HLS 14RS-1045 ORIGINAL Page 1 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2014 HOUSE BILL NO. 691 BY REPRESENTATIVE BROADWATER ATHLETICS/TRAINERS: Provides relative to athletic trainers AN ACT1 To amend and reenact R.S. 37:3301, 3302, 3303, 3304, and 3307, to enact R.S. 37:3305.1,2 3306.1, 3308.1, 3309.1, 3311(C), and 3313, and to repeal R.S. 33:3305, 3306, 3308,3 3309, and 3310, relative to the Louisiana Athletic Trainers Law; to provide for4 purpose of Chapter; to make changes to definitions; to provide relative to the powers5 and duties of the Louisiana State Board of Medical Examiners in regards to athletic6 trainers; to provide relative to fees; to provide relative to exemptions from civil7 liability; to provide for prohibited activities of athletic trainers; to establish8 qualifications and requirements for athletic trainers; to provide relative to9 exemptions; and to provide for related matters.10 Be it enacted by the Legislature of Louisiana:11 Section 1. R.S. 37:3301, 3302, 3303, 3304, and 3307 are hereby amended and12 reenacted and R.S. 37:3305.1, 3306.1, 3308.1, 3309.1, 3311(C), and 3313 are hereby13 enacted to read as follows: 14 §3301. Short title; purpose15 A. This Chapter shall be known and may be cited as the Louisiana Athletic16 Trainers Law. 17 B. The purpose of this Chapter is to provide for the protection of public18 health, safety and welfare by providing for the licensing and regulation of the19 practice of athletic trainers in this state.20 HLS 14RS-1045 ORIGINAL HB NO. 691 Page 2 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. §3302. Definitions 1 As used in this Chapter, the following words and phrases have the meanings2 hereinafter ascribed to them: 3 (1) "Athletic trainer" means a person an individual licensed by the board as4 an athletic trainer with the specific qualifications set forth in R.S. 37:3306 who,5 under the direction and general supervision of a medical physician, carries out the6 practice of prevention, emergency management, and physical rehabilitation of7 injuries and sports related conditions incurred by athletes at participating in activities8 sponsored by an educational institution, professional athletic organization, and any9 athletes participating in athletic competition or events sponsored by these10 organizations or other board sanctioned approved organization. In carrying out these11 functions, the athletic trainer shall use whatever physical modalities are prescribed12 by a team physician or consulting physician for the team or athletic organization, or13 both. 14 (2) "Board" means the Louisiana State Board of Medical Examiners.15 (3) "Board sanctioned approved" means such associations, including but not16 limited to the Amateur Athletic Union, the International Olympic Committee and its17 affiliates, the Pan American Committee, the National Collegiate Athletic18 Association, the National Association of Intercollegiate Athletics, college and19 university intramural sports, and National High School Athletic Association sports20 events. 21 (4) "Department" means the Louisiana Department of Health and Human22 Resources.23 "BOC" means the Board of Certification of the National Athletic Trainers24 Association, or its successor. 25 (5) "CAATE" means the Commission on Accreditation or Athletic Training26 Education or successor. 27 (5) (6) "Educational institution" means a university, college, junior college,28 high school, junior high school, or grammar school, whether public or private. 29 HLS 14RS-1045 ORIGINAL HB NO. 691 Page 3 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (6) (7) "Emergency management" means the assessment and immediate care1 given to an injured athlete until the services of a physician can be obtained under the2 supervision of the team or consulting physician. To accomplish this care, an athletic3 trainer may use such methods as accepted first aid procedures established approved4 by the American Red Cross and the American Heart Association and protocol5 previously established by the athletic trainer and the team or consulting physicians.6 (8) "General supervision" means the service is furnished under a physician's7 overall direction and control, but the physician's presence shall not be required8 during the provision of service.9 (7) (9) "Medical physician Physician" means a person licensed to practice10 medicine by the board in the state who is qualified by training and experience to11 supervise an athletic trainer. 12 (8) (10) "Physical rehabilitation" means the care given to athletes following13 injury and recovery. These treatments and rehabilitation programs may consist of14 preestablished methods of physical modality use and exercise as prescribed by a15 team physician, consulting physician, or both. Physical rehabilitation also includes16 working cooperatively with and under the direction general supervision of a medical17 physician in with respect to the following: 18 (a) Reconditioning procedures. 