Florida Senate - 2024                        COMMITTEE AMENDMENT
       Bill No. SPB 7016
       
       
       
       
       
       
                                Ì7690261Î769026                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: FAV            .                                
                  12/12/2023           .                                
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       The Committee on Health Policy (Harrell) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Between lines 3154 and 3155
    4  insert:
    5         Section 52. Section 486.112, Florida Statutes, is created
    6  to read:
    7         486.112 Physical Therapy Licensure Compact.—The Physical
    8  Therapy Licensure Compact is hereby enacted into law and entered
    9  into by this state with all other jurisdictions legally joining
   10  therein in the form substantially as follows:
   11  
   12                              ARTICLE I                            
   13                       PURPOSE AND OBJECTIVES                      
   14         (1)The purpose of the compact is to facilitate interstate
   15  practice of physical therapy with the goal of improving public
   16  access to physical therapy services. The compact preserves the
   17  regulatory authority of member states to protect public health
   18  and safety through their current systems of state licensure. For
   19  purposes of state regulation under the compact, the practice of
   20  physical therapy is deemed to have occurred in the state where
   21  the patient is located at the time physical therapy is provided
   22  to the patient.
   23         (2)The compact is designed to achieve all of the following
   24  objectives:
   25         (a)Increase public access to physical therapy services by
   26  providing for the mutual recognition of other member state
   27  licenses.
   28         (b)Enhance the states’ ability to protect the public’s
   29  health and safety.
   30         (c)Encourage the cooperation of member states in
   31  regulating multistate physical therapy practice.
   32         (d)Support spouses of relocating military members.
   33         (e)Enhance the exchange of licensure, investigative, and
   34  disciplinary information between member states.
   35         (f)Allow a remote state to hold a provider of services
   36  with a compact privilege in that state accountable to that
   37  state’s practice standards.
   38  
   39                             ARTICLE II                            
   40                             DEFINITIONS                           
   41         As used in the compact, and except as otherwise provided,
   42  the term:
   43         (1)“Active duty military” means full-time duty status in
   44  the active uniformed service of the United States, including
   45  members of the National Guard and Reserve on active duty orders
   46  pursuant to 10 U.S.C. chapter 1209 or chapter 1211.
   47         (2)“Adverse action” means disciplinary action taken by a
   48  physical therapy licensing board based upon misconduct,
   49  unacceptable performance, or a combination of both.
   50         (3)“Alternative program” means a nondisciplinary
   51  monitoring or practice remediation process approved by a state’s
   52  physical therapy licensing board. The term includes, but is not
   53  limited to, programs that address substance abuse issues.
   54         (4)“Compact privilege” means the authorization granted by
   55  a remote state to allow a licensee from another member state to
   56  practice as a physical therapist or physical therapist assistant
   57  in the remote state under its laws and rules.
   58         (5)“Continuing competence” means a requirement, as a
   59  condition of license renewal, to provide evidence of
   60  participation in, and completion of, educational and
   61  professional activities relevant to the practice of physical
   62  therapy.
   63         (6)Data system” means the coordinated database and
   64  reporting system created by the Physical Therapy Compact
   65  Commission for the exchange of information between member states
   66  relating to licensees or applicants under the compact, including
   67  identifying information, licensure data, investigative
   68  information, adverse actions, nonconfidential information
   69  related to alternative program participation, any denials of
   70  applications for licensure, and other information as specified
   71  by commission rule.
   72         (7)“Encumbered license” means a license that a physical
   73  therapy licensing board has limited in any way.
   74         (8)“Executive board” means a group of directors elected or
   75  appointed to act on behalf of, and within the powers granted to
   76  them by, the commission.
   77         (9)“Home state” means the member state that is the
   78  licensee’s primary state of residence.
   79         (10)“Investigative information” means information,
   80  records, and documents received or generated by a physical
   81  therapy licensing board pursuant to an investigation.
   82         (11)“Jurisprudence requirement” means the assessment of an
   83  individual’s knowledge of the laws and rules governing the
   84  practice of physical therapy in a specific state.
   85         (12)“Licensee” means an individual who currently holds an
   86  authorization from a state to practice as a physical therapist
   87  or physical therapist assistant.
   88         (13)“Member state” means a state that has enacted the
   89  compact.
   90         (14)“Physical therapist” means an individual licensed by a
   91  state to practice physical therapy.
   92         (15)“Physical therapist assistant” means an individual
   93  licensed by a state to assist a physical therapist in specified
   94  areas of physical therapy.
   95         (16)“Physical therapyor “the practice of physical
   96  therapy” means the care and services provided by or under the
   97  direction and supervision of a licensed physical therapist.
   98         (17)“Physical Therapy Compact Commission” or “commission”
   99  means the national administrative body whose membership consists
  100  of all states that have enacted the compact.
  101         (18)“Physical therapy licensing board” means the agency of
  102  a state which is responsible for the licensing and regulation of
  103  physical therapists and physical therapist assistants.
  104         (19)“Remote state” means a member state other than the
  105  home state where a licensee is exercising or seeking to exercise
  106  the compact privilege.
  107         (20)“Rule” means a regulation, principle, or directive
  108  adopted by the commission which has the force of law.
  109         (21)“State” means any state, commonwealth, district, or
  110  territory of the United States of America which regulates the
  111  practice of physical therapy.
  112  
  113                             ARTICLE III                           
  114                 STATE PARTICIPATION IN THE COMPACT                
  115         (1)To participate in the compact, a state must do all of
  116  the following:
  117         (a)Participate fully in the commission’s data system,
  118  including using the commission’s unique identifier, as defined
  119  by commission rule.
  120         (b)Have a mechanism in place for receiving and
  121  investigating complaints about licensees.
  122         (c)Notify the commission, in accordance with the terms of
  123  the compact and rules, of any adverse action or the availability
  124  of investigative information regarding a licensee.
  125         (d)Fully implement a criminal background check
  126  requirement, within a timeframe established by commission rule,
  127  which uses results from the Federal Bureau of Investigation
  128  record search on criminal background checks to make licensure
  129  decisions in accordance with subsection (2).
  130         (e)Comply with the commission’s rules.
  131         (f)Use a recognized national examination as a requirement
  132  for licensure pursuant to the commission’s rules.
  133         (g)Have continuing competence requirements as a condition
  134  for license renewal.
  135         (2)Upon adoption of the compact, a member state has the
  136  authority to obtain biometric-based information from each
  137  licensee applying for a compact privilege and submit this
  138  information to the Federal Bureau of Investigation for a
  139  criminal background check in accordance with 28 U.S.C. s. 534
  140  and 34 U.S.C. s. 40316.
  141         (3)A member state must grant the compact privilege to a
  142  licensee holding a valid unencumbered license in another member
  143  state in accordance with the terms of the compact and rules.
  144  
  145                             ARTICLE IV                            
  146                          COMPACT PRIVILEGE                        
  147         (1)To exercise the compact privilege under the compact, a
  148  licensee must satisfy all of the following conditions:
  149         (a)Hold a license in the home state.
  150         (b)Not have an encumbrance on any state license.
  151         (c)Be eligible for a compact privilege in all member
  152  states in accordance with subsections (4), (7), and (8).
  153         (d)Not have had an adverse action against any license or
  154  compact privilege within the preceding 2 years.
  155         (e)Notify the commission that the licensee is seeking the
  156  compact privilege within a remote state.
  157         (f)Meet any jurisprudence requirements established by the
  158  remote state in which the licensee is seeking a compact
  159  privilege.
  160         (g)Report to the commission adverse action taken by any
  161  nonmember state within 30 days after the date the adverse action
  162  is taken.
