MO
Missouri House Bill HB2096

Missouri 2022 Regular Session

Missouri House Bill HB2096 Compare Versions

Only one version of the bill is available at this time.
OldNewDifferences
11 SECONDREGULARSESSION
22 HOUSEBILLNO.2096
33 101STGENERALASSEMBLY
44 INTRODUCEDBYREPRESENTATIVESEITZ.
55 4042H.01I DANARADEMANMILLER,ChiefClerk
66 ANACT
77 Torepealsections334.100,334.506,and334.613,RSMo,andtoenactinlieuthereofthree
88 newsectionsrelatingtophysicaltherapists.
99 BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
1010 SectionA.Sections334.100,334.506,and334.613,RSMo,arerepealedandthree
1111 2newsectionsenactedinlieuthereof,tobeknownassections334.100,334.506,and334.613,
1212 3toreadasfollows:
1313 334.100.1.Theboardmayrefusetoissueorrenewanycertificateofregistrationor
1414 2authority,permitorlicenserequiredpursuanttothischapterforoneoranycombinationof
1515 3causesstatedinsubsection2ofthissection.Theboardshallnotifytheapplicantinwritingof
1616 4thereasonsfortherefusalandshalladvisetheapplicantoftheapplicant'srighttofilea
1717 5complaintwiththeadministrativehearingcommissionasprovidedbychapter621.Asan
1818 6alternativetoarefusaltoissueorrenewanycertificate,registrationorauthority,theboard
1919 7may,atitsdiscretion,issuealicensewhichissubjecttoprobation,restrictionorlimitationto
2020 8anapplicantforlicensureforanyoneoranycombinationofcausesstatedinsubsection2of
2121 9thissection.Theboard'sorderofprobation,limitationorrestrictionshallcontainastatement
2222 10ofthedisciplineimposed,thebasistherefor,thedatesuchactionshallbecomeeffective,anda
2323 11statementthattheapplicanthasthirtydaystorequestinwritingahearingbeforethe
2424 12administrativehearingcommission.Iftheboardissuesaprobationary,limitedorrestricted
2525 13licensetoanapplicantforlicensure,eitherpartymayfileawrittenpetitionwiththe
2626 14administrativehearingcommissionwithinthirtydaysoftheeffectivedateoftheprobationary,
2727 15limitedorrestrictedlicenseseekingreviewoftheboard'sdetermination.Ifnowrittenrequest
2828 EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
2929 intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16forahearingisreceivedbytheadministrativehearingcommissionwithinthethirty-day
3030 17period,therighttoseekreviewoftheboard'sdecisionshallbeconsideredaswaived.
3131 18 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
3232 19commissionasprovidedbychapter621againstanyholderofanycertificateofregistrationor
3333 20authority,permitorlicenserequiredbythischapteroranypersonwhohasfailedtorenewor
3434 21hassurrenderedtheperson'scertificateofregistrationorauthority,permitorlicenseforany
3535 22oneoranycombinationofthefollowingcauses:
3636 23 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
3737 24toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofanyprofession
3838 25licensedorregulatedbythischapter;
3939 26 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
4040 27guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystateorofthe
4141 28UnitedStates,foranyoffensereasonablyrelatedtothequalifications,functionsordutiesof
4242 29anyprofessionlicensedorregulatedpursuanttothischapter,foranyoffenseinvolvingfraud,
4343 30dishonestyoranactofviolence,orforanyoffenseinvolvingmoralturpitude,whetherornot
4444 31sentenceisimposed;
4545 32 (3)Useoffraud,deception,misrepresentationorbriberyinsecuringanycertificateof
4646 33registrationorauthority,permitorlicenseissuedpursuanttothischapterorinobtaining
4747 34permissiontotakeanyexaminationgivenorrequiredpursuanttothischapter;
4848 35 (4)Misconduct,fraud,misrepresentation,dishonesty,unethicalconductor
4949 36unprofessionalconductintheperformanceofthefunctionsordutiesofanyprofession
5050 37licensedorregulatedbythischapter,including,butnotlimitedto,thefollowing:
5151 38 (a)Obtainingorattemptingtoobtainanyfee,charge,tuitionorothercompensation
5252 39byfraud,deceptionormisrepresentation;willfullyandcontinuallyoverchargingor
5353 40overtreatingpatients;orchargingforvisitstothephysician'sofficewhichdidnotoccur
5454 41unlesstheserviceswerecontractedforinadvance,orforserviceswhichwerenotrenderedor
5555 42documentedinthepatient'srecords;
5656 43 (b)Attempting,directlyorindirectly,bywayofintimidation,coercionordeception,
5757 44toobtainorretainapatientordiscouragetheuseofasecondopinionorconsultation;
5858 45 (c)Willfullyandcontinuallyperforminginappropriateorunnecessarytreatment,
5959 46diagnostictestsormedicalorsurgicalservices;
6060 47 (d)Delegatingprofessionalresponsibilitiestoapersonwhoisnotqualifiedby
6161 48training,skill,competency,age,experienceorlicensuretoperformsuchresponsibilities;
6262 49 (e)Misrepresentingthatanydisease,ailmentorinfirmitycanbecuredbyamethod,
6363 50procedure,treatment,medicineordevice;
6464 51 (f)Performingorprescribingmedicalserviceswhichhavebeendeclaredbyboard
6565 52ruletobeofnomedicalorosteopathicvalue;
6666 HB2096 2 53 (g)Finaldisciplinaryactionbyanyprofessionalmedicalorosteopathicassociationor
6767 54societyorlicensedhospitalormedicalstaffofsuchhospitalinthisoranyotherstateor
6868 55territory,whetheragreedtovoluntarilyornot,andincluding,butnotlimitedto,anyremoval,