19 (b) Operation of therapeutic devices and equipment. 20 (c) Fitting of braces, guards, and other protective devices. 21 (d) Referrals to other physicians, auxiliary health services, and institutions.22 Referrals will be made with the agreement of the athlete or, in the case of a minor,23 with the agreement of a parent or guardian except when circumstances require24 emergency transfer and the parent or guardian is unavailable. 25 (9) (11) "Practice of prevention" shall include but is not limited to the26 following: 27 (a) Working cooperatively with supervisors and coaches in establishing and28 implementing a program of physical conditioning for athletes. 29 HLS 14RS-1045 ORIGINAL HB NO. 691 Page 4 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (b) Applying protective or injury-preventive devices such as taping, padding,1 bandaging, strapping, wrapping, or bracing. 2 (c) Working cooperatively with supervisors, coaches, and a team physician3 or consulting physician in the selection and fitting of protective athletic equipment4 for each athlete and constantly monitoring that equipment for safety. 5 (d) Counseling and advising supervisors, coaches, and athletes on physical6 conditioning and training such as diet, flexibility, rest, and reconditioning. 7 §3303. Louisiana State Board of Medical Examiners; powers and duties 8 A. The In addition to the powers and authority established by R.S. 37:1270,9 the board shall: 10 (1) Keep a record of its proceedings regarding the regulation and11 certification licensure of athletic trainers in a book maintained for that purpose. 12 (2) Keep a complete roster of all certified licensed athletic trainers and make13 a copy of the roster available to any person requesting it on payment of a fee14 established by the board as sufficient to cover the costs of the roster. 15 (3) Certify License athletic trainers in a manner consistent with the16 provisions of this Chapter. 17 (4) Adopt rules and regulations necessary for the performance of its duties.18 (5) Prescribe application forms for certification licensure. 19 (6) Establish guidelines for athletic trainers in the state. 20 (7) Approve, deny, revoke, suspend, probate, and renew licensure of a duly21 qualified applicant.22 (8) Conduct administrative hearings on the denial, suspension, revocation, or23 refusal to issue or renew a license.24 B. The board shall conduct a certification examination at least once every25 year at a time and place fixed by the board. 26 C. The board shall require continuing education units to maintain27 certification licensure.28 HLS 14RS-1045 ORIGINAL HB NO. 691 Page 5 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. D. C. The board shall, collect the following fees: pursuant to the authority1 granted in R.S. 37:1281(A)(2), establish and collect fees in accordance with its rules2 for the purposes of carrying out the provisions of this Chapter.3 (1)Examination fee $ 75.004 (2)Athletic trainers certificate$ 35.005 (3)Renewal fee $ 25.006 (4)Issuance of duplicate certificate$ 5.007 E. D. The fees collected under pursuant to the provisions of this Chapter8 shall be credited to deposited in the treasury of the Louisiana State Board of Medical9 Examiners. 10 §3304. Exemptions from civil liability 11 A. There shall be no liability on the part of and no action for damages12 against any No member of the board or its agents or employees shall be liable in any13 civil action for any act performed in good faith in the execution of his duties under14 this Chapter.15 B. No person, committee, association, organization, firm, or corporation16 shall be held liable for damages pursuant to any law of the state of Louisiana or any17 political subdivision thereof for providing information to the board without malice18 and under the reasonable belief that such information is accurate and, whether19 providing such information as a witness or otherwise.20 §3305.1. Prohibited activities; false representation21 A. A person who is not licensed pursuant to this Chapter as an athletic trainer22 or whose license has been suspended or revoked shall not perform any of the23 following:24 (1) Activities of an athletic trainer as defined in this Chapter.25 (2) Use in connection with his name or place of business the words "trainer",26 "licensed athletic trainer", "athletic trainer", "certified athletic trainer",27 "teacher/trainer", "first aid trainer", "sports trainer", "sports medic", the abbreviations28 "LAT", "ATC", "AT," or any other