PRIOR PRINTER'S NO. 195                        PRINTER'S NO. 579

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 195 Session of 1975


        INTRODUCED BY NOLAN, SMITH, MURRAY, MURPHY, ORLANDO, ANDREWS,
           COPPERSMITH, STAPLETON, FLEMING, NOSZKA, ROSS AND DWYER
           FEBRUARY 11, 1975

        SENATOR COPPERSMITH, PUBLIC HEALTH AND WELFARE, AS AMENDED,
           APRIL 15, 1975

                                     AN ACT

     1  Relating to the practice of physical therapy.

     2     The General Assembly of the Commonwealth of Pennsylvania
     3  hereby enacts as follows:
     4     Section 1.  Short Title.--This act shall be known and may be
     5  cited as the "Physical Therapy Practice Act."
     6     Section 2.  Definitions.--The following definitions shall
     7  apply, when used in this act, unless otherwise expressed
     8  therein:
     9     "Board" means the State Board of Physical Therapy Examiners
    10  established in accordance with the act of April 9, 1929
    11  (P.L.177, No.175), known as "The Administrative Code of 1929."
    12     "Healing arts" shall mean the science and skill of diagnosis
    13  and treatment in any manner whatsoever of disease or any ailment
    14  of the human body.
    15     "Physical therapist" shall mean a person who practices
    16  physical therapy in some or all respects as defined in "physical


     1  therapy", subject to section 9 and has met all requirements as
     2  stated in this act.
     3     "Physical therapy" means the evaluation and treatment of any
     4  person by the utilization of the effective properties of
     5  physical measures such as mechanical stimulation, heat, cold,
     6  light, air, water, electricity, sound, massage, mobilization and
     7  the use of therapeutic exercises and rehabilitative procedures
     8  including training in functional activities, with or without
     9  assistive devices, for the purpose of limiting or preventing
    10  disability and alleviating or correcting any physical or mental
    11  conditions, and the performance of tests and measurements as an
    12  aid in diagnosis or evaluation of function.
    13     "Physician" means a person who has received formal and
    14  recognized training in the art and science of medicine and is
    15  qualified to seek or has acquired an unlimited license to
    16  practice medicine and surgery as provided by law.
    17     Section 3.  Powers and Duties of Board.--The board shall
    18  elect annually from its membership a chairman and a vice-
    19  chairman and shall select a secretary who need not be a member
    20  of the board. It shall be the duty of the board to pass upon the
    21  qualifications of applicants for licensure, to conduct
    22  examinations, to issue and renew licenses to physical therapists
    23  who qualify under this act, and in proper cases to suspend or
    24  revoke the license of any physical therapist. The board may
    25  adopt rules and regulations not inconsistent with law as it may
    26  deem necessary for the performance of its duties and the proper
    27  administration of this law. The board is authorized and
    28  empowered to conduct investigations and hearings upon charges
    29  for discipline of a licensee or for violations of this act, and
    30  to cause, through the office of the Attorney General, the
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     1  prosecution and enjoinder of persons violating this act. The
     2  board shall maintain a register listing the name of every living
     3  physical therapist licensed to practice in this State, his last
     4  known place of business and last known place of residence, and
     5  the date and number of his license.
     6     Section 4.  TRAINING AND License Required; Exceptions.--(a)    <--
     7  From and after one year from the effective date of this act, it
     8  shall be unlawful for any person to practice or hold himself out
     9  as being able to practice physical therapy in this State unless
    10  he is TRAINED AND licensed in accordance with the provisions of   <--
    11  this act. Nothing in this act, however, shall prohibit any
    12  person TRAINED AND licensed to practice any of the healing arts   <--
    13  in this State under any other law, from engaging in the practice
    14  for which he is TRAINED AND licensed.                             <--
    15     (b)  This act shall not prohibit students who are enrolled in
    16  schools of physical therapy approved by the board, from
    17  performing acts of physical therapy as is incidental to their
    18  course of study; nor shall it prevent any student in any
    19  recognized school of the healing arts EDUCATIONAL PROGRAM IN THE  <--
    20  HEALING ARTS APPROVED OR ACCREDITED UNDER THE LAWS OF
    21  PENNSYLVANIA in carrying out prescribed courses of study.
    22  provided such schools are recognized schools of physical therapy  <--
    23  and of the healing arts by the laws of Pennsylvania, and its
    24  practitioners supervising such acts of physical therapy are duly
    25  licensed as prescribed by law. Nothing in this act shall apply
    26  to any person employed by an agency, bureau, or division of the
    27  Federal Government while in the discharge of official duties,
    28  however, if such individual engages in the practice of physical
    29  therapy outside the scope of official duty, he must be TRAINED    <--
    30  AND licensed as herein provided. The provisions of this act are
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     1  not intended to limit the activities of persons legitimately
     2  engaged in the nontherapeutic administration of baths, massage,
     3  and normal exercise.
     4     (C)  THE PRACTICE OF PHYSICAL THERAPY SHALL NOT INCLUDE THE    <--
     5  PRACTICE OF CHIROPRACTIC AS DEFINED BY THE ACT OF AUGUST 10,
     6  1951 (P.L.1182, NO.264), KNOWN AS THE "CHIROPRACTIC REGISTRATION
     7  ACT OF 1951."
     8     Section 5.  Application for License.--Unless entitled to
     9  licensure without examination under the provisions of section 6,
    10  a person who desires and applies to be licensed as a physical
    11  therapist shall apply to the board in writing, on forms
    12  furnished by the board, and such application blanks shall embody
    13  evidence satisfactory to the board of the applicant's possessing
    14  the qualifications preliminary to examination required by this
    15  act. At the time of forwarding such application to the board, an
    16  applicant for licensure as a physical therapist shall pay a fee
    17  of $50, which shall not be refundable.
    18     Section 6.  Qualifications for License; Examinations; Failure
    19  of Examinations; Licensure Without Examination; Issuing of
    20  License; Foreign Applicants for Licensure; Temporary License;
    21  Perjury.--(a) To be eligible for licensure as a physical
    22  therapist, an applicant must be at least 20 years of age unless
    23  otherwise determined by the board in its discretion, be of good
    24  moral character, not be addicted to the habitual use of alcohol
    25  or narcotics or other habit-forming drugs, and have a general     <--
    26  education of not less than graduation by an approved high school
    27  or its equivalent as determined by the Department of Education,
    28  AND HAVE AN EDUCATION OF not less than 60 semester hours of       <--
    29  college credits or the equivalent thereof including courses in
    30  biological, physical and social studies at an accredited college
    19750S0195B0579                  - 4 -

