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92_HB3194 LRB9205124LBgc 1 AN ACT concerning the regulation of professions. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Illinois Occupational Therapy Practice 5 Act is amended by changing Section 2 and adding Sections 3.1 6 and 11.1 as follows: 7 (225 ILCS 75/2) (from Ch. 111, par. 3702) 8 Sec. 2. Definitions. In this Act: 9 (1) "Department" means the Department of Professional 10 Regulation. 11 (2) "Director" means the Director of Professional 12 Regulation. 13 (3) "Board" means the Illinois Occupational Therapy 14 Board appointed by the Director. 15 (4) "Registered Occupational Therapist" means a person 16 licensed to practice occupational therapy as defined in this 17 Act, and whose license is in good standing. 18 (5) "Certified Occupational Therapy Assistant" means a 19 person licensed to assist in the practice of occupational 20 therapy under the supervision of a Registered Occupational 21 Therapist, and to implement the occupational therapy 22 treatment program as established by the Registered 23 Occupational Therapist. Such program may include training in 24 activities of daily living, the use of therapeutic activity 25 including task oriented activity to enhance functional 26 performance, and guidance in the selection and use of 27 adaptive equipment. 28 (6) "Occupational Therapy" means the therapeutic use of 29 purposeful and meaningful occupations or goal-directed 30 activities to evaluate and provide interventions for 31 individuals and populations who have a disease or disorder, -2- LRB9205124LBgc 1 an impairment, an activity limitation, or a participation 2 restriction that interferes with their ability to function 3 independently in their daily life roles and to promote health 4 and wellness. Occupational therapy intervention may include 5 any of the following: 6 (a) remediation or restoration of performance 7 abilities that are limited due to impairment in 8 biological, physiological, psychological, or neurological 9 processes; 10 (b) adaptation of task, process, or the environment 11 or the teaching of compensatory techniques in order to 12 enhance performance; 13 (c) disability prevention methods and techniques 14 that facilitate the development or safe application of 15 performance skills; and 16 (d) health promotion strategies and practices that 17 enhance performance abilities. 18 The occupational therapist may assume a variety of 19 roles in his or her career including, but not limited 20 to, practitioner, supervisor of professional students and 21 volunteers, researcher, scholar, consultant, 22 administrator, faculty, clinical instructor, and educator 23 of consumers, peers, and family.the evaluation of24functional performance ability of persons impaired by25physical illness or injury, emotional disorder,26congenital or developmental disability, or the aging27process, and the analysis, selection and application of28occupations or goal directed activities, for the29treatment or prevention of these disabilities to achieve30optimum functioning. Occupational therapy services31include, but are not limited to activities of daily32living (ADL); the design fabrication and application or33splints, administration and interpretation of34standardized tests to identify dysfunctions,-3- LRB9205124LBgc 1sensory-integrative and perceptual motor activities, the2use of task oriented activities, guidance in the3selection and use of assistive devices, goal oriented4activities directed toward enhancing functional5performance, prevocational evaluation and vocational6training, and consultation in the adaptation of physical7environments for the handicapped. These services are8provided to individuals or groups through medical,9health, educational, and social systems. An occupational10therapist may evaluate a person but shall obtain a11referral by a physician before treatment is administered12by the occupational therapist. An occupational therapist13shall refer to a licensed physician, dentist, or14podiatrist any patient whose medical condition should, at15the time of evaluation or treatment, be determined to be16beyond the scope of practice of the occupational17therapist. 18 (7) "Occupational therapy services" means services that 19 may be provided to individuals and populations including, 20 without limitation, the following: 21 (a) evaluating, developing, improving, sustaining, 22 or restoring skills in activities of daily living, work, 23 or productive activities, including instrumental living 24 and play and leisure activities; 25 (b) evaluating, developing, improving, or restoring 26 sensory motor, cognitive, or psychosocial components of 27 performance; 28 (c) designing, fabricating, applying, or training in 29 the use of assistive technology or orthotic devices and 30 training in the use of prosthestic devices; 31 (d) adapting environments and processes, including 32 the application of ergonomic principles, to enhance 33 performance and safety in daily life roles; 34 (e) applying physical agent modalities as an adjunct -4- LRB9205124LBgc 1 to or in preparation for engagement in occupations; 2 (f) evaluating and providing intervention in 3 collaboration with the client, family, caregiver, or 4 others; 5 (g) educating the client, family, caregiver, or 6 others in carrying out appropriate nonskilled 7 interventions; and 8 (h) consulting with groups, programs, organizations, 9 or communities to provide population-based services. 10 (8) "Occupational therapy aid" means an individual 11 who provides supportive services to occupational therapy 12 practitioners but who is not certified by a nationally 13 recognized occupational therapy certifying or licensing 14 body. 15 (Source: P.A. 88-424.) 16 (225 ILCS 75/3.1 new) 17 Sec. 3.1. Referrals. An occupational therapist may enter a 18 case for the purposes of providing consultation, education, 19 and monitoring services and for evaluating an individual for 20 the need for occupational therapy services for non-medical 21 client needs. Implementation of direct occupational therapy 22 to individuals for their specific health care conditions 23 shall be based upon a referral from a licensed physician, 24 dentist, podiatrist, optometrist, or any other qualified 25 licensed health care professional who, within the scope of 26 the professional licensure, is authorized to refer for health 27 care services. 28 (225 ILCS 75/11.1 new) 29 Sec. 11.1. Continuing education requirement. Licensed 30 occupational therapists and certified occupational therapy 31 assistants shall demonstrate continued competency as a 32 requirement for the renewal of their licenses. Continued -5- LRB9205124LBgc 1 competency is the ongoing application and integration of 2 knowledge, critical thinking, interpersonal, and psychomotor 3 skills essential to safely and effectively deliver 4 occupational therapy services within the context of a 5 practitioner's role and environment. The indicators of 6 continued competency change over time as various factors, 7 such as a change in role, practice setting, or client 8 population and responsibility, reshape the scope of an 9 occupational therapist's practice. Continued competency 10 includes the demonstration of observable and quantifiable 11 behaviors throughout the occupational therapy process 12 including evaluation, planning, analysis, and modification of 13 interventions, supervision, administration, research, and 14 education. Interpersonal and behavioral characteristics of 15 continued competency include a safe, efficient, and effective 16 service of practice and an ongoing assumption of 17 responsibility for continued professional growth and 18 development. 19 Section 99. Effective date. This Act takes effect on 20 January 1, 2002.