  163         (2)The compact privilege is valid until the expiration
  164  date of the home license. The licensee must continue to meet the
  165  requirements of subsection (1) to maintain the compact privilege
  166  in a remote state.
  167         (3)A licensee providing physical therapy in a remote state
  168  under the compact privilege must comply with the laws and rules
  169  of the remote state.
  170         (4)A licensee providing physical therapy in a remote state
  171  is subject to that state’s regulatory authority. A remote state
  172  may, in accordance with due process and that state’s laws,
  173  remove a licensee’s compact privilege in the remote state for a
  174  specific period of time, impose fines, and take any other
  175  necessary actions to protect the health and safety of its
  176  citizens. The licensee is not eligible for a compact privilege
  177  in any member state until the specific period of time for
  178  removal has ended and all fines are paid.
  179         (5)If a home state license is encumbered, the licensee
  180  loses the compact privilege in any remote state until the
  181  following conditions are met:
  182         (a)The home state license is no longer encumbered.
  183         (b)Two years have elapsed from the date of the adverse
  184  action.
  185         (6)Once an encumbered license in the home state is
  186  restored to good standing, the licensee must meet the
  187  requirements of subsection (1) to obtain a compact privilege in
  188  any remote state.
  189         (7)If a licensee’s compact privilege in any remote state
  190  is removed, the licensee loses the compact privilege in all
  191  remote states until all of the following conditions are met:
  192         (a)The specific period of time for which the compact
  193  privilege was removed has ended.
  194         (b)All fines have been paid.
  195         (c)Two years have elapsed from the date of the adverse
  196  action.
  197         (8)Once the requirements of subsection (7) have been met,
  198  the licensee must meet the requirements of subsection (1) to
  199  obtain a compact privilege in a remote state.
  200  
  201                              ARTICLE V                            
  202          ACTIVE DUTY MILITARY PERSONNEL AND THEIR SPOUSES         
  203         A licensee who is active duty military or is the spouse of
  204  an individual who is active duty military may choose any of the
  205  following locations to designate his or her home state:
  206         (1)Home of record.
  207         (2)Permanent change of station location.
  208         (3)State of current residence, if it is different from the
  209  home of record or permanent change of station location.
  210  
  211                             ARTICLE VI                            
  212                           ADVERSE ACTIONS                         
  213         (1)A home state has exclusive power to impose adverse
  214  action against a license issued by the home state.
  215         (2)A home state may take adverse action based on the
  216  investigative information of a remote state, so long as the home
  217  state follows its own procedures for imposing adverse action.
  218         (3)The compact does not override a member state’s decision
  219  that participation in an alternative program may be used in lieu
  220  of adverse action and that such participation remain nonpublic
  221  if required by the member state’s laws. Member states must
  222  require licensees who enter any alternative programs in lieu of
  223  discipline to agree not to practice in any other member state
  224  during the term of the alternative program without prior
  225  authorization from such other member state.
  226         (4)A member state may investigate actual or alleged
  227  violations of the laws and rules for the practice of physical
  228  therapy committed in any other member state by a physical
  229  therapist or physical therapist assistant practicing under the
  230  compact who holds a license or compact privilege in such other
  231  member state.
  232         (5)A remote state may do any of the following:
  233         (a)Take adverse actions as set forth in subsection (4) of
  234  article IV against a licensee’s compact privilege in the state.
  235         (b)Issue subpoenas for both hearings and investigations
  236  which require the attendance and testimony of witnesses and the
  237  production of evidence. Subpoenas issued by a physical therapy
  238  licensing board in a member state for the attendance and
  239  testimony of witnesses or for the production of evidence from
  240  another member state must be enforced in the latter state by any
  241  court of competent jurisdiction, according to the practice and
  242  procedure of that court applicable to subpoenas issued in
  243  proceedings pending before it. The issuing authority shall pay
  244  any witness fees, travel expenses, mileage, and other fees
  245  required by the service laws of the state where the witnesses or
  246  evidence is located.
  247         (c)If otherwise permitted by state law, recover from the
  248  licensee the costs of investigations and disposition of cases
  249  resulting from any adverse action taken against that licensee.
  250         (6)(a)In addition to the authority granted to a member
  251  state by its respective physical therapy practice act or other
  252  applicable state law, a member state may participate with other
  253  member states in joint investigations of licensees.
  254         (b)Member states shall share any investigative,
  255  litigation, or compliance materials in furtherance of any joint
  256  or individual investigation initiated under the compact.
  257  
  258                             ARTICLE VII                           
  259      ESTABLISHMENT OF THE PHYSICAL THERAPY COMPACT COMMISSION     
  260         (1)COMMISSION CREATED.—The member states hereby create and
  261  establish a joint public agency known as the Physical Therapy
  262  Compact Commission:
  263         (a)The commission is an instrumentality of the member
  264  states.
  265         (b)Venue is proper, and judicial proceedings by or against
  266  the commission may be brought solely and exclusively in a court
  267  of competent jurisdiction where the principal office of the
  268  commission is located. The commission may waive venue and
  269  jurisdictional defenses to the extent it adopts or consents to
  270  participate in alternative dispute resolution proceedings.
  271         (c)The compact may not be construed to be a waiver of
  272  sovereign immunity.
  273         (2)MEMBERSHIP, VOTING, AND MEETINGS.—
  274         (a)Each member state has and is limited to one delegate
  275  selected by that member state’s physical therapy licensing board
  276  to serve on the commission. The delegate must be a current
  277  member of the physical therapy licensing board who is a physical
  278  therapist, a physical therapist assistant, a public member, or
  279  the board administrator.
  280         (b)A delegate may be removed or suspended from office as
  281  provided by the law of the state from which the delegate is
  282  appointed. Any vacancy occurring on the commission must be
  283  filled by the physical therapy licensing board of the member
  284  state for which the vacancy exists.
  285         (c)Each delegate is entitled to one vote with regard to
  286  the adoption of rules and bylaws and shall otherwise have an
  287  opportunity to participate in the business and affairs of the
  288  commission.
  289         (d)A delegate shall vote in person or by such other means
  290  as provided in the bylaws. The bylaws may provide for delegates’
  291  participation in meetings by telephone or other means of
  292  communication.
  293         (e)The commission shall meet at least once during each
  294  calendar year. Additional meetings may be held as set forth in
  295  the bylaws.
  296         (f)All meetings must be open to the public, and public
  297  notice of meetings must be given in the same manner as required
  298  under the rulemaking provisions in article IX.
  299         (g)The commission or the executive board or other
  300  committees of the commission may convene in a closed, nonpublic
  301  meeting if the commission or executive board or other committees
  302  of the commission must discuss any of the following:
  303         1.Noncompliance of a member state with its obligations
  304  under the compact.
  305         2.The employment, compensation, or discipline of, or other
  306  matters, practices, or procedures related to, specific employees
  307  or other matters related to the commission’s internal personnel
  308  practices and procedures.
  309         3.Current, threatened, or reasonably anticipated
  310  litigation against the commission, executive board, or other
  311  committees of the commission.
  312         4.Negotiation of contracts for the purchase, lease, or
  313  sale of goods, services, or real estate.
  314         5.An accusation of any person of a crime or a formal
  315  censure of any person.
  316         6.Information disclosing trade secrets or commercial or
  317  financial information that is privileged or confidential.
  318         7.Information of a personal nature where disclosure would
  319  constitute a clearly unwarranted invasion of personal privacy.
  320         8.Investigatory records compiled for law enforcement
  321  purposes.
  322         9.Information related to any investigative reports
  323  prepared by or on behalf of or for use of the commission or
  324  other committee charged with responsibility for investigation or
  325  determination of compliance issues pursuant to the compact.
  326         10.Matters specifically exempted from disclosure by
  327  federal or member state statute.
  328         (h)If a meeting, or portion of a meeting, is closed
  329  pursuant to this subsection, the commission’s legal counsel or
  330  designee must certify that the meeting may be closed and must
  331  reference each relevant exempting provision.
  332         (i)The commission shall keep minutes that fully and
  333  clearly describe all matters discussed in a meeting and shall
  334  provide a full and accurate summary of actions taken and the
  335  reasons therefor, including a description of the views
  336  expressed. All documents considered in connection with an action
  337  must be identified in the minutes. All minutes and documents of
  338  a closed meeting must remain under seal, subject to release only
  339  by a majority vote of the commission or order of a court of
  340  competent jurisdiction.
  341         (3)DUTIES.—The commission shall do all of the following:
  342         (a)Establish the fiscal year of the commission.
  343         (b)Establish bylaws.
  344         (c)Maintain its financial records in accordance with the
  345  bylaws.
  346         (d)Meet and take such actions as are consistent with the
  347  provisions of the compact and the bylaws.
  348         (4)POWERS.—The commission may do any of the following:
  349         (a)Adopt uniform rules to facilitate and coordinate
  350  implementation and administration of the compact. The rules have
  351  the force and effect of law and are binding in all member
  352  states.
  353         (b)Bring and prosecute legal proceedings or actions in the
  354  name of the commission, provided that the standing of any state
  355  physical therapy licensing board to sue or be sued under
  356  applicable law is not affected.
  357         (c)Purchase and maintain insurance and bonds.
  358         (d)Borrow, accept, or contract for services of personnel,
  359  including, but not limited to, employees of a member state.
  360         (e)Hire employees and elect or appoint officers; fix the
  361  compensation of, define the duties of, and grant appropriate
  362  authority to such individuals to carry out the purposes of the
  363  compact; and establish the commission’s personnel policies and
  364  programs relating to conflicts of interest, qualifications of
  365  personnel, and other related personnel matters.
  366         (f)Accept any appropriate donations and grants of money,
  367  equipment, supplies, materials, and services and receive, use,
  368  and dispose of the same, provided that at all times the
  369  commission avoids any appearance of impropriety or conflict of
  370  interest.
  371         (g)Lease, purchase, accept appropriate gifts or donations
  372  of, or otherwise own, hold, improve, or use any property, real,
  373  personal, or mixed, provided that at all times the commission
  374  avoids any appearance of impropriety or conflict of interest.
  375         (h)Sell, convey, mortgage, pledge, lease, exchange,
  376  abandon, or otherwise dispose of any property, real, personal,
  377  or mixed.
  378         (i)Establish a budget and make expenditures.
  379         (j)Borrow money.
  380         (k)Appoint committees, including standing committees
  381  composed of members, state regulators, state legislators or
  382  their representatives, and consumer representatives, and such
  383  other interested persons as may be designated in the compact and
  384  the bylaws.
  385         (l)Provide information to, receive information from, and
  386  cooperate with law enforcement agencies.
  387         (m)Establish and elect an executive board.
  388         (n)Perform such other functions as may be necessary or
  389  appropriate to achieve the purposes of the compact consistent
  390  with the state regulation of physical therapy licensure and
  391  practice.
  392         (5)THE EXECUTIVE BOARD.—
  393         (a)The executive board may act on behalf of the commission
  394  according to the terms of the compact.
  395         (b)The executive board shall be composed of the following
  396  nine members:
  397         1.Seven voting members who are elected by the commission
  398  from the current membership of the commission.
  399         2.One ex-officio, nonvoting member from the recognized
  400  national physical therapy professional association.
  401         3.One ex-officio, nonvoting member from the recognized
  402  membership organization of the physical therapy licensing
  403  boards.
  404         (c)The ex-officio members shall be selected by their
  405  respective organizations.
  406         (d)The commission may remove any member of the executive
  407  board as provided in its bylaws.
  408         (e)The executive board shall meet at least annually.
  409         (f)The executive board shall do all of the following:
  410         1.Recommend to the entire commission changes to the rules
  411  or bylaws, compact legislation, fees paid by compact member
  412  states, such as annual dues, and any commission compact fee
  413  charged to licensees for the compact privilege.
  414         2.Ensure compact administration services are appropriately
  415  provided, contractually or otherwise.
  416         3.Prepare and recommend the budget.
  417         4.Maintain financial records on behalf of the commission.
  418         5.Monitor compact compliance of member states and provide
  419  compliance reports to the commission.
  420         6.Establish additional committees as necessary.
  421         7.Perform other duties as provided in the rules or bylaws.
  422         (6)FINANCING OF THE COMMISSION.—
  423         (a)The commission shall pay, or provide for the payment
  424  of, the reasonable expenses of its establishment, organization,
  425  and ongoing activities.
  426         (b)The commission may accept any appropriate revenue
  427  sources, donations, and grants of money, equipment, supplies,
  428  materials, and services.
  429         (c)The commission may levy and collect an annual
  430  assessment from each member state or impose fees on other
  431  parties to cover the cost of the operations and activities of
  432  the commission and its staff. Such assessments and fees must
  433  total to an amount sufficient to cover the commission’s annual
  434  budget as approved each year for which revenue is not provided
  435  by other sources. The aggregate annual assessment amount must be
  436  allocated based upon a formula to be determined by the
  437  commission, which shall adopt a rule binding upon all member
  438  states.
  439         (d)The commission may not incur obligations of any kind
  440  before securing the funds adequate to meet such obligations; nor
  441  may the commission pledge the credit of any of the member
  442  states, except by and with the authority of the member state.
  443         (e)The commission shall keep accurate accounts of all
  444  receipts and disbursements. The receipts and disbursements of
  445  the commission are subject to the audit and accounting
  446  procedures established under its bylaws. However, all receipts
  447  and disbursements of funds handled by the commission must be
  448  audited yearly by a certified or licensed public accountant, and
  449  the report of the audit must be included in and become part of
  450  the annual report of the commission.
  451         (7)QUALIFIED IMMUNITY, DEFENSE, AND INDEMNIFICATION.—
  452         (a)The members, officers, executive director, employees,
  453  and representatives of the commission are immune from suit and
  454  liability, whether personally or in their official capacity, for
  455  any claim for damage to or loss of property or personal injury
  456  or other civil liability caused by or arising out of any actual
  457  or alleged act, error, or omission that occurred, or that the
  458  person against whom the claim is made had a reasonable basis for
  459  believing occurred, within the scope of commission employment,
  460  duties, or responsibilities. However, this paragraph may not be
  461  construed to protect any such person from suit or liability for
  462  any damage, loss, injury, or liability caused by the
  463  intentional, willful, or wanton misconduct of that person.
  464         (b)The commission shall defend any member, officer,
  465  executive director, employee, or representative of the
  466  commission in any civil action seeking to impose liability
  467  arising out of any actual or alleged act, error, or omission
  468  that occurred within the scope of commission employment, duties,
  469  or responsibilities, or that the person against whom the claim
  470  is made had a reasonable basis for believing occurred within the
  471  scope of commission employment, duties, or responsibilities.
  472  However, this subsection may not be construed to prohibit any
  473  member, officer, executive director, employee, or representative
  474  of the commission from retaining his or her own counsel or to
  475  require the commission to defend such person if the actual or
  476  alleged act, error, or omission resulted from that person’s
  477  intentional, willful, or wanton misconduct.
  478         (c)The commission shall indemnify and hold harmless any
  479  member, officer, executive director, employee, or representative
  480  of the commission for the amount of any settlement or judgment
  481  obtained against that person arising out of any actual or
  482  alleged act, error, or omission that occurred within the scope
  483  of commission employment, duties, or responsibilities, or that
  484  such person had a reasonable basis for believing occurred within
  485  the scope of commission employment, duties, or responsibilities,
  486  provided that the actual or alleged act, error, or omission did
  487  not result from the intentional, willful, or wanton misconduct
  488  of that person.
  489  
  490                            ARTICLE VIII                           
  491                             DATA SYSTEM                           
  492         (1)The commission shall provide for the development,
  493  maintenance, and use of a coordinated database and reporting
  494  system containing licensure, adverse action, and investigative
  495  information on all licensees in member states.
  496         (2)Notwithstanding any other provision of state law to the
  497  contrary, a member state shall submit a uniform data set to the
  498  data system on all individuals to whom the compact is applicable
  499  as required by the rules of the commission, which data set must
  500  include all of the following:
  501         (a)Identifying information.
  502         (b)Licensure data.
  503         (c)Investigative information.
  504         (d)Adverse actions against a license or compact privilege.
  505         (e)Nonconfidential information related to alternative
  506  program participation.
  507         (f)Any denial of application for licensure and the reason
  508  for such denial.
  509         (g)Other information that may facilitate the
  510  administration of the compact, as determined by the rules of the
  511  commission.
  512         (3)Investigative information in the system pertaining to a
  513  licensee in any member state must be available only to other
  514  member states.
  515         (4)The commission shall promptly notify all member states
  516  of any adverse action taken against a licensee or an individual
  517  applying for a license in a member state. Adverse action
  518  information pertaining to a licensee in any member state must be
  519  available to all other member states.
  520         (5)Member states contributing information to the data
  521  system may designate information that may not be shared with the
  522  public without the express permission of the contributing state.
  523         (6)Any information submitted to the data system which is
  524  subsequently required to be expunged by the laws of the member
  525  state contributing the information must be removed from the data
  526  system.
  527  
  528                             ARTICLE IX                            
  529                             RULEMAKING                            
  530         (1)The commission shall exercise its rulemaking powers
  531  pursuant to the criteria set forth in this article and the rules
  532  adopted thereunder. Rules and amendments become binding as of
  533  the date specified in each rule or amendment.
  534         (2)If a majority of the legislatures of the member states
  535  rejects a rule by enactment of a statute or resolution in the
  536  same manner used to adopt the compact within 4 years after the
  537  date of adoption of the rule, such rule does not have further
  538  force and effect in any member state.
  539         (3)Rules or amendments to the rules must be adopted at a
  540  regular or special meeting of the commission.
  541         (4)Before adoption of a final rule by the commission, and
  542  at least 30 days before the meeting at which the rule will be
  543  considered and voted upon, the commission must file a notice of
  544  proposed rulemaking on all of the following:
  545         (a)The website of the commission or another publicly
  546  accessible platform.
  547         (b)The website of each member state physical therapy
  548  licensing board or another publicly accessible platform or the
  549  publication in which each state would otherwise publish proposed
  550  rules.
  551         (5)The notice of proposed rulemaking must include all of
  552  the following:
  553         (a)The proposed date, time, and location of the meeting in
  554  which the rule or amendment will be considered and voted upon.
  555         (b)The text of the proposed rule or amendment and the
  556  reason for the proposed rule.
  557         (c)A request for comments on the proposed rule or
  558  amendment from any interested person.
  559         (d)The manner in which interested persons may submit
  560  notice to the commission of their intention to attend the public
  561  hearing and any written comments.
  562         (6)Before adoption of a proposed rule or amendment, the
  563  commission must allow persons to submit written data, facts,
  564  opinions, and arguments, which must be made available to the
  565  public.
  566         (7)The commission must grant an opportunity for a public
  567  hearing before it adopts a rule or an amendment if a hearing is
  568  requested by any of the following:
  569         (a)At least 25 persons.
  570         (b)A state or federal governmental subdivision or agency.
  571         (c)An association having at least 25 members.
  572         (8)If a scheduled public hearing is held on the proposed
  573  rule or amendment, the commission must publish the date, time,
  574  and location of the hearing. If the hearing is held through
  575  electronic means, the commission must publish the mechanism for
  576  access to the electronic hearing.
  577         (a)All persons wishing to be heard at the hearing must
  578  notify the executive director of the commission or another
  579  designated member in writing of their desire to appear and
  580  testify at the hearing at least 5 business days before the
  581  scheduled date of the hearing.
  582         (b)Hearings must be conducted in a manner providing each
  583  person who wishes to comment a fair and reasonable opportunity
  584  to comment orally or in writing.
  585         (c)All hearings must be recorded. A copy of the recording
  586  must be made available on request.
  587         (d)This article may not be construed to require a separate
  588  hearing on each rule. Rules may be grouped for the convenience
  589  of the commission at hearings required by this section.
  590         (9)Following the scheduled hearing date, or by the close
  591  of business on the scheduled hearing date if the hearing was not
  592  held, the commission shall consider all written and oral
  593  comments received.
  594         (10)If no written notice of intent to attend the public
  595  hearing by interested parties is received, the commission may
  596  proceed with adoption of the proposed rule without a public
  597  hearing.
  598         (11)The commission shall, by majority vote of all members,
  599  take final action on the proposed rule and shall determine the
  600  effective date of the rule, if any, based on the rulemaking
  601  record and the full text of the rule.
  602         (12)Upon determination that an emergency exists, the
  603  commission may consider and adopt an emergency rule without
  604  prior notice, opportunity for comment, or hearing, provided that
  605  the usual rulemaking procedures provided in the compact and in
  606  this article are retroactively applied to the rule as soon as
  607  reasonably possible, in no event later than 90 days after the
  608  effective date of the rule. For the purposes of this subsection,
  609  an emergency rule is one that must be adopted immediately in
  610  order to do any of the following:
  611         (a)Meet an imminent threat to public health, safety, or
  612  welfare.
  613         (b)Prevent a loss of commission or member state funds.
  614         (c)Meet a deadline for the adoption of an administrative
  615  rule established by federal law or rule.
  616         (d)Protect public health and safety.
  617         (13)The commission or an authorized committee of the
  618  commission may direct revisions to a previously adopted rule or
  619  amendment for purposes of correcting typographical errors,
  620  errors in format, errors in consistency, or grammatical errors.
  621  Public notice of any revisions must be posted on the website of
  622  the commission. The revision is subject to challenge by any
  623  person for a period of 30 days after posting. The revision may
  624  be challenged only on grounds that the revision results in a
  625  material change to a rule. A challenge must be made in writing
  626  and delivered to the chair of the commission before the end of
  627  the notice period. If a challenge is not made, the revision
  628  takes effect without further action. If the revision is
  629  challenged, the revision may not take effect without the
  630  approval of the commission.
  631  
  632                              ARTICLE X                            
  633           OVERSIGHT, DISPUTE RESOLUTION, AND ENFORCEMENT          
  634         (1)OVERSIGHT.—
  635         (a)The executive, legislative, and judicial branches of
  636  state government in each member state shall enforce the compact
  637  and take all actions necessary and appropriate to carry out the
  638  compact’s purposes and intent. The provisions of the compact and
  639  the rules adopted pursuant thereto shall have standing as
  640  statutory law.
  641         (b)All courts shall take judicial notice of the compact
  642  and the rules in any judicial or administrative proceeding in a
  643  member state pertaining to the subject matter of the compact
  644  which may affect the powers, responsibilities, or actions of the
  645  commission.
  646         (c)The commission is entitled to receive service of
  647  process in any such proceeding and has standing to intervene in
  648  such a proceeding for all purposes. Failure to provide service
  649  of process to the commission renders a judgment or an order void
  650  as to the commission, the compact, or the adopted rules.