6969 56suspension,limitation,orrestrictionoftheperson'slicenseorstafforhospitalprivileges,
7070 57failuretorenewsuchprivilegesorlicenseforcause,orotherfinaldisciplinaryaction,ifthe
7171 58actionwasinanywayrelatedtounprofessionalconduct,professionalincompetence,
7272 59malpracticeoranyotherviolationofanyprovisionofthischapter;
7373 60 (h)Signingablankprescriptionform;ordispensing,prescribing,administeringor
7474 61otherwisedistributinganydrug,controlledsubstanceorothertreatmentwithoutsufficient
7575 62examinationincludingfailingtoestablishavalidphysician-patientrelationshippursuantto
7676 63section334.108,orforotherthanmedicallyacceptedtherapeuticorexperimentalor
7777 64investigativepurposesdulyauthorizedbyastateorfederalagency,ornotinthecourseof
7878 65professionalpractice,ornotingoodfaithtorelievepainandsuffering,ornottocurean
7979 66ailment,physicalinfirmityordisease,exceptasauthorizedinsection334.104;
8080 67 (i)Exercisinginfluencewithinaphysician-patientrelationshipforpurposesof
8181 68engagingapatientinsexualactivity;
8282 69 (j)Beinglistedonanystateorfederalsexualoffenderregistry;
8383 70 (k)Terminatingthemedicalcareofapatientwithoutadequatenoticeorwithout
8484 71makingotherarrangementsforthecontinuedcareofthepatient;
8585 72 (l)Failingtofurnishdetailsofapatient'smedicalrecordstoothertreatingphysicians
8686 73orhospitalsuponproperrequest;orfailingtocomplywithanyotherlawrelatingtomedical
8787 74records;
8888 75 (m)Failureofanyapplicantorlicenseetocooperatewiththeboardduringany
8989 76investigation;
9090 77 (n)Failuretocomplywithanysubpoenaorsubpoenaducestecumfromtheboardor
9191 78anorderoftheboard;
9292 79 (o)Failuretotimelypaylicenserenewalfeesspecifiedinthischapter;
9393 80 (p)Violatingaprobationagreement,order,orothersettlementagreementwiththis
9494 81boardoranyotherlicensingagency;
9595 82 (q)Failingtoinformtheboardofthephysician'scurrentresidenceandbusiness
9696 83address;
9797 84 (r)Advertisingbyanapplicantorlicenseewhichisfalseormisleading,orwhich
9898 85violatesanyruleoftheboard,orwhichclaimswithoutsubstantiationthepositivecureofany
9999 86disease,orprofessionalsuperioritytoorgreaterskillthanthatpossessedbyanyother
100100 87physician.Anapplicantorlicenseeshallalsobeinviolationofthisprovisioniftheapplicant
101101 88orlicenseehasafinancialinterestinanyorganization,corporationorassociationwhichissues
102102 89orconductssuchadvertising;
103103 HB2096 3 90 (s)Anyotherconductthatisunethicalorunprofessionalinvolvingaminor;
104104 91 (5)Anyconductorpracticewhichisormightbeharmfulordangeroustothemental
105105 92orphysicalhealthofapatientorthepublic;orincompetency,grossnegligenceorrepeated
106106 93negligenceintheperformanceofthefunctionsordutiesofanyprofessionlicensedor
107107 94regulatedbythischapter.Forthepurposesofthissubdivision,"repeatednegligence"means
108108 95thefailure,onmorethanoneoccasion,tousethatdegreeofskillandlearningordinarilyused
109109 96underthesameorsimilarcircumstancesbythememberoftheapplicant'sorlicensee's
110110 97profession;
111111 98 (6)Violationof,orattemptingtoviolate,directlyorindirectly,orassistingor
112112 99enablinganypersontoviolate,anyprovisionofthischapterorchapter324,orofanylawful
113113 100ruleorregulationadoptedpursuanttothischapterorchapter324;
114114 101 (7)Impersonationofanypersonholdingacertificateofregistrationorauthority,
115115 102permitorlicenseorallowinganypersontousehisorhercertificateofregistrationor
116116 103authority,permit,licenseordiplomafromanyschool;
117117 104 (8)Revocation,suspension,restriction,modification,limitation,reprimand,warning,
118118 105censure,probationorotherfinaldisciplinaryactionagainsttheholderoforapplicantfora
119119 106licenseorotherrighttopracticeanyprofessionregulatedbythischapterbyanotherstate,
120120 107territory,federalagencyorcountry,whetherornotvoluntarilyagreedtobythelicenseeor
121121 108applicant,including,butnotlimitedto,thedenialoflicensure,surrenderofthelicense,
122122 109allowingthelicensetoexpireorlapse,ordiscontinuingorlimitingthepracticeofmedicine
123123 110whilesubjecttoaninvestigationorwhileactuallyunderinvestigationbyanylicensing
124124 111authority,medicalfacility,branchoftheArmedForcesoftheUnitedStatesofAmerica,
125125 112insurancecompany,court,agencyofthestateorfederalgovernment,oremployer;
126126 113 (9)Apersonisfinallyadjudgedincapacitatedordisabledbyacourtofcompetent
127127 114jurisdiction;
128128 115 (10)Assistingorenablinganypersontopracticeoroffertopracticeanyprofession
129129 116licensedorregulatedbythischapterwhoisnotregisteredandcurrentlyeligibletopractice
130130 117pursuanttothischapter;orknowinglyperforminganyactwhichinanywayaids,assists,
131131 118procures,advises,orencouragesanypersontopracticemedicinewhoisnotregisteredand
132132 119currentlyeligibletopracticepursuanttothischapter.Aphysicianwhoworksinaccordance
133133 120withstandingordersorprotocolsorinaccordancewiththeprovisionsofsection334.104
134134 121shallnotbeinviolationofthissubdivision;
135135 122 (11)Issuanceofacertificateofregistrationorauthority,permitorlicensebasedupon
136136 123amaterialmistakeoffact;
137137 124 (12)Failuretodisplayavalidcertificateorlicenseifsorequiredbythischapteror
