Download Zipped Introduced WordPerfect SB0137.ZIP
[Status][Bill Documents][Fiscal Note][Bills Directory]

S.B. 137

             1     

PHYSICAL THERAPY PRACTICE ACT

             2     
2009 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Wayne L. Niederhauser

             5     
House Sponsor: Gregory H. Hughes

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill recodifies and amends the Physical Therapist Practice Act.
             10      Highlighted Provisions:
             11          This bill:
             12          .    defines terms;
             13          .    recodifies the "Physical Therapist Practice Act" as the "Physical Therapy Practice
             14      Act";
             15          .    describes the membership and duties of the Physical Therapy Licensing Board;
             16          .    requires the board to designate a member of the board to assist the division in
             17      reviewing and investigating complaints of unlawful or unprofessional conduct;
             18          .    prohibits a person from practicing physical therapy in Utah, unless the person is
             19      licensed to practice physical therapy in Utah or is exempt from the requirements of
             20      this bill;
             21          .    describes the requirements for licensure as a physical therapist or a physical
             22      therapist assistant;
             23          .    describes requirements relating to the term of a license, license renewal, exemption
             24      from licensure, and denial of a license;
             25          .    describes the power of the Division of Occupational and Professional Licensing to
             26      discipline a license holder and to issue a cease and desist order;
             27          .    describes the practice of physical therapy and the scope of a license for a physical


             28      therapist and a physical therapist assistant;
             29          .    describes the function of a physical therapy aide;
             30          .    describes the duties of a physical therapist in relation to patient care and
             31      management;
             32          .    describes the circumstances under which a physical therapist may administer certain
             33      prescription medications;
             34          .    grants rulemaking authority to the Division of Occupational and Professional
             35      Licensing;
             36          .    describes requirements relating to the practice of animal physical therapy;
             37          .    describes unlawful and unprofessional conduct relating to physical therapy;
             38          .    provides for confidentiality and immunity, under certain circumstances, for
             39      reporting unlawful or unprofessional conduct;
             40          .    exempts a physical therapist assistant from licensure under the Massage Therapy
             41      Practice Act;
             42          .    includes a physical therapist assistant as a health care provider covered under the
             43      provisions of the Utah Health Care Malpractice Act; and
             44          .    makes technical changes.
             45      Monies Appropriated in this Bill:
             46          None
             47      Other Special Clauses:
             48          None
             49      Utah Code Sections Affected:
             50      AMENDS:
             51          16-11-2, as last amended by Laws of Utah 2006, Chapter 242
             52          34A-2-111, as last amended by Laws of Utah 2008, Chapter 382
             53          48-2c-1502, as last amended by Laws of Utah 2004, Chapter 280
             54          58-28-307, as renumbered and amended by Laws of Utah 2006, Chapter 109
             55          58-47b-304, as last amended by Laws of Utah 2000, Chapter 309
             56          78B-3-403, as renumbered and amended by Laws of Utah 2008, Chapter 3
             57      ENACTS:
             58          58-24b-101, Utah Code Annotated 1953


             59          58-24b-102, Utah Code Annotated 1953
             60          58-24b-201, Utah Code Annotated 1953
             61          58-24b-301, Utah Code Annotated 1953
             62          58-24b-302, Utah Code Annotated 1953
             63          58-24b-303, Utah Code Annotated 1953
             64          58-24b-304, Utah Code Annotated 1953
             65          58-24b-305, Utah Code Annotated 1953
             66          58-24b-401, Utah Code Annotated 1953
             67          58-24b-402, Utah Code Annotated 1953
             68          58-24b-403, Utah Code Annotated 1953
             69          58-24b-404, Utah Code Annotated 1953
             70          58-24b-405, Utah Code Annotated 1953
             71          58-24b-501, Utah Code Annotated 1953
             72          58-24b-502, Utah Code Annotated 1953
             73          58-24b-503, Utah Code Annotated 1953
             74          58-24b-504, Utah Code Annotated 1953
             75      REPEALS:
             76          58-24a-101, as enacted by Laws of Utah 1991, Chapter 237
             77          58-24a-102, as last amended by Laws of Utah 2006, Chapter 109
             78          58-24a-103, as enacted by Laws of Utah 1991, Chapter 237
             79          58-24a-104, as enacted by Laws of Utah 1991, Chapter 237
             80          58-24a-105, as last amended by Laws of Utah 2004, Chapter 280
             81          58-24a-106, as enacted by Laws of Utah 1991, Chapter 237
             82          58-24a-107, as enacted by Laws of Utah 1991, Chapter 237
             83          58-24a-108, as last amended by Laws of Utah 1993, Chapter 297
             84          58-24a-109, as last amended by Laws of Utah 1992, Chapter 30
             85          58-24a-110, as last amended by Laws of Utah 1993, Chapter 297
             86          58-24a-111, as repealed and reenacted by Laws of Utah 1993, Chapter 297
             87          58-24a-112, as last amended by Laws of Utah 1994, Chapter 222
             88          58-24a-114, as repealed and reenacted by Laws of Utah 1993, Chapter 297
             89     


             90      Be it enacted by the Legislature of the state of Utah:
             91          Section 1. Section 16-11-2 is amended to read:
             92           16-11-2. Definitions.
             93          As used in this chapter:
             94          (1) "Filed" means the division has received and approved, as to form, a document
             95      submitted under the provisions of this chapter, and has marked on the face of the document a
             96      stamp or seal indicating the time of day and date of approval, the name of the division, the
             97      division director's signature and division seal, or facsimiles of the signature or seal.
             98          (2) "Professional corporation" means a corporation organized under this chapter.
             99          (3) "Professional service" means the personal service rendered by:
             100          (a) a physician, surgeon, or doctor of medicine holding a license under Title 58,
             101      Chapter 67, Utah Medical Practice Act, and any subsequent laws regulating the practice of
             102      medicine;
             103          (b) a doctor of dentistry holding a license under Title 58, Chapter 69, Dentist and
             104      Dental Hygienist Practice Act, and any subsequent laws regulating the practice of dentistry;
             105          (c) an osteopathic physician or surgeon holding a license under Title 58, Chapter 68,
             106      Utah Osteopathic Medical Practice Act, and any subsequent laws regulating the practice of
             107      osteopathy;
             108          (d) a chiropractor holding a license under Title 58, Chapter 73, Chiropractic Physician
             109      Practice Act, and any subsequent laws regulating the practice of chiropractic;
             110          (e) a podiatric physician holding a license under Title 58, Chapter 5a, Podiatric
             111      Physician Licensing Act, and any subsequent laws regulating the practice of podiatry;
             112          (f) an optometrist holding a license under Title 58, Chapter 16a, Utah Optometry
             113      Practice Act, and any subsequent laws regulating the practice of optometry;
             114          (g) a veterinarian holding a license under Title 58, Chapter 28, Veterinary Practice Act,
             115      and any subsequent laws regulating the practice of veterinary medicine;
             116          (h) an architect holding a license under Title 58, Chapter 3a, Architects Licensing Act,
             117      and any subsequent laws regulating the practice of architecture;
             118          (i) a public accountant holding a license under Title 58, Chapter 26a, Certified Public
             119      Accountant Licensing Act, and any subsequent laws regulating the practice of public
             120      accounting;


