SENATE BILL No. 751

 

 

October 2, 2003, Introduced by Senator HAMMERSTROM and referred to the Committee on Health Policy.

 

 

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending section 16263 (MCL 333.16263), as amended by 2001               

                                                                                

    PA 139, and by adding section 16336 and part 179.                           

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 16263.  (1) Except as provided in subsection (2), the                  

                                                                                

2   following words, titles, or letters or a combination thereof,               

                                                                                

3   with or without qualifying words or phrases, are restricted in              

                                                                                

4   use only to those persons authorized under this article to use              

                                                                                

5   the terms and in a way prescribed in this article:                          

                                                                                

6       (a) "Chiropractic", "doctor of chiropractic", "chiropractor",               

                                                                                

7   "d.c.", and "chiropractic physician".                                       

                                                                                

8       (b) "Dentist", "doctor of dental surgery", "oral and                        

                                                                                

9   maxillofacial surgeon", "orthodontist", "prosthodontist",                   

                                                                                

10  "periodontist", "endodontist", "oral pathologist", "pediatric               

                                                                                


                                                                                

1   dentist", "dental hygienist", "registered dental hygienist",                

                                                                                

2   "dental assistant", "registered dental assistant", "r.d.a.",                

                                                                                

3   "d.d.s.", "d.m.d.", and "r.d.h.".                                           

                                                                                

4       (c) "Doctor of medicine" and "m.d.".                                        

                                                                                

5       (d) "Physician's assistant" and "p.a.".                                     

                                                                                

6       (e) "Registered professional nurse", "registered nurse",                    

                                                                                

7   "r.n.", "licensed practical nurse", "l.p.n.", "nurse midwife",              

                                                                                

8   "nurse anesthetist", "nurse practitioner", "trained attendant",             

                                                                                

9   and "t.a.".                                                                 

                                                                                

10      (f) "Doctor of optometry", "optometrist", and "o.d.".                       

                                                                                

11      (g) "Osteopath", "osteopathy", "osteopathic practitioner",                  

                                                                                

12  "doctor of osteopathy", "diplomate in osteopathy", and "d.o.".              

                                                                                

13      (h) "Pharmacy", "pharmacist", "apothecary", "drugstore",                    

                                                                                

14  "druggist", "medicine store", "prescriptions", and "r.ph.".                 

                                                                                

15      (i) "Physical therapy", "physical therapist",                               

                                                                                

16  "physiotherapist", "registered physical therapist", "licensed               

                                                                                

17  physical therapist", "physical therapy technician", "p.t.",                 

                                                                                

18  "r.p.t.", "l.p.t.", and "p.t.t.".                                           

                                                                                

19      (j) "Chiropodist", "chiropody", "chiropodical", "podiatry",                 

                                                                                

20  "podiatrist", "podiatric", "doctor of podiatric medicine", "foot            

                                                                                

21  specialist", "podiatric physician and surgeon", and "d.p.m.".               

                                                                                

22      (k) "Consulting psychologist", "psychologist", "psychological               

                                                                                

23  assistant", "psychological examiner", "licensed psychologist",              

                                                                                

24  and "limited licensed psychologist".                                        

                                                                                

25                                                                               (l) "Licensed professional counselor", "licensed counselor",                        

                                                                                

26  "professional counselor", and "l.p.c.".                                     

                                                                                

27      (m) "Sanitarian", "registered sanitarian", and "r.s.".                      


                                                                                

1       (n) "Social worker", "certified social worker", "social work                

                                                                                

2   technician", "s.w.", "c.s.w.", and "s.w.t.".                                

                                                                                

3       (o) "Veterinary", "veterinarian", "veterinary doctor",                      

                                                                                

4   "veterinary surgeon", "doctor of veterinary medicine", "v.m.d.",            

                                                                                

5   "d.v.m.", "animal technician", or "animal technologist".                    

