstanding any law to the contrary, no legal proceedings or other action of any kind shall be commenced or continued against any person in respect, or in consequence, of an act, decision, omission or proceeding of an institutionally registered practitioner done, taken, made or conducted during the specified period, if the act, decision, omission, or proceeding would have been lawful and valid had the practising licence been issued in accordance with \u2014 (a)  the Health Practice Law (2005 Revision); and (b)  any amendments to the Health Practice Law (2005 Revision) prior to the commencement of this amending and validating Law. (2) For the purposes of subsection (1), an act, decision, or omission of an institutionally registered practitioner done, taken, made or conducted during the specified period is not lawful or valid if the act, decision or omission was negligent or done in bad faith. Passed by the Legislative Assembly the       day of                  , 2020. 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A\npractising licence issued to a fully registered practitioner shall, unless renewed, revoked\nor surrendered, expire on the second anniversary of the birth of the licensee following the\ndate of the first issue or re-issue thereof. A practising licence issued to an institutionally\nregistered practitioner or a provisionally registered practitioner shall, unless renewed,\nrevoked or surrendered, be valid for a period not exceeding two years.\nClause 7 amends Schedule 1 of the principal Law to, among other things, provide for the\nappointment of two more members to the Health Practice Commission, namely the Chief\nMedical Officer and a person who is not a registered practitioner or a manager or\noperator of a health care facility.\nClause 8 provides for the validation of the Health Practice Registration (Amendment)\nRegulations, 2013. That clause further provides that practising licences issued to\ninstitutionally registered practitioners during the specified period are deemed to be as\nlawful and valid as if the practising licences had been issued, and had expired, in\naccordance with the Health Practice Law (2005 Revision) and any amendments to that\nLaw prior to the commencement of this amending and validating Law.\nClause 9 provides for immunity from suit. Notwithstanding any law to the contrary, no\nlegal proceedings or other action of any kind shall be commenced or continued against\nany person in respect, or in consequence, of an act, decision or omission of an\n\nObjects and Reasons\nHealth Practice (Amendment and Validation) Bill, 2020\n\nPage 4\nIntroduced\nc\n\ninstitutionally registered practitioner done, taken, made or conducted during the specified\nperiod, if the act, decision, omission, or proceeding would have been lawful and valid had\nthe practising licence been issued in accordance with the Health Practice Law (2005\nRevision) and any amendments to that Law prior to the commencement of this amending\nand validating Law.\n\nHealth Practice (Amendment and Validation) Bill, 2020\nArrangement of Clauses\n\nc\nIntroduced\nPage 5\n\nCAYMAN ISLANDS\n\nHEALTH PRACTICE (AMENDMENT AND\nVALIDATION) BILL, 2020\n\nArrangement of Clauses\nClause\nPage\n1.\nShort title ...................................................................................................................................7\n2.\nInterpretation .............................................................................................................................8\n3.\nAmendment of the Health Practice Law (2017 Revision) - deletion of \u201cchairman\u201d and\nsubstitution with \u201cchairperson\u201d ...................................................................................................8\n4.\nAmendment of section 2 - definitions .........................................................................................8\n5.\nAmendment of section 24A - institutional registration .................................................................8\n6.\nAmendment of section 27A \u2013 practising licence .........................................................................8\n7.\nAmendment of Schedule 1 - Health Practice Commission .........................................................9\n8.\nValidation ...................................................................................................................................9\n9.