SECONDREGULARSESSION
HOUSEBILLNO.2096
101STGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVESEITZ.
4042H.01I DANARADEMANMILLER,ChiefClerk
ANACT
Torepealsections334.100,334.506,and334.613,RSMo,andtoenactinlieuthereofthree
newsectionsrelatingtophysicaltherapists.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Sections334.100,334.506,and334.613,RSMo,arerepealedandthree
2newsectionsenactedinlieuthereof,tobeknownassections334.100,334.506,and334.613,
3toreadasfollows:
334.100.1.Theboardmayrefusetoissueorrenewanycertificateofregistrationor
2authority,permitorlicenserequiredpursuanttothischapterforoneoranycombinationof
3causesstatedinsubsection2ofthissection.Theboardshallnotifytheapplicantinwritingof
4thereasonsfortherefusalandshalladvisetheapplicantoftheapplicant'srighttofilea
5complaintwiththeadministrativehearingcommissionasprovidedbychapter621.Asan
6alternativetoarefusaltoissueorrenewanycertificate,registrationorauthority,theboard
7may,atitsdiscretion,issuealicensewhichissubjecttoprobation,restrictionorlimitationto
8anapplicantforlicensureforanyoneoranycombinationofcausesstatedinsubsection2of
9thissection.Theboard'sorderofprobation,limitationorrestrictionshallcontainastatement
10ofthedisciplineimposed,thebasistherefor,thedatesuchactionshallbecomeeffective,anda
11statementthattheapplicanthasthirtydaystorequestinwritingahearingbeforethe
12administrativehearingcommission.Iftheboardissuesaprobationary,limitedorrestricted
13licensetoanapplicantforlicensure,eitherpartymayfileawrittenpetitionwiththe
14administrativehearingcommissionwithinthirtydaysoftheeffectivedateoftheprobationary,
15limitedorrestrictedlicenseseekingreviewoftheboard'sdetermination.Ifnowrittenrequest
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16forahearingisreceivedbytheadministrativehearingcommissionwithinthethirty-day
17period,therighttoseekreviewoftheboard'sdecisionshallbeconsideredaswaived.
18 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
19commissionasprovidedbychapter621againstanyholderofanycertificateofregistrationor
20authority,permitorlicenserequiredbythischapteroranypersonwhohasfailedtorenewor
21hassurrenderedtheperson'scertificateofregistrationorauthority,permitorlicenseforany
22oneoranycombinationofthefollowingcauses:
23 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
24toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofanyprofession
25licensedorregulatedbythischapter;
26 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
27guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystateorofthe
28UnitedStates,foranyoffensereasonablyrelatedtothequalifications,functionsordutiesof
29anyprofessionlicensedorregulatedpursuanttothischapter,foranyoffenseinvolvingfraud,
30dishonestyoranactofviolence,orforanyoffenseinvolvingmoralturpitude,whetherornot
31sentenceisimposed;
32 (3)Useoffraud,deception,misrepresentationorbriberyinsecuringanycertificateof
33registrationorauthority,permitorlicenseissuedpursuanttothischapterorinobtaining
34permissiontotakeanyexaminationgivenorrequiredpursuanttothischapter;
35 (4)Misconduct,fraud,misrepresentation,dishonesty,unethicalconductor
36unprofessionalconductintheperformanceofthefunctionsordutiesofanyprofession
37licensedorregulatedbythischapter,including,butnotlimitedto,thefollowing:
38 (a)Obtainingorattemptingtoobtainanyfee,charge,tuitionorothercompensation
39byfraud,deceptionormisrepresentation;willfullyandcontinuallyoverchargingor
40overtreatingpatients;orchargingforvisitstothephysician'sofficewhichdidnotoccur
41unlesstheserviceswerecontractedforinadvance,orforserviceswhichwerenotrenderedor
42documentedinthepatient'srecords;
43 (b)Attempting,directlyorindirectly,bywayofintimidation,coercionordeception,
44toobtainorretainapatientordiscouragetheuseofasecondopinionorconsultation;
45 (c)Willfullyandcontinuallyperforminginappropriateorunnecessarytreatment,
46diagnostictestsormedicalorsurgicalservices;
47 (d)Delegatingprofessionalresponsibilitiestoapersonwhoisnotqualifiedby
48training,skill,competency,age,experienceorlicensuretoperformsuchresponsibilities;
49 (e)Misrepresentingthatanydisease,ailmentorinfirmitycanbecuredbyamethod,
50procedure,treatment,medicineordevice;
51 (f)Performingorprescribingmedicalserviceswhichhavebeendeclaredbyboard
52ruletobeofnomedicalorosteopathicvalue;
HB2096 2 53 (g)Finaldisciplinaryactionbyanyprofessionalmedicalorosteopathicassociationor
54societyorlicensedhospitalormedicalstaffofsuchhospitalinthisoranyotherstateor
55territory,whetheragreedtovoluntarilyornot,andincluding,butnotlimitedto,anyremoval,
56suspension,limitation,orrestrictionoftheperson'slicenseorstafforhospitalprivileges,