             121          (j) a naturopath holding a license under Title 58, Chapter 71, Naturopathic Physician
             122      Practice Act, and any subsequent laws regulating the practice of naturopathy;
             123          (k) a pharmacist holding a license under Title 58, Chapter 17b, Pharmacy Practice Act,
             124      and any subsequent laws regulating the practice of pharmacy;
             125          (l) an attorney granted the authority to practice law by:
             126          (i) the Utah Supreme Court; or
             127          (ii) the Supreme Court, other court, agency, instrumentality, or regulating board that
             128      licenses or regulates the authority to practice law in any state or territory of the United States
             129      other than Utah;
             130          (m) a professional engineer registered under Title 58, Chapter 22, Professional
             131      Engineers and Professional Land Surveyors Licensing Act;
             132          (n) a real estate broker or real estate agent holding a license under Title 61, Chapter 2,
             133      Division of Real Estate, and any subsequent laws regulating the selling, exchanging,
             134      purchasing, renting, or leasing of real estate;
             135          (o) a psychologist holding a license under Title 58, Chapter 61, Psychologist Licensing
             136      Act, and any subsequent laws regulating the practice of psychology;
             137          (p) a clinical or certified social worker holding a license under Title 58, Chapter 60,
             138      Part 2, Social Worker Licensing Act, and any subsequent laws regulating the practice of social
             139      work;
             140          (q) a physical therapist holding a license under Title 58, Chapter [24a, Physical
             141      Therapist] 24b, Physical Therapy Practice Act, and any subsequent laws regulating the practice
             142      of physical therapy;
             143          (r) a nurse licensed under Title 58, Chapter 31b, Nurse Practice Act, or Title 58,
             144      Chapter 44a, Nurse Midwife Practice Act; or
             145          (s) a landscape architect licensed under Title 58, Chapter 53, Landscape Architects
             146      Licensing Act, and any subsequent laws regulating landscape architects.
             147          (4) "Regulating board" means the board that is charged with the licensing and
             148      regulation of the practice of the profession which the professional corporation is organized to
             149      render. The definitions of Title 16, Chapter 10a, Utah Revised Business Corporation Act,
             150      apply to this chapter unless the context clearly indicates that a different meaning is intended.
             151          Section 2. Section 34A-2-111 is amended to read:


             152           34A-2-111. Managed health care programs -- Other safety programs.
             153          (1) As used in this section:
             154          (a) (i) "Health care provider" means a person who furnishes treatment or care to
             155      persons who have suffered bodily injury.
             156          (ii) "Health care provider" includes:
             157          (A) a hospital;
             158          (B) a clinic;
             159          (C) an emergency care center;
             160          (D) a physician;
             161          (E) a nurse;
             162          (F) a nurse practitioner;
             163          (G) a physician's assistant;
             164          (H) a paramedic; or
             165          (I) an emergency medical technician.
             166          (b) "Physician" means any health care provider licensed under:
             167          (i) Title 58, Chapter 5a, Podiatric Physician Licensing Act;
             168          (ii) Title 58, Chapter [24a, Physical Therapist] 24b, Physical Therapy Practice Act;
             169          (iii) Title 58, Chapter 67, Utah Medical Practice Act;
             170          (iv) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
             171          (v) Title 58, Chapter 69, Dentist and Dental Hygienist Practice Act;
             172          (vi) Title 58, Chapter 70a, Physician Assistant Act;
             173          (vii) Title 58, Chapter 71, Naturopathic Physician Practice Act;
             174          (viii) Title 58, Chapter 72, Acupuncture Licensing Act; and
             175          (ix) Title 58, Chapter 73, Chiropractic Physician Practice Act.
             176          (c) "Preferred health care facility" means a facility:
             177          (i) that is a health care facility as defined in Section 26-21-2 ; and
             178          (ii) designated under a managed health care program.
             179          (d) "Preferred provider physician" means a physician designated under a managed
             180      health care program.
             181          (e) "Self-insured employer" is as defined in Section 34A-2-201.5 .
             182          (2) (a) A self-insured employer and insurance carrier may adopt a managed health care


             183      program to provide employees the benefits of this chapter or Chapter 3, Utah Occupational
             184      Disease Act, beginning January 1, 1993. The plan shall comply with this Subsection (2).
             185          (b) (i) A preferred provider program may be developed if the preferred provider
             186      program allows a selection by the employee of more than one physician in the health care
             187      specialty required for treating the specific problem of an industrial patient.
             188          (ii) (A) Subject to the requirements of this section, if a preferred provider program is
             189      developed by an insurance carrier or self-insured employer, an employee is required to use:
             190          (I) preferred provider physicians; and
             191          (II) preferred health care facilities.
             192          (B) If a preferred provider program is not developed, an employee may have free
             193      choice of health care providers.
             194          (iii) The failure to do the following may, if the employee has been notified of the
             195      preferred provider program, result in the employee being obligated for any charges in excess of
             196      the preferred provider allowances:
             197          (A) use a preferred health care facility; or
             198          (B) initially receive treatment from a preferred provider physician.
             199          (iv) Notwithstanding the requirements of Subsections (2)(b)(i) through (iii), a
             200      self-insured employer or other employer may:
             201          (A) (I) (Aa) have its own health care facility on or near its worksite or premises; and
             202          (Bb) continue to contract with other health care providers; or
             203          (II) operate a health care facility; and
             204          (B) require employees to first seek treatment at the provided health care or contracted
             205      facility.
             206          (v) An employee subject to a preferred provider program or employed by an employer
             207      having its own health care facility may procure the services of any qualified health care
             208      provider:
             209          (A) for emergency treatment, if a physician employed in the preferred provider
             210      program or at the health care facility is not available for any reason;
             211          (B) for conditions the employee in good faith believes are nonindustrial; or
             212          (C) when an employee living in a rural area would be unduly burdened by traveling to:
             213          (I) a preferred provider physician; or


             214          (II) preferred health care facility.
             215          (c) (i) (A) An employer, insurance carrier, or self-insured employer may enter into
             216      contracts with the following for the purposes listed in Subsection (2)(c)(i)(B):
             217          (I) health care providers;
             218          (II) medical review organizations; or
             219          (III) vendors of medical goods, services, and supplies including medicines.
             220          (B) A contract described in Subsection (1)(c)(i)(A) may be made for the following
             221      purposes:
             222          (I) insurance carriers or self-insured employers may form groups in contracting for
             223      managed health care services with health care providers;
             224          (II) peer review;
             225          (III) methods of utilization review;
             226          (IV) use of case management;
             227          (V) bill audit;
             228          (VI) discounted purchasing; and
             229          (VII) the establishment of a reasonable health care treatment protocol program
             230      including the implementation of medical treatment and quality care guidelines that are:
             231          (Aa) scientifically based;
             232          (Bb) peer reviewed; and
             233          (Cc) consistent with standards for health care treatment protocol programs that the
             234      commission shall establish by rules made in accordance with Title 63G, Chapter 3, Utah
             235      Administrative Rulemaking Act, including the authority of the commission to approve a health
             236      care treatment protocol program before it is used or disapprove a health care treatment protocol
             237      program that does not comply with this Subsection (2)(c)(i)(B)(VII).
             238          (ii) An insurance carrier may make any or all of the factors in Subsection (2)(c)(i) a
             239      condition of insuring an entity in its insurance contract.
             240          (3) (a) In addition to a managed health care program, an insurance carrier may require
             241      an employer to establish a work place safety program if the employer:
             242          (i) has an experience modification factor of 1.00 or higher, as determined by the
             243      National Council on Compensation Insurance; or
             244          (ii) is determined by the insurance carrier to have a three-year loss ratio of 100% or


             245      higher.
             246          (b) A workplace safety program may include:
             247          (i) a written workplace accident and injury reduction program that:
             248          (A) promotes safe and healthful working conditions; and
             249          (B) is based on clearly stated goals and objectives for meeting those goals; and
             250          (ii) a documented review of the workplace accident and injury reduction program each
             251      calendar year delineating how procedures set forth in the program are met.
             252          (c) A written workplace accident and injury reduction program permitted under
             253      Subsection (3)(b)(i) should describe:
             254          (i) how managers, supervisors, and employees are responsible for implementing the
             255      program;
             256          (ii) how continued participation of management will be established, measured, and
             257      maintained;
             258          (iii) the methods used to identify, analyze, and control new or existing hazards,
             259      conditions, and operations;
             260          (iv) how the program will be communicated to all employees so that the employees are
             261      informed of work-related hazards and controls;
             262          (v) how workplace accidents will be investigated and corrective action implemented;
             263      and
             264          (vi) how safe work practices and rules will be enforced.
             265          (d) For the purposes of a workplace accident and injury reduction program of an
             266      eligible employer described in Subsection 34A-2-103 (7)(f), the workplace accident and injury
             267      reduction program shall:
             268          (i) include the provisions described in Subsections (3)(b) and (c), except that the
             269      employer shall conduct a documented review of the workplace accident and injury reduction
             270      program at least semiannually delineating how procedures set forth in the workplace accident
             271      and injury reduction program are met; and
             272          (ii) require a written agreement between the employer and all contractors and
             273      subcontractors on a project that states that:
             274          (A) the employer has the right to control the manner or method by which the work is
             275      executed;


