PRIOR PRINTER'S NOS. 1641, 1678, 1852, PRINTER'S NO. 2675 2461
No. 1363 Session of 1985
Report of the Committee of Conference
To the Members of the House of Representatives and Senate:
We, the undersigned, Committee of Conference on the part of the House of Representatives and Senate for the purpose of considering House Bill No. 1363, entitled: "An act amending the act of October 10, 1975 (P.L.383, No.110), entitled 'An act relating to the practice of physical therapy,' further providing for the board, qualifications for licenses and renewal thereof, registration of physical therapy assistants and certification of athletic trainers; PROVIDING FOR A PHYSICAL THERAPIST ASSISTANT ADVISORY COMMITTEE; providing penalties; and making an editorial change," respectfully submit the following bill as our report: GORDON J. LINTON WILLIAM R. LLOYD, JR. (Committee on the part of the House of Representatives.) CLARENCE D. BELL JOHN J. SHUMAKER LEONARD J. BODACK (Committee on the part of the Senate.)
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 the board, qualifications for licenses
4 and renewal thereof, registration of physical therapy
5 assistants and certification of athletic trainers; providing
6 penalties; and making an editorial change.
7 The General Assembly of the Commonwealth of Pennsylvania
8 hereby enacts as follows:
9 Section 1. Section 2 of the act of October 10, 1975
10 (P.L.383, No.110), known as the Physical Therapy Practice Act,
11 amended April 4, 1984 (P.L.196, No.41), is amended to read:
12 Section 2. Definitions.--The following definitions shall
13 apply, when used in this act, unless otherwise expressed
14 therein:
15 "Athletic trainer" shall mean a person certified by the State
16 Board of Physical Therapy [Examiners] as an athletic trainer
17 after meeting the requirements of this act and rules and
18 regulations promulgated pursuant thereto.
19 "Athletic Trainer Advisory Committee" shall mean the
20 committee created by section 10.1 of this act to advise the
21 board.
22 "Board" means the State Board of Physical Therapy [Examiners
23 established in accordance with the act of April 9, 1929
24 (P.L.177, No.175), known as "The Administrative Code of 1929."].
25 "Commissioner" shall mean the Commissioner of the Bureau of
26 Professional and Occupational Affairs.
27 "Healing arts" shall mean the science and skill of diagnosis
28 and treatment in any manner whatsoever of disease or any ailment
29 of the human body.
30 "Physical therapist" shall mean a person who has met all the
1 requirements of this act and is licensed to practice physical 2 therapy in accordance with this act. 3 "Physical therapist assistant" shall mean a person who has 4 met all the requirements of this act and is registered as a 5 physical therapist assistant in accordance with this act. 6 "Physical therapy" means the evaluation and treatment of any 7 person by the utilization of the effective properties of 8 physical measures such as mechanical stimulation, heat, cold, 9 light, air, water, electricity, sound, massage, mobilization and 10 the use of therapeutic exercises and rehabilitative procedures 11 including training in functional activities, with or without 12 assistive devices, for the purpose of limiting or preventing 13 disability and alleviating or correcting any physical or mental 14 conditions, and the performance of tests and measurements as an 15 aid in diagnosis or evaluation of function. 16 "Physician" means a person as defined in 1 Pa.C.S. § 1991 17 (relating to definitions). 18 Section 2. The act is amended by adding a section to read: 19 Section 2.1. State Board of Physical Therapy.--(a) The 20 board shall consist of nine members, all of whom shall be 21 residents of Pennsylvania. Five members shall be physical 22 therapists licensed to practice in this Commonwealth, each 23 having had at least five years of experience as a physical 24 therapist, three years of which must have immediately preceded 25 the appointment to the board. One member shall be a physical 26 therapist assistant currently registered with the board or an 27 athletic trainer currently certified by the board, provided that 28 the initial appointee shall be a physical therapist assistant 29 who is currently listed with the board and who shall not be 30 required to be registered until the provisions of section 9.1 19850H1363B2675 - 2 -
1 have been implemented. Two members shall be representatives of 2 the public. One member shall be the Commissioner of Professional 3 and Occupational Affairs. The members of the board shall be 4 appointed by the Governor, with the advice and consent of a 5 majority of the members elected to the Senate. 6 (b) Professional and public members appointed after the 7 expiration of the terms of current board members shall serve the 8 following terms: one physical therapist shall serve one year; 9 one physical therapist shall serve two years; one physical 10 therapist and one public member shall serve three years; and two 11 physical therapists, one physical therapist assistant and one 12 public member shall serve four years. Thereafter, professional 13 and public members shall serve four-year terms. No member may be 14 eligible for appointment to serve more than two consecutive 15 terms. A member may continue to serve for a period not to exceed 16 six months beyond the expiration of his term, if a successor has 17 yet to be duly appointed and qualified according to law. 18 (c) The board shall select, from among their number, a 19 chairman, a vice chairman and a secretary. 20 (d) A majority of the members of the board serving in 21 accordance with law shall constitute a quorum for purposes of 22 conducting the business of the board. Except for temporary and 23 automatic suspensions under sections 11.1 and 11.2, a member may 24 not be counted as part of a quorum or vote on any issue unless 25 he or she is physically in attendance at the meeting. 26 (e) Each public and professional member of the board shall 27 be paid reasonable traveling, hotel and other necessary expenses 28 and per diem compensation at the rate of $60 for each day of 29 actual service while on board business. 30 (f) A member who fails to attend three consecutive meetings 19850H1363B2675 - 3 -