\nImmunity from suit ................................................................................................................... 10\n\nHealth Practice (Amendment and Validation) Bill, 2020\nClause 1\n\nc\nIntroduced\nPage 7\n\nCAYMAN ISLANDS\n\nHEALTH PRACTICE (AMENDMENT AND\nVALIDATION) BILL, 2020\n\nA BILL FOR A LAW TO AMEND THE HEALTH PRACTICE LAW (2017 REVISION) TO\nDISTINGUISH BETWEEN PRACTISING LICENCES ISSUED TO FULLY REGISTERED\nPRACTITIONERS AND PRACTISING LICENCES ISSUED TO INSTITUTIONALLY AND\nPROVISIONALLY REGISTERED PRACTITIONERS; TO VALIDATE THE HEALTH\nPRACTICE REGISTRATION (AMENDMENT) REGULATIONS, 2013 AND THE\nPRACTISING\nLICENCES\nISSUED\nUNDER\nTHE\nREGULATIONS;\nAND\nFOR\nINCIDENTAL AND CONNECTED PURPOSES\nENACTED by the Legislature of the Cayman Islands.\n1.\nShort title\n1.\nThis Law may be cited as the Health Practice (Amendment and Validation) Law,\n2020.\n\nClause 2\nHealth Practice (Amendment and Validation) Bill, 2020\n\nPage 8\nIntroduced\nc\n\n2.\nInterpretation\n2.\nIn this Law, \u201cspecified period\u201d means the period commencing on 1st July, 2013,\nwhich is the date of the commencement of the Health Practice (Amendment) Law,\n2013, and ending on the commencement of this Law.\n3.\nAmendment of the Health Practice Law (2017 Revision) - deletion of\n\u201cchairman\u201d and substitution with \u201cchairperson\u201d\n3.\nThe Health Practice Law (2017 Revision), in this Law referred to as the \u201cprincipal\nLaw\u201d, is amended by deleting the word \u201cchairman\u201d wherever it appears and\nsubstituting the word \u201cchairperson\u201d.\n4.\nAmendment of section 2 - definitions\n4.\nThe principal Law is amended in section 2 by inserting after the definition of\n\u201cauthorised insurer\u201d, the following definition \u2014\n\u201c \u201cChief Medical Officer\u201d means the person appointed to or acting\nin that position in the Ministry responsible for health;\u201d.\n5.\nAmendment of section 24A - institutional registration\n5.\nThe principal Law is amended in section 24A by repealing subsection (4) and\nsubstituting the following subsections \u2014\n\u201c(4)\nRegistration under this section shall be for an initial period of two\nyears and may be renewed for consecutive periods not exceeding\ntwo years in any period.\n(4A)  A registered practitioner on the institutional registration list who\nwishes to renew that registered practitioner\u2019s registration shall\napply for the renewal not less than sixty days prior to the\nexpiration of the registration.\u201d.\n6.\nAmendment of section 27A \u2013 practising licence\n6.\nThe principal Law is amended in section 27A by repealing subsection (2) and\nsubstituting the following subsections\u2014\n\u201c(2)  A practising licence issued to a registered practitioner on the\nprincipal list shall, unless renewed, revoked or surrendered, expire\non the second anniversary of the birth of the licensee following the\ndate of the first issue or re-issue of the practising licence.\n(2A) A practising licence issued to a registered practitioner on the\ninstitutional registration list or the provisional list shall, unless\nrenewed, revoked or surrendered, be valid for a period not\nexceeding two years.\n(2B) Where an application for the renewal of a practising licence under\nsubsection (2) or (2A) is made before the expiry of the practising\n\nHealth Practice (Amendment and Validation) Bill, 2020\nClause 7\n\nc\nIntroduced\nPage 9\n\nlicence but has not been dealt with by the relevant Council at the\ntime the practising licence is due to expire, the practising licence\ncontinues in force until the application for renewal is dealt with; and\nany renewal in such a case shall be taken to have commenced from\nthe day on which the practising licence would have expired but for\nthe renewal.\u201d.\n7.\nAmendment of Schedule 1 - Health Practice Commission\n7.\nThe principal Law is amended in Schedule 1, in paragraph 1, as follows \u2014\n (a) in subparagraph (1) as follows \u2014\n(i)\nby deleting the word \u201cand\u201d appearing at the end of subsubparagraph\n(d); and\n(ii) by\ninserting\nafter\nsubsubparagraph\n(d),\nthe\nfollowing\nsubsubparagraphs \u2014\n\u201c(da)  a person who is not \u2014\n(i) a registered practitioner; or\n\n(ii)  a manager or operator of a health care facility;\n  (db) the Chief Medical Officer, who shall be an exofficio member; and\u201d;\n(b) in subparagraph (5), as follows \u2014\n(i)\nby inserting after the words \u201cthe Commission\u201d the words \u201cexcept an\nex-officio member\u201d; and\n(ii) by deleting the words \u201csuch appointment\u201d and substituting the\nwords \u201ceach appointment\u201d; and\n(c)\nin subparagraph (6), by inserting after the words \u201cthe Commission\u201d the\nwords \u201cexcept an ex-officio member\u201d.