57failuretorenewsuchprivilegesorlicenseforcause,orotherfinaldisciplinaryaction,ifthe
58actionwasinanywayrelatedtounprofessionalconduct,professionalincompetence,
59malpracticeoranyotherviolationofanyprovisionofthischapter;
60 (h)Signingablankprescriptionform;ordispensing,prescribing,administeringor
61otherwisedistributinganydrug,controlledsubstanceorothertreatmentwithoutsufficient
62examinationincludingfailingtoestablishavalidphysician-patientrelationshippursuantto
63section334.108,orforotherthanmedicallyacceptedtherapeuticorexperimentalor
64investigativepurposesdulyauthorizedbyastateorfederalagency,ornotinthecourseof
65professionalpractice,ornotingoodfaithtorelievepainandsuffering,ornottocurean
66ailment,physicalinfirmityordisease,exceptasauthorizedinsection334.104;
67 (i)Exercisinginfluencewithinaphysician-patientrelationshipforpurposesof
68engagingapatientinsexualactivity;
69 (j)Beinglistedonanystateorfederalsexualoffenderregistry;
70 (k)Terminatingthemedicalcareofapatientwithoutadequatenoticeorwithout
71makingotherarrangementsforthecontinuedcareofthepatient;
72 (l)Failingtofurnishdetailsofapatient'smedicalrecordstoothertreatingphysicians
73orhospitalsuponproperrequest;orfailingtocomplywithanyotherlawrelatingtomedical
74records;
75 (m)Failureofanyapplicantorlicenseetocooperatewiththeboardduringany
76investigation;
77 (n)Failuretocomplywithanysubpoenaorsubpoenaducestecumfromtheboardor
78anorderoftheboard;
79 (o)Failuretotimelypaylicenserenewalfeesspecifiedinthischapter;
80 (p)Violatingaprobationagreement,order,orothersettlementagreementwiththis
81boardoranyotherlicensingagency;
82 (q)Failingtoinformtheboardofthephysician'scurrentresidenceandbusiness
83address;
84 (r)Advertisingbyanapplicantorlicenseewhichisfalseormisleading,orwhich
85violatesanyruleoftheboard,orwhichclaimswithoutsubstantiationthepositivecureofany
86disease,orprofessionalsuperioritytoorgreaterskillthanthatpossessedbyanyother
87physician.Anapplicantorlicenseeshallalsobeinviolationofthisprovisioniftheapplicant
88orlicenseehasafinancialinterestinanyorganization,corporationorassociationwhichissues
89orconductssuchadvertising;
HB2096 3 90 (s)Anyotherconductthatisunethicalorunprofessionalinvolvingaminor;
91 (5)Anyconductorpracticewhichisormightbeharmfulordangeroustothemental
92orphysicalhealthofapatientorthepublic;orincompetency,grossnegligenceorrepeated
93negligenceintheperformanceofthefunctionsordutiesofanyprofessionlicensedor
94regulatedbythischapter.Forthepurposesofthissubdivision,"repeatednegligence"means
95thefailure,onmorethanoneoccasion,tousethatdegreeofskillandlearningordinarilyused
96underthesameorsimilarcircumstancesbythememberoftheapplicant'sorlicensee's
97profession;
98 (6)Violationof,orattemptingtoviolate,directlyorindirectly,orassistingor
99enablinganypersontoviolate,anyprovisionofthischapterorchapter324,orofanylawful
100ruleorregulationadoptedpursuanttothischapterorchapter324;
101 (7)Impersonationofanypersonholdingacertificateofregistrationorauthority,
102permitorlicenseorallowinganypersontousehisorhercertificateofregistrationor
103authority,permit,licenseordiplomafromanyschool;
104 (8)Revocation,suspension,restriction,modification,limitation,reprimand,warning,
105censure,probationorotherfinaldisciplinaryactionagainsttheholderoforapplicantfora
106licenseorotherrighttopracticeanyprofessionregulatedbythischapterbyanotherstate,
107territory,federalagencyorcountry,whetherornotvoluntarilyagreedtobythelicenseeor
108applicant,including,butnotlimitedto,thedenialoflicensure,surrenderofthelicense,
109allowingthelicensetoexpireorlapse,ordiscontinuingorlimitingthepracticeofmedicine
110whilesubjecttoaninvestigationorwhileactuallyunderinvestigationbyanylicensing
111authority,medicalfacility,branchoftheArmedForcesoftheUnitedStatesofAmerica,
112insurancecompany,court,agencyofthestateorfederalgovernment,oremployer;
113 (9)Apersonisfinallyadjudgedincapacitatedordisabledbyacourtofcompetent
114jurisdiction;
115 (10)Assistingorenablinganypersontopracticeoroffertopracticeanyprofession
116licensedorregulatedbythischapterwhoisnotregisteredandcurrentlyeligibletopractice
117pursuanttothischapter;orknowinglyperforminganyactwhichinanywayaids,assists,
118procures,advises,orencouragesanypersontopracticemedicinewhoisnotregisteredand
119currentlyeligibletopracticepursuanttothischapter.Aphysicianwhoworksinaccordance
120withstandingordersorprotocolsorinaccordancewiththeprovisionsofsection334.104
121shallnotbeinviolationofthissubdivision;
122 (11)Issuanceofacertificateofregistrationorauthority,permitorlicensebasedupon
123amaterialmistakeoffact;
124 (12)Failuretodisplayavalidcertificateorlicenseifsorequiredbythischapteror
