| Chapter 130 |
| 2017 -- S 0742 SUBSTITUTE A Enacted 07/05/2017 |
| A N A C T |
| RELATING TO BUSINESSES AND PROFESSIONS -- PHYSICAL THERAPISTS |
| Introduced By: Senators Nesselbush, Lombardi, P Fogarty, Quezada, and Crowley |
| Date Introduced: April 12, 2017 |
| It is enacted by the General Assembly as follows: |
| SECTION 1. Sections 5-40-1, 5-40-9 and 5-40-13 of the General Laws in Chapter 5-40 |
| entitled "Physical Therapists" are hereby amended to read as follows: |
| 5-40-1. Definitions. |
| As used in this chapter: |
| (1) "Board" means the board of physical therapy established by § 5-40-2. |
| (2) "Department" means the department of health. |
| (3) "Examination" means an examination approved by the department in consultation |
| with the board. |
| (4) "License" means a license issued by the department to practice physical therapy. |
| (5) "Physical therapist" means an individual who is licensed by the department to practice |
| physical therapy. |
| (6) "Physical therapist assistant" means an individual who is licensed by the department |
| to assist in the practice of physical therapy under the supervision of a physical therapist. |
| (7) (i) "Practice physical therapy" means the examination, treatment, and instruction of |
| human beings to detect, assess, prevent, correct, alleviate and limit physical disability, physical |
| dysfunction, and pain from injury, disease and any other bodily conditions, and includes the |
| administration, interpretation, and evaluation of tests and measurements of bodily functions and |
| structures; the planning, administration, evaluation, and modification of treatment and instruction, |
| including the use of physical measures, activities, and devices, for preventive and therapeutic |
| purposes; and the provision of consultative, educational, and other advisory services for the |
| purpose of reducing the incidence and severity of physical disability, physical dysfunction and |
| pain. |
| (ii) The practice of physical therapy does not include the practice of medicine as defined |
| in chapter 37 of this title. |
| "Physical therapy" means the care and services provided by or under the direction and |
| supervision of a physical therapist who is licensed pursuant to this chapter. |
| (8) "Supervision" means that a licensed physical therapist is at all times responsible for |
| supportive personnel and students. |
| (9) "Practice of physical therapy" means: |
| (i)(A) Examination, evaluation, treatment, and instruction of patients/clients to detect, |
| assess, prevent, correct, alleviate, and limit physical disability, physical dysfunction, and pain |
| from injury, disease, and any other bodily conditions; |
| (B) Administration, interpretation, and evaluation of tests and measurements of bodily |
| functions and structures; |
| (C) The planning, administration, evaluation, and modification of treatment and |
| instruction, including the use of physical measures, activities, and devices, for preventive and |
| therapeutic purposes; and |
| (D) The provision of consultative, educational, and other advisory services for the |
| purpose of reducing the incidence and severity of physical disability, physical dysfunction, and |
| pain; |
| (ii) The practice of physical therapy does not include the practice of medicine as defined |
| in chapter 37 of this title. |
| 5-40-9. Right of use of the title of physical therapist. |
| (a) To safeguard the welfare and health of the people of the state, it is unlawful for any |
| person to represent himself or herself as a physical therapist or physical therapist assistant in this |
| state or to use any title, abbreviation, sign, or device to indicate that the person is a physical |
| therapist or physical therapist assistant unless this person has been licensed pursuant to the |
| provisions of this chapter §5-40-7. |
| (b) Any person who holds a license to practice physical therapy in this state has the right |
| to use the title "physical therapist" and abbreviation "P.T." No other person may assume the title |
| or use the abbreviation P.T. or other words, or letters, signs, figures, or devices to indicate that the |
| person using the title is a physical therapist. A physical therapist shall use the letters "PT" or the |
| term "physical therapist" immediately following their his or her name to designate licensure |
| under this chapter. A person or business entity, its employees, agents, or representatives shall not |
| use in connection with that person's name or the name or activity of the business, the words |
| "physical therapy,","physical therapist,","registered physical therapist,", the letters "PT,","DPT,", |
| "LPT,","RPT,","SPT", or any other words, abbreviations, or insignia, indicating or implying |
| directly or indirectly, that physical therapy is provided or supplied, unless such services are |
| provided by or under the direction of a physical therapist licensed pursuant to this chapter. A |
| person or business entity shall not advertise or otherwise promote another person as being a |
| "physical therapist" unless the individual so advertised or promoted is licensed as a physical |
| therapist pursuant to this chapter. A person or business entity that offers, provides, or bills any |
| other person for services shall not characterize those services as "physical therapy" unless the |
| individual performing those services is a person under the direction or supervision of a physical |
| therapist pursuant to this chapter. |
| (c) The abbreviation "G.P.T." shall be used to identify a "graduate physical therapist" |
| authorized to perform as a graduate physical therapist pursuant to this chapter. |
| (d) Any person who holds a license as a physical therapist assistant in this state has the |
| right to use the title "physical therapist assistant". No other person may assume the title or other |
| words, or letters, signs, figures, or devices to indicate that the person using the title is a physical |
| therapist assistant. A physical therapist assistant shall use the letters "PTA" immediately |
| following their his or her name to designate licensure under this chapter. |
| (e) A person shall not use the title "physical therapist assistant" or "graduate physical |
| therapist assistant" and the letters "PTA" or "GPTA,", or any other words, abbreviations, or |
| insignia in connection with that person's name, to indicate or imply, directly or indirectly, that the |
| person is a physical therapist assistant unless that person is licensed as a physical therapist |
| assistant pursuant to this chapter. |
| 5-40-13. Grounds for discipline of licensees. |
| (a) The board has power to deny, revoke, or suspend any license issued by the department |
| or applied for in accordance with this chapter, or to discipline a person licensed under this |
| chapter, upon proof that said person has engaged in unprofessional conduct including, but not |
| limited to: |
| (1) Fraud or deceit in procuring, or attempting to procure, a license or in the practice of |
| physical therapy; |
| (2) Is habitually intemperate or is addicted to the use of habit forming drugs; |
| (3) Is mentally and/or professionally incompetent; |
| (4) Has repeatedly violated any of the provisions of this chapter; |
| (5) Providing services to a person who is making a claim as a result of a personal injury, |
| who charges or collects from the person any amount in excess of the reimbursement to the |
| physical therapist by the insurer as a condition of providing or continuing to provide services or |
| treatment; |
| (6) Conviction, including a plea of nolo contendere, of one or more of the offenses listed |
| in § 23-17-37; |
| (7) Abandonment of a patient; |
| (8) Promotion by a physical therapist or physical therapist assistant of the sale of drugs, |
| devices, appliances, or goods or services provided for a patient in a manner as to exploit the |
| patient for the financial gain of the physical therapist or physical therapist assistant; |
| (9) Making or filing false reports or records in the practice of physical therapy; |
| (10) Repeated failure to file or record, or impede or obstruct a filing or recording, or |
| inducing another person to fail to file or record physical therapy reports; |
| (11) Failure to furnish patient records upon proper request; |
| (12) Practice as a physical therapist assistant without supervision by a physical therapist |
| licensed in the state of Rhode Island; |
| (13) Incompetent or negligent misconduct in the practice of physical therapy; |
| (14) Revocation, suspension, surrender, or limitation of privilege based on quality of care |
| provided or disciplinary action against a license to practice as a physical therapist or physical |
| therapist assistant in another state, jurisdiction, or country; |
| (15) Failure to furnish the board, administrator, investigator, or representatives |
| information legally requested by the board; |
| (16) Violation of this chapter or any of the rules and regulations or departure from or |
| failure to conform to the current standards of acceptable and prevailing practice and code of |
| ethics of physical therapy. ; |
| (17) Practicing, or offering to practice, beyond the scope of the practice of physical |
| therapy. |
| (b) Whenever a patient seeks or receives treatment from a physical therapist without |
| referral from a doctor of medicine, osteopathy, dentistry, podiatry, chiropractic, physician |
| assistant, or certified registered nurse practitioner, the physical therapist shall: |
| (1) Disclose to the patient, in writing, the scope and limitations of the practice of physical |
| therapy and obtain their his or her consent in writing; and |
| (2) Refer the patient to a doctor of medicine, osteopathy, dentistry, podiatry, or |
| chiropractic within ninety (90) days after the date treatment commenced; provided, that a physical |
| therapist is not required to make this a referral after treatment is concluded; |
| (3) No physical therapist who has less than one year clinical experience as a physical |
| therapist shall commence treatment on a patient without a referral from a doctor of medicine, |
| osteopathy, dentistry, podiatry, chiropractic, physician assistant, or certified registered nurse |
| practitioner. |
| (c) For purposes of this chapter and notwithstanding any other provisions of this chapter |
| or any rules or regulations adopted by the board, any person licensed or registered under this |
| chapter who is a bona fide employee or independent contractor of a physician or a physician |
| group entitled to wages and compensation pursuant to such employment or contract, or is a co- |
| owner of a physical therapy practice with a physician group, shall not be deemed to be engaged in |
| conduct unbecoming a person licensed or registered under this chapter, or to be engaged in |
| conduct detrimental to the best interest of the public, or to be in violation of any other provision |
| of this chapter by virtue of any of the above relationships, and shall not be subject to licensure |
| denial, suspension, revocation, or any other disciplinary action or penalty under this chapter: |
| (1) Solely by virtue of such employment or contract; or |
| (2) Solely by virtue of the provision of physical therapy services pursuant to a referral |
| from the employing or contracting physician or physician group. |
| Any such interest referenced in this paragraph shall be in accordance with federal and |
| state law, specifically, including, but not limited to, chapter 5-48.1. |
| SECTION 2. This act shall take effect upon passage. |
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| LC002473/SUB A |
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