PRIOR PRINTER'S NOS. 1641, 1678, 1852,        PRINTER'S NO. 2675
        2461

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

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.


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