138138 125anyrulepromulgatedpursuanttothischapter;
139139 HB2096 4 126 (13)Violationofthedruglawsorrulesandregulationsofthisstate,includingbutnot
140140 127limitedtoanyprovisionofchapter195,anyotherstate,orthefederalgovernment;
141141 128 (14)Knowinglymaking,orcausingtobemade,oraiding,orabettinginthemaking
142142 129of,afalsestatementinanybirth,deathorothercertificateordocumentexecutedin
143143 130connectionwiththepracticeoftheperson'sprofession;
144144 131 (15)Knowinglymakingafalsestatement,orallyorinwritingtotheboard;
145145 132 (16)Solicitingpatronageinpersonorbyagentsorrepresentatives,orbyanyother
146146 133meansormanner,undertheperson'sownnameorunderthenameofanotherpersonor
147147 134concern,actualorpretended,insuchamannerastoconfuse,deceive,ormisleadthepublicas
148148 135totheneedornecessityfororappropriatenessofhealthcareservicesforallpatients,orthe
149149 136qualificationsofanindividualpersonorpersonstodiagnose,render,orperformhealthcare
150150 137services;
151151 138 (17)Using,orpermittingtheuseof,theperson'snameunderthedesignationof
152152 139"Doctor","Dr.","M.D.",or"D.O.",oranysimilardesignationwithreferencetothe
153153 140commercialexploitationofanygoods,waresormerchandise;
154154 141 (18)Knowinglymakingorcausingtobemadeafalsestatementormisrepresentation
155155 142ofamaterialfact,withintenttodefraud,forpaymentpursuanttotheprovisionsofchapter
156156 143208orchapter630orforpaymentfromTitleXVIIIorTitleXIXoftheSocialSecurityAct;
157157 144 (19)Failureorrefusaltoproperlyguardagainstcontagious,infectiousor
158158 145communicablediseasesorthespreadthereof;maintaininganunsanitaryofficeor
159159 146performingprofessionalservicesunderunsanitaryconditions;orfailuretoreportthe
160160 147existenceofanunsanitaryconditionintheofficeofaphysicianorinanyhealthcarefacility
161161 148totheboard,inwriting,withinthirtydaysafterthediscoverythereof;
162162 149 (20)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
163163 150payingorofferingtopayareferralfee[or,notwithstandingsection334.010tothecontrary,
164164 151practicingorofferingtopracticeprofessionalphysicaltherapyindependentoftheprescription
165165 152anddirectionofapersonlicensedandregisteredasaphysicianandsurgeonpursuanttothis
166166 153chapter,asadentistpursuanttochapter332,asapodiatristpursuanttochapter330,asan
167167 154advancedpracticeregisterednurseunderchapter335,oranylicensedandregistered
168168 155physician,dentist,podiatrist,oradvancedpracticeregisterednursepracticinginanother
169169 156jurisdiction,whoselicenseisingoodstanding];
170170 157 (21)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
171171 158treatingorattemptingtotreatailmentsorotherhealthconditionsofhumanbeingsotherthan
172172 159byprofessionalphysicaltherapyandasauthorizedbysections334.500to334.620;
173173 160 (22)Anypersonlicensedtopracticeasaphysicianorsurgeon,requiring,asa
174174 161conditionofthephysician-patientrelationship,thatthepatientreceiveprescribeddrugs,
175175 162devicesorotherprofessionalservicesdirectlyfromfacilitiesofthatphysician'sofficeorother
176176 HB2096 5 163entitiesunderthatphysician'sownershiporcontrol.Aphysicianshallprovidethepatient
177177 164withaprescriptionwhichmaybetakentothefacilityselectedbythepatientandaphysician
178178 165knowinglyfailingtodisclosetoapatientonaformapprovedbytheadvisorycommissionfor
179179 166professionalphysicaltherapistsasestablishedbysection334.625whichisdatedandsigned
180180 167byapatientorguardianacknowledgingthatthepatientorguardianhasreadandunderstands
181181 168thatthephysicianhasapecuniaryinterestinaphysicaltherapyorrehabilitationservice
182182 169providingprescribedtreatmentandthattheprescribedtreatmentisavailableonacompetitive
183183 170basis.Thissubdivisionshallnotapplytoareferralbyonephysiciantoanotherphysician
184184 171withinagroupofphysicianspracticingtogether;
185185 172 (23)Apatternofpersonaluseorconsumptionofanycontrolledsubstanceunlessitis
186186 173prescribed,dispensedoradministeredbyanotherphysicianwhoisauthorizedbylawtodoso;
187187 174 (24)Habitualintoxicationordependenceonalcohol,evidenceofwhichmayinclude
188188 175morethanonealcohol-relatedenforcementcontactasdefinedbysection302.525;
189189 176 (25)Failuretocomplywithatreatmentprogramoranaftercareprogramenteredinto
190190 177aspartofaboardorder,settlementagreementorlicensee'sprofessionalhealthprogram;
191191 178 (26)Revocation,suspension,limitation,probation,orrestrictionofanykind
192192 179whatsoeverofanycontrolledsubstanceauthority,whetheragreedtovoluntarilyornot,or
193193 180voluntaryterminationofacontrolledsubstanceauthoritywhileunderinvestigation;
194194 181 (27)Foraphysiciantooperate,conduct,manage,orestablishanabortionfacility,or
195195 182foraphysiciantoperformanabortioninanabortionfacility,ifsuchfacilitycomesunderthe
196196 183definitionofanambulatorysurgicalcenterpursuanttosections197.200to197.240,andsuch
197197 184facilityhasfailedtoobtainorrenewalicenseasanambulatorysurgicalcenter.
198198 185 3.Collaborativepracticearrangements,protocolsandstandingordersshallbein
199199 186writingandsignedanddatedbyaphysicianpriortotheirimplementation.
