See other bills
under the
same topic
        PRIOR PRINTER'S NO. 1468                      PRINTER'S NO. 3012

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1199 Session of 2007


        INTRODUCED BY THOMAS, STEIL, COHEN, CLYMER, BISHOP, CALTAGIRONE,
           BENNINGHOFF, DALEY, CAPPELLI, DePASQUALE, CAUSER, GEORGE,
           COX, HARHAI, DENLINGER, JAMES, ELLIS, JOSEPHS, GINGRICH,
           KIRKLAND, HARHART, KULA, HENNESSEY, MELIO, HESS, MYERS,
           HUTCHINSON, PALLONE, McILHATTAN, MILNE, SIPTROTH, MOUL,
           YOUNGBLOOD, PICKETT, PYLE, QUIGLEY, RAPP, REED, ROHRER,
           RUBLEY, SCAVELLO, SCHRODER, SONNEY, KILLION, HORNAMAN AND
           HELM, MAY 1, 2007

        AS REPORTED FROM COMMITTEE ON PROFESSIONAL LICENSURE, HOUSE OF
           REPRESENTATIVES, AS AMENDED, DECEMBER 12, 2007

                                     AN ACT

     1  Amending the act of October 10, 1975 (P.L.383, No.110), entitled
     2     "An act relating to the practice of physical therapy,"
     3     further providing for physical therapist assistants.           <--
     4     DEFINITIONS, FOR STATE BOARD OF PHYSICAL THERAPY AND ITS       <--
     5     POWERS AND DUTIES, FOR TRAINING AND LICENSE REQUIRED AND
     6     EXCEPTIONS, FOR APPLICATION FOR LICENSE, FOR QUALIFICATIONS
     7     FOR LICENSE AND EXAMINATIONS, FOR RENEWAL OF LICENSE AND FOR
     8     REPORTING OF MULTIPLE LICENSURE; PROVIDING FOR CONTINUING
     9     EDUCATION; FURTHER PROVIDING FOR PRACTICE OF PHYSICAL
    10     THERAPY, FOR PHYSICAL THERAPY ASSISTANT, EDUCATION AND
    11     EXAMINATION, SCOPE OF DUTIES AND REGISTRATION AND FOR
    12     SUPPORTIVE PERSONNEL; REPEALING PROVISIONS RELATING TO
    13     ATHLETIC TRAINER ADVISORY COMMITTEE AND CERTIFICATION OF
    14     ATHLETIC TRAINERS AND CERTIFICATION RENEWAL, REVOCATION AND
    15     SUSPENSION; AND FURTHER PROVIDING FOR REFUSAL OR SUSPENSION
    16     OR REVOCATION OF LICENSE, FOR AUTOMATIC SUSPENSION, FOR
    17     TEMPORARY SUSPENSION, FOR SUBPOENAS, REPORTS AND SURRENDER OF
    18     LICENSE, FOR PENALTIES AND INJUNCTIVE RELIEF AND FOR IMPAIRED
    19     PROFESSIONAL.

    20     The General Assembly of the Commonwealth of Pennsylvania
    21  hereby enacts as follows:
    22     Section 1.  Section 9.1(c) of the act of October 10, 1975      <--
    23  (P.L.383, No.110), known as the Physical Therapy Practice Act,

     1  added December 20, 1985 (P.L.500, No.117), is amended to read:
     2     Section 9.1.  Physical Therapist Assistant; Education and
     3  Examination; Scope of Duties; Registration.--* * *
     4     (c)  (1)  A physical therapist assistant while assisting a
     5  licensed physical therapist in the practice of physical therapy
     6  shall only perform patient-related physical therapy acts and
     7  services that are assigned or delegated by and under either:
     8     (i)  the direct on-premises supervision of a licensed
     9  physical therapist[.]; or
    10     (ii)  the indirect supervision of a licensed physical
    11  therapist through 24-hour access to a licensed physical
    12  therapist. A licensed physical therapist may not provide
    13  indirect supervision of more than four physical therapist
    14  assistants at one time.
    15     (2)  Such acts and services of a physical therapist assistant
    16  shall not include evaluation, testing, interpretation, planning
    17  or modification of patient programs.
    18     (3)  For purposes of this section the term "direct on-
    19  premises supervision" shall mean the physical presence of a
    20  licensed physical therapist on the premises who is immediately
    21  available to exercise supervision, direction and control.
    22     * * *
    23     Section 2.  This act shall take effect in 60 days.
    24     SECTION 1.  THE DEFINITIONS OF "ATHLETIC TRAINER," "ATHLETIC   <--
    25  TRAINER ADVISORY COMMITTEE," "PHYSICAL THERAPIST ASSISTANT" AND
    26  "PHYSICAL THERAPY" IN SECTION 2 OF THE ACT OF OCTOBER 10, 1975
    27  (P.L.383, NO.110), KNOWN AS THE PHYSICAL THERAPY PRACTICE ACT,
    28  AMENDED APRIL 2, 2002 (P.L.234, NO.27), ARE AMENDED AND THE
    29  SECTION IS AMENDED BY ADDING DEFINITIONS TO READ:
    30     SECTION 2.  DEFINITIONS.--THE FOLLOWING DEFINITIONS SHALL
    20070H1199B3012                  - 2 -     

     1  APPLY, WHEN USED IN THIS ACT, UNLESS OTHERWISE EXPRESSED
     2  THEREIN:
     3     ["ATHLETIC TRAINER" SHALL MEAN A PERSON CERTIFIED BY THE
     4  STATE BOARD OF PHYSICAL THERAPY AS AN ATHLETIC TRAINER AFTER
     5  MEETING THE REQUIREMENTS OF THIS ACT AND RULES AND REGULATIONS
     6  PROMULGATED PURSUANT THERETO.
     7     "ATHLETIC TRAINER ADVISORY COMMITTEE" SHALL MEAN THE
     8  COMMITTEE CREATED BY SECTION 10.1 OF THIS ACT TO ADVISE THE
     9  BOARD.]
    10     * * *
    11     "CERTIFIED REGISTERED NURSE PRACTITIONER" MEANS AN INDIVIDUAL
    12  AS DEFINED IN SECTION 2 OF THE ACT OF MAY 22, 1951 (P.L.317,
    13  NO.69), KNOWN AS "THE PROFESSIONAL NURSING LAW."
    14     * * *
    15     "CONSULTATION BY MEANS OF TELECOMMUNICATIONS" MEANS THAT A
    16  PHYSICAL THERAPIST RENDERS A PROFESSIONAL OPINION OR ADVICE
    17  REGARDING THE PRACTICE OF PHYSICAL THERAPY TO ANOTHER PHYSICAL
    18  THERAPIST OR LICENSED HEALTH CARE PROVIDER VIA
    19  TELECOMMUNICATIONS OR COMPUTER TECHNOLOGY FROM A DISTANT
    20  LOCATION, SUBJECT TO SECTION 4(B.3)(5) AND CONSISTENT WITH
    21  APPLICABLE HEALTH INFORMATION PRIVACY LAWS. IT INCLUDES THE
    22  REVIEW OR TRANSFER OF PATIENT RECORDS OR RELATED INFORMATION BY
    23  MEANS OF AUDIO, VIDEO OR DATA COMMUNICATION.
    24     "DENTIST" MEANS AN INDIVIDUAL AS DEFINED IN 1 PA.C.S. § 1991
    25  (RELATING TO DEFINITIONS).
    26     "DIRECT ON-PREMISES SUPERVISION" MEANS THE PHYSICAL PRESENCE
    27  OF A LICENSED PHYSICAL THERAPIST IN THE FACILITY WHO IS
    28  IMMEDIATELY AVAILABLE TO EXERCISE SUPERVISION, DIRECTION AND
    29  CONTROL.
    30     "FACILITY" MEANS THE PHYSICAL PREMISES WHERE PHYSICAL THERAPY
    20070H1199B3012                  - 3 -     

     1  SERVICES ARE BEING PROVIDED AND ALL ASSOCIATED LANDS AND
     2  BUILDINGS WITHIN THE IMMEDIATE PROXIMITY.
     3     * * *
     4     "PHYSICAL THERAPIST ASSISTANT" SHALL MEAN [A PERSON] AN
     5  INDIVIDUAL WHO HAS MET ALL THE REQUIREMENTS OF THIS ACT AND IS
     6  [REGISTERED] CERTIFIED AS A PHYSICAL THERAPIST ASSISTANT IN
     7  ACCORDANCE WITH THIS ACT.
     8     "PHYSICAL THERAPY" MEANS [THE EVALUATION AND TREATMENT OF ANY
     9  PERSON BY] EVALUATING, EXAMINING AND TESTING INDIVIDUALS WITH
    10  MECHANICAL, PHYSIOLOGICAL AND DEVELOPMENTAL IMPAIRMENTS,
    11  FUNCTIONAL LIMITATIONS AND DISABILITIES OR OTHER HEALTH-RELATED
    12  AND MOVEMENT-RELATED CONDITIONS IN ORDER TO DETERMINE A
    13  DIAGNOSIS, PROGNOSIS AND PLAN OF TREATMENT INTERVENTION WITHIN
    14  THE SCOPE OF THIS ACT, AND TO ASSESS THE ONGOING EFFECTS OF
    15  INTERVENTION. THE PRACTICE OF PHYSICAL THERAPY INCLUDES THE
    16  PERFORMANCE OF TESTS AND MEASUREMENTS AS AN AID IN DIAGNOSIS OR
    17  EVALUATION OF FUNCTION AND THE TREATMENT OF THE INDIVIDUAL
    18  THROUGH THE UTILIZATION OF THE EFFECTIVE PROPERTIES OF PHYSICAL
    19  MEASURES SUCH AS MECHANICAL STIMULATION, HEAT, COLD, LIGHT, AIR,
    20  WATER, ELECTRICITY, SOUND, MASSAGE, [MOBILIZATION]
    21  MOBILIZATION/MANUAL THERAPY AND THE USE OF THERAPEUTIC EXERCISES
    22  AND REHABILITATIVE PROCEDURES INCLUDING TRAINING IN FUNCTIONAL
    23  ACTIVITIES, WITH OR WITHOUT THE UTILIZATION OF ASSISTIVE
    24  DEVICES, FOR THE PURPOSE OF LIMITING OR PREVENTING DISABILITY
    25  AND ALLEVIATING OR CORRECTING ANY PHYSICAL OR MENTAL
    26  CONDITIONS[, AND THE PERFORMANCE OF TESTS AND MEASUREMENTS AS AN
    27  AID IN DIAGNOSIS OR EVALUATION OF FUNCTION]. THE PRACTICE OF
    28  PHYSICAL THERAPY ALSO INCLUDES REDUCING THE RISK OF INJURY,
    29  IMPAIRMENT, FUNCTIONAL LIMITATION AND DISABILITY, INCLUDING THE
    30  PROMOTION AND MAINTENANCE OF FITNESS, HEALTH AND WELLNESS IN
    20070H1199B3012                  - 4 -     

     1  POPULATIONS OF ALL AGES AS WELL AS ENGAGING IN ADMINISTRATION,
     2  CONSULTATION, EDUCATION AND RESEARCH.
     3     "PHYSICIAN ASSISTANT" MEANS AN INDIVIDUAL AS DEFINED IN THE
     4  ACT OF OCTOBER 5, 1978 (P.L.1109, NO.261), KNOWN AS THE
     5  "OSTEOPATHIC MEDICAL PRACTICE ACT," OR THE ACT OF DECEMBER 20,
     6  1985 (P.L.457, NO.112), KNOWN AS THE "MEDICAL PRACTICE ACT OF
     7  1985."
     8     "PODIATRIST" MEANS AN INDIVIDUAL LICENSED UNDER THE ACT OF
     9  MARCH 2, 1956 (1955 P.L.1206, NO.375), KNOWN AS THE "PODIATRY
    10  PRACTICE ACT."
    11     SECTION 2.  SECTION 2.1 OF THE ACT, AMENDED OR ADDED DECEMBER
    12  20, 1985 (P.L.500, NO.117) AND FEBRUARY 21, 2002 (P.L.90, NO.6),
    13  IS AMENDED TO READ:
    14     SECTION 2.1.  STATE BOARD OF PHYSICAL THERAPY.--(A)  THE
    15  BOARD SHALL CONSIST OF ELEVEN MEMBERS, ALL OF WHOM SHALL BE
    16  RESIDENTS OF PENNSYLVANIA. SIX MEMBERS SHALL BE PHYSICAL
    17  THERAPISTS [LICENSED] HOLDING AN ACTIVE LICENSE TO PRACTICE IN
    18  THIS COMMONWEALTH, EACH HAVING HAD AT LEAST FIVE YEARS OF
    19  EXPERIENCE AS A PHYSICAL THERAPIST, THREE YEARS OF WHICH MUST
    20  HAVE IMMEDIATELY PRECEDED THE APPOINTMENT TO THE BOARD. ONE
    21  MEMBER SHALL BE A PHYSICAL THERAPIST ASSISTANT [CURRENTLY
    22  REGISTERED] HOLDING AN ACTIVE CERTIFICATE WITH THE BOARD [OR AN
    23  ATHLETIC TRAINER CURRENTLY CERTIFIED BY THE BOARD]. TWO MEMBERS
    24  SHALL BE REPRESENTATIVES OF THE PUBLIC. ONE MEMBER SHALL BE THE
    25  COMMISSIONER OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS. ONE
    26  MEMBER SHALL BE THE PHYSICIAN GENERAL OF THE COMMONWEALTH OR HIS
    27  DESIGNEE. THE MEMBERS OF THE BOARD SHALL BE APPOINTED BY THE
    28  GOVERNOR, WITH THE ADVICE AND CONSENT OF A MAJORITY OF THE
    29  MEMBERS ELECTED TO THE SENATE. THE BOARD SHALL MEET NO LESS THAN
    30  FOUR TIMES PER CALENDAR YEAR.
    20070H1199B3012                  - 5 -     

     1     (B)  PROFESSIONAL AND PUBLIC MEMBERS [APPOINTED AFTER THE
     2  EXPIRATION OF THE TERMS OF CURRENT BOARD MEMBERS SHALL SERVE THE
     3  FOLLOWING TERMS: ONE PHYSICAL THERAPIST SHALL SERVE ONE YEAR;
     4  ONE PHYSICAL THERAPIST SHALL SERVE TWO YEARS; ONE PHYSICAL
     5  THERAPIST AND ONE PUBLIC MEMBER SHALL SERVE THREE YEARS; AND TWO
     6  PHYSICAL THERAPISTS, ONE PHYSICAL THERAPIST ASSISTANT AND ONE
     7  PUBLIC MEMBER SHALL SERVE FOUR YEARS. THEREAFTER, PROFESSIONAL
     8  AND PUBLIC MEMBERS SHALL SERVE] OF THE BOARD SHALL SERVE
     9  STAGGERED FOUR-YEAR TERMS. NO MEMBER MAY BE ELIGIBLE FOR
    10  APPOINTMENT TO SERVE MORE THAN TWO CONSECUTIVE TERMS. A MEMBER
    11  MAY CONTINUE TO SERVE FOR A PERIOD NOT TO EXCEED SIX MONTHS
    12  BEYOND THE EXPIRATION OF HIS TERM, IF A SUCCESSOR HAS YET TO BE
    13  DULY APPOINTED AND QUALIFIED ACCORDING TO LAW.
    14     (C)  THE BOARD SHALL SELECT, FROM AMONG THEIR NUMBER, A
    15  CHAIRMAN, A VICE CHAIRMAN AND A SECRETARY.
    16     (D)  A MAJORITY OF THE MEMBERS OF THE BOARD SERVING IN
    17  ACCORDANCE WITH LAW SHALL CONSTITUTE A QUORUM FOR PURPOSES OF
    18  CONDUCTING THE BUSINESS OF THE BOARD. EXCEPT FOR TEMPORARY AND
    19  AUTOMATIC SUSPENSIONS UNDER SECTIONS 11.1 AND 11.2, A MEMBER MAY
    20  NOT BE COUNTED AS PART OF A QUORUM OR VOTE ON ANY ISSUE UNLESS
    21  HE OR SHE IS PHYSICALLY IN ATTENDANCE AT THE MEETING.
    22     (E)  EACH PUBLIC AND PROFESSIONAL MEMBER OF THE BOARD SHALL
    23  BE PAID REASONABLE TRAVELING, HOTEL AND OTHER NECESSARY EXPENSES
    24  AND PER DIEM COMPENSATION AT THE RATE OF $60 FOR EACH DAY OF
    25  ACTUAL SERVICE WHILE ON BOARD BUSINESS.
    26     (F)  A MEMBER WHO FAILS TO ATTEND THREE CONSECUTIVE MEETINGS
    27  SHALL FORFEIT HIS SEAT UNLESS THE COMMISSIONER OF PROFESSIONAL
    28  AND OCCUPATIONAL AFFAIRS, UPON WRITTEN REQUEST FROM THE MEMBER,
    29  FINDS THAT THE MEMBER SHOULD BE EXCUSED FROM A MEETING BECAUSE
    30  OF ILLNESS OR THE DEATH OF AN IMMEDIATE FAMILY MEMBER.
    20070H1199B3012                  - 6 -     