             276          (B) if a contractor, subcontractor, or any employee of a contractor or subcontractor
             277      violates the workplace accident and injury reduction program, the employer maintains the right
             278      to:
             279          (I) terminate the contract with the contractor or subcontractor;
             280          (II) remove the contractor or subcontractor from the work site; or
             281          (III) require that the contractor or subcontractor not permit an employee that violates
             282      the workplace accident and injury reduction program to work on the project for which the
             283      employer is procuring work; and
             284          (C) the contractor or subcontractor shall provide safe and appropriate equipment
             285      subject to the right of the employer to:
             286          (I) inspect on a regular basis the equipment of a contractor or subcontractor; and
             287          (II) require that the contractor or subcontractor repair, replace, or remove equipment
             288      the employer determines not to be safe or appropriate.
             289          (4) The premiums charged to any employer who fails or refuses to establish a
             290      workplace safety program pursuant to Subsection (3)(b)(i) or (ii) may be increased by 5% over
             291      any existing current rates and premium modifications charged that employer.
             292          Section 3. Section 48-2c-1502 is amended to read:
             293           48-2c-1502. Definitions.
             294          As used in this part:
             295          (1) "Professional services company" means a limited liability company organized
             296      under this part to render professional services.
             297          (2) "Professional services" means the personal services rendered by:
             298          (a) an architect holding a license under Title 58, Chapter 3a, Architects Licensing Act,
             299      and any subsequent laws regulating the practice of architecture;
             300          (b) an attorney granted the authority to practice law by the:
             301          (i) Supreme Court of Utah; or
             302          (ii) the Supreme Court, other court, agency, instrumentality, or regulating board that
             303      licenses or regulates the authority to practice law in any state or territory of the United States
             304      other than Utah;
             305          (c) a chiropractor holding a license under Title 58, Chapter 73, Chiropractic Physician
             306      Practice Act, and any subsequent laws regulating the practice of chiropractic;


             307          (d) a doctor of dentistry holding a license under Title 58, Chapter 69, Dentists and
             308      Dental Hygienists Practice Act, and any subsequent laws, regulating the practice of dentistry;
             309          (e) a professional engineer registered under Title 58, Chapter 22, Professional
             310      Engineers and Professional Land Surveyors Licensing Act;
             311          (f) a naturopath holding a license under Title 58, Chapter 71, Naturopathic Physician
             312      Practice Act, and any subsequent laws regulating the practice of naturopathy;
             313          (g) a nurse licensed under Title 58, Chapter 31b, Nurse Practice Act, or Title 58,
             314      Chapter 44a, Nurse Midwife Practice Act;
             315          (h) an optometrist holding a license under Title 58, Chapter 16a, Utah Optometry
             316      Practice Act, and any subsequent laws regulating the practice of optometry;
             317          (i) an osteopathic physician or surgeon holding a license under Title 58, Chapter 68,
             318      Utah Osteopathic Medical Practice Act, and any subsequent laws regulating the practice of
             319      osteopathy;
             320          (j) a pharmacist holding a license under Title 58, Chapter 17b, Pharmacy Practice Act,
             321      and any subsequent laws regulating the practice of pharmacy;
             322          (k) a physician, surgeon, or doctor of medicine holding a license under Title 58,
             323      Chapter 67, Utah Medical Practice Act, and any subsequent laws regulating the practice of
             324      medicine;
             325          (l) a physical therapist holding a license under Title 58, Chapter [24a, Physical
             326      Therapist] 24b, Physical Therapy Practice Act, and any subsequent laws regulating the practice
             327      of physical therapy;
             328          (m) a podiatric physician holding a license under Title 58, Chapter 5a, Podiatric
             329      Physician Licensing Act, and any subsequent laws regulating the practice of podiatry;
             330          (n) a psychologist holding a license under Title 58, Chapter 61, Psychologist Licensing
             331      Act, and any subsequent laws regulating the practice of psychology;
             332          (o) a public accountant holding a license under Title 58, Chapter 26a, Certified Public
             333      Accountant Licensing Act, and any subsequent laws regulating the practice of public
             334      accounting;
             335          (p) a real estate broker or real estate agent holding a license under Title 61, Chapter 2,
             336      Division of Real Estate, and any subsequent laws regulating the sale, exchange, purchase,
             337      rental, or leasing of real estate;


             338          (q) a clinical or certified social worker holding a license under Title 58, Chapter 60,
             339      Part 2, Social Worker Licensing Act, and any subsequent laws regulating the practice of social
             340      work;
             341          (r) a mental health therapist holding a license under Title 58, Chapter 60, Mental
             342      Health Professional Practice Act, and any subsequent laws regulating the practice of mental
             343      health therapy; and
             344          (s) a veterinarian holding a license under Title 58, Chapter 28, Veterinary Practice Act,
             345      and any subsequent laws regulating the practice of veterinary medicine.
             346          (3) "Regulating board" means the board or agency organized pursuant to state law that
             347      is charged with the licensing and regulation of the practice of the profession that a company is
             348      organized to render.
             349          Section 4. Section 58-24b-101 is enacted to read:
             350     
CHAPTER 24b. PHYSICAL THERAPY PRACTICE ACT

             351     
Part 1. General Provisions

             352          58-24b-101. Title.
             353          This chapter is known as the "Physical Therapy Practice Act."
             354          Section 5. Section 58-24b-102 is enacted to read:
             355          58-24b-102. Definitions.
             356          As used in this chapter:
             357          (1) "Animal physical therapy" means practicing physical therapy or physiotherapy on
             358      an animal.
             359          (2) "Board" means the Utah Physical Therapy Licensing Board, created in Section
             360      58-24b-201 .
             361          (3) "Consultation by telecommunication" means the provision of expert or professional
             362      advice by a physical therapist who is licensed outside of Utah to a licensed physical therapist or
             363      a health care provider by telecommunication or electronic communication.
             364          (4) "General supervision" means supervision and oversight of a person by a licensed
             365      physical therapist when the licensed physical therapist is immediately available in person, by
             366      telephone, or by electronic communication to assist the person.
             367          (5) "Licensed physical therapist" means a person licensed under this chapter to engage
             368      in the practice of physical therapy.


             369          (6) "Licensed physical therapist assistant" means a person licensed under this chapter
             370      to engage in the practice of physical therapy, subject to the provisions of Subsection
             371      58-24b-401 (2)(a).
             372          (7) "Licensing examination" means a nationally recognized physical therapy
             373      examination that is approved by the division, in consultation with the board.
             374          (8) "On-site supervision" means supervision and oversight of a person by a licensed
             375      physical therapist or a licensed physical therapist assistant when the licensed physical therapist
             376      or licensed physical therapist assistant is:
             377          (a) continuously present at the facility where the person is providing services;
             378          (b) immediately available to assist the person; and
             379          (c) regularly involved in the services being provided by the person.
             380          (9) "Physical impairment" means:
             381          (a) a mechanical impairment;
             382          (b) a physiological impairment;
             383          (c) a developmental impairment;
             384          (d) a functional limitation;
             385          (e) a disability;
             386          (f) a mobility impairment; or
             387          (g) a bodily malfunction.
             388          (10) "Physical therapy aide" means a person who:
             389          (a) is trained, on-the-job, by a licensed physical therapist; and
             390          (b) provides routine assistance to a licensed physical therapist or licensed physical
             391      therapist assistant, while the licensed physical therapist or licensed physical therapist assistant
             392      practices physical therapy, within the scope of the licensed physical therapist's or licensed
             393      physical therapist assistant's license.
             394          (11) (a) "Physical therapy" or "physiotherapy" means:
             395          (i) examining, evaluating, testing, and diagnosing an individual who has a physical
             396      impairment or injury;
             397          (ii) formulating a therapeutic intervention plan for the treatment of a physical
             398      impairment, injury, or pain;
             399          (iii) assessing the ongoing effects of therapeutic intervention for the treatment of a