                                                                                

6       (p) "Occupational therapist", "occupational therapist                       

                                                                                

7   registered", "certified occupational therapist", "o.t.",                    

                                                                                

8   "o.t.r.", "c.o.t.", "certified occupational therapy assistant",             

                                                                                

9   "occupational therapy assistant", or "c.o.t.a.".                            

                                                                                

10      (q) "Marriage advisor" or "marriage consultant"; "family                    

                                                                                

11  counselor", "family advisor", "family therapist", or "family                

                                                                                

12  consultant"; "family guidance counselor", "family guidance                  

                                                                                

13  advisor", or "family guidance consultant"; "marriage guidance               

                                                                                

14  counselor", "marriage guidance advisor", or "marriage guidance              

                                                                                

15  consultant"; "family relations counselor"; "marriage relations              

                                                                                

16  counselor", "marriage relations advisor", or "marriage relations            

                                                                                

17  consultant"; "marital counselor" or "marital therapist"; "limited           

                                                                                

18  licensed marriage and family therapist" or "limited licensed                

                                                                                

19  marriage counselor"; "licensed marriage and family therapist" or            

                                                                                

20  "licensed marriage counselor"; and "l.m.f.t.".                              

                                                                                

21      (r) "Nursing home administrator".                                           

                                                                                

22      (s) "Athletic trainer", "licensed athletic trainer",                        

                                                                                

23  "certified athletic trainer", "athletic trainer certified",                 

                                                                                

24  "a.t.", "a.t.l.", "c.a.t.", and "a.t.c.".                                   

                                                                                

25      (2) Notwithstanding section 16261, a person who was specially               

                                                                                

26  trained at an institution of higher education in this state to              

                                                                                

27  assist a physician in the field of orthopedics and upon                     


                                                                                

1   completion of training, received a 2-year associate of science              

                                                                                

2   degree as an orthopedic physician's assistant before January 1,             

                                                                                

3   1977, may use the title "orthopedic physician's assistant"                  

                                                                                

4   whether or not the person is licensed under this article.                   

                                                                                

5       Sec. 16336.  Fees for a person registered or seeking                        

                                                                                

6   licensure as an athletic trainer under part 179 are as follows:             

                                                                                

7        (a) Application processing fee....................$ 20.00              

                                                                                

8        (b) License fee, per year..........................60.00.              

                                                                                

9                               PART 179.                                       

                                                                                

10                          ATHLETIC TRAINING                                   

                                                                                

11      Sec. 17901.  (1) As used in this part:                                      

                                                                                

12      (a) "Athletic injury" means an injury sustained by an                       

                                                                                

13  individual as a result of that individual's participation in                

                                                                                

14  activities requiring physical strength, agility, flexibility,               

                                                                                

15  range of motion, speed, and stamina.                                        

                                                                                

16      (b) "Athletic trainer" means an individual engaged in the                   

                                                                                

17  practice of athletic training.                                              

                                                                                

18      (c) "Practice of athletic training" means the prevention,                   

                                                                                

19  assessment, treatment, and rehabilitation of athletic injuries              

                                                                                

20  under the direction and supervision of a licensed allopathic                

                                                                                

21  physician or a licensed osteopathic physician.                              

                                                                                

22      (2) In addition to the definitions in this part, article 1                  

                                                                                

23  contains general definitions and principles of construction                 

                                                                                

24  applicable to all articles in this code and part 161 contains               

                                                                                

25  definitions applicable to this part.                                        

                                                                                

26      Sec. 17902.  (1) Beginning on the effective date of the                     

                                                                                

27  rules promulgated under section 17904, a person shall not engage            


                                                                                

1   in the practice of athletic training unless licensed under this             

                                                                                

2   part or not prohibited from engaging in the practice of athletic            

                                                                                

3   training under subsection (2).                                              

                                                                                

4       (2) Subsection (1) does not prohibit an individual licensed                 

                                                                                

5   under any other part or any other act from performing activities            

                                                                                

6   under the scope of practice of athletic training so long as the             

                                                                                

7   individual does not use the titles protected under subsection               

                                                                                

8   (3).                                                                        

                                                                                

9       (3) Beginning on the effective date of the rules promulgated                

                                                                                

10  under section 17904, an individual shall not use the titles                 

                                                                                

11  "athletic trainer", "licensed athletic trainer", "certified                 

                                                                                

12  athletic trainer", "athletic trainer certified", "a.t.",                    

                                                                                

13  "a.t.l.", "c.a.t.", "a.t.c.", or similar words that indicate that           

                                                                                

14  the person is an athletic trainer unless the individual is                  

                                                                                

15  licensed under this article as an athletic trainer.                         

