State of Illinois
92nd General Assembly
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[ Senate Amendment 003 ]


92_HB0572sam001











                                           LRB9204161LBgcam01

 1                     AMENDMENT TO HOUSE BILL 572

 2        AMENDMENT NO.     .  Amend House Bill  572  by  replacing
 3    everything after the enacting clause with the following:

 4        "Section 5.  The Illinois Physical Therapy Act is amended
 5    by  changing  Sections  1  and 2 and adding Sections 0.05 and
 6    14.1 as follows:

 7        (225 ILCS 90/0.05 new)
 8        Sec. 0.05.  Legislative Intent.  This Act is enacted  for
 9    the  purpose  of  protecting  the  public health, safety, and
10    welfare, and for providing for State administrative  control,
11    supervision,  licensure,  and  regulation  of the practice of
12    physical therapy.  It is the legislature's intent  that  only
13    individuals  who  meet  and  maintain prescribed standards of
14    competence and conduct may engage in the practice of physical
15    therapy as  authorized  by  this  Act.   This  Act  shall  be
16    liberally  construed  to  promote  the public interest and to
17    accomplish the purpose stated  herein.   This  Act  does  not
18    prohibit  a person licensed under any other Act in this State
19    from engaging  in  the  practice  for  which  he  or  she  is
20    licensed.

21        (225 ILCS 90/1) (from Ch. 111, par. 4251)
 
                            -2-            LRB9204161LBgcam01
 1        Sec. 1.  Definitions. As used in this Act:
 2        (1)  "Physical therapy" means the evaluation or treatment
 3    of  a  person  by  the  use  of  the  effective properties of
 4    physical measures  and  heat,  cold,  light,  water,  radiant
 5    energy,   electricity,   sound,  and  air;  and  the  use  of
 6    therapeutic massage, therapeutic exercise, mobilization,  and
 7    the  rehabilitative  procedures  with  or  without  assistive
 8    devices  for  the  purposes  of  preventing,  correcting,  or
 9    alleviating  a  physical  or  mental disability, or promoting
10    physical fitness and well-being.  Physical therapy  includes,
11    but  is not limited to:  (a) performance of specialized tests
12    and measurements, (b) administration of specialized treatment
13    procedures, (c) interpretation of referrals from  physicians,
14    dentists and podiatrists, (d) establishment, and modification
15    of physical therapy treatment programs, (e) administration of
16    topical   medication  used  in  generally  accepted  physical
17    therapy procedures when such medication is prescribed by  the
18    patient's physician, licensed to practice medicine in all its
19    branches,   the  patient's  physician  licensed  to  practice
20    podiatric  medicine,  or  the  patient's  dentist,  and   (f)
21    supervision  or  teaching  of  physical  therapy.    Physical
22    therapy   does   not   include   radiology,   electrosurgery,
23    chiropractic  technique  or  determination  of a differential
24    diagnosis; provided, however, the limitation on determining a
25    differential diagnosis  shall  not  in  any  manner  limit  a
26    physical therapist licensed under this Act from performing an
27    evaluation  pursuant to such license. Nothing in this Section
28    shall limit a physical therapist from  employing  appropriate
29    physical  therapy  techniques  that he or she is educated and
30    licensed to perform.  A physical therapist shall refer  to  a
31    licensed  physician, dentist, or podiatrist any patient whose
32    medical condition  should,  at  the  time  of  evaluation  or
33    treatment,  be  determined to be beyond the scope of practice
34    of the physical therapist.
 
                            -3-            LRB9204161LBgcam01
 1        (2)  "Physical therapist" means a  person  who  practices
 2    physical therapy and who has met all requirements as provided
 3    in this Act.
 4        (3)  "Department"  means  the  Department of Professional
 5    Regulation.
 6        (4)  "Director"  means  the  Director   of   Professional
 7    Regulation.
 8        (5)  "Committee"  means  the  Physical  Therapy Examining
 9    Committee approved by the Director.
10        (6)  "Referral" for the purpose of  this  Act  means  the
11    following  of guidance or direction to the physical therapist
12    given by the physician,  dentist,  or  podiatrist  who  shall
13    maintain supervision of the patient.
14        (7)  "Documented  current and relevant diagnosis" for the
15    purpose of this  Act  means  a  diagnosis,  substantiated  by
16    signature  or  oral  verification of a physician, dentist, or
17    podiatrist, that a patient's condition is such that it may be
18    treated by physical therapy as defined  in  this  Act,  which
19    diagnosis  shall  remain  in  effect  until  changed  by  the
20    physician, dentist or podiatrist.
21        (8)  "State" includes:
22             (a)  The states of the United States of America;
23             (b)  District of Columbia; or
24             (c)  The Commonwealth of Puerto Rico.
25        (9)  "Physical   therapist   assistant"  means  a  person
26    licensed to assist a physical therapist and who has  met  all
27    requirements  as provided in this Act and who works under the
28    supervision of a licensed physical  therapist  to  assist  in
29    implementing   the  physical  therapy  treatment  program  as
30    established by the licensed physical therapist.  The  patient
31    care  activities provided by the physical therapist assistant
32    shall not include the interpretation of referrals, evaluation
33    procedures, the  planning  of,  or  major  modifications  of,
34    patient programs.
 
                            -4-            LRB9204161LBgcam01
 1        (10)  "Physical  therapy  "aides" aide" means any support
 2    personnel a person who have has received on the job training,
 3    specific to the facility in which they are he is employed and
 4    may be involved  in  providing  physical  therapist  directed
 5    support   services   that   may  include  patient-related  or
 6    nonpatient-related duties,  but  who  has  not  completed  an
 7    approved physical therapist assistant program.
 8    (Source: P.A. 85-1440; 86-1396.)