     1  or university and has attended an accredited physical therapy
     2  course of not less than 12 months, in a school of physical
     3  therapy established in a fully accredited medical school,
     4  hospital, college or university which course has provided
     5  curricula and training, the requirements of which shall be
     6  approved from time to time by the board with advice and
     7  consultation with recognized national accrediting agencies and
     8  professional organizations including the American Physical
     9  Therapy Association. By the time of completion of the
    10  professional study of physical therapy, a physical therapist
    11  must hold a minimum of a baccalaureate degree from a regionally
    12  accredited institution of higher education. In the case of those
    13  applicants who have completed requirements prior to the first
    14  day of January, 1967, but who may not technically or totally
    15  fulfill the above requirements, the board at its discretion and
    16  by the unanimous MAJORITY vote of all members present may accept  <--
    17  evidence of satisfactory equivalence.
    18     (b)  An applicant for licensure must pass, to the
    19  satisfaction of the board, a written examination which shall
    20  test the applicant's knowledge of the basic and clinical
    21  sciences as they relate to physical therapy theory and physical
    22  therapy procedures and such other subjects as the board may deem
    23  necessary to test the applicants' fitness to practice physical
    24  therapy. Such examination may also include an oral examination
    25  or practical examination or both at the discretion of the board.
    26  The examination shall be held within the Commonwealth of
    27  Pennsylvania twice a year at such time and place as the board
    28  shall determine.
    29     (c)  In case of failure at the first examination, the
    30  applicant for licensure shall have, after the expiration of six
    19750S0195B0579                  - 5 -

     1  months and within two years from the first failure, the
     2  privilege of a second examination. In case of failure in a
     3  second examination, any further examinations shall be given at
     4  the discretion of the board, but in any such case the applicant
     5  must enter de novo MAKE A NEW APPLICATION, and otherwise qualify  <--
     6  under the conditions in force at the time of the application for
     7  a third or successive examinations.
     8     (d)  On payment to the board of a fee of $15 for applicants
     9  subject to paragraph (1) of this subsection and $75 for
    10  applicants subject to paragraph (2) of this subsection, and on
    11  submission of a written application on forms provided by the
    12  board, the board shall issue a license without examination to:
    13     (1)  A person filing said application within one year from
    14  the effective date of this act who presents evidence
    15  satisfactory to the board that he meets the qualifications set
    16  forth in subsection (a) and that he has a valid license to
    17  practice physical therapy in the Commonwealth of Pennsylvania on
    18  the effective date of this act.
    19     (2)  A person who is a licensed or otherwise registered as a
    20  physical therapist by another state or territory of the United
    21  States of America, or the District of Columbia, if the
    22  requirements for license or registration, as the case may be, in
    23  such state, territory, or district were at the date of his
    24  license or registration by such state, substantially equal to
    25  the requirements set forth in this act: Provided, That such
    26  person has not taken and failed, one or more times, the
    27  examination referred to in subsection (b), in which case, the
    28  issuance of a license under this paragraph shall be at the
    29  discretion of the board.
    30     (e)  The board shall issue a license to a physical therapist
    19750S0195B0579                  - 6 -