  651         (2)DEFAULT, TECHNICAL ASSISTANCE, AND TERMINATION.—
  652         (a)If the commission determines that a member state has
  653  defaulted in the performance of its obligations or
  654  responsibilities under the compact or the adopted rules, the
  655  commission must do all of the following:
  656         1.Provide written notice to the defaulting state and other
  657  member states of the nature of the default, the proposed means
  658  of curing the default, and any other action to be taken by the
  659  commission.
  660         2.Provide remedial training and specific technical
  661  assistance regarding the default.
  662         (b)If a state in default fails to cure the default, the
  663  defaulting state may be terminated from the compact upon an
  664  affirmative vote of a majority of the member states, and all
  665  rights, privileges, and benefits conferred by the compact may be
  666  terminated on the effective date of termination. A cure of the
  667  default does not relieve the offending state of obligations or
  668  liabilities incurred during the period of default.
  669         (c)Termination of membership in the compact may be imposed
  670  only after all other means of securing compliance have been
  671  exhausted. The commission shall give notice of intent to suspend
  672  or terminate a defaulting member state to the governor and
  673  majority and minority leaders of the defaulting state’s
  674  legislature and to each of the member states.
  675         (d)A state that has been terminated from the compact is
  676  responsible for all assessments, obligations, and liabilities
  677  incurred through the effective date of termination, including
  678  obligations that extend beyond the effective date of
  679  termination.
  680         (e)The commission does not bear any costs related to a
  681  state that is found to be in default or that has been terminated
  682  from the compact, unless agreed upon in writing between the
  683  commission and the defaulting state.
  684         (f)The defaulting state may appeal the action of the
  685  commission by petitioning the U.S. District Court for the
  686  District of Columbia or the federal district where the
  687  commission has its principal offices. The prevailing member
  688  shall be awarded all costs of such litigation, including
  689  reasonable attorney fees.
  690         (3)DISPUTE RESOLUTION.—
  691         (a)Upon request by a member state, the commission must
  692  attempt to resolve disputes related to the compact which arise
  693  among member states and between member and nonmember states.
  694         (b)The commission shall adopt a rule providing for both
  695  mediation and binding dispute resolution for disputes as
  696  appropriate.
  697         (4)ENFORCEMENT.—
  698         (a)The commission, in the reasonable exercise of its
  699  discretion, shall enforce the compact and the commission’s
  700  rules.
  701         (b)By majority vote, the commission may initiate legal
  702  action in the United States District Court for the District of
  703  Columbia or the federal district where the commission has its
  704  principal offices against a member state in default to enforce
  705  compliance with the provisions of the compact and its adopted
  706  rules and bylaws. The relief sought may include both injunctive
  707  relief and damages. In the event judicial enforcement is
  708  necessary, the prevailing member shall be awarded all costs of
  709  such litigation, including reasonable attorney fees.
  710         (c)The remedies under this article are not the exclusive
  711  remedies of the commission. The commission may pursue any other
  712  remedies available under federal or state law.
  713  
  714                             ARTICLE XI                            
  715     DATE OF IMPLEMENTATION OF THE PHYSICAL THERAPY COMPACT AND    
  716            ASSOCIATED RULES; WITHDRAWAL; AND AMENDMENTS           
  717         (1)The compact becomes effective on the date that the
  718  compact statute is enacted into law in the tenth member state.
  719  The provisions that become effective at that time are limited to
  720  the powers granted to the commission relating to assembly and
  721  the adoption of rules. Thereafter, the commission shall meet and
  722  exercise rulemaking powers necessary for the implementation and
  723  administration of the compact.
  724         (2)Any state that joins the compact subsequent to the
  725  commission’s initial adoption of the rules is subject to the
  726  rules as they exist on the date that the compact becomes law in
  727  that state. Any rule that has been previously adopted by the
  728  commission has the full force and effect of law on the day the
  729  compact becomes law in that state.
  730         (3)Any member state may withdraw from the compact by
  731  enacting a statute repealing the same.
  732         (a)A member state’s withdrawal does not take effect until
  733  6 months after enactment of the repealing statute.
  734         (b)Withdrawal does not affect the continuing requirement
  735  of the withdrawing state’s physical therapy licensing board to
  736  comply with the investigative and adverse action reporting
  737  requirements of this act before the effective date of
  738  withdrawal.
  739         (4)The compact may not be construed to invalidate or
  740  prevent any physical therapy licensure agreement or other
  741  cooperative arrangement between a member state and a nonmember
  742  state which does not conflict with the provisions of the
  743  compact.
  744         (5)The compact may be amended by the member states. An
  745  amendment to the compact does not become effective and binding
  746  upon any member state until it is enacted into the laws of all
  747  member states.
  748  
  749                             ARTICLE XII                           
  750                    CONSTRUCTION AND SEVERABILITY                  
  751         The compact must be liberally construed so as to carry out
  752  the purposes thereof. The provisions of the compact are
  753  severable, and if any phrase, clause, sentence, or provision of
  754  the compact is declared to be contrary to the constitution of
  755  any member state or of the United States or the applicability
  756  thereof to any government, agency, person, or circumstance is
  757  held invalid, the validity of the remainder of the compact and
  758  the applicability thereof to any government, agency, person, or
  759  circumstance is not affected thereby. If the compact is held
  760  contrary to the constitution of any member state, the compact
  761  remains in full force and effect as to the remaining member
  762  states and in full force and effect as to the member state
  763  affected as to all severable matters.
  764         Section 53. Subsection (10) of section 456.073, Florida
  765  Statutes, is amended to read:
  766         456.073 Disciplinary proceedings.—Disciplinary proceedings
  767  for each board shall be within the jurisdiction of the
  768  department.
  769         (10)(a) The complaint and all information obtained pursuant
  770  to the investigation by the department are confidential and
  771  exempt from s. 119.07(1) until 10 days after probable cause has
  772  been found to exist by the probable cause panel or by the
  773  department, or until the regulated professional or subject of
  774  the investigation waives his or her privilege of
  775  confidentiality, whichever occurs first.
  776         (b) The department shall report any significant
  777  investigation information relating to a nurse holding a
  778  multistate license to the coordinated licensure information
  779  system pursuant to s. 464.0095; any investigative information
  780  relating to a physical therapist or physical therapist assistant
  781  holding a compact privilege under the Physical Therapy Licensure
  782  Compact to the data system pursuant to s. 486.112; any
  783  significant investigatory information relating to a psychologist
  784  practicing under the Psychology Interjurisdictional Compact to
  785  the coordinated licensure information system pursuant to s.
  786  490.0075;, and any significant investigatory information
  787  relating to a health care practitioner practicing under the
  788  Professional Counselors Licensure Compact to the data system
  789  pursuant to s. 491.017, and any significant investigatory
  790  information relating to a psychologist practicing under the
  791  Psychology Interjurisdictional Compact to the coordinated
  792  licensure information system pursuant to s. 490.0075.
  793         (c) Upon completion of the investigation and a
  794  recommendation by the department to find probable cause, and
  795  pursuant to a written request by the subject or the subject’s
  796  attorney, the department shall provide the subject an
  797  opportunity to inspect the investigative file or, at the
  798  subject’s expense, forward to the subject a copy of the
  799  investigative file. Notwithstanding s. 456.057, the subject may
  800  inspect or receive a copy of any expert witness report or
  801  patient record connected with the investigation if the subject
  802  agrees in writing to maintain the confidentiality of any
  803  information received under this subsection until 10 days after
  804  probable cause is found and to maintain the confidentiality of
  805  patient records pursuant to s. 456.057. The subject may file a
  806  written response to the information contained in the
  807  investigative file. Such response must be filed within 20 days
  808  of mailing by the department, unless an extension of time has
  809  been granted by the department.
  810         (d) This subsection does not prohibit the department from
  811  providing the complaint and any information obtained pursuant to
  812  the department’s investigation such information to any law
  813  enforcement agency or to any other regulatory agency.
