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S.B. 43 Enrolled

                 

RECREATIONAL THERAPY PRACTICE

                 
AMENDMENTS

                 
2004 GENERAL SESSION

                 
STATE OF UTAH

                 
Sponsor: Gene Davis

                 
                  LONG TITLE
                  General Description:
                      This bill modifies provisions of the Recreational Therapy Practice Act.
                  Highlighted Provisions:
                      This bill:
                      .    provides a definition for assessment and modifies the definitions of practice
                  recreational therapy, treatment plan, and unprofessional conduct;
                      .    modifies licensing requirements for master therapeutic recreational specialists,
                  therapeutic recreational specialists, and therapeutic recreational technicians;
                      .    modifies the scope of practice of master therapeutic specialists and therapeutic
                  recreational technicians;
                      .    modifies the content of a recreational therapy treatment or intervention plan; and
                      .    repeals exemptions from licensure to engage in the practice of recreational therapy.
                  Monies Appropriated in this Bill:
                      None
                  Other Special Clauses:
                      None
                  Utah Code Sections Affected:
                  AMENDS:
                      58-40-2, as last amended by Chapter 297, Laws of Utah 1993
                      58-40-5, as last amended by Chapter 5, Laws of Utah 1992, Third Special Session
                      58-40-6, as repealed and reenacted by Chapter 108, Laws of Utah 1992
                      58-40-7, as repealed and reenacted by Chapter 108, Laws of Utah 1992


                      63-55-258, as last amended by Chapters 49 and 254, Laws of Utah 2003
                  REPEALS:
                      58-40-12, as repealed and reenacted by Chapter 297, Laws of Utah 1993
                 
                  Be it enacted by the Legislature of the state of Utah:
                      Section 1. Section 58-40-2 is amended to read:
                       58-40-2. Definitions.
                      In addition to the definitions in Section 58-1-102 , as used in this chapter:
                      (1) "Approved," when used to refer to a course of education, training, experience,
                  examination, or other licensing requirement, means with approval by the division in collaboration
                  with the board.
                      (2) "Assessment" means the use of skilled observation or evaluation by administering and
                  interpreting standardized or nonstandardized tests and measurements to identify areas for
                  recreational therapy services.
                      [(2)] (3) "Board" means the Board of Recreational Therapy.
                      [(3)] (4) (a) "Practice recreational therapy" means to engage in the paid performance of
                  providing therapeutic recreation services [directing, initiating, or prescribing procedures and
                  activities according to a treatment plan to improve, maintain, prevent, or retard the development
                  of] according to the therapeutic recreational process to individuals with an emotional, social,
                  intellectual, or physical pathology [in others by utilizing sports, games, or other recreational or
                  leisure activities].
                      (b) A therapeutic recreational process involves minimum skills for competent practice and
                  includes necessary knowledge to provide the following patient services:
                      (i) assessment of individual needs for therapeutic recreational intervention;
                      (ii) development of an individualized treatment or intervention plan based on assessed
                  interests and needs;
                      (iii) appropriate implementation of therapeutic intervention services;
                      (iv) evaluation and documentation of patient outcomes; and

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                      (v) the organization and management of therapeutic recreational services.
                      [(4)] (5) "Treatment or intervention plan" means a written record containing the
                  information required by Section 58-40-7 , which is composed for each patient by a person licensed
                  as a master therapeutic recreational specialist or therapeutic recreational specialist under this
                  chapter.
                      [(5)] (6) "Unlawful conduct" as defined in Section 58-1-501 includes the following
                  conduct by any individual who is not licensed under this chapter:
                      (a) advertising or representing himself as being able to teach or conduct a recreational
                  therapy program; or
                      (b) using in connection with his name the initials MTRS, TRS, or TRT, or any term, title,
                  abbreviation, sign, or device relating to the practice of recreational therapy or the licenses under
                  this chapter.
                      [(6)] (7) "Unprofessional conduct" as defined in Section 58-1-501 and as may be further
                  defined by rule includes:
                      (a) failing to supervise a therapeutic recreational technician, a student intern, or
                  temporarily licensed therapeutic recreational specialist when required to do so;
                      (b) failing to keep or maintain a recreational therapy treatment plan;
                      (c) making sexual advances to a patient or requesting of a patient sexual favors, sexual
                  intercourse, or other verbal or physical conduct of a sexual nature;
                      (d) possessing or using illegal or unprescribed prescription drugs or medications;
                      (e) using or being under the influence of intoxicating beverages while performing
                  recreational therapy; or
                      (f) violating Sections 58-40-6 through 58-40-7 .
                      Section 2. Section 58-40-5 is amended to read:
                       58-40-5. License requirements.
                      (1) The division shall issue a license to practice as a master therapeutic recreational
                  specialist to any applicant who:
                      (a) (i) has completed an approved [master's] graduate degree in [recreational therapy]

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                  therapeutic recreation or a [master's] graduate degree with an approved emphasis in [recreational
                  therapy] therapeutic recreation; and
                      (ii) has completed [two years of full-time] 4,000 hours of paid experience, as defined by
                  division rule made in accordance with Title 63, Chapter 46a, Utah Administrative Rulemaking
                  Act, as a licensed therapeutic recreational specialist or [approved equivalent experience] as a
                  certified therapeutic recreational specialist certified by the National Council for Therapeutic
                  Recreation Certification;
                      (b) is of good moral character;
                      (c) submits an application;
                      (d) pays the required fee; and
                      (e) passes an approved examination.
                      (2) The division shall issue a license to practice as a therapeutic recreational specialist to
                  any applicant who:
                      (a) has completed an approved bachelor's or graduate degree in [recreational therapy]
                  therapeutic recreation, a bachelor's or graduate degree with an approved emphasis in [recreational
                  therapy] therapeutic recreation, or a bachelor's or graduate degree with approved additional
                  course work in [recreational therapy] therapeutic recreation after graduation;
                      (b) has completed an approved practicum;
                      (c) is of good moral character;
                      (d) submits an application;
                      (e) pays the required fee; and
                      (f) passes an approved examination.
                      (3) The division shall issue a license to practice as a therapeutic recreational technician to
                  any applicant who:
                      [(a) has completed an approved training program supervised by a licensed master
                  therapeutic recreational specialist;]
                      (a) has received a high school diploma or GED equivalent;
                      (b) has completed:

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                      (i) an approved educational course in therapeutic recreation taught by a licensed master
                  therapeutic recreational specialist; or
                      (ii) six semester hours or nine quarter hours in therapeutic recreation from an accredited
                  college or university;
                      (c) has completed an approved practicum under the supervision of a licensed master
                  therapeutic recreational specialist or an on-site, full-time employed therapeutic recreational
                  specialist;
                      [(b)] (d) is of good moral character;
                      [(c)] (e) submits an application;
                      [(d)] (f) pays the required fee; and
                      [(e)] (g) passes an approved examination.
                      Section 3. Section 58-40-6 is amended to read:
                       58-40-6. Scope of practice.
                      (1) A master therapeutic recreational specialist may:
                      (a) practice recreational therapy as [an unsupervised, independent, or private practice
                  consultant able to contract with or be employed by others] an employee of a hospital, clinic,
                  agency, or other facility, in private practice, or as a consultant; and
                      (b) supervise and train other licensees under this chapter.
                      (2) A therapeutic recreational specialist may:
                      (a) practice recreational therapy as the employee of a hospital, clinic, agency, or other
                  facility; and
                      (b) supervise [therapeutic recreational technicians] other licensees under this chapter.
                      (3) [(a)] A therapeutic recreational technician may [practice]:
                      (a) perform recreational therapy services only:
                      (i) under the supervision of a master therapeutic recreational specialist or a therapeutic
                  recreational specialist employed full-time, on-site in the same hospital, clinic, [agency,] or [other]
                  facility[. (b) A therapeutic recreational technician may prescribe or modify]; or
                      (ii) in consultation with a master therapeutic recreational specialist;