125anyrulepromulgatedpursuanttothischapter;
HB2096 4 126 (13)Violationofthedruglawsorrulesandregulationsofthisstate,includingbutnot
127limitedtoanyprovisionofchapter195,anyotherstate,orthefederalgovernment;
128 (14)Knowinglymaking,orcausingtobemade,oraiding,orabettinginthemaking
129of,afalsestatementinanybirth,deathorothercertificateordocumentexecutedin
130connectionwiththepracticeoftheperson'sprofession;
131 (15)Knowinglymakingafalsestatement,orallyorinwritingtotheboard;
132 (16)Solicitingpatronageinpersonorbyagentsorrepresentatives,orbyanyother
133meansormanner,undertheperson'sownnameorunderthenameofanotherpersonor
134concern,actualorpretended,insuchamannerastoconfuse,deceive,ormisleadthepublicas
135totheneedornecessityfororappropriatenessofhealthcareservicesforallpatients,orthe
136qualificationsofanindividualpersonorpersonstodiagnose,render,orperformhealthcare
137services;
138 (17)Using,orpermittingtheuseof,theperson'snameunderthedesignationof
139"Doctor","Dr.","M.D.",or"D.O.",oranysimilardesignationwithreferencetothe
140commercialexploitationofanygoods,waresormerchandise;
141 (18)Knowinglymakingorcausingtobemadeafalsestatementormisrepresentation
142ofamaterialfact,withintenttodefraud,forpaymentpursuanttotheprovisionsofchapter
143208orchapter630orforpaymentfromTitleXVIIIorTitleXIXoftheSocialSecurityAct;
144 (19)Failureorrefusaltoproperlyguardagainstcontagious,infectiousor
145communicablediseasesorthespreadthereof;maintaininganunsanitaryofficeor
146performingprofessionalservicesunderunsanitaryconditions;orfailuretoreportthe
147existenceofanunsanitaryconditionintheofficeofaphysicianorinanyhealthcarefacility
148totheboard,inwriting,withinthirtydaysafterthediscoverythereof;
149 (20)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
150payingorofferingtopayareferralfee[or,notwithstandingsection334.010tothecontrary,
151practicingorofferingtopracticeprofessionalphysicaltherapyindependentoftheprescription
152anddirectionofapersonlicensedandregisteredasaphysicianandsurgeonpursuanttothis
153chapter,asadentistpursuanttochapter332,asapodiatristpursuanttochapter330,asan
154advancedpracticeregisterednurseunderchapter335,oranylicensedandregistered
155physician,dentist,podiatrist,oradvancedpracticeregisterednursepracticinginanother
156jurisdiction,whoselicenseisingoodstanding];
157 (21)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist,
158treatingorattemptingtotreatailmentsorotherhealthconditionsofhumanbeingsotherthan
159byprofessionalphysicaltherapyandasauthorizedbysections334.500to334.620;
160 (22)Anypersonlicensedtopracticeasaphysicianorsurgeon,requiring,asa
161conditionofthephysician-patientrelationship,thatthepatientreceiveprescribeddrugs,
162devicesorotherprofessionalservicesdirectlyfromfacilitiesofthatphysician'sofficeorother
HB2096 5 163entitiesunderthatphysician'sownershiporcontrol.Aphysicianshallprovidethepatient
164withaprescriptionwhichmaybetakentothefacilityselectedbythepatientandaphysician
165knowinglyfailingtodisclosetoapatientonaformapprovedbytheadvisorycommissionfor
166professionalphysicaltherapistsasestablishedbysection334.625whichisdatedandsigned
167byapatientorguardianacknowledgingthatthepatientorguardianhasreadandunderstands
168thatthephysicianhasapecuniaryinterestinaphysicaltherapyorrehabilitationservice
169providingprescribedtreatmentandthattheprescribedtreatmentisavailableonacompetitive
170basis.Thissubdivisionshallnotapplytoareferralbyonephysiciantoanotherphysician
171withinagroupofphysicianspracticingtogether;
172 (23)Apatternofpersonaluseorconsumptionofanycontrolledsubstanceunlessitis
173prescribed,dispensedoradministeredbyanotherphysicianwhoisauthorizedbylawtodoso;
174 (24)Habitualintoxicationordependenceonalcohol,evidenceofwhichmayinclude
175morethanonealcohol-relatedenforcementcontactasdefinedbysection302.525;
176 (25)Failuretocomplywithatreatmentprogramoranaftercareprogramenteredinto
177aspartofaboardorder,settlementagreementorlicensee'sprofessionalhealthprogram;
178 (26)Revocation,suspension,limitation,probation,orrestrictionofanykind
179whatsoeverofanycontrolledsubstanceauthority,whetheragreedtovoluntarilyornot,or
180voluntaryterminationofacontrolledsubstanceauthoritywhileunderinvestigation;
181 (27)Foraphysiciantooperate,conduct,manage,orestablishanabortionfacility,or
182foraphysiciantoperformanabortioninanabortionfacility,ifsuchfacilitycomesunderthe
183definitionofanambulatorysurgicalcenterpursuanttosections197.200to197.240,andsuch
184facilityhasfailedtoobtainorrenewalicenseasanambulatorysurgicalcenter.
185 3.Collaborativepracticearrangements,protocolsandstandingordersshallbein
186writingandsignedanddatedbyaphysicianpriortotheirimplementation.