1 shall forfeit his seat unless the Commissioner of Professional 2 and Occupational Affairs, upon written request from the member, 3 finds that the member should be excused from a meeting because 4 of illness or the death of an immediate family member. 5 (g) In the event that a member of the board dies or resigns 6 or otherwise becomes disqualified during the term of office, a 7 successor shall be appointed in the same way and with the same 8 qualifications as set forth in subsection (a) and shall hold 9 office for the unexpired term. 10 (h) The board is subject to evaluation, review and 11 termination within the time and in the manner provided in the 12 act of December 22, 1981 (P.L.508, No.142), known as the "Sunset 13 Act." 14 (i) A public member who fails to attend two consecutive 15 statutorily mandated seminars in accordance with section 813(e) 16 of the act of April 9, 1929 (P.L.177, No.175), known as "The 17 Administrative Code of 1929," shall forfeit his or her seat 18 unless the Commissioner of Professional and Occupational 19 Affairs, upon written request from the public member, finds that 20 the public member should be excused from a meeting because of 21 illness or the death of a family member. 22 Section 3. Sections 3, 4(a), 6 and 7 of the act, amended 23 April 4, 1984 (P.L.196, No.41), are amended to read: 24 Section 3. Powers and Duties of Board.--(a) [The board 25 shall elect annually from its membership a chairman and a vice- 26 chairman and shall select a secretary who need not be a member 27 of the board.] It shall be the duty of the board to pass upon 28 the qualifications of applicants for licensure as physical 29 therapists, registration as physical therapist assistants and 30 certification as athletic trainers, to conduct examinations, to 19850H1363B2675 - 4 -
1 issue and renew licenses to physical therapists, registrations 2 to physical therapist assistants and certifications to athletic 3 trainers who qualify under this act, and in proper cases to 4 refuse to issue, suspend or revoke the license of any physical 5 therapist, registration of any physical therapist assistant, or 6 certification of any athletic trainer. The board may adopt rules 7 and regulations not inconsistent with law as it may deem 8 necessary for the performance of its duties and the proper 9 administration of this law. The board is authorized and 10 empowered to appoint hearing examiners and to conduct 11 investigations and hearings upon charges for discipline of a 12 licensee, registrant or certificate holder or for violations of 13 this act, and to cause, through the office of the Attorney 14 General, the prosecution and enjoinder of persons violating this 15 act. The board shall maintain a register listing the name of 16 every living physical therapist licensed to practice in this 17 State, every physical therapist assistant duly registered 18 pursuant to section 9.1 and every athletic trainer certified to 19 practice in this State, such individual's last known place of 20 business and last known place of residence, and the date and 21 number of the physical therapist's license or athletic trainer's 22 certification. 23 (b) The board shall submit annually to the Department of 24 State and to the House and Senate Appropriations Committees, 25 within 15 days of the date on which the Governor has submitted 26 his budget to the General Assembly, an estimate of the financial 27 requirements of the board for its administrative, investigative, 28 legal and miscellaneous expenses. 29 (c) The board shall submit annually a report to the 30 Professional Licensure Committee of the House of Representatives 19850H1363B2675 - 5 -
1 and to the Consumer Protection and Professional Licensure 2 Committee of the Senate containing a description of the types of 3 complaints received, status of cases, board action which has 4 been taken and the length of time from the initial complaint to 5 final board resolution. 6 Section 4. Training and License Required; Exceptions.--(a) 7 It shall be unlawful for any person to practice or hold himself 8 out as being able to practice physical therapy in this State in 9 any manner whatsoever unless such person has met the educational 10 requirements and is licensed in accordance with the provisions 11 of this act. The board shall determine standards, by 12 regulations, regarding qualifications necessary for the 13 performance of such tests or treatment forms as the board shall 14 determine require additional training or education beyond the 15 educational requirements set forth by this act, as such relates 16 to the practice of physical therapy in accordance with law. 17 Nothing in this act, however, shall prohibit any person trained 18 and licensed or certified to practice or to act within the scope 19 of his certification in this State under any other law, from 20 engaging in the licensed or certified practice for which he is 21 trained. 22 * * * 23 Section 6. Qualifications for License; Examinations; Failure 24 of Examinations; Licensure Without Examination; Issuing of 25 License; Foreign Applicants for Licensure; Temporary License; 26 Perjury.--(a) To be eligible for licensure as a physical 27 therapist, an applicant must be at least 20 years of age unless 28 otherwise determined by the board in its discretion, be of good 29 moral character, not be addicted to the habitual use of alcohol 30 or narcotics or other habit-forming drugs, and [has graduated 19850H1363B2675 - 6 -
