H.B. No. 0155

Physical therapy-referrals and consultations.

Sponsored By: Representative(s) Landon, Iekel, Lockhart, Nicholas and Reese and Senator(s) Massie, Peck and Sessions

AN ACT relating to physical therapy; amending the requirement that physical therapy be provided only under authority of specified health care providers; requiring consultations as specified; and providing for an effective date.

1/16/2003 Bill Number Assigned

1/20/2003 H Received for Introduction

1/20/2003 H Introduced and Referred to H10

1/23/2003 H10 Recommended Amend and Do Pass

ROLL CALL

Ayes: Representative(s) Gilmore, Hinckley, Iekel, Miller, D., Osborn and Robinson

Nays: Representative(s) Boswell, Harvey and McMurtrey

Ayes 6 Nays 3 Excused 0 Absent 0 Conflicts 0

1/23/2003 H Placed on General File

1/27/2003 H Amendments Considered

HB0155HS001/A ADOPTED

Page 2-line 1 After stricken "to" insert "for a new or recurring injury".

Page 2-line 3 Strike "or" insert ","; after "dentist" insert "or physician assistant".

Page 2-line 6 Delete "developed by a".

Page 2-line 7 Delete "school district".

Page 2-line 8 Delete.

Page 2-line 9 Delete "department of health".

Page 2-line 21 Delete "on" insert "without a prescription for"; delete "occasions" insert "visits"; delete "in" insert "for".

Page 2-line 22 Delete "any" insert "a". OSBORN, CHAIRMAN

1/27/2003 H Passed CoW

1/28/2003 H Passed 2nd Reading

1/29/2003 H Amendments Considered

HB0155H3001.01/AC (CORRECTED COPY) (DIVIDED AMENDMENT) ADOPTED

Page 1-line 4 After "consultations" insert ", referrals and disclosures".

Page 1-line 9 After "(c)" insert "and by creating a new subsection (e)".

Page 2-After line 23 Insert:

"(e) Prior to any physical therapy service, the patient or client shall be directed to posted information explaining:

(i) The education level and degrees held by the treating physical therapist;

(ii) That coverage is not available through Medicaid unless prescribed by a physician, physician's assistant or nurse practitioner; and

(iii) That the patient's or client's insurance may not cover the service.".

Page 3-line 12 After "client" insert "or post information".

Page 3-line 13 After "(c)" insert and "and (e)". TIPTON, MCMURTREY

HB0155H3001.02/FC (CORRECTED COPY) (DIVIDED AMENDMENT) FAILED

Page 1-line 15 After "therapist" insert ", possessing a master's degree in physical therapy or equivalent training,". TIPTON, MCMURTREY

1/29/2003 H Passed 3rd Reading

ROLL CALL

Ayes: Representative(s) Alden, Anderson, R., Baker, Berger, Brechtel, Bucholz, Childers, Cohee, Cooper, Diercks, Edwards, Esquibel, Gentile, Gilmore, Harshman, Hinckley, Iekel, Johnson, L., Johnson, W., Jones, Landon, Law, Lockhart, Luthi, Meyer, Miller, D., Olsen, Osborn, Philp, Powers, Prosser, Reese, Robinson, Thompson, Walsh and Wostenberg.

Nays: Representative(s) Bagby, Boswell, Buchanan, Hageman, Harvey, Illoway, Jansen, Jorgensen, Latta, Martin, McMurtrey, McOmie, Meuli, Morgan, Nicholas, Parady, Petersen, Semlek, Simpson, Slater, Tipton, Warren and Wasserburger.

Conflicts: Representative(s) Ross

Ayes 36 Nays 23 Excused 0 Absent 0 Conflicts 1

1/30/2003 S Received for Introduction

2/4/2003 S Introduced and Referred to S10

2/12/2003 S10 Recommended Amend and Do Pass

ROLL CALL

Ayes: Senator(s) Case, Massie and Scott

Nays: Senator(s) Boggs

Conflicts: Senator(s) Barrasso

Ayes 3 Nays 1 Excused 0 Absent 0 Conflicts 1

2/12/2003 S Placed on General File

2/24/2003 S Amendments Considered

HB0155SS001/AE (TO ENGROSSED COPY) ADOPTED

Page 2-line 6 Delete "Except for".

Page 2-lines 7 through 9 Delete.

Page 2-line 10 Delete through "plan,".

Page 2-line 21 After "(iii)" insert "Except for patients or clients participating in wellness, fitness or health screenings or receiving physical therapy services under an individualized education program or an individualized family services plan,". SCOTT, CHAIRMAN

HB0155SW001.01/ACE (CORRECTED COPY) (TO ENGROSSED COPY)

(DIVIDED AMENDMENT) ADOPTED

Page 2-line 5 After "physician" insert "including doctor of osteopathy".