187 4.Afterthefilingofsuchcomplaintbeforetheadministrativehearingcommission,
188theproceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upona
189findingbytheadministrativehearingcommissionthatthegrounds,providedinsubsection2
190ofthissection,fordisciplinaryactionaremet,theboardmay,singlyorincombination,warn,
191censureorplacethepersonnamedinthecomplaintonprobationonsuchtermsand
192conditionsastheboarddeemsappropriateforaperiodnottoexceedtenyears,ormay
193suspendtheperson'slicense,certificateorpermitforaperiodnottoexceedthreeyears,or
194restrictorlimittheperson'slicense,certificateorpermitforanindefiniteperiodoftime,or
195revoketheperson'slicense,certificate,orpermit,oradministerapublicorprivatereprimand,
196ordenytheperson'sapplicationforalicense,orpermanentlywithholdissuanceofalicenseor
197requirethepersontosubmittothecare,counselingortreatmentofphysiciansdesignatedby
198theboardattheexpenseoftheindividualtobeexamined,orrequirethepersontoattendsuch
199continuingeducationalcoursesandpasssuchexaminationsastheboardmaydirect.
HB2096 6 200 5.Inanyorderofrevocation,theboardmayprovidethatthepersonmaynotapplyfor
201reinstatementoftheperson'slicenseforaperiodoftimerangingfromtwotosevenyears
202followingthedateoftheorderofrevocation.Allstayordersshalltollthistimeperiod.
203 6.Beforerestoringtogoodstandingalicense,certificateorpermitissuedpursuantto
204thischapterwhichhasbeeninarevoked,suspendedorinactivestateforanycauseformore
205thantwoyears,theboardmayrequiretheapplicanttoattendsuchcontinuingmedical
206educationcoursesandpasssuchexaminationsastheboardmaydirect.
207 7.Inanyinvestigation,hearingorotherproceedingtodeterminealicensee'sor
208applicant'sfitnesstopractice,anyrecordrelatingtoanypatientofthelicenseeorapplicant
209shallbediscoverablebytheboardandadmissibleintoevidence,regardlessofanystatutoryor
210commonlawprivilegewhichsuchlicensee,applicant,recordcustodianorpatientmight
211otherwiseinvoke.Inaddition,nosuchlicensee,applicant,orrecordcustodianmaywithhold
212recordsortestimonybearinguponalicensee'sorapplicant'sfitnesstopracticeontheground
213ofprivilegebetweensuchlicensee,applicantorrecordcustodianandapatient.
334.506.1.Asusedinthissection,"approvedhealthcareprovider"meansaperson
2holdingacurrentandactivelicenseasaphysicianandsurgeonunderthischapter,a
3chiropractorunderchapter331,adentistunderchapter332,apodiatristunderchapter330,a
4physicianassistantunderthischapter,anadvancedpracticeregisterednurseunderchapter
5335,oranylicensedandregisteredphysician,chiropractor,dentist,orpodiatristpracticingin
6anotherjurisdictionwhoselicenseisingoodstanding.
7 2.Aphysicaltherapist[shallnot]mayevaluateandinitiatetreatment[foranew
8injuryorillness] onapatientwithoutaprescriptionorreferralfromanapprovedhealthcare
9provider.
10 3.Aphysicaltherapistmayprovideeducationalresourcesandtraining,develop
11fitnessorwellnessprograms[forasymptomaticpersons], orprovidescreeningorconsultative
12serviceswithinthescopeofphysicaltherapypracticewithout[the]aprescription[and
13directionof]orreferralfromanapprovedhealthcareprovider.
14 4.[Aphysicaltherapistmayexamineandtreatwithouttheprescriptionanddirection
15ofanapprovedhealthcareprovideranypersonwitharecurringself-limitedinjurywithinone
16yearofdiagnosisbyanapprovedhealthcareproviderorachronicillnessthathasbeen
17previouslydiagnosedbyanapprovedhealthcareprovider.Thephysicaltherapistshall:
18 (1)Contactthepatient'scurrentapprovedhealthcareproviderwithinsevendaysof
19initiatingphysicaltherapyservicesunderthissubsection;
20 (2)Notchangeanexistingphysicaltherapyreferralavailabletothephysicaltherapist
21withoutapprovalofthepatient'scurrentapprovedhealthcareprovider;
HB2096 7 22 (3)Refertoanapprovedhealthcareprovideranypatientwhosemedicalconditionat
23thetimeofexaminationortreatmentisdeterminedtobebeyondthescopeofpracticeof
24physicaltherapy;
25 (4)Refertoanapprovedhealthcareprovideranypatientwhoseconditionforwhich
26physicaltherapyservicesarerenderedunderthissubsectionhasnotbeendocumentedtobe
27progressingtowarddocumentedtreatmentgoalsaftersixvisitsorfourteendays,whichever
28firstoccurs;
29 (5)Notifythepatient'scurrentapprovedhealthcareproviderpriortothecontinuation
30oftreatmentiftreatmentrenderedunderthissubsectionistocontinuebeyondthirtydays.
31Thephysicaltherapistshallprovidesuchnotificationforeachsuccessiveperiodofthirty
32days.
33 5.]Theprovisionofphysicaltherapyservicesofevaluationandscreeningpursuantto
34thissectionshallbelimitedtoaphysicaltherapist,andanyauthorityforevaluationand
35screeninggrantedwithinthissectionmaynotbedelegated.Uponeachreinitiationof
36physicaltherapyservices,aphysicaltherapistshallprovideafullphysicaltherapyevaluation
37priortothereinitiationofphysicaltherapytreatment.[Physicaltherapytreatmentprovided
38pursuanttotheprovisionsofsubsection4ofthissectionmaybedelegatedbyphysical
39therapiststophysicaltherapistassistantsonlyifthepatient'scurrentapprovedhealthcare
40providerhasbeensoinformedaspartofthephysicaltherapist'sseven-daynotificationupon
41reinitiationofphysicaltherapyservicesasrequiredinsubsection4ofthissection.] Nothing
42inthissubsectionshallbeconstruedastolimittheabilityofphysicaltherapistsorphysical
43therapistassistantstoprovidephysicaltherapyservicesinaccordancewiththeprovisionsof
44thischapter,anduponthereferralofanapprovedhealthcareprovider.Nothinginthis
45subsectionshallprohibitanapprovedhealthcareproviderfromactingwithinthescopeof
46theirpracticeasdefinedbytheapplicablechaptersofRSMo.