1 from] be a graduate of a school offering an educational program 2 in physical therapy as adopted by the board, which program has 3 been approved for the education and training of physical 4 therapists by the appropriate nationally recognized accrediting 5 agency. By the time of completion of the professional study of 6 physical therapy, a physical therapist must hold a minimum of a 7 baccalaureate degree from a regionally accredited institution of 8 higher education. In the case of those applicants who have 9 completed requirements prior to the first day of January, 1967, 10 but who may not technically or totally fulfill the above 11 requirements, the board at its discretion and by the majority 12 vote of all members present may accept evidence of satisfactory 13 equivalence. The board shall not issue a license to an applicant 14 who has been convicted of a felony under the act of April 14, 15 1972 (P.L.233, No.64), known as "The Controlled Substance, Drug, 16 Device and Cosmetic Act," or of an offense under the laws of 17 another jurisdiction which if committed in this Commonwealth 18 would be a felony under "The Controlled Substance, Drug, Device 19 and Cosmetic Act," unless: 20 (1) at least ten years have elapsed from the date of 21 conviction; 22 (2) the applicant satisfactorily demonstrates to the board 23 that he has made significant progress in personal rehabilitation 24 since the conviction such that licensure of the applicant should 25 not be expected to create a substantial risk of harm to the 26 health and safety of patients or the public or a substantial 27 risk of further criminal violations; and 28 (3) the applicant otherwise satisfies the qualifications 29 contained in or authorized by this act. 30 As used in this subsection the term "convicted" includes a 19850H1363B2675 - 7 -
1 judgment, an admission of guilt, or a plea of nolo contendere. 2 (b) An applicant for licensure must pass[, to the 3 satisfaction of the board,] a written examination which shall 4 test the applicant's knowledge of the basic and clinical 5 sciences as they relate to physical therapy theory and physical 6 therapy procedures and such other subjects as the board may deem 7 necessary to test the applicant's fitness to practice physical 8 therapy. [Such examination may also include an oral examination 9 or practical examination or both at the discretion of the 10 board.] No license shall be granted unless an applicant has 11 attained passing scores established by the testing agency and 12 published prior to the administration of the examination. The 13 examination shall be held within the Commonwealth of 14 Pennsylvania twice a year at such time and place as the board 15 shall determine. 16 (c) In case of failure at the first examination, the 17 applicant for licensure shall have, after the expiration of six 18 months and within two years from the first failure, the 19 privilege of a second examination. [In case of failure in a 20 second examination, any further examinations shall be given at 21 the discretion of the board, but in any such case the applicant 22 must make a new application, and otherwise qualify under the 23 conditions in force at the time of the application for a third 24 or successive examinations.] The board may adopt regulations 25 governing the eligibility of applicants who have failed to pass 26 two examinations in order to be admitted to subsequent 27 examinations. 28 [(d) On payment to the board of a fee as set by regulation 29 and on submission of a written application on forms provided by 30 the board, the board shall issue a license without examination 19850H1363B2675 - 8 -
1 to any person who is a licensed or otherwise registered as a 2 physical therapist by another state or territory of the United 3 States of America, or the District of Columbia and whose license 4 or registration is valid and in good standing; and further that 5 the requirements for license or registration, as the case may 6 be, in such state, territory, or district were or are 7 substantially equal to the requirements set forth in this act: 8 Provided, That such person has not taken and failed, one or more 9 times, the examination referred to in subsection (b), in which 10 case, the issuance of a license under this paragraph shall be at 11 the discretion of the board.] 12 (d.1) The board may grant licenses and registrations without 13 further examination to individuals from another state, territory 14 or the District of Columbia if the following conditions exist: 15 (1) Licensing or registration standards in the other state, 16 territory or the District of Columbia are substantially the same 17 as those of this act. 18 (2) Similar privileges are accorded persons licensed or 19 registered in this Commonwealth. 20 (3) The applicant holds a valid license or registration 21 issued by the other state, territory or the District of 22 Columbia. 23 (4) The applicant complies with the rules and regulations of 24 the board. 25 (e) The board shall issue a license to a physical therapist 26 who successfully establishes his eligibility under the terms of 27 this act and any person who holds a license pursuant to this 28 section may use the words physical therapist or licensed 29 physical therapist and he may use the letters LPT in connection 30 with his name or place of business to denote his licensure 19850H1363B2675 - 9 -
