1. PT Practice Act Regulations Implications for Practice Wayne Stuberg, PhD, PT, PCS Munroe-Meyer Institute, UNMC Board of PT, HHS

2. Session Objectives 1.Provide an overview of the PT Statute & the draft regulations for the new PT Practice Act 2.Facilitate discussion and gather input for the Board of PT & NE Health & Human Services for the development of new PT regulations 3.Report back to the Board of PT on suggested modifications

3. Legislative Overview - Statute LB 994 (New PT Statute) passed during 2005 Legislative session –Statue went into effect July 14, 2006 –http://www.hhs.state.ne.us/crl/statutes /ptstat.pdf Overview of new PT Statute –See handout

4. Legislative Overview - Regulations Regulations that are consistent with new law remain and are enforced Regulations that are inconsistent with new law became void on July 14 th, 2006 Board of PT developed draft regulations in June 2006 Dissemination of draft regulations at regional meetings across NE

5. How Regulations Become Law 1.Board of PT drafts regulations 2.Draft regulations are disseminated to stakeholder group(s) for comment & revision as needed 3.Public Hearing required to gather input 4.Board of PT addresses input and forwards Regulations to Regulatory Analysis & Integration Division of Health & Human Services (HHS)

6. How Regulations Become Law 5.HHS Director gives approval 6.Attorney General gives approval 7.Governor’s Policy Research Office gives approval 8.Regulations filed with Secretary of the State 9.Regulations disseminated to licensees/certificate holders

7. What has Changed? New definition of physical therapy consistent with the Federation of State Boards Model Practice Act & the APTA –General supervision means either on-site or via telecommunication –Definition of intervention consistent with Guide to PT Practice –Definition of mobilization or manual therapy –Storage of topical & aerosol medication allowed –Testing includes fine-wire EMG, but not diagnostic

8. What has Changed? Updated criteria for licensure of foreign trained PTs to be consistent with the Foreign Credentialing Commission on PT (FCCPT) –New coursework requirements –New language proficiency requirements No temporary licenses for PTs or certificates for PTAs

9. What has Changed? No PTA Supervisory Certification New listing of what a PTA cannot do under the general supervision of a PT –Sharp wound debridement to be added PTA can be the clinical instructor for a PTA student –PTA student clinical services require direct supervision of PT

10. What has Changed? Guidelines for Fine-Wire EMG provided New supervisory requirements for PTA –PT supervises 2 PTAs at a time –PT must reevaluate or reexamine patient with a plan of care being implemented by a PTA at least every 30 calendar days –Guidelines for more frequent re-evals provided –Supervisory visit by PT must include patient contact by the PT New supervisory requirements for PTAs in satellite clinics –Definition of supervisory on-site visit

11. What has Changed? Treatment-related tasks allowed by an aide require: –Direct supervision of the PT –Treatment related task guidelines provided & not a listing –Written procedures & documentation of training required for treatment- related tasks performed by an aide Expanded list/definition of unprofessional activities

12. What has Changed? Mandatory renewal of jurisprudence exam every six years Expansion of activities allowed as continuing education

13. INPUT? Current Board of PT Members –Kent Dunovan –Raymond Frew (public member) –Sue Jeffrey –Wayne Stuberg Board of PT Liaison –Diane Hansmeyer