Amendments for HB24-1327

House Journal, April 9
11 HB24-1327 be amended as follows, and as so amended, be referred to
12 the Committee on Finance with favorable
13 recommendation:
14
15 Amend printed bill, page 4, after line 1 insert:
16
17 "SECTION 5. In Colorado Revised Statutes, 12-285-104, amend
18 (4), (6)(a)(II)(E), (6)(a)(II)(F), and (6)(b)(III); and add (6)(a)(II)(G) as
19 follows:
20 12-285-104. Definitions. As used in this article 285, unless the
21 context otherwise requires:
22 (4) "Physical therapist" means a person who is licensed to practice
23 physical therapy. The terms TERM "physiotherapist" and "physical therapy
24 technician" are IS synonymous with the term "physical therapist".
25 (6) (a) (II) For purposes of this article 285, "physical therapy"
26 includes:
27 (E) The provision of consultative, educational, and other advisory
28 services for the purpose of reducing the incidence and severity of physical
29 disability, movement dysfunction, bodily malfunction, and pain; and
30 (F) General wound care AND WOUND DEBRIDEMENT, including the
31 assessment and management of skin lesions, surgical incisions, open
32 wounds, and areas of potential skin breakdown in order to maintain or
33 restore the integumentary system. WOUND DEBRIDEMENT INCLUDES SHARP
34 DEBRIDEMENT AND NONSHARP DEBRIDEMENT, SUCH AS MECHANICAL,
35 AUTOLYTIC, ENZYMATIC, AND MAGGOT.
36 (G) ONGOING REVIEW, INTEGRATION, AND UNDERSTANDING OF A
37 PATIENT'S OR CLIENT'S PRESCRIPTION AND NONPRESCRIPTION MEDICATION
38 REGIMEN, WITH CONSIDERATION OF ITS IMPACT ON HEALTH, FUNCTION,
39 MOVEMENT, AND DISABILITY.
40 (b) For the purposes of subsection (6)(a)(II) of this section:
41 (III) "Tests and measurements" includes, but is not limited to, tests
42 of muscle strength, force, endurance, and tone; reflexes and automatic
43 reactions; movement skill and accuracy; joint motion, mobility, and
44 stability; sensation and perception; peripheral nerve integrity; locomotor
45 skill, stability, and endurance; activities of daily living; cardiac,
46 pulmonary, and vascular functions; fit, function, and comfort of
47 prosthetic, orthotic, and other assistive devices; posture and body
48 mechanics; limb length, circumference, and volume; thoracic excursion
49 and breathing patterns; vital signs; nature and locus of pain and
50 conditions under which pain varies; photosensitivity; and physical home
51 and work environments MEANS STANDARD METHODS AND TECHNIQUES
52 USED TO OBTAIN DATA ABOUT THE PATIENT OR CLIENT, INCLUDING
53 D I A G N O S T I C I M A G I N G A N D E L E C T R O D I A G N O S T I C A N D
54 ELECTROPHYSIOLOGICAL TESTS AND MEASURES.
55
107 1 SECTION 6. In Colorado Revised Statutes, amend 12-285-
2 as follows:
3 12-285-107. Use of titles restricted. (1) A person licensed as a
4 physical therapist may use the title "physical therapist" or the letters
5 "P.T." or any other generally accepted terms, letters, or figures that
6 indicate that the person is a physical therapist. No other person shall be
7 so designated or shall use the terms "physical therapist", "licensed
8 physical therapist", "physiotherapist", "DOCTOR OF PHYSICAL THERAPY",
9 "DOCTOR OF PHYSIOTHERAPY", or "physical therapy technician", or the
10 letters "P.T.", or "L.P.T.", "P.T.A.", "D.P.T.", "R.P.T.", OR ANY LETTERS,
11 ABBREVIATIONS, OR INSIGNIA INDICATING OR IMPLYING THAT THE PERSON
12 IS A PHYSICAL THERAPIST UNLESS THE PERSON IS LICENSED PURSUANT TO
13 THIS ARTICLE 285.
14 (2) A PERSON ENROLLED AS A STUDENT PHYSICAL THERAPIST IN AN
15 EDUCATIONAL PROGRAM ACCREDITED BY THE COMMISSION ON
16 ACCREDITATION IN PHYSICAL THERAPY EDUCATION OR A COMPARABLE
17 ORGANIZATION, AS DETERMINED BY THE BOARD, MAY USE THE TITLE
18 "STUDENT PHYSICAL THERAPIST". NO OTHER PERSON SHALL USE THE TERM
19 "STUDENT PHYSICAL THERAPIST" OR THE LETTERS "S.P.T." OR ANY
20 LETTERS, ABBREVIATIONS, OR INSIGNIA INDICATING OR IMPLYING THAT
21 THE PERSON IS A STUDENT PHYSICAL THERAPIST.
22 SECTION 7. In Colorado Revised Statutes, 12-285-113, amend
23 (1) introductory portion and (1)(b) as follows:
24 12-285-113. Licensing of internationally-educated applicants.
25 (1) Every foreign-trained applicant for licensing WHO IS EDUCATED BY A
26 PROGRAM THAT IS NOT ACCREDITED BY THE COMMISSION ON
27 ACCREDITATION IN PHYSICAL THERAPY EDUCATION OR A COMPARABLE
28 ORGANIZATION, AS DETERMINED BY THE BOARD, shall:
29 (b) Possess an active, valid license in good standing or other
30 authorization to practice physical therapy from an appropriate authority
31 in the country where the foreign-trained applicant is practicing or has
32 practiced;
33 SECTION 8. In Colorado Revised Statutes, 12-285-116, amend
34 (3) as follows:
35 12-285-116. Special practice authorities and requirements -
36 definition - rules. (3) Wound debridement. A physical therapist is
37 authorized to perform wound debridement under a physician's order, or
107 38 the order of a physician assistant authorized under section 12-240-
39 (6), OR THE ORDER OF AN ADVANCED PRACTICE REGISTERED NURSE
40 AUTHORIZED UNDER SECTION 12-255-111 when debridement is consistent
41 with the scope of physical therapy practice. The performance of wound
42 debridement does not violate the prohibition against performing surgery
43 pursuant to section 12-285-108 (1)(a).
44 SECTION 9. In Colorado Revised Statutes, 12-285-203, add (3)
45 as follows:
46 12-285-203. Limitations on authority. (3) A PHYSICAL
47 THERAPIST ASSISTANT:
48 (a) SHALL NOT PERFORM SHARP WOUND DEBRIDEMENT;
49 (b) MAY PERFORM GENERAL WOUND CARE AND NONSHARP
50 DEBRIDEMENT, INCLUDING MECHANICAL, AUTOLYTIC, ENZYMATIC, AND
51 MAGGOT, UNDER THE SUPERVISION OF A PHYSICAL THERAPIST WHEN
52 DEBRIDEMENT IS CONSISTENT WITH THE SCOPE OF PHYSICAL THERAPY
53 PRACTICE.
54 SECTION 10. In Colorado Revised Statutes, 12-285-207, amend
55 (1) introductory portion and (1)(b) as follows:
1 12-285-207. Certification of internationally-educated
2 applicants. (1) Every foreign-trained applicant for certification WHO IS
3 EDUCATED BY A PROGRAM THAT IS NOT ACCREDITED BY THE COMMISSION
4 ON ACCREDITATION IN PHYSICAL THERAPY EDUCATION OR A
5 COMPARABLE ORGANIZATION, AS DETERMINED BY THE BOARD, shall:
6 (b) Possess an active, valid license, certification, or registration in
7 good standing or other authorization to practice as a physical therapist
8 assistant from an appropriate authority in the country where the
9 foreign-trained applicant is practicing or has practiced;".
10
11 Renumber succeeding section accordingly.
12
13