200200 187 4.Afterthefilingofsuchcomplaintbeforetheadministrativehearingcommission,
201201 188theproceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upona
202202 189findingbytheadministrativehearingcommissionthatthegrounds,providedinsubsection2
203203 190ofthissection,fordisciplinaryactionaremet,theboardmay,singlyorincombination,warn,
204204 191censureorplacethepersonnamedinthecomplaintonprobationonsuchtermsand
205205 192conditionsastheboarddeemsappropriateforaperiodnottoexceedtenyears,ormay
206206 193suspendtheperson'slicense,certificateorpermitforaperiodnottoexceedthreeyears,or
207207 194restrictorlimittheperson'slicense,certificateorpermitforanindefiniteperiodoftime,or
208208 195revoketheperson'slicense,certificate,orpermit,oradministerapublicorprivatereprimand,
209209 196ordenytheperson'sapplicationforalicense,orpermanentlywithholdissuanceofalicenseor
210210 197requirethepersontosubmittothecare,counselingortreatmentofphysiciansdesignatedby
211211 198theboardattheexpenseoftheindividualtobeexamined,orrequirethepersontoattendsuch
212212 199continuingeducationalcoursesandpasssuchexaminationsastheboardmaydirect.
213213 HB2096 6 200 5.Inanyorderofrevocation,theboardmayprovidethatthepersonmaynotapplyfor
214214 201reinstatementoftheperson'slicenseforaperiodoftimerangingfromtwotosevenyears
215215 202followingthedateoftheorderofrevocation.Allstayordersshalltollthistimeperiod.
216216 203 6.Beforerestoringtogoodstandingalicense,certificateorpermitissuedpursuantto
217217 204thischapterwhichhasbeeninarevoked,suspendedorinactivestateforanycauseformore
218218 205thantwoyears,theboardmayrequiretheapplicanttoattendsuchcontinuingmedical
219219 206educationcoursesandpasssuchexaminationsastheboardmaydirect.
220220 207 7.Inanyinvestigation,hearingorotherproceedingtodeterminealicensee'sor
221221 208applicant'sfitnesstopractice,anyrecordrelatingtoanypatientofthelicenseeorapplicant
222222 209shallbediscoverablebytheboardandadmissibleintoevidence,regardlessofanystatutoryor
223223 210commonlawprivilegewhichsuchlicensee,applicant,recordcustodianorpatientmight
224224 211otherwiseinvoke.Inaddition,nosuchlicensee,applicant,orrecordcustodianmaywithhold
225225 212recordsortestimonybearinguponalicensee'sorapplicant'sfitnesstopracticeontheground
226226 213ofprivilegebetweensuchlicensee,applicantorrecordcustodianandapatient.
227227 334.506.1.Asusedinthissection,"approvedhealthcareprovider"meansaperson
228228 2holdingacurrentandactivelicenseasaphysicianandsurgeonunderthischapter,a
229229 3chiropractorunderchapter331,adentistunderchapter332,apodiatristunderchapter330,a
230230 4physicianassistantunderthischapter,anadvancedpracticeregisterednurseunderchapter
231231 5335,oranylicensedandregisteredphysician,chiropractor,dentist,orpodiatristpracticingin
232232 6anotherjurisdictionwhoselicenseisingoodstanding.
233233 7 2.Aphysicaltherapist[shallnot]mayevaluateandinitiatetreatment[foranew
234234 8injuryorillness] onapatientwithoutaprescriptionorreferralfromanapprovedhealthcare
235235 9provider.
236236 10 3.Aphysicaltherapistmayprovideeducationalresourcesandtraining,develop
237237 11fitnessorwellnessprograms[forasymptomaticpersons], orprovidescreeningorconsultative
238238 12serviceswithinthescopeofphysicaltherapypracticewithout[the]aprescription[and
239239 13directionof]orreferralfromanapprovedhealthcareprovider.
240240 14 4.[Aphysicaltherapistmayexamineandtreatwithouttheprescriptionanddirection
241241 15ofanapprovedhealthcareprovideranypersonwitharecurringself-limitedinjurywithinone
242242 16yearofdiagnosisbyanapprovedhealthcareproviderorachronicillnessthathasbeen
243243 17previouslydiagnosedbyanapprovedhealthcareprovider.Thephysicaltherapistshall:
244244 18 (1)Contactthepatient'scurrentapprovedhealthcareproviderwithinsevendaysof
245245 19initiatingphysicaltherapyservicesunderthissubsection;
246246 20 (2)Notchangeanexistingphysicaltherapyreferralavailabletothephysicaltherapist
247247 21withoutapprovalofthepatient'scurrentapprovedhealthcareprovider;
248248 HB2096 7 22 (3)Refertoanapprovedhealthcareprovideranypatientwhosemedicalconditionat
249249 23thetimeofexaminationortreatmentisdeterminedtobebeyondthescopeofpracticeof
250250 24physicaltherapy;
251251 25 (4)Refertoanapprovedhealthcareprovideranypatientwhoseconditionforwhich
252252 26physicaltherapyservicesarerenderedunderthissubsectionhasnotbeendocumentedtobe
253253 27progressingtowarddocumentedtreatmentgoalsaftersixvisitsorfourteendays,whichever
254254 28firstoccurs;
255255 29 (5)Notifythepatient'scurrentapprovedhealthcareproviderpriortothecontinuation
256256 30oftreatmentiftreatmentrenderedunderthissubsectionistocontinuebeyondthirtydays.
257257 31Thephysicaltherapistshallprovidesuchnotificationforeachsuccessiveperiodofthirty
258258 32days.
