BILL ANALYSIS Ó
-----------------------------------------------------------------------
|Hearing Date:April 29, 2013 |Bill No:SB |
| |198 |
-----------------------------------------------------------------------
SENATE COMMITTEE ON BUSINESS, PROFESSIONS
AND ECONOMIC DEVELOPMENT
Senator Curren D. Price, Jr., Chair
Bill No: SB 198Author:Price
As Amended:April 25, 2013 Fiscal:Yes
SUBJECT: Physical Therapy Board of California.
SUMMARY: Reorganizes, revises, recasts and updates the Physical
Therapy Practice Act.
Existing law:
1)Establishes the Physical Therapy Practice Act (Act) which provides
for the licensing and regulation of physical therapists (PTs) and
physical therapist assistants (PTAs) by the Physical Therapy Board
of California (PTB). (Business and Professions Code (BPC) § 2600 et
seq.)
2)Subjects the PTB to review by the appropriate policy committees of
the Legislature and sunsets the PTB on January 1, 2014. (BPC §
2602)
3)Specifies that the PTB shall consist of seven members and that not
more than one member shall be appointed from the full-time faculty
of any university, college, or other educational institution. (BPC
§ 2604)
4)Specifies that the public members of the PTB shall be appointed from
persons having all of the following qualifications: (BPC § 2604.5)
a) Be a citizen of California.
b) Shall not be an officer or faculty member of any college,
school or institution engaged in physical therapy education.
c) Shall not be a licentiate of the Medical Board of California
or any other health-related board.
SB 198
Page 2
5)Provides that the PTB shall do all of the following:
a) Evaluate the qualification of applicants for licensure. (BPC
§ 2634)
b) Provide for the examinations of PTs and PTAs and establish a
passing score for each examination. (BPC § 2636)
c) Issue all licenses for the practice of physical therapy in
California. (BPC §§ 2609, 2632)
d) Suspend and revoke licenses, and otherwise enforce the
provisions of the Act.
(BPC § 2609)
6)Provides that the PTB may employ such clerical assistants and other
employees as it may deem necessary to carry out the powers and
duties, and may as necessary select and contract with physical
therapy consultants to assist it in its programs on an intermittent
basis and may contract with these consultants on a sole source
basis. However, such consultants shall be considered as public
employees. (BPC § 2607)
7)Provides that notice of each meeting of the PTB shall be given in
accordance with the Bagley-Keene Open Meeting Act. (BPC § 2612)
8)Defines the scope of practice for PTs. (BPC § 2620)
9)Requires a PT to document his or her evaluation, goals, treatment
plan, and summary of treatment in the patient record, and to also
include the care actually provided and to sign the patient record
and maintain patient records for no less than seven years or
otherwise as specified. (BPC § 2620.7)
10)Provides that nothing shall be construed in the Act to authorize a
PT to practice medicine, surgery, or any other form of healing
except as authorized under the PTs scope of practice. (BPC § 2621)
11)Provides for the supervision of PTAs as specified. (BPC § 2655.2)
12)Specifies the requirements for a person to use the title as
"physical therapy assistant" and for the approval of PTA education
programs by the PTB. (BPC §§ 2655.3, 2655.7, 2655.71, 2655.8,
2655.9, 2655.91, 2655.93 and 2655.11)
13)Specifies licensure exemptions for students performing physical
therapy in a course of study. (BPC §§ 2650.2, 2655.75)
SB 198
Page 3
14)Provides for specific examination requirements for a PT or PTA from
another state or territory. (BPC § 2636.5)
15)Allows a graduate of an approved PT education program who has filed
an application with the PTB to perform as a "PT license applicant"
under the supervision of a licensed PT pending results of their PT
examination. (BPC § 2639)
16)Provides for the renewal requirements and exemptions of a PT and
PTA. (BPC §§ 2683, 2684, 2685)
17)Specifies education and curriculum requirements for a PT. (BPC §
2650)
18)Provides that the PTB shall approve those PT education programs
that prove to the satisfaction of the PTB that they comply with the
minimum PT educational requirements as approved by the PTB, and
provides that those education programs that are accredited by the
Commission on Accreditation in Physical Therapy Education (CAPTE) of
the American Physical Therapy Association (APTA) shall be deemed
approved by the PTB unless the PTB determines otherwise. (BPC §
2651)
19)Provides that an applicant who has been issued a diploma by a PT
education program that is not approved by the PTB and is not located
in the United States shall meet other specified requirements. (BPC
§ 2653)
20)Specifies grounds for unprofessional conduct and for the PTB to
suspend, revoke, or impose probationary conditions upon a licensee.
