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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| HOUSE BILL |
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| INTRODUCED BY READSHAW, GERGELY, WAGNER, KORTZ, BELFANTI, BRENNAN, CARROLL, DEASY, J. EVANS, FABRIZIO, HANNA, HORNAMAN, SIPTROTH, K. SMITH AND STABACK, DECEMBER 15, 2009 |
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| REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, DECEMBER 15, 2009 |
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| AN ACT |
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1 | Amending the act of December 20, 1985 (P.L.457, No.112), |
2 | entitled "An act relating to the right to practice medicine |
3 | and surgery and the right to practice medically related acts; |
4 | reestablishing the State Board of Medical Education and |
5 | Licensure as the State Board of Medicine and providing for |
6 | its composition, powers and duties; providing for the |
7 | issuance of licenses and certificates and the suspension and |
8 | revocation of licenses and certificates; providing penalties; |
9 | and making repeals," further providing for definitions and |
10 | for athletic trainers. |
11 | The General Assembly of the Commonwealth of Pennsylvania |
12 | hereby enacts as follows: |
13 | Section 1. The definitions of "athletic training services," |
14 | "certified athletic trainer," "physically active person," |
15 | "referral" and "written protocol" in section 2 of the act of |
16 | December 20, 1985 (P.L.457, No.112), known as the Medical |
17 | Practice Act of 1985, added December 10, 2001 (P.L.859, No.92), |
18 | are amended and the section is amended by adding a definition to |
19 | read: |
20 | Section 2. Definitions. |
21 | The following words and phrases when used in this act shall |
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1 | have the meanings given to them in this section unless the |
2 | context clearly indicates otherwise: |
3 | * * * |
4 | "Athletic training services." The management and provision |
5 | of care of injuries to a physically active person as defined in |
6 | this act with the direction of a licensed physician. The term |
7 | includes the rendering of emergency care, development of injury |
8 | prevention programs and providing appropriate preventative and |
9 | supporting devices for the physically active person. The term |
10 | also includes the assessment, management, treatment, |
11 | rehabilitation and reconditioning of the physically active |
12 | person whose conditions are within the professional preparation |
13 | and education of a [certified] licensed athletic trainer. The |
14 | term also includes the use of modalities such as mechanical |
15 | stimulation, heat, cold, light, air, water, electricity, sound, |
16 | massage and the use of therapeutic exercises, reconditioning |
17 | exercise and fitness programs. Athletic training services shall |
18 | not include surgery, invasive procedures or prescription of any |
19 | controlled substance. |
20 | * * * |
21 | ["Certified athletic trainer." A person who is certified to |
22 | perform athletic training services by the State Board of |
23 | Medicine or State Board of Osteopathic Medicine.] |
24 | * * * |
25 | "Licensed athletic trainer." A person who is certified to |
26 | perform athletic training services by the State Board of |
27 | Medicine or the State Board of Osteopathic Medicine. |
28 | * * * |
29 | "Physically active person." An individual designated by a |
30 | physician as physically active, including an individual who |
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1 | participates in organized, individual or team sports, athletic |
2 | games or recreational sport activity or an individual who the |
3 | physician believes would benefit from athletic training. |
4 | * * * |
5 | "Referral." An order from a licensed physician, dentist or |
6 | podiatrist to [a certified] an athletic trainer for athletic |
7 | training services. An order may be written or oral, except that |
8 | an oral order must be reduced to writing within 72 hours of |
9 | issuance. |
10 | * * * |
11 | "Written protocol." A written agreement developed in |
12 | conjunction with one or more supervising physicians which |
13 | identifies and is signed by the supervising physician and the |
14 | [certified] licensed athletic trainer. It describes the manner |
15 | and frequency in which the [certified] licensed athletic trainer |
16 | regularly communicates with the supervising physician. It |
17 | includes standard operating procedures developed in agreement |