1 hereunder. 2 (f) Foreign trained physical therapists who desire and apply 3 to be licensed as a physical therapist by the board shall, 4 before examination, furnish proof as to age, moral character, 5 and no addiction to the use of alcohol or narcotics or other 6 habit-forming drugs, and shall present proof indicating the 7 completion of educational requirements substantially equal to 8 those in subsection (a). In addition thereto, the foreign 9 trained applicant must complete, at the board's discretion, up 10 to one year of supervised clinical experience as prescribed by 11 the board prior to taking the examination for licensure. 12 [(g) Upon the submission of a written application on forms 13 provided by it, the board shall also issue a temporary license 14 to a person who has applied for a license under the provisions 15 of subsection (a) and who is, in the judgment of the board, 16 eligible to take the examination provided for in subsection (b). 17 Such temporary license shall be available to an applicant with 18 respect to his application for a license under subsection (a), 19 but the applicant may only use the temporary license while under 20 the direct supervision of a licensed physical therapist. Such 21 temporary license shall expire upon the failure of the first 22 examination and upon expiration the license must be surrendered 23 to the board except that the board may reissue such temporary 24 license in its discretion and in accordance with rules and 25 regulations to be established.] 26 (g) Upon the submission of a written application, on forms 27 provided by it, the board shall issue a temporary license to an 28 applicant for licensure who has met all of the requirements of 29 subsection (a) and who is eligible to take the examination 30 provided for in subsection (b). The board shall issue only one 19850H1363B2675 - 10 -
1 temporary license to an applicant and such temporary license 2 shall expire upon failure of the first examination or six months 3 after the date of issue, whichever first occurs. Issuance by the 4 board of a temporary license shall permit the applicant to 5 practice physical therapy only while under the direct-on- 6 premises supervision of a licensed physical therapist with at 7 least two years of experience. Upon expiration, the temporary 8 license shall be promptly returned by the applicant to the 9 board. 10 (h) [The granting or issuing of any temporary license or 11 permit relating to the practice of physical therapy in the 12 Commonwealth for any reason other than as set forth in 13 subsection (g) shall be within the sole discretion of the board 14 subject to rules and regulations established by the board. 15 (i)] Any applicant who knowingly or willfully makes a false 16 statement of fact in any application shall be subject to 17 prosecution for perjury. 18 Section 7. Renewal of License.--[(a)] Each license issued 19 under the provisions of this act shall be renewed biennially[, 20 except as provided in subsection (b)]. On or before November 1 21 of each renewal year, the board shall mail an application for 22 renewal of license to each person to whom a license was issued 23 or renewed during the current licensing period, which 24 application shall be mailed to the most recent address of said 25 person as it appears on the records of the board. Such person 26 shall complete the renewal application and return it to the 27 board with a renewal fee before December 31 of the year in which 28 said application was received. Upon receipt of any such 29 application and fee, the board shall verify the accuracy of such 30 application and issue to the applicant a certificate of renewal 19850H1363B2675 - 11 -
1 of license for the next licensing period as described above. The 2 renewal fee for each licensing period shall be set by 3 regulation. 4 [(b) If any person shall not so renew his or her license 5 such license shall automatically expire. A license which has 6 thus expired may, within three years of its expiration date, be 7 renewed on the payment to the board of the fee for each 8 licensing period or part thereof, pro rata, during which the 9 license was ineffective and the payment of a restoration fee set 10 by regulation. After said three years period such license shall 11 be renewed only by complying with the provisions in subsections 12 (a) and (b) of section 6 relating to obtaining an original 13 license.] 14 Section 4. The act is amended by adding sections to read: 15 Section 7.1. Reporting of Multiple Licensure.--Any licensed 16 physical therapist or registered physical therapist assistant of 17 this Commonwealth who is also licensed to practice physical 18 therapy or registered as a physical therapist assistant in any 19 other state, territory or country shall report this information 20 to the board on the biennial registration application. Any 21 disciplinary action taken in such other jurisdiction shall be 22 reported to the board on the biennial registration application, 23 or within 90 days of final disposition, whichever occurs sooner. 24 Multiple licensure or registration shall be noted by the board 25 on the physical therapist or physical therapist assistant's 26 record and such state, territory or country shall be notified by 27 the board of any disciplinary actions taken against said 28 physical therapist or physical therapist assistant in this 29 Commonwealth. 30 Section 9.1. Physical Therapist Assistant; Education and 19850H1363B2675 - 12 -