(BPC § 2660)
21)Establishes a Diversion Program under the PTB and provides that the
PTB shall seek ways and means to identify and rehabilitate PTs and
PTAs whose competency is impaired due to abuse of dangerous drugs or
alcohol so that they may be treated and returned to practice of
physical therapy in a manner which will not endanger the public
health and safety.
(BPC §§ 2662, 2663, 2664, 2665. 2666, 2667, 2668 and 2669)
This bill:
1)Reorganizes and recasts the Act, eliminates redundant and outdated
provisions, updates and clarifies numerous provisions, makes other
technical and conforming changes, and renumbers various sections
within the Act.
SB 198
Page 4
2)Clarifies and reorganizes defined terms including the "board,"
"psysiotherapy," "physical therapist," physical therapist assistant"
and redefines "physical therapist technician" to be equivalent to a
"physical therapy aide."
3)Clarifies and reorganizes provisions regarding the qualifications of
professional and public members.
4)Clarifies and reorganizes provisions regarding board member
appointing authority and specific appointments.
5)Clarifies and reorganizes provisions regarding the following:
a) Qualification of applicants for licensure.
b) Examinations of physical therapists and physical therapist
assistants.
c) Issuing licenses for the practice of physical therapy in
California.
d) Suspending and revoking licenses, and otherwise enforcing the
provisions of the Act.
6)Provides that the PTB shall do the following:
a) Administer a continuing competency program.
b) Participate in Federation of State Boards of Physical Therapy
meetings.
c) Publish a newsletter.
d) Provide timely orientation and training to new board
appointees.
e) Adopt and administer a program of education in matters
relevant to the regulation of physical therapy.
7)Clarifies for purposes of selecting physical therapy consultants
that the PTB may enter into contracts to enforce the Act.
8)Provides additional authority for the PTB to employ individuals to
fill specified positions, and allow the PTB to fix compensation for
these positions and services.
9)Clarifies that all enforcement proceedings, including those related
to probationary restrictions, are governed by the Government Code.
10) Specifies the number of times the PTB may meet and that four
members of the PTB shall constitute a quorum.
SB 198
Page 5
11)Clarifies that the PTB shall comply with the Bagley-Keene Open
Meeting Act.
12)Revises and clarifies the scope of practice for PTs.
13)Conforms the requirements for maintaining patient records with
regulations adopted by the PTB, and grants authority to the PTB to
establish other requirements as necessary.
14)Provides that the Act does not authorize a PT to diagnose disease ,
practice medicine, surgery, or any other form of healing except as
authorized under the PTs scope of practice.
15)Provides that a PT shall be responsible for managing all aspects of
the care of each patient as set forth in regulation and the
supervision of physical therapist assistants and aides, as
specified.
16)Authorizes the PTB by regulation to prescribe, amend, or repeal any
rules contained within the code of professional conduct appropriate
to the establishment and maintenance of integrity and dignity in the
profession of physical therapy and provides that every licensee
shall be governed and controlled by the rules and standards adopted
by the PTB.
17)Clarifies and conforms the requirements for a licensed physical
therapy assistant and supervision of assistants with current
regulations of the PTB.
18)Clarifies and conforms the requirements for an unlicensed physical
therapy aide and supervision of aides with current regulations of
the PTB.
19)Adds authority for the PTB to provide for licensure exemptions for
specific purposes for a limited period of time for physical
therapists or physical therapist assistants from another
jurisdiction of the United States, from another country, or in
consultation with a licensed physical therapist within California.
20)Grants general authority for the PTB to establish specific
application and licensure requirements in regulation.
21)Allows for the PTB to define what a "complete application" is in
regulation and adds requirements for the supervision of a PT or PTA
applicant, and adds other requirements applicable to the license for
which is being applied.
SB 198
Page 6
22)Reorganizes and consolidates renewal requirements and exemptions or
waivers for renewal and provides regulatory authority for the PTB to
define a completed renewal application.
23)Specifies education requirements for both PTs and PTAs and provides
that curriculum requirements shall be those as prescribed by the
CAPTE of the APTA or the Accreditation Council of Canadian
Physiotherapy (ACCP) and shall include a combination of didactic and
clinical experiences; clinical experience shall include at least 18
weeks of full-time experience with a variety of patients.
24)Provides that the PTB shall approve those PT and PTA education
programs that prove to the satisfaction of the PTB that they comply
with the minimum PT or PTA educational requirements as approved by
the PTB, and provides that those education programs that are
accredited by the CAPTE of the APTA or the ACCP shall be deemed
approved by the PTB unless the PTB determines otherwise.
25)Provides that nothing shall prohibit the PTB from disapproving any
foreign PT or PTA educational program, or denying an applicant, if
in the opinion of the PTB, the instruction received was not
equivalent to that required under the Act.
26)Reorganizes provisions related to licensing applicants who have
been issued a diploma by a PT education program that is not approved
by the PTB and is not located in the United States as long as they
meet other specified requirements and allows the PTB to establish
application requirements in regulation.
27)Revises and specifies additional grounds for unprofessional conduct
and for the PTB to either cite, discipline, deny a license, suspend
or revoke a license, or impose probationary conditions upon a
licensee.
28)Allows the PTB to issue a public letter of reprimand and to require
specified training or education for the licensee.
29)Specifies that if a licensee fails or refuses to comply with a
request for medical records of a patient, that is accompanied by a
patient's written authorization for release of the records, within
15 days, shall pay to the PTB a civil penalty of $1,000 per day,
unless the licensee is unable to provide the documents for good
cause.
30)Provides that the PTB is within the jurisdiction of the Health
SB 198
Page 7
Quality Enforcement Section of the Attorney General and the Medical
Quality Hearing Panel of the Office of Administrative Hearings.
31)Renames the "Diversion Program" as the "Substance Abuse
Rehabilitation Program" and makes conforming name changes.
FISCAL EFFECT: Unknown. This bill is keyed "fiscal" by Legislative
Counsel.
COMMENTS:
1.Purpose. The PTB is the sponsor of this measure. According to the
PTB, in response to public and licensee concerns that the Physical
Therapy Practice Act was complex and difficult to use, the PTB
established the Physical Therapy Practice Act Review Task Force
(Task Force) in 2004. The Task Force was charged with reviewing the
Act for accuracy and currency. The Task Force referenced the Model
Practice Act developed by the Federation of State Boards of Physical
Therapy (FSBPT) and the American Physical Therapy Association's
(APTA) revised Guide to Physical Therapist Practice in developing
the proposed revisions to recommend to the PTB.
The Task Force was comprised of various individual licensees and
representatives from the California Physical Therapy Association
(CPTA), as well as PTB staff and legal counsel. As noted, the CPTA
was involved in drafting the proposed revisions initially, and
recently has stated it supports the updated proposed revisions. In
addition to collaboration with the profession, the PTB also
exercised all available efforts to ensure public access. The PTB
conducted all business regarding the proposed revisions in a public
forum. Therefore, Task Force meetings were public and noticed as
such, and discussions and decisions, including adoption of all
versions of the proposed revisions to the Act, occurred at meetings
publically noticed in accordance with the Bagley-Keene Open Meeting
Act. The PTB also opens all agenda items for public comment at
every meeting, and, within the last few years, webcasts meetings and
posts all meeting materials online, including the proposed revisions
to the Act.
The proposed revisions that were adopted by the PTB primarily
reorganize the provisions within the Act for clarity, and clean-up
outdated provisions. Consequently, the proposed revisions need to
be taken together as they are intended to coincide; if some of the
proposed revisions are taken without the others, in most cases, this
may result in duplicative or lost provisions.
SB 198
Page 8
2.Background.
a) Physical Therapy Board of California. The Physical Therapy
Practice Act (Act) was established in 1953, Chapter 1823 (AB 17)
and Chapter 1826 (AB 1001), Statutes of 1953, creating the
Physical Therapy Examining Committee (PTEC) under the auspices of
the Medical Board of California (MBC). The Physical Therapy
Practice Act mandates the regulation of physical therapy by the
Physical Therapy Examining Committee. A "practice act"
safeguards the public by regulating a defined scope of practice
vs. a "title act" which merely restricts action to revoking a
title with no restriction of practice.
The evolution of PTECs' structure is as follows: 1953, PTEC was
comprised of three physical therapists, one physician, and one
public member; 1968, increased its physical therapist member
positions from three to four with one physician and one public
member remaining; and, in 1976, changed to three professional and
three public members eliminating the physician member position.
Chapter 991, Statutes of 1998 (SB 1980) again increased the
number of PT members by one for a total of seven members. The
current composition of the Board remains as four PT members and
three public members . As a result of the 1997 sunset review
legislation, one of the PT member's is required to be involved in
the education of physical therapists. The Governor appoints all
professional members as well as one public member; the Senate
Rules Committee appoints one public member; and the Speaker of
the Assembly appoints one public member. The Board meets about
four times per year. All Board meetings are subject to the
Bagley-Keene Open Meeting Act.
Initially, the PTEC regulated two forms of licensure; one
required PTs to work under the direction of a physician, while
the other permitted PTs to work independently. Chapter 1284,
Statutes of 1968 (SB 1006) unified the two forms of licensure
resulting in the PT license. This licensure permitted all PTs to
work independently.
Beginning in 1971, PTs were authorized to utilize assistive
personnel if properly supervised by a PT. That same year PTAs
became licensed and were permitted to assist in the practice of
physical therapy under the supervision of a licensed PT.
However, PTAs did not gain title protection until 1997. In 1973,
PTs were also granted authority to utilize the services of a
physical therapy aide, an unlicensed person who performs patient
related tasks under the direct and immediate supervision of a PT.
SB 198
Page 9
Several legislative amendments occurred between 1971 and 1996
transferring administrative oversight previously designated to
the Medical Board to the PTEC. One of those amendments, Chapter
829, Statutes of 1996 (AB 3473), renamed the "Physical Therapy
Examining Committee" the "Physical Therapy Board of California."
The PTB took steps to remove itself from the oversight of the
Medical Board. In 2004 the PTB began utilizing the services of
the Department of Consumer Affair's Division of Investigation
(DOI) and subsequently absorbed its own probation monitoring
responsibilities. In 2007, the PTB, through a budget change
proposal, was authorized staff for its cashiering function.
The PTB protects the public from the incompetent, unprofessional,
and fraudulent practice of physical therapy. The mission of the
PTB is to promote and protect the interests of the people of
California by the effective and consistent administration and
enforcement of the Act. To meet this mission, the PTB does the
following:
Promotes legal and ethical standards of professional
conduct.
Conducts background checks for all applicants.
Promotes a national examination reflective of the current
practice of physical therapy, in addition to a jurisprudence
examination focused specifically on the laws and regulations of
the State.
" Licenses PTs, and PTAs, and provides certification to
qualified licensees to perform electromyography.
Investigates complaints on PTs, PTAs, and unlicensed
physical therapy practice.
Takes disciplinary action and issues citations when
appropriate.
Conducts various outreach activities to provide the
public, licensees, and potential licenses the most
comprehensive and current information.
Routinely develops a Strategic Plan to establish goals and
objectives for the PTBC.
The PTB regulates approximately 21,863 active PT licensees and
5,381 active PTA licensees. The Board has issued over 40,000 PT
licenses and over 10,000 PTA licenses since its inception. The
active licensee population has stayed somewhat constant for the
past four years.
SB 198
Page 10
The requirements for licensure as a PT generally includes
graduation from a professional degree program of an accredited
postsecondary institution or institutions approved by the PTB and
passing a national physical therapy examination and an
examination provided by the PTB to test the knowledge of the laws
and regulations related to the practice of physical therapy in
California (California Law Examination). The requirements for
licensure as a PTA includes graduation from a PTA education
program approved by the PTB, or have training or experience or a
combination of training and experience which in the opinion of
the PTB is equivalent to that obtained in an approved educational
program, and successfully passing an examination provided by the
PTB. As for out-of-state and foreign applicants, the PTB has
wide discretion in determining whether the applicant's education
and training qualifies the applicant to become licensed in
California. They must determine whether the training and/or
education is either equal to or greater than that provided in
California and that the examination taken by the applicant is
comparable to the (national) examination required in California.
They must also pass the California Law Examination. A PTA must
be under the supervision of a PT and a PT may generally not
supervise more than two PTAs unless the PTB determines otherwise.
A PT may also utilize the services of one aide engaged in
patient-related tasks to assist the PT in his or her practice
under specified conditions.
The PTB ensures continuing competency by requiring continuing
competency hours. This program began October 31, 2010.
Continuing competency hours must be obtained in subjects related
to either the professional practice of physical therapy or
patient/client management.
a) Physical Therapy Practice. Physical therapy provides services
to individuals and populations, from pediatric to geriatric, to
develop, maintain and restore maximum movement and functional
ability. This includes providing services in circumstances where
movement and function are threatened by aging, injury, diseases,
disorders, conditions or environmental factors. Functional
movement is crucial to maintaining a healthy body.
Physical therapy is concerned with identifying and maximizing
quality of life and movement potential within the spheres of
promotion, prevention, treatment/intervention, habilitation and
rehabilitation. This encompasses physical, psychological,
emotional, and social well-being. Physical therapy involves the
interaction between the PT, patients/clients, other health
SB 198
Page 11
professionals, families, care givers and communities in a process
where movement potential is assessed and goals are agreed upon,
using knowledge and skills unique to PTs.
PTs are qualified and professionally required to:
Undertake a comprehensive examination/assessment of the
patient/client or needs of a client group.
Evaluate the findings from the examination/assessment to
make clinical judgments regarding patients/clients.
Formulate a prognosis and treatment plan.
Provide consultation within their expertise and determine
when patients/clients need to be referred to another health
care professional.
Implement a physical therapist intervention/treatment
program.
Determine the outcomes of any interventions/treatments.
Make recommendations for self-management.
The PT's extensive knowledge of the body and its movement needs
and potential is central to determining strategies for
intervention. The practice settings will vary according to
whether the physical therapy is concerned with health promotion,
prevention, treatment/intervention, habilitation or
rehabilitation.
Physical therapy is an essential part of the health and
community/welfare services delivery systems. PTs practice
independently of other health care service providers and also
within interdisciplinary rehabilitation/habilitation programs
that aim to prevent movement disorders or maintain/restore
optimal function and quality of life in individuals with movement
disorders.
b) Review of the Physical Therapy Board. In 2013, this
Committee conducted oversight hearings to review 14 regulatory
boards within the Department of Consumer Affairs. The Committee
began its review of these licensing agencies in March and
conducted three days of hearings. The PTB was last reviewed by
the former Joint Legislative Sunset Review Committee (JLSRC) in
2005. At that time, the JLSRC identified 10 issues for
discussion. On November 1, 2011, the PTBC submitted its
required Sunset Report to this Committee. However, because of
an audit of the PTB, which was to be completed by the Bureau of
Audits in 2012, it was decided to put over the review of the PTB
until the audit was finalized. The PTB provided an update and
SB 198
Page 12
addendum to its original report to this Committee on December 1,
2012. In its 2011 report and its 2012 addendum the PTB
described actions it had taken (including both regulatory and
legislative) since its last sunset review.
The PTB also indicated both in its report to this Committee and
during its review the need to revise the Physical Therapy
Practice Act. According to the PTB, some of the proposed
revisions have been codified; however, the PTB attempted each
year, since 2006, to get all the revisions of the Act introduced
without success. The PTB continued to pursue this issue because
the PTB believed that the Act is such a crucial document, and as
a consumer agency, it is essential for consumers to easily
access and understand the functions of the PTB; the scope and
qualifications of PTs and PTAs; the requirements and
restrictions of the profession; and, the consequences for
violating the Act. Moreover, the PTB stated, consumers also
benefit from licentiates having a clear understanding of the
Act.
The PTB outlined the revisions to the Act as follows:
Overall reorganizes, clarifies and updates current
statute.
Explicitly states the responsibilities of the Board.
Specifically defines terms directly related to physical
therapy care providers and clarifies the scope in plain
English.
Adds who may qualify for licensure exemptions and defines
the requirements of each qualifying method.
Removes all specific details of the licensing, renewal and
documentation requirements and processes with the intent of
moving them to regulation.
Adds license renewal exemptions for specified
circumstances.
Adds authority for the Board to determine ethical
standards.
Clearly defines specific violations which constitute
unprofessional conduct.
Provides authority for the Board to impose a fee on
approval agencies to support the Continuing Competency Services
program.
Adds the authority for the Board to impose a fine for
licensees refusing to produce records requested by the Board.
Adds the Board to the list of agencies under the
jurisdiction of the Department of Justice Health Quality
SB 198
Page 13
Enforcement Section.
Removes authority relating to physical therapy from the
Medical Practice Act
Adds authority to impose a condition requiring additional
training and/or education when issuing a public letter of
reprimand.
Replaces the term "diversion" with "substance abuse
rehabilitation program" to accurately describe the PTBC's
program, which does not divert from discipline.
It was recommended that the revisions to the Physical Therapy
Practice Act should be included in a separate bill so that the
continuation of the PTB in a sunset bill will not be jeopardized
if there is any controversy surrounding changes to the Practice
Act. It was also stated that the PTB should assure the
Committee that all concerned individuals and interested parties
have had an opportunity to express any concerns regarding the
changes proposed to the Act and have been addressed, to the
extent possible, by the PTB.
1.Related Legislation. SB 306 (Price, 2013). Extends until January
1, 2018, the provisions establishing the State Board of Chiropractic
Examiners, Speech Language Pathology and Audiology and Hearing Aid
Dispensers Board, the Physical Therapy Board of California, and the
California Board of Occupational Therapy and extends the terms of
the executive officers of the Physical Therapy Board of California
and the Speech Language Pathology and Audiology and Hearing Aid
Dispensers Board. This bill also subjects the boards to be reviewed
by the appropriate policy committees of the Legislature. ( Note :
This bill will also be heard before the BP&ED Committee during
today's hearing)
2.Policy Issue : Revisions Regarding Scope of Practice for Physical
Therapists. The PTB has indicated that in its changes to the scope
of practice provision for PTs (BPC § 2620) that it is clarifying the
scope language and not its content. In other words, this is not to
be considered as an expansion of practice for PTs. The PTB stated
that the language is confusing for consumers as well as licensees
and that the proposed revisions make this provision consistent with
the FSBPT's Model. Section 2620 as amended reads as follows:
2620. (a) Physical therapy means the art and science of physical
or corrective rehabilitation or of physical or corrective
treatment of any bodily or mental condition of any person . by the
use of the physical, chemical, and other properties of heat,
light, water, electricity, sound, massage, and active, passive,
SB 198
Page 14
and resistive exercise, and shall include physical therapy
evaluation, treatment planning, instruction and consultative
services. The practice of physical therapy includes the promotion
and maintenance of physical fitness to enhance the bodily
movement related health and wellness of individuals through the
use of physical therapy interventions. The use of roentgen rays
and radioactive materials, for diagnostic and therapeutic
purposes, and the use of electricity for surgical purposes,
including cauterization, are not authorized under the term
"physical therapy" as used in this chapter, and a license issued
pursuant to this chapter does not authorize the diagnosis of
disease.
Physical therapy includes all of the following:
(a) Examining, evaluating, and testing persons with mechanical,
physiological, and developmental impairments, functional
limitations, and disabilities or other health and
movement-related conditions in order to develop a plan of
therapeutic intervention.
(b) Alleviating impairments, functional limitations, and
disabilities by designing, implementing, and modifying
therapeutic interventions that may include, but are not limited
to, therapeutic exercise; functional training in self-care and
in-home, community, or work integration or reintegration; manual
therapy; therapeutic massage; prescription, application, and, as
appropriate, fabrication of assistive, adaptive, orthotic,
prosthetic, protective, and supportive devices and equipment;
airway clearance techniques; integumentary protection and repair
techniques; debridement and wound care; physical agents or
modalities; mechanical and electrical therapeutic modalities; and
patient-related instruction.
(c) Reducing the risk of injury, impairment, functional
limitation, and disability.
(d) Promoting and maintaining physical fitness to enhance the
bodily movement-related health and wellness of individuals
through the use of physical therapy interventions.
(b) Nothing in this section shall be construed to restrict or
prohibit other healing arts practitioners licensed or registered
under this division from practice within the scope of their
license or registration.
The prohibition regarding diagnosis of a disease by a PT was
provided in amendments to Section 2621:
2621. Nothing in this chapter shall be construed as authorizing
This chapter does not authorize a physical therapist to diagnose
SB 198
Page 15
disease , practice medicine, surgery, or any other form of healing
except as authorized by § 2620.
The Author has indicated that if there are concerns with the changes
to § 2620 by other health professional groups, that § 2620 will be
removed from the bill until such concerns can be addressed.
SUPPORT AND OPPOSITION:
Support:
Physical Therapy Board of California (Sponsor)
Opposition:
None on file as of April 24, 2013.
Consultant: Bill Gage