words, letters, abbreviations, or insignia29 HLS 14RS-1045 ORIGINAL HB NO. 691 Page 6 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. indicating or implying that he is an athletic trainer, or in any way, orally, in writing,1 in print or by sign, directly or by implication, represent himself as an athletic trainer.2 B. However, nothing in this Chapter shall prevent an assigned athletic coach3 from administering and supervising his normal sports activities.4 §3306.1. Qualifications5 A. A person who applies for an athletic trainer license shall possess all of6 the following qualifications:7 (1) A certificate issued by the BOC evidencing the successful passage of the8 National Athletic Trainers Association Certification Examination or its successor.9 (2) A degree in athletic training from a CAATE accredited program, or such10 comparable degree accepted by the BOC and approved by the board.11 (3) Good moral character as determined by rules established by the board.12 B.(1) Any person certified by the board as a certified athletic trainer on the13 effective date of this Subsection shall be issued a license by the board, without14 meeting the requirements of Subsection A of this Section, upon the submission of a15 renewal license application and payment of the applicable renewal fee to the board.16 (2) A license granted pursuant to this Subsection shall be valid for one year17 from the effective date of this Act. An athletic trainer granted a license pursuant to18 this Subsection shall be required to apply for a license pursuant to Subsection A of19 this Section upon expiration of the date of the license issued pursuant to this20 Subsection.21 §3307. Requirements for certification licensure 22 A. A person who wishes to apply for an athletic trainer certificate license23 shall apply to the board on forms in a manner prescribed by the board and shall pay24 the examination fee required by R.S. 37:3303(D).25 B. The applicant shall be entitled to an athletic trainer's certificate license if26 he possesses the qualifications enumerated in R.S. 37:3306 R.S. 37:3306.1, and the27 rules and regulations established by the board, successfully completes the28 examination administered by the board to the satisfaction of the board pays the29 HLS 14RS-1045 ORIGINAL HB NO. 691 Page 7 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. certificate license fee required established by the board, by R.S. 37:3303(D), and has1 not committed an act which constitutes grounds for denial of a certificate license2 under R.S. 37:3308 R.S. 37:3308.1. 3 C. A certificate Every license issued under this Chapter, except a license4 issued pursuant to R.S. 37: 3306.1(B), shall expire and become null and void unless5 on June 30th of each year. Each certificate shall be renewed annually on or before6 June 30th of each year in accordance with the procedure established by the board and7 upon payment of the renewal fee. 8 §3308.1. Causes for denial, revocation, or suspension, or imposition of restrictions,9 costs, fines10 A. The board may refuse to issue a license to an applicant or may suspend,11 or revoke or impose probationary terms, conditions or restrictions on any license12 issued pursuant to this Part if the licensee or applicant has committed any of the13 following acts:14 (1) Has been convicted of or entered a plea of guilty or nolo contendere to15 a criminal charge constituting a felony under the laws of Louisiana, of the United16 States, or of the state in which such conviction or plea was entered.17 (2) Has been convicted of or entered a plea of guilty or nolo contendere to18 any criminal charge arising out of or in connection with the practice of an athletic19 trainer.20 (3) Commits perjury, fraud, deceit, misrepresentation, or concealment of21 material facts in obtaining a license to practice as an athletic trainer.22 (4) Provides false testimony before the board or provides false sworn23 information to the board.24 (5) Engages in habitual or recurring abuse of drugs, including alcohol, which25 affect the central nervous system and which are capable of inducing physiological26 or psychological dependence.27 (6) Solicits patients or self-promotion through advertising or communication,28 public or private, which is fraudulent, false, deceptive, or misleading.29 HLS 14RS-1045 ORIGINAL HB NO. 691 Page 8 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (7) Makes or submits false, deceptive, or unfounded claims, reports, or1 opinions to any patient, insurance company, indemnity association, company,2 individual, or governmental authority for the purpose of obtaining anything of3 economic value.4 (8) Engages in cognitive or clinical conduct.5 (9) Engages in unprofessional conduct.6 (10) Engages