1 Examination; Scope of Duties; Registration.--(a) To be eligible 2 to register with the board as a physical therapist assistant, an 3 applicant must be at least 20 years of age unless otherwise 4 determined by the board, be of good moral character, not be 5 addicted to the habitual use of alcohol or narcotics or other 6 habit-forming drugs, be a graduate of a physical therapist 7 assistant program, adopted by the board, which program has been 8 approved for the education and training for physical therapist 9 assistants by the appropriate nationally recognized accrediting 10 agency and be successful in passing an examination adopted by 11 the board, subject to rules and regulations established by the 12 board and administered in accordance with section 812.1 of the 13 act of April 9, 1929 (P.L.177, No.175), known as "The 14 Administrative Code of 1929." No applicant shall be registered 15 unless he has attained passing scores established by the testing 16 agency and published prior to the administration of the 17 examination. 18 (b) In case of failure of the first examination, the 19 applicant for registration shall have, after the expiration of 20 six months and within two years from the first failure, the 21 privilege of a second examination. The board may adopt 22 regulations governing the eligibility of applicants who have 23 failed to pass two examinations in order to be admitted to 24 subsequent examinations. 25 (c) A physical therapist assistant while assisting a 26 licensed physical therapist in the practice of physical therapy 27 shall only perform patient-related physical therapy acts and 28 services that are assigned or delegated by and under the direct- 29 on-premises supervision of a licensed physical therapist. Such 30 acts and services of a physical therapist assistant shall not 19850H1363B2675 - 13 -
1 include evaluation, testing, interpretation, planning or 2 modification of patient programs. For purposes of this section 3 the term "direct-on-premises supervision" shall mean the 4 physical presence of a licensed physical therapist on the 5 premises who is immediately available to exercise supervision, 6 direction and control. 7 (d) Only a person who has properly registered as a physical 8 therapist assistant with the board, pursuant to the provisions 9 of this section and rules and regulations promulgated by the 10 board thereto, shall assist a licensed physical therapist in the 11 practice of physical therapy as a physical therapist assistant 12 and use the title "physical therapist assistant." 13 (e) The qualifications provision of this section shall not 14 apply and an applicant shall be registered without examination 15 if the applicant has submitted an application for registration 16 accompanied by an application fee as specified by the board 17 within two years after the effective date of this amendatory act 18 and is a resident of Pennsylvania or has practiced in this 19 Commonwealth for a two-year period; and 20 (1) on the effective date of this amendatory act, is a 21 graduate of a physical therapist assistant program acceptable to 22 the board and has engaged in physical therapist assistant 23 practice acceptable to the board for two years; and 24 (2) on the effective date of this amendatory act, is listed 25 with the board as a physical therapist assistant. 26 (f) The board shall renew, revoke or suspend the 27 registration of physical therapist assistants pursuant to rules 28 and regulations promulgated by the board. All actions of the 29 board shall be taken subject to the right of notice, hearing and 30 adjudication and the right of appeal therefrom in accordance 19850H1363B2675 - 14 -
1 with Title 2 of the Pennsylvania Consolidated Statutes (relating 2 to administrative law and procedure). 3 (g) Unless ordered to do so by a court, the board shall not 4 reinstate the registration of a person to practice as a physical 5 therapist assistant which has been revoked and such person shall 6 be required to apply for registration after a five-year period 7 in accordance with the provisions of this section, including the 8 examination requirement, if he desires to practice at any time 9 after such revocation. 10 Section 9.2. Supportive Personnel.--Nothing in this act or 11 the act of October 10, 1975 (P.L.383, No.110), known as the 12 "Physical Therapy Practice Act," shall prohibit a licensed 13 physical therapist from assigning or delegating various 14 activities to other persons who may, from time to time, aid and 15 assist a licensed physical therapist in the provision of 16 physical therapy services; provided that such activities are 17 performed under the direct-on-premises supervision of a licensed 18 physical therapist and the level of such activities do not 19 require formal education or training in the practice of physical 20 therapy, the skill and knowledge of a licensed physical 21 therapist and the skill and knowledge of a properly registered 22 physical therapist assistant. 23 Section 5. Section 10 of the act is repealed. 24 Section 6. Section 10.2 of the act is amended by adding a 25 subsection to read: 26 Section 10.2. Certification of Athletic Trainers; 27 Certification Renewal, Revocation or Suspension.--* * * 28 (d) Unless ordered to do so by a court, the board shall not 29 reinstate the certificate of a person to practice as an athletic 30 trainer which has been revoked and such person shall be required 19850H1363B2675 - 15 -