     1  who successfully establishes his eligibility under the terms of
     2  this act and any person who holds a license pursuant to this
     3  section may use the words physical therapist or licensed
     4  physical therapist and he may use the letters LPT in connection
     5  with his name or place of business to denote his licensure
     6  hereunder.
     7     (f)  Foreign trained physical therapists who desire and apply
     8  to be licensed as a physical therapist by the board shall,
     9  before examination, furnish proof as to age, moral character, no
    10  addiction to the use of alcohol or narcotics or other habit-
    11  forming drugs, shall present proof indicating the completion of
    12  educational requirements substantially equal to those in
    13  subsection (a). In addition thereto, the foreign trained
    14  applicant must complete, at the board's discretion, up to one
    15  year of supervised clinical experience as prescribed by the
    16  board prior to taking the examination for licensure.
    17     (g)  On payment to the board of a fee of $25, and the
    18  submission of a written application on forms provided by it, the
    19  board, in its discretion, shall issue without examination a
    20  temporary license to practice physical therapy in this State for
    21  a period not to exceed one year to any person who meets the
    22  qualifications set forth in CLAUSE (2) OF SUBSECTION (D) OF this  <--
    23  section upon submission by such person of evidence satisfactory
    24  to the board and verified by oath that he is in this State on a
    25  temporary basis to assist in a case of medical emergency or to
    26  engage in a special physical therapy project. A temporary
    27  license, as described above, may be renewed for one additional
    28  year at the board's discretion, and upon expiration must be
    29  surrendered to the board.
    30     (h)  Upon the submission of a written application on forms
    19750S0195B0579                  - 7 -

     1  provided by it, the board shall also issue a temporary license
     2  to a person who has applied for a license under the provisions
     3  of subsection (a) and who is, in the judgment of the board,
     4  eligible to take the examination provided for in subsection (b).
     5  Such temporary license shall be available to an applicant with
     6  respect to his application for a license under subsection (a),
     7  but the applicant may only use the temporary license while under
     8  the direct supervision of a licensed physical therapist. Such
     9  temporary license shall expire upon the failure of the first
    10  examination and upon expiration the license must be surrendered
    11  to the board.
    12     (i)  Any applicant who knowingly or willfully makes a false
    13  statement of fact in any application shall be subject to
    14  prosecution for perjury.
    15     Section 7.  Renewal of License.--(a) Each license issued
    16  under the provisions of this act shall be renewed biennially,
    17  except as provided in subsection (b). On or before November 1 of
    18  each renewal year, the board shall mail an application for
    19  renewal of license to each person to whom a license was issued
    20  or renewed during the current licensing period, which
    21  application shall be mailed to the most recent address of said
    22  person as it appears on the records of the board. Such person
    23  shall complete the renewal application and return it to the
    24  board with a renewal fee before December 31 of the year in which
    25  said application was received. Upon receipt of any such
    26  application and fee, the board shall verify the accuracy of such
    27  application and issue to the applicant a certificate of renewal
    28  of license for the next licensing period as described above. The
    29  renewal fee shall be established by the board and shall be        <--
    30  sufficient to cover the expenses of the board. $10 FOR EACH       <--
    19750S0195B0579                  - 8 -

     1  LICENSING PERIOD AS DESCRIBED IN THIS SUBSECTION.
     2     (b)  If any person shall not so renew his or her license such
     3  license shall automatically expire. A license which has thus
     4  expired may, within three years of its expiration date, be
     5  renewed on the payment to the board of the fee for each
     6  licensing period or part thereof, pro-rata, during which the
     7  license was ineffective and the payment of a restoration fee of
     8  $5. After said three years period such license shall be renewed
     9  only by complying with the provisions in subsections (a) and (b)
    10  of section 6 relating to obtaining an orginal license.
    11     Section 8.  Fees and Fines for Board.--All fees and fines
    12  collected under the provisions of this act shall be paid into
    13  the State Treasury for the use of the Commonwealth.
    14     Section 9.  Referrals by Physicians.--Any person licensed
    15  under this act as a physical therapist shall not treat human
    16  ailments by physical therapy or otherwise except by the referral
    17  of a person licensed in this State as a physician; however, a
    18  physical therapist shall be permitted to accept the referral of
    19  a dentist or podiatrist licensed in this State, for the
    20  treatment of a condition that is within the scope of practice of
    21  dentistry or podiatry. Nothing in this act shall be construed as
    22  authorization for a physical therapist to practice any branch of
    23  the healing arts except as described in this act. Any person
    24  violating the provisions of this act shall be guilty of a
    25  misdemeanor as described in section 12.
    26     Section 10.  Acts and Services Performed by an Assistant to a
    27  Physical Therapist.--The board shall have the power to adopt and
    28  revise rules and regulations governing supportive personnel who
    29  assist physical therapists. In the absence of standards
    30  established by the board, nothing in this act shall be construed
    19750S0195B0579                  - 9 -

