Bill Text: IN HB1152 | 2013 | Regular Session | Engrossed
Bill Title: Practice of occupational therapy.
Spectrum: Bipartisan Bill
Status: (Engrossed - Dead) 2013-04-02 - Senator Taylor added as cosponsor [HB1152 Detail]
Download: Indiana-2013-HB1152-Engrossed.html
Citations Affected: IC 25-23.5.
Synopsis: Practice of occupational therapy. Revises the definition of
"practice of occupational therapy". Adds a definition of "occupational
therapy services". Adds osteopaths or physician assistants to the
practitioners that may provide a referral or order to an occupational
therapist. Provides that an occupational therapist must report to the
practitioner as specified by the practitioner who provided the referral
or order. However, if the practitioner does not specify a reporting
requirement, the occupational therapist shall report to the practitioner
upon completion or termination of occupational therapy services.
Makes a conforming change.
Effective: July 1, 2013.
(SENATE SPONSOR _ MILLER PATRICIA)
January 23, 2013, read first time and referred to Committee on Public Health.
February 18, 2013, amended, reported _ Do Pass.
February 20, 2013, read second time, ordered engrossed. Engrossed.
February 21, 2013, read third time, passed. Yeas 95, nays 0.
February 27, 2013, read first time and referred to Committee on Health and Provider Services.
March 28, 2013, reported favorably _ Do Pass.
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in
Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or
A BILL FOR AN ACT to amend the Indiana Code concerning
professions and occupations.
therapeutic use of everyday life occupations and occupational
therapy services to:
(1) aid individuals or groups to participate in meaningful roles
and situations in the home, school, workplace, community or
other settings;
(2) promote health and wellness through research and
practice; and
(3) serve individuals or groups who are well but have been or
are at risk for developing an illness, injury, disease, disorder,
condition, impairment, disability, activity limitation, or
participation restriction.
The practice of occupational therapy addresses the physical,
cognitive, psychosocial, sensory, and other aspects of performance
in a variety of contexts to support engagement in everyday life
activities that affect a person's health, well-being, and quality of
life throughout the person's life span.
(1) Establish, remediate, or restore a skill or ability that is impaired or not yet developed. Occupational therapy services include recognizing speech, language, and hearing that may be impaired or not yet developed but does not include the remediation of these skills and abilities.
(2) Modify or adapt a person or an activity or environment of a person or compensate for a loss of a person's functions.
(3) Evaluate factors that affect daily living activities, instrumental activities of daily living, and other activities relating to work, play, leisure, education, and social participation. These factors may include body functions, body structure, habits, routines, role performance, behavior patterns, sensory motor skills, cognitive skills, communication and interaction skills, and cultural, physical, psychosocial, spiritual, developmental, environmental, and socioeconomic contexts and activities that affect performance.
(4) Perform interventions and procedures relating to the factors described in subdivision (3), including the following:
(A) Task analysis and therapeutic use of occupations,
exercises, and activities.
(B) Education and training in self-care, self-management,
home management, and community or work reintegration.
(C) Care coordination, case management, transition, and
consultative services.
(D) Modification of environments and adaptation
processes, including the application of ergonomic and
safety principles.
(E) Assessment, design, fabrication, application, fitting,
and training in assistive technology, adaptive devices, and
orthotic devices, and training in the use of prosthetic
devices. However, this does not include the following:
(i) Gait training.
(ii) Training in the use of hearing aids,
tracheoesophageal valves, speaking valves, or
electrolarynx devices related to the oral production of
language.
(iii) Remediation of speech, language, and hearing
disorders.
(iv) Fabrication of shoe inserts.
(F) Assessment, recommendation, and training in
techniques to enhance safety, functional mobility, and
community mobility, including wheelchair management
and mobility. However, this does not include gait training.
(G) Assessment and management of feeding, eating, and
swallowing to enable eating and feeding performance.
(H) Application of physical agent modalities and use of a
range of specific therapeutic procedures, including
techniques to enhance sensory-motor, perceptual, and
cognitive processing, manual therapy techniques, and
adjunctive and preparatory activities for occupational
performance. However, manual therapy does not include
spinal manipulation, spinal adjustment, or grade 5
mobilization.
(1) A physician or osteopath licensed under IC 25-22.5.
(2) A podiatrist licensed under IC 25-29.
(3) An advanced practice nurse licensed under IC 25-23.
(4) A psychologist licensed under IC 25-33.
(5) A chiropractor licensed under IC 25-10.
(6) An optometrist licensed under IC 25-24.
(7) A physician assistant licensed under IC 25-27.5.
The occupational therapist shall report to the practitioner as specified by the practitioner who provided the referral or order. However, if the practitioner does not specify a reporting requirement, the occupational therapist shall report to the practitioner upon completion or termination of occupational therapy services.
(b) An occupational therapist may provide the following services without a referral from a
(1) Ergonomic or home assessment.
(2) Injury or illness prevention education and wellness services.
(3) Occupational therapy activities provided in an educational setting.
(4) Occupational therapy activities that the board determines, after reviewing the recommendations of the committee, are appropriate to be conducted in a community based environment.