47 [6.]5.Nopersonlicensedtopractice,orapplicantforlicensure,asaphysical
48therapistorphysicaltherapistassistantshallmakeamedicaldiagnosis.
49 [7.]6.Aphysicaltherapistshallonlydelegatephysicaltherapytreatmenttoa
50physicaltherapistassistantortoapersoninanentrylevelofaprofessionaleducation
51programapprovedbytheCommissiononAccreditationinPhysicalTherapyEducation
52(CAPTE)whosatisfiessupervisedclinicaleducationrequirementsrelatedtotheperson's
53physicaltherapistorphysicaltherapistassistanteducation.Theentry-levelpersonshallbe
54underthesupervisionofaphysicaltherapist.
334.613.1.Theboardmayrefusetoissueorrenewalicensetopracticeasaphysical
2therapistorphysicaltherapistassistantforoneoranycombinationofcausesstatedin
3subsection2ofthissection.Theboardshallnotifytheapplicantinwritingofthereasonsfor
4therefusalandshalladvisetheapplicantoftheapplicant'srighttofileacomplaintwiththe
HB2096 8 5administrativehearingcommissionasprovidedbychapter621.Asanalternativetoarefusal
6toissueorrenewalicensetopracticeasaphysicaltherapistorphysicaltherapistassistant,the
7boardmay,atitsdiscretion,issuealicensewhichissubjecttoprobation,restriction,or
8limitationtoanapplicantforlicensureforanyoneoranycombinationofcausesstatedin
9subsection2ofthissection.Theboard'sorderofprobation,limitation,orrestrictionshall
10containastatementofthedisciplineimposed,thebasistherefor,thedatesuchactionshall
11becomeeffective,andastatementthattheapplicanthasthirtydaystorequestinwritinga
12hearingbeforetheadministrativehearingcommission.Iftheboardissuesaprobationary,
13limited,orrestrictedlicensetoanapplicantforlicensure,eitherpartymayfileawritten
14petitionwiththeadministrativehearingcommissionwithinthirtydaysoftheeffectivedateof
15theprobationary,limited,orrestrictedlicenseseekingreviewoftheboard'sdetermination.If
16nowrittenrequestforahearingisreceivedbytheadministrativehearingcommissionwithin
17thethirty-dayperiod,therighttoseekreviewoftheboard'sdecisionshallbeconsideredas
18waived.
19 2.Theboardmaycauseacomplainttobefiledwiththeadministrativehearing
20commissionasprovidedbychapter621againstanyholderofalicensetopracticeasa
21physicaltherapistorphysicaltherapistassistantwhohasfailedtoreneworhassurrendered
22hisorherlicenseforanyoneoranycombinationofthefollowingcauses:
23 (1)Useofanycontrolledsubstance,asdefinedinchapter195,oralcoholicbeverage
24toanextentthatsuchuseimpairsaperson'sabilitytoperformtheworkofaphysicaltherapist
25orphysicaltherapistassistant;
26 (2)Thepersonhasbeenfinallyadjudicatedandfoundguilty,orenteredapleaof
27guiltyornolocontendere,inacriminalprosecutionunderthelawsofanystate,oftheUnited
28States,orofanycountry,foranyoffensedirectlyrelatedtothedutiesandresponsibilitiesof
29theoccupation,assetforthinsection324.012,regardlessofwhetherornotsentenceis
30imposed;
31 (3)Useoffraud,deception,misrepresentation,orbriberyinsecuringanycertificate
32ofregistrationorauthority,permit,orlicenseissuedunderthischapterorinobtaining
33permissiontotakeanyexaminationgivenorrequiredunderthischapter;
34 (4)Misconduct,fraud,misrepresentation,dishonesty,unethicalconduct,or
35unprofessionalconductintheperformanceofthefunctionsordutiesofaphysicaltherapist
36orphysicaltherapistassistant,includingbutnotlimitedtothefollowing:
37 (a)Obtainingorattemptingtoobtainanyfee,charge,tuition,orothercompensation
38byfraud,deception,ormisrepresentation;willfullyandcontinuallyoverchargingor
39overtreatingpatients;orchargingforsessionsofphysicaltherapywhichdidnotoccur
40unlesstheserviceswerecontractedforinadvance,orforserviceswhichwerenotrenderedor
41documentedinthepatient'srecords;
HB2096 9 42 (b)Attempting,directlyorindirectly,bywayofintimidation,coercion,ordeception,
43toobtainorretainapatientordiscouragetheuseofasecondopinionorconsultation;
44 (c)Willfullyandcontinuallyperforminginappropriateorunnecessarytreatmentor
45services;
46 (d)Delegatingprofessionalresponsibilitiestoapersonwhoisnotqualifiedby
47training,skill,competency,age,experience,orlicensuretoperformsuchresponsibilities;
48 (e)Misrepresentingthatanydisease,ailment,orinfirmitycanbecuredbyamethod,
49procedure,treatment,medicine,ordevice;
50 (f)Performingserviceswhichhavebeendeclaredbyboardruletobeofnophysical
51therapyvalue;
52 (g)Finaldisciplinaryactionbyanyprofessionalassociation,professionalsociety,
53licensedhospitalormedicalstaffofthehospital,orphysicaltherapyfacilityinthisorany
54otherstateorterritory,whetheragreedtovoluntarilyornot,andincludingbutnotlimitedto
55anyremoval,suspension,limitation,orrestrictionoftheperson'sprofessionalemployment,