1 to apply for a certificate after a five-year period in 2 accordance with this section, if he desires to practice at any 3 time after such revocation. 4 Section 7. Section 11 of the act, amended April 4, 1984 5 (P.L.196, No.41), is amended to read: 6 Section 11. Refusal or Suspension or Revocation of 7 License.--(a) The board shall refuse to issue a license to any 8 person and after notice and hearing in accordance with rules and 9 regulations, may suspend or revoke the license of any person who 10 has: 11 (1) been found to have violated section 9; 12 (2) attempted to or obtained licensure by fraud or 13 misrepresentation; 14 (3) committed repeated occasions of negligence or 15 incompetence in the practice of physical therapy; 16 (4) been convicted of a felony in a Federal court or in the 17 courts of this Commonwealth or any other state, territory or 18 country. Conviction, as used in this paragraph, shall include a 19 finding or verdict of guilt, an admission of guilt or a plea of 20 nolo contendere; 21 (5) habitually indulged in the use of narcotics or other 22 habit-forming drugs, or excessively indulged in the use of 23 alcoholic liquors; 24 (6) been found guilty of unprofessional conduct. 25 Unprofessional conduct shall include any departure from or the 26 failure to conform to the minimal standards of acceptable and 27 prevailing physical therapy practice, in which proceeding actual 28 injury to a patient need not be established; 29 [(7) been adjudged mentally incompetent by a court of 30 competent jurisdiction;] 19850H1363B2675 - 16 -
1 [(8)] (7) treated or undertaken to treat human ailments 2 otherwise than by physical therapy as defined in this act; [and] 3 [(9)] (8) had his license to practice physical therapy 4 revoked or suspended or having other disciplinary action taken, 5 or his application for a license refused, revoked or suspended 6 by the proper licensing authority of another state, territory or 7 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 (b) All actions of the board shall be taken subject to the 12 right of notice, hearing and adjudication and the right of 13 appeal therefrom in accordance with [the provisions of the June 14 4, 1945 (P.L.1388, No.442), known as the "Administrative Agency 15 Law."] Title 2 of the Pennsylvania Consolidated Statutes 16 (relating to administrative law and procedure). 17 (c) Unless ordered to do so by a court, the board shall not 18 reinstate the license of a person to practice as a physical 19 therapist which has been revoked and such person shall be 20 required to apply for a license after a five-year period in 21 accordance with section 6, if he desires to practice at any time 22 after such revocation. 23 Section 8. The act is amended by adding sections to read: 24 Section 11.1. Automatic Suspension.--A license, registration 25 or certificate issued under this act shall automatically be 26 suspended upon the legal commitment of a licensee, registrant or 27 certificate holder to an institution because of mental 28 incompetency from any cause upon filing with the board a 29 certified copy of such commitment; conviction of a felony under 30 the act of April 14, 1972 (P.L.233, No.64), known as "The 19850H1363B2675 - 17 -
1 Controlled Substance, Drug, Device and Cosmetic Act"; or 2 conviction of an offense under the laws of another jurisdiction 3 which, if committed in Pennsylvania, would be a felony under 4 "The Controlled Substance, Drug, Device and Cosmetic Act." As 5 used in this section the term "conviction" shall include a 6 judgment, an admission of guilty or a plea of nolo contendere. 7 Automatic suspension under this section shall not be stayed 8 pending any appeal of a conviction. Restoration of such license, 9 registration or certificate shall be made as provided in this 10 act for revocation or suspension of such license, registrant or 11 certificate holder. 12 Section 11.2. Temporary Suspension.--The board shall 13 temporarily suspend a license, registration or certificate under 14 circumstances as determined by the board to be an immediate and 15 clear danger to the public health or safety. The board shall 16 issue an order to that effect without a hearing, but upon due 17 notice to the licensee, registrant or certificate holder 18 concerned at his last known address, which shall include a 19 written statement of all allegations against the licensee, 20 registrant or certificate holder. The provisions of section 21 11(c) shall not apply to temporary suspension. The board shall 22 thereupon commence formal action to suspend, revoke or restrict 23 the license, registration or certificate of the person concerned 24 as otherwise provided for in this act. All actions shall be 25 taken promptly and without delay. Within 30 days following the 26 issuance of an order temporarily suspending a license, 27 registration or certificate, the board shall conduct, or cause 28 to be conducted, a preliminary hearing to determine that there 29 is a prima facie case supporting the suspension. The licensee, 30 registrant or certificate holder whose license, registration or 19850H1363B2675 - 18 -
