Arizona is the only state that has the language in statute.  That happened in 1998, 
soon after the guide was released.  It was before my time, I'm not sure there was a 
full appreciation of the issue then.

The PT Regulatory Boards in NC and WV adopted rules through the administrative 
process.   The NC OT Association is challenging the rules in the legislature.  The WV 
OT Association is seeking options to challenge the regulations, perhaps through 
legislation.   In both NC and WV the changes were attached to innocuous looking 
changes to the PT regulations.   

Below I've cut and pasted some info that I sent to our members in NC as they search 
for compromise language:
 
Expansion of the physical therapy scope of practice to place new emphasis on 
functional training in self care and on home, community and work reintegration should 
clarify that the primary focus of physical therapy intervention is on physical 
movement and mobility.

Here are some suggested amendments:

AOTA Suggested Amendment
"functional training related to physical movement and mobility in self care and in 
home, community or work reintegration"

New Hampshire Compromise language (2002 HB 1377) - see full text for additional 
modification to definition of PT 

"training related to movement dysfunctions in self care and in home, community or work 
integration or reintegration"
http://www.gencourt.state.nh.us/legislation/2002/HB1377.html

Washington State Compromise language (2002 HB 2590) - see full text for additional 
modification to definition of PT 

"movement-related functional training in self-care, in-home, community, or work 
reintegration"
http://www.leg.wa.gov/pub/billinfo/2001-02/House/2575-2599/2590-s_02102002.txt

Idaho Compromise language (2001 SB 1086 - signed by Idaho Governor)
"functional mobility training in self-care and in-home, community or work  
reintegration"

Arkansas Code 17-93-102
"functional training in self-care as it relates to patient mobility and community 
access"

I suggest that the AOTA language be used, though language used in other states 
certainly accomplishes the goal of clarifying the focus of PT intervention in these 
areas.  


>>> [EMAIL PROTECTED] 04/23/02 12:08PM >>>
Hello Chuck:

Thanks for adding your comments.  Can you give any information about which
States have ammended their practice acts to include PT's doing self-care,
community and work reintegration training?  Any information for the list
will be greatly appreciated.

Ron

~~~~~~
On Tuesday, April 23, 2002, [EMAIL PROTECTED] wrote:


CW> "3. PT's are changing their State Practice Acts to incorporate the above
CW> guidelines.  The Practice Acts provide language for what PT can legally
CW> claim to do. Whether they can actually do it better than OT doesn't matter.
CW> Once it's in their practice act they can legally claim expertise in the
CW> area."

CW> Ron,

CW> I just wanted to share with listserv participants that AOTA and the state
CW> OT associations are closely monitoring this issue.   In order to succeed
CW> the PTs need to change one state law at a time.  If the PT bills are 
CW> amended to clarify the context of their intervention then encroachment
CW> into traditional areas of OT practice will be avoided.  

CW> Chuck
CW> Manager, State Affairs AOTA


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