November 14, 2013, Introduced by Senators MOOLENAAR, HILDENBRAND, PAPPAGEORGE, WARREN, GREEN, MEEKHOF, CASPERSON and BRANDENBURG and referred to the Committee on Insurance.
A bill to amend 1978 PA 368, entitled
"Public health code,"
by amending sections 17801, 17820, 17822, and 17824 (MCL 333.17801,
333.17820, 333.17822, and 333.17824), sections 17801 and 17820 as
amended and section 17824 as added by 2009 PA 55 and section 17822
as amended by 2005 PA 281.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 17801. (1) As used in this part:
(a) "Health professional" means an individual who is licensed
or otherwise authorized to engage in a health profession under part
166, 170, 175, or 180, or an individual holding the equivalent
license issued by another state.
means an individual licensed
under this article to engage in the practice of physical therapy.
assistant" means an individual
with a health profession subfield license under this part who
assists a physical therapist in physical therapy intervention.
"Practice as physical
therapist assistant" means the
practice of physical therapy performed under the supervision of a
physical therapist licensed under this part.
"Practice of physical
therapy" means the evaluation
of, education of, consultation with, or treatment of an individual
by the employment of effective properties of physical measures and
the use of therapeutic exercises and rehabilitative procedures,
with or without assistive devices, for the purpose of preventing,
correcting, or alleviating a physical or mental disability.
Physical therapy includes treatment planning, performance of tests
and measurements, interpretation of referrals, initiation of
referrals, instruction, consultative services, and supervision of
personnel. Physical measures include massage, mobilization, heat,
cold, air, light, water, electricity, and sound. Practice of
physical therapy does not include the identification of underlying
medical problems or etiologies, establishment of medical diagnoses,
or the prescribing of medical treatment.
(2) In addition to the definitions in this part, article 1
contains general definitions and principles of construction
applicable to all articles in this code and part 161 contains
definitions applicable to this part.
A person An
individual shall not engage in the
practice of physical therapy or practice as a physical therapist
assistant unless licensed or otherwise authorized under this part.
person shall Except as
otherwise provided in section 17824,
beginning on the effective date of the amendatory act that added
this phrase, a physical therapist or a physical therapist assistant
acting under the supervision of a physical therapist may engage in
actual treatment of an individual only upon the without a
of an individual holding a license issued under part 166,
170, 175, or 180, or the equivalent license issued by another state.from a health professional.
(2) The following words, titles, or letters or a combination
of words, titles, or letters,
with or without qualifying
words or phrases, are restricted in use only to those persons
authorized under this part to use the terms and in a way prescribed
in this part: "physical therapy", "physical therapist", "doctor of
physiotherapy", "doctor of physical therapy", "physiotherapist",
"physiotherapy", "registered physical therapist", "licensed
physical therapist", "physical therapy technician", "physical
therapist assistant", "physical therapy assistant",
"physiotherapist assistant", "physiotherapy assistant", "p.t.
assistant", "p.t.", "r.p.t.", "l.p.t.", "c.p.t.", "d.p.t.",
"m.p.t.", "p.t.a.", "registered p.t.a.", "licensed p.t.a.",
"certified p.t.a.", "c.p.t.a.", "l.p.t.a.", "r.p.t.a.", and
Sec. 17822. This part does not prohibit a hospital, as a
condition of employment or the granting of staff privileges, from
requiring a physical therapist to practice in the hospital only
the prescription of
an individual holding a license issued under
part 166, 170, 175, or 180 or the equivalent license issued by
another state.a health
Sec. 17824. (1) A physical therapist who is treating a patient
the prescription of a health professional shall
refer do all
of the following, as applicable:
Refer a patient back to the health
issued the prescription for treatment if the physical therapist has
reasonable cause to believe that symptoms or conditions are present
that require services beyond the scope of practice of physical
A physical therapist shall consult Consult
care professional who issued the prescription for treatment
if a patient does not show reasonable response to treatment in a
time period consistent with the standards of practice as determined
by the board.
(2) A physical therapist who is treating a patient without a
prescription from a health professional as authorized under section
17820 shall do all of the following, as applicable:
(a) Refer a patient to an appropriate health professional if
the physical therapist has reasonable cause to believe that
symptoms or conditions are present that require services beyond the
scope of practice of physical therapy.
(b) Consult with an appropriate health professional if a
patient does not show reasonable response to treatment in a time
period consistent with the standards of practice as determined by
(c) Except as otherwise provided in this subdivision, obtain a
prescription from an appropriate health professional to continue
treatment beyond 21 days or 10 treatments, whichever first occurs.
A physical therapist is not required to obtain a prescription from
a health professional under this subdivision if the patient is
seeking physical therapy services for the purpose of preventing
injury or promoting fitness.
Enacting section 1. This amendatory act does not take effect
unless all of the following bills of the 97th Legislature are
enacted into law:
(a) Senate Bill No.694
(b) Senate Bill No.693
(c) Senate Bill No.692
(d) Senate Bill No.691