in continuing or recurring practice which fails to satisfy the7 prevailing and usually accepted standards of practice as an athletic trainer in this8 state.9 (11) Knowingly performs any act which in any way assists an unlicensed10 person to practice as an athletic trainer, or having professional connection with or11 lending one's name to an illegal practitioner.12 (12) Pays or gives anything of economic value to another person, firm, or13 corporation to induce the referral of injured athletes to an athletic trainer.14 (13) Has been interdicted by due process of law.15 (14) Has the inability to practice as an athletic trainer with reasonable16 competence, skill or safety to patients because of mental or physical illness,17 condition, or deficiency, including but not limited to deterioration through the aging18 process or excessive use or abuse of drugs, including alcohol.19 (15) Refuses to submit to an examination and inquiry by an examining20 committee of physicians appointed by the board to inquire into the applicant's21 licensee's physical or mental fitness and ability to practice as an athletic trainer with22 reasonable skill or safety.23 (16) Practices or otherwise engages in any conduct or functions beyond the24 scope of practice of an athletic trainer as defined by this Chapter or the board's rules.25 (17) Refusal of the licensing authority or another state to issue or renew a26 license, permit, or certificate to practice as an athletic trainer in that state, or the27 revocation, suspension, or other restriction imposed on a license, permit, or28 certificate issued by such licensing authority which prevents, restricts, or conditions29 HLS 14RS-1045 ORIGINAL HB NO. 691 Page 9 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. practice, or the surrender of a license, permit, or certificate issued by another state1 when criminal or administrative charges are pending or threatened against the holder2 of such license, permit, or certificate.3 (18) Denial, revocation, suspension, probation, or other disciplinary sanction4 from the BOC or its successor for violation of the standards of professional practice.5 (19) Violation of any rules and regulations of the board, or any provisions6 of this Chapter.7 B. The board may, as part of a decision, consent order, or other agreed order,8 require the applicant or license holder to pay all costs of the board's proceedings and9 a fine not to exceed one thousand dollars.10 §3309.1. Hearing; consent order11 A. Denial, refusal to renew, suspension or revocation of a license, or the12 imposition of probationary terms, conditions, or restrictions upon a licensee, may be13 ordered by the board in a decision made after a hearing in accordance with14 procedures established by the Administrative Procedure Act, R.S. 49:950 et seq. or15 by consent of the parties.16 B. Any license suspended, revoked, or otherwise restricted may be reinstated17 by the board.18 §3311. Limitation Exemptions 19 * * *20 C. The provisions of this Chapter shall not apply to any athletic training21 student pursuing a course of study leading to a degree in athletic training at an22 institution whose program is accredited, recognized, or approved by the CAATE, if23 such activities and services constitute a part of a supervised course of study and the24 individual's status is designated by a title which clearly indicates his status as an25 "athletic training student".26 * * *27 HLS 14RS-1045 ORIGINAL HB NO. 691 Page 10 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. §3313. Display of license1 A license and renewal issued pursuant to the provisions of this Chapter shall2 be conspicuously displayed in the principal office of the licensee. Licensees shall,3 upon request, present proof of state licensure when engaged in professional activities4 as a licensed athletic trainer (LAT).5 Section 2. R.S. 37:3305, 3306, 3308, 3309, and 3310 are hereby repealed.6 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Broadwater HB No. 691 Abstract: Revises the Louisiana Athletic Trainers Law. Proposed law provides that Louisiana Athletic Trainers Law has the purpose of protecting the public health, safety, and welfare by providing for the licensing and regulation of the practice of athletic trainers in the state. Present law provides for an athletic trainers certificate. Proposed law removes reference to an athletic trainers certificate and changes it to athletic trainers license. Present law provides for definitions. Proposed law revises definitions in present law. Present law provides that the Louisiana State Board of Medical Examiners (LSBME) certify and keep a record of all persons certified as athletic trainers and collect examination fees ($75), athletic