18 | with the supervising physician and [certified] licensed athletic |
19 | trainer that the [certified] licensed athletic trainer follows |
20 | when not directly supervised on site by the supervising |
21 | physician. |
22 | Section 2. Section 51.1(a), (b), (c), (d) and (f) of the |
23 | act, added December 10, 2001 (P.L.859, No.92), are amended to |
24 | read: |
25 | Section 51.1. Athletic trainers. |
26 | (a) General rule.--An athletic trainer [certified] licensed |
27 | by the board may, under the direction of a physician, podiatrist |
28 | or dentist, provide athletic training services to a physically |
29 | active person under the care of a physician, dentist or |
30 | podiatrist. An athletic trainer [certified] licensed under this |
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1 | section shall refer a physically active person with conditions |
2 | outside the scope of athletic training services to a physician, |
3 | dentist or podiatrist. |
4 | (b) Temporary [certifications] licenses.--Any athletic |
5 | trainer who holds a valid certificate issued by the State Board |
6 | of Physical Therapy under the act of October 10, 1975 (P.L.383, |
7 | No.110), known as the Physical Therapy Practice Act, relating to |
8 | the practice of athletic training, prior to the effective date |
9 | of this act shall, on and after the effective date hereof, be |
10 | deemed to be [certified] licensed by the State Board of Medicine |
11 | or State Board of Osteopathic Medicine as provided for in this |
12 | act, unless his or her certification has expired or been revoked |
13 | prior to the effective date of this act. |
14 | (c) [Certification] Licensure, title and limitation on |
15 | practice.--An athletic trainer who meets the requirements of |
16 | this section shall be [certified] licensed, may use the title |
17 | "athletic trainer" or the abbreviation for the title, |
18 | ["A.T.C.,"] "A.T.L.," and may perform athletic training |
19 | services. A person who is not [certified] licensed under this |
20 | section may not use the designation of [certified] licensed |
21 | athletic trainer, athletic trainer or any of the listed |
22 | abbreviations for that title, including ["C.A.T." or "A.T.C.,"] |
23 | "L.A.T." or "A.T.L.," or any similar designation. This section |
24 | shall not prohibit any person trained and licensed or certified |
25 | under any other law from engaging in the licensed or certified |
26 | practice in which the person is trained. |
27 | (d) Regulations.--The State Board of Medicine and the State |
28 | Board of Osteopathic Medicine shall jointly promulgate |
29 | regulations which: |
30 | (1) establish approved education and training programs |
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1 | for certification; and |
2 | (2) define the circumstances and protocol under which a |
3 | certified athletic trainer may perform athletic training |
4 | services. |
5 | [Until such regulations are promulgated by the State Board of |
6 | Medicine and the State Board of Osteopathic Medicine, the |
7 | athletic trainer shall be regulated by the regulations, duly |
8 | promulgated by the State Board of Physical Therapy prior to the |
9 | enactment of this amendatory act governing the activities of |
10 | certified athletic trainers, which are not inconsistent with |
11 | this act.] All references in the current regulations referencing |
12 | certification or certified athletic trainers shall be deemed to |
13 | be references to licensure or licensed athletic trainers after |
14 | the effective date of this act. |
15 | * * * |
16 | (f) Jurisdiction.--The State Board of Medicine shall be |
17 | responsible for the [certification] licensure of athletic |
18 | trainers. Jurisdiction will be determined by the type of |
19 | physician who supervises and directs the [certified] licensed |
20 | athletic trainer. [Certified] Licensed athletic trainers |
21 | supervised by physicians regulated by the Medical Practice Act |
22 | of 1985 shall fall within the jurisdiction of the State Board of |
23 | Medicine. |
24 | Section 3. The board shall issue licenses in the course of |
25 | its normal biannual process. Any athletic trainers with a valid |
26 | certification prior to the effective date of this act may refer |
27 | to themselves as licensed athletic trainers upon the effective |
28 | date of this act, even though the board has not issued a license |
29 | in lieu of certification. |
30 | Section 4. This act shall take effect in 30 days. |
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