     1     (G)  IN THE EVENT THAT A MEMBER OF THE BOARD DIES OR RESIGNS
     2  OR OTHERWISE BECOMES DISQUALIFIED DURING THE TERM OF OFFICE, A
     3  SUCCESSOR SHALL BE APPOINTED IN THE SAME WAY AND WITH THE SAME
     4  QUALIFICATIONS AS SET FORTH IN SUBSECTION (A) AND SHALL HOLD
     5  OFFICE FOR THE UNEXPIRED TERM.
     6     [(H)  THE BOARD IS SUBJECT TO EVALUATION, REVIEW AND
     7  TERMINATION WITHIN THE TIME AND IN THE MANNER PROVIDED IN THE
     8  ACT OF DECEMBER 22, 1981 (P.L.508, NO.142), KNOWN AS THE "SUNSET
     9  ACT."]
    10     (I)  A PUBLIC MEMBER WHO FAILS TO ATTEND TWO CONSECUTIVE
    11  STATUTORILY MANDATED SEMINARS IN ACCORDANCE WITH SECTION 813(E)
    12  OF THE ACT OF APRIL 9, 1929 (P.L.177, NO.175), KNOWN AS "THE
    13  ADMINISTRATIVE CODE OF 1929," SHALL FORFEIT HIS OR HER SEAT
    14  UNLESS THE COMMISSIONER OF PROFESSIONAL AND OCCUPATIONAL
    15  AFFAIRS, UPON WRITTEN REQUEST FROM THE PUBLIC MEMBER, FINDS THAT
    16  THE PUBLIC MEMBER SHOULD BE EXCUSED FROM A MEETING BECAUSE OF
    17  ILLNESS OR THE DEATH OF A FAMILY MEMBER.
    18     SECTION 3.  SECTION 3 OF THE ACT, AMENDED DECEMBER 20, 1985
    19  (P.L.500, NO.117), IS AMENDED TO READ:
    20     SECTION 3.  POWERS AND DUTIES OF BOARD.--(A)  IT SHALL BE THE
    21  DUTY OF THE BOARD TO PASS UPON THE QUALIFICATIONS OF APPLICANTS
    22  FOR LICENSURE AS PHYSICAL THERAPISTS[, REGISTRATION] AND
    23  CERTIFICATION AS PHYSICAL THERAPIST ASSISTANTS [AND
    24  CERTIFICATION AS ATHLETIC TRAINERS], TO CONDUCT EXAMINATIONS, TO
    25  ISSUE AND RENEW LICENSES AND CERTIFICATES OF AUTHORIZATION TO
    26  PHYSICAL THERAPISTS[, REGISTRATIONS] AND CERTIFICATES TO
    27  PHYSICAL THERAPIST ASSISTANTS [AND CERTIFICATIONS TO ATHLETIC
    28  TRAINERS] WHO QUALIFY UNDER THIS ACT, AND IN PROPER CASES TO
    29  REFUSE TO ISSUE, SUSPEND OR REVOKE THE LICENSE OR CERTIFICATE OF
    30  AUTHORIZATION OF ANY PHYSICAL THERAPIST[, REGISTRATION] OR
    20070H1199B3012                  - 7 -     

     1  CERTIFICATE OF ANY PHYSICAL THERAPIST ASSISTANT [OR
     2  CERTIFICATION OF ANY ATHLETIC TRAINER]. THE BOARD MAY ADOPT
     3  RULES AND REGULATIONS NOT INCONSISTENT WITH LAW AS IT MAY DEEM
     4  NECESSARY FOR THE PERFORMANCE OF ITS DUTIES AND THE PROPER
     5  ADMINISTRATION OF THIS LAW. THE BOARD IS AUTHORIZED AND
     6  EMPOWERED TO APPOINT HEARING EXAMINERS AND TO CONDUCT
     7  INVESTIGATIONS AND HEARINGS UPON CHARGES FOR DISCIPLINE OF A
     8  LICENSEE[, REGISTRANT] OR CERTIFICATE HOLDER OR FOR VIOLATIONS
     9  OF THIS ACT, AND TO CAUSE, THROUGH THE OFFICE OF THE ATTORNEY
    10  GENERAL, THE PROSECUTION AND ENJOINDER OF [PERSONS] INDIVIDUALS
    11  VIOLATING THIS ACT. THE BOARD SHALL MAINTAIN A REGISTER LISTING
    12  THE NAME OF EVERY LIVING PHYSICAL THERAPIST LICENSED TO PRACTICE
    13  IN THIS STATE, AND EVERY PHYSICAL THERAPIST ASSISTANT DULY
    14  [REGISTERED] CERTIFIED PURSUANT TO SECTION 9.1 [AND EVERY
    15  ATHLETIC TRAINER CERTIFIED TO PRACTICE IN THIS STATE], SUCH
    16  INDIVIDUAL'S LAST KNOWN PLACE OF [BUSINESS AND LAST KNOWN PLACE
    17  OF] RESIDENCE, AND THE DATE AND NUMBER OF THE PHYSICAL
    18  THERAPIST'S LICENSE [OR ATHLETIC TRAINER'S CERTIFICATION] AND
    19  THE PHYSICAL THERAPIST ASSISTANT'S CERTIFICATE.
    20     (B)  THE BOARD SHALL SUBMIT ANNUALLY TO THE DEPARTMENT OF
    21  STATE AND TO THE HOUSE AND SENATE APPROPRIATIONS COMMITTEES,
    22  WITHIN 15 DAYS OF THE DATE ON WHICH THE GOVERNOR HAS SUBMITTED
    23  HIS BUDGET TO THE GENERAL ASSEMBLY, AN ESTIMATE OF THE FINANCIAL
    24  REQUIREMENTS OF THE BOARD FOR ITS ADMINISTRATIVE, INVESTIGATIVE,
    25  LEGAL AND MISCELLANEOUS EXPENSES.
    26     (C)  THE BOARD SHALL SUBMIT ANNUALLY A REPORT, TO THE
    27  PROFESSIONAL LICENSURE COMMITTEE OF THE HOUSE OF REPRESENTATIVES
    28  AND TO THE CONSUMER PROTECTION AND PROFESSIONAL LICENSURE
    29  COMMITTEE OF THE SENATE, CONTAINING A DESCRIPTION OF THE TYPES
    30  OF COMPLAINTS RECEIVED, STATUS OF CASES, BOARD ACTION WHICH HAS
    20070H1199B3012                  - 8 -     

     1  BEEN TAKEN AND THE LENGTH OF TIME FROM THE INITIAL COMPLAINT TO
     2  FINAL BOARD RESOLUTION. THE BOARD SHALL REPORT FINAL ADVERSE
     3  DISCIPLINARY ACTION TAKEN AGAINST A LICENSEE TO A NATIONAL
     4  DISCIPLINARY DATABASE RECOGNIZED BY THE BOARD AS REQUIRED BY
     5  LAW. THE BOARD SHALL BE RESPONSIBLE FOR PROCESSING COMPLAINTS
     6  ALLEGING A VIOLATION OF THE ACT IN ACCORDANCE WITH THE ACT OF
     7  APRIL 9, 1929 (P.L.177, NO.175), KNOWN AS "THE ADMINISTRATIVE
     8  CODE OF 1929."
     9     SECTION 4.  SECTION 4 OF THE ACT, AMENDED APRIL 1984
    10  (P.L.196, NO.41) AND DECEMBER 20, 1985 (P.L.500, NO.117), IS
    11  AMENDED TO READ:
    12     SECTION 4.  TRAINING AND LICENSE REQUIRED; EXCEPTIONS.--(A)
    13  IT SHALL BE UNLAWFUL FOR [ANY PERSON] AN INDIVIDUAL TO PRACTICE
    14  OR HOLD HIMSELF OUT AS BEING ABLE TO PRACTICE PHYSICAL THERAPY
    15  IN THIS STATE IN ANY MANNER WHATSOEVER UNLESS SUCH [PERSON]
    16  INDIVIDUAL HAS MET THE EDUCATIONAL REQUIREMENTS AND IS LICENSED
    17  IN ACCORDANCE WITH THE PROVISIONS OF THIS ACT. THE BOARD SHALL
    18  DETERMINE STANDARDS, BY REGULATIONS, REGARDING QUALIFICATIONS
    19  NECESSARY FOR THE PERFORMANCE OF SUCH TESTS OR TREATMENT FORMS
    20  AS THE BOARD SHALL DETERMINE REQUIRE ADDITIONAL TRAINING OR
    21  EDUCATION BEYOND THE EDUCATIONAL REQUIREMENTS SET FORTH BY THIS
    22  ACT, AS SUCH RELATES TO THE PRACTICE OF PHYSICAL THERAPY IN
    23  ACCORDANCE WITH LAW. NOTHING IN THIS ACT, HOWEVER, SHALL
    24  PROHIBIT [ANY PERSON] AN INDIVIDUAL TRAINED AND LICENSED OR
    25  CERTIFIED TO PRACTICE OR TO ACT WITHIN THE SCOPE OF HIS LICENSE
    26  OR CERTIFICATION IN THIS STATE UNDER ANY OTHER LAW, FROM
    27  ENGAGING IN THE LICENSED OR CERTIFIED PRACTICE FOR WHICH HE IS
    28  TRAINED.
    29     [(B)  THIS ACT SHALL NOT PROHIBIT STUDENTS WHO ARE ENROLLED
    30  IN SCHOOLS OF PHYSICAL THERAPY APPROVED BY THE BOARD, FROM
    20070H1199B3012                  - 9 -     

     1  PERFORMING ACTS OF PHYSICAL THERAPY AS IS INCIDENTAL TO THEIR
     2  COURSE OF STUDY; NOR SHALL IT PREVENT ANY STUDENT IN ANY
     3  EDUCATIONAL PROGRAM IN THE HEALING ARTS APPROVED OR ACCREDITED
     4  UNDER THE LAWS OF PENNSYLVANIA IN CARRYING OUT PRESCRIBED
     5  COURSES OF STUDY. NOTHING IN THIS ACT SHALL APPLY TO ANY PERSON
     6  EMPLOYED BY AN AGENCY, BUREAU, OR DIVISION OF THE FEDERAL
     7  GOVERNMENT WHILE IN THE DISCHARGE OF OFFICIAL DUTIES, HOWEVER,
     8  IF SUCH INDIVIDUAL ENGAGES IN THE PRACTICE OF PHYSICAL THERAPY
     9  OUTSIDE THE SCOPE OF OFFICIAL DUTY, SUCH INDIVIDUAL MUST MEET
    10  THE EDUCATIONAL REQUIREMENTS AND BE LICENSED AS HEREIN PROVIDED.
    11  THE PROVISIONS OF THIS ACT ARE NOT INTENDED TO LIMIT THE
    12  ACTIVITIES OF PERSONS LEGITIMATELY ENGAGED IN THE NONTHERAPEUTIC
    13  ADMINISTRATION OF BATHS, MASSAGE, AND NORMAL EXERCISE.]
    14     (B.1)  IT SHALL BE A VIOLATION OF THIS ACT FOR [ANY PERSON]
    15  AN INDIVIDUAL OR BUSINESS ENTITY TO UTILIZE IN CONNECTION WITH A
    16  BUSINESS NAME OR ACTIVITY THE WORDS "PHYSICAL THERAPY,"
    17  "PHYSICAL THERAPIST," "PHYSIOTHERAPY," "PHYSIOTHERAPIST" OR
    18  SIMILAR WORDS AND THEIR RELATED ABBREVIATIONS WHICH IMPLY
    19  DIRECTLY OR INDIRECTLY THAT PHYSICAL THERAPY SERVICES ARE BEING
    20  PROVIDED, INCLUDING THE BILLING OF PHYSICAL THERAPY SERVICES,
    21  UNLESS SUCH SERVICES ARE PROVIDED BY A LICENSED PHYSICAL
    22  THERAPIST IN ACCORDANCE WITH THIS ACT: PROVIDED, HOWEVER, THAT
    23  NOTHING IN THIS SECTION SHALL LIMIT A PHYSICIAN'S AUTHORITY TO
    24  PRACTICE MEDICINE OR TO BILL FOR SUCH PRACTICE NOR LIMIT A
    25  CHIROPRACTOR'S AUTHORITY TO PRACTICE CHIROPRACTIC OR TO BILL FOR
    26  SUCH PRACTICE.
    27     (B.2)  NOTHING IN THIS ACT SHALL LIMIT A PHYSICIAN'S
    28  AUTHORITY TO PRACTICE MEDICINE OR TO DELEGATE THE PERFORMANCE OF
    29  A MEDICAL SERVICE TO A CERTIFIED PHYSICAL THERAPIST ASSISTANT
    30  WHO IS UNDER THE SUPERVISION OF A LICENSED PHYSICAL THERAPIST,
    20070H1199B3012                 - 10 -     

     1  IF THE MEDICAL SERVICE IS WITHIN THE EDUCATION AND TRAINING FOR
     2  THE PHYSICAL THERAPIST ASSISTANT AND PROVIDED THAT THE LICENSED
     3  PHYSICAL THERAPIST PROVIDES THE INITIAL EVALUATION FOR THE
     4  PHYSICAL THERAPY.
     5     (B.3)  THIS ACT SHALL NOT PROHIBIT THE FOLLOWING ACTIVITIES
     6  BY THE FOLLOWING INDIVIDUALS:
     7     (1)  A STUDENT WHO IS ENROLLED IN A BOARD-APPROVED SCHOOL OF
     8  PHYSICAL THERAPY FROM PERFORMING ACTS OF PHYSICAL THERAPY AS IS
     9  INCIDENTAL TO THE STUDENT'S COURSE OF STUDY.
    10     (2)  AN INDIVIDUAL ENGAGED IN THE NONTHERAPEUTIC
    11  ADMINISTRATION OF BATHS, MASSAGE AND NORMAL EXERCISE FROM SUCH
    12  ADMINISTRATION.
    13     (3)  A PHYSICAL THERAPIST WHO IS LICENSED WITHOUT RESTRICTION
    14  IN A JURISDICTION OF THE UNITED STATES OR CREDENTIALED IN
    15  ANOTHER COUNTRY, IF THAT INDIVIDUAL BY CONTRACT OR EMPLOYMENT IS
    16  PROVIDING PHYSICAL THERAPY TO INDIVIDUALS AFFILIATED WITH OR
    17  EMPLOYED BY ESTABLISHED ATHLETIC TEAMS, ATHLETIC ORGANIZATIONS
    18  OR PERFORMING ARTS COMPANIES TEMPORARILY PRACTICING, COMPETING
    19  OR PERFORMING IN THIS COMMONWEALTH FOR MORE THAN 60 DAYS WITHIN
    20  A CONSECUTIVE 12-MONTH PERIOD.
    21     (4)  A PHYSICAL THERAPIST WHO IS LICENSED WITHOUT RESTRICTION
    22  IN A JURISDICTION OF THE UNITED STATES AND WHO ENTERS THIS
    23  COMMONWEALTH TO PROVIDE PHYSICAL THERAPY DURING A DECLARED
    24  LOCAL, STATE OR NATIONAL DISASTER OR EMERGENCY. THIS EXEMPTION
    25  APPLIES FOR NO MORE THAN 60 DAYS WITHIN A CONSECUTIVE 12-MONTH
    26  PERIOD FOLLOWING THE DECLARATION OF THE EMERGENCY. IN ORDER TO
    27  BE ELIGIBLE FOR THIS EXEMPTION, THE PHYSICAL THERAPIST SHALL
    28  NOTIFY THE BOARD OF THEIR INTENT TO PRACTICE.
    29     (5)  A PHYSICAL THERAPIST WHO HOLDS AN ACTIVE LICENSE IN
    30  ANOTHER JURISDICTION OF THE UNITED STATES IF THAT INDIVIDUAL IS
    20070H1199B3012                 - 11 -     