trainer certification fees ($35), renewal fees ($25), and issuance of duplicate license fee ($5). Proposed law provides that the LSBME license and keep a record of all persons licensed as athletic trainers and establish and collect fees in accordance with its rules. Proposed law provides that the LSBME shall approve, deny, revoke, suspend, probate, and renew licensure of a duly qualified candidate. Proposed law provides that the LSBME conducts administrative hearings on the denial, suspension, revocation, or refusal to issue or to renew a license. Present law provides that no member of the board shall be liable in any civil action performed in good faith in the execution of his duties. Proposed law provides that there shall be no liability on the part of and no action for damages against any member of the board, its agents or employees, in any civil action for any act performed in good faith. HLS 14RS-1045 ORIGINAL HB NO. 691 Page 11 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law provides that no person, committee, association, organization, firm or corporation shall be held liable for damages pursuant to any law of the state of La., or any political subdivision thereof for providing information to the board without malice and under the reasonable belief that such information is accurate and, whether providing such information as a witness or otherwise. Present law provides that no person shall hold himself out as an athletic trainer or perform, for compensation or any other means of remuneration, any of the activities of an athletic trainer without first obtaining a certificate, but can be a student-trainer, assistant trainer, teacher-trainer, or any similar position. Present law does not require the certification of athletic trainers at nonpublic schools. Present law does not prevent an assigned athletic coach from administering and supervising his normal sports activities. Proposed law repeals present law and provides that a person who is not licensed as an athletic trainer or whose license has been suspended or revoked shall not perform any of the following: (1)Activities of an athletic trainer as defined in this Chapter. (2)Use in connection with his name or place of business the words "trainer", "licensed athletic trainer", "athletic trainer", "certified athletic trainer", "teacher/trainer", "first aid trainer", "sports trainer", "sports medic", the abbreviations "LAT", "ATC", "AT", or any other words, letters, abbreviations, or insignia indicating or implying that he is an athletic trainer, or in any way, orally, in writing, in print or by sign, directly or by implication, represent himself as an athletic trainer. Proposed law shall not prevent an assigned athletic coach from administering and supervising his normal sports activities. Present law provides that a person who applies for an athletic trainer certificate must possess at least one of the following qualifications: (1)Meet the athletic training curriculum requirements of a college or university approved by the board and provide proof of graduation. (2)Hold a degree in physical therapy from a school approved by the board and shall have completed a basic athletic training course, a first aid course as approved by the American Red Cross, a cardiopulmonary resuscitation course as approved by the American Heart Association or American Red Cross, and a nutrition course, and the applicant shall have spent two years in association with an athletic team, show proficiency in acute athletic care, and have letters of recommendation from a physician and a licensed athletic trainer. (3)Complete, beyond the secondary school level, either as an undergraduate or graduate student, at least four years as an apprentice athletic trainer at a college or university under the direct supervision of an athletic trainer approved by the board. Three of the four years shall be consecutive years under such supervision, military duty excepted. An applicant for certification shall provide proof of graduation from an accredited college or university and of successful completion of courses in athletic training, first aid, cardiopulmonary resuscitation, and nutrition. Present law provides that the board may certify as an athletic trainer in this state after a written examination given by the board a person who has been so certified or licensed in another state of the United States and who meets all requirements of present law. HLS 14RS-1045 ORIGINAL HB NO. 691 Page 12 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law repeals present law and provides that a person who applies for an athletic trainer license shall possess all of the following qualifications: (1)A certificate issued by the Board of Certification of