Senate Bill #774 (2019)

AN ACT RELATING TO BUSINESSES AND PROFESSIONS -- PHYSICAL THERAPISTS

Authorizes physical therapists to order diagnostic imaging (x-rays). Authority sunsets December 31, 2021.

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Changes since original draft

  • 2019 – S 0774
  • 2019 – S 0774 SUBSTITUTE A
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  • LC002300
  • LC002300/SUB A
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  • S TATE OF RHODE IS L AND
  • IN GENERAL ASSEMBLY
  • JANUARY SESSION, A.D. 2019
  • ____________
  • A N A C T
  • RELATING TO BUSINESSES AND PROFESSIONS – PHYSICAL THERAPISTS
  • S TATE OF RHODE IS L AND
  • IN GENERAL ASSEMBLY
  • JANUARY SESSION, A.D. 2019
  • ____________
  • A N A C T
  • RELATING TO BUSINESSES AND PROFESSIONS – PHYSICAL THERAPISTS
  • Introduced By: Senators Lombardi, Ciccone, Gallo, Lombardo, and Lynch Prata
  • Date Introduced: April 04, 2019
  • Referred To: Senate Health & Human Services
  • It is enacted by the GeneralAssembly as follows:
  • SECTION 1. Section 5-40-1 of the General Laws in Chapter 5-40 entitled "Physical Therapists" is 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 physicaltherapy.
  • (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 physicaltherapy under the supervision of a physical therapist.
  • (7) "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) "Practice of physicaltherapy" 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; and
  • (E) Ordering diagnostic imaging and studies that are performed and interpreted by other licensed health care professionals.
  • (ii) The practice of physical therapy does not include the practice of medicine as defined in chapter 37 of this title.
  • (9) "Supervision" means that a licensed physical therapist is at all times responsible for supportive personneland students.
  • SECTION 2. This act shalltake effect upon passage.
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  • LC002300
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  • LC002300 - Page 2of 3
  • EXPLANATION
  • BY THE LEGISLATIVE COUNCIL
  • OF
  • A N A C T
  • RELATING TO BUSINESSES AND PROFESSIONS – PHYSICAL THERAPISTS
  • ***
  • This act would include in the practice of physical therapy ordering diagnostic images and studies provided they are performed and interpreted by other licensed health care professionals.
  • This act would take effect upon passage. ======== LC002300 ========
  • LC002300 - Page 3of 3
  • (3) "Diagnostic imaging" means techniques used to capture an image of a body part. For purposes of this chapter, diagnostic imaging shall include basic radiological imaging, commonly referred to as x-ray imaging but shall not include other methodologies such as computer topography scan, ultrasound, bone scan, magnetic resonance imaging (MRI) or positron emission tomography scan.
  • (3)(4) "Examination" means an examination approved by the department in consultation with the board.
  • (4)(5) "License" means a license issued by the department to practice physicaltherapy.
  • (5)(6) "Physical therapist" means an individual who is licensed by the department to practice physical therapy.
  • (6)(7) "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)(8) "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)(9) "Practice of physicaltherapy" 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; and
  • (E) Ordering diagnostic imaging and studies that are performed and interpreted by other licensed health care professionals pursuant to the provisions of § 5-40-23.
  • (ii) The practice of physical therapy does not include the practice of medicine as defined in chapter 37 of this title.
  • (9)(10) "Supervision" means that a licensed physical therapist is at all times responsible for supportive personnel and students.
  • SECTION 2. Chapter 5-40 of the General Laws entitled "Physical Therapists" is hereby amended by adding thereto the following section:
  • 5-40-23. Ordering diagnostic imaging - Sunset.
  • (a) Physical therapists licensed pursuant to § 5-40-7 may order diagnostic imaging as defined in § 5-40-1 to be performed and interpreted by other licensed health care professionals.
  • (b) All diagnostic imaging tests ordered by a physical therapist shall be reported by the physical therapist to the patient's designated primary care physician of record within seven (7) days following receipt of the results. This reporting shall not be required if the patient does not have a primary care physician.
  • (c) Unless extended by the general assembly, physical therapists shall not be authorized to order diagnostic imaging as an authorized practice of physical therapy after December 31, 2021.
  • LC002300/SUB A - Page 2of 4
  • SECTION 3. This act shalltake effect upon passage. ======== LC002300/SUB A ========
  • LC002300/SUB A - Page 3of 4
  • EXPLANATION
  • BY THE LEGISLATIVE COUNCIL
  • OF
  • A N A C T
  • RELATING TO BUSINESSES AND PROFESSIONS – PHYSICAL THERAPISTS
  • ***
  • This act would include in the practice of physical therapy the ordering of diagnostic imaging (x-ray imaging) to be performed by other health care professionals. Test results must be reported by physical therapists to the patient's physician within seven (7) days of receipt. Unless extended by the general assembly, authorization for physical therapists to order diagnostic imaging sunsets December 31, 2021.
  • This act would take effect upon passage. ======== LC002300/SUB A ========
  • LC002300/SUB A - Page 4of 4

Votes

NOTE: Electronic voting records are unofficial and may not be accurate. For an official vote tally, check the House or Senate Journal from the day of the vote.

Floor vote for Passage

June 26, 2019 at 5:24pm
Yeas: 37 / Nays: 0 / Not voting: 1 / Recused: 0
Legislator Vote
Sen. Algiere Y
Sen. Archambault Y
Sen. Bell Y
Sen. Cano Y
Sen. Ciccone Y
Sen. Conley Y
Sen. Coyne Y
Sen. Crowley Y
Sen. Cruz Y
Sen. DiPalma Y
Sen. Euer Y
Sen. Felag Y
Sen. Gallo NV
Sen. Goldin Y
Sen. Goodwin Y
Sen. Lawson Y
Sen. Lombardi Y
Sen. Lombardo Y
Sen. Lynch Prata Y
Sen. McCaffrey Y
Sen. McKenney Y
Sen. Metts Y
Sen. Miller Y
Sen. Morgan Y
Sen. Murray Y
Sen. Nesselbush Y
Sen. Paolino Y
Sen. Pearson Y
Sen. Picard Y
Sen. Quezada Y
Sen. Raptakis Y
Sen. Rogers Y
Sen. Ruggerio Y
Sen. Satchell Y
Sen. Seveney Y
Sen. Sheehan Y
Sen. Sosnowski Y
Sen. Valverde Y