             400      physical impairment or injury;
             401          (iv) treating or alleviating a physical impairment by designing, modifying, or
             402      implementing a therapeutic intervention;
             403          (v) reducing the risk of an injury or physical impairment;
             404          (vi) providing instruction on the use of physical measures, activities, or devices for
             405      preventative and therapeutic purposes;
             406          (vii) promoting and maintaining health and fitness;
             407          (viii) the administration of a prescription drug pursuant to Section 58-24b-403 ;
             408          (ix) engaging in the functions described in Subsections (11)(a)(i) through (viii) in
             409      relation to an animal, in accordance with the requirements of Section 58-24b-405 ; and
             410          (x) engaging in administration, consultation, education, and research relating to the
             411      practices described in this Subsection (11)(a).
             412          (b) "Physical therapy" or "physiotherapy" does not include:
             413          (i) diagnosing disease;
             414          (ii) performing surgery;
             415          (iii) performing acupuncture;
             416          (iv) taking x-rays; or
             417          (v) prescribing or dispensing a drug, as defined in Section 58-37-2 .
             418          (12) "Recognized accreditation agency" means an accreditation agency that:
             419          (a) grants accreditation, nationally, in the United States of America; and
             420          (b) is approved by the division, in consultation with the board.
             421          (13) (a) "Testing" means a standard method or technique used to gather data regarding
             422      a patient that is generally and nationally accepted by physical therapists for the practice of
             423      physical therapy.
             424          (b) "Testing" includes measurement or evaluation of:
             425          (i) muscle strength, force, endurance, or tone;
             426          (ii) cardiovascular fitness;
             427          (iii) physical work capacity;
             428          (iv) joint motion, mobility, or stability;
             429          (v) reflexes or autonomic reactions;
             430          (vi) movement skill or accuracy;


             431          (vii) sensation;
             432          (viii) perception;
             433          (ix) peripheral nerve integrity;
             434          (x) locomotor skills, stability, and endurance;
             435          (xi) the fit, function, and comfort of prosthetic, orthotic, or other assistive devices;
             436          (xii) posture;
             437          (xiii) body mechanics;
             438          (xiv) limb length, circumference, and volume;
             439          (xv) biofeedback;
             440          (xvi) thoracic excursion and breathing patterns;
             441          (xvii) activities of daily living; and
             442          (xviii) functioning in the physical environment at home or work.
             443          (14) "Therapeutic intervention" includes:
             444          (a) therapeutic exercise, with or without the use of a device;
             445          (b) functional training in self-care;
             446          (c) community or work integration;
             447          (d) manual therapy, including:
             448          (i) soft tissue mobilization;
             449          (ii) therapeutic massage; or
             450          (iii) joint mobilization, as defined by the division, by rule;
             451          (e) prescribing, applying, or fabricating an assistive, adaptive, orthotic, prosthetic,
             452      protective, or supportive device;
             453          (f) airway clearance techniques, including postural drainage;
             454          (g) integumentary protection and repair techniques;
             455          (h) wound debridement, cleansing, and dressing;
             456          (i) the application of a physical agent, including:
             457          (i) light;
             458          (ii) heat;
             459          (iii) cold;
             460          (iv) water;
             461          (v) air;


             462          (vi) sound;
             463          (vii) compression;
             464          (viii) electricity; and
             465          (ix) electromagnetic radiation;
             466          (j) mechanical or electrotherapeutic modalities;
             467          (k) positioning;
             468          (l) instructing or training a patient in locomotion or other functional activities, with or
             469      without an assistive device;
             470          (m) manual or mechanical traction; and
             471          (n) correction of posture, body mechanics, or gait.
             472          Section 6. Section 58-24b-201 is enacted to read:
             473     
Part 2. Physical Therapy Licensing Board

             474          58-24b-201. Physical Therapy Licensing Board -- Creation -- Membership --
             475      Duties.
             476          (1) There is created the Physical Therapy Licensing Board, consisting of three licensed
             477      physical therapists, one physical therapist assistant, and one member of the general public.
             478          (2) Members of the board shall be appointed and serve in accordance with Section
             479      58-1-201 .
             480          (3) The duties and responsibilities of the board are described in Subsection (4) and
             481      Sections 58-21b-201 through 58-21b-203 .
             482          (4) The board shall designate a member of the board, on a permanent or rotating basis,
             483      to:
             484          (a) assist the division in reviewing complaints of unlawful or unprofessional conduct of
             485      a licensee; and
             486          (b) advise the division during the division's investigation of the complaints described in
             487      Subsection (4)(a).
             488          (5) A board member who has reviewed a complaint or been involved in an
             489      investigation under Subsection (4) is disqualified from participating in an adjudicative
             490      proceeding relating to the complaint or investigation.
             491          Section 7. Section 58-24b-301 is enacted to read:
             492     
Part 3. Licensing


             493          58-24b-301. Authority to practice physical therapy.
             494          A person may not engage in the practice of physical therapy, unless the person is:
             495          (1) licensed under this chapter and practices within the scope of that license; or
             496          (2) exempted from the licensing requirements of this chapter under Section
             497      58-24b-304 .
             498          Section 8. Section 58-24b-302 is enacted to read:
             499          58-24b-302. Licensure.
             500          (1) An applicant for a license as a physical therapist shall:
             501          (a) be of good moral character;
             502          (b) complete the application process, including payment of fees;
             503          (c) submit proof of graduation from a professional physical therapist education
             504      program that is accredited by a recognized accreditation agency;
             505          (d) pass an open-book, take-home Utah Physical Therapy Law and Rule Examination;
             506          (e) after complying with Subsection (1)(c), pass a licensing examination;
             507          (f) be able to read, write, speak, understand, and be understood in the English language
             508      and demonstrate proficiency to the satisfaction of the board if requested by the board; and
             509          (g) meet any other requirements established by the division, by rule.
             510          (2) An applicant for a license as a physical therapist assistant shall:
             511          (a) be of good moral character;
             512          (b) complete the application process, including payment of fees;
             513          (c) submit proof of graduation from a physical therapist assistant education program
             514      that is accredited by a recognized accreditation agency;
             515          (d) pass an open-book, take-home Utah Physical Therapy Law and Rule Examination;
             516          (e) after complying with Subsection (2)(c), pass a licensing examination;
             517          (f) be able to read, write, speak, understand, and be understood in the English language
             518      and demonstrate proficiency to the satisfaction of the board if requested by the board; and
             519          (g) meet any other requirements established by the division, by rule.
             520          (3) An applicant for a license as a physical therapist who is educated outside of the
             521      United States shall:
             522          (a) be of good moral character;
             523          (b) complete the application process, including payment of fees; and


             524          (c) (i) provide satisfactory evidence that the applicant graduated from a professional
             525      physical therapist education program that is accredited by a recognized accreditation agency; or
             526          (ii) (A) provide satisfactory evidence that the applicant graduated from a physical
             527      therapist education program that prepares the applicant to engage in the practice of physical
             528      therapy, without restriction;
             529          (B) provide satisfactory evidence that the education program described in Subsection
             530      (3)(c)(ii)(A) is recognized by the government entity responsible for recognizing a physical
             531      therapist education program in the country where the program is located; and
             532          (C) pass a credential evaluation to ensure that the applicant has satisfied uniform
             533      educational requirements;
             534          (d) pass an open-book, take-home Utah Physical Therapy Law and Rule Examination;
             535          (e) after complying with Subsection (3)(c), pass a licensing examination;
             536          (f) be able to read, write, speak, understand, and be understood in the English language
             537      and demonstrate proficiency to the satisfaction of the board if requested by the board; and
             538          (g) meet any other requirements established by the division, by rule.
             539          (4) The division shall issue a license to a person who holds a current unrestricted
             540      license to practice physical therapy in a state, district, or territory of the United States of
             541      America, other than Utah, if the person:
             542          (a) is of good moral character;
             543          (b) completes the application process, including payment of fees;
             544          (c) passes an open-book, take-home Utah Physical Therapy Law and Rule
             545      Examination; and
             546          (d) is able to read, write, speak, understand, and be understood in the English language
             547      and demonstrate proficiency to the satisfaction of the board if requested by the board.
             548          (5) (a) Notwithstanding Subsection 58-1-307 (1)(c), an individual may not engage in an
             549      internship in physical therapy, unless the person is:
             550          (i) certified by the division; or
             551          (ii) exempt from licensure under Section 58-24b-304 .
             552          (b) The provisions of Subsection (5)(a) apply, regardless of whether the individual is
             553      participating in the supervised clinical training program for the purpose of becoming a physical
             554      therapist or a physical therapist assistant.


