A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) Key Third Party.
(a) "Key third party" means an individual who participates in the health and welfare of the patient concurrent with the physician-patient relationship.
(b) "Key third party" includes, but is not limited to the following individuals:
(v) Surrogate; or
(vi) Proxy designated by durable power of attorney.
(2) Sexual Impropriety.
(a) "Sexual impropriety" means behavior, gestures, or expressions that are seductive, sexually suggestive, or sexually demeaning to a patient or a key third party regardless of whether the sexual impropriety occurs inside or outside of a professional setting.
(b) "Sexual impropriety" includes, but is not limited to:
(i) Failure to provide privacy for disrobing;
(ii) Performing a pelvic or rectal examination without the use of gloves;
(iii) Using the health care practitioner-patient relationship to initiate or solicit a dating, romantic, or sexual relationship; and
(iv) Initiation by the health care practitioner of conversation regarding the health care practitioner's sexual problems, sexual likes or dislikes, or fantasies.
(3) "Sexual misconduct" means a health care practitioner's behavior toward a patient, former patient, or key third party, which includes:
(a) Sexual impropriety;
(b) Sexual violation; or
(c) Engaging in a dating, romantic, or sexual relationship which violates the code of ethics of the American Medical Association, American Osteopathic Association, American Psychiatric Association, or other standard recognized professional code of ethics of the health care practitioner's discipline or specialty.
(4) Sexual Violation.
(a) "Sexual violation" means health care practitioner-patient or key third party sex, whether or not initiated by the patient or key third party, and engaging in any conduct with a patient or key third party that is sexual or may be reasonably interpreted as sexual, regardless of whether the sexual violation occurs inside or outside of a professional setting.
(b) "Sexual violation" includes, but is not limited to:
(i) Sexual intercourse, genital to genital contact;
(ii) Oral to genital contact;
(iii) Oral to anal contact or genital to anal contact;
(iv) Kissing in a romantic or sexual manner;
(v) Touching the patient's breasts, genitals, or any sexualized body part;
(vi) Actively causing the patient or key third party to touch the health care practitioner's breasts, genitals, or any sexualized body part;
(vii) Encouraging the patient to masturbate in the presence of the health care practitioner or masturbation by the health care practitioner while the patient is present;
(viii) Offering to provide practice-related services, such as drugs, in exchange for sexual favors; and
(ix) Intentionally exposing the health care practitioner's breasts, genitals, or any sexualized body part.