Any person who has engaged in occupational therapy practice in a medical institution for 3 years before the promulgation and implementation of this Act and acquired qualification as a graduate from a college or higher-level school, and who has passed the review by the central competent authority may take a special exam for occupational therapists.
Any person who has engaged in occupational therapy practice in a medical institution for 3 years before the promulgation and implementation of this Act and acquired qualification as a graduate from a senior high school or vocational high school, and who has passed the review by the central competent authority may take a special exam for occupational therapy assistants.
Special exams mentioned in the previous two paragraphs shall be held no more than 3 times within 5 years from the promulgation and implementation of this Act.

A foreigner may attend an occupational therapist examination in accordance with the laws of the Republic of China.
When a foreigner passes the examination under the preceding paragraph and receives an occupational therapist certificate, his/her practice of occupational therapy in the Republic of China shall be subject to the approval by the central competent authority. Such a person shall also comply with the applicable laws of the Republic of China in relation to occupational therapy and medical treatment, as well as the articles of association of occupational therapists’ associations. The regulations for the approval and management of such practice shall be established by the central competent authority.
In case of breach of the preceding paragraph, in addition to sanctions in accordance with the law, the central competent authority may annul the approval.

When the central, municipal, or county (city) competent authority issues a certificate or license in accordance with this Act, it may charge a certificate fee or license fee. The amount of the fee shall be specified by the central competent authority.

The enforcement rules of this Act shall be set forth by the central competent authority.

This Act shall come into force on the date of promulgation, except Article 41, which shall be implemented 5 years after the date of promulgation of this Act.