     1  PROVIDING CONSULTATION FOR NO FEE BY MEANS OF TELECOMMUNICATION,
     2  AS DEFINED IN SECTION 2, TO A PHYSICAL THERAPIST LICENSED UNDER
     3  THIS ACT.
     4     (6)  AN INDIVIDUAL EMPLOYED BY AN AGENCY, BUREAU OR DIVISION
     5  OF THE FEDERAL GOVERNMENT WHILE IN THE DISCHARGE OF OFFICIAL
     6  DUTIES IS NOT SUBJECT TO THIS ACT. HOWEVER, IF THE INDIVIDUAL
     7  ENGAGES IN THE PRACTICE OF PHYSICAL THERAPY OUTSIDE THE SCOPE OF
     8  OFFICIAL DUTY, THE INDIVIDUAL MUST MEET THE EDUCATIONAL
     9  REQUIREMENTS AND BE LICENSED OR CERTIFIED AS PROVIDED IN THIS
    10  ACT.
    11     (C)  THE PRACTICE OF PHYSICAL THERAPY SHALL NOT INCLUDE THE
    12  PRACTICE OF CHIROPRACTIC AS DEFINED BY THE ACT OF [AUGUST 10,
    13  1951 (P.L.1182, NO.264), KNOWN AS THE "CHIROPRACTIC REGISTRATION
    14  ACT OF 1951."] DECEMBER 16, 1986 (P.L.1646, NO.188), KNOWN AS
    15  THE "CHIROPRACTIC PRACTICE ACT."
    16     (D)  A PHYSICAL THERAPIST ASSISTANT WHO IS CERTIFIED OR
    17  LICENSED IN A JURISDICTION OF THE UNITED STATES AND IS ASSISTING
    18  A PHYSICAL THERAPIST ENGAGED SPECIFICALLY IN ACTIVITIES RELATED
    19  TO SUBSECTION (B.3)(3) AND (4) IS EXEMPT FROM THE REQUIREMENT OF
    20  CERTIFICATION UNDER THIS ACT FOR NO MORE THAN 60 DAYS WITHIN A
    21  CONSECUTIVE 12-MONTH PERIOD.
    22     SECTION 5.  SECTION 5 OF THE ACT, AMENDED APRIL 4, 1984
    23  (P.L.196, NO.41), IS AMENDED TO READ:
    24     SECTION 5.  APPLICATION FOR LICENSE.--UNLESS ENTITLED TO
    25  LICENSURE WITHOUT EXAMINATION UNDER THE PROVISIONS OF SECTION 6,
    26  [A PERSON] AN INDIVIDUAL WHO DESIRES AND APPLIES TO BE LICENSED
    27  AS A PHYSICAL THERAPIST SHALL APPLY TO THE BOARD [IN WRITING, ON
    28  FORMS] ON A FORM FURNISHED BY THE BOARD, AND SUCH APPLICATION
    29  [BLANKS] SHALL EMBODY EVIDENCE SATISFACTORY TO THE BOARD OF THE
    30  APPLICANT'S POSSESSING THE QUALIFICATIONS PRELIMINARY TO
    20070H1199B3012                 - 12 -     

     1  EXAMINATION REQUIRED BY THIS ACT. AT THE TIME OF FORWARDING SUCH
     2  APPLICATION TO THE BOARD, AN APPLICANT FOR LICENSURE AS A
     3  PHYSICAL THERAPIST SHALL PAY A FEE AS SET BY REGULATION.
     4     SECTION 6.  SECTIONS 6, 7 AND 7.1 OF THE ACT, AMENDED OR
     5  ADDED DECEMBER 20, 1985 (P.L.500, NO.117) ARE AMENDED TO READ:
     6     SECTION 6.  QUALIFICATIONS FOR LICENSE; EXAMINATIONS; FAILURE
     7  OF EXAMINATIONS; LICENSURE WITHOUT EXAMINATION; ISSUING OF
     8  LICENSE; FOREIGN APPLICANTS FOR LICENSURE; TEMPORARY LICENSE;
     9  PERJURY.--(A)  TO BE ELIGIBLE FOR LICENSURE AS A PHYSICAL
    10  THERAPIST, AN APPLICANT MUST BE AT LEAST 20 YEARS OF AGE UNLESS
    11  OTHERWISE DETERMINED BY THE BOARD IN ITS DISCRETION, BE OF GOOD
    12  MORAL CHARACTER, NOT BE ADDICTED TO THE HABITUAL USE OF ALCOHOL
    13  OR NARCOTICS OR OTHER HABIT-FORMING DRUGS, AND BE A GRADUATE OF
    14  A SCHOOL OFFERING AN EDUCATIONAL PROGRAM IN PHYSICAL THERAPY AS
    15  ADOPTED BY THE BOARD, WHICH PROGRAM HAS BEEN APPROVED FOR THE
    16  EDUCATION AND TRAINING OF PHYSICAL THERAPISTS BY THE APPROPRIATE
    17  NATIONALLY RECOGNIZED ACCREDITING AGENCY. [BY THE TIME OF
    18  COMPLETION OF] AN APPLICANT COMPLETING THE PROFESSIONAL STUDY OF
    19  PHYSICAL THERAPY[, A PHYSICAL THERAPIST] AFTER 2002 MUST HOLD A
    20  MINIMUM OF A MASTER'S DEGREE FROM A REGIONALLY ACCREDITED
    21  INSTITUTION OF HIGHER EDUCATION. AN APPLICANT COMPLETING THE
    22  PROFESSIONAL STUDY OF PHYSICAL THERAPY BETWEEN JANUARY 1967 AND
    23  2002 MUST HOLD A MINIMUM OF A BACCALAUREATE DEGREE FROM A
    24  REGIONALLY ACCREDITED INSTITUTION OF HIGHER EDUCATION. IN THE
    25  CASE OF THOSE APPLICANTS WHO HAVE COMPLETED REQUIREMENTS PRIOR
    26  TO THE FIRST DAY OF JANUARY, 1967, BUT WHO MAY NOT TECHNICALLY
    27  OR TOTALLY FULFILL THE ABOVE REQUIREMENTS, THE BOARD AT ITS
    28  DISCRETION AND BY THE MAJORITY VOTE OF ALL MEMBERS PRESENT MAY
    29  ACCEPT EVIDENCE OF SATISFACTORY EQUIVALENCE. THE BOARD SHALL NOT
    30  ISSUE A LICENSE TO AN APPLICANT WHO HAS BEEN CONVICTED OF A
    20070H1199B3012                 - 13 -     

     1  FELONY UNDER THE ACT OF APRIL 14, 1972 (P.L.233, NO.64), KNOWN
     2  AS "THE CONTROLLED SUBSTANCE, DRUG, DEVICE AND COSMETIC ACT," OR
     3  OF AN OFFENSE UNDER THE LAWS OF ANOTHER JURISDICTION WHICH, IF
     4  COMMITTED IN THIS COMMONWEALTH, WOULD BE A FELONY UNDER "THE
     5  CONTROLLED SUBSTANCE, DRUG, DEVICE AND COSMETIC ACT," UNLESS:
     6     (1)  AT LEAST TEN YEARS HAVE ELAPSED FROM THE DATE OF
     7  CONVICTION;
     8     (2)  THE APPLICANT SATISFACTORILY DEMONSTRATES TO THE BOARD
     9  THAT HE HAS MADE SIGNIFICANT PROGRESS IN PERSONAL REHABILITATION
    10  SINCE THE CONVICTION SUCH THAT LICENSURE OF THE APPLICANT SHOULD
    11  NOT BE EXPECTED TO CREATE A SUBSTANTIAL RISK OF HARM TO THE
    12  HEALTH AND SAFETY OF PATIENTS OR THE PUBLIC OR A SUBSTANTIAL
    13  RISK OF FURTHER CRIMINAL VIOLATIONS; AND
    14     (3)  THE APPLICANT OTHERWISE SATISFIES THE QUALIFICATIONS
    15  CONTAINED IN OR AUTHORIZED BY THIS ACT.
    16  AS USED IN THIS SUBSECTION THE TERM "CONVICTED" INCLUDES A
    17  JUDGMENT, AN ADMISSION OF GUILT OR A PLEA OF NOLO CONTENDERE.
    18     (B)  AN APPLICANT FOR LICENSURE MUST PASS [A WRITTEN] AN
    19  EXAMINATION APPROVED BY THE BOARD WHICH SHALL TEST THE
    20  APPLICANT'S KNOWLEDGE OF THE BASIC AND CLINICAL SCIENCES AS THEY
    21  RELATE TO PHYSICAL THERAPY THEORY AND PHYSICAL THERAPY
    22  PROCEDURES AND SUCH OTHER SUBJECTS AS THE BOARD MAY DEEM
    23  NECESSARY TO TEST THE APPLICANT'S FITNESS TO PRACTICE PHYSICAL
    24  THERAPY. NO LICENSE SHALL BE GRANTED UNLESS AN APPLICANT HAS
    25  ATTAINED PASSING SCORES ESTABLISHED BY THE TESTING AGENCY AND
    26  PUBLISHED PRIOR TO THE ADMINISTRATION OF THE EXAMINATION. THE
    27  EXAMINATION SHALL BE HELD [WITHIN THE COMMONWEALTH OF
    28  PENNSYLVANIA TWICE A YEAR] AT SUCH TIME AND PLACE AS THE BOARD
    29  SHALL DETERMINE.
    30     (C)  IN CASE OF FAILURE AT THE FIRST EXAMINATION, THE
    20070H1199B3012                 - 14 -     

     1  APPLICANT FOR LICENSURE SHALL HAVE, AFTER THE EXPIRATION OF [SIX
     2  MONTHS] 60 DAYS AND WITHIN [TWO YEARS] ONE YEAR FROM THE FIRST
     3  FAILURE, THE PRIVILEGE OF A SECOND EXAMINATION. THE BOARD MAY
     4  ADOPT REGULATIONS GOVERNING THE ELIGIBILITY OF APPLICANTS WHO
     5  HAVE FAILED TO PASS TWO EXAMINATIONS IN ORDER TO BE ADMITTED TO
     6  SUBSEQUENT EXAMINATIONS. AN APPLICANT MAY TAKE THE EXAMINATION
     7  NO MORE THAN THREE TIMES IN A CONSECUTIVE 12-MONTH PERIOD.
     8     (D)  AN APPLICANT FOR LICENSURE SHALL TAKE THE APPLICANT'S
     9  FIRST EXAMINATION WITHIN ONE YEAR OF GRADUATION FROM AN
    10  EDUCATIONAL PROGRAM IN PHYSICAL THERAPY, UNLESS THE TIME LIMIT
    11  IS EXTENDED FOR AN APPLICANT BY BOARD ACTION FOR GOOD CAUSE.
    12     (D.1)  THE BOARD MAY GRANT LICENSES AND [REGISTRATIONS]
    13  CERTIFICATIONS WITHOUT FURTHER EXAMINATION TO INDIVIDUALS FROM
    14  ANOTHER STATE, TERRITORY OR THE DISTRICT OF COLUMBIA IF THE
    15  FOLLOWING CONDITIONS EXIST:
    16     (1)  LICENSING OR [REGISTRATION] CERTIFICATION STANDARDS IN
    17  THE OTHER STATE, TERRITORY OR THE DISTRICT OF COLUMBIA ARE
    18  SUBSTANTIALLY THE SAME AS THOSE OF THIS ACT.
    19     (2)  SIMILAR PRIVILEGES ARE ACCORDED [PERSONS] INDIVIDUALS
    20  LICENSED OR [REGISTERED] CERTIFIED IN THIS COMMONWEALTH.
    21     (3)  THE APPLICANT HOLDS A VALID LICENSE [OR REGISTRATION],
    22  REGISTRATION OR CERTIFICATION ISSUED BY THE OTHER STATE,
    23  TERRITORY OR THE DISTRICT OF COLUMBIA.
    24     (4)  THE APPLICANT COMPLIES WITH THE RULES AND REGULATIONS OF
    25  THE BOARD.
    26     (E)  THE BOARD SHALL ISSUE A LICENSE TO A PHYSICAL THERAPIST
    27  WHO SUCCESSFULLY ESTABLISHES HIS ELIGIBILITY UNDER THE TERMS OF
    28  THIS ACT AND [ANY PERSON] AN INDIVIDUAL WHO HOLDS A LICENSE
    29  PURSUANT TO THIS SECTION MAY USE THE WORDS PHYSICAL THERAPIST OR
    30  LICENSED PHYSICAL THERAPIST AND HE [MAY] SHALL USE THE LETTERS
    20070H1199B3012                 - 15 -     

     1  [LPT] PT IN CONNECTION WITH HIS NAME OR PLACE OF BUSINESS TO
     2  DENOTE HIS LICENSURE HEREUNDER. A LICENSED PHYSICAL THERAPIST
     3  MAY INCLUDE DESIGNATIONS FOR PHYSICAL THERAPY DEGREES, INCLUDING
     4  DPT WHEN A DOCTOR OF PHYSICAL THERAPY DEGREE HAS BEEN EARNED
     5  FROM A REGIONALLY ACCREDITED INSTITUTION OF HIGHER EDUCATION,
     6  ACADEMIC DEGREES, SPECIALIST CERTIFICATION AND OTHER CREDENTIALS
     7  AFTER THE LETTERS PT.
     8     (F)  [FOREIGN TRAINED PHYSICAL THERAPISTS WHO DESIRE AND
     9  APPLY TO BE LICENSED AS A PHYSICAL THERAPIST BY THE BOARD SHALL,
    10  BEFORE EXAMINATION, FURNISH PROOF AS TO AGE, MORAL CHARACTER,
    11  AND NO ADDICTION TO THE USE OF ALCOHOL OR NARCOTICS OR OTHER
    12  HABIT-FORMING DRUGS, AND SHALL PRESENT PROOF INDICATING THE
    13  COMPLETION OF EDUCATIONAL REQUIREMENTS SUBSTANTIALLY EQUAL TO
    14  THOSE IN SUBSECTION (A). IN ADDITION THERETO] AT THE BOARD'S
    15  DISCRETION, THE FOREIGN TRAINED APPLICANT MUST COMPLETE[, AT THE
    16  BOARD'S DISCRETION,] UP TO ONE YEAR OF SUPERVISED CLINICAL
    17  EXPERIENCE AS PRESCRIBED BY THE BOARD PRIOR TO TAKING THE
    18  EXAMINATION FOR LICENSURE.
    19     (G)  UPON THE SUBMISSION OF [A WRITTEN APPLICATION, ON FORMS
    20  PROVIDED BY IT] AN APPLICATION AS PROVIDED BY THE BOARD, THE
    21  BOARD SHALL ISSUE A TEMPORARY LICENSE TO AN APPLICANT FOR
    22  LICENSURE WHO HAS MET ALL OF THE REQUIREMENTS OF SUBSECTION (A)
    23  AND WHO IS ELIGIBLE TO TAKE THE EXAMINATION PROVIDED FOR IN
    24  SUBSECTION (B). THE BOARD SHALL ISSUE ONLY ONE TEMPORARY LICENSE
    25  TO AN APPLICANT, AND SUCH TEMPORARY LICENSE SHALL EXPIRE UPON
    26  FAILURE OF THE FIRST EXAMINATION OR SIX MONTHS AFTER THE DATE OF
    27  ISSUE, WHICHEVER FIRST OCCURS. ISSUANCE BY THE BOARD OF A
    28  TEMPORARY LICENSE SHALL PERMIT THE APPLICANT TO PRACTICE
    29  PHYSICAL THERAPY ONLY WHILE UNDER THE DIRECT ON-PREMISES
    30  SUPERVISION OF A LICENSED PHYSICAL THERAPIST WITH AT LEAST TWO
    20070H1199B3012                 - 16 -     

     1  YEARS OF EXPERIENCE. UPON EXPIRATION, THE TEMPORARY LICENSE
     2  SHALL BE PROMPTLY RETURNED BY THE APPLICANT TO THE BOARD.
     3     (H)  ANY APPLICANT WHO KNOWINGLY OR WILLFULLY MAKES A FALSE
     4  STATEMENT OF FACT IN ANY APPLICATION SHALL BE SUBJECT TO
     5  PROSECUTION FOR PERJURY.
     6     (I)  AN APPLICANT FOR LICENSURE WHO HAS BEEN EDUCATED OUTSIDE
     7  OF THE UNITED STATES SHALL:
     8     (1)  COMPLETE THE APPLICATION PROCESS, INCLUDING PAYMENT OF
     9  FEES.
    10     (2)  PROVIDE SATISFACTORY EVIDENCE THAT THE APPLICANT'S
    11  EDUCATION IS SUBSTANTIALLY EQUIVALENT TO THE EDUCATION OF
    12  PHYSICAL THERAPISTS EDUCATED IN AN ACCREDITED ENTRY-LEVEL
    13  PROGRAM AS DETERMINED BY THE BOARD. GRADUATION OUTSIDE THE
    14  UNITED STATES FROM A PROFESSIONAL EDUCATION PROGRAM ACCREDITED
    15  BY THE SAME ACCREDITING AGENCY THAT THE BOARD APPROVES FOR
    16  PROGRAMS WITHIN THE UNITED STATES CONSTITUTES EVIDENCE OF
    17  SUBSTANTIAL EQUIVALENCY. IN ALL OTHER INSTANCES, "SUBSTANTIALLY
    18  EQUIVALENT" MEANS THAT AN APPLICANT FOR LICENSURE EDUCATED
    19  OUTSIDE THE UNITED STATES SHALL HAVE:
    20     (I)  GRADUATED FROM A PHYSICAL THERAPIST EDUCATION PROGRAM
    21  THAT PREPARES THE APPLICANT TO ENGAGE WITHOUT RESTRICTION IN THE
    22  PRACTICE OF PHYSICAL THERAPY.
    23     (II)  PROVIDED WRITTEN PROOF THAT THE APPLICANT'S SCHOOL OF
    24  PHYSICAL THERAPY IS RECOGNIZED BY ITS OWN MINISTRY OF EDUCATION.
    25     (III)  UNDERGONE A CREDENTIALS EVALUATION AS DIRECTED BY THE
    26  BOARD THAT DETERMINES THAT THE CANDIDATE HAS MET UNIFORM
    27  CRITERIA FOR EDUCATION REQUIREMENTS AS FURTHER ESTABLISHED BY
    28  THIS RULE.
    29     (IV)  COMPLETED ANY ADDITIONAL EDUCATION AS REQUIRED BY THE
    30  BOARD.
    20070H1199B3012                 - 17 -     

