SLS 15RS-252 ORIGINAL 2015 Regular Session SENATE CONCURRENT RESOL UTION NO. 19 BY SENATOR MILLS PHYSICAL THERAPISTS. Directs the Louisiana Physical Therapy Board to create the Physical Therapy Patient Access Review Committee. 1 A CONCURRENT RESOL UTION 2 To direct the Louisiana Physical Therapy Board to create the Physical Therapy Patient 3 Access Review Committee. 4 WHEREAS, the practice of physical therapy is the evaluation and treatment of any 5 physical or medical condition to restore normal function of the neuromuscular and skeletal 6 system, to relieve pain, or to prevent disability by use of physical or mechanical means, 7 including therapeutic exercise, mobilization, passive manipulation, therapeutic modalities, 8 and activities or devices for preventative, therapeutic, or medical purposes, and further shall 9 include physical therapy evaluation, treatment planning, instruction, consultative services, 10 and the supervision of physical therapy supportive personnel, including physical therapist 11 assistants; and 12 WHEREAS, since the 1970s, the United States uniformed services, the United States 13 Army, the United States Navy, the United States Air Force, and the United States Public 14 Health Service have eliminated the professional practice restriction regarding referral to 15 physical therapy services; and 16 WHEREAS, eighteen states have unrestricted patient access to physical therapy 17 services; and 18 WHEREAS, Louisiana is one of ten states that have the most restrictive and limited Page 1 of 4 SCR NO. 19 SLS 15RS-252 ORIGINAL 1 patient access to physical therapy whereby access to physical therapy is limited to 2 evaluation, wellness, and a limited treatment patient population, including but not limited 3 to access to patients with a previous diagnosis or previous referral; and 4 WHEREAS, Louisiana enacted a less restrictive form of patient access to physical 5 therapist services in 2003, and there have not been adverse health or safety issues related to 6 increased access to physical therapy services since the law took effect; and 7 WHEREAS, the restrictions and provisions tied to the current patient access law are 8 a barrier to access, resulting in increased healthcare costs and preventing a majority of the 9 patient population from seeing their physical therapist unless they have a referral; and 10 WHEREAS, studies have shown that improved patient access to physical therapist 11 services promotes a free-market health care environment, reduces health care costs, and 12 improves patient outcomes thereby promoting the public health, safety, and welfare; and 13 WHEREAS, if following the physical therapy evaluation and diagnosis the physical 14 therapist determines that a patient requires treatment and care that is outside the physical 15 therapist's scope of practice, the physical therapist informs the patient and client and refers 16 him to an appropriate medical professional. 17 THEREFORE, BE IT RESOLVED that the Legislature of Louisiana does hereby 18 direct the Louisiana Physical Therapy Board to create the Physical Therapy Patient Access 19 Review Committee with the membership to include at least the individuals listed hereinafter. 20 BE IT FURTHER RESOLVED that the committee shall investigate the potential 21 benefits of removing the current restrictions tied to patient access to a physical therapist's 22 services by allowing direct patient access to a physical therapist's services without 23 restrictions and report its findings and make recommendations to the legislature. 24 BE IT FURTHER RESOLVED that the committee shall be staffed and meetings of 25 the committee hosted by the Louisiana Physical Therapy Board. 26 BE IT FURTHER RESOLVED that the committee shall include the following 27 members: 28 (1) The commissioner of the Louisiana Department of Insurance or his designee. 29 (2) The president of the Louisiana Senate or his designee. 30 Page 2 of 4 SCR NO. 19 SLS 15RS-252 ORIGINAL 1 (3) The speaker of the Louisiana House of Representatives or his designee. 2 (4) The secretary of the Department of Health and Hospitals or his designee. 3 (5) The executive director of the Louisiana Physical Therapy Board or his designee. 4 (6) The executive director of the Louisiana State Board of Medical Examiners or his 5 designee. 6 (7) The executive director of the Louisiana State Board of Chiropractic Examiners 7 or his designee. 8 (8) The president of the Louisiana Physical Therapy Association or his designee. 9 (9) The chief executive officer of the Louisiana State Medical Society or his 10 designee. 11 (10) The chief executive officer of the Louisiana Association of Health Plans or his 12 designee. 13 (11) The assistant chief of physical therapy services at Bayne-Jones Army 14 Community Hospital and captain of the United States Army or his designee. 15 (12) The dean of Louisiana State University Health Sciences Center School of Allied 16 Health Professionals, New Orleans, or his designee. 17 (13) The dean of Louisiana State University Health Shreveport School of Allied 18 Health Professions or his designee. 19 BE IT FURTHER RESOLVED that the members of the committee shall serve 20 without compensation except per diem or expense reimbursement to which they may be 21 individually entitled as members of the constituent organizations. 22 BE IT FURTHER RESOLVED that the executive director of the Louisiana Physical 23 Therapy Board or his designee shall serve as the chairperson of the committee. 24 BE IT FURTHER RESOLVED that the chairperson of the committee shall call the 25 first meeting of the committee on or before September 1, 2015. 26 BE IT FURTHER RESOLVED that a majority of the total membership shall 27 constitute a quorum of the committee, and any official action by the committee shall require 28 an affirmative vote of a majority of the quorum present and voting. 29 BE IT FURTHER RESOLVED that the committee may conduct such meetings at 30 such times as it deems necessary or convenient to enable it to exercise fully and effectively Page 3 of 4 SCR NO. 19 SLS 15RS-252 ORIGINAL 1 its powers, perform its duties, and accomplish the objectives and purposes of this Resolution. 2 BE IT FURTHER RESOLVED that the committee shall submit a report of its 3 findings and recommendations to the legislature no later than January 15, 2016. 4 BE IT FURTHER RESOLVED that the authority of the committee shall terminate 5 upon submission of the report to the legislature. 6 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the 7 commissioner of the Louisiana Department of Insurance, the secretary of the Department of 8 Health and Hospitals, the executive director of the Louisiana Physical Therapy Board or his 9 designee, the executive director of the Louisiana State Board of Medical Examiners, the 10 director of the Louisiana State Board of Chiropractic Examiners, the president of the 11 Louisiana Physical Therapy Association, the chief executive officer of the Louisiana State 12 Medical Society, the chief executive officer of the Louisiana Association of Health Plans, 13 assistant chief of physical therapy services at Bayne-Jones Army Community Hospital, the 14 chancellor of Louisiana State University Health Sciences Center School of Allied Health 15 Professionals, New Orleans, and the chancellor of Louisiana State University Health 16 Shreveport School of Allied Health Professions. The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST SCR 19 Original 2015 Regular Session Mills Directs the Louisiana Physical Therapy Board to create the Physical Therapy Patient Access Review Committee. Page 4 of 4