Kentucky Board of Physical Therapy
††††† RELATES TO: KRS 327.010
††††† STATUTORY AUTHORITY: KRS 327.040(11)
††††† NECESSITY, FUNCTION, AND CONFORMITY: KRS 327.040(11) requires the Kentucky Board of Physical Therapy to promulgate and enforce reasonable administrative regulations for the effectuation of the purposes of KRS Chapter 327 pertaining to the practice and credentialing of physical therapists and physical therapist assistants. This administrative regulation sets forth the definitions for 201 KAR Chapter 22.
††††† Section 1. Definitions. (1) "Board" is defined by KRS 327.010(3).
††††† (2) "CAPTE" means Commission on Accreditation in Physical Therapy Education.
††††† (3) "Credential" means the license or certificate issued by the board authorizing a person to practice physical therapy.
††††† (4) "Credential holder" means a licensed physical therapist or certified physical therapist assistant who has met all requirements for credentialing in 201 KAR 22:020 and has been credentialed by the board.
††††† (5) "Credentialing" means the process of licensing or certifying an applicant by the board.
††††† (6) "Direct supervision" means:
††††† (a) The physical therapist or physical therapist assistant shall:
††††† 1. Be immediately available to direct and supervise tasks that are related to direct patient care; and
††††† 2. Provide line of sight direction and supervision the majority of the time per visit for each patient when these tasks are performed; and
††††† (b) Supervision is not provided by telecommunications.
††††† (7) "Electronic communication" means:
††††† (a) Any transfer of signs, signals, writing, images, sounds, data, information, or intelligence of any nature transmitted by computer or via the internet in whole or in part by a wire, radio, electromagnetic, photo-electronic, or photo-optical system; and
††††† (b) The science and technology of the exchanging of information over any distance by electronic transmission of impulses including activities that involve using electronic communications to store, organize, send, retrieve, or convey information.
††††† (8) "Endorsement" means a method of application which is utilized by an applicant credentialed by another jurisdiction.
"Full time" means employment for forty (40) hours a week.
"Inactive status" means a credential that is inactive and the
credential holder is not engaged in the practice of physical therapy.
"Jurisdiction" means a licensing authority in a state or territory of
"NPTE" means the National Physical Therapy Examination for physical
therapists and physical therapist assistants.
"On-site supervision" means immediate physical accessibility within
the same building.
"Patient" means any person for whom physical therapy, as defined in
KRS 327.010(1), is provided.
"Physical therapist assistant" means a skilled health care worker
certified by the board who performs physical therapy and related duties as
assigned by the supervising physical therapist.
"Physical therapist student" or "physical therapist assistant
student" means a person who meets the requirements of KRS 327.050(10)(a).
"Physical therapy student services" means services provided by a
physical therapist student or physical therapist assistant student, as part of
the studentís educational program, and are considered provided by the supervising
physical therapist or physical therapist assistant.
"Reinstatement of a credential" means a renewal of a license that has
"Supervising physical therapist" means the physical therapist who is
supervising the care of a patient who is being treated by a physical therapist
assistant or supportive personnel.
"Supportive personnel" means a person assisting in the provision of
direct physical therapy patient care who is not credentialed by the board and
is not a physical therapist student or physical therapist assistant student.
††††† (22) "Telehealth" is defined by KRS 327.200(3);
††††† (23) "Telephysical therapy" means "physical therapy" as defined by KRS 327.010(1) between the credential holder and the patient who is not at the same physical location using interactive, secure, synchronous audio and videoconferencing technology.
"Verification" means the process of verifying a lawful credential.
SCOTT D. MAJORS, Executive Director
††††† APPROVED BY AGENCY: January 16, 2014
††††† FILED WITH LRC: February 11, 2014 at 1 p.m.
††††† PUBLIC HEARING AND PUBLIC COMMENT PERIOD: A public hearing on this administrative regulation shall be held on March 28, 2014, at 4:00 p.m. (EST) at 312 Whittington Parkway, Suite 102, Louisville, Kentucky 40222. Individuals interested in being heard at this hearing shall notify this agency in writing five (5) workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing is received by that date, the hearing may be cancelled. This hearing is open to the public. Any person who wishes to be heard will be given an opportunity to comment on the proposed administrative regulation. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted until March 31, 2014. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.