     1     (3)  COMPLY WITH ALL STATE, FEDERAL AND ADMINISTRATIVE LAWS
     2  AND REGULATIONS RELATED TO THE APPLICATION FOR AND MAINTENANCE
     3  OF LICENSURE.
     4     (4)  PASS THE EXAMINATION APPROVED BY THE BOARD.
     5     (5)  MEET THE REQUIREMENTS ESTABLISHED BY BOARD REGULATIONS
     6  IF APPLICABLE.
     7     (K)  EACH LICENSEE AND CERTIFICATE HOLDER SHALL DISPLAY A
     8  COPY OF THE LICENSEE'S LICENSE OR CERTIFICATE HOLDER'S
     9  CERTIFICATE IN A LOCATION ACCESSIBLE TO PUBLIC VIEW AND PRODUCE
    10  A COPY IMMEDIATELY UPON REQUEST.
    11     SECTION 7.  RENEWAL OF LICENSE.--EACH LICENSE ISSUED UNDER
    12  THE PROVISIONS OF THIS ACT SHALL BE RENEWED BIENNIALLY. ON OR
    13  BEFORE NOVEMBER 1 OF EACH RENEWAL YEAR, THE BOARD SHALL MAIL AN
    14  APPLICATION FOR RENEWAL OF LICENSE TO EACH [PERSON] INDIVIDUAL
    15  TO WHOM A LICENSE WAS ISSUED OR RENEWED DURING THE CURRENT
    16  LICENSING PERIOD, WHICH APPLICATION SHALL BE MAILED TO THE MOST
    17  RECENT ADDRESS OF SAID [PERSON] INDIVIDUAL AS IT APPEARS ON THE
    18  RECORDS OF THE BOARD. SUCH [PERSON] INDIVIDUAL SHALL COMPLETE
    19  THE RENEWAL APPLICATION AND [RETURN] SUBMIT IT TO THE BOARD WITH
    20  A RENEWAL FEE BEFORE DECEMBER 31 OF THE YEAR IN WHICH SAID
    21  APPLICATION WAS RECEIVED. UPON RECEIPT OF ANY SUCH APPLICATION
    22  AND FEE, THE BOARD SHALL VERIFY THE ACCURACY OF SUCH APPLICATION
    23  AND ISSUE TO THE APPLICANT A CERTIFICATE OF RENEWAL OF LICENSE
    24  FOR THE NEXT LICENSING PERIOD AS DESCRIBED ABOVE. THE RENEWAL
    25  FEE FOR EACH LICENSING PERIOD SHALL BE SET BY REGULATION.
    26     SECTION 7.1.  REPORTING OF MULTIPLE LICENSURE.--ANY LICENSED
    27  PHYSICAL THERAPIST OR [REGISTERED] CERTIFIED PHYSICAL THERAPIST
    28  ASSISTANT OF THIS COMMONWEALTH WHO IS ALSO LICENSED TO PRACTICE
    29  PHYSICAL THERAPY OR [REGISTERED] CERTIFIED AS A PHYSICAL
    30  THERAPIST ASSISTANT IN ANY OTHER STATE, TERRITORY OR COUNTRY
    20070H1199B3012                 - 18 -     

     1  SHALL REPORT THIS INFORMATION TO THE BOARD ON THE BIENNIAL
     2  REGISTRATION APPLICATION. ANY DISCIPLINARY ACTION TAKEN IN SUCH
     3  OTHER JURISDICTION SHALL BE REPORTED TO THE BOARD ON THE
     4  BIENNIAL REGISTRATION APPLICATION, OR WITHIN [90] 30 DAYS OF
     5  FINAL DISPOSITION, WHICHEVER OCCURS SOONER. MULTIPLE LICENSURE
     6  OR [REGISTRATION] CERTIFICATION SHALL BE NOTED BY THE BOARD ON
     7  THE PHYSICAL THERAPIST OR PHYSICAL THERAPIST ASSISTANT'S RECORD,
     8  AND SUCH STATE, TERRITORY OR COUNTRY SHALL BE NOTIFIED BY THE
     9  BOARD OF ANY DISCIPLINARY ACTIONS TAKEN AGAINST SAID PHYSICAL
    10  THERAPIST OR PHYSICAL THERAPIST ASSISTANT IN THIS COMMONWEALTH.
    11     SECTION 7.  THE ACT IS AMENDED BY ADDING A SECTION TO READ:
    12     SECTION 7.2.  CONTINUING EDUCATION.--FOR EACH LICENSE
    13  RENEWAL, A LICENSEE SHALL COMPLETE WITHIN THE IMMEDIATELY
    14  PRECEDING TWO-YEAR PERIOD AT LEAST 30 HOURS OF CONTINUING
    15  PHYSICAL THERAPY EDUCATION AS APPROVED BY THE BOARD. THE
    16  LICENSEE SHALL PROVIDE THE BOARD WITH EVIDENCE OF THE COMPLETION
    17  OF THE CONTINUING EDUCATION. A PHYSICAL THERAPIST WHO HAS MET
    18  THE CONTINUING EDUCATION REQUIREMENTS FOR A CERTIFICATE OF
    19  AUTHORIZATION SET FORTH IN SECTION 9(C)(1) SHALL BE DEEMED TO
    20  HAVE MET THE CONTINUING EDUCATION REQUIREMENT FOR LICENSE
    21  RENEWAL. NO CREDIT SHALL BE GIVEN FOR ANY COURSE IN OFFICE
    22  MANAGEMENT OR PRACTICE BUILDING.
    23     SECTION 8.  SECTION 9 OF THE ACT, AMENDED FEBRUARY 21, 2002
    24  (P.L.90, NO.6), IS AMENDED TO READ:
    25     SECTION 9.  PRACTICE OF PHYSICAL THERAPY.--(A)  EXCEPT AS
    26  PROVIDED IN SUBSECTION (B), NO [PERSON] INDIVIDUAL LICENSED
    27  UNDER THIS ACT AS A PHYSICAL THERAPIST SHALL TREAT HUMAN
    28  AILMENTS BY PHYSICAL THERAPY OR OTHERWISE EXCEPT BY THE REFERRAL
    29  OF [A PERSON] AN INDIVIDUAL LICENSED AS A PHYSICIAN, A LICENSED
    30  PHYSICIAN ASSISTANT PRACTICING PURSUANT TO A WRITTEN AGREEMENT
    20070H1199B3012                 - 19 -     

     1  WITH A PHYSICIAN, OR A CERTIFIED REGISTERED NURSE PRACTITIONER
     2  PRACTICING PURSUANT TO A COLLABORATIVE AGREEMENT WITH A
     3  PHYSICIAN; HOWEVER, A PHYSICAL THERAPIST SHALL BE PERMITTED TO
     4  ACCEPT THE REFERRAL OF A LICENSED DENTIST OR PODIATRIST
     5  [LICENSED], FOR THE TREATMENT OF A CONDITION THAT IS WITHIN THE
     6  SCOPE OF PRACTICE OF DENTISTRY OR PODIATRY. NOTHING IN THIS ACT
     7  SHALL BE CONSTRUED AS AUTHORIZATION FOR A PHYSICAL THERAPIST TO
     8  PRACTICE ANY BRANCH OF THE HEALING ARTS EXCEPT AS DESCRIBED IN
     9  THIS ACT. [ANY PERSON] AN INDIVIDUAL VIOLATING THE PROVISIONS OF
    10  THIS ACT SHALL BE GUILTY OF A MISDEMEANOR AS DESCRIBED IN
    11  SECTION 12. FOR PURPOSES OF THIS SECTION, RELATING TO REFERRALS,
    12  A LICENSED PHYSICIAN, DENTIST OR PODIATRIST MEANS AN INDIVIDUAL
    13  HOLDING AN ACTIVE LICENSE IN THIS COMMONWEALTH, THE DISTRICT OF
    14  COLUMBIA OR ANY OTHER STATE OR UNITED STATES TERRITORY.
    15     (B)  LICENSEES WHO MEET THE STANDARDS SET FORTH IN THIS
    16  SUBSECTION MAY APPLY TO THE BOARD FOR A CERTIFICATE OF
    17  AUTHORIZATION TO PRACTICE PHYSICAL THERAPY UNDER THIS ACT
    18  WITHOUT THE REQUIRED REFERRAL UNDER SUBSECTION (A). A
    19  CERTIFICATE OF AUTHORIZATION TO PRACTICE PHYSICAL THERAPY
    20  WITHOUT A REFERRAL UNDER SUBSECTION (A) SHALL NOT AUTHORIZE A
    21  PHYSICAL THERAPIST EITHER TO TREAT A CONDITION IN [ANY PERSON]
    22  AN INDIVIDUAL WHICH IS A NONNEUROLOGIC, NONMUSCULAR OR
    23  NONSKELETAL CONDITION OR TO TREAT [A PERSON] AN INDIVIDUAL WHO
    24  HAS AN ACUTE CARDIAC OR ACUTE PULMONARY CONDITION UNLESS THE
    25  PHYSICAL THERAPIST HAS CONSULTED WITH THE [PERSON'S]
    26  INDIVIDUAL'S LICENSED PHYSICIAN, DENTIST OR PODIATRIST REGARDING
    27  THE [PERSON'S] INDIVIDUAL'S CONDITION AND THE PHYSICAL THERAPY
    28  TREATMENT PLAN OR HAS REFERRED THE [PERSON] INDIVIDUAL TO A
    29  LICENSED PHYSICIAN, DENTIST OR PODIATRIST FOR DIAGNOSIS AND
    30  REFERRAL. THE CERTIFICATE OF AUTHORIZATION SHALL BE ISSUED ONLY
    20070H1199B3012                 - 20 -     

     1  TO LICENSED PHYSICAL THERAPISTS PRACTICING PHYSICAL THERAPY. THE
     2  CERTIFICATE OF AUTHORIZATION SHALL BE DISPLAYED BY THE
     3  CERTIFICATE HOLDER IN A MANNER CONSPICUOUS TO THE PUBLIC. THE
     4  RENEWAL OF THE CERTIFICATE OF AUTHORIZATION SHALL COINCIDE WITH
     5  THE RENEWAL OF THE LICENSE OF THE LICENSEE. LICENSEES MAKING
     6  APPLICATION FOR A CERTIFICATE OF AUTHORIZATION SHALL PRESENT
     7  SATISFACTORY EVIDENCE TO THE BOARD OF ALL OF THE FOLLOWING:
     8     (1)  THAT THE LICENSEE HAS:
     9     (I)  PASSED AN EXAMINATION FOR LICENSURE TO PRACTICE PHYSICAL
    10  THERAPY, WHICH EXAMINATION INCLUDED TESTING ON THE APPROPRIATE
    11  EVALUATIVE PROCEDURES TO TREAT [A PERSON] AN INDIVIDUAL WITHOUT
    12  A REFERRAL; OR
    13     (II)  PASSED AN EXAMINATION FOR LICENSURE TO PRACTICE
    14  PHYSICAL THERAPY PRIOR TO 1990 AND SUCCESSFULLY COMPLETED A
    15  COURSE APPROVED BY THE BOARD ON THE APPROPRIATE EVALUATIVE
    16  PROCEDURES TO TREAT [A PERSON] AN INDIVIDUAL WITHOUT A REFERRAL.
    17     (2)  THAT THE LICENSEE HAS:
    18     (I)  PRACTICED PHYSICAL THERAPY AS A LICENSED PHYSICAL
    19  THERAPIST IN THE DELIVERY OF PATIENT CARE IN ACCORDANCE WITH
    20  THIS ACT ON A CONTINUOUS BASIS FOR AT LEAST TWO YEARS
    21  IMMEDIATELY PRECEDING THE APPLICATION FOR A CERTIFICATE OF
    22  AUTHORIZATION;
    23     (II)  BEEN LICENSED UNDER SECTION 6(D.1) AND HAS PRACTICED
    24  PHYSICAL THERAPY IN THE DELIVERY OF PATIENT CARE AS A LICENSED
    25  PHYSICAL THERAPIST IN A RECIPROCAL STATE ON A CONTINUOUS BASIS
    26  FOR AT LEAST TWO YEARS IMMEDIATELY PRECEDING THE APPLICATION FOR
    27  A CERTIFICATE OF AUTHORIZATION; OR
    28     (III)  PROVIDED PROOF OF MEETING THE STANDARDS OF CLAUSE (I)
    29  OR (II) OF THIS PARAGRAPH THROUGH THE APPLICATION OF ANY
    30  COMBINATION THEREOF.
    20070H1199B3012                 - 21 -     

     1     (3)  THAT THE LICENSE OF THAT LICENSEE HAS BEEN MAINTAINED IN
     2  GOOD STANDING.
     3     (4)  THAT THE LICENSEE HAS PROFESSIONAL LIABILITY INSURANCE
     4  IN ACCORDANCE WITH THE FOLLOWING PROVISIONS:
     5     (I)  [BEGINNING WITH THE FIRST LICENSE RENEWAL PERIOD AT
     6  LEAST TWO YEARS AFTER THE EFFECTIVE DATE OF THIS SUBSECTION OR
     7  UPON FIRST MAKING APPLICATION FOR A CERTIFICATE OF
     8  AUTHORIZATION, WHICHEVER OCCURS EARLIER, ANY LICENSEE APPLYING
     9  FOR AND OBTAINING A CERTIFICATE OF AUTHORIZATION SHALL OBTAIN
    10  AND MAINTAIN, TO THE SATISFACTION OF THE BOARD, PROFESSIONAL
    11  LIABILITY INSURANCE COVERAGE IN THE MINIMUM AMOUNTS REQUIRED TO
    12  BE MAINTAINED BY PHYSICIANS PURSUANT TO THE ACT OF OCTOBER 15,
    13  1975 (P.L.390, NO.111), KNOWN AS THE "HEALTH CARE SERVICES
    14  MALPRACTICE ACT." THE PROFESSIONAL LIABILITY INSURANCE COVERAGE
    15  SHALL REMAIN IN EFFECT AS LONG AS THAT LICENSEE HAS A
    16  CERTIFICATE OF AUTHORIZATION.] A LICENSEE WITH A CERTIFICATE OF
    17  AUTHORIZATION UNDER THIS ACT PRACTICING IN THIS COMMONWEALTH
    18  SHALL MAINTAIN A LEVEL OF PROFESSIONAL LIABILITY INSURANCE
    19  COVERAGE AS REQUIRED FOR A NONPARTICIPATING HEALTH CARE PROVIDER
    20  UNDER THE ACT OF MARCH 20, 2002 (P.L.154, NO.13), KNOWN AS THE
    21  "MEDICAL CARE AVAILABILITY AND REDUCTION OF ERROR (MCARE) ACT,"
    22  BUT SHALL NOT BE ELIGIBLE TO PARTICIPATE IN THE MEDICAL CARE
    23  AVAILABILITY AND REDUCTION OF ERROR (MCARE) FUND.
    24     (I.1)  THE BOARD SHALL ACCEPT FROM A LICENSEE WITH A
    25  CERTIFICATE OF AUTHORIZATION AS SATISFACTORY EVIDENCE OF
    26  INSURANCE COVERAGE ANY OF THE FOLLOWING:
    27     (A)  SELF-INSURANCE.
    28     (B)  PERSONALLY PURCHASED LIABILITY INSURANCE.
    29     (C)  PROFESSIONAL LIABILITY INSURANCE COVERAGE PROVIDED BY
    30  THE LICENSEE'S EMPLOYER.
    20070H1199B3012                 - 22 -     