56malpractice,oranyotherviolationofanyprovisionofthischapter;
57 (h)Administeringtreatmentwithoutsufficientexamination,orforotherthan
58medicallyacceptedtherapeuticorexperimentalorinvestigativepurposesdulyauthorizedbya
59stateorfederalagency,ornotinthecourseofprofessionalphysicaltherapypractice;
60 (i)Engaginginorsolicitingsexualrelationships,whetherconsensualor
61nonconsensual,whileaphysicaltherapistorphysicaltherapistassistant/patientrelationship
62exists;makingsexualadvances,requestingsexualfavors,orengaginginotherverbalconduct
63orphysicalcontactofasexualnaturewithpatientsorclients;
64 (j)Terminatingthecareofapatientwithoutadequatenoticeorwithoutmakingother
65arrangementsforthecontinuedcareofthepatient;
66 (k)Failingtofurnishdetailsofapatient'sphysicaltherapyrecordstotreating
67physicians,otherphysicaltherapists,orhospitalsuponproperrequest;orfailingtocomply
68withanyotherlawrelatingtophysicaltherapyrecords;
69 (l)Failureofanyapplicantorlicensee,otherthanthelicenseesubjecttothe
70investigation,tocooperatewiththeboardduringanyinvestigation;
71 (m)Failuretocomplywithanysubpoenaorsubpoenaducestecumfromtheboardor
72anorderoftheboard;
73 (n)Failuretotimelypaylicenserenewalfeesspecifiedinthischapter;
74 (o)Violatingaprobationagreementwiththisboardoranyotherlicensingagency;
75 (p)Failingtoinformtheboardofthephysicaltherapist'sorphysicaltherapist
76assistant'scurrenttelephonenumber,residence,andbusinessaddress;
77 (q)Advertisingbyanapplicantorlicenseewhichisfalseormisleading,orwhich
78violatesanyruleoftheboard,orwhichclaimswithoutsubstantiationthepositivecureofany
HB2096 10 79disease,orprofessionalsuperioritytoorgreaterskillthanthatpossessedbyanyother
80physicaltherapistorphysicaltherapistassistant.Anapplicantorlicenseeshallalsobein
81violationofthisprovisioniftheapplicantorlicenseehasafinancialinterestinany
82organization,corporation,orassociationwhichissuesorconductssuchadvertising;
83 (5)Anyconductorpracticewhichisormightbeharmfulordangeroustothemental
84orphysicalhealthofapatientorthepublic;orincompetency,grossnegligence,orrepeated
85negligenceintheperformanceofthefunctionsordutiesofaphysicaltherapistorphysical
86therapistassistant.Forthepurposesofthissubdivision,"repeatednegligence"meansthe
87failure,onmorethanoneoccasion,tousethatdegreeofskillandlearningordinarilyused
88underthesameorsimilarcircumstancesbythememberoftheapplicant'sorlicensee's
89profession;
90 (6)Violationof,orattemptingtoviolate,directlyorindirectly,orassistingor
91enablinganypersontoviolate,anyprovisionofthischapter,orofanylawfulruleadopted
92underthischapter;
93 (7)Impersonationofanypersonlicensedasaphysicaltherapistorphysicaltherapist
94assistantorallowinganypersontousehisorherlicenseordiplomafromanyschool;
95 (8)Revocation,suspension,restriction,modification,limitation,reprimand,warning,
96censure,probation,orotherfinaldisciplinaryactionagainstaphysicaltherapistorphysical
97therapistassistantforalicenseorotherrighttopracticeasaphysicaltherapistorphysical
98therapistassistantbyanotherstate,territory,federalagencyorcountry,whetherornot
99voluntarilyagreedtobythelicenseeorapplicant,includingbutnotlimitedtothedenialof
100licensure,surrenderofthelicense,allowingthelicensetoexpireorlapse,ordiscontinuingor
101limitingthepracticeofphysicaltherapywhilesubjecttoaninvestigationorwhileactually
102underinvestigationbyanylicensingauthority,medicalfacility,branchoftheArmedForces
103oftheUnitedStatesofAmerica,insurancecompany,court,agencyofthestateorfederal
104government,oremployer;
105 (9)Apersonisfinallyadjudgedincapacitatedordisabledbyacourtofcompetent
106jurisdiction;
107 (10)Assistingorenablinganypersontopracticeoroffertopracticewhoisnot
108licensedandcurrentlyeligibletopracticeunderthischapter;orknowinglyperforminganyact
109whichinanywayaids,assists,procures,advises,orencouragesanypersontopractice
110physicaltherapywhoisnotlicensedandcurrentlyeligibletopracticeunderthischapter;
111 (11)Issuanceofalicensetopracticeasaphysicaltherapistorphysicaltherapist
112assistantbaseduponamaterialmistakeoffact;
113 (12)Failuretodisplayavalidlicensepursuanttopracticeasaphysicaltherapistor
114physicaltherapistassistant;
HB2096 11 115 (13)Knowinglymaking,orcausingtobemade,oraiding,orabettinginthemaking
116of,afalsestatementinanydocumentexecutedinconnectionwiththepracticeofphysical
117therapy;
118 (14)Solicitingpatronageinpersonorbyagentsorrepresentatives,orbyanyother
119meansormanner,undertheperson'sownnameorunderthenameofanotherpersonor
120concern,actualorpretended,insuchamannerastoconfuse,deceive,ormisleadthepublicas