 9        (225 ILCS 90/2) (from Ch. 111, par. 4252)
10        Sec.   2.    Licensure  requirement;  exempt  activities.
11    Practice without a license forbidden - exception.  No  person
12    shall  after  the  date  of August 31, 1965 begin to practice
13    physical therapy in this State or hold himself out  as  being
14    able  to  practice  this profession, unless he is licensed as
15    such in accordance with the provisions of this Act. After the
16    effective date of this amendatory  Act  of  1990,  no  person
17    shall  practice  or  hold himself out as a physical therapist
18    assistant unless he is licensed as such under this Act.
19        This Act does not prohibit:
20             (1)  Any person licensed in  this  State  under  any
21        other  Act  from engaging in the practice for which he is
22        licensed.
23             (2)  The  practice  of  physical  therapy  by  those
24        persons, practicing under the supervision of  a  licensed
25        physical   therapist   and   who  have  met  all  of  the
26        qualifications as provided in Sections 7, 8.1, and  9  of
27        this  Act,  until  the  next  examination  is  given  for
28        physical  therapists or physical therapist assistants and
29        the results have been received by the Department and  the
30        Department has determined the applicant's eligibility for
31        a  license. Anyone failing to pass said examination shall
32        not again practice physical therapy until such time as an
33        examination has been successfully passed by such person.
 
                            -5-            LRB9204161LBgcam01
 1             (3)  The practice of physical therapy for  a  period
 2        not  exceeding  6 months by a person who is in this State
 3        on a temporary basis to  assist  in  a  case  of  medical
 4        emergency  or  to  engage  in  a special physical therapy
 5        project, and who meets the qualifications for a  physical
 6        therapist  as  set  forth in Sections 7 and 8 of this Act
 7        and is licensed in another state as a physical therapist.
 8             (4)  Practice  of  physical  therapy  by   qualified
 9        persons who have filed for endorsement for no longer than
10        one   year  or  until  such  time  that  notification  of
11        licensure has been granted or denied, whichever period of
12        time is lesser.
13             (5)  One or more licensed physical  therapists  from
14        forming  a  professional  service  corporation  under the
15        provisions of the "Professional Service Corporation Act",
16        approved September 15, 1969, as now or hereafter amended,
17        and  licensing  such  corporation  for  the  practice  of
18        physical therapy.
19             (6)  Physical therapy aides from performing  patient
20        care   activities   under   the   direction  and  on-site
21        supervision of a licensed physical therapist or  licensed
22        physical  therapist  assistant  who  is  present  in  the
23        immediate  area  and  who  is  involved in each treatment
24        session in which a component of treatment is directed  to
25        a  physical  therapy  aide. These patient care activities
26        shall not include interpretation of referrals, evaluation
27        procedures, the planning of or  major  modifications  of,
28        patient programs.
29             (7)  Physical  Therapist  Assistants from performing
30        patient care activities under the general supervision  of
31        a  licensed  physical  therapist.  The physical therapist
32        must  maintain  continual  contact  with   the   physical
33        therapist    assistant    including   periodic   personal
34        supervision and instruction  to  insure  the  safety  and
 
                            -6-            LRB9204161LBgcam01
 1        welfare of the patient.
 2             (8)  The  practice of physical therapy by a physical
 3        therapy student or a physical therapist assistant student
 4        under the on-site  supervision  of  a  licensed  physical
 5        therapist.    The  physical  therapist  shall  be readily
 6        available  for  direct  supervision  and  instruction  to
 7        insure the safety and welfare of the patient.
 8             (9)  The practice of physical therapy as part of  an
 9        educational  program  by a physical therapist licensed in
10        another state or country for a period  not  to  exceed  6
11        months.
12    (Source: P.A. 90-580, eff. 5-21-98.)

13        (225 ILCS 90/14.1 new)
14        Sec.  14.1.  Continuing  education  renewal requirements.
15    The Department shall promulgate rules  concerning  continuing
16    education for persons licensed under this Act that require 40
17    hours of continuing education per license renewal cycle for a
18    physical  therapist  and 20 hours of continuing education per
19    license renewal cycle for a physical therapist assistant.  In
20    establishing  these  rules,  the  Department  shall  consider
21    education required for  the  2  categories  of  licensees  to
22    maintain   current   knowledge  and  understanding  of  their
23    respective  scope  of  practice,  professional  ethics,   and
24    standards  of care, as described in this Act, and in material
25    provided  by   relevant   professional   associations.    The
26    Department  shall  also consider the educational requirements
27    for board certification in physical therapy specialty  areas,
28    requirements   for  advanced  clinical  or  academic  degrees
29    related  to  physical  therapy,  requirements  for  attaining
30    advanced skills specific to particular practice  environments
31    and patient populations, and the educational needs related to
32    special  interest groups within the professions.  These rules
33    shall assure that licensees  are  given  the  opportunity  to
 
                            -7-            LRB9204161LBgcam01
 1    participate  in  those programs sponsored by or through their
 2    professional associations, hospitals, or employers and  which
 3    are  relevant  to  their  practice.   These  rules shall also
 4    address variances for illness or hardship.  Each licensee  is
 5    responsible   for   maintaining   records  of  completion  of
 6    continuing education and shall be  prepared  to  produce  the
 7    records when requested by the Department.

 8        Section  99.  Effective date.  This Act takes effect upon
 9    becoming law.".

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