SB 197-2_ Filed 02/26/2007, 10:00 Alting



    I move
that Senate Bill 197 be amended to read as follows:

SOURCE: Page 2, line 19; (07)MO019702.2. -->     Page 2, between lines 19 and 20, begin a new line block indented and insert:
        " (8) "Spinal manipulation, adjustment, or grade 5 mobilization" 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 articulation; and
            (C) is intended to result in a cavitation of the joint or a reduction of a subluxation.
    Page 4, between lines 3 and 4, begin a new paragraph and insert:
SOURCE: IC 25-27-1-3.3; (07)MO019702.4. -->     "SECTION 4. IC 25-27-1-3.3 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2007]: Sec. 3.3. (a) A physical therapist may not perform a spinal manipulation, adjustment, or grade 5 mobilization unless the physical therapist has received an endorsement to perform the procedure by completing the additional education required in this section.
    (b) The board shall issue an endorsement to a physical therapist to perform a spinal manipulation, adjustment, or grade 5 manipulation if the physical therapist meets the additional requirements in this section.

     (c) In order to perform a spinal manipulation, adjustment, or grade 5 mobilization, the physical therapist must satisfy the following additional education requirements:
        (1) At least three hundred ninety (390) credit hours, of which:
            (A) at least five thousand six hundred (5,600) hours are classroom hours that consist of at least:
                (i) four hundred (400) hours of classroom instruction;

                (ii) eight hundred (800) hours of supervised clinical training, including certified and supervised manipulation of at least two hundred fifty (250) different, alive individuals, and of which at least two hundred (200) of these manipulations are spinal manipulations.
        (2) Seventy-five (75) assessments of patients through direct observation.
The course description for a class taken under this subsection must be equivalent to a course taken by a licensed chiropractor, osteopath, or physician.
    (d) In order to maintain an endorsement issued under this section, a physical therapist who obtains the endorsement must complete twelve (12) hours of continuing education per year, of which at least six (6) hours are concerning spinal manipulation, adjustment, or grade 5 mobilization.
    Renumber all SECTIONS consecutively.
    (Reference is to SB 197 as printed February 23, 2007.)


Senator ALTING

MO019702/DI 104