121totheneedornecessityfororappropriatenessofphysicaltherapyservicesforallpatients,or
122thequalificationsofanindividualpersonorpersonstorender,orperformphysicaltherapy
123services;
124 (15)Using,orpermittingtheuseof,theperson'snameunderthedesignationof
125"physicaltherapist","physiotherapist","registeredphysicaltherapist","P.T.","Ph.T.",
126"P.T.T.","D.P.T.","M.P.T."or"R.P.T.","physicaltherapistassistant","P.T.A.","L.P.T.A.",
127"C.P.T.A.",oranysimilardesignationwithreferencetothecommercialexploitationofany
128goods,waresormerchandise;
129 (16)Knowinglymakingorcausingtobemadeafalsestatementormisrepresentation
130ofamaterialfact,withintenttodefraud,forpaymentunderchapter208orchapter630orfor
131paymentfromTitleXVIIIorTitleXIXoftheSocialSecurityAct;
132 (17)Failureorrefusaltoproperlyguardagainstcontagious,infectious,or
133communicablediseasesorthespreadthereof;maintaininganunsanitaryfacilityor
134performingprofessionalservicesunderunsanitaryconditions;orfailuretoreportthe
135existenceofanunsanitaryconditioninanyphysicaltherapyfacilitytotheboard,inwriting,
136withinthirtydaysafterthediscoverythereof;
137 (18)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist
138orphysicaltherapistassistantpayingorofferingtopayareferralfee[or,notwithstanding
139section334.010tothecontrary,practicingorofferingtopracticeprofessionalphysical
140therapyindependentoftheprescriptionanddirectionofapersonlicensedandregisteredasa
141physicianandsurgeonunderthischapter,asaphysicianassistantunderthischapter,asa
142chiropractorunderchapter331,asadentistunderchapter332,asapodiatristunderchapter
143330,asanadvancedpracticeregisterednurseunderchapter335,oranylicensedand
144registeredphysician,chiropractor,dentist,podiatrist,oradvancedpracticeregisterednurse
145practicinginanotherjurisdiction,whoselicenseisingoodstanding];
146 (19)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist
147orphysicaltherapistassistanttreatingorattemptingtotreatailmentsorotherhealth
148conditionsofhumanbeingsotherthanbyprofessionalphysicaltherapyandasauthorizedby
149sections334.500to334.685;
150 (20)Apatternofpersonaluseorconsumptionofanycontrolledsubstanceunlessitis
151prescribed,dispensed,oradministeredbyaphysicianwhoisauthorizedbylawtodoso;
HB2096 12 152 (21)Failingtomaintainadequatepatientrecordsundersection334.602;
153 (22)Attemptingtoengageinconductthatsubvertsorunderminestheintegrityofthe
154licensingexaminationorthelicensingexaminationprocess,includingbutnotlimitedto
155utilizinginanymannerrecalledormemorizedlicensingexaminationquestionsfromorwith
156anypersonorentity,failingtocomplywithalltestcentersecurityprocedures,communicating
157orattemptingtocommunicatewithanyotherexamineesduringthetest,orcopyingorsharing
158licensingexaminationquestionsorportionsofquestions;
159 (23)Anycandidateforlicensureorpersonlicensedtopracticeasaphysicaltherapist
160orphysicaltherapistassistantwhorequests,receives,participatesorengagesdirectlyor
161indirectlyinthedivision,transferring,assigning,rebatingorrefundingoffeesreceivedfor
162professionalservicesorprofitsbymeansofacreditorothervaluableconsiderationsuchas
163wages,anunearnedcommission,discountorgratuitywithanypersonwhoreferredapatient,
164orwithanyrelativeorbusinessassociateofthereferringperson;
165 (24)Beingunabletopracticeasaphysicaltherapistorphysicaltherapistassistant
166withreasonableskillandsafetytopatientsbyreasonsofincompetency,orbecauseofillness,
167drunkenness,excessiveuseofdrugs,narcotics,chemicals,orasaresultofanymentalor
168physicalcondition.Thefollowingshallapplytothissubdivision:
169 (a)Inenforcingthissubdivisiontheboardshall,afterahearingbytheboard,upona
170findingofprobablecause,requireaphysicaltherapistorphysicaltherapistassistanttosubmit
171toareexaminationforthepurposeofestablishinghisorhercompetencytopracticeasa
172physicaltherapistorphysicaltherapistassistantconductedinaccordancewithrulesadopted
173forthispurposebytheboard,includingrulestoallowtheexaminationofthepatternand
174practiceofsuchphysicaltherapist'sorphysicaltherapistassistant'sprofessionalconduct,orto
175submittoamentalorphysicalexaminationorcombinationthereofbyafacilityor
176professionalapprovedbytheboard;
177 (b)Forthepurposeofthissubdivision,everyphysicaltherapistandphysicaltherapist
178assistantlicensedunderthischapterisdeemedtohaveconsentedtosubmittoamentalor
179physicalexaminationwhendirectedinwritingbytheboard;
180 (c)Inadditiontoorderingaphysicalormentalexaminationtodeterminecompetency,
181theboardmay,notwithstandinganyotherlawlimitingaccesstomedicalorotherhealthdata,