259259 33 5.]Theprovisionofphysicaltherapyservicesofevaluationandscreeningpursuantto
260260 34thissectionshallbelimitedtoaphysicaltherapist,andanyauthorityforevaluationand
261261 35screeninggrantedwithinthissectionmaynotbedelegated.Uponeachreinitiationof
262262 36physicaltherapyservices,aphysicaltherapistshallprovideafullphysicaltherapyevaluation
263263 37priortothereinitiationofphysicaltherapytreatment.[Physicaltherapytreatmentprovided
264264 38pursuanttotheprovisionsofsubsection4ofthissectionmaybedelegatedbyphysical
265265 39therapiststophysicaltherapistassistantsonlyifthepatient'scurrentapprovedhealthcare
266266 40providerhasbeensoinformedaspartofthephysicaltherapist'sseven-daynotificationupon
267267 41reinitiationofphysicaltherapyservicesasrequiredinsubsection4ofthissection.] Nothing
268268 42inthissubsectionshallbeconstruedastolimittheabilityofphysicaltherapistsorphysical
269269 43therapistassistantstoprovidephysicaltherapyservicesinaccordancewiththeprovisionsof
270270 44thischapter,anduponthereferralofanapprovedhealthcareprovider.Nothinginthis
271271 45subsectionshallprohibitanapprovedhealthcareproviderfromactingwithinthescopeof
272272 46theirpracticeasdefinedbytheapplicablechaptersofRSMo.
273273 47 [6.]5.Nopersonlicensedtopractice,orapplicantforlicensure,asaphysical
274274 48therapistorphysicaltherapistassistantshallmakeamedicaldiagnosis.
275275 49 [7.]6.Aphysicaltherapistshallonlydelegatephysicaltherapytreatmenttoa
276276 50physicaltherapistassistantortoapersoninanentrylevelofaprofessionaleducation
277277 51programapprovedbytheCommissiononAccreditationinPhysicalTherapyEducation
278278 52(CAPTE)whosatisfiessupervisedclinicaleducationrequirementsrelatedtotheperson's
279279 53physicaltherapistorphysicaltherapistassistanteducation.Theentry-levelpersonshallbe
280280 54underthesupervisionofaphysicaltherapist.
281281 334.613.1.Theboardmayrefusetoissueorrenewalicensetopracticeasaphysical
282282 2therapistorphysicaltherapistassistantforoneoranycombinationofcausesstatedin
283283 3subsection2ofthissection.Theboardshallnotifytheapplicantinwritingofthereasonsfor
284284 4therefusalandshalladvisetheapplicantoftheapplicant'srighttofileacomplaintwiththe
285285 HB2096 8 5administrativehearingcommissionasprovidedbychapter621.Asanalternativetoarefusal
286286 6toissueorrenewalicensetopracticeasaphysicaltherapistorphysicaltherapistassistant,the
287287 7boardmay,atitsdiscretion,issuealicensewhichissubjecttoprobation,restriction,or
288288 8limitationtoanapplicantforlicensureforanyoneoranycombinationofcausesstatedin
289289 9subsection2ofthissection.Theboard'sorderofprobation,limitation,orrestrictionshall
290290 10containastatementofthedisciplineimposed,thebasistherefor,thedatesuchactionshall
291291 11becomeeffective,andastatementthattheapplicanthasthirtydaystorequestinwritinga
292292 12hearingbeforetheadministrativehearingcommission.Iftheboardissuesaprobationary,
293293 13limited,orrestrictedlicensetoanapplicantforlicensure,eitherpartymayfileawritten
294294 14petitionwiththeadministrativehearingcommissionwithinthirtydaysoftheeffectivedateof
295295 15theprobationary,limited,orrestrictedlicenseseekingreviewoftheboard'sdetermination.If
296296 16nowrittenrequestforahearingisreceivedbytheadministrativehearingcommissionwithin
297297 17thethirty-dayperiod,therighttoseekreviewoftheboard'sdecisionshallbeconsideredas
298298 18waived.
299299 19 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
300300 20commissionasprovidedbychapter621againstanyholderofalicensetopracticeasa
301301 21physicaltherapistorphysicaltherapistassistantwhohasfailedtoreneworhassurrendered
302302 22hisorherlicenseforanyoneoranycombinationofthefollowingcauses:
303303 23 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
304304 24toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofaphysicaltherapist
305305 25orphysicaltherapistassistant;
306306 26 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
307307 27guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystate,oftheUnited
308308 28States,orofanycountry,foranyoffensedirectlyrelatedtothedutiesandresponsibilitiesof
309309 29theoccupation,assetforthinsection324.012,regardlessofwhetherornotsentenceis
310310 30imposed;
311311 31 (3)Useoffraud,deception,misrepresentation,orbriberyinsecuringanycertificate
312312 32ofregistrationorauthority,permit,orlicenseissuedunderthischapterorinobtaining
313313 33permissiontotakeanyexaminationgivenorrequiredunderthischapter;
314314 34 (4)Misconduct,fraud,misrepresentation,dishonesty,unethicalconduct,or
315315 35unprofessionalconductintheperformanceofthefunctionsordutiesofaphysicaltherapist
316316 36orphysicaltherapistassistant,includingbutnotlimitedtothefollowing:
317317 37 (a)Obtainingorattemptingtoobtainanyfee,charge,tuition,orothercompensation
318318 38byfraud,deception,ormisrepresentation;willfullyandcontinuallyoverchargingor
319319 39overtreatingpatients;orchargingforsessionsofphysicaltherapywhichdidnotoccur
320320 40unlesstheserviceswerecontractedforinadvance,orforserviceswhichwerenotrenderedor
321321 41documentedinthepatient'srecords;
322322 HB2096 9 42 (b)Attempting,directlyorindirectly,bywayofintimidation,coercion,ordeception,
323323 43toobtainorretainapatientordiscouragetheuseofasecondopinionorconsultation;