Page 2-line 6 Before "or physician" insert ", chiropractor".

Page 3-line 3 After "information" insert "and delivered a handout". MEIER

HB0155SW001.02/FCE (CORRECTED COPY)(TO ENGROSSED COPY)

(DIVIDED AMENDMENT) FAILED

Page 2-line 1 After "therapist" insert "who has a masters degree or the equivalent thereof".

Page 2-line 22 Delete "twelve".

Page 2-line 23 Delete "(12)" insert "eight (8)"; delete "thirty (30)" insert "twenty (20)". MEIER

2/24/2003 S Passed CoW

2/25/2003 S Amendments Considered

HB0155S2001/AE (TO ENGROSSED COPY) ADOPTED

Page 2-line 6 After "assistant." insert "Nothing in this subsection shall be construed to preclude a physical therapist from treating a chronic or recurring injury or condition without a prescription, provided that the patient or client was previously diagnosed and prescribed physical therapy treatment within the previous year by a health care provider identified in this subsection and the treatment is directly related to the original prescribed care.". MEIER

HB0155S2002/AE (TO ENGROSSED COPY) ADOPTED

Page 2-line 1 After "therapist" insert "with a master's degree, or a bachelor's degree with five (5) years of clinical experience".

Page 2-line 21 Delete the Senate Standing Committee Amendment (HB0155SS001/AE) to this line and further amend as follows: After "(iii)" insert "Except for patients or clients participating in general exercise or fitness programs or receiving physical therapy services under an individualized education program or an individualized family services plan,".

Page 3-line 9 After "coverage" delete "is" insert "may"; after "not" insert "be"; after "through" insert "governmental or worker's compensation programs".

Page 3-line 10 Delete "Medicaid". MASSIE, MEIER

HB0155S2003/AE (TO ENGROSSED COPY) ADOPTED

Page 2-line 1 Before "A physical" insert "Except as provided in this subsection,".

Page 2-line 6 After "assistant." Insert "Without a prescription, a physical therapist is prohibited from initiating physical therapy treatment for children under the age of twelve (12) years, unless the child is to receive physical therapy treatment under an individualized education program or an individualized family services plan.". DEVIN

2/25/2003 S Passed 2nd Reading

2/26/2003 S Amendments Considered

HB0155S3001/AE (TO ENGROSSED COPY) ADOPTED

Page 2-line 11 After "physician" insert "including doctor of osteopathy".

Page 2-line 12 After "dentist" insert ", chiropractor". MASSIE

2/26/2003 S Passed 3rd Reading

ROLL CALL

Ayes: Senator(s) Anderson, J., Burns, Caller, Case, Cathcart, Coe, Erb, Geis, Goodenough, Hanes, Hawks, Hines, Kunz, Larson, Massie, Mockler, Northrup, Peck, Roberts, Schiffer, Scott and Sessions.

Nays: Senator(s) Barton, Boggs, Decaria, Devin, Job, Meier and Vasey.

Conflicts: Senator(s) Barrasso

Ayes 22 Nays 7 Excused 0 Absent 0 Conflicts 1

2/27/2003 H Did Concur

ROLL CALL

Ayes: Representative(s) Alden, Anderson, R., Bagby, Baker, Berger, Brechtel, Buchanan, Bucholz, Childers, Cohee, Cooper, Diercks, Edwards, Esquibel, Gentile, Gilmore, Hageman, Harshman, Harvey, Hinckley, Iekel, Illoway, Jansen, Johnson, L., Johnson, W., Jones, Jorgensen, Landon, Law, Lockhart, Luthi, Martin, McMurtrey, McOmie, Meyer, Miller, D., Morgan, Nicholas, Olsen, Osborn, Petersen, Philp, Powers, Prosser, Reese, Robinson, Semlek, Simpson, Slater, Thompson, Tipton, Walsh, Warren, Wasserburger and Wostenberg.

Nays: Representative(s) Boswell, Meuli and Parady.

Excused: Representative(s) Latta

Conflicts: Representative(s) Ross

Ayes 55 Nays 3 Excused 1 Absent 0 Conflicts 1

2/27/2003 Assigned Number HEA 0056

2/27/2003 H Speaker Signed HEA No. 0056

2/28/2003 S President Signed HEA No. 0056

3/3/2003 Governor Signed HEA No. 0056

Chapter No. 0111 Session Laws of Wyoming 2003.