Florida Senate - 2020                        COMMITTEE AMENDMENT
       Bill No. CS for CS for SB 792
       
       
       
       
       
       
                                Ì415392/Î415392                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/03/2020           .                                
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       The Committee on Rules (Albritton) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 99 - 153
    4  and insert:
    5  Practice.—The board may administer oaths, summon witnesses, take
    6  testimony in all matters relating to its duties under this
    7  chapter, establish or modify minimum standards of practice of
    8  physical therapy as defined in s. 486.021, including, but not
    9  limited to, standards of practice for the performance of dry
   10  needling by physical therapists, and adopt rules pursuant to ss.
   11  120.536(1) and 120.54 to implement the provisions of this
   12  chapter. The board may also review the standing and reputability
   13  of any school or college offering courses in physical therapy
   14  and whether the courses of such school or college in physical
   15  therapy meet the standards established by the appropriate
   16  accrediting agency referred to in s. 486.031(3)(a). In
   17  determining the standing and reputability of any such school and
   18  whether the school and courses meet such standards, the board
   19  may investigate and personally inspect the school and courses
   20  make personal inspection of the same.
   21         Section 3. Section 486.117, Florida Statutes, is created to
   22  read:
   23         486.117Physical therapist; performance of dry needling.—
   24         (1)The board shall establish minimum standards of practice
   25  for the performance of dry needling by physical therapists, to
   26  include, at a minimum, all of the following:
   27         (a)Completion of 2 years of licensed practice as a
   28  physical therapist.
   29         (b)Completion of 50 hours of face-to-face continuing
   30  education from an entity accredited in accordance with s.
   31  486.109 on the topic of dry needling which must include a
   32  determination by the physical therapist instructor that the
   33  physical therapist demonstrates the requisite psychomotor skills
   34  to safely perform dry needling. The continuing education must
   35  include instruction on all of the following areas:
   36         1.Theory of dry needling.
   37         2.Selection and safe handling of needles and other
   38  apparatus and equipment used in dry needling, including
   39  instruction on the proper handling of biohazardous waste.
   40         3.Indications and contraindications for dry needling.
   41         4.Psychomotor skills needed to perform dry needling.
   42         5.Postintervention care, including adverse responses,
   43  adverse event recordkeeping, and any reporting obligations.
   44         (c)1.Completion of at least 25 patient sessions of dry
   45  needling performed under the supervision and competency of a
   46  physical therapist who holds an active license to practice
   47  physical therapy in any state or the District of Columbia, who
   48  has actively practiced dry needling for at least 1 year and who
   49  will document that the physical therapist has met the
   50  supervision requirements and needs no additional supervised
   51  sessions to perform dry needling; or
   52         2.Completion of 25 patient sessions of dry needling
   53  performed as a physical therapist licensed in another state or
   54  in the United States Armed Forces.
   55         (d)A requirement that dry needling may not be performed
   56  without patient consent and must be a part of a patient’s
   57  documented plan of care.
   58         (e)A requirement that dry needling may not be delegated to
   59  any person other than a physical therapist who is authorized to
   60  engage in dry needling under this chapter.
   61         (2)The board shall require additional supervision and
   62  training before a physical therapist’s performance of dry
   63  needling of the head and neck or torso if the board deems it
   64  necessary for patient safety.
   65         (3)The department shall, within existing resources, submit
   66  a report to the President of the Senate and the Speaker of the
   67  House of Representatives on or before December 31, 2022,
   68  detailing the number of physical therapists in this state, the
   69  number of physical therapists in this state performing dry
   70  needling, increases or decreases in the number of physical
   71  therapists in this state by geographic area, and any adverse
   72  medical incidents as defined in s. 381.028 involving physical
   73  therapists performing dry needling.
   74         (4)The performance of dry needling in the practice of
   75  physical therapy may not be construed to limit the scope of
   76  practice of other licensed health care practitioners not
   77  governed by this chapter.
   78  
   79  ================= T I T L E  A M E N D M E N T ================
   80  And the title is amended as follows:
   81         Delete lines 6 - 8
   82  and insert:
   83         creating s. 486.117, F.S.; requiring the board to
   84         establish minimum standards of practice for the
   85         performance of dry needling by physical therapists;
   86         requiring the Department of Health to submit a report
   87         detailing certain information to the Legislature on or
   88         before a specified date; providing construction;
   89         providing