  814         Section 54. Subsection (5) of section 456.076, Florida
  815  Statutes, is amended to read:
  816         456.076 Impaired practitioner programs.—
  817         (5) A consultant shall enter into a participant contract
  818  with an impaired practitioner and shall establish the terms of
  819  monitoring and shall include the terms in a participant
  820  contract. In establishing the terms of monitoring, the
  821  consultant may consider the recommendations of one or more
  822  approved evaluators, treatment programs, or treatment providers.
  823  A consultant may modify the terms of monitoring if the
  824  consultant concludes, through the course of monitoring, that
  825  extended, additional, or amended terms of monitoring are
  826  required for the protection of the health, safety, and welfare
  827  of the public. If the impaired practitioner is a physical
  828  therapist or physical therapist assistant practicing under the
  829  Physical Therapy Licensure Compact pursuant to s. 486.112, a
  830  psychologist practicing under the Psychology Interjurisdictional
  831  Compact pursuant to s. 490.0075, or a health care practitioner
  832  practicing under the Professional Counselors Licensure Compact
  833  pursuant to s. 491.017, the terms of the monitoring contract
  834  must include the impaired practitioner’s withdrawal from all
  835  practice under the compact unless authorized by a member state.
  836  If the impaired practitioner is a psychologist practicing under
  837  the Psychology Interjurisdictional Compact pursuant to s.
  838  490.0075, the terms of the monitoring contract must include the
  839  impaired practitioner’s withdrawal from all practice under the
  840  compact.
  841         Section 55. Subsection (5) is added to section 486.023,
  842  Florida Statutes, to read:
  843         486.023 Board of Physical Therapy Practice.—
  844         (5) The board shall appoint an individual to serve as the
  845  state’s delegate on the Physical Therapy Compact Commission, as
  846  required under s. 486.112.
  847         Section 56. Section 486.028, Florida Statutes, is amended
  848  to read:
  849         486.028 License to practice physical therapy required.—A No
  850  person may not shall practice, or hold herself or himself out as
  851  being able to practice, physical therapy in this state unless
  852  she or he is licensed under in accordance with the provisions of
  853  this chapter or holds a compact privilege in this state under
  854  the Physical Therapy Licensure Compact as specified in s.
  855  486.112.; however, Nothing in This chapter does not shall
  856  prohibit any person licensed in this state under any other law
  857  from engaging in the practice for which she or he is licensed.
  858         Section 57. Section 486.031, Florida Statutes, is amended
  859  to read:
  860         486.031 Physical therapist; licensing requirements;
  861  exemption.—
  862         (1) To be eligible for licensing as a physical therapist,
  863  an applicant must:
  864         (a)(1) Be at least 18 years old;
  865         (b)(2) Be of good moral character; and
  866         (c)1.(3)(a) Have been graduated from a school of physical
  867  therapy which has been approved for the educational preparation
  868  of physical therapists by the appropriate accrediting agency
  869  recognized by the Council for Higher Education Accreditation or
  870  its successor Commission on Recognition of Postsecondary
  871  Accreditation or the United States Department of Education at
  872  the time of her or his graduation and have passed, to the
  873  satisfaction of the board, the American Registry Examination
  874  before prior to 1971 or a national examination approved by the
  875  board to determine her or his fitness for practice as a physical
  876  therapist under this chapter as hereinafter provided;
  877         2.(b) Have received a diploma from a program in physical
  878  therapy in a foreign country and have educational credentials
  879  deemed equivalent to those required for the educational
  880  preparation of physical therapists in this country, as
  881  recognized by the appropriate agency as identified by the board,
  882  and have passed to the satisfaction of the board an examination
  883  to determine her or his fitness for practice as a physical
  884  therapist under this chapter as hereinafter provided; or
  885         3.(c) Be entitled to licensure without examination as
  886  provided in s. 486.081.
  887         (2)A person licensed as a physical therapist in another
  888  state who is practicing under the Physical Therapy Licensure
  889  Compact pursuant to s. 486.112, and only within the scope
  890  provided therein, is exempt from the licensure requirements of
  891  this section.
  892         Section 58. Section 486.081, Florida Statutes, is amended
  893  to read:
  894         486.081 Physical therapist; issuance of license without
  895  examination to person passing examination of another authorized
  896  examining board; fee; exemption.—
  897         (1) The board may grant cause a license without
  898  examination, to be issued by through the department, without
  899  examination to any applicant who presents evidence satisfactory
  900  to the board of having passed the American Registry Examination
  901  before prior to 1971 or an examination in physical therapy
  902  before a similar lawfully authorized examining board of another
  903  state, the District of Columbia, a territory, or a foreign
  904  country, if the standards for licensure in physical therapy in
  905  such other state, district, territory, or foreign country are
  906  determined by the board to be as high as those of this state, as
  907  established by rules adopted under pursuant to this chapter. Any
  908  person who holds a license pursuant to this section may use the
  909  words “physical therapist” or “physiotherapist” or the letters
  910  “P.T.” in connection with her or his name or place of business
  911  to denote her or his licensure hereunder. A person who holds a
  912  license pursuant to this section and obtains a doctoral degree
  913  in physical therapy may use the letters “D.P.T.” and “P.T.” A
  914  physical therapist who holds a degree of Doctor of Physical
  915  Therapy may not use the title “doctor” without also clearly
  916  informing the public of his or her profession as a physical
  917  therapist.
  918         (2) At the time of filing an making application for
  919  licensure without examination under pursuant to the terms of
  920  this section, the applicant shall pay to the department a
  921  nonrefundable fee not to exceed $175, as determined fixed by the
  922  board, no part of which will be returned.
  923         (3)A person licensed as a physical therapist in another
  924  state who is practicing under the Physical Therapy Licensure
  925  Compact pursuant to s. 486.112, and only within the scope
  926  provided therein, is exempt from the licensure requirements of
  927  this section.
  928         Section 59. Section 486.102, Florida Statutes, is amended
  929  to read:
  930         486.102 Physical therapist assistant; licensing
  931  requirements; exemption.—
  932         (1) To be eligible for licensing by the board as a physical
  933  therapist assistant, an applicant must:
  934         (a)(1) Be at least 18 years old;
  935         (b)(2) Be of good moral character; and
  936         (c)1.(3)(a) Have been graduated from a school providing
  937  giving a course of at least not less than 2 years for physical
  938  therapist assistants, which has been approved for the
  939  educational preparation of physical therapist assistants by the
  940  appropriate accrediting agency recognized by the Council for
  941  Higher Education Accreditation or its successor Commission on
  942  Recognition of Postsecondary Accreditation or the United States
  943  Department of Education, at the time of her or his graduation
  944  and have passed to the satisfaction of the board an examination
  945  to determine her or his fitness for practice as a physical
  946  therapist assistant under this chapter as hereinafter provided;
  947         2.(b) Have been graduated from a school providing giving a
  948  course for physical therapist assistants in a foreign country
  949  and have educational credentials deemed equivalent to those
  950  required for the educational preparation of physical therapist
  951  assistants in this country, as recognized by the appropriate
  952  agency as identified by the board, and passed to the
  953  satisfaction of the board an examination to determine her or his
  954  fitness for practice as a physical therapist assistant under
  955  this chapter as hereinafter provided;
  956         3.(c) Be entitled to licensure without examination as
  957  provided in s. 486.107; or
  958         4.(d) Have been enrolled between July 1, 2014, and July 1,
  959  2016, in a physical therapist assistant school in this state
  960  which was accredited at the time of enrollment; and
  961         a.1. Have been graduated or be eligible to graduate from
  962  such school no later than July 1, 2018; and
  963         b.2. Have passed to the satisfaction of the board an
  964  examination to determine his or her fitness for practice as a
  965  physical therapist assistant as provided in s. 486.104.