             555          Section 9. Section 58-24b-303 is enacted to read:
             556          58-24b-303. Term of license -- Renewal.
             557          (1) A license issued under this chapter shall be issued in accordance with a two-year
             558      renewal cycle established by rule. The division may, by rule, extend or shorten a license
             559      renewal process by one year in order to stagger the renewal cycles that the division administers.
             560          (2) At the time of license renewal, the licensee shall provide satisfactory evidence that
             561      the licensee completed continuing education competency requirements, established by the
             562      division, by rule.
             563          (3) If a license renewal cycle is shortened or extended under Subsection (1), the
             564      division shall increase or reduce the required continuing education competency requirements
             565      accordingly.
             566          (4) A license issued under this chapter expires on the expiration date indicated on the
             567      license, unless the license is renewed under this section.
             568          Section 10. Section 58-24b-304 is enacted to read:
             569          58-24b-304. Exemptions from licensure.
             570          (1) In addition to the exemptions from licensure described in Section 58-1-307 , as
             571      modified by Subsection 58-24b-302 (5), a person may engage in acts that constitute the practice
             572      of physical therapy without a license issued under this chapter if:
             573          (a) the person is licensed under another law of the state to engage in acts that constitute
             574      the practice of physical therapy if that person does not claim to be a physical therapist or a
             575      provider of physical therapy;
             576          (b) the person practices physical therapy, under federal law, in:
             577          (i) the United States armed services;
             578          (ii) the United States Public Health Service; or
             579          (iii) the Veteran's Administration;
             580          (c) the person is:
             581          (i) licensed as a physical therapist in:
             582          (A) a state, district, or territory of the United States, other than Utah; or
             583          (B) a country other than the United States; and
             584          (ii) (A) teaching, demonstrating, or providing physical therapy in connection with an
             585      educational seminar, if the person engages in this conduct in Utah no more than 60 days per


             586      calendar year;
             587          (B) practicing physical therapy directly related to the person's employment with, or
             588      contract with, an established athletic team, athletic organization, or performing arts company
             589      that plays, practices, competes, or performs in Utah no more than 60 days per calendar year; or
             590          (C) providing consultation by telecommunication to a physical therapist; or
             591          (d) the person:
             592          (i) (A) is licensed as a physical therapist assistant under federal law; and
             593          (B) practices within the scope of practice authorized by federal law for a physical
             594      therapist assistant; or
             595          (ii) (A) is licensed as a physical therapist assistant in:
             596          (I) a state, district, or territory of the United States, other than Utah; or
             597          (II) a country other than the United States; and
             598          (B) (I) practices within the scope of practice authorized for a physical therapist
             599      assistant by the jurisdiction described in Subsection (1)(d)(ii)(A); and
             600          (II) within the limitations for the practice of physical therapy described in Subsection
             601      (1)(c)(ii).
             602          (2) A person who is exempted from licensure under Subsection (1)(b) may practice
             603      animal physical therapy without a license under this section if the person:
             604          (a) is authorized to practice animal physical therapy under federal law; and
             605          (b) practices animal physical therapy within the scope of practice authorized by federal
             606      law.
             607          (3) A person who is exempted from licensure under Subsection (1)(c) may practice
             608      animal physical therapy without a license under this section if the person:
             609          (a) is authorized to practice animal physical therapy in:
             610          (i) a state, district, or territory of the United States, other than Utah; or
             611          (ii) a country other than the United States; and
             612          (b) practices animal physical therapy:
             613          (i) within the scope of practice for the jurisdiction described in Subsection (3)(a) where
             614      the person is authorized to practice animal physical therapy; and
             615          (ii) within the limitations for the practice of physical therapy described in Subsection
             616      (1)(c)(ii).


             617          Section 11. Section 58-24b-305 is enacted to read:
             618          58-24b-305. License denial -- Discipline -- Cease and desist order.
             619          In accordance with Section 58-1-401 , the division may:
             620          (1) refuse to issue a license to an applicant;
             621          (2) refuse to renew a license;
             622          (3) revoke, suspend, or restrict a license;
             623          (4) place a license on probation;
             624          (5) issue a public or private reprimand to a licensee; or
             625          (6) issue a cease and desist order.
             626          Section 12. Section 58-24b-401 is enacted to read:
             627     
Part 4. Practice of Physical Therapy

             628          58-24b-401. Authority and ethical standards of a licensed physical therapist and
             629      licensed physical therapist assistant -- Function of a physical therapy aide.
             630          (1) A licensed physical therapist:
             631          (a) is fully authorized to practice physical therapy; and
             632          (b) shall adhere to the standards of ethics described in:
             633          (i) the American Physical Therapy Association's Code of Ethics and Guide for
             634      Professional Conduct; and
             635          (ii) rule.
             636          (2) A licensed physical therapist assistant:
             637          (a) is authorized to practice physical therapy:
             638          (i) under the on-site supervision or general supervision of a licensed physical therapist;
             639      and
             640          (ii) within the scope of practice of a licensed physical therapist assistant, as described
             641      in this chapter and by rule;
             642          (b) shall adhere to the standards of ethics described in:
             643          (i) the American Physical Therapy Association's Code of Ethics and Guide for
             644      Professional Conduct; and
             645          (ii) rule; and
             646          (c) may not be supervised by any person other than a licensed physical therapist.
             647          (3) (a) A physical therapy aide may not engage in the practice of physical therapy.


             648          (b) Notwithstanding Subsection (3)(a), a physical therapy aide may provide routine
             649      assistance to:
             650          (i) a licensed physical therapist while the licensed physical therapist engages in the
             651      practice of physical therapy, if the physical therapy aide is under the on-site supervision of the
             652      licensed physical therapist; or
             653          (ii) a licensed physical therapist assistant while the licensed physical therapist assistant
             654      engages in the practice of physical therapy, within the scope of the licensed physical therapist
             655      assistant's license, if the physical therapy aide is:
             656          (A) under the general or on-site supervision of a licensed physical therapist; and
             657          (B) under the on-site supervision of the licensed physical therapist assistant.
             658          Section 13. Section 58-24b-402 is enacted to read:
             659          58-24b-402. Patient care and management.
             660          (1) In practicing physical therapy, a licensed physical therapist shall:
             661          (a) manage all aspects of the physical therapy of a patient under the licensed physical
             662      therapist's care;
             663          (b) perform the initial evaluation and documentation for each patient;
             664          (c) perform periodic reevaluation and documentation for each patient;
             665          (d) perform physical therapy interventions that require immediate and continuous
             666      examination and evaluation throughout the intervention;
             667          (e) perform all therapeutic intervention on a patient that is outside of the standard
             668      scope of practice of a licensed physical therapist assistant or a physical therapy aide;
             669          (f) determine the therapeutic intervention to be performed by a licensed physical
             670      therapist assistant under the on-site supervision or general supervision of the licensed physical
             671      therapist to ensure that the therapeutic intervention is safe, effective, efficient, and within the
             672      scope of practice of the licensed physical therapist assistant.
             673          (g) conduct the discharge of each patient and document for each patient, at the time of
             674      discharge, the patient's response to therapeutic intervention; and
             675          (h) provide accurate documentation of the billing and services provided.
             676          (2) A physical therapist assistant or a physical therapy aide may not:
             677          (a) perform a physical therapy evaluation, assessment, or diagnoses;
             678          (b) design a plan of care for a patient;


             679          (c) perform the joint mobilization component of manual therapy; or
             680          (d) perform the sharp selective debridement component of wound management.
             681          (3) Subsection (2)(c) does not apply to:
             682          (a) simple joint distraction techniques or stretching; or
             683          (b) a stretch or mobilization that can be given as part of a home exercise program.
             684          Section 14. Section 58-24b-403 is enacted to read:
             685          58-24b-403. Administration of a prescription drug.
             686          (1) A licensed physical therapist may purchase, store, and administer topical and
             687      aerosol medications that require a prescription only as provided in this section.
             688          (2) A licensed physical therapist may purchase, store, and administer:
             689          (a) topically applied medicinal agents, including steroids and analgesics, for wound
             690      care and for musculoskeletal treatment, using iontophoresis or phonorphoresis; and
             691          (b) aerosols for pulmonary hygiene in an institutional setting, if a licensed respiratory
             692      therapist is not available in, or within a ten mile radius of, the institution.
             693          (3) A licensed physical therapist may only purchase, store, or administer a medication
             694      described in this section pursuant to a written prescription issued by a practitioner who is
             695      licensed to prescribe that medication.
             696          (4) This section does not authorize a licensed physical therapist to dispense a
             697      prescription drug.
             698          Section 15. Section 58-24b-404 is enacted to read:
             699          58-24b-404. Supervision of a licensed physical therapist assistant or a physical
             700      therapy aide.
             701          The division shall make rules that describe the circumstances under which general
             702      supervision or on-site supervision of a physical therapist assistant or a physical therapy aide is
             703      required.
             704          Section 16. Section 58-24b-405 is enacted to read:
             705          58-24b-405. Animal physical therapy.
             706          (1) A licensed physical therapist may practice animal physical therapy if the licensed
             707      physical therapist completes at least 100 hours of animal physical therapy training and
             708      education, which shall include:
             709          (a) 50 hours of on-the-job training under the supervision of a licensed veterinarian;


             710          (b) completion of a quadruped anatomy course; and
             711          (c) continuing education for the required hours remaining.
             712          (2) A licensed physical therapist assistant may practice animal physical therapy, within
             713      the scope of the licensed physical therapist assistant's practice, if the licensed physical therapist
             714      assistant:
             715          (a) is under the on-site supervision or general supervision of a physical therapist who
             716      has complied with the requirements of Subsection (1); and
             717          (b) completes at least 100 hours of animal physical therapy training and education,
             718      which shall include:
             719          (i) 50 hours of on-the-job training under the supervision of a licensed veterinarian;
             720          (ii) completion of a quadruped anatomy course; and
             721          (iii) continuing education for the required hours remaining.
             722          Section 17. Section 58-24b-501 is enacted to read:
             723     
Part 5. Unlawful and Unprofessional Conduct

             724          58-24b-501. Unlawful conduct.
             725          In addition to the conduct described in Subsection 58-1-501 (1), "unlawful conduct"
             726      includes:
             727          (1) practicing physical therapy, unless the person:
             728          (a) is licensed under this chapter to practice physical therapy and practices within the
             729      scope of that license; or
             730          (b) exempt from licensure under Section 58-24b-304 ;
             731          (2) practicing animal physical therapy, unless the person is:
             732          (a) authorized to practice animal physical therapy under Section 58-24b-405 ; or
             733          (b) authorized to practice animal physical therapy under Subsection 58-24b-304 (1)(a),
             734      (2), or (3);
             735          (3) representing oneself as, or using the title of, a physical therapist, unless the person
             736      is:
             737          (a) a licensed physical therapist; or
             738          (b) (i) licensed as a physical therapist in a jurisdiction other than Utah;
             739          (ii) does not represent oneself as being a physical therapist licensed in Utah; and
             740          (iii) exempt from licensure under Section 58-24b-304 ;


             741          (4) representing oneself as, or using the title of, a physical therapist assistant, unless the
             742      person:
             743          (a) is a licensed physical therapist assistant; or
             744          (b) (i) is licensed as a physical therapist assistant in a jurisdiction other than Utah;
             745          (ii) does not represent oneself as being a physical therapist assistant licensed in Utah;
             746      and
             747          (iii) is exempt from licensure under Section 58-24b-304 ; and
             748          (5) conduct designated as "unlawful conduct" by the division, by rule.
             749          Section 18. Section 58-24b-502 is enacted to read:
             750          58-24b-502. Unprofessional conduct.
             751          In addition to the conduct described in Subsection 58-1-501 (2), "unprofessional
             752      conduct" includes:
             753          (1) using or employing the services of an individual to assist a person licensed under
             754      this chapter in a manner that is not in accordance with:
             755          (a) generally recognized practices, standards, or ethics of the profession for which the
             756      person is licensed; or
             757          (b) the requirements of this chapter or rule;
             758          (2) failure by a person licensed under this chapter to confine the person's conduct to
             759      that which:
             760          (a) the person is competent to perform, by education, training, and experience; and
             761          (b) is within the scope of practice permitted under this chapter or rule;
             762          (3) failure to supervise a licensed physical therapist assistant or a physical therapy aide
             763      in accordance with the requirements of this chapter or rule; and
             764          (4) other conduct defined as "unprofessional conduct" by the division, by rule.
             765          Section 19. Section 58-24b-503 is enacted to read:
             766          58-24b-503. Lawful and unlawful use of titles and terms -- Unlawful advertising
             767      or promotion.
             768          (1) A person who is a licensed physical therapist shall use the letters "PT" in
             769      connection with the person's name or business in order to indicate that the person is a licensed
             770      physical therapist.
             771          (2) A person who is a licensed physical therapist assistant shall use the letters "PTA" in


             772      connection with the person's name or business in order to indicate that the person is a licensed
             773      physical therapist assistant.
             774          (3) It is unlawful for a person who is not a licensed physical therapist or licensed
             775      physical therapist assistant to:
             776          (a) use, in connection with the person's name or business, any of the following words
             777      or abbreviations:
             778          (i) physical therapy;
             779          (ii) physiotherapy; or
             780          (iii) any other word, abbreviation, or insignia, indicating or implying, directly or
             781      indirectly, that the person practices physical therapy; or
             782          (b) except as provided in Subsection (6), offer, provide, or bill a person for:
             783          (i) physical therapy services or anything that is characterized as physical therapy
             784      services; or
             785          (ii) physiotherapy services or anything that is characterized as physiotherapy services.
             786          (4) It is unlawful for a person who is not a licensed physical therapist to:
             787          (a) use, in connection with the person's name or business, any of the following words
             788      or abbreviations:
             789          (i) physical therapist;
             790          (ii) physiotherapist;
             791          (iii) PT;
             792          (iv) DPT;
             793          (v) MPT; or
             794          (vi) any other word, abbreviation, or insignia, indicating or implying, directly or
             795      indirectly, that the person is a physical therapist or physiotherapist;
             796          (b) advertise that a person who is not a licensed physical therapist is a physical
             797      therapist or physiotherapist; or
             798          (c) promote a person who is not a licensed physical therapist as a physical therapist or
             799      physiotherapist.
             800          (5) It is unlawful for a person who is not a licensed physical therapist assistant to:
             801          (a) use, in connection with the person's name or business, any of the following words
             802      or abbreviations:


             803          (i) physical therapist assistant;
             804          (ii) physiotherapist assistant;
             805          (iii) PTA; or
             806          (iv) any other word, abbreviation, or insignia, indicating or implying, directly or
             807      indirectly, that the person is a physical therapist assistant or a physiotherapist assistant;
             808          (b) advertise that a person who is not a licensed physical therapist assistant is a
             809      physical therapist assistant or a physiotherapist assistant; or
             810          (c) promote a person who is not a licensed physical therapist assistant as a physical
             811      therapist assistant or physiotherapist assistant.
             812          (6) A person who is licensed under this title to provide a service that constitutes the
             813      practice of physical therapy may offer, provide, or bill a person for that service, but may not
             814      characterize that service as a physical therapy service or a physiotherapy service, unless the
             815      person is a licensed physical therapist or a licensed physical therapist assistant.
             816          Section 20. Section 58-24b-504 is enacted to read:
             817          58-24b-504. Reporting unlawful or unprofessional conduct -- Immunity --
             818      Confidentiality.
             819          (1) A person who is aware that a person who is licensed under this chapter has violated
             820      a provision of this chapter, or a rule made pursuant to this chapter, shall report the violation to
             821      the division.
             822          (2) A person who makes a good faith report under Subsection (1) is immune from
             823      direct or derivative civil liability for making the report.
             824          (3) The division, the board, or a member of the division or the board, may not disclose
             825      the identity of a person who makes a report under this section, unless the disclosure is:
             826          (a) essential to the conduct of an investigation or hearing; or
             827          (b) ordered by a court of competent jurisdiction.
             828          Section 21. Section 58-28-307 is amended to read:
             829           58-28-307. Exemptions from chapter.
             830          In addition to the exemptions from licensure in Section 58-1-307 this chapter does not
             831      apply to:
             832          (1) any person who practices veterinary medicine, surgery, or dentistry upon any
             833      animal owned by him, and the employee of that person when the practice is upon an animal


             834      owned by his employer, and incidental to his employment, except:
             835          (a) this exemption does not apply to any person, or his employee, when the ownership
             836      of an animal was acquired for the purpose of circumventing this chapter; and
             837          (b) this exemption does not apply to the administration, dispensing, or prescribing of a
             838      prescription drug, or nonprescription drug intended for off label use, unless the administration,
             839      dispensing, or prescribing of the drug is obtained through an existing veterinarian-patient
             840      relationship;
             841          (2) any person who as a student at a veterinary college approved by the board engages
             842      in the practice of veterinary medicine, surgery, and dentistry as part of his academic training
             843      and under the direct supervision and control of a licensed veterinarian, if that practice is during
             844      the last two years of the college course of instruction and does not exceed an 18-month
             845      duration;
             846          (3) a veterinarian who is an officer or employee of the government of the United
             847      States, or the state, or its political subdivisions, and technicians under his supervision, while
             848      engaged in the practice of veterinary medicine, surgery, or dentistry for that government;
             849          (4) any person while engaged in the vaccination of poultry, pullorum testing, typhoid
             850      testing of poultry, and related poultry disease control activity;
             851          (5) any person who is engaged in bona fide and legitimate medical, dental,
             852      pharmaceutical, or other scientific research, if that practice of veterinary medicine, surgery, or
             853      dentistry is directly related to, and a necessary part of, that research;
             854          (6) veterinarians licensed under the laws of another state rendering professional
             855      services in association with licensed veterinarians of this state for a period not to exceed 90
             856      days;
             857          (7) registered pharmacists of this state engaged in the sale of veterinary supplies,
             858      instruments, and medicines, if the sale is at his regular place of business;
             859          (8) any person in this state engaged in the sale of veterinary supplies, instruments, and
             860      medicines, except prescription drugs which must be sold in compliance with state and federal
             861      regulations, if the supplies, instruments, and medicines are sold in original packages bearing
             862      adequate identification and directions for application and administration and the sale is made in
             863      the regular course of, and at the regular place of business;
             864          (9) any person rendering emergency first aid to animals in those areas where a licensed


             865      veterinarian is not available, and if suspicious reportable diseases are reported immediately to
             866      the state veterinarian;
             867          (10) any person performing or teaching nonsurgical bovine artificial insemination;
             868          (11) any person affiliated with an institution of higher education who teaches
             869      nonsurgical bovine embryo transfer or any technician trained by or approved by an institution
             870      of higher education who performs nonsurgical bovine embryo transfer, but only if any
             871      prescription drug used in the procedure is prescribed and administered under the direction of a
             872      veterinarian licensed to practice in Utah;
             873          (12) (a) upon written referral by a licensed veterinarian, the practice of animal
             874      chiropractic by a chiropractic physician licensed under Chapter 73, Chiropractic Physician
             875      Practice Act, who has completed an animal chiropractic course approved by the American
             876      Veterinary Chiropractic Association or the division;
             877          (b) upon written referral by a licensed veterinarian, the practice of animal physical
             878      therapy by a physical therapist licensed under Chapter [24a, Physical Therapist] 24b, Physical
             879      Therapy Practice Act, who has completed at least 100 hours of animal physical therapy
             880      training, including quadruped anatomy and hands-on training, approved by the division;
             881          (c) upon written referral by a licensed veterinarian, the practice of animal massage
             882      therapy by a massage therapist licensed under Chapter 47b, Massage Therapy Practice Act,
             883      who has completed at least 60 hours of animal massage therapy training, including quadruped
             884      anatomy and hands-on training, approved by the division; and
             885          (d) upon written referral by a licensed veterinarian, the practice of acupuncture by an
             886      acupuncturist licensed under Chapter 72, Acupuncture Licensing Act, who has completed a
             887      course of study on animal acupuncture approved by the division;
             888          (13) unlicensed assistive personnel performing duties appropriately delegated to the
             889      unlicensed assistive personnel in accordance with Section 58-28-502 ;
             890          (14) an animal shelter employee who is:
             891          (a) acting under the indirect supervision of a licensed veterinarian; and
             892          (b) performing animal euthanasia in the course and scope of employment; and
             893          (15) an individual providing appropriate training for animals, however, this exception
             894      does not include diagnosing any medical condition, or prescribing or dispensing any
             895      prescription drugs or therapeutics.


             896          Section 22. Section 58-47b-304 is amended to read:
             897           58-47b-304. Exemptions from licensure.
             898          (1) In addition to the exemptions from licensure in Section 58-1-307 , the following
             899      individuals may engage in the practice of massage therapy as defined under this chapter,
             900      subject to the stated circumstances and limitations, without being licensed, but may not
             901      represent themselves as a massage therapist or massage apprentice:
             902          (a) physicians and surgeons licensed under Title 58, Chapter 67, Utah Medical Practice
             903      Act;
             904          (b) nurses licensed under Title 58, Chapter 31b, Nurse Practice Act, or under Title 58,
             905      Chapter 44a, Nurse Midwife Practice Act;
             906          (c) physical therapists or physical therapist assistants licensed under Title 58, Chapter
             907      [24a, Physical Therapist] 24b, Physical Therapy Practice Act;
             908          (d) osteopathic physicians and surgeons licensed under Title 58, Chapter 68, Utah
             909      Osteopathic Medical Practice Act;
             910          (e) chiropractic physicians licensed under Title 58, Chapter 73, Chiropractic Physician
             911      Practice Act;
             912          (f) hospital staff members employed by a hospital who practice massage as part of their
             913      responsibilities;
             914          (g) athletic trainers who practice massage as part of their responsibilities while
             915      employed by an educational institution or an athletic team that participates in organized sports
             916      competition;
             917          (h) students in training enrolled in a massage therapy school approved by the division;
             918          (i) naturopathic physicians licensed under Title 58, Chapter 71, Naturopathic Physician
             919      Practice Act;
             920          (j) occupational therapist licensed under Title 58, Chapter 42a, Occupational Therapy
             921      Practice Act; and
             922          (k) persons performing gratuitous massage.
             923          (2) This chapter may not be construed to authorize any individual licensed under this
             924      chapter to engage in any manner in the practice of medicine as defined by the laws of this state.
             925          (3) This chapter may not be construed to:
             926          (a) create or require insurance coverage or reimbursement for massage therapy from


             927      third party payors if this type of coverage did not exist on or before February 15, 1990; or
             928          (b) prevent any insurance carrier from offering coverage for massage therapy.
             929          Section 23. Section 78B-3-403 is amended to read:
             930           78B-3-403. Definitions.
             931          As used in this part:
             932          (1) "Audiologist" means a person licensed to practice audiology under Title 58,
             933      Chapter 41, Speech-language Pathology and Audiology Licensing Act.
             934          (2) "Certified social worker" means a person licensed to practice as a certified social
             935      worker under Section 58-60-205 .
             936          (3) "Chiropractic physician" means a person licensed to practice chiropractic under
             937      Title 58, Chapter 73, Chiropractic Physician Practice Act.
             938          (4) "Clinical social worker" means a person licensed to practice as a clinical social
             939      worker under Section 58-60-205 .
             940          (5) "Commissioner" means the commissioner of insurance as provided in Section
             941      31A-2-102 .
             942          (6) "Dental hygienist" means a person licensed to engage in the practice of dental
             943      hygiene as defined in Section 58-69-102 .
             944          (7) "Dentist" means a person licensed to engage in the practice of dentistry as defined
             945      in Section 58-69-102 .
             946          (8) "Division" means the Division of Occupational and Professional Licensing created
             947      in Section 58-1-103 .
             948          (9) "Future damages" includes a judgment creditor's damages for future medical
             949      treatment, care or custody, loss of future earnings, loss of bodily function, or future pain and
             950      suffering.
             951          (10) "Health care" means any act or treatment performed or furnished, or which should
             952      have been performed or furnished, by any health care provider for, to, or on behalf of a patient
             953      during the patient's medical care, treatment, or confinement.
             954          (11) "Health care facility" means general acute hospitals, specialty hospitals, home
             955      health agencies, hospices, nursing care facilities, assisted living facilities, birthing centers,
             956      ambulatory surgical facilities, small health care facilities, health care facilities owned or
             957      operated by health maintenance organizations, and end stage renal disease facilities.


             958          (12) "Health care provider" includes any person, partnership, association, corporation,
             959      or other facility or institution who causes to be rendered or who renders health care or
             960      professional services as a hospital, health care facility, physician, registered nurse, licensed
             961      practical nurse, nurse-midwife, licensed Direct-entry midwife, dentist, dental hygienist,
             962      optometrist, clinical laboratory technologist, pharmacist, physical therapist, physical therapist
             963      assistant, podiatric physician, psychologist, chiropractic physician, naturopathic physician,
             964      osteopathic physician, osteopathic physician and surgeon, audiologist, speech-language
             965      pathologist, clinical social worker, certified social worker, social service worker, marriage and
             966      family counselor, practitioner of obstetrics, or others rendering similar care and services
             967      relating to or arising out of the health needs of persons or groups of persons and officers,
             968      employees, or agents of any of the above acting in the course and scope of their employment.
             969          (13) "Hospital" means a public or private institution licensed under Title 26, Chapter
             970      21, Health Care Facility Licensing and Inspection Act.
             971          (14) "Licensed Direct-entry midwife" means a person licensed under the Direct-entry
             972      Midwife Act to engage in the practice of direct-entry midwifery as defined in Section
             973      58-77-102 .
             974          (15) "Licensed practical nurse" means a person licensed to practice as a licensed
             975      practical nurse as provided in Section 58-31b-301 .
             976          (16) "Malpractice action against a health care provider" means any action against a
             977      health care provider, whether in contract, tort, breach of warranty, wrongful death, or
             978      otherwise, based upon alleged personal injuries relating to or arising out of health care rendered
             979      or which should have been rendered by the health care provider.
             980          (17) "Marriage and family therapist" means a person licensed to practice as a marriage
             981      therapist or family therapist under Sections 58-60-305 and 58-60-405 .
             982          (18) "Naturopathic physician" means a person licensed to engage in the practice
             983      [naturopathy] of naturopathic medicine as defined in Section 58-71-102 .
             984          (19) "Nurse-midwife" means a person licensed to engage in practice as a nurse midwife
             985      under Section 58-44a-301 .
             986          (20) "Optometrist" means a person licensed to practice optometry under Title 58,
             987      Chapter 16a, Utah Optometry Practice Act.
             988          (21) "Osteopathic physician" means a person licensed to practice osteopathy under


             989      Title 58, Chapter 68, Utah Osteopathic Medical Practice Act.
             990          (22) "Patient" means a person who is under the care of a health care provider, under a
             991      contract, express or implied.
             992          (23) "Periodic payments" means the payment of money or delivery of other property to
             993      a judgment creditor at intervals ordered by the court.
             994          (24) "Pharmacist" means a person licensed to practice pharmacy as provided in Section
             995      58-17b-301 .
             996          (25) "Physical therapist" means a person licensed to practice physical therapy under
             997      Title 58, Chapter [24a, Physical Therapist] 24b, Physical Therapy Practice Act.
             998          (26) "Physical therapist assistant" means a person licensed to practice physical therapy,
             999      within the scope of a physical therapist assistant license, under Title 58, Chapter 24b, Physical
             1000      Therapy Practice Act.
             1001          [(26)] (27) "Physician" means a person licensed to practice medicine and surgery under
             1002      Title 58, Chapter 67, Utah Medical Practice Act.
             1003          [(27)] (28) "Podiatric physician" means a person licensed to practice podiatry under
             1004      Title 58, Chapter 5a, Podiatric Physician Licensing Act.
             1005          [(28)] (29) "Practitioner of obstetrics" means a person licensed to practice as a
             1006      physician in this state under Title 58, Chapter 67, Utah Medical Practice Act, or under Title 58,
             1007      Chapter 68, Utah Osteopathic Medical Practice Act.
             1008          [(29)] (30) "Psychologist" means a person licensed under Title 58, Chapter 61,
             1009      Psychologist Licensing Act, to engage in the practice of psychology as defined in Section
             1010      58-61-102 .
             1011          [(30)] (31) "Registered nurse" means a person licensed to practice professional nursing
             1012      as provided in Section 58-31b-301 .
             1013          [(31)] (32) "Relative" means a patient's spouse, parent, grandparent, stepfather,
             1014      stepmother, child, grandchild, brother, sister, half brother, half sister, or spouse's parents. The
             1015      term includes relationships that are created as a result of adoption.
             1016          [(32)] (33) "Representative" means the spouse, parent, guardian, trustee,
             1017      attorney-in-fact, person designated to make decisions on behalf of a patient under a medical
             1018      power of attorney, or other legal agent of the patient.
             1019          [(33)] (34) "Social service worker" means a person licensed to practice as a social


             1020      service worker under Section 58-60-205 .
             1021          [(34)] (35) "Speech-language pathologist" means a person licensed to practice
             1022      speech-language pathology under Title 58, Chapter 41, Speech-language Pathology and
             1023      Audiology Licensing Act.
             1024          [(35)] (36) "Tort" means any legal wrong, breach of duty, or negligent or unlawful act
             1025      or omission proximately causing injury or damage to another.
             1026          [(36)] (37) "Unanticipated outcome" means the outcome of a medical treatment or
             1027      procedure that differs from an expected result.
             1028          Section 24. Repealer.
             1029          This bill repeals:
             1030          Section 58-24a-101, Short title.
             1031          Section 58-24a-102, Definitions.
             1032          Section 58-24a-103, Tests performed by physical therapists.
             1033          Section 58-24a-104, Physical agents and physical activities.
             1034          Section 58-24a-105, Administration of agents -- Limitation.
             1035          Section 58-24a-106, Examinations and evaluations.
             1036          Section 58-24a-107, Prohibitions.
             1037          Section 58-24a-108, Licensing board.
             1038          Section 58-24a-109, Authority to practice physical therapy -- Licensure.
             1039          Section 58-24a-110, Exemption from licensure.
             1040          Section 58-24a-111, Term of license -- Renewal expiration.
             1041          Section 58-24a-112, Physical therapist supervisory authority and responsibility.
             1042          Section 58-24a-114, Grounds for denial of license -- Disciplinary proceedings.




Legislative Review Note
    as of 1-28-09 6:27 AM


Office of Legislative Research and General Counsel


[Bill Documents][Bills Directory]