Chapter 312
2017 -- H 5669 SUBSTITUTE A
Enacted 09/27/2017

A N   A C T
RELATING TO BUSINESSES AND PROFESSIONS -- PHYSICAL THERAPISTS

Introduced By: Representative Scott Slater
Date Introduced: March 01, 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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LC001656/SUB A
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