182obtainmedicaldataandhealthrecordsrelatingtoaphysicaltherapist,physicaltherapist
183assistantorapplicantwithoutthephysicaltherapist's,physicaltherapistassistant'sor
184applicant'sconsent;
185 (d)Writtennoticeofthereexaminationorthephysicalormentalexaminationshallbe
186senttothephysicaltherapistorphysicaltherapistassistant,byregisteredmail,addressedto
187thephysicaltherapistorphysicaltherapistassistantatthephysicaltherapist'sorphysical
188therapistassistant'slastknownaddress.Failureofaphysicaltherapistorphysicaltherapist
HB2096 13 189assistanttosubmittotheexaminationwhendirectedshallconstituteanadmissionofthe
190allegationsagainstthephysicaltherapistorphysicaltherapistassistant,inwhichcasethe
191boardmayenterafinalorderwithoutthepresentationofevidence,unlessthefailurewasdue
192tocircumstancesbeyondthephysicaltherapist'sorphysicaltherapistassistant'scontrol.A
193physicaltherapistorphysicaltherapistassistantwhoserighttopracticehasbeenaffected
194underthissubdivisionshall,atreasonableintervals,beaffordedanopportunityto
195demonstratethatthephysicaltherapistorphysicaltherapistassistantcanresumethe
196competentpracticeasaphysicaltherapistorphysicaltherapistassistantwithreasonableskill
197andsafetytopatients;
198 (e)Inanyproceedingunderthissubdivisionneithertherecordofproceedingsnorthe
199ordersenteredbytheboardshallbeusedagainstaphysicaltherapistorphysicaltherapist
200assistantinanyotherproceeding.Proceedingsunderthissubdivisionshallbeconductedby
201theboardwithoutthefilingofacomplaintwiththeadministrativehearingcommission;
202 (f)Whentheboardfindsanypersonunqualifiedbecauseofanyofthegroundsset
203forthinthissubdivision,itmayenteranorderimposingoneormoreofthedisciplinary
204measuressetforthinsubsection3ofthissection.
205 3.Afterthefilingofsuchcomplaintbeforetheadministrativehearingcommission,
206theproceedingsshallbeconductedinaccordancewiththeprovisionsofchapter621.Upona
207findingbytheadministrativehearingcommissionthatthegroundsprovidedinsubsection2
208ofthissectionfordisciplinaryactionaremet,theboardmay,singlyorincombination:
209 (1)Warn,censureorplacethephysicaltherapistorphysicaltherapistassistantnamed
210inthecomplaintonprobationonsuchtermsandconditionsastheboarddeemsappropriate
211foraperiodnottoexceedtenyears;
212 (2)Suspendthephysicaltherapist'sorphysicaltherapistassistant'slicensefora
213periodnottoexceedthreeyears;
214 (3)Restrictorlimitthephysicaltherapist'sorphysicaltherapistassistant'slicensefor
215anindefiniteperiodoftime;
216 (4)Revokethephysicaltherapist'sorphysicaltherapistassistant'slicense;
217 (5)Administerapublicorprivatereprimand;
218 (6)Denythephysicaltherapist'sorphysicaltherapistassistant'sapplicationfora
219license;
220 (7)Permanentlywithholdissuanceofalicense;
221 (8)Requirethephysicaltherapistorphysicaltherapistassistanttosubmittothecare,
222counselingortreatmentofphysiciansdesignatedbytheboardattheexpenseofthephysical
223therapistorphysicaltherapistassistanttobeexamined;
224 (9)Requirethephysicaltherapistorphysicaltherapistassistanttoattendsuch
225continuingeducationalcoursesandpasssuchexaminationsastheboardmaydirect.
HB2096 14 226 4.Inanyorderofrevocation,theboardmayprovidethatthephysicaltherapistor
227physicaltherapistassistantshallnotapplyforreinstatementofthephysicaltherapist'sor
228physicaltherapistassistant'slicenseforaperiodoftimerangingfromtwotosevenyears
229followingthedateoftheorderofrevocation.Allstayordersshalltollthistimeperiod.
230 5.Beforerestoringtogoodstandingalicenseissuedunderthischapterwhichhas
231beeninarevoked,suspended,orinactivestateforanycauseformorethantwoyears,the
232boardmayrequiretheapplicanttoattendsuchcontinuingmedicaleducationcoursesandpass
233suchexaminationsastheboardmaydirect.
234 6.Inanyinvestigation,hearingorotherproceedingtodetermineaphysical
235therapist's,physicaltherapistassistant'sorapplicant'sfitnesstopractice,anyrecordrelatingto
236anypatientofthephysicaltherapist,physicaltherapistassistant,orapplicantshallbe
237discoverablebytheboardandadmissibleintoevidence,regardlessofanystatutoryor
238commonlawprivilegewhichsuchphysicaltherapist,physicaltherapistassistant,applicant,
239recordcustodian,orpatientmightotherwiseinvoke.Inaddition,nosuchphysicaltherapist,
240physicaltherapistassistant,applicant,orrecordcustodianmaywithholdrecordsortestimony
241bearinguponaphysicaltherapist's,physicaltherapistassistant's,orapplicant'sfitnessto
242practiceonthegroundsofprivilegebetweensuchphysicaltherapist,physicaltherapist
243assistant,applicant,orrecordcustodianandapatient.
âś”
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