\n8.\nValidation\n8.\n(1)  The Health Practice Registration (Amendment) Regulations, 2013 are deemed\nto be lawful and valid as if the Health Practice Registration (Amendment)\nRegulations, 2013 had been made in accordance with the Health Practice Law\n(2005 Revision).\n(2) Practicing licences issued to institutionally registered practitioners during the\nspecified period are validated and deemed to have been issued and expired, in\naccordance with the Health Practice Law (2005 Revision) and any\namendments to that Law prior to the commencement of this amending and\nvalidating Law.\n\nClause 9\nHealth Practice (Amendment and Validation) Bill, 2020\n\nPage 10\nIntroduced\nc\n\n9.\nImmunity from suit\n9.\n(1)  Notwithstanding any law to the contrary, no legal proceedings or other action\nof any kind shall be commenced or continued against any person in respect, or\nin consequence, of an act, decision, omission or proceeding of an\ninstitutionally registered practitioner done, taken, made or conducted during\nthe specified period, if the act, decision, omission, or proceeding would have\nbeen lawful and valid had the practising licence been issued in accordance\nwith \u2014\n(a)  the Health Practice Law (2005 Revision); and\n(b)  any amendments to the Health Practice Law (2005 Revision) prior to the\ncommencement of this amending and validating Law.\n(2) For the purposes of subsection (1), an act, decision, or omission of an\ninstitutionally registered practitioner done, taken, made or conducted during\nthe specified period is not lawful or valid if the act, decision or omission was\nnegligent or done in bad faith.\n\nPassed by the Legislative Assembly the       day of                  , 2020.\n\nSpeaker\n\n Clerk of the Legislative Assembly","akn_extracted_at":"2026-07-18 12:35:34.871212+00","cms_id":"2020-0001","law_type":"bill","year":"2020","number":"1","title":"Health Practice (Amendment and Validation) Bill, 2020","status":"bill"},"provenance":{"files":[{"file_id":"7001","expr_id":"2202","kind":"akn_xml","filename":"2020-0001.akn.xml","source_url":null,"storage_path":"\/Users\/q\/kyleg-data\/working\/BILLS\/2020\/2020-0001\/2020-0001.akn.xml","content_md5":"a223a3f3e12b7230533e29eb0c4047d3","byte_size":"13476","http_last_modified":null,"fetched_at":"2026-07-18 12:35:34.92187+00"},{"file_id":"4403","expr_id":"2202","kind":"pristine_pdf","filename":"2020-0001.pdf","source_url":"\/cms\/images\/LEGISLATION\/BILLS\/2020\/2020-0001\/2020-0001.pdf","storage_path":"\/Users\/q\/kyleg-data\/pristine\/BILLS\/2020\/2020-0001\/2020-0001.pdf","content_md5":"7774c8ef5b83771b67a1e6e1f98ebf82","byte_size":"571708","http_last_modified":null,"fetched_at":"2026-06-16 04:01:11.286509+00"},{"file_id":"4404","expr_id":"2202","kind":"working_pdf","filename":"2020-0001.pdf","source_url":"\/cms\/images\/LEGISLATION\/BILLS\/2020\/2020-0001\/2020-0001.pdf","storage_path":"\/Users\/q\/kyleg-data\/working\/BILLS\/2020\/2020-0001\/2020-0001.pdf","content_md5":"7774c8ef5b83771b67a1e6e1f98ebf82","byte_size":"571708","http_last_modified":null,"fetched_at":"2026-06-16 04:01:11.286509+00"}],"paragraph_count":18,"latest_history":{"history_id":"270178","change_type":"UPDATE","changed_at":"2026-07-18 00:00:00+00","change_source":"MIGRATION_027","change_reason":"CMS-id-collision audit 2026-07-18: title corrected from the document's own PDF and\/or the (law_type, cms_id)-keyed official legislation.gov.ky listing."}},"quality":{"expr_id":"2202","doc_id":"2202","quality_state":"known_issue","quality_score":"47","needs_human_review":"t","deterministic_categories":"{commencement_metadata_problem,duplicate_text,page_header_footer_noise,title_mismatch}","llm_categories":"{}","repair_actions":"{collapse_duplicate_text,strip_page_furniture,verify_commencement_metadata,verify_title_metadata}","finding_severity_counts":"{\"low\": 1, \"high\": 1, \"medium\": 2}","finding_summary":"stored title is not visible in the opening extracted text; 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