     1  as to prohibit services and acts relating to physical therapy
     2  rendered by a physical therapist assistant or supportive
     3  personnel if such services and acts are rendered under the
     4  direct on-premise supervision of a licensed physical therapist
     5  who is acting in accordance with the provisions of this act.
     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)  practiced physical therapy other than upon the referral
    12  of a physician or as set forth in section 9;
    13     (2)  attempted to or obtained licensure by fraud or
    14  misrepresentation;
    15     (3)  committed gross negligence REPEATED OCCASIONS OF          <--
    16  NEGLIGENCE OR INCOMPETENCE in the practice of physical therapy;
    17     (4)  been convicted of a felony or of a crime involving moral  <--
    18  turpitude;
    19     (4)  BEEN CONVICTED OF A FELONY IN THE COURTS OF THIS          <--
    20  COMMONWEALTH OR ANY OTHER STATE, TERRITORY OR COUNTRY.
    21  CONVICTION, AS USED IN THIS PARAGRAPH, SHALL INCLUDE A FINDING
    22  OR VERDICT OF GUILT, AN ADMISSION OF GUILT OR A PLEA OF NOLO
    23  CONTENDERE;
    24     (5)  habitually indulged in the use of narcotics or other
    25  habit-forming drugs, or excessively indulged in the use of
    26  alcoholic liquors;
    27     (6)  been guilty of conduct unbecoming a person licensed as a  <--
    28  physical therapist in the performance of duties inherent to
    29  their profession or employment;
    30     (6)  BEEN GUILTY OF UNPROFESSIONAL CONDUCT. UNPROFESSIONAL     <--
    19750S0195B0579                 - 10 -

     1  CONDUCT SHALL INCLUDE ANY DEPARTURE FROM OR THE FAILURE TO
     2  CONFORM TO THE MINIMAL STANDARDS OF ACCEPTABLE AND PREVAILING
     3  PHYSICAL THERAPY PRACTICE, IN WHICH PROCEEDING ACTUAL INJURY TO
     4  A PATIENT NEED NOT BE ESTABLISHED;
     5     (7)  been adjudged mentally incompetent by a court of
     6  competent jurisdiction; and                                       <--
     7     (8)  treated or undertaken to treat human ailments otherwise
     8  than by physical therapy as defined in this act; AND              <--
     9     (9)  HAD HIS LICENSE TO PRACTICE PHYSICAL THERAPY REVOKED OR   <--
    10  SUSPENDED OR HAVING OTHER DISCIPLINARY ACTION TAKEN, OR HIS
    11  APPLICATION FOR A LICENSE REFUSED, REVOKED OR SUSPENDED BY THE
    12  PROPER LICENSING AUTHORITY OF ANOTHER STATE, TERRITORY OR
    13  COUNTRY.
    14     (B)  ALL ACTIONS OF THE BOARD SHALL BE TAKEN SUBJECT TO THE
    15  RIGHT OF NOTICE, HEARING AND ADJUDICATION AND THE RIGHT OF
    16  APPEAL THEREFROM IN ACCORDANCE WITH THE PROVISIONS OF THE ACT OF
    17  JUNE 4, 1945 (P.L.1388, NO.442), KNOWN AS THE "ADMINISTRATIVE
    18  AGENCY LAW."
    19     Section 12.  Penalties; Injunctive Relief.--(a) Any person
    20  who violates any provision of this act shall be guilty of a
    21  misdemeanor, as herein set forth, and upon conviction thereof
    22  shall be punished by a fine of not less than $100 nor more than
    23  $500 or by imprisonment for not less than 30 days nor more than
    24  90 days, or by both such fine and imprisonment; and on each
    25  additional offense shall be subject to a fine of not less than
    26  $1,000 and imprisonment of not less than six months nor more
    27  than one year, at the discretion of the court.
    28     (b)  The board may, in the name of the people of the
    29  Commonwealth of Pennsylvania, through the Attorney General's
    30  Office, apply for injunctive relief in any court of competent
    19750S0195B0579                 - 11 -

     1  jurisdiction to enjoin any person from committing any act in
     2  violation of this act. Such injunction proceedings shall be in
     3  addition to, and in lieu of, all penalties and other remedies in
     4  this act.


















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