  966         (2)A person licensed as a physical therapist assistant in
  967  another state who is practicing under the Physical Therapy
  968  Licensure Compact pursuant to s. 486.112, and only within the
  969  scope provided therein, is exempt from the licensure
  970  requirements of this section.
  971         Section 60. Section 486.107, Florida Statutes, is amended
  972  to read:
  973         486.107 Physical therapist assistant; issuance of license
  974  without examination to person licensed in another jurisdiction;
  975  fee; exemption.—
  976         (1) The board may grant cause a license without
  977  examination, to be issued by through the department, without
  978  examination to any applicant who presents evidence to the board,
  979  under oath, of licensure in another state, the District of
  980  Columbia, or a territory, if the standards for registering as a
  981  physical therapist assistant or licensing of a physical
  982  therapist assistant, as applicable the case may be, in such
  983  other state are determined by the board to be as high as those
  984  of this state, as established by rules adopted under pursuant to
  985  this chapter. Any person who holds a license pursuant to this
  986  section may use the words “physical therapist assistant,” or the
  987  letters “P.T.A.,” in connection with her or his name to denote
  988  licensure hereunder.
  989         (2) At the time of filing an making application for
  990  licensing without examination under pursuant to the terms of
  991  this section, the applicant shall pay to the department a
  992  nonrefundable fee not to exceed $175, as determined fixed by the
  993  board, no part of which will be returned.
  994         (3)A person licensed as a physical therapist assistant in
  995  another state who is practicing under the Physical Therapy
  996  Licensure Compact pursuant to s. 486.112, and only within the
  997  scope provided therein, is exempt from the licensure
  998  requirements of this section.
  999         Section 61. Section 486.125, Florida Statutes, is amended
 1000  to read:
 1001         486.125 Refusal, revocation, or suspension of license;
 1002  administrative fines and other disciplinary measures.—
 1003         (1) The following acts constitute grounds for denial of a
 1004  license or disciplinary action, as specified in s. 456.072(2) or
 1005  s. 486.112:
 1006         (a) Being unable to practice physical therapy with
 1007  reasonable skill and safety to patients by reason of illness or
 1008  use of alcohol, drugs, narcotics, chemicals, or any other type
 1009  of material or as a result of any mental or physical condition.
 1010         1. In enforcing this paragraph, upon a finding of the State
 1011  Surgeon General or the State Surgeon General’s designee that
 1012  probable cause exists to believe that the licensee is unable to
 1013  practice physical therapy due to the reasons stated in this
 1014  paragraph, the department shall have the authority to compel a
 1015  physical therapist or physical therapist assistant to submit to
 1016  a mental or physical examination by a physician designated by
 1017  the department. If the licensee refuses to comply with such
 1018  order, the department’s order directing such examination may be
 1019  enforced by filing a petition for enforcement in the circuit
 1020  court where the licensee resides or serves as a physical therapy
 1021  practitioner. The licensee against whom the petition is filed
 1022  may shall not be named or identified by initials in any public
 1023  court records or documents, and the proceedings must shall be
 1024  closed to the public. The department shall be entitled to the
 1025  summary procedure provided in s. 51.011.
 1026         2. A physical therapist or physical therapist assistant
 1027  whose license is suspended or revoked pursuant to this
 1028  subsection shall, at reasonable intervals, be given an
 1029  opportunity to demonstrate that she or he can resume the
 1030  competent practice of physical therapy with reasonable skill and
 1031  safety to patients.
 1032         3. Neither the record of proceeding nor the orders entered
 1033  by the board in any proceeding under this subsection may be used
 1034  against a physical therapist or physical therapist assistant in
 1035  any other proceeding.
 1036         (b) Having committed fraud in the practice of physical
 1037  therapy or deceit in obtaining a license as a physical therapist
 1038  or as a physical therapist assistant.
 1039         (c) Being convicted or found guilty regardless of
 1040  adjudication, of a crime in any jurisdiction which directly
 1041  relates to the practice of physical therapy or to the ability to
 1042  practice physical therapy. The entry of any plea of nolo
 1043  contendere is shall be considered a conviction for purpose of
 1044  this chapter.
 1045         (d) Having treated or undertaken to treat human ailments by
 1046  means other than by physical therapy, as defined in this
 1047  chapter.
 1048         (e) Failing to maintain acceptable standards of physical
 1049  therapy practice as set forth by the board in rules adopted
 1050  pursuant to this chapter.
 1051         (f) Engaging directly or indirectly in the dividing,
 1052  transferring, assigning, rebating, or refunding of fees received
 1053  for professional services, or having been found to profit by
 1054  means of a credit or other valuable consideration, such as an
 1055  unearned commission, discount, or gratuity, with any person
 1056  referring a patient or with any relative or business associate
 1057  of the referring person. Nothing in This chapter may not shall
 1058  be construed to prohibit the members of any regularly and
 1059  properly organized business entity which is comprised of
 1060  physical therapists and which is recognized under the laws of
 1061  this state from making any division of their total fees among
 1062  themselves as they determine necessary.
 1063         (g) Having a license revoked or suspended; having had other
 1064  disciplinary action taken against her or him; or having had her
 1065  or his application for a license refused, revoked, or suspended
 1066  by the licensing authority of another state, territory, or
 1067  country.
 1068         (h) Violating a lawful order of the board or department
 1069  previously entered in a disciplinary hearing.
 1070         (i) Making or filing a report or record which the licensee
 1071  knows to be false. Such reports or records shall include only
 1072  those which are signed in the capacity of a physical therapist.
 1073         (j) Practicing or offering to practice beyond the scope
 1074  permitted by law or accepting and performing professional
 1075  responsibilities which the licensee knows or has reason to know
 1076  that she or he is not competent to perform, including, but not
 1077  limited to, specific spinal manipulation.
 1078         (k) Violating any provision of this chapter or chapter 456,
 1079  or any rules adopted pursuant thereto.
 1080         (2)(a) The board may enter an order denying licensure or
 1081  imposing any of the penalties in s. 456.072(2) against any
 1082  applicant for licensure or licensee who is found guilty of
 1083  violating any provision of subsection (1) of this section or who
 1084  is found guilty of violating any provision of s. 456.072(1).
 1085         (b)The board may take adverse action against a physical
 1086  therapist’s or a physical therapist assistant’s compact
 1087  privilege under the Physical Therapy Licensure Compact pursuant
 1088  to s. 486.112 and may impose any of the penalties in s.
 1089  456.072(2), if a physical therapist or physical therapist
 1090  assistant commits an act specified in subsection (1) or s.
 1091  456.072(1).
 1092         (3) The board may shall not reinstate the license of a
 1093  physical therapist or physical therapist assistant or approve
 1094  cause a license to be issued to a person it has deemed
 1095  unqualified until such time as it is satisfied that she or he
 1096  has complied with all the terms and conditions set forth in the
 1097  final order and that such person is capable of safely engaging
 1098  in the practice of physical therapy.
 1099         Section 62. Paragraph (j) is added to subsection (10) of
 1100  section 768.28, Florida Statutes, to read:
 1101         768.28 Waiver of sovereign immunity in tort actions;
 1102  recovery limits; civil liability for damages caused during a
 1103  riot; limitation on attorney fees; statute of limitations;
 1104  exclusions; indemnification; risk management programs.—
 1105         (10) 
 1106         (j) For purposes of this section, the individual appointed
 1107  under s. 486.023(5) as the state’s delegate on the Physical
 1108  Therapy Compact Commission, when serving in that capacity
 1109  pursuant to s. 486.112, and any administrator, officer,
 1110  executive director, employee, or representative of the Physical
 1111  Therapy Compact Commission, when acting within the scope of his
 1112  or her employment, duties, or responsibilities in this state, is
 1113  considered an agent of the state. The commission shall pay any
 1114  claims or judgments pursuant to this section and may maintain
 1115  insurance coverage to pay any such claims or judgments.
