Florida Senate - 2013 CS for SB 536 By the Committee on Health Policy; and Senator Detert 588-02016-13 2013536c1 1 A bill to be entitled 2 An act relating to physical therapy; amending s. 3 486.021, F.S.; authorizing physical therapists to 4 implement physical therapy treatment plans of a 5 specified duration which are provided by advanced 6 registered nurse practitioners; providing an effective 7 date. 8 9 Be It Enacted by the Legislature of the State of Florida: 10 11 Section 1. Subsection (11) of section 486.021, Florida 12 Statutes, is amended to read: 13 486.021 Definitions.—In this chapter, unless the context 14 otherwise requires, the term: 15 (11) “Practice of physical therapy” means the performance 16 of physical therapy assessments and the treatment of any 17 disability, injury, disease, or other health condition of human 18 beings, or the prevention of such disability, injury, disease, 19 or other condition of health, and rehabilitation as related 20 thereto by the use of the physical, chemical, and other 21 properties of air; electricity; exercise; massage; the 22 performance of acupuncture only upon compliance with the 23 criteria set forth by the Board of Medicine, when no penetration 24 of the skin occurs; the use of radiant energy, including 25 ultraviolet, visible, and infrared rays; ultrasound; water; the 26 use of apparatus and equipment in the application of the 27 foregoing or related thereto; the performance of tests of 28 neuromuscular functions as an aid to the diagnosis or treatment 29 of any human condition; or the performance of electromyography 30 as an aid to the diagnosis of any human condition only upon 31 compliance with the criteria set forth by the Board of Medicine. 32 (a) A physical therapist may implement a plan of treatment 33 developed by the physical therapist for a patient or provided 34 for a patient by a practitioner of record or by an advanced 35 registered nurse practitioner licensed under s. 464.012. The 36 physical therapist shall refer the patient to or consult with a 37
health carepractitioner of record licensed under chapter 458,38 chapter 459, chapter 460, chapter 461, or chapter 466,if the 39 patient’s condition is found to be outside the scope of physical 40 therapy. If physical therapy treatment for a patient is required 41 beyond 21 days for a condition not previously assessed by a 42 practitioner of record, the physical therapist shall obtain a 43 practitioner of record who will review and sign the plan. For 44 purposes of this paragraph, a health care practitioner licensed 45 under chapter 458, chapter 459, chapter 460, chapter 461, or 46 chapter 466 and engaged in active practice is eligible to serve 47 as a practitioner of record. 48 (b) The use of roentgen rays and radium for diagnostic and 49 therapeutic purposes and the use of electricity for surgical 50 purposes, including cauterization, are not authorized under the51 term“physical therapy” for purposes of as used inthis chapter. 52 (c) The practice of physical therapy as defined in this53 chapterdoes not authorize a physical therapy practitioner to 54 practice chiropractic medicine as defined in chapter 460, 55 including specific spinal manipulation. For the performance of 56 specific chiropractic spinal manipulation, a physical therapist 57 shall refer the patient to a health care practitioner licensed 58 under chapter 460. 59 (d) Nothing inThis subsection does not authorize 60 authorizesa physical therapist to implement a plan of treatment 61 for a patient currently being treated in a facility licensed 62 pursuant to chapter 395. 63 Section 2. This act shall take effect July 1, 2013.