HB4643ham001 100TH GENERAL ASSEMBLY

Rep. Daniel J. Burke

Filed: 4/23/2018

10000HB4643ham001 LRB100 18534 AMC 39223 a

AMENDMENT TO HOUSE BILL 4643

AMENDMENT NO. ______. Amend House Bill 4643 on page 1, by replacing line 5 with the following:

"changing Sections 1 and 17 and by adding Section 1.2 as follows:"; and

on page 3, by replacing line 6 with the following: "and establishing a physical therapy treatment plan pursuant to such license."; and

on page 3, by replacing lines 9 through 15 with the following: "she is educated and licensed to perform. A physical therapist shall refer to a licensed physician, advanced practice registered nurse, physician assistant, dentist, podiatric physician, other physical therapist, or other health care provider any patient whose medical condition should, at the time of evaluation or treatment, be determined to be beyond the scope of practice of the physical therapist."; and

on page 4, by replacing lines 6 through 14 with the following:

"(7) (Blank). "Documented current and relevant diagnosis" for the purposes of this Act means a diagnosis, substantiated by signature or oral verification of a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician, that a patient's condition is such that it may be treated by physician therapy as defined in this Act, which diagnosis shall remain in effect until changed by the physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician."; and

on page 5, immediately below line 9, by inserting the following:

"(13) "Health care professional" means a physician, dentist, podiatric physician, advanced practice registered nurse, or physician assistant."; and

on page 5, immediately below line 12, by inserting the following:

"(225 ILCS 90/1.2 new)

Sec. 1.2. Physical therapy services.

(a) A physical therapist may provide physical therapy services to a patient with or without a referral from a health care professional.

(b) A physical therapist providing services without a referral from a health care professional must notify the patient's treating health care professional within 5 business days after the patient's first visit that the patient is receiving physical therapy. This does not apply to physical therapy services related to fitness or wellness, unless the patient presents with an ailment or injury.

(c) A physical therapist shall refer a patient to the patient's treating health care professional of record or, in the case where there is no health care professional of record, to a health care professional of the patient's choice, if:

(1) the patient does not demonstrate measurable or functional improvement after 10 visits or 15 business days, whichever occurs first;

(2) the patient returns for services for the same or similar condition after 30 calendar days of being discharged by the physical therapist; or

(3) the patient's condition, at the time of evaluation or services, is determined to be beyond the scope of practice of the physical therapist.

(d) Wound debridement services may only be provided by a physical therapist with written authorization from a health care professional.

(e) A physical therapist will consult and collaborate with the appropriate health care professionals on conditions related to temporomandibular disorder."; and

by replacing line 21 on page 9 through line 3 on page 10 with the following: "licensed physical therapist in violation of Section 1.2 independent of a documented referral or a documented current and relevant diagnosis from a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician, or having failed to notify the physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician who established a documented current and relevant diagnosis that the patient is receiving physical therapy pursuant to that diagnosis;".