 1116         Section 63. Section 486.025, Florida Statutes, is amended
 1117  to read:
 1118         486.025 Powers and duties of the Board of Physical Therapy
 1119  Practice.—The board may administer oaths, summon witnesses, take
 1120  testimony in all matters relating to its duties under this
 1121  chapter, establish or modify minimum standards of practice of
 1122  physical therapy as defined in s. 486.021, including, but not
 1123  limited to, standards of practice for the performance of dry
 1124  needling by physical therapists, and adopt rules pursuant to ss.
 1125  120.536(1) and 120.54 to implement this chapter. The board may
 1126  also review the standing and reputability of any school or
 1127  college offering courses in physical therapy and whether the
 1128  courses of such school or college in physical therapy meet the
 1129  standards established by the appropriate accrediting agency
 1130  referred to in s. 486.031(1)(c) s. 486.031(3)(a). In determining
 1131  the standing and reputability of any such school and whether the
 1132  school and courses meet such standards, the board may
 1133  investigate and personally inspect the school and courses.
 1134         Section 64. Paragraph (b) of subsection (1) of section
 1135  486.0715, Florida Statutes, is amended to read:
 1136         486.0715 Physical therapist; issuance of temporary permit.—
 1137         (1) The board shall issue a temporary physical therapist
 1138  permit to an applicant who meets the following requirements:
 1139         (b) Is a graduate of an approved United States physical
 1140  therapy educational program and meets all the eligibility
 1141  requirements for licensure under ch. 456, s. 486.031(1)(a), (b),
 1142  and (c)1. s. 486.031(1)-(3)(a), and related rules, except
 1143  passage of a national examination approved by the board is not
 1144  required.
 1145         Section 65. Paragraph (b) of subsection (1) of section
 1146  486.1065, Florida Statutes, is amended to read:
 1147         486.1065 Physical therapist assistant; issuance of
 1148  temporary permit.—
 1149         (1) The board shall issue a temporary physical therapist
 1150  assistant permit to an applicant who meets the following
 1151  requirements:
 1152         (b) Is a graduate of an approved United States physical
 1153  therapy assistant educational program and meets all the
 1154  eligibility requirements for licensure under ch. 456, s.
 1155  486.102(1)(a), (b), and (c)1. s. 486.102(1)-(3)(a), and related
 1156  rules, except passage of a national examination approved by the
 1157  board is not required.
 1158  
 1159  ================= T I T L E  A M E N D M E N T ================
 1160  And the title is amended as follows:
 1161         Delete line 341
 1162  and insert:
 1163         act; creating s. 486.112, F.S.; creating the Physical
 1164         Therapy Licensure Compact; providing a purpose and
 1165         objectives of the compact; defining terms; specifying
 1166         requirements for state participation in the compact;
 1167         authorizing member states to obtain biometric-based
 1168         information from and conduct criminal background
 1169         checks on licensees applying for a compact privilege;
 1170         requiring member states to grant the compact privilege
 1171         to licensees if they meet specified criteria;
 1172         specifying criteria licensees must meet to exercise
 1173         the compact privilege under the compact; providing for
 1174         the expiration of the compact privilege; requiring
 1175         licensees practicing in a remote state under the
 1176         compact privilege to comply with the laws and rules of
 1177         that state; subjecting licensees to the regulatory
 1178         authority of remote states where they practice under
 1179         the compact privilege; providing for disciplinary
 1180         action; specifying circumstances under which licensees
 1181         are ineligible for a compact privilege; specifying
 1182         conditions that a licensee must meet to regain his or
 1183         her compact privilege after an adverse action;
 1184         specifying locations active duty military personnel
 1185         and their spouses may use to designate their home
 1186         state for purposes of the compact; providing that only
 1187         a home state may impose adverse action against a
 1188         license issued by that state; authorizing home states
 1189         to take adverse action based on investigative
 1190         information of a remote state, subject to certain
 1191         requirements; directing member states that use
 1192         alternative programs in lieu of discipline to require
 1193         the licensee to agree not to practice in other member
 1194         states while participating in the program, unless
 1195         authorized by the member state; authorizing member
 1196         states to investigate violations by licensees in other
 1197         member states; authorizing member states to take
 1198         adverse action against compact privileges issued in
 1199         their respective states; providing for joint
 1200         investigations of licensees under the compact;
 1201         establishing the Physical Therapy Compact Commission;
 1202         providing for the venue and jurisdiction for court
 1203         proceedings by or against the commission; providing
 1204         construction; providing for commission membership,
 1205         voting, and meetings; authorizing the commission to
 1206         convene closed, nonpublic meetings under certain
 1207         circumstances; specifying duties and powers of the
 1208         commission; providing for membership and duties of the
 1209         executive board of the commission; providing for
 1210         financing of the commission; providing for qualified
 1211         immunity, defense, and indemnification of the
 1212         commission; requiring the commission to develop and
 1213         maintain a coordinated database and reporting system
 1214         for certain information about licensees under the
 1215         compact; requiring member states to submit specified
 1216         information to the system; requiring that information
 1217         contained in the system be available only to member
 1218         states; requiring the commission to promptly notify
 1219         all member states of reported adverse action taken
 1220         against licensees or applicants for licensure;
 1221         authorizing member states to designate reported
 1222         information as exempt from public disclosure;
 1223         providing for the removal of submitted information
 1224         from the system under certain circumstances; providing
 1225         for commission rulemaking; providing construction;
 1226         providing for state enforcement of the compact;
 1227         providing for the default and termination of compact
 1228         membership; providing for appeals and costs; providing
 1229         procedures for the resolution of certain disputes;
 1230         providing for enforcement against a defaulting state;
 1231         providing construction; providing for implementation
 1232         and administration of the compact and associated
 1233         rules; providing that compact states that join after
 1234         initial adoption of the commission’s rules are subject
 1235         to such rules; specifying procedures for compact
 1236         states to withdraw from the compact; providing
 1237         construction; providing for amendment of the compact;
 1238         providing construction and severability; amending s.
 1239         456.073, F.S.; requiring the Department of Health to
 1240         report certain investigative information to the data
 1241         system; amending s. 456.076, F.S.; requiring
 1242         monitoring contracts for certain impaired
 1243         practitioners participating in treatment programs to
 1244         contain specified terms; amending s. 486.023, F.S.;
 1245         requiring the Board of Physical Therapy Practice to
 1246         appoint an individual to serve as the state’s delegate
 1247         on the Physical Therapy Compact Commission; amending
 1248         ss. 486.028, 486.031, 486.081, 486.102, and 486.107,
 1249         F.S.; exempting physical therapists and physical
 1250         therapist assistants from licensure requirements if
 1251         they are practicing in this state pursuant to a
 1252         compact privilege under the compact; amending s.
 1253         486.125, F.S.; authorizing the board to take adverse
 1254         action against the compact privilege of physical
 1255         therapists and physical therapist assistants for
 1256         specified prohibited acts; amending s. 768.28, F.S.;
 1257         designating the state delegate and other members or
 1258         employees of the commission as state agents for the
 1259         purpose of applying sovereign immunity and waivers of
 1260         sovereign immunity; requiring the commission to pay
 1261         certain claims or judgments; authorizing the
 1262         commission to maintain insurance coverage to pay such
 1263         claims or judgments; amending ss. 486.025, 486.0715,
 1264         and 486.1065, F.S.; conforming cross-references;
 1265         providing appropriations; providing effective