Bill Text: IN HB1034 | 2013 | Regular Session | Enrolled
Bill Title: Physical therapy services without a referral.
Spectrum: Moderate Partisan Bill (Republican 4-1)
Status: (Passed) 2013-05-13 - Public Law 98 [HB1034 Detail]
Download: Indiana-2013-HB1034-Enrolled.html
First Regular Session 118th General Assembly (2013)
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HOUSE ENROLLED ACT No. 1034
AN ACT to amend the Indiana Code concerning professions and occupations.
Be it enacted by the General Assembly of the State of Indiana:
SOURCE: IC 25-27-1-1; (13)HE1034.1.1. -->
SECTION 1. IC 25-27-1-1 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2013]: Sec. 1. For the purposes of
this chapter:
(1) "Physical therapy" means the evaluation of, administration of, or instruction in physical rehabilitative and habilitative techniques and procedures to evaluate, prevent, correct, treat, alleviate, and limit physical disability, pathokinesiological function, bodily malfunction, pain from injury, disease, and any other physical disability or mental disorder, including:
(A) the use of physical measures, agents, and devices for preventive and therapeutic purposes;
(B) neurodevelopmental procedures;
(C) the performance, interpretation, and evaluation of physical therapy tests and measurements; and
(D) the provision of consultative, educational, and other advisory services for the purpose of preventing or reducing the incidence and severity of physical disability, bodily malfunction, and pain.
(2) "Physical therapist" means a person who practices physical therapy as defined in this chapter.
(3) "Physical therapist's assistant" means a person who assists in the practice of physical therapy as defined in this chapter.
(4) "Board" refers to the medical licensing board.
(5) "Committee" refers to the Indiana physical therapy committee established under section 4 of this chapter.
(6) "Person" means an individual.
(7) "Sharp debridement" means the removal of foreign material or dead tissue from or around a wound, without anesthesia and with generally no bleeding, through the use of:
(A) a sterile scalpel;
(B) scissors;
(C) forceps;
(D) tweezers; or
(E) other sharp medical instruments;
in order to expose healthy tissue, prevent infection, and promote healing.
(8) "Spinal manipulation" means a method of skillful and beneficial treatment by which a physical therapist uses direct thrust to move a joint of the patient's spine beyond its normal range of motion, but without exceeding the limits of anatomical integrity.
(1) "Physical therapy" means the evaluation of, administration of, or instruction in physical rehabilitative and habilitative techniques and procedures to evaluate, prevent, correct, treat, alleviate, and limit physical disability, pathokinesiological function, bodily malfunction, pain from injury, disease, and any other physical disability or mental disorder, including:
(A) the use of physical measures, agents, and devices for preventive and therapeutic purposes;
(B) neurodevelopmental procedures;
(C) the performance, interpretation, and evaluation of physical therapy tests and measurements; and
(D) the provision of consultative, educational, and other advisory services for the purpose of preventing or reducing the incidence and severity of physical disability, bodily malfunction, and pain.
(2) "Physical therapist" means a person who practices physical therapy as defined in this chapter.
(3) "Physical therapist's assistant" means a person who assists in the practice of physical therapy as defined in this chapter.
(4) "Board" refers to the medical licensing board.
(5) "Committee" refers to the Indiana physical therapy committee established under section 4 of this chapter.
(6) "Person" means an individual.
(7) "Sharp debridement" means the removal of foreign material or dead tissue from or around a wound, without anesthesia and with generally no bleeding, through the use of:
(A) a sterile scalpel;
(B) scissors;
(C) forceps;
(D) tweezers; or
(E) other sharp medical instruments;
in order to expose healthy tissue, prevent infection, and promote healing.
(8) "Spinal manipulation" means a method of skillful and beneficial treatment by which a physical therapist uses direct thrust to move a joint of the patient's spine beyond its normal range of motion, but without exceeding the limits of anatomical integrity.
SOURCE: IC 25-27-1-2; (13)HE1034.1.2. -->
SECTION 2. IC 25-27-1-2 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2013]: Sec. 2. (a) Except as
otherwise provided in this chapter, it is unlawful for a person to:
(1) practice physical therapy;or to
(2) profess to be a physical therapist, physiotherapist, or physical therapy technician or to use the initials "P.T.", "P.T.T.", or "R.P.T.", or any other letters, words, abbreviations, or insignia indicating that the person is a physical therapist; orto
(3) practice orto assume the duties incident to physical therapy;
without first obtaining from the board a license authorizing the person to practice physical therapy in this state.
(b) Except as provided in section 2.5 of this chapter, it is unlawful for a person to practice physical therapy other than upon the order or referral of a physician, podiatrist, psychologist, chiropractor,or dentist, nurse practitioner, or physician assistant holding an
unlimited license to practice medicine, podiatric medicine, psychology,
chiropractic, or dentistry, nursing, or as a physician assistant,
respectively. It is unlawful for a physical therapist to use the services
of a physical therapist's assistant except as provided under this chapter.
For the purposes of this subsection, the function of:
(1) teaching;
(2) doing research;
(3) providing advisory services; or
(4) conducting seminars on physical therapy;
is not considered to be a practice of physical therapy.
(c) Except as otherwise provided in this chapter, it is unlawful for a person to act as a physical therapist's assistant or to use initials, letters, words, abbreviations, or insignia indicating that the person is a physical therapist's assistant without first obtaining from the board a certificate authorizing the person to act as a physical therapist's assistant. It is unlawful for the person to act as a physical therapist's assistant other than under the direct supervision of a licensed physical therapist who is in responsible charge of a patient or under the direct supervision of a physician. However, nothing in this chapter prohibits a person licensed or registered in this state under another law from engaging in the practice for which the person is licensed or registered. These exempted persons include persons engaged in the practice of osteopathy, chiropractic, or podiatric medicine.
(d) Except as provided in section 2.5 of this chapter, this chapter does not authorize a person who is licensed as a physical therapist or certified as a physical therapist's assistant to:
(1) evaluate any physical disability or mental disorder except upon the order or referral of a physician, podiatrist, psychologist, chiropractor, or dentist;
(2) practice medicine, surgery (as described in IC 25-22.5-1-1.1(a)(1)(C)), dentistry, optometry, osteopathy, psychology, chiropractic, or podiatric medicine; or
(3) prescribe a drug or other remedial substance used in medicine.
(1) practice physical therapy;
(2) profess to be a physical therapist, physiotherapist, or physical therapy technician or to use the initials "P.T.", "P.T.T.", or "R.P.T.", or any other letters, words, abbreviations, or insignia indicating that the person is a physical therapist; or
(3) practice or
without first obtaining from the board a license authorizing the person to practice physical therapy in this state.
(b) Except as provided in section 2.5 of this chapter, it is unlawful for a person to practice physical therapy other than upon the order or referral of a physician, podiatrist, psychologist, chiropractor,
(1) teaching;
(2) doing research;
(3) providing advisory services; or
(4) conducting seminars on physical therapy;
is not considered to be a practice of physical therapy.
(c) Except as otherwise provided in this chapter, it is unlawful for a person to act as a physical therapist's assistant or to use initials, letters, words, abbreviations, or insignia indicating that the person is a physical therapist's assistant without first obtaining from the board a certificate authorizing the person to act as a physical therapist's assistant. It is unlawful for the person to act as a physical therapist's assistant other than under the direct supervision of a licensed physical therapist who is in responsible charge of a patient or under the direct supervision of a physician. However, nothing in this chapter prohibits a person licensed or registered in this state under another law from engaging in the practice for which the person is licensed or registered. These exempted persons include persons engaged in the practice of osteopathy, chiropractic, or podiatric medicine.
(d) Except as provided in section 2.5 of this chapter, this chapter does not authorize a person who is licensed as a physical therapist or certified as a physical therapist's assistant to:
(1) evaluate any physical disability or mental disorder except upon the order or referral of a physician, podiatrist, psychologist, chiropractor, or dentist;
(2) practice medicine, surgery (as described in IC 25-22.5-1-1.1(a)(1)(C)), dentistry, optometry, osteopathy, psychology, chiropractic, or podiatric medicine; or
(3) prescribe a drug or other remedial substance used in medicine.
SOURCE: IC 25-27-1-2.5; (13)HE1034.1.3. -->
SECTION 3. IC 25-27-1-2.5 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2013]: Sec. 2.5. (a) Except as provided in subsection (b), a
physical therapist may evaluate and treat an individual during a
period not to exceed twenty-four (24) calendar days beginning with
the date of the initiation of treatment without a referral from a
provider described in section 2(b) of this chapter. However, if the
individual needs additional treatment from the physical therapist
after twenty-four (24) calendar days, the physical therapist shall
obtain a referral from the individual's provider, as described in
section 2(b) of this chapter.
(b) A physical therapist may not perform spinal manipulation of the spinal column or the vertebral column unless:
(1) the physical therapist is acting on the order or referral of a physician, an osteopath, or a chiropractor; and
(2) the referring physician, osteopath, or chiropractor has examined the patient before issuing the order or referral.
(b) A physical therapist may not perform spinal manipulation of the spinal column or the vertebral column unless:
(1) the physical therapist is acting on the order or referral of a physician, an osteopath, or a chiropractor; and
(2) the referring physician, osteopath, or chiropractor has examined the patient before issuing the order or referral.
SOURCE: IC 25-27-1-3.5; (13)HE1034.1.4. -->
SECTION 4. IC 25-27-1-3.5 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2013]: Sec. 3.5. A physical therapist may not perform sharp
debridement unless the physical therapist is acting on the order or
referral of a:
(1) physician or osteopath licensed under IC 25-22.5; or
(2) podiatrist licensed under IC 25-29.
(1) physician or osteopath licensed under IC 25-22.5; or
(2) podiatrist licensed under IC 25-29.
HEA 1034 _ Concur
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