1 certificate has been temporarily suspended may be present at the 2 preliminary hearing and may be represented by counsel, cross- 3 examine witnesses, inspect physical evidence, call witnesses, 4 offer evidence and testimony and make a record of the 5 proceedings. If it is determined that there is not a prima facie 6 case, the suspended license, registration or certificate shall 7 be immediately restored. The temporary suspension shall remain 8 in effect until vacated by the board, but in no event longer 9 than 180 days. 10 Section 11.3. Subpoenas; Reports; Surrender of License.--(a) 11 The board shall have the authority to issue subpoenas, upon 12 application of an attorney responsible for representing the 13 Commonwealth in disciplinary matters before the board, for the 14 purpose of investigating alleged violations of the disciplinary 15 provisions administered by the board. The board shall have the 16 power to subpoena witnesses, to administer oaths, to examine 17 witnesses, and to take testimony or compel the production of 18 books, records, papers and documents as it may deem necessary or 19 proper in and pertinent to any proceeding, investigation or 20 hearing held by it. Patient records may not be subpoenaed 21 without consent of the patient or without order of a court of 22 competent jurisdiction on a showing that the records are 23 reasonably necessary for the conduct of the investigation. The 24 court may impose such limitations on the scope of the subpoena 25 as are necessary to prevent unnecessary intrusion into patient 26 confidential information. The board is authorized to apply to 27 Commonwealth Court to enforce its subpoenas. 28 (b) An attorney responsible for representing the 29 Commonwealth in disciplinary matters before the board shall 30 notify the board immediately upon receiving notification of an 19850H1363B2675 - 19 -
1 alleged violation of this act. The board shall maintain current 2 records of all reports of alleged violations and periodically 3 review the records for the purpose of determining that each 4 alleged violation has been resolved in a timely manner. 5 (c) The board shall require a person whose license, 6 certificate or registration has been suspended or revoked to 7 return the license, certificate or registration in such manner 8 as the board directs. A person who fails to do so commits a 9 misdemeanor of the third degree. 10 Section 9. Section 12 of the act is amended by adding 11 subsections to read: 12 Section 12. Penalties; Injunctive Relief.--* * * 13 (c) In addition to any other civil remedy or criminal 14 penalty provided for in this act, the board, by a vote of the 15 majority of the maximum number of the authorized membership of 16 the board as provided by this act or by a vote of the majority 17 of the qualified and confirmed membership or a minimum of four 18 members, whichever is greater, may levy a civil penalty of up to 19 $1,000 on any current licensee or registrant who violates any 20 provisions of this act or on any person who practices physical 21 therapy without being properly licensed to do so under this act, 22 or who practices as a physical therapist assistant without being 23 properly registered to do so under this act. The board shall 24 levy this penalty only after affording the accused party the 25 opportunity for a hearing, as provided in Title 2 of the 26 Pennsylvania Consolidated Statutes (relating to administrative 27 law and procedure). 28 (d) All fines and civil penalties imposed in accordance with 29 this section shall be paid into the Professional Licensure 30 Augmentation Account. 19850H1363B2675 - 20 -
1 Section 10. The act is amended by adding a section to read: 2 Section 13. Impaired Professional.--(a) The board, with the 3 approval of the Commissioner of Professional and Occupational 4 Affairs, shall appoint and fix the compensation of a 5 professional consultant who is a licensee of the board, or such 6 other professional as the board may determine, with education 7 and experience in the identification, treatment and 8 rehabilitation of persons with physical or mental impairments. 9 Such consultant shall be accountable to the board and shall act 10 as a liaison between the board and treatment programs, such as 11 alcohol and drug treatment programs licensed by the Department 12 of Health, psychological counseling and impaired professional 13 support groups, which are approved by the board and which 14 provide services to licensees under this act. 15 (b) The board may defer and ultimately dismiss any of the 16 types of corrective action set forth in this act for an impaired 17 professional so long as the professional is progressing 18 satisfactorily in an approved treatment program, provided that 19 the provisions of this subsection shall not apply to a 20 professional convicted of a felonious act prohibited by the act 21 of April 14, 1972 (P.L.233, No.64), known as "The Controlled 22 Substance, Drug, Device and Cosmetic Act," or convicted of a 23 felony relating to a controlled substance in a court of law of 24 the United States or any other state, territory or country. An 25 approved program provider shall, upon request, disclose to the 26 consultant such information in its possession regarding an 27 impaired professional in treatment which the program provider is 28 not prohibited from disclosing by an act of this Commonwealth, 29 another state, or the United States. Such requirement of 30 disclosure by an approved program provider shall apply in the 19850H1363B2675 - 21 -