                                                                                

16      Sec. 17903.  The Michigan athletic trainer board is created                 

                                                                                

17  in the department and shall consist of 7 members meeting the                

                                                                                

18  requirements of part 161, 3 of whom are public members.                     

                                                                                

19      Sec. 17904.  (1) The department shall promulgate rules                      

                                                                                

20  establishing the minimum standards for licensure as an athletic             

                                                                                

21  trainer under this part.                                                    

                                                                                

22      (2) In promulgating the rules required under this section,                  

                                                                                

23  the department may consult the professional standards issued by             

                                                                                

24  the national athletic trainer's association, by the national                

                                                                                

25  athletic trainer's association board of certification, or by                

                                                                                

26  another nationally recognized professional association.  The                

                                                                                

27  department may incorporate by reference, in whole or in part,               


                                                                                

1   existing standards in the rules.                                            

                                                                                

2       (3) As needed, the department may amend or supplement any                   

                                                                                

3   standards by promulgation of a rule.                                        

                                                                                

4       Sec. 17905.  (1) The department shall issue a license under                 

                                                                                

5   this article as an athletic trainer to an individual who meets              

                                                                                

6   all of the following requirements:                                          

                                                                                

7       (a) Applies to the department on a form provided by the                     

                                                                                

8   department.                                                                 

                                                                                

9       (b) Meets the requirements for licensure contained in                       

                                                                                

10  section 17904.                                                              

                                                                                

11      (c) Pays the fees prescribed in section 16336.                              

                                                                                

12      (2) The department shall promulgate rules to provide for at                 

                                                                                

13  least 8 clock hours of continuing education within each 3-year              

                                                                                

14  license cycle in subjects related to athletic training and                  

                                                                                

15  approved by the department.                                                 

                                                                                

16      Sec. 17906.  (1) A license issued by the department under                   

                                                                                

17  section 17905 shall be for a 3-year license cycle.  The license             

                                                                                

18  is renewable upon payment of the prescribed license renewal fee             

                                                                                

19  and, beginning with the third year after the effective date of              

                                                                                

20  the rules promulgated under section 17905(2), submission to the             

                                                                                

21  department of proof of satisfactory completion of at least 8                

                                                                                

22  clock hours of continuing education within the 3-year license               

                                                                                

23  cycle in subjects related to athletic training and approved by              

                                                                                

24  the department.                                                             

                                                                                

25      (2) In addition to the continuing education requirements of                 

                                                                                

26  subsection (1), an athletic trainer shall submit along with his             

                                                                                

27  or her application for license renewal proof satisfactory to the            


                                                                                

1   department of both of the following:                                        

                                                                                

2       (a) That he or she has successfully completed a course of                   

                                                                                

3   training in first aid, cardiopulmonary resuscitation, and foreign           

                                                                                

4   body obstruction of the airway approved by the department and               

                                                                                

5   offered or approved by the American red cross, the American heart           

                                                                                

6   association, or a comparable organization, as determined by the             

                                                                                

7   department.                                                                 

                                                                                

8       (b) That he or she holds, at the time of application for                    

                                                                                

9   renewal and at all times during the previous license period, a              

                                                                                

10  valid certification in first aid and cardiopulmonary                        

                                                                                

11  resuscitation issued by the organization offering the training.             

                                                                                

12      Sec. 17907.  This part does not require new or additional                   

                                                                                

13  third party reimbursement for services rendered by an individual            

                                                                                

14  licensed under this part.