the National Athletic Trainers Association (BOC) evidencing the successful passage of the National Athletic Trainers Association Certification Examination, or its successor. (2)A degree in athletic training from a Commission on Accreditation on Athletic Training Education (CAATE) accredited program, or such comparable degree accepted by the BOC and approved by the board. (3)Good moral character, as determined by rules established by the board. Proposed law provides that a person certified by the board as a certified athletic trainer on the effective date of proposed law shall be issued a license by the board, without meeting the requirements of proposed law, upon the submission of a renewal application and payment of the applicable renewal fee to the board. A license granted pursuant to this provision of proposed law shall be valid for one year from the effective date proposed law. An athletic trainer granted a license pursuant to this provision of proposed law shall be required to apply for a license pursuant to proposed law upon expiration of the date of the license issued pursuant to this provision of proposed law. Present law requires a person who wishes to apply for an athletic trainer certificate to apply to the board on forms prescribed by the board and shall pay the examination fee required. Present law provides that the applicant shall be entitled to an athletic trainer's certificate if he possesses the qualifications enumerated in present law, successfully completes the examination administered by the board to the satisfaction of the board, pays the certificate fee required, and has not committed an act which constitutes grounds for denial of a certificate under present law. Present law provides that a certificate issued pursuant to present law shall expire on June 30th of each year. Each certificate shall be renewed on or before June 30th of each year in accordance with the procedure established by the board and upon payment of the renewal fee. Proposed law repeals present law. Proposed law provides that the board may refuse to issue a license to an applicant or may suspend, or revoke or impose probationary terms, conditions or restrictions on any license issued under proposed law if the license issued or applicant has committed any one of a list of acts. Proposed law provides that the board may, as part of a decision, consent order, or other agreed order, require the applicant or license holder to pay all costs of the board's proceedings and a fine not to exceed one thousand dollars. Present law provides that any person whose application for a certificate or for renewal of a certificate is denied shall be entitled to a hearing in accordance with procedures established by the Administrative Procedure Act. Proposed law repeals present law. Proposed law provides that denial, refusal to renew, suspension or revocation of a license, or the imposition of probationary terms, conditions, or restrictions upon a licensee, may be ordered by the board in a decision made after a hearing in accordance with procedures established by the Administrative Procedure Act, R.S. 49:950 et seq. or by consent of the parties. HLS 14RS-1045 ORIGINAL HB NO. 691 Page 13 of 13 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Present law provides that the board may suspend or revoke a certificate for any cause stated in present law, but only after notice and opportunity for a hearing are provided to the certificate holder. Proceedings for such revocation or suspension of a certificate shall be commenced by filing charges against the certificate holder in writing and under oath with the board. Proposed law repeals present law. Proposed law provides that any license suspended, revoked, or otherwise restricted may be reinstated by the board. Proposed law provides that provisions of the Louisiana Athletic Trainers Law shall not apply to any athletic training student pursuing a course of study leading to a degree in athletic training at an institution whose program is accredited, recognized, or approved by the CAATE, if such activities and services constitute a part of a supervised course of study and the individual's status is designated by a title which clearly indicates his status as an "athletic training student". Proposed law provides that a license and renewal issued pursuant to present and proposed law shall be conspicuously displayed in the principal office of the licensee. Licensees shall, upon request, present proof of state licensure when engaged in professional activities as a licensed athletic trainer (LAT). (Amends R.S. 37:3301, 3302, 3303, 3304, and 3307; Adds R.S. 37:3305.1, 3306.1, 3308.1, 3309.1, 3311(C), and 3313; Repeals R.S. 37:3305, 3306, 3308, 3309, and 3310)