     1     (D)  SIMILAR INSURANCE COVERAGE ACCEPTABLE TO THE BOARD.
     2     (I.2)  A LICENSEE WITH A CERTIFICATE OF AUTHORIZATION UNDER
     3  THIS ACT NEED NOT BE SEPARATELY INSURED IF THE LICENSEE'S
     4  EMPLOYER IS A HEALTH CARE PROVIDER AS DEFINED BY THE "MEDICAL
     5  CARE AVAILABILITY AND REDUCTION OF ERROR (MCARE) ACT" THAT
     6  MAINTAINS INSURANCE AS REQUIRED BY MCARE; OR WHOSE EMPLOYER IS
     7  NOT A HEALTH CARE PROVIDER AS DEFINED BY THE "MEDICAL CARE
     8  AVAILABILITY AND REDUCTION OF ERROR (MCARE) ACT," BUT WHO
     9  MAINTAINS INSURANCE AT THE LEVEL REQUIRED OF A NONPARTICIPATING
    10  HEALTH CARE PROVIDER UNDER THE "MEDICAL CARE AVAILABILITY AND
    11  REDUCTION OF ERROR (MCARE) ACT."
    12     (II)  A LICENSEE SHALL NOTIFY THE BOARD WITHIN [30] 10 DAYS
    13  OF THE LICENSEE'S FAILURE TO BE COVERED BY THE REQUIRED
    14  INSURANCE. FAILURE TO NOTIFY THE BOARD SHALL BE ACTIONABLE UNDER
    15  SECTION 11 OR 12. FURTHER, THE CERTIFICATE OF AUTHORIZATION OF
    16  THAT LICENSEE SHALL AUTOMATICALLY BE SUSPENDED UPON FAILURE TO
    17  BE COVERED BY THE REQUIRED INSURANCE AND SHALL NOT BE RESTORED
    18  UNTIL SUBMISSION TO THE BOARD OF SATISFACTORY EVIDENCE THAT THE
    19  LICENSEE HAS THE REQUIRED PROFESSIONAL LIABILITY INSURANCE
    20  COVERAGE.
    21     [(III)  THE BOARD SHALL ACCEPT FROM LICENSEES AS SATISFACTORY
    22  EVIDENCE OF INSURANCE COVERAGE UNDER THIS SUBSECTION ANY OR ALL
    23  OF THE FOLLOWING: SELF-INSURANCE, PERSONALLY PURCHASED
    24  PROFESSIONAL LIABILITY INSURANCE, PROFESSIONAL LIABILITY
    25  INSURANCE COVERAGE PROVIDED BY THE LICENSEE'S EMPLOYER OR ANY
    26  SIMILAR TYPE OF COVERAGE.]
    27     (IV)  THE BOARD SHALL ADOPT, BY REGULATION, STANDARDS AND
    28  PROCEDURES ESTABLISHED BY THE INSURANCE COMMISSIONER FOR SELF-
    29  INSURANCE. IN THE ABSENCE OF THESE STANDARDS AND PROCEDURES, THE
    30  BOARD, AFTER CONSULTATION WITH THE INSURANCE COMMISSIONER, SHALL
    20070H1199B3012                 - 23 -     

     1  ESTABLISH STANDARDS AND PROCEDURES BY REGULATION FOR SELF-
     2  INSURANCE UNDER THIS SUBSECTION.
     3     (C)  (1)  FOR EACH RENEWAL OF THE CERTIFICATE OF
     4  AUTHORIZATION, THE LICENSEE SHALL COMPLETE WITHIN THE
     5  IMMEDIATELY PRECEDING TWO-YEAR PERIOD AT LEAST [20] 30 HOURS OF
     6  CONTINUING PHYSICAL THERAPY EDUCATION RELATED TO KEEPING THE
     7  CERTIFICATE HOLDER APPRISED OF ADVANCEMENTS AND NEW DEVELOPMENTS
     8  IN THE PRACTICE OF THE PHYSICAL THERAPY PROFESSION. AT LEAST TEN
     9  OF THE [20] 30 HOURS SHALL BE IN APPROPRIATE EVALUATIVE
    10  PROCEDURES TO TREAT [A PERSON] AN INDIVIDUAL WITHOUT A REFERRAL.
    11  NO CREDIT SHALL BE GIVEN FOR ANY COURSE IN OFFICE MANAGEMENT OR
    12  PRACTICE BUILDING. THE LICENSEE SHALL PROVIDE THE BOARD WITH
    13  EVIDENCE OF THE COMPLETION OF THE CONTINUING EDUCATION.
    14     (2)  CONTINUING EDUCATION PROGRAMS AND PROGRAM PROVIDERS
    15  UNDER THIS SUBSECTION SHALL BE APPROVED BY THE BOARD IN
    16  ACCORDANCE WITH STANDARDS AND CRITERIA ESTABLISHED BY THE BOARD
    17  BY REGULATION. THE REGULATION SHALL INCLUDE ANY FEES NECESSARY
    18  TO IMPLEMENT THIS PROVISION AND PROVIDE FOR WAIVER OF THE
    19  CONTINUING EDUCATION REQUIREMENT DUE TO ILLNESS OR HARDSHIP IN
    20  ANY LICENSING RENEWAL PERIOD.
    21     [(3)  THE REQUIREMENTS FOR CONTINUING PHYSICAL THERAPY
    22  EDUCATION SHALL NOT APPLY UNTIL THE FIRST RENEWAL OF THE
    23  CERTIFICATE OF AUTHORIZATION AT LEAST TWO YEARS AFTER THE
    24  EFFECTIVE DATE OF THIS SUBSECTION. NO CREDIT SHALL BE GIVEN FOR
    25  ANY COURSE IN OFFICE MANAGEMENT OR PRACTICE BUILDING.]
    26     (D)  A PHYSICAL THERAPIST PRACTICING PHYSICAL THERAPY UNDER
    27  THIS ACT SHALL REFER PATIENTS TO A LICENSED PHYSICIAN OR OTHER
    28  APPROPRIATE HEALTH CARE PRACTITIONER IN ANY OF THE FOLLOWING
    29  CASES:
    30     (1)  CASES WHERE SYMPTOMS ARE PRESENT FOR WHICH PHYSICAL
    20070H1199B3012                 - 24 -     

     1  THERAPY IS A CONTRAINDICATION.
     2     (2)  CASES FOR WHICH TREATMENT IS OUTSIDE THE SCOPE OF
     3  PRACTICE OF PHYSICAL THERAPY.
     4     (3)  CASES FOR WHICH TREATMENT IS BEYOND THE EDUCATION,
     5  EXPERTISE OR EXPERIENCE OF THE PHYSICAL THERAPIST.
     6     (E)  A PHYSICAL THERAPIST MAY TREAT [A PERSON] AN INDIVIDUAL
     7  WITHOUT A REFERRAL AS PROVIDED FOR IN SUBSECTION (B) FOR UP TO
     8  30 DAYS FROM THE DATE OF THE FIRST TREATMENT. A PHYSICAL
     9  THERAPIST SHALL NOT TREAT [A PERSON] AN INDIVIDUAL BEYOND 30
    10  DAYS FROM THE DATE OF THE FIRST TREATMENT UNLESS HE OR SHE HAS
    11  OBTAINED A REFERRAL FROM A LICENSED PHYSICIAN[, DENTIST OR
    12  PODIATRIST.]; A LICENSED PHYSICIAN ASSISTANT PRACTICING PURSUANT
    13  TO A WRITTEN AGREEMENT WITH A PHYSICIAN; A CERTIFIED REGISTERED
    14  NURSE PRACTITIONER PRACTICING PURSUANT TO A COLLABORATIVE
    15  AGREEMENT WITH A PHYSICIAN; OR A LICENSED DENTIST OR LICENSED
    16  PODIATRIST, FOR THE TREATMENT OF A CONDITION THAT IS WITHIN THE
    17  SCOPE OF PRACTICE OF DENTISTRY OR PODIATRY. THE DATE OF THE
    18  FIRST TREATMENT FOR PURPOSES OF THIS SUBSECTION IS THE DATE THE
    19  [PERSON] INDIVIDUAL IS TREATED BY ANY PHYSICAL THERAPIST
    20  TREATING WITHOUT A REFERRAL.
    21     (F)  NOTHING IN THIS SECTION SHALL BE CONSTRUED TO REQUIRE OR
    22  PRECLUDE THIRD-PARTY INSURANCE REIMBURSEMENT. NOTHING HEREIN
    23  SHALL PRECLUDE AN INSURER OR OTHER THIRD-PARTY PAYOR FROM
    24  REQUIRING THAT A PHYSICAL THERAPIST OBTAIN A REFERRAL FROM A
    25  LICENSED PHYSICIAN[, DENTIST OR PODIATRIST OR]; A LICENSED
    26  PHYSICIAN ASSISTANT PRACTICING PURSUANT TO A WRITTEN AGREEMENT
    27  WITH A PHYSICIAN; A CERTIFIED REGISTERED NURSE PRACTITIONER
    28  PRACTICING PURSUANT TO A COLLABORATIVE AGREEMENT WITH A
    29  PHYSICIAN; OR A LICENSED DENTIST OR LICENSED PODIATRIST, FOR THE
    30  TREATMENT OF A CONDITION THAT IS WITHIN THE SCOPE OF PRACTICE OF
    20070H1199B3012                 - 25 -     

     1  DENTISTRY OR PODIATRY; OR THAT A PHYSICAL THERAPIST FILE AN
     2  EVALUATION AND TREATMENT PLAN WITH THE INSURER OR THIRD-PARTY
     3  PAYOR AS A PRECONDITION OF REIMBURSEMENT.
     4     SECTION 9.  SECTIONS 9.1 AND 9.2 OF THE ACT, ADDED DECEMBER
     5  20, 1985 (P.L.500, NO.117), ARE AMENDED TO READ:
     6     SECTION 9.1.  PHYSICAL THERAPIST ASSISTANT; EDUCATION AND
     7  EXAMINATION; SCOPE OF DUTIES; [REGISTRATION] CERTIFICATION.--(A)
     8  TO BE ELIGIBLE [TO REGISTER WITH] FOR CERTIFICATION BY THE BOARD
     9  AS A PHYSICAL THERAPIST ASSISTANT, AN APPLICANT MUST BE AT LEAST
    10  [20] 18 YEARS OF AGE UNLESS OTHERWISE DETERMINED BY THE BOARD,
    11  BE OF GOOD MORAL CHARACTER, NOT BE ADDICTED TO THE HABITUAL USE
    12  OF ALCOHOL OR NARCOTICS OR OTHER HABIT-FORMING DRUGS, BE A
    13  GRADUATE OF A PHYSICAL THERAPIST ASSISTANT PROGRAM ADOPTED BY
    14  THE BOARD, WHICH PROGRAM HAS BEEN APPROVED FOR THE EDUCATION AND
    15  TRAINING FOR PHYSICAL THERAPIST ASSISTANTS BY THE APPROPRIATE
    16  NATIONALLY RECOGNIZED ACCREDITING AGENCY AND BE SUCCESSFUL IN
    17  PASSING AN EXAMINATION ADOPTED BY THE BOARD, SUBJECT TO RULES
    18  AND REGULATIONS ESTABLISHED BY THE BOARD AND ADMINISTERED IN
    19  ACCORDANCE WITH SECTION 812.1 OF THE ACT OF APRIL 9, 1929
    20  (P.L.177, NO.175), KNOWN AS "THE ADMINISTRATIVE CODE OF 1929."
    21  NO APPLICANT SHALL BE [REGISTERED] CERTIFIED UNLESS HE HAS
    22  ATTAINED PASSING SCORES ESTABLISHED BY THE [TESTING AGENCY]
    23  BOARD AND PUBLISHED PRIOR TO THE ADMINISTRATION OF THE
    24  EXAMINATION.
    25     (A.1)  UPON THE SUBMISSION OF AN APPLICATION, AS PROVIDED BY
    26  THE BOARD, THE BOARD SHALL ISSUE A TEMPORARY CERTIFICATE TO AN
    27  APPLICANT FOR CERTIFICATION WHO HAS MET ALL OF THE REQUIREMENTS
    28  OF SUBSECTION (A) AND WHO IS ELIGIBLE TO TAKE THE EXAMINATION
    29  PROVIDED FOR IN SUBSECTION (A). THE BOARD SHALL ISSUE ONLY ONE
    30  TEMPORARY CERTIFICATE TO AN APPLICANT, AND THE TEMPORARY
    20070H1199B3012                 - 26 -     

     1  CERTIFICATE SHALL EXPIRE UPON FAILURE OF THE FIRST EXAMINATION
     2  OR SIX MONTHS AFTER THE DATE OF ISSUE, WHICHEVER FIRST OCCURS.
     3  ISSUANCE BY THE BOARD OF A TEMPORARY CERTIFICATE SHALL PERMIT
     4  THE APPLICANT TO PROVIDE PHYSICAL THERAPY ACTS AND SERVICES ONLY
     5  WHILE UNDER THE DIRECT ON-PREMISES SUPERVISION OF A LICENSED
     6  PHYSICAL THERAPIST. UPON EXPIRATION, THE TEMPORARY CERTIFICATE
     7  SHALL BE PROMPTLY RETURNED BY THE APPLICANT TO THE BOARD.
     8     (B)  AN APPLICANT FOR CERTIFICATION MUST TAKE THE APPLICANT'S
     9  FIRST EXAMINATION WITHIN ONE YEAR OF GRADUATION FROM A PHYSICAL
    10  THERAPIST ASSISTANT PROGRAM, UNLESS SUCH TIME LIMIT IS EXTENDED
    11  FOR AN APPLICANT BY BOARD ACTION FOR GOOD CAUSE. IN CASE OF
    12  FAILURE OF THE FIRST EXAMINATION, THE APPLICANT FOR
    13  [REGISTRATION] CERTIFICATION SHALL HAVE, AFTER THE EXPIRATION OF
    14  [SIX MONTHS] 60 DAYS AND WITHIN [TWO YEARS] ONE YEAR FROM THE
    15  FIRST FAILURE, THE PRIVILEGE OF A SECOND EXAMINATION. THE BOARD
    16  MAY ADOPT REGULATIONS GOVERNING THE ELIGIBILITY OF APPLICANTS
    17  WHO HAVE FAILED TO PASS TWO EXAMINATIONS IN ORDER TO BE ADMITTED
    18  TO SUBSEQUENT EXAMINATIONS.
    19     (C)  A PHYSICAL THERAPIST ASSISTANT WHILE ASSISTING A
    20  LICENSED PHYSICAL THERAPIST IN THE PRACTICE OF PHYSICAL THERAPY
    21  SHALL ONLY PERFORM PATIENT-RELATED PHYSICAL THERAPY ACTS AND
    22  SERVICES THAT ARE ASSIGNED OR DELEGATED BY AND UNDER THE [DIRECT
    23  ON-PREMISES] SUPERVISION OF A LICENSED PHYSICAL THERAPIST. SUCH
    24  ACTS AND SERVICES OF A PHYSICAL THERAPIST ASSISTANT SHALL NOT
    25  INCLUDE EVALUATION, TESTING, INTERPRETATION, PLANNING OR
    26  MODIFICATION OF PATIENT PROGRAMS. FOR PURPOSES OF THIS SECTION
    27  THE TERM ["DIRECT ON-PREMISES SUPERVISION" SHALL MEAN THE
    28  PHYSICAL PRESENCE OF A LICENSED PHYSICAL THERAPIST ON THE
    29  PREMISES WHO IS IMMEDIATELY AVAILABLE TO EXERCISE SUPERVISION,
    30  DIRECTION AND CONTROL.] "SUPERVISION" MEANS AS FOLLOWS:
    20070H1199B3012                 - 27 -     

     1     (1)  IN ALL PRACTICE SETTINGS, THE PERFORMANCE OF SELECTED
     2  ACTS AND SERVICES BY THE PHYSICAL THERAPIST ASSISTANT SHALL BE:
     3     (I)  THE RESPONSIBILITY OF THE LICENSED PHYSICAL THERAPIST AT
     4  ALL TIMES.
     5     (II)  CONSISTENT WITH SAFE AND LEGAL PHYSICAL THERAPY
     6  PRACTICE.
     7     (III)  PREDICATED ON THE FOLLOWING FACTORS:
     8     (A)  COMPLEXITY AND ACUITY OF THE PATIENT'S NEEDS.
     9     (B)  PROXIMITY AND ACCESSIBILITY OF THE LICENSED PHYSICAL
    10  THERAPIST TO THE CERTIFIED PHYSICAL THERAPIST ASSISTANT.
    11     (C)  SUPERVISION AVAILABLE IN THE EVENT OF AN EMERGENCY OR
    12  CRITICAL EVENT.
    13     (D)  TYPE OF SETTING IN WHICH THE SERVICE IS PROVIDED.
    14     (2)  IN ALL PRACTICE SETTINGS AND RELATING TO PHYSICAL
    15  THERAPY INTERVENTION, THE INITIAL PATIENT CONTACT SHALL BE MADE
    16  BY A LICENSED PHYSICAL THERAPIST FOR EVALUATION OF THE PATIENT
    17  AND ESTABLISHMENT OF A PLAN OF CARE.
    18     (3)  SUPERVISION REQUIREMENTS OF A PHYSICAL THERAPIST
    19  ASSISTANT SHALL BE DEPENDENT UPON THE PRACTICE SETTING IN WHICH
    20  THE CARE IS DELIVERED:
    21     (I)  WHEN CARE IS DELIVERED TO AN INDIVIDUAL IN AN ACUTE CARE
    22  HOSPITAL, ACUTE INPATIENT REHABILITATION CENTER, LONG-TERM ACUTE
    23  CARE HOSPITAL FACILITY SETTING OR AS OTHERWISE REQUIRED BY LAW
    24  OR REGULATION, THE PHYSICAL THERAPIST ASSISTANT SHALL BE UNDER
    25  THE DIRECT ON-PREMISES SUPERVISION OF A LICENSED PHYSICAL
    26  THERAPIST.
    27     (II)  WHEN CARE IS PROVIDED TO AN INDIVIDUAL IN A PRESCHOOL,
    28  PRIMARY SCHOOL, SECONDARY SCHOOL OR OTHER SIMILAR EDUCATIONAL
    29  SETTING, A LICENSED PHYSICAL THERAPIST SHALL MAKE AN ONSITE
    30  VISIT AND EXAMINE THE PATIENT AT LEAST EVERY FOUR PATIENT VISITS
    20070H1199B3012                 - 28 -     

     1  OR EVERY 30 DAYS, WHICHEVER SHALL OCCUR FIRST.
     2     (III)  WHEN CARE IS PROVIDED TO AN INDIVIDUAL IN AN
     3  INDEPENDENT PRIVATE PRACTICE OUTPATIENT FACILITY, A LICENSED
     4  PHYSICAL THERAPIST SHALL BE PRESENT FOR AT LEAST 50% OF ANY WORK
     5  WEEK.
     6     (IV)  FOR ANY HOME HEALTH CARE, FACILITY OR PRACTICE SETTING
     7  NOT SPECIFIED IN SUBPARAGRAPH (I), (II) OR (III), A LICENSED
     8  PHYSICAL THERAPIST SHALL MAKE AN ONSITE VISIT AND EXAMINE THE
     9  PATIENT AT LEAST EVERY SEVEN PATIENT VISITS OR EVERY 14 DAYS,
    10  WHICHEVER SHALL OCCUR FIRST.
    11  THE BOARD SHALL REVIEW AND MAKE RECOMMENDATIONS RELATING TO THE
    12  REQUIREMENTS OF THIS PARAGRAPH THREE YEARS FOLLOWING THE
    13  EFFECTIVE DATE OF THIS PARAGRAPH.
    14     (4)  IN ALL PRACTICE SETTINGS, A PHYSICAL THERAPIST ASSISTANT
    15  SHALL BE UNDER THE DIRECT ON-PREMISES SUPERVISION OF A LICENSED
    16  PHYSICAL THERAPIST UNTIL THE PHYSICAL THERAPIST ASSISTANT
    17  SUBMITS FOR APPROVAL EVIDENCE SATISFACTORY TO THE BOARD OF:
    18     (I)  AT LEAST 2,000 HOURS OF EXPERIENCE PROVIDING PATIENT-
    19  RELATED ACTS AND SERVICES VERIFIED BY A SUPERVISING LICENSED
    20  PHYSICAL THERAPIST; OR
    21     (II)  EMPLOYMENT AS A PHYSICAL THERAPIST ASSISTANT FOR AT
    22  LEAST THREE OF THE FIVE YEARS IMMEDIATELY PRECEDING THE
    23  EFFECTIVE DATE OF THIS PARAGRAPH.
    24     (5)  UPON COMPLIANCE WITH PARAGRAPH (4), A PHYSICAL THERAPIST
    25  ASSISTANT MAY ONLY PROVIDE PHYSICAL THERAPY ACTS AND SERVICES
    26  WHEN THE LICENSED PHYSICAL THERAPIST IS AVAILABLE AND ACCESSIBLE
    27  IN PERSON OR BY TELECOMMUNICATION TO THE PHYSICAL THERAPIST
    28  ASSISTANT DURING ALL WORKING HOURS OF THE PHYSICAL THERAPIST
    29  ASSISTANT AND IS PRESENT WITHIN A 100-MILE RADIUS OF THE
    30  TREATMENT LOCATION. A PHYSICAL THERAPIST ASSISTANT SHALL CONSULT
    20070H1199B3012                 - 29 -     

     1  WITH THE SUPERVISING PHYSICAL THERAPIST IN THE EVENT OF A CHANGE
     2  IN THE PATIENT'S CONDITION WHICH MAY REQUIRE THE ASSESSMENT OF A
     3  LICENSED PHYSICAL THERAPIST.
     4     (6)  A LICENSED PHYSICAL THERAPIST SHALL NOT SUPERVISE MORE
     5  THAN THREE PHYSICAL THERAPIST ASSISTANTS AT ANY TIME.
     6     (7)  IN THE EVENT OF A CHANGE OF THE SUPERVISING LICENSED
     7  PHYSICAL THERAPIST, THE SUBSEQUENT SUPERVISOR SHALL ASSUME
     8  RESPONSIBILITY FOR THE ONGOING SUPERVISION OF ANY CERTIFIED
     9  PHYSICAL THERAPIST ASSISTANT PROVIDING PHYSICAL THERAPY ACTS AND
    10  SERVICES AND SHALL BECOME THE SUPERVISING PHYSICAL THERAPIST.
    11     (D)  ONLY [A PERSON] AN INDIVIDUAL WHO HAS BEEN PROPERLY
    12  [REGISTERED] CERTIFIED AS A PHYSICAL THERAPIST ASSISTANT WITH
    13  THE BOARD, PURSUANT TO THE PROVISIONS OF THIS SECTION AND RULES
    14  AND REGULATIONS PROMULGATED BY THE BOARD THERETO, SHALL ASSIST A
    15  LICENSED PHYSICAL THERAPIST IN THE PRACTICE OF PHYSICAL THERAPY
    16  AS A PHYSICAL THERAPIST ASSISTANT AND USE THE TITLE "PHYSICAL
    17  THERAPIST [ASSISTANT."] ASSISTANT" AND THE ABBREVIATION "PTA."
    18     [(E)  THE QUALIFICATIONS PROVISION OF THIS SECTION SHALL NOT
    19  APPLY AND AN APPLICANT SHALL BE REGISTERED WITHOUT EXAMINATION
    20  IF THE APPLICANT HAS SUBMITTED AN APPLICATION FOR REGISTRATION
    21  ACCOMPANIED BY AN APPLICATION FEE AS SPECIFIED BY THE BOARD
    22  WITHIN TWO YEARS AFTER THE EFFECTIVE DATE OF THIS AMENDATORY ACT
    23  AND IS A RESIDENT OF PENNSYLVANIA OR HAS PRACTICED IN THIS
    24  COMMONWEALTH FOR A TWO-YEAR PERIOD; AND
    25     (1)  ON THE EFFECTIVE DATE OF THIS AMENDATORY ACT, IS A
    26  GRADUATE OF A PHYSICAL THERAPIST ASSISTANT PROGRAM ACCEPTABLE TO
    27  THE BOARD AND HAS ENGAGED IN PHYSICAL THERAPIST ASSISTANT
    28  PRACTICE ACCEPTABLE TO THE BOARD FOR TWO YEARS; AND
    29     (2)  ON THE EFFECTIVE DATE OF THIS AMENDATORY ACT, IS LISTED
    30  WITH THE BOARD AS A PHYSICAL THERAPIST ASSISTANT.]
    20070H1199B3012                 - 30 -     

     1     (F)  THE BOARD SHALL ISSUE, RENEW, REVOKE OR SUSPEND THE
     2  [REGISTRATION] CERTIFICATION OF PHYSICAL THERAPIST ASSISTANTS
     3  PURSUANT TO RULES AND REGULATIONS PROMULGATED BY THE BOARD. ALL
     4  ACTIONS OF THE BOARD SHALL BE TAKEN SUBJECT TO THE RIGHT OF
     5  NOTICE, HEARING AND ADJUDICATION AND THE RIGHT OF APPEAL
     6  THEREFROM IN ACCORDANCE WITH TITLE 2 OF THE PENNSYLVANIA
     7  CONSOLIDATED STATUTES (RELATING TO ADMINISTRATIVE LAW AND
     8  PROCEDURE).
     9     (G)  UNLESS ORDERED TO DO SO BY A COURT, THE BOARD SHALL NOT
    10  REINSTATE THE [REGISTRATION OF A PERSON] CERTIFICATION OF AN
    11  INDIVIDUAL TO PRACTICE AS A PHYSICAL THERAPIST ASSISTANT WHICH
    12  HAS BEEN REVOKED, AND SUCH [PERSON] INDIVIDUAL SHALL BE REQUIRED
    13  TO APPLY FOR [REGISTRATION] CERTIFICATION AFTER A FIVE-YEAR
    14  PERIOD IN ACCORDANCE WITH THE PROVISIONS OF THIS SECTION,
    15  INCLUDING THE EXAMINATION REQUIREMENT, IF HE DESIRES TO PRACTICE
    16  AT ANY TIME AFTER SUCH REVOCATION.
    17     (H)  A PHYSICAL THERAPIST ASSISTANT MAY NOT AUTHORIZE THE
    18  DISCHARGE OF A PATIENT FROM PHYSICAL THERAPY SERVICES.
    19     (I)  IN AN EMERGENCY SITUATION WHICH CAUSES THE UNANTICIPATED
    20  ABSENCE OF THE SUPERVISING PHYSICAL THERAPIST FOR NOT MORE THAN
    21  TWO DAYS PER MONTH, A CERTIFIED PHYSICAL THERAPIST ASSISTANT MAY
    22  CONTINUE TO RENDER SERVICES TO ONLY THOSE PATIENTS FOR WHICH THE
    23  CERTIFIED PHYSICAL THERAPIST ASSISTANT HAS PREVIOUSLY
    24  PARTICIPATED IN THE INTERVENTION FOR ESTABLISHED PLANS OF CARE
    25  NOT TO EXCEED THE REGULARLY SCHEDULED OPERATIONAL HOURS OF THE
    26  PARTICULAR DAY OR DAYS THE SUPERVISING PHYSICAL THERAPIST IS
    27  ABSENT. EVERY EFFORT SHALL BE MADE BY THE LICENSED PHYSICAL
    28  THERAPIST OR CERTIFIED PHYSICAL THERAPIST ASSISTANT TO OBTAIN
    29  SUPERVISION IN THE CARE DESCRIBED IN THIS SUBSECTION. A LICENSEE
    30  UTILIZING THIS SECTION SHALL SUBMIT A REPORT TO THE BOARD
    20070H1199B3012                 - 31 -     

     1  ANNUALLY SETTING FORTH EACH DAY ABSENT UNDER THIS PARAGRAPH AND
     2  THE REASON FOR SUCH ABSENCE. A LICENSED PHYSICAL THERAPIST MAY
     3  UTILIZE THIS EMERGENCY PROVISION NO MORE THAN TEN DAYS PER
     4  CALENDAR YEAR.
     5     (J)  FOR EACH CERTIFICATE RENEWAL, A CERTIFICATE HOLDER SHALL
     6  COMPLETE WITHIN THE IMMEDIATELY PRECEDING TWO-YEAR PERIOD AT
     7  LEAST 30 HOURS OF CONTINUING PHYSICAL THERAPY EDUCATION AS
     8  APPROVED BY THE BOARD IN ACCORDANCE WITH STANDARDS AND CRITERIA
     9  ESTABLISHED BY THE BOARD BY REGULATION. THE CERTIFICATE HOLDER
    10  SHALL PROVIDE THE BOARD WITH EVIDENCE OF THE COMPLETION OF THE
    11  CONTINUING EDUCATION.
    12     SECTION 9.2.  SUPPORTIVE PERSONNEL.--NOTHING IN THIS ACT [OR
    13  THE ACT OF OCTOBER 10, 1975 (P.L.383, NO.110), KNOWN AS THE
    14  "PHYSICAL THERAPY PRACTICE ACT,"] SHALL PROHIBIT A LICENSED
    15  PHYSICAL THERAPIST FROM ASSIGNING OR DELEGATING VARIOUS
    16  ACTIVITIES TO OTHER [PERSONS] INDIVIDUALS WHO MAY, FROM TIME TO
    17  TIME, AID AND ASSIST A LICENSED PHYSICAL THERAPIST OR CERTIFIED
    18  PHYSICAL THERAPIST ASSISTANT IN THE PROVISION OF PHYSICAL
    19  THERAPY SERVICES; PROVIDED THAT SUCH ACTIVITIES ARE PERFORMED
    20  UNDER THE DIRECT ON-PREMISES SUPERVISION OF A LICENSED PHYSICAL
    21  THERAPIST OR CERTIFIED PHYSICAL THERAPIST ASSISTANT AND THE
    22  LEVEL OF SUCH ACTIVITIES DO NOT REQUIRE FORMAL EDUCATION OR
    23  TRAINING IN THE PRACTICE OF PHYSICAL THERAPY, THE SKILL AND
    24  KNOWLEDGE OF A LICENSED PHYSICAL THERAPIST AND THE SKILL AND
    25  KNOWLEDGE OF A PROPERLY [REGISTERED] CERTIFIED PHYSICAL
    26  THERAPIST ASSISTANT.
    27     SECTION 10.  SECTION 10.1 OF THE ACT, ADDED APRIL 4, 1984
    28  (P.L.196, NO.41), IS REPEALED:
    29     [SECTION 10.1.  ATHLETIC TRAINER ADVISORY COMMITTEE
    30  CREATED.--THERE IS HEREBY CREATED AN ADVISORY COMMITTEE TO BE
    20070H1199B3012                 - 32 -     

     1  KNOWN AS THE ATHLETIC TRAINER ADVISORY COMMITTEE WHICH SHALL BE
     2  APPOINTED BY AND SERVE AT THE PLEASURE OF THE BOARD FOR THE
     3  PURPOSE OF CARRYING OUT THE PROVISIONS OF THIS ACT AS IT RELATES
     4  TO ATHLETIC TRAINERS. THE ATHLETIC TRAINER ADVISORY COMMITTEE
     5  SHALL ASSIST THE BOARD IN THE CERTIFICATION, RENEWAL, REVOCATION
     6  OR SUSPENSION OF ATHLETIC TRAINERS IN ACCORDANCE WITH THIS ACT
     7  AND RULES AND REGULATIONS AND AS THE BOARD DEEMS APPROPRIATE.
     8  THE ATHLETIC TRAINER ADVISORY COMMITTEE SHALL CONSIST OF NO MORE
     9  THAN THREE MEMBERS WHO SHALL BE CERTIFIED ATHLETIC TRAINERS AND
    10  WHO SHALL RECEIVE REIMBURSEMENT FOR ACTUAL TRAVELING EXPENSES
    11  RELATED TO THEIR SERVICE TO THE BOARD AND A PER DIEM TO BE FIXED
    12  FROM TIME TO TIME BY THE GOVERNOR'S EXECUTIVE BOARD BUT NOT LESS
    13  THAN $35 PER DAY. ADVISORY COMMITTEE MEMBERS MAY BE SELECTED BY
    14  THE BOARD FROM A LIST OF QUALIFIED ATHLETIC TRAINERS PROVIDED BY
    15  THE PENNSYLVANIA ATHLETIC TRAINERS SOCIETY. MEMBERS OF THE
    16  ADVISORY COMMITTEE SHALL SERVE FOR THREE YEARS EXCEPT THAT THE
    17  INITIAL COMMITTEE MEMBERSHIP SHALL BE APPOINTED TO SERVE FOR
    18  STAGGERED TERMS OF ONE, TWO AND THREE YEARS RESPECTIVELY.]
    19     SECTION 11.  SECTION 10.2 OF THE ACT, AMENDED OR ADDED APRIL
    20  4, 1984 (P.L.196, NO.41) AND DECEMBER 20, 1985 (P.L.500,
    21  NO.117), IS REPEALED:
    22     [SECTION 10.2.  CERTIFICATION OF ATHLETIC TRAINERS;
    23  CERTIFICATION RENEWAL, REVOCATION OR SUSPENSION.--(A)  THE BOARD
    24  SHALL HAVE THE POWER TO ADOPT RULES AND REGULATIONS GOVERNING
    25  THE CERTIFICATION OF ATHLETIC TRAINERS. SUCH RULES AND
    26  REGULATIONS SHALL ESTABLISH STANDARDS NECESSARY TO COMMONWEALTH
    27  CERTIFICATION IN THE FOLLOWING CATEGORIES:
    28     (1)  APPROVED EDUCATIONAL PROGRAM STANDARDS.
    29     (2)  EDUCATION DEGREE REQUIREMENTS FOR CERTIFICATION.
    30     (3)  PRACTICAL TRAINING EXPERIENCE REQUIREMENTS FOR
    20070H1199B3012                 - 33 -     

     1  CERTIFICATION.
     2     (4)  OTHER REQUIREMENTS NECESSARY FOR THE PROPER, ETHICAL AND
     3  PROFESSIONAL TRAINING OF PERSONS APPLYING FOR CERTIFICATION,
     4  WHICH ARE DEEMED APPROPRIATE BY THE BOARD.
     5  REGULATIONS PROMULGATED PURSUANT TO THIS SECTION SHALL BE
     6  FORMULATED WITH THE ADVICE AND CONSULTATION OF THE ATHLETIC
     7  TRAINER ADVISORY COMMITTEE.
     8     (B)  THE BOARD SHALL ISSUE CERTIFICATION CERTIFICATES TO
     9  INDIVIDUALS SEEKING CERTIFICATION AS ATHLETIC TRAINERS AFTER ITS
    10  REVIEW OF A PROPER CERTIFICATION APPLICATION PRESENTED ON FORMS
    11  PRESCRIBED BY THE BOARD WHICH EVIDENCES THE SATISFACTION OF THE
    12  STANDARDS PROMULGATED BY RULES IN ACCORDANCE WITH THE PROVISIONS
    13  IN SUBSECTION (A) AND FURTHER UPON PAYMENT OF AN APPROPRIATE FEE
    14  TO BE SET BY THE BOARD AFTER CONSULTATION WITH THE COMMISSIONER.
    15     (C)  THE BOARD SHALL RENEW, REVOKE OR SUSPEND THE
    16  CERTIFICATION OF ATHLETIC TRAINERS PURSUANT TO RULES AND
    17  REGULATIONS FORMULATED IN CONSULTATION WITH THE ATHLETIC TRAINER
    18  ADVISORY COMMITTEE. ALL ACTIONS OF THE BOARD SHALL BE TAKEN
    19  SUBJECT TO THE RIGHT OF NOTICE, HEARING AND ADJUDICATION AND THE
    20  RIGHT OF APPEAL THEREFROM IN ACCORDANCE WITH TITLE 2 OF THE
    21  PENNSYLVANIA CONSOLIDATED STATUTES (RELATING TO ADMINISTRATIVE
    22  LAW AND PROCEDURE).
    23     (D)  UNLESS ORDERED TO DO SO BY A COURT, THE BOARD SHALL NOT
    24  REINSTATE THE CERTIFICATE OF A PERSON TO PRACTICE AS AN ATHLETIC
    25  TRAINER WHICH HAS BEEN REVOKED, AND SUCH PERSON SHALL BE
    26  REQUIRED TO APPLY FOR A CERTIFICATE AFTER A FIVE-YEAR PERIOD IN
    27  ACCORDANCE WITH THIS SECTION, IF HE DESIRES TO PRACTICE AT ANY
    28  TIME AFTER SUCH REVOCATION.]
    29     SECTION 12.  SECTION 11 OF THE ACT, AMENDED DECEMBER 20, 1985
    30  (P.L.500, NO.117) AND FEBRUARY 21, 2002 (P.L.90, NO.6), IS
    20070H1199B3012                 - 34 -     

     1  AMENDED TO READ:
     2     SECTION 11.  REFUSAL OR SUSPENSION OR REVOCATION OF LICENSE
     3  OR CERTIFICATE.--(A)  [THE] EXCEPT AS OTHERWISE PROVIDED IN THIS
     4  ACT, THE BOARD SHALL REFUSE TO ISSUE A LICENSE OR CERTIFICATE TO
     5  [ANY PERSON] AN INDIVIDUAL AND AFTER NOTICE AND HEARING IN
     6  ACCORDANCE WITH RULES AND REGULATIONS, MAY SUSPEND OR REVOKE THE
     7  LICENSE OR CERTIFICATE OF [ANY PERSON] AN INDIVIDUAL WHO HAS:
     8     (1)  BEEN FOUND TO HAVE VIOLATED ANY OF THE PROVISIONS OF
     9  SECTION 9;
    10     (2)  ATTEMPTED TO OR OBTAINED LICENSURE OR CERTIFICATION BY
    11  FRAUD OR MISREPRESENTATION;
    12     (2.1)  ATTEMPTED TO ENGAGE IN CONDUCT THAT SUBVERTS OR
    13  UNDERMINES THE INTEGRITY OF THE EXAMINATION OR THE EXAMINATION
    14  PROCESS;
    15     (3)  COMMITTED REPEATED OCCASIONS OF NEGLIGENCE OR
    16  INCOMPETENCE IN THE PRACTICE OF PHYSICAL THERAPY;
    17     (4)  BEEN CONVICTED OF A FELONY OR A CRIME OF MORAL TURPITUDE
    18  IN A FEDERAL COURT OR IN THE COURTS OF THIS COMMONWEALTH OR ANY
    19  OTHER STATE, TERRITORY OR COUNTRY. CONVICTION, AS USED IN THIS
    20  PARAGRAPH, SHALL INCLUDE A FINDING OR VERDICT OF GUILT, AN
    21  ADMISSION OF GUILT OR A PLEA OF NOLO CONTENDERE;
    22     (5)  HABITUALLY INDULGED IN THE USE OF NARCOTICS OR OTHER
    23  HABIT-FORMING DRUGS, OR EXCESSIVELY INDULGED IN THE USE OF
    24  ALCOHOLIC LIQUORS;
    25     (6)  BEEN FOUND GUILTY OF UNPROFESSIONAL CONDUCT.
    26  UNPROFESSIONAL CONDUCT SHALL INCLUDE ANY DEPARTURE FROM OR THE
    27  FAILURE TO CONFORM TO THE MINIMAL STANDARDS OF ACCEPTABLE AND
    28  PREVAILING PHYSICAL THERAPY PRACTICE, INCLUDING THE RECOGNIZED
    29  STANDARDS OF ETHICS OF THE PHYSICAL THERAPY PROFESSION, IN WHICH
    30  PROCEEDING ACTUAL INJURY TO A PATIENT NEED NOT BE ESTABLISHED;
    20070H1199B3012                 - 35 -     

     1     (7)  TREATED OR UNDERTAKEN TO TREAT HUMAN AILMENTS OTHERWISE
     2  THAN BY PHYSICAL THERAPY AS DEFINED IN THIS ACT;
     3     (8)  HAD HIS LICENSE OR CERTIFICATE TO PRACTICE PHYSICAL
     4  THERAPY REVOKED OR SUSPENDED OR HAVING OTHER DISCIPLINARY ACTION
     5  TAKEN, OR HIS APPLICATION FOR A LICENSE OR CERTIFICATE REFUSED,
     6  REVOKED OR SUSPENDED BY THE PROPER LICENSING OR CERTIFYING
     7  AUTHORITY OF ANOTHER STATE, TERRITORY OR COUNTRY; [AND]
     8     (9)  MADE MISLEADING, DECEPTIVE, UNTRUE OR FRAUDULENT
     9  REPRESENTATIONS IN VIOLATION OF THIS ACT OR OTHERWISE IN THE
    10  PRACTICE OF THE PROFESSION[.];
    11     (10)  IN THE CASE OF A LICENSED PHYSICAL THERAPIST WHO FAILED
    12  TO SUPERVISE PHYSICAL THERAPIST ASSISTANTS OR SUPPORTIVE
    13  PERSONNEL IN ACCORDANCE WITH THIS ACT OR BOARD REGULATION; OR
    14     (11)  KNOWINGLY AIDING, ASSISTING, PROCURING OR ADVISING ANY
    15  UNLICENSED INDIVIDUAL TO PRACTICE A PROFESSION CONTRARY TO THIS
    16  ACT OR REGULATIONS OF THE BOARD.
    17     (B)  ALL ACTIONS OF THE BOARD SHALL BE TAKEN SUBJECT TO THE
    18  RIGHT OF NOTICE, HEARING AND ADJUDICATION AND THE RIGHT OF
    19  APPEAL THEREFROM IN ACCORDANCE WITH TITLE 2 OF THE PENNSYLVANIA
    20  CONSOLIDATED STATUTES (RELATING TO ADMINISTRATIVE LAW AND
    21  PROCEDURE).
    22     (C)  UNLESS ORDERED TO DO SO BY A COURT, THE BOARD SHALL NOT
    23  REINSTATE THE LICENSE OF [A PERSON TO PRACTICE AS A PHYSICAL
    24  THERAPIST] AN INDIVIDUAL TO PRACTICE AS A PHYSICAL THERAPIST OR
    25  THE CERTIFICATE OF AN INDIVIDUAL CERTIFIED TO PRACTICE AS A
    26  PHYSICAL THERAPIST ASSISTANT WHICH HAS BEEN REVOKED, AND SUCH
    27  [PERSON] INDIVIDUAL SHALL BE REQUIRED TO APPLY FOR A LICENSE OR
    28  CERTIFICATE AFTER A FIVE-YEAR PERIOD IN ACCORDANCE WITH SECTION
    29  6, IF HE DESIRES TO PRACTICE AT ANY TIME AFTER SUCH REVOCATION.
    30     (D)  THE BOARD MAY ACCEPT THE VOLUNTARY SURRENDER OF A
    20070H1199B3012                 - 36 -     

     1  LICENSE OR CERTIFICATE BASED UPON AN ORDER OF CONSENT FROM THE
     2  BOARD.
     3     SECTION 13.  SECTIONS 11.1, 11.2 AND 11.3 OF THE ACT, ADDED
     4  DECEMBER 20, 1985 (P.L.500, NO.117), ARE AMENDED TO READ:
     5     SECTION 11.1.  AUTOMATIC SUSPENSION.--A LICENSE[,
     6  REGISTRATION] OR CERTIFICATE ISSUED UNDER THIS ACT SHALL
     7  AUTOMATICALLY BE SUSPENDED UPON THE LEGAL COMMITMENT OF A
     8  LICENSEE[, REGISTRANT] OR CERTIFICATE HOLDER TO AN INSTITUTION
     9  BECAUSE OF MENTAL INCOMPETENCY FROM ANY CAUSE UPON FILING WITH
    10  THE BOARD A CERTIFIED COPY OF SUCH COMMITMENT; CONVICTION OF A
    11  FELONY UNDER THE ACT OF APRIL 14, 1972 (P.L.233, NO.64), KNOWN
    12  AS "THE CONTROLLED SUBSTANCE, DRUG, DEVICE AND COSMETIC ACT"; OR
    13  CONVICTION OF AN OFFENSE UNDER THE LAWS OF ANOTHER JURISDICTION
    14  WHICH, IF COMMITTED IN PENNSYLVANIA, WOULD BE A FELONY UNDER
    15  "THE CONTROLLED SUBSTANCE, DRUG, DEVICE AND COSMETIC ACT." AS
    16  USED IN THIS SECTION THE TERM "CONVICTION" SHALL INCLUDE A
    17  JUDGMENT, AN ADMISSION OF GUILTY OR A PLEA OF NOLO CONTENDERE.
    18  AUTOMATIC SUSPENSION UNDER THIS SECTION SHALL NOT BE STAYED
    19  PENDING ANY APPEAL OF A CONVICTION. RESTORATION OF SUCH
    20  LICENSE[, REGISTRATION] OR CERTIFICATE SHALL BE MADE AS PROVIDED
    21  IN THIS ACT FOR REVOCATION OR SUSPENSION OF SUCH LICENSE[,
    22  REGISTRANT] OR CERTIFICATE HOLDER.
    23     SECTION 11.2.  TEMPORARY SUSPENSION.--THE BOARD SHALL
    24  TEMPORARILY SUSPEND A LICENSE[, REGISTRATION] OR CERTIFICATE
    25  UNDER CIRCUMSTANCES AS DETERMINED BY THE BOARD TO BE AN
    26  IMMEDIATE AND CLEAR DANGER TO THE PUBLIC HEALTH OR SAFETY. THE
    27  BOARD SHALL ISSUE AN ORDER TO THAT EFFECT WITHOUT A HEARING, BUT
    28  UPON DUE NOTICE, TO THE LICENSEE[, REGISTRANT] OR CERTIFICATE
    29  HOLDER CONCERNED AT HIS LAST KNOWN ADDRESS, WHICH SHALL INCLUDE
    30  A WRITTEN STATEMENT OF ALL ALLEGATIONS AGAINST THE LICENSEE[,
    20070H1199B3012                 - 37 -     

     1  REGISTRANT] OR CERTIFICATE HOLDER. THE PROVISIONS OF SECTION
     2  11(C) SHALL NOT APPLY TO TEMPORARY SUSPENSION. THE BOARD SHALL
     3  THEREUPON COMMENCE FORMAL ACTION TO SUSPEND, REVOKE OR RESTRICT
     4  THE LICENSE[, REGISTRATION] OR CERTIFICATE OF THE [PERSON]
     5  INDIVIDUAL CONCERNED AS OTHERWISE PROVIDED FOR IN THIS ACT. ALL
     6  ACTIONS SHALL BE TAKEN PROMPTLY AND WITHOUT DELAY. WITHIN 30
     7  DAYS FOLLOWING THE ISSUANCE OF AN ORDER TEMPORARILY SUSPENDING A
     8  LICENSE[, REGISTRATION] OR CERTIFICATE, THE BOARD SHALL CONDUCT,
     9  OR CAUSE TO BE CONDUCTED, A PRELIMINARY HEARING TO DETERMINE
    10  THAT THERE IS A PRIMA FACIE CASE SUPPORTING THE SUSPENSION. THE
    11  LICENSEE[, REGISTRANT] OR CERTIFICATE HOLDER WHOSE LICENSE[,
    12  REGISTRATION] OR CERTIFICATE HAS BEEN TEMPORARILY SUSPENDED MAY
    13  BE PRESENT AT THE PRELIMINARY HEARING AND MAY BE REPRESENTED BY
    14  COUNSEL, CROSS-EXAMINE WITNESSES, INSPECT PHYSICAL EVIDENCE,
    15  CALL WITNESSES, OFFER EVIDENCE AND TESTIMONY AND MAKE A RECORD
    16  OF THE PROCEEDINGS. IF IT IS DETERMINED THAT THERE IS NOT A
    17  PRIMA FACIE CASE, THE SUSPENDED LICENSE[, REGISTRATION] OR
    18  CERTIFICATE SHALL BE IMMEDIATELY RESTORED. THE TEMPORARY
    19  SUSPENSION SHALL REMAIN IN EFFECT UNTIL VACATED BY THE BOARD,
    20  BUT IN NO EVENT LONGER THAN 180 DAYS.
    21     SECTION 11.3.  SUBPOENAS; EXAMINATIONS; REPORTS; SURRENDER OF
    22  LICENSE.--(A)  THE BOARD SHALL HAVE THE AUTHORITY TO ISSUE
    23  SUBPOENAS, UPON APPLICATION OF AN ATTORNEY RESPONSIBLE FOR
    24  REPRESENTING THE COMMONWEALTH IN DISCIPLINARY MATTERS BEFORE THE
    25  BOARD, FOR THE PURPOSE OF INVESTIGATING ALLEGED VIOLATIONS OF
    26  THE DISCIPLINARY PROVISIONS ADMINISTERED BY THE BOARD. THE BOARD
    27  SHALL HAVE THE POWER TO SUBPOENA WITNESSES, TO ADMINISTER OATHS,
    28  TO EXAMINE WITNESSES AND TO TAKE TESTIMONY OR COMPEL THE
    29  PRODUCTION OF BOOKS, RECORDS, PAPERS AND DOCUMENTS AS IT MAY
    30  DEEM NECESSARY OR PROPER IN AND PERTINENT TO ANY PROCEEDING,
    20070H1199B3012                 - 38 -     