324324 44 (c)Willfullyandcontinuallyperforminginappropriateorunnecessarytreatmentor
325325 45services;
326326 46 (d)Delegatingprofessionalresponsibilitiestoapersonwhoisnotqualifiedby
327327 47training,skill,competency,age,experience,orlicensuretoperformsuchresponsibilities;
328328 48 (e)Misrepresentingthatanydisease,ailment,orinfirmitycanbecuredbyamethod,
329329 49procedure,treatment,medicine,ordevice;
330330 50 (f)Performingserviceswhichhavebeendeclaredbyboardruletobeofnophysical
331331 51therapyvalue;
332332 52 (g)Finaldisciplinaryactionbyanyprofessionalassociation,professionalsociety,
333333 53licensedhospitalormedicalstaffofthehospital,orphysicaltherapyfacilityinthisorany
334334 54otherstateorterritory,whetheragreedtovoluntarilyornot,andincludingbutnotlimitedto
335335 55anyremoval,suspension,limitation,orrestrictionoftheperson'sprofessionalemployment,
336336 56malpractice,oranyotherviolationofanyprovisionofthischapter;
337337 57 (h)Administeringtreatmentwithoutsufficientexamination,orforotherthan
338338 58medicallyacceptedtherapeuticorexperimentalorinvestigativepurposesdulyauthorizedbya
339339 59stateorfederalagency,ornotinthecourseofprofessionalphysicaltherapypractice;
340340 60 (i)Engaginginorsolicitingsexualrelationships,whetherconsensualor
341341 61nonconsensual,whileaphysicaltherapistorphysicaltherapistassistant/patientrelationship
342342 62exists;makingsexualadvances,requestingsexualfavors,orengaginginotherverbalconduct
343343 63orphysicalcontactofasexualnaturewithpatientsorclients;
344344 64 (j)Terminatingthecareofapatientwithoutadequatenoticeorwithoutmakingother
345345 65arrangementsforthecontinuedcareofthepatient;
346346 66 (k)Failingtofurnishdetailsofapatient'sphysicaltherapyrecordstotreating
347347 67physicians,otherphysicaltherapists,orhospitalsuponproperrequest;orfailingtocomply
348348 68withanyotherlawrelatingtophysicaltherapyrecords;
349349 69 (l)Failureofanyapplicantorlicensee,otherthanthelicenseesubjecttothe
350350 70investigation,tocooperatewiththeboardduringanyinvestigation;
351351 71 (m)Failuretocomplywithanysubpoenaorsubpoenaducestecumfromtheboardor
352352 72anorderoftheboard;
353353 73 (n)Failuretotimelypaylicenserenewalfeesspecifiedinthischapter;
354354 74 (o)Violatingaprobationagreementwiththisboardoranyotherlicensingagency;
355355 75 (p)Failingtoinformtheboardofthephysicaltherapist'sorphysicaltherapist
356356 76assistant'scurrenttelephonenumber,residence,andbusinessaddress;
357357 77 (q)Advertisingbyanapplicantorlicenseewhichisfalseormisleading,orwhich
358358 78violatesanyruleoftheboard,orwhichclaimswithoutsubstantiationthepositivecureofany
359359 HB2096 10 79disease,orprofessionalsuperioritytoorgreaterskillthanthatpossessedbyanyother
360360 80physicaltherapistorphysicaltherapistassistant.Anapplicantorlicenseeshallalsobein
361361 81violationofthisprovisioniftheapplicantorlicenseehasafinancialinterestinany
362362 82organization,corporation,orassociationwhichissuesorconductssuchadvertising;
363363 83 (5)Anyconductorpracticewhichisormightbeharmfulordangeroustothemental
364364 84orphysicalhealthofapatientorthepublic;orincompetency,grossnegligence,orrepeated
365365 85negligenceintheperformanceofthefunctionsordutiesofaphysicaltherapistorphysical
366366 86therapistassistant.Forthepurposesofthissubdivision,"repeatednegligence"meansthe
367367 87failure,onmorethanoneoccasion,tousethatdegreeofskillandlearningordinarilyused
368368 88underthesameorsimilarcircumstancesbythememberoftheapplicant'sorlicensee's
369369 89profession;
370370 90 (6)Violationof,orattemptingtoviolate,directlyorindirectly,orassistingor
371371 91enablinganypersontoviolate,anyprovisionofthischapter,orofanylawfulruleadopted
372372 92underthischapter;
373373 93 (7)Impersonationofanypersonlicensedasaphysicaltherapistorphysicaltherapist
374374 94assistantorallowinganypersontousehisorherlicenseordiplomafromanyschool;
375375 95 (8)Revocation,suspension,restriction,modification,limitation,reprimand,warning,
376376 96censure,probation,orotherfinaldisciplinaryactionagainstaphysicaltherapistorphysical
377377 97therapistassistantforalicenseorotherrighttopracticeasaphysicaltherapistorphysical
378378 98therapistassistantbyanotherstate,territory,federalagencyorcountry,whetherornot
379379 99voluntarilyagreedtobythelicenseeorapplicant,includingbutnotlimitedtothedenialof
380380 100licensure,surrenderofthelicense,allowingthelicensetoexpireorlapse,ordiscontinuingor
381381 101limitingthepracticeofphysicaltherapywhilesubjecttoaninvestigationorwhileactually
382382 102underinvestigationbyanylicensingauthority,medicalfacility,branchoftheArmedForces
383383 103oftheUnitedStatesofAmerica,insurancecompany,court,agencyofthestateorfederal
384384 104government,oremployer;
385385 105 (9)Apersonisfinallyadjudgedincapacitatedordisabledbyacourtofcompetent
386386 106jurisdiction;
387387 107 (10)Assistingorenablinganypersontopracticeoroffertopracticewhoisnot
388388 108licensedandcurrentlyeligibletopracticeunderthischapter;orknowinglyperforminganyact
389389 109whichinanywayaids,assists,procures,advises,orencouragesanypersontopractice
390390 110physicaltherapywhoisnotlicensedandcurrentlyeligibletopracticeunderthischapter;
391391 111 (11)Issuanceofalicensetopracticeasaphysicaltherapistorphysicaltherapist
392392 112assistantbaseduponamaterialmistakeoffact;
393393 113 (12)Failuretodisplayavalidlicensepursuanttopracticeasaphysicaltherapistor
394394 114physicaltherapistassistant;
395395 HB2096 11 115 (13)Knowinglymaking,orcausingtobemade,oraiding,orabettinginthemaking
396396 116of,afalsestatementinanydocumentexecutedinconnectionwiththepracticeofphysical
397397 117therapy;
398398 118 (14)Solicitingpatronageinpersonorbyagentsorrepresentatives,orbyanyother
399399 119meansormanner,undertheperson'sownnameorunderthenameofanotherpersonor
400400 120concern,actualorpretended,insuchamannerastoconfuse,deceive,ormisleadthepublicas
401401 121totheneedornecessityfororappropriatenessofphysicaltherapyservicesforallpatients,or
402402 122thequalificationsofanindividualpersonorpersonstorender,orperformphysicaltherapy
403403 123services;
404404 124 (15)Using,orpermittingtheuseof,theperson'snameunderthedesignationof
405405 125"physicaltherapist","physiotherapist","registeredphysicaltherapist","P.T.","Ph.T.",
406406 126"P.T.T.","D.P.T.","M.P.T."or"R.P.T.","physicaltherapistassistant","P.T.A.","L.P.T.A.",
407407 127"C.P.T.A.",oranysimilardesignationwithreferencetothecommercialexploitationofany
408408 128goods,waresormerchandise;
409409 129 (16)Knowinglymakingorcausingtobemadeafalsestatementormisrepresentation
410410 130ofamaterialfact,withintenttodefraud,forpaymentunderchapter208orchapter630orfor
411411 131paymentfromTitleXVIIIorTitleXIXoftheSocialSecurityAct;
412412 132 (17)Failureorrefusaltoproperlyguardagainstcontagious,infectious,or
413413 133communicablediseasesorthespreadthereof;maintaininganunsanitaryfacilityor
414414 134performingprofessionalservicesunderunsanitaryconditions;orfailuretoreportthe
415415 135existenceofanunsanitaryconditioninanyphysicaltherapyfacilitytotheboard,inwriting,
416416 136withinthirtydaysafterthediscoverythereof;
417417 137 (18)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist
418418 138orphysicaltherapistassistantpayingorofferingtopayareferralfee[or,notwithstanding
419419 139section334.010tothecontrary,practicingorofferingtopracticeprofessionalphysical
420420 140therapyindependentoftheprescriptionanddirectionofapersonlicensedandregisteredasa
421421 141physicianandsurgeonunderthischapter,asaphysicianassistantunderthischapter,asa
422422 142chiropractorunderchapter331,asadentistunderchapter332,asapodiatristunderchapter
423423 143330,asanadvancedpracticeregisterednurseunderchapter335,oranylicensedand
424424 144registeredphysician,chiropractor,dentist,podiatrist,oradvancedpracticeregisterednurse
425425 145practicinginanotherjurisdiction,whoselicenseisingoodstanding];
426426 146 (19)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist
427427 147orphysicaltherapistassistanttreatingorattemptingtotreatailmentsorotherhealth
428428 148conditionsofhumanbeingsotherthanbyprofessionalphysicaltherapyandasauthorizedby
429429 149sections334.500to334.685;
430430 150 (20)Apatternofpersonaluseorconsumptionofanycontrolledsubstanceunlessitis
431431 151prescribed,dispensed,oradministeredbyaphysicianwhoisauthorizedbylawtodoso;
432432 HB2096 12 152 (21)Failingtomaintainadequatepatientrecordsundersection334.602;
433433 153 (22)Attemptingtoengageinconductthatsubvertsorunderminestheintegrityofthe
434434 154licensingexaminationorthelicensingexaminationprocess,includingbutnotlimitedto
435435 155utilizinginanymannerrecalledormemorizedlicensingexaminationquestionsfromorwith
436436 156anypersonorentity,failingtocomplywithalltestcentersecurityprocedures,communicating
437437 157orattemptingtocommunicatewithanyotherexamineesduringthetest,orcopyingorsharing
438438 158licensingexaminationquestionsorportionsofquestions;
439439 159 (23)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist
440440 160orphysicaltherapistassistantwhorequests,receives,participatesorengagesdirectlyor
441441 161indirectlyinthedivision,transferring,assigning,rebatingorrefundingoffeesreceivedfor
442442 162professionalservicesorprofitsbymeansofacreditorothervaluableconsiderationsuchas
443443 163wages,anunearnedcommission,discountorgratuitywithanypersonwhoreferredapatient,
444444 164orwithanyrelativeorbusinessassociateofthereferringperson;
445445 165 (24)Beingunabletopracticeasaphysicaltherapistorphysicaltherapistassistant
446446 166withreasonableskillandsafetytopatientsbyreasonsofincompetency,orbecauseofillness,
447447 167drunkenness,excessiveuseofdrugs,narcotics,chemicals,orasaresultofanymentalor
448448 168physicalcondition.Thefollowingshallapplytothissubdivision:
449449 169 (a)Inenforcingthissubdivisiontheboardshall,afterahearingbytheboard,upona
450450 170findingofprobablecause,requireaphysicaltherapistorphysicaltherapistassistanttosubmit
451451 171toareexaminationforthepurposeofestablishinghisorhercompetencytopracticeasa
452452 172physicaltherapistorphysicaltherapistassistantconductedinaccordancewithrulesadopted
453453 173forthispurposebytheboard,includingrulestoallowtheexaminationofthepatternand
454454 174practiceofsuchphysicaltherapist'sorphysicaltherapistassistant'sprofessionalconduct,orto
455455 175submittoamentalorphysicalexaminationorcombinationthereofbyafacilityor
456456 176professionalapprovedbytheboard;
457457 177 (b)Forthepurposeofthissubdivision,everyphysicaltherapistandphysicaltherapist
458458 178assistantlicensedunderthischapterisdeemedtohaveconsentedtosubmittoamentalor
459459 179physicalexaminationwhendirectedinwritingbytheboard;
460460 180 (c)Inadditiontoorderingaphysicalormentalexaminationtodeterminecompetency,
461461 181theboardmay,notwithstandinganyotherlawlimitingaccesstomedicalorotherhealthdata,
462462 182obtainmedicaldataandhealthrecordsrelatingtoaphysicaltherapist,physicaltherapist
463463 183assistantorapplicantwithoutthephysicaltherapist's,physicaltherapistassistant'sor
464464 184applicant'sconsent;
465465 185 (d)Writtennoticeofthereexaminationorthephysicalormentalexaminationshallbe
466466 186senttothephysicaltherapistorphysicaltherapistassistant,byregisteredmail,addressedto
467467 187thephysicaltherapistorphysicaltherapistassistantatthephysicaltherapist'sorphysical
468468 188therapistassistant'slastknownaddress.Failureofaphysicaltherapistorphysicaltherapist
469469 HB2096 13 189assistanttosubmittotheexaminationwhendirectedshallconstituteanadmissionofthe
470470 190allegationsagainstthephysicaltherapistorphysicaltherapistassistant,inwhichcasethe
471471 191boardmayenterafinalorderwithoutthepresentationofevidence,unlessthefailurewasdue
472472 192tocircumstancesbeyondthephysicaltherapist'sorphysicaltherapistassistant'scontrol.A
473473 193physicaltherapistorphysicaltherapistassistantwhoserighttopracticehasbeenaffected
474474 194underthissubdivisionshall,atreasonableintervals,beaffordedanopportunityto
475475 195demonstratethatthephysicaltherapistorphysicaltherapistassistantcanresumethe
476476 196competentpracticeasaphysicaltherapistorphysicaltherapistassistantwithreasonableskill
477477 197andsafetytopatients;
478478 198 (e)Inanyproceedingunderthissubdivisionneithertherecordofproceedingsnorthe
479479 199ordersenteredbytheboardshallbeusedagainstaphysicaltherapistorphysicaltherapist
480480 200assistantinanyotherproceeding.Proceedingsunderthissubdivisionshallbeconductedby
481481 201theboardwithoutthefilingofacomplaintwiththeadministrativehearingcommission;
482482 202 (f)Whentheboardfindsanypersonunqualifiedbecauseofanyofthegroundsset
483483 203forthinthissubdivision,itmayenteranorderimposingoneormoreofthedisciplinary
484484 204measuressetforthinsubsection3ofthissection.
485485 205 3.Afterthefilingofsuchcomplaintbeforetheadministrativehearingcommission,
486486 206theproceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upona
487487 207findingbytheadministrativehearingcommissionthatthegroundsprovidedinsubsection2
488488 208ofthissectionfordisciplinaryactionaremet,theboardmay,singlyorincombination:
489489 209 (1)Warn,censureorplacethephysicaltherapistorphysicaltherapistassistantnamed
490490 210inthecomplaintonprobationonsuchtermsandconditionsastheboarddeemsappropriate
491491 211foraperiodnottoexceedtenyears;
492492 212 (2)Suspendthephysicaltherapist'sorphysicaltherapistassistant'slicensefora
493493 213periodnottoexceedthreeyears;
494494 214 (3)Restrictorlimitthephysicaltherapist'sorphysicaltherapistassistant'slicensefor
495495 215anindefiniteperiodoftime;
496496 216 (4)Revokethephysicaltherapist'sorphysicaltherapistassistant'slicense;
497497 217 (5)Administerapublicorprivatereprimand;
498498 218 (6)Denythephysicaltherapist'sorphysicaltherapistassistant'sapplicationfora
499499 219license;
500500 220 (7)Permanentlywithholdissuanceofalicense;
501501 221 (8)Requirethephysicaltherapistorphysicaltherapistassistanttosubmittothecare,
502502 222counselingortreatmentofphysiciansdesignatedbytheboardattheexpenseofthephysical
503503 223therapistorphysicaltherapistassistanttobeexamined;
504504 224 (9)Requirethephysicaltherapistorphysicaltherapistassistanttoattendsuch
505505 225continuingeducationalcoursesandpasssuchexaminationsastheboardmaydirect.
506506 HB2096 14 226 4.Inanyorderofrevocation,theboardmayprovidethatthephysicaltherapistor
507507 227physicaltherapistassistantshallnotapplyforreinstatementofthephysicaltherapist'sor
508508 228physicaltherapistassistant'slicenseforaperiodoftimerangingfromtwotosevenyears
509509 229followingthedateoftheorderofrevocation.Allstayordersshalltollthistimeperiod.
510510 230 5.Beforerestoringtogoodstandingalicenseissuedunderthischapterwhichhas
511511 231beeninarevoked,suspended,orinactivestateforanycauseformorethantwoyears,the
512512 232boardmayrequiretheapplicanttoattendsuchcontinuingmedicaleducationcoursesandpass
513513 233suchexaminationsastheboardmaydirect.
514514 234 6.Inanyinvestigation,hearingorotherproceedingtodetermineaphysical
515515 235therapist's,physicaltherapistassistant'sorapplicant'sfitnesstopractice,anyrecordrelatingto
516516 236anypatientofthephysicaltherapist,physicaltherapistassistant,orapplicantshallbe
517517 237discoverablebytheboardandadmissibleintoevidence,regardlessofanystatutoryor
518518 238commonlawprivilegewhichsuchphysicaltherapist,physicaltherapistassistant,applicant,
519519 239recordcustodian,orpatientmightotherwiseinvoke.Inaddition,nosuchphysicaltherapist,
520520 240physicaltherapistassistant,applicant,orrecordcustodianmaywithholdrecordsortestimony
521521 241bearinguponaphysicaltherapist's,physicaltherapistassistant's,orapplicant'sfitnessto
522522 242practiceonthegroundsofprivilegebetweensuchphysicaltherapist,physicaltherapist
523523 243assistant,applicant,orrecordcustodianandapatient.
524524 âś”
525525 HB2096 15