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                      (b) maintain the ongoing documentation of services provided in accordance with a
                  treatment or intervention plan only:
                      (i) under the supervision of either a master therapeutic recreational specialist or a
                  therapeutic recreational specialist employed full-time, on-site; or [under]
                      (ii) in consultation [of] with a master therapeutic recreational specialist[.]; and
                      (c) not perform assessments or prescribe or modify a treatment or intervention plan or
                  approve or cosign modifications to a treatment or intervention plan.
                      Section 4. Section 58-40-7 is amended to read:
                       58-40-7. Recreational therapy treatment or intervention plans.
                      [Each licensee under]
                      (1) Under this chapter [shall keep], a recreational therapy treatment or intervention plan
                  shall be maintained for each patient.
                      (2) The plan shall include:
                      [(1)] (a) an assessment based on the strengths, limitations, interests, and needs of the
                  patient;
                      [(2)] (b) prescribed [procedures,] intervention strategies and approaches[, and
                  recommended activities];
                      [(3)] (c) patient goals and measurable treatment or intervention objectives and outcomes;
                  and
                      [(4)] (d) evaluations of progress and treatment.
                      Section 5. Section 63-55-258 is amended to read:
                       63-55-258. Repeal dates, Title 58.
                      (1) Title 58, Chapter 3a, Architects Licensing Act, is repealed July 1, 2013.
                      (2) Title 58, Chapter 5a, Podiatric Physician Licensing Act, is repealed July 1, 2007.
                      (3) Title 58, Chapter 9, Funeral Services Licensing Act, is repealed July 1, 2008.
                      (4) Title 58, Chapter 13, Health Care Providers Immunity from Liability Act, is repealed
                  July 1, 2006.
                      (5) Title 58, Chapter 15, Health Facility Administrator Act, is repealed July 1, 2005.

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                      (6) Title 58, Chapter 16a, Utah Optometry Practice Act, is repealed July 1, 2009.
                      (7) Title 58, Chapter 17a, Pharmacy Practice Act, is repealed July 1, 2006.
                      (8) Title 58, Chapter 20a, Environmental Health Scientist Act, is repealed July 1, 2013.
                      (9) Title 58, Chapter 22, Professional Engineers and Professional Land Surveyors
                  Licensing Act, is repealed July 1, 2005.
                      (10) Title 58, Chapter 24a, Physical Therapist Practice Act, is repealed July 1, 2013.
                      (11) Title 58, Chapter 26a, Certified Public Accountant Licensing Act, is repealed July 1,
                  2007.
                      (12) Title 58, Chapter 28, Veterinary Practice Act, is repealed July 1, 2004.
                      (13) Title 58, Chapter 31b, Nurse Practice Act, is repealed July 1, 2005.
                      (14) Title 58, Chapter 37, Utah Controlled Substances Act, is repealed July 1, 2007.
                      (15) Title 58, Chapter 37a, Utah Drug Paraphernalia Act, is repealed July 1, 2007.
                      (16) Title 58, Chapter 37b, Imitation Controlled Substances Act, is repealed July 1, 2007.
                      (17) Title 58, Chapter 40, Recreational Therapy Practice Act, is repealed July 1, [2005]
                  2013.
                      (18) Title 58, Chapter 41, Speech-language Pathology and Audiology Licensing Act, is
                  repealed July 1, 2009.
                      (19) Title 58, Chapter 42a, Occupational Therapy Practice Act, is repealed July 1, 2005.
                      (20) Title 58, Chapter 44a, Nurse Midwife Practice Act, is repealed July 1, 2010.
                      (21) Title 58, Chapter 46a, Hearing Instrument Specialist Licensing Act, is repealed July
                  1, 2013.
                      (22) Title 58, Chapter 47b, Massage Therapy Practice Act, is repealed July 1, 2004.
                      (23) Title 58, Chapter 49, Dietitian Certification Act, is repealed July 1, 2005.
                      (24) Title 58, Chapter 53, Landscape Architects Licensing Act, is repealed July 1, 2008.
                      (25) Title 58, Chapter 59, Professional Employer Organization Licensing Act, is repealed
                  July 1, 2007.
                      (26) Title 58, Chapter 67, Utah Medical Practice Act, is repealed July 1, 2006.
                      (27) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act, is repealed July 1,

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                  2006.
                      (28) Title 58, Chapter 69, Dentist and Dental Hygienist Practice Act, is repealed July 1,
                  2006.
                      (29) Title 58, Chapter 71, Naturopathic Physician Practice Act, is repealed July 1, 2006.
                      (30) Title 58, Chapter 72, Acupuncture Licensing Act, is repealed July 1, 2007.
                      (31) Title 58, Chapter 73, Chiropractic Physician Practice Act, is repealed July 1, 2006.
                      Section 6. Repealer.
                      This bill repeals:
                      Section 58-40-12, Exemptions.

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