     1  INVESTIGATION OR HEARING HELD BY IT. PATIENT RECORDS MAY NOT BE
     2  SUBPOENAED WITHOUT CONSENT OF THE PATIENT OR WITHOUT ORDER OF A
     3  COURT OF COMPETENT JURISDICTION ON A SHOWING THAT THE RECORDS
     4  ARE REASONABLY NECESSARY FOR THE CONDUCT OF THE INVESTIGATION.
     5  THE COURT MAY IMPOSE SUCH LIMITATIONS ON THE SCOPE OF THE
     6  SUBPOENA AS ARE NECESSARY TO PREVENT UNNECESSARY INTRUSION INTO
     7  PATIENT CONFIDENTIAL INFORMATION. THE BOARD IS AUTHORIZED TO
     8  APPLY TO COMMONWEALTH COURT TO ENFORCE ITS SUBPOENAS.
     9     (B)  AN ATTORNEY RESPONSIBLE FOR REPRESENTING THE
    10  COMMONWEALTH IN DISCIPLINARY MATTERS BEFORE THE BOARD SHALL
    11  NOTIFY THE BOARD IMMEDIATELY UPON RECEIVING NOTIFICATION OF AN
    12  ALLEGED VIOLATION OF THIS ACT. THE BOARD SHALL MAINTAIN CURRENT
    13  RECORDS OF ALL REPORTS OF ALLEGED VIOLATIONS AND PERIODICALLY
    14  REVIEW THE RECORDS FOR THE PURPOSE OF DETERMINING THAT EACH
    15  ALLEGED VIOLATION HAS BEEN RESOLVED IN A TIMELY MANNER.
    16     (C)  THE BOARD SHALL REQUIRE [A PERSON] AN INDIVIDUAL WHOSE
    17  LICENSE[,] OR CERTIFICATE [OR REGISTRATION] HAS BEEN SUSPENDED
    18  OR REVOKED TO RETURN THE LICENSE[,] OR CERTIFICATE [OR
    19  REGISTRATION] IN SUCH MANNER AS THE BOARD DIRECTS. [A PERSON] AN
    20  INDIVIDUAL WHO FAILS TO DO SO COMMITS A MISDEMEANOR OF THE THIRD
    21  DEGREE.
    22     (D)  THE BOARD, UPON PROBABLE CAUSE, HAS AUTHORITY TO COMPEL
    23  A LICENSEE OR CERTIFICATE HOLDER TO SUBMIT TO A MENTAL OR
    24  PHYSICAL EXAMINATION BY A PHYSICIAN APPROVED BY THE BOARD.
    25  FAILURE OF A LICENSEE OR CERTIFICATE HOLDER TO SUBMIT TO AN
    26  EXAMINATION WHEN DIRECTED BY THE BOARD, UNLESS THE FAILURE IS
    27  DUE TO CIRCUMSTANCES BEYOND THE LICENSEE'S OR CERTIFICATE
    28  HOLDER'S CONTROL, SHALL CONSTITUTE AN ADMISSION OF THE
    29  ALLEGATIONS AGAINST THE LICENSEE OR CERTIFICATE HOLDER,
    30  CONSEQUENT UPON WHICH A DEFAULT AND FINAL ORDER MAY BE ENTERED
    20070H1199B3012                 - 39 -     

     1  WITHOUT THE TAKING OF TESTIMONY OR PRESENTATION OF EVIDENCE.
     2     (E)  A LICENSEE OR CERTIFICATE HOLDER AFFECTED SHALL, AT
     3  REASONABLE INTERVALS AS DETERMINED BY THE BOARD, BE AFFORDED AN
     4  OPPORTUNITY TO DEMONSTRATE THAT THE LICENSEE OR CERTIFICATE
     5  HOLDER CAN RESUME COMPETENT PRACTICE WITH REASONABLE SKILL AND
     6  SAFETY.
     7     SECTION 14.  SECTION 12 OF THE ACT, AMENDED APRIL 4, 1984
     8  (P.L.196, NO.41) AND DECEMBER 20, 1985 (P.L.500, NO.117), IS
     9  AMENDED TO READ:
    10     SECTION 12.  PENALTIES; INJUNCTIVE RELIEF.--(A)  [ANY PERSON]
    11  AN INDIVIDUAL WHO VIOLATES ANY PROVISION OF THIS ACT SHALL BE
    12  GUILTY OF A MISDEMEANOR, AS HEREIN SET FORTH, AND UPON
    13  CONVICTION THEREOF SHALL BE PUNISHED BY A FINE OF NOT LESS THAN
    14  [$100] $500 NOR MORE THAN [$500] $1,000 OR BY IMPRISONMENT FOR
    15  NOT LESS THAN 30 DAYS NOR MORE THAN 90 DAYS, OR BY BOTH SUCH
    16  FINE AND IMPRISONMENT; AND ON EACH ADDITIONAL OFFENSE SHALL BE
    17  SUBJECT TO A FINE OF NOT LESS THAN $1,000 AND IMPRISONMENT OF
    18  NOT LESS THAN SIX MONTHS NOR MORE THAN ONE YEAR, AT THE
    19  DISCRETION OF THE COURT.
    20     (B)  THE BOARD MAY, IN THE NAME OF THE PEOPLE OF THE
    21  COMMONWEALTH OF PENNSYLVANIA, THROUGH THE ATTORNEY GENERAL'S
    22  OFFICE, APPLY FOR INJUNCTIVE RELIEF IN ANY COURT OF COMPETENT
    23  JURISDICTION TO ENJOIN [ANY PERSON] AN INDIVIDUAL FROM
    24  COMMITTING ANY ACT IN VIOLATION OF THIS ACT. SUCH INJUNCTION
    25  PROCEEDINGS SHALL BE IN ADDITION TO, AND NOT IN LIEU OF, ALL
    26  PENALTIES AND OTHER REMEDIES IN THIS ACT.
    27     (C)  IN ADDITION TO ANY OTHER CIVIL REMEDY OR CRIMINAL
    28  PENALTY PROVIDED FOR IN THIS ACT, THE BOARD, BY A VOTE OF THE
    29  MAJORITY OF THE MAXIMUM NUMBER OF THE AUTHORIZED MEMBERSHIP OF
    30  THE BOARD AS PROVIDED BY THIS ACT OR BY A VOTE OF THE MAJORITY
    20070H1199B3012                 - 40 -     

     1  OF THE QUALIFIED AND CONFIRMED MEMBERSHIP OR A MINIMUM OF FOUR
     2  MEMBERS, WHICHEVER IS GREATER, MAY LEVY A CIVIL PENALTY OF UP TO
     3  $1,000 ON ANY CURRENT LICENSEE OR [REGISTRANT] CERTIFICATE
     4  HOLDER WHO VIOLATES ANY PROVISIONS OF THIS ACT OR ON [ANY
     5  PERSON] AN INDIVIDUAL WHO PRACTICES PHYSICAL THERAPY WITHOUT
     6  BEING PROPERLY LICENSED TO DO SO UNDER THIS ACT OR WHO PRACTICES
     7  AS A PHYSICAL THERAPIST ASSISTANT WITHOUT BEING PROPERLY
     8  [REGISTERED] CERTIFIED TO DO SO UNDER THIS ACT. THE BOARD SHALL
     9  LEVY THIS PENALTY ONLY AFTER AFFORDING THE ACCUSED PARTY THE
    10  OPPORTUNITY FOR A HEARING, AS PROVIDED IN TITLE 2 OF THE
    11  PENNSYLVANIA CONSOLIDATED STATUTES (RELATING TO ADMINISTRATIVE
    12  LAW AND PROCEDURE).
    13     (D)  ALL FINES AND CIVIL PENALTIES IMPOSED IN ACCORDANCE WITH
    14  THIS SECTION SHALL BE PAID INTO THE PROFESSIONAL LICENSURE
    15  AUGMENTATION ACCOUNT.
    16     SECTION 15.  SECTION 13 OF THE ACT, ADDED DECEMBER 20, 1985
    17  (P.L.500, NO.117), IS AMENDED TO READ:
    18     SECTION 13.  IMPAIRED PROFESSIONAL.--(A)  THE BOARD, WITH THE
    19  APPROVAL OF THE COMMISSIONER OF PROFESSIONAL AND OCCUPATIONAL
    20  AFFAIRS, SHALL APPOINT AND FIX THE COMPENSATION OF A
    21  PROFESSIONAL CONSULTANT WHO IS A LICENSEE OF THE BOARD, OR SUCH
    22  OTHER PROFESSIONAL AS THE BOARD MAY DETERMINE, WITH EDUCATION
    23  AND EXPERIENCE IN THE IDENTIFICATION, TREATMENT AND
    24  REHABILITATION OF [PERSONS] INDIVIDUALS WITH PHYSICAL OR MENTAL
    25  IMPAIRMENTS. SUCH CONSULTANT SHALL BE ACCOUNTABLE TO THE BOARD
    26  AND SHALL ACT AS A LIAISON BETWEEN THE BOARD AND TREATMENT
    27  PROGRAMS, SUCH AS ALCOHOL AND DRUG TREATMENT PROGRAMS LICENSED
    28  BY THE DEPARTMENT OF HEALTH, PSYCHOLOGICAL COUNSELING AND
    29  IMPAIRED PROFESSIONAL SUPPORT GROUPS, WHICH ARE APPROVED BY THE
    30  BOARD AND WHICH PROVIDE SERVICES TO LICENSEES OR CERTIFICATE
    20070H1199B3012                 - 41 -     

     1  HOLDERS UNDER THIS ACT.
     2     (B)  THE BOARD MAY DEFER AND ULTIMATELY DISMISS ANY OF THE
     3  TYPES OF CORRECTIVE ACTION SET FORTH IN THIS ACT FOR AN IMPAIRED
     4  PROFESSIONAL SO LONG AS THE PROFESSIONAL IS PROGRESSING
     5  SATISFACTORILY IN AN APPROVED TREATMENT PROGRAM, PROVIDED THAT
     6  THE PROVISIONS OF THIS SUBSECTION SHALL NOT APPLY TO A
     7  PROFESSIONAL CONVICTED OF A FELONIOUS ACT PROHIBITED BY THE ACT
     8  OF APRIL 14, 1972 (P.L.233, NO.64), KNOWN AS "THE CONTROLLED
     9  SUBSTANCE, DRUG, DEVICE AND COSMETIC ACT," OR CONVICTED OF A
    10  FELONY RELATING TO A CONTROLLED SUBSTANCE IN A COURT OF LAW OF
    11  THE UNITED STATES OR ANY OTHER STATE, TERRITORY OR COUNTRY. AN
    12  APPROVED PROGRAM PROVIDER SHALL, UPON REQUEST, DISCLOSE TO THE
    13  CONSULTANT SUCH INFORMATION IN ITS POSSESSION REGARDING AN
    14  IMPAIRED PROFESSIONAL IN TREATMENT WHICH THE PROGRAM PROVIDER IS
    15  NOT PROHIBITED FROM DISCLOSING BY AN ACT OF THIS COMMONWEALTH,
    16  ANOTHER STATE OR THE UNITED STATES. SUCH REQUIREMENT OF
    17  DISCLOSURE BY AN APPROVED PROGRAM PROVIDER SHALL APPLY IN THE
    18  CASE OF IMPAIRED PROFESSIONALS WHO ENTER AN AGREEMENT IN
    19  ACCORDANCE WITH THIS SECTION, IMPAIRED PROFESSIONALS WHO ARE THE
    20  SUBJECT OF A BOARD INVESTIGATION OR DISCIPLINARY PROCEEDING AND
    21  IMPAIRED PROFESSIONALS WHO VOLUNTARILY ENTER A TREATMENT PROGRAM
    22  OTHER THAN UNDER THE PROVISIONS OF THIS SECTION BUT WHO FAIL TO
    23  COMPLETE THE PROGRAM SUCCESSFULLY OR TO ADHERE TO AN AFTER-CARE
    24  PLAN DEVELOPED BY THE PROGRAM PROVIDER.
    25     (C)  AN IMPAIRED PROFESSIONAL WHO ENROLLS IN AN APPROVED
    26  TREATMENT PROGRAM SHALL ENTER INTO AN AGREEMENT WITH THE BOARD
    27  UNDER WHICH THE PROFESSIONAL'S LICENSE OR CERTIFICATE SHALL BE
    28  SUSPENDED OR REVOKED, BUT ENFORCEMENT OF THAT SUSPENSION OR
    29  REVOCATION MAY BE STAYED FOR THE LENGTH OF TIME THE PROFESSIONAL
    30  REMAINS IN THE PROGRAM AND MAKES SATISFACTORY PROGRESS, COMPLIES
    20070H1199B3012                 - 42 -     

     1  WITH THE TERMS OF THE AGREEMENT AND ADHERES TO ANY LIMITATIONS
     2  ON HIS PRACTICE IMPOSED BY THE BOARD TO PROTECT THE PUBLIC.
     3  FAILURE TO ENTER INTO SUCH AN AGREEMENT SHALL DISQUALIFY THE
     4  PROFESSIONAL FROM THE IMPAIRED PROFESSIONAL PROGRAM AND SHALL
     5  ACTIVATE AN IMMEDIATE INVESTIGATION AND DISCIPLINARY PROCEEDING
     6  BY THE BOARD.
     7     (D)  IF, IN THE OPINION OF THE CONSULTANT AFTER CONSULTATION
     8  WITH THE PROVIDER, AN IMPAIRED PROFESSIONAL WHO IS ENROLLED IN
     9  AN APPROVED TREATMENT PROGRAM HAS NOT PROGRESSED SATISFACTORILY,
    10  THE CONSULTANT SHALL DISCLOSE TO THE BOARD ALL INFORMATION IN
    11  HIS POSSESSION REGARDING SAID PROFESSIONAL, AND THE BOARD SHALL
    12  INSTITUTE PROCEEDINGS TO DETERMINE IF THE STAY OF THE
    13  ENFORCEMENT OF THE SUSPENSION OR REVOCATION OF THE IMPAIRED
    14  PROFESSIONAL'S LICENSE OR CERTIFICATE SHALL BE VACATED.
    15     (E)  AN APPROVED PROGRAM PROVIDER WHO MAKES A DISCLOSURE
    16  PURSUANT TO THIS SECTION SHALL NOT BE SUBJECT TO CIVIL LIABILITY
    17  FOR SUCH DISCLOSURE OR ITS CONSEQUENCES.
    18     (F)  ANY HOSPITAL OR HEALTH CARE FACILITY, PEER OR COLLEAGUE
    19  WHO HAS SUBSTANTIAL EVIDENCE THAT A PROFESSIONAL HAS AN ACTIVE
    20  ADDICTIVE DISEASE FOR WHICH THE PROFESSIONAL IS NOT RECEIVING
    21  TREATMENT, IS DIVERTING A CONTROLLED SUBSTANCE OR IS MENTALLY OR
    22  PHYSICALLY INCOMPETENT TO CARRY OUT THE DUTIES OF HIS OR HER
    23  LICENSE OR CERTIFICATION SHALL MAKE OR CAUSE TO BE MADE A REPORT
    24  TO THE BOARD: PROVIDED, THAT [ANY PERSON] AN INDIVIDUAL OR
    25  FACILITY WHO ACTS IN A TREATMENT CAPACITY TO AN IMPAIRED
    26  PHYSICAL THERAPIST IN AN APPROVED TREATMENT PROGRAM IS EXEMPT
    27  FROM THE MANDATORY REPORTING REQUIREMENTS OF THIS SUBSECTION.
    28  [ANY PERSON OR FACILITY WHO REPORTS PURSUANT TO THIS SECTION IN
    29  GOOD FAITH AND WITHOUT MALICE SHALL BE IMMUNE FROM ANY CIVIL OR
    30  CRIMINAL LIABILITY ARISING FROM SUCH REPORT. FAILURE TO PROVIDE
    20070H1199B3012                 - 43 -     

     1  SUCH REPORT WITHIN A REASONABLE TIME FROM RECEIPT OF KNOWLEDGE
     2  OF IMPAIRMENT SHALL SUBJECT THE PERSON OR FACILITY TO A FINE NOT
     3  TO EXCEED $1,000. THE BOARD SHALL LEVY THIS PENALTY ONLY AFTER
     4  AFFORDING THE ACCUSED PARTY THE OPPORTUNITY FOR A HEARING, AS
     5  PROVIDED IN TITLE 2 OF THE PENNSYLVANIA CONSOLIDATED STATUTES
     6  (RELATING TO ADMINISTRATIVE LAW AND PROCEDURE).]
     7     (G)  AN INDIVIDUAL OR FACILITY WHO REPORTS PURSUANT TO THIS
     8  SECTION IN GOOD FAITH AND WITHOUT MALICE SHALL BE IMMUNE FROM
     9  ANY CIVIL OR CRIMINAL LIABILITY ARISING FROM SUCH REPORT.
    10  FAILURE TO PROVIDE A REPORT WITHIN A REASONABLE TIME FROM
    11  RECEIPT OF KNOWLEDGE OF IMPAIRMENT SHALL SUBJECT THE INDIVIDUAL
    12  OR FACILITY TO A FINE NOT TO EXCEED $1,000. THE BOARD SHALL LEVY
    13  THIS PENALTY ONLY AFTER AFFORDING THE ACCUSED PARTY THE
    14  OPPORTUNITY FOR A HEARING AS PROVIDED IN TITLE 2 OF THE
    15  PENNSYLVANIA CONSOLIDATED STATUTES (RELATING TO ADMINISTRATIVE
    16  LAW AND PROCEDURE).
    17     SECTION 16.  THE STATE BOARD OF PHYSICAL THERAPY SHALL
    18  PROMULGATE REGULATIONS TO IMPLEMENT THE AMENDMENT OR ADDITION OF
    19  SECTIONS 2, 2.1, 3, 4, 5, 6, 7, 7.1, 7.2, 9, 9.1, 9.2, 11, 11.1,
    20  11.2, 11.3, 12 AND 13 OF THE ACT WITHIN 18 MONTHS OF THE
    21  EFFECTIVE DATE OF THIS SECTION.
    22     SECTION 17.  THIS ACT SHALL TAKE EFFECT IN 60 DAYS.






    D25L63DMS/20070H1199B3012       - 44 -