Introduced Version
HOUSE BILL No. 1319
_____
DIGEST OF INTRODUCED BILL
Citations Affected: IC 25-10-1-1; IC 25-27-1.
Synopsis: Chiropractors and physical therapists. Defines "manual
adjustment" in the law governing licensing of chiropractors. Defines
"manual therapy" in the law governing licensing of physical therapists,
and allows physical therapists to use manual therapy.
Effective: July 1, 2006.
Austin
January 10, 2006, read first time and referred to Committee on Public Health.
Introduced
Second Regular Session 114th General Assembly (2006)
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HOUSE BILL No. 1319
A BILL FOR AN ACT to amend the Indiana Code concerning
professions and occupations.
Be it enacted by the General Assembly of the State of Indiana:
SOURCE: IC 25-10-1-1; (06)IN1319.1.1. -->
SECTION 1. IC 25-10-1-1 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2006]: Sec. 1. As used in this
article:
(1) "Chiropractic" means the diagnosis and analysis of any
interference with normal nerve transmission and expression, the
procedure preparatory to and complementary to the correction
thereof by an adjustment of the articulations of the vertebral
column, its immediate articulation, and includes other incidental
means of adjustments of the spinal column and the practice of
drugless therapeutics. However, chiropractic does not include any
of the following:
(A) Prescription or administration of legend drugs or other
controlled substances.
(B) Performing of incisive surgery or internal or external
cauterization.
(C) Penetration of the skin with a needle or other instrument
for any purpose except for the purpose of blood analysis.
(D) Use of colonic irrigations, plasmatics, ionizing radiation
therapy, or radionics.
(E) Conducting invasive diagnostic tests or analysis of body
fluids except for urinalysis.
(F) The taking of x-rays of any organ other than the vertebral
column and extremities. and
(G) The treatment or attempt to treat infectious diseases,
endocrine disorders, or atypical or abnormal histology.
(2) "Chiropractor" means any person who is qualified under this
chapter to practice the science of chiropractic.
(3) "Board" means the board of chiropractic examiners under
section 1.5 of this chapter.
(4) "Bureau" means the health professions bureau under
IC 25-1-5.
(5) "Manual adjustment" means a manual or mechanical
intervention that may have velocity, lever, amplitude, or
recoil and that:
(A) may carry a joint complex beyond the normal
physiological range of motion;
(B) is applied without exceeding the boundaries of
anatomical integrity of the joint complex or other
articulations; and
(C) is intended to result in a cavitation of the joint or a
reduction of a subluxation.
SOURCE: IC 25-27-1-1; (06)IN1319.1.2. -->
SECTION 2. IC 25-27-1-1 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2006]: Sec. 1. For the purposes of
this chapter:
(1) "Physical therapy" means the evaluation of, administration of,
or instruction in physical rehabilitative and habilitative techniques
and procedures to evaluate, prevent, correct, treat, alleviate, and
limit physical disability, pathokinesiological function, bodily
malfunction, pain from injury, disease, and any other physical
disability or mental disorder, including:
(A) the use of physical measures, agents, and devices for
preventive and therapeutic purposes;
(B) neurodevelopmental procedures;
(C) the performance, interpretation, and evaluation of physical
therapy tests and measurements; and
(D) the provision of consultative, educational, and other
advisory services for the purpose of preventing or reducing the
incidence and severity of physical disability, bodily
malfunction, and pain.
(2) "Physical therapist" means a person who practices physical
therapy as defined in this chapter.
(3) "Physical therapist's assistant" means a person who assists in
the practice of physical therapy as defined in this chapter.
(4) "Board" refers to the medical licensing board.
(5) "Committee" refers to the Indiana physical therapy committee
established under section 4 of this chapter.
(6) "Person" means an individual.
(7) "Manual therapy" means a group of techniques
comprising a continuum of skilled passive movements to the
joints or related soft tissues throughout the normal range of
physiological motion that are applied at varying speeds and
amplitudes without engaging in a technique that is intended
to result in a cavitation of the joint or a reduction of a
subluxation.
SOURCE: IC 25-27-1-2; (06)IN1319.1.3. -->
SECTION 3. IC 25-27-1-2 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2006]: Sec. 2. (a) Except as
otherwise provided in this chapter, it is unlawful for a person to
practice physical therapy or to profess to be a physical therapist,
physiotherapist, or physical therapy technician or to use the initials
"P.T.", "P.T.T.", or "R.P.T.", or any other letters, words, abbreviations,
or insignia indicating that the person is a physical therapist, or to
practice or to assume the duties incident to physical therapy without
first obtaining from the board a license authorizing the person to
practice physical therapy in this state.
(b) It is unlawful for a person to practice physical therapy other than
upon the order or referral of a physician, podiatrist, psychologist,
chiropractor, or dentist holding an unlimited license to practice
medicine, podiatric medicine, psychology, chiropractic, or dentistry,
respectively. It is unlawful for a physical therapist to use the services
of a physical therapist's assistant except as provided under this chapter.
For the purposes of this subsection, the function of:
(1) teaching;
(2) doing research;
(3) providing advisory services; or
(4) conducting seminars on physical therapy;
is not considered to be a practice of physical therapy.
(c) Except as otherwise provided in this chapter, it is unlawful for
a person to act as a physical therapist's assistant or to use initials,
letters, words, abbreviations, or insignia indicating that the person is a
physical therapist's assistant without first obtaining from the board a
certificate authorizing the person to act as a physical therapist's
assistant. It is unlawful for the person to act as a physical therapist's
assistant other than under the direct supervision of a licensed physical
therapist who is in responsible charge of a patient or under the direct
supervision of a physician. However, nothing in this chapter prohibits
a person licensed or registered in this state under another law from
engaging in the practice for which the person is licensed or registered.
These exempted persons include persons engaged in the practice of
osteopathy, chiropractic, or podiatric medicine.
(d) This chapter does not authorize a person who is licensed as a
physical therapist or certified as a physical therapist's assistant to:
(1) evaluate any physical disability or mental disorder except
upon the order or referral of a physician, podiatrist, psychologist,
chiropractor, or dentist;
(2) practice medicine, surgery (as described in
IC 25-22.5-1-1.1(a)(1)(C)), dentistry, optometry, osteopathy,
psychology, chiropractic, or podiatric medicine; or
(3) prescribe a drug or other remedial substance used in medicine.
(e) A person who is licensed as a physical therapist or certified
as a physical therapist's assistant is authorized to perform manual
therapy.