1 case of impaired professionals who enter an agreement in 2 accordance with this section, impaired professionals who are the 3 subject of a board investigation or disciplinary proceeding, and 4 impaired professionals who voluntarily enter a treatment program 5 other than under the provisions of this section but who fail to 6 complete the program successfully or to adhere to an aftercare 7 plan developed by the program provider. 8 (c) An impaired professional who enrolls in an approved 9 treatment program shall enter into an agreement with the board 10 under which the professional's license shall be suspended or 11 revoked but enforcement of that suspension or revocation may be 12 stayed for the length of time the professional remains in the 13 program and makes satisfactory progress, complies with the terms 14 of the agreement and adheres to any limitations on his practice 15 imposed by the board to protect the public. Failure to enter 16 into such an agreement shall disqualify the professional from 17 the impaired professional program and shall activate an 18 immediate investigation and disciplinary proceeding by the 19 board. 20 (d) If, in the opinion of the consultant after consultation 21 with the provider, an impaired professional who is enrolled in 22 an approved treatment program has not progressed satisfactorily, 23 the consultant shall disclose to the board all information in 24 his possession regarding said professional and the board shall 25 institute proceedings to determine if the stay of the 26 enforcement of the suspension or revocation of the impaired 27 professional's license shall be vacated. 28 (e) An approved program provider who makes a disclosure 29 pursuant to this section shall not be subject to civil liability 30 for such disclosure or its consequences. 19850H1363B2675 - 22 -
1 (f) Any hospital or health care facility, peer or colleague 2 who has substantial evidence that a professional has an active 3 addictive disease for which the professional is not receiving 4 treatment, is diverting a controlled substance or is mentally or 5 physically incompetent to carry out the duties of his or her 6 license shall make or cause to be made a report to the board: 7 Provided, That any person or facility who acts in a treatment 8 capacity to an impaired physical therapist in an approved 9 treatment program is exempt from the mandatory reporting 10 requirements of this subsection. Any person or facility who 11 reports pursuant to this section in good faith and without 12 malice shall be immune from any civil or criminal liability 13 arising from such report. Failure to provide such report within 14 a reasonable time from receipt of knowledge of impairment shall 15 subject the person or facility to a fine not to exceed $1,000. 16 The board shall levy this penalty only after affording the 17 accused party the opportunity for a hearing, as provided in 18 Title 2 of the Pennsylvania Consolidated Statutes (relating to 19 administrative law and procedure). 20 Section 11. Each rule and regulation of the board in effect 21 on the effective date of this act shall remain in effect after 22 such date until amended by the board, provided that the board 23 shall immediately initiate the repeal or amendment of any rule 24 or regulation which is inconsistent with the provisions of this 25 act. Each fee of the board in effect on the effective date of 26 this act, and not inconsistent with this act, shall remain in 27 effect after such date until repealed or amended in the manner 28 provided by law. 29 Section 12. This act constitutes the legislation necessary 30 to reestablish the State Board of Physical Therapy Examiners 19850H1363B2675 - 23 -
1 under section 7 of the act of December 22, 1981 (P.L.508, 2 No.142), known as the Sunset Act. 3 Section 13. (a) Section 412.1 of the act of April 9, 1929 4 (P.L.177, No.175), known as The Administrative Code of 1929, is 5 repealed. 6 (b) All other acts and parts of acts are repealed insofar as 7 they are inconsistent with this act. 8 Section 14. The presently confirmed members of the State 9 Board of Physical Therapy Examiners constituted under section 10 412.1 of the act of April 9, 1929 (P.L.177, No.175), known as 11 The Administrative Code of 1929, as of the effective date of 12 this act, shall continue to serve as board members until their 13 present terms of office expire, provided that any present board 14 member whose term has expired on or before the effective date of 15 this act shall serve until a successor has been appointed and 16 qualified, but no longer than six months after the effective 17 date of this act. 18 Section 15. Any person who holds a valid license or 19 certificate issued by, or is listed with, the State Board of 20 Physical Therapy Examiners under the act of October 10, 1975 21 (P.L.383, No.110), known as the Physical Therapy Practice Act, 22 relating to the practice of physical therapy, prior to the 23 effective date of this amendatory act shall, on and after the 24 effective date hereof, be deemed to be licensed or certificated 25 by, or to be listed with, the State Board of Physical Therapy as 26 provided for in this amendatory act. 27 Section 16. This act shall take effect January 1, 1986, or 28 immediately, whichever is later. F3L63CHF/19850H1363B2675 - 24 -