83R5484 MAW-F By: Rodriguez S.B. No. 402 A BILL TO BE ENTITLED AN ACT relating to the regulation of the practice of physical therapy. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 453.301, Occupations Code, is amended to read as follows: Sec. 453.301. TREATING PATIENT WITHIN SCOPE OF PRACTICE [UNDER PRIOR REFERRAL]. (a) A physical therapist may treat a patient for an injury or condition that is within the physical therapist's scope of practice under Section 453.005 without a [was the subject of a prior] referral if the physical therapist: (1) has been licensed to practice physical therapy for at least one year; (2) is covered by professional liability insurance in the minimum amount required by board rule [notifies the referring practitioner of the therapy not later than the fifth business day after the date therapy is begun]; and (3) either: (A) possesses a doctoral degree in physical therapy from: (i) a program that is accredited by the Commission on Accreditation in Physical Therapy Education; or (ii) an institution that is accredited by an agency or association recognized by the United States secretary of education; or (B) has completed at least 30 hours of continuing competence activities in the area of differential diagnosis. (a-1) A physical therapist may treat a patient under Subsection (a) [begins any episode of treatment before the first anniversary of the referral by the referring practitioner; [(4) for physical therapy episodes subsequent to the episode which was initiated by the referral, treats the patient] for not more than 20 treatment sessions or 45 [30] consecutive calendar days, whichever occurs first [; and [(5) satisfies any other requirement set by the board]. (b) The physical therapist must obtain a referral from a [confer with the] referring practitioner before the physical therapist may continue treatment that exceeds treatment authorized under Subsection (a-1) [(a)(4)]. SECTION 2. Section 453.351(a), Occupations Code, is amended to read as follows: (a) The board may deny a license or suspend or revoke a license, place a license holder on probation, reprimand a license holder, impose an administrative penalty, or otherwise discipline a license holder if the applicant or license holder has: (1) except as provided by Section [453.301 or] 453.302, provided care [physical therapy] to a person outside the scope of the physical therapist's practice [without a referral from a referring practitioner]; (2) used drugs or intoxicating liquors to an extent that affects the license holder's or applicant's professional competence; (3) been convicted of a felony, including a finding or verdict of guilty, an admission of guilt, or a plea of nolo contendere, in this state or in any other state or nation; (4) obtained or attempted to obtain a license by fraud or deception; (5) been grossly negligent in the practice of physical therapy or in acting as a physical therapist assistant; (6) been found to be mentally incompetent by a court; (7) practiced physical therapy in a manner detrimental to the public health and welfare; (8) had a license to practice physical therapy revoked or suspended or had other disciplinary action taken against the license holder or applicant; (9) had the license holder's or applicant's application for a license refused, revoked, or suspended by the proper licensing authority of another state or nation; or (10) in the case of a physical therapist assistant, treated a person other than under the direction of a physical therapist. SECTION 3. This Act takes effect September 1, 2013.