††††† CONTACT PERSON: Scott D. Majors, Executive Director, Board of Physical Therapy, 312 Whittington Parkway, Suite 102, Louisville, Kentucky 40222, phone (502) 429-7140, fax (502) 429-7142.
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person: Scott D. Majors
††††† (1) Provide a brief summary of:
††††† (a) What this administrative regulation does: This administrative regulation sets forth the definitions for 201 KAR Chapter 22.
††††† (b) The necessity of this administrative regulation: This administrative regulation was necessary to define terms used in 201 KAR Chapter 22 including new definitions related to telehealth and telephysical therapy.
††††† (c) How this administrative regulation conforms to the content of the authorizing statutes: It provides the definitions to administrative regulations as required by KRS 327.040.
††††† (d) How this administrative regulation currently assists or will assist in the effective administration of the statutes: It defines terms used for 201 KAR Chapter 22 including new definitions related to telehealth and telephysical therapy.
††††† (2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
††††† (a) How the amendment will change this existing administrative regulation: This amendment adds the definition of "electronic communication" and "telehealth" and "telephysical therapy".
††††† (b) The necessity of the amendment to this administrative regulation: To add these definitions necessary to implement a telehealth and telephysical therapy administrative regulation.
††††† (c) How the amendment conforms to the content of the authorizing statutes: The board is authorized to set standards for the practice of physical therapy including the use of telehealth and telephysical therapy.
††††† (d) How the amendment will assist in the effective administration of the statutes: By defining these terms to implement KRS 327.200.
††††† (3) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation: Approximately 4,800 physical therapists and physical therapist assistants, hospitals, physical therapy clinics and other entities that provide physical therapy services.
††††† (4) Provide an analysis of how the entities identified in question (3) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
††††† (a) List the actions that each of the regulated entities identified in question (3) will have to take to comply with this administrative regulation or amendment: The entities in (3) will be required to the standards of telehealth using those terms defined in the amended administrative regulation.
††††† (b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (3): There will be minimal cost to the entities in questions (3).
††††† (c) As a result of compliance, what benefits will accrue to the entities identified in question (3): Protect the health and welfare of the public with regard to the provision of physical therapy by telehealth and telephysical therapy.
††††† (5) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
††††† (a) Initially: No costs to the board.
††††† (b) On a continuing basis: No costs to the board.
††††† (6) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation: N/A to Agency Revenue Fund.
††††† (7) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment: There will be no increase in fees or funding.
††††† (8) State whether or not this administrative regulation established any fees or directly or indirectly increased any fees: This administrative regulation does not change the fees directly or indirectly.
††††† (9) Tiering: Is tiering applied? Tiering was not used. Not applicable.
FISCAL NOTE ON STATE OR LOCAL GOVERNMENT
††††† 1. What units, parts or divisions of state or local government (including cities, counties, fire departments, or school districts) will be impacted by this administrative regulation? Physical therapists and physical therapists assistants credentialed by the Board.
††††† 2. Identify each state or federal statute or federal regulation that requires or authorizes the action taken by the administrative regulation. KRS 327.040; KRS 327.200.
††††† 3. Estimate the effect of this administrative regulation on the expenditures and revenues of a state or local government agency (including cities, counties, fire departments, or school districts) for the first full year the administrative regulation is to be in effect. No effect.
††††† (a) How much revenue will this administrative regulation generate for the state or local government (including cities, counties, fire departments, or school districts) for the first year? None.
††††† (b) How much revenue will this administrative regulation generate for the state or local government (including cities, counties, fire departments, or school districts) for subsequent years? None.
††††† (c) How much will it cost to administer this program for the first year? None.
††††† (d) How much will it cost to administer this program for subsequent years? None.
††††† Note: If specific dollar estimates cannot be determined, provide a brief narrative to explain the fiscal impact of the administrative regulation.
††††† Revenues (+/-):
††††† Expenditures (+/-):
††††† Other Explanation: