reglab/statecodes huggingface dataset:
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 3 - Admission to Practice › Section 3-2 - Licensure by examination

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-1-9; IC 25-27-1-6
Sec. 2.
(a) The board
				shall issue a license by examination to an applicant who completes the
				following:
(1) Submits a sworn application in
				proper form.
(2) Submits the fee
				specified in
				842 IAC 1-2-1.
(3) Presents satisfactory evidence that he or
				she does not have a conviction for an act, within or outside of this state,
				that would constitute a ground for disciplinary sanction under IC 25-1-9 and
				has not been the subject of a disciplinary action as stated in IC
				25-27-1-6(a)(2).
(4) Successfully
				completes the examination provided by the board. The uniform
				criterion-referenced passing score on the physical therapy or physical
				therapist assistant examination, which has been adopted by the board of
				directors of the Federation of State Boards of Physical Therapy, is the
				required passing score. This criterion-referenced passing score shall be a
				scaled score of six hundred (600).
(5) Submits an official transcript of grades
				from a physical therapy or physical therapist assistant school showing evidence
				that the applicant is a graduate of a physical therapy or a physical therapist
				assistant program that has been approved by the board under
				842 IAC 1-1-3 and that a degree
				has been conferred.
(6) Submits a
				certified copy of an English translation of any document that is not in
				English.
(7) Meets all other
				minimum requirements specified in IC 25-27-1.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 3 - Admission to Practice › Section 3-3 - Applications for licensure as a physical therapist or certification as a physical therapist's assistant (Repealed)

Current through July 10, 2024
Transferred from the Medical Licensing Board of Indiana
					 (844 IAC 6-8-5) to the Indiana
					 Board of Physical Therapy (842 IAC 1-7-5)
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 3 - Admission to Practice › Section 3-4 - Temporary permits (Repealed)

Current through July 10, 2024
Transferred from the Medical Licensing Board of Indiana
					 (844 IAC 6-8-5) to the Indiana
					 Board of Physical Therapy (842 IAC 1-7-5)
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 3 - Admission to Practice › Section 3-5 - Social Security numbers

Current through July 10, 2024
Authority: IC 4-1-8-1; IC 25-27-1-5
Affected: IC 25-27-1
Sec. 5.
(a) An
				applicant who applies for a license, certificate, or permit under IC 25-27-1
				must submit to the board the applicant's United States Social Security
				number.
(b) No application for a
				license, certificate, or permit will be approved before the Social Security
				number is submitted to the board.
(c) The agency and the board will only
				release the applicant's Social Security number as provided in state or federal
				law.
(d) The agency and the boards
				may allow access to the Social Security number of each person who holds a
				license, certificate, or permit issued under IC 25-27-1 or has applied for a
				license, certificate, or permit under IC 25-27-1 to the following:
(1) A testing service that provides the
				examination for licensure to the agency or the boards.
(2) An individual state regulatory board or
				an organization composed of state regulatory boards for the applicant's or
				licensee's profession for the purpose of coordinating licensure and
				disciplinary activities between the individual states.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 4 - Registration of Licensed Physical Therapists and Physical Therapists' Assistants › Section 4-1 - Mandatory registration; renewal

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-27-1-8
Sec. 1.
(a) Every
				physical therapist holding a license issued by the board shall renew his or her
				license biennially on or before July 1 of each even-numbered year.
(b) A licensee's failure to receive
				notification of renewal due to failure to notify the board of a change of
				address or name shall not constitute an error on the part of the board or
				agency, nor shall it exonerate or otherwise excuse the licensee from renewing
				such license.
(c) Every physical
				therapist assistant holding a certificate issued by the board shall renew his
				or her certificate biennially on or before July 1 of each even-numbered
				year.
(d) A certificate holder's
				failure to receive notification of renewal due to failure to notify the board
				of a change of address or name shall not constitute an error on the part of the
				board or agency, nor shall it exonerate or otherwise excuse the certificate
				holder from renewing such certificate.
Transferred from the Medical Licensing Board of Indiana
					 (844 IAC 6-4-1) to the Indiana
					 Board of Physical Therapy (842 IAC 1-4-1) by
					 P.L.
					 160-2019,
					 SECTION
					 31, effective July 1, 2019.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 4 - Registration of Licensed Physical Therapists and Physical Therapists' Assistants › Section 4-2 - Address; change of name

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-27-1-8
Sec. 2.
Each licensee is responsible for providing the board with a
				  current address, telephone number, and name change, as applicable, within
				  thirty (30) days of the change.
Transferred from the Medical Licensing Board of Indiana
					 (844 IAC 6-4-2) to the Indiana
					 Board of Physical Therapy (842 IAC 1-4-2) by
					 P.L.
					 160-2019,
					 SECTION
					 31, effective July 1, 2019.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 4 - Registration of Licensed Physical Therapists and Physical Therapists' Assistants › Section 4-3 - Reinstatement of delinquent license

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-27-1-8
Sec. 3.
(a) A
				physical therapist or physical therapist assistant who is less than three (3)
				years delinquent in renewing a license or certificate shall be reinstated upon
				satisfaction of the requirements in IC 25-27-1-8(c).
(b) If more than three (3) years have elapsed
				since the expiration of a license or certificate, the applicant shall meet all
				requirements of
				842 IAC 1-3-1 except that, where
				the applicant has not practiced for more than three (3) years, the board may,
				after an appearance before the board, require the applicant to retake and pass
				the examination provided by the board in addition to completion of continuing
				competency courses.
Transferred from the Medical Licensing Board of Indiana
					 (844 IAC 6-4-3) to the Indiana
					 Board of Physical Therapy (842 IAC 1-4-3) by
					 P.L.
					 160-2019,
					 SECTION
					 31, effective July 1, 2019.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 5 - Reinstatement of Suspended License › Section 5-1 - Duties of suspended licensees, certificate holders

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-1-9
Sec. 1.
In any case where a person's license or certificate has been
				  suspended under IC 25-1-9, said person shall do the following:
(1) Within thirty (30) days from the date of
				the order of suspension, file with the physical therapy board an affidavit
				showing the following:
(A) All active patients
				then under the licensee's or certificate holder's care have been notified in
				the manner and method specified by the committee of the licensee's or
				certificate holder's suspension and consequent inability to act for or on their
				behalf in a professional capacity. Such notice shall advise all such patients
				to seek the services of another licensee or certificate holder of good standing
				of their own choice.
(B) All
				hospitals and medical and health care facilities where such licensee or
				certificate holder has privileges or staff status have been informed of the
				suspension order.
(C) Reasonable
				arrangements were made for the transfer of patient records, radiographic
				studies, and test results, or copies thereof, to a succeeding licensee or
				certificate holder employed by the patient or those responsible for the
				patient's care.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 5 - Reinstatement of Suspended License › Section 5-2 - Protection of patients' interests

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-1-9
Sec. 2.
Whenever a person's license or certificate has been suspended
				  under IC 25-1-9 and said person has not fully complied with section 3 of this
				  rule and this section, or if said licensee or certificate holder has
				  disappeared, died, or is otherwise unable to comply with section 3 of this rule
				  and this section, the physical therapy board shall request the Indiana
				  professional licensing agency to take such action as may be appropriate to
				  protect the interests of that person's patients.
Transferred from the Medical Licensing Board of Indiana
					 (844 IAC 6-6-4) to the Indiana
					 Board of Physical Therapy (842 IAC 1-5-2) by
					 P.L.
					 160-2019,
					 SECTION
					 31, effective July 1,
					 2019.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 6 - Standards of Professional Conduct › Section 6-1 - Definitions

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-1-9
Sec. 1.
For purposes of the standards of professional conduct and
				  competent practice of physical therapy or practice as a physical therapist
				  assistant, the following definitions apply:
(1) "Practitioner" means a person holding a
				license to practice physical therapy; a person holding a certificate to
				practice as a physical therapist assistant; or a person holding a temporary
				permit issued by the board.
(2)
				"Professional incompetence" may include, but is not limited to, a pattern or
				course of repeated conduct by a practitioner demonstrating a failure to
				exercise such reasonable care and diligence as is ordinarily exercised by
				practitioners in the same or similar circumstances in the same or similar
				locality.
Transferred from the Medical Licensing Board of Indiana
					 (844 IAC 6-7-1) to the Indiana
					 Board of Physical Therapy (842 IAC 1-6-1) by
					 P.L.
					 160-2019,
					 SECTION
					 31, effective July 1, 2019.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 6 - Standards of Professional Conduct › Section 6-2 - Standards of professional conduct and competent practice

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 16-39-1-1; IC 25-1-9-9; IC 25-27-1; IC
				  34-6-2-99; IC 34-30-15-1
Sec. 2.
(a) A
				practitioner when engaging in the practice of physical therapy shall abide by,
				and comply with, the standards of professional conduct in this
				section.
(b) A practitioner shall
				maintain the confidentiality of all knowledge and information regarding a
				patient, including, but not limited to, the patient's:
(1) diagnosis;
(2) treatment; and
(3) prognosis;
of which the practitioner has knowledge during the course of
				  the patient-practitioner relationship. Information about a patient shall be
				  disclosed by a practitioner when required by law, including, but not limited
				  to, the requirements of IC 34-30-15-1 et seq. and IC 16-39-1-1 et seq., and any
				  amendments thereto, or when authorized by the patient or those responsible for
				  the patient's care.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 7 - Continuing Competency Requirements › Section 7-1 - Continuing competency requirements

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-1-4; IC 25-27-1
Sec. 1.
(a)
				Twenty-two (22) hours of continuing competency activities are required for the
				biennial renewal period, of which two (2) hours must be in an ethics and
				Indiana jurisprudence course as it relates to the practice of physical
				therapy.
(b) Only activities that
				have been approved under this article will be accepted as credit for license or
				certification renewal.
(c)
				Continuing competency hours:
(1) must be
				obtained within the biennial renewal period; and
(2) may not be carried over from one (1)
				renewal period to another.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 7 - Continuing Competency Requirements › Section 7-2 - Responsibilities of licensees

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-27-1
Sec. 2.
A license or certificate holder shall do the
				  following:
(1) Certify completion of
				continuing competency activities required by this rule at the time of license
				or certification renewal.
(2)
				Retain verification of completion of continuing competency activities required
				by this rule for three (3) years after the last renewal date.
(3) Present proof of completion of continuing
				competency activities required by this rule at the request of the board on a
				form that is approved by the board.
Transferred from the Medical Licensing Board of Indiana
					 (844 IAC 6-8-2) to the Indiana
					 Board of Physical Therapy (842 IAC 1-7-2) by
					 P.L.
					 160-2019,
					 SECTION
					 31, effective July 1, 2019.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 7 - Continuing Competency Requirements › Section 7-3 - License or certification period; number of hours required

Current through July 10, 2024
Authority: IC 25-1-4-8; IC 25-27-1-5
Affected: IC 25-27-1
Sec. 3.
(a) During
				each two (2) year license period, a physical therapist or physical therapist's
				assistant must complete at least twenty-two (22) hours of continuing competency
				activities of which at least ten (10) hours must be in category I courses and
				two (2) hours must be in an ethics and Indiana jurisprudence course as it
				relates to the practice of physical therapy.
(b) A physical therapist or physical
				therapist's assistant may not earn more than ten (10) category II credit hours
				towards the requirements under this section.
Transferred from the Medical Licensing Board of Indiana
					 (844 IAC 6-8-3) to the Indiana
					 Board of Physical Therapy (842 IAC 1-7-3) by
					 P.L.
					 160-2019,
					 SECTION
					 31, effective July 1, 2019.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 7 - Continuing Competency Requirements › Section 7-4 - "Category I continuing competency activities" and "category II continuing competency activities" defined

Current through July 10, 2024
Authority: IC 25-27-1-5
Affected: IC 25-1-4-0.2
Sec. 4.
(a) As used
				in this rule, "category I continuing competency activities" includes the
				following and must be at least one (1) contact hour in length and be relevant
				to the practice of physical therapy:
(1)
				Formally organized courses.
(2)
				Workshops.
(3) Seminars.
(4) Symposia.
(5) Home study programs, including approved
				computer, audio, and video instructional programs, designed by board approved
				organizations and subject to board verification and approval
				procedures.
(6) Approved "for
				credit" courses that are related to the practice of physical therapy from an
				approved organization as defined in IC 25-1-4-0.2.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 7 - Continuing Competency Requirements › Section 7-5 - Approved organizations; standards for approval

Current through July 10, 2024
Authority: IC 25-1-4; IC 25-27-1-5
Affected: IC 25-1-4-0.2; IC 25-27-1
Sec. 5.
(a) In
				addition to those approved organizations approved under IC 25-1-4-0.2, the
				following organizations are approved organizations for the purpose of approving
				and sponsoring continuing competency courses without making further application
				to the board:
(1) American Physical Therapy
				Association (APTA).
(2) American
				Physical Therapy Association Indiana Chapter (APTA Indiana).
(3) Federation of State Boards of Physical
				Therapy (FSBPT).
(4) A national,
				state, district, or local organization that operates as an affiliated entity
				under the approval of any organization listed in the
[sic]
subdivisions (1) through (3).
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 8 - Convictions of Concern › Section 8-1 - Scope

Current through July 10, 2024
Authority: IC
				  25-1-1.1-6
Affected: IC
				  25-1-1.1-6; IC 25-27
Sec. 1.
This rule implements IC
				  25-1-1.1-6 regarding convictions
				  of concern, which may disqualify an individual for licensure, and includes in
				  section 4 of this rule an explicit list of crimes that may disqualify an
				  individual from receiving a license issued under IC 25-27.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 8 - Convictions of Concern › Section 8-2 - Issuance of license

Current through July 10, 2024
Authority: IC
				  25-1-1.1-6
Affected: IC
				  25-1-1.1-6; IC 25-27
Sec. 2.
An applicant for licensure who has a conviction of concern
				  may still be granted a license based on the criteria stated in IC
				  25-1-1.1-6(h).
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 8 - Convictions of Concern › Section 8-3 - Authority to issue a license on probation

Current through July 10, 2024
Authority: IC
				  25-1-1.1-6
Affected: IC
				  25-1-1.1-6; IC
				  25-1-11-19; IC 25-27
Sec. 3.
This rule and IC
				  25-1-1.1-6 do not limit the
				  authority of a board or committee to issue a license on probation if
				  appropriate under IC
				  25-1-11-19 or any other applicable
				  statute.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 8 - Convictions of Concern › Section 8-4 - Convictions of concern

Current through July 10, 2024
Authority: IC
				  25-1-1.1-6
Affected: IC
				  6-3-6-11; IC
				  7.1-5-1-3; IC
				  7.1-5-7-8; IC
				  9-26-1-1.1; IC
				  9-30-5-4; IC
				  9-30-5-5; IC
				  11-8-8-17; IC
				  11-8-8-18; IC
				  12-17.2-5-1; IC
				  12-24-17-3; IC
				  12-24-17-7; IC
				  16-36-5-27; IC
				  16-36-5-28; IC
				  16-42-19; IC
				  23-0.5-2-9; IC
				  23-19-5-2; IC 25; IC
				  31-33-22; IC
				  31-34-2.3-7; IC
				  31-34-2.3-8; IC 35
Sec. 4.
The following are convictions of concern:
(1) Crimes involving sexual acts that can be
				considered without respect to age of conviction as follows:
(A) Child molesting (IC
				35-42-4-3).
(B) Child seduction (IC
				35-42-4-7).
(C) Criminal deviate conduct (IC
				35-42-4-2) (before its
				repeal).
(D) Incest (IC
				35-46-1-3).
(E) Making an unlawful proposition (IC
				35-45-4-3).
(F) Prostitution (IC
				35-45-4-2).
(G) Rape (IC
				35-42-4-1).
(H) Sexual misconduct with a minor (IC
				35-42-4-9(a)).
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 8 - Convictions of Concern › Section 8-5 - Convictions in another jurisdiction

Current through July 10, 2024
Authority: IC
				  25-1-1.1-6
Affected: IC 25-27
Sec. 5.
A crime in any other jurisdiction for which the elements of
				  the crime for which conviction was entered are substantially similar to the
				  elements of a crime included on the list in section 4 of this rule shall also
				  be a crime that may disqualify an individual from receiving a license and
				  therefore included on the list.
Indiana Administrative Code › Title 842 - INDIANA BOARD OF PHYSICAL THERAPY › Article 1 - PHYSICAL THERAPISTS AND PHYSICAL THERAPISTS' ASSISTANTS › Rule 8 - Convictions of Concern › Section 8-6 - Prelicensure determinations; fee

Current through July 10, 2024
Authority: IC
				  25-1-1.1-6
Affected: IC
				  25-1-1.1-6; IC 25-27
Sec. 6.
The fee for a petition under IC
				  25-1-1.1-6(g) 
				  for a determination as to whether an individual's misdemeanor or felony
				  conviction may disqualify the individual from receiving a license or
				  certification is twenty-five dollars ($25).
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-1 - Applicability

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-22.5-1
Sec. 1.
The definitions in this rule apply throughout this
				  title.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-2 - "Anesthesia" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC 25-22.5; IC 25-27.5
Sec. 2.
For purposes of IC 25-27.5, "anesthesia" includes the
				  following:
(1) Moderate
				sedation/analgesia.
(2) Deep
				sedation/analgesia.
(3) General
				anesthesia.
(4) Regional
				anesthesia.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-3 - "Board" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-22.5-1
Sec. 3.
"Board" refers to the medical licensing board of
				  Indiana.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-4 - "Committee" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-22.5-1; IC
				  25-27.5-3-1
Sec. 4.
"Committee" refers to the physician assistant committee
				  established by IC
				  25-27.5-3-1.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-5 - "Contact hour" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-22.5-1
Sec. 5.
"Contact hour" includes fifty (50) to sixty (60) minutes of
				  instruction in pharmacology in either an institutional setting or Category I
				  continuing medical education. One (1) credit hour obtained through an
				  educational institution approved by the committee is equal to ten (10) contact
				  hours.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-6 - "Deep sedation/analgesia" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC 25-22.5; IC 25-27.5
Sec. 6.
(a) For
				purposes of IC 25-27.5, "deep sedation/analgesia" means a drug-induced
				depression of consciousness during which patients cannot be easily aroused but
				respond purposefully following repeated or painful stimulation. For purposes of
				this rule, reflex withdrawal from a painful stimulus is not considered a
				purposeful response.
(b) The
				following are conditions that a patient under deep sedation/analgesia may
				experience:
(1) The ability to independently
				maintain ventilatory function may be impaired.
(2) Patients may require assistance in
				maintaining a patent airway, and spontaneous ventilation may be
				inadequate.
(3) Cardiovascular
				function is usually maintained.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-7 - "Drug classification" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC 25-22.5
Sec. 7.
"Drug classification" means the broad general category of
				  drug products defined by their primary clinical role, for example,
				  antihypertensive or antibiotic.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-8 - "General anesthesia" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC 25-22.5; IC 25-27.5
Sec. 8.
(a) For
				purposes of IC 25-27.5, "general anesthesia" means a drug-induced loss of
				consciousness during which patients are not arousable, even by pain
				stimulation.
(b) The following are
				conditions that a patient under general anesthesia may experience:
(1) The ability to independently maintain
				ventilatory function is often impaired.
(2) Patients often require assistance in
				maintaining a patent airway, and positive pressure ventilation may be required
				due to depressed spontaneous ventilation or drug-induced depression of
				neuromuscular function.
(3)
				Cardiovascular function may be impaired.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-9 - "Local anesthesia" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC 25-22.5; IC 25-27.5
Sec. 9.
For purposes of IC 25-27.5, "local anesthesia" means a
				  transient and reversible loss of sensation in a circumscribed portion of the
				  body produced by a local anesthetic agent or by cooling a circumscribed area of
				  the skin. The term includes subcutaneous infiltration of an
				  agent.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-10 - "Minimal sedation/anxiolysis" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC 25-22.5; IC 25-27.5
Sec. 10.
For purposes of IC 25-27.5, "minimal sedation/anxiolysis"
				  means a drug-induced state during which a patient responds normally to verbal
				  commands. Although cognitive function and coordination may be impaired,
				  ventilatory and cardiovascular functions are usually not
				  affected.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-11 - "Moderate sedation/analgesia" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC 25-22.5; IC 25-27.5
Sec. 11.
(a) For
				purposes of IC 25-27.5, "moderate sedation/analgesia" (also referred to as
				"conscious sedation") means a drug-induced depression of consciousness during
				which patients respond purposefully to verbal commands, either alone or
				accompanied by light tactile stimulation.
(b) The following are conditions that a
				patient under moderate sedation/analgesia may experience:
(1) No interventions are required to maintain
				a patent airway, and spontaneous ventilation is adequate.
(2) Cardiovascular function is usually
				maintained.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-12 - "NCCPA" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-22.5-1
Sec. 12.
"NCCPA" refers to the National Commission on Certification
				  of Physician Assistants.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-13 - "Physician assistant" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-22.5-1
Sec. 13.
"Physician assistant" means an individual who has:
(1) graduated from an approved physician
				assistant or surgeon assistant program; and
(2) passed the certifying examination and
				maintains certification by the NCCPA.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-14 - "Protocol" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-22.5-1
Sec. 14.
"Protocol" means general directions under standard practice
				  for prescribing a drug or medical device. The term includes clinical practice
				  guidelines and reference texts or other sources.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-15 - "Regional anesthesia" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC 25-22.5; IC 25-27.5
Sec. 15.
(a) For
				purposes of IC 25-27.5, "regional anesthesia" means the administration of
				anesthetic agents to a patient to interrupt nerve impulses without the loss of
				consciousness and includes the following:
(1)
				Major conduction blocks, such as:
(A)
				epidural;
(B) spinal; and
(C) caudal; blocks.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 1.1 - Definitions › Section 1.1-16 - "Supervisory agreement" defined

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC 25-22.5
Sec. 16.
"Supervisory agreement" means a written document signed by
				  the supervising physician or physicians and the physician assistant
				  that:
(1) includes the tasks delegated
				to the physician assistant;
(2)
				describes the supervisory plan for the physician assistant, including emergency
				procedures that the physician assistant must follow;
(3) specifies the names of the drug or drug
				classification the physician assistant is delegated to prescribe and the
				protocol the physician assistant shall follow in prescribing a drug;
(4) specifies the names of medical devices
				the physician is delegated to prescribe;
(5) includes the:
(A) name;
(B) address; and
(C) phone number; of the physician or
				physicians who will be supervising the physician assistant; and
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 2 - General Provisions › Section 2-2 - Registration of supervising physician

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-27.5-3-5
Affected: IC
				  25-27.5-6
Sec. 2.
(a) A
				physician licensed under IC 25-22.5 who intends to supervise a physician
				assistant shall register his or her intent to do so with the board on a form
				approved by the board prior to commencing supervision of a physician assistant.
				The supervising physician shall include the following information on the form
				supplied by the board:
(1) The:
(A) name;
(B) business address; and
(C) telephone number; of the supervising
				physician.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 2 - General Provisions › Section 2-3 - License renewal

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-27.5-5-2
Sec. 3.
(a) Every
				physician assistant holding a license issued by the committee shall renew his
				or her license every two (2) years, in even-numbered years.
(b) On or before April 30 of a renewal year,
				the committee, or its duly authorized agent, shall notify each license holder
				that the license holder is required to renew with the committee. The committee,
				or its agent, shall furnish a license holder a form to be completed for
				renewal.
(c) Applications for all
				renewals must be made under oath or affirmation.
(d) Each license holder shall do the
				following:
(1) Submit the following:
(A) Evidence of current NCCPA
				certification.
(B) A fee as
				determined by the committee, in the form of a:
(i) check;
(ii) certified check;
(iii) cashier's check; or
(iv) postal money order;
payable to the order of the "Indiana Professional Licensing
				  Agency".
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 2 - General Provisions › Section 2-4 - Reporting requirements

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-22.5-1-2
Sec. 4.
If for any reason a physician assistant discontinues working
				  at the direction or under the supervision, or both, of the physician under
				  which the physician assistant is registered with the board, the physician
				  assistant shall inform both the board and the committee, in writing, within
				  fifteen (15) days of the event. The physician assistant shall not commence
				  practice under a new supervising physician until that physician registers his
				  or her intent to supervise the physician assistant to the board under section 2
				  of this rule. The physician assistant, in the written report, shall state the
				  specific reason for the discontinuation of supervision.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 2 - General Provisions › Section 2-5 - Privileges and duties

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-27.5-3-5
Affected: IC
				  25-22.5-1-2; IC 25-27.5
Sec. 5.
(a) When
				engaged in the physician assistant's professional activities, a physician
				assistant shall:
(1) wear a name tag
				identifying the individual as a physician assistant; and
(2) inform patients that he or she is a
				physician assistant.
A physician assistant shall not portray himself or herself as
				  a licensed physician.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 2 - General Provisions › Section 2-6 - Competent practice of physician assistants

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7
Affected: IC
				  25-22.5-1-2; IC
				  25-27.5-5-4; IC
				  35-48-2
Sec. 6.
It shall be deemed willful misconduct or the incompetent
				  practice as a physician assistant under IC 25-27.5 if a physician assistant
				  licensed by the committee has committed any of the following acts:
(1) Held himself or herself out or permitted
				another to represent him or her as a licensed physician.
(2) Performed a task other than under the
				direction or supervision of a physician licensed by the board.
(3) Been delegated a task or performed a task
				beyond his or her competence unless under mitigating circumstances, such as the
				physician assistant attending to a patient in a life-threatening emergency with
				no physician immediately available.
(4) Used intoxicants or drugs to such an
				extent that he or she is unable to perform competently and with safety as a
				physician assistant.
(5) Been
				convicted of a felony or other criminal offense involving moral turpitude in
				this state or any other state, territory, or country. As used in this
				subdivision, "conviction" includes:
(A) a
				conviction of an offense that, if committed in this state, would be deemed a
				felony or other criminal offense without regard to its designation elsewhere;
				or
(B) a criminal proceeding in
				which a finding or verdict of guilty is made or returned but the adjudication
				of guilt is either withheld or not entered thereon.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 2 - General Provisions › Section 2-8 - Certification of physician assistants; fees

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-27.5-3-5
Affected: IC
				  25-22.5-1-1.1; IC
				  25-22.5-1-2; IC 25-27.5
Sec. 8.
(a) A
				nonrefundable fee of one hundred dollars ($100) shall accompany the initial
				application for certification
.
(b) A nonrefundable fee of fifty dollars
				($50
)
shall accompany an application for changing supervising
				physicians.
(c) A fee of fifty
				dollars ($50) shall accompany each biennial application for renewal of the
				physician assistant certificate. A fee of fifty dollars ($50) shall accompany
				each request for a temporary permit in addition to the fee for initial
				certification.
(d) A fee of ten
				dollars ($10) shall accompany each request for verification of licensure to
				another state.
(e) All such fees
				are nonrefundable.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 3 - Opioid Prescribing Requirements › Section 3-1 - Scope

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-22.5-13-3
Affected: IC
				  25-1-9; IC 25-27.5
Sec. 1.
This rule establishes standards and protocols for physician
				  assistants in the prescribing of opioid controlled substances for pain
				  management treatment.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 3 - Opioid Prescribing Requirements › Section 3-2 - Definitions

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-22.5-13-3
Affected: IC
				  25-1-9; IC 25-27.5; IC
				  35-48-1-9
Sec. 2.
(a) The
				definitions in this section apply throughout this rule.
(b) "Abuse deterrent formulation" means an
				opioid formulation that has properties shown to meaningfully deter the
				intentional, nontherapeutic use, even once, to achieve a desirable
				psychological or physiological effect, even if such formulation does not fully
				prevent such intentional, nontherapeutic uses.
(c) "Chronic pain" means a state in which
				pain persists beyond the usual course of an acute disease or healing of an
				injury, or that may or may not be associated with an acute or chronic
				pathologic process that causes continuous or intermittent pain over months or
				years.
(d) "Controlled substances"
				has the meaning set forth in IC
				35-48-1-9.
(e) "Morphine equivalent dose" means a
				conversion of various opioids to a standardized dose of morphine by the use of
				accepted conversion tables.
(f)
				"Opioid" means any of various narcotics containing opium or one (1) or more of
				its natural or synthetic derivatives. However, if such a narcotic is not a
				controlled substance, it shall not be an opioid for the purposes of this
				rule.
(g) "Outset of an opioid
				treatment plan" means that a patient has been prescribed opioids as described
				in section 3(c) of this rule, and, therefore, the provisions stated in section
				3(a) of this rule become applicable to that patient.
(h) "Terminal" means a condition caused by
				injury, disease, or illness from which, to a reasonable degree of medical
				certainty:
(1) there can be no recovery;
				and
(2) progression to death can be
				anticipated as an eventual consequence of that condition.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 3 - Opioid Prescribing Requirements › Section 3-3 - Triggers for imposition of requirements; exemptions

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-22.5-13-3
Affected: IC 16-21; IC 16-25; IC 16-28; IC
				  25-1-9; IC 25-27.5
Sec. 3.
(a) This
				section and sections 4 through 9 of this rule establish requirements concerning
				the use of opioids for chronic pain management for patients.
(b) Notwithstanding subsection (a), this
				section and sections 4 through 9 of this rule shall not apply to the use of
				opioids for chronic pain management for the following:
(1) Patients with a terminal
				condition.
(2) Residents of a
				health facility licensed under IC 16-28.
(3) Patients enrolled in a hospice program
				licensed under IC 16-25.
(4)
				Patients enrolled in an inpatient or outpatient palliative care program of a
				hospital licensed under IC 16-21 or a hospice licensed under IC 16-25.
However, a period of time that a patient who was, but is no
				  longer, a resident or patient as described in subdivisions (2) through (4)
				  shall be included in the calculations under subsection (c).
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 3 - Opioid Prescribing Requirements › Section 3-4 - Evaluation and risk stratification by physician assistant

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-22.5-13-3
Affected: IC
				  25-1-9; IC 25-27.5
Sec. 4.
(a) The
				physician assistant shall do the physician assistant's own evaluation and risk
				stratification of the patient by doing the following in the initial evaluation
				of the patient:
(1) Performing an
				appropriately focused history and physical exam and obtain or order appropriate
				tests, as indicated.
(2) Making a
				diligent effort to obtain and review records from previous health care
				providers to supplement the physician assistant's understanding of the
				patient's chronic pain problem, including past treatments, and documenting this
				effort.
(3) Asking the patient to
				complete an objective pain assessment tool to document and better understand
				the patient's specific pain concerns.
(4) Assessing both the patient's mental
				health status and risk for substance abuse using available validated screening
				tools.
(5) After completing the
				initial evaluation, establishing a working diagnosis and tailoring a treatment
				plan to meaningful and functional goals, with the patient reviewing them from
				time to time.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 3 - Opioid Prescribing Requirements › Section 3-5 - Physician assistant discussion with patient; treatment agreement

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-22.5-13-3
Affected: IC
				  25-1-9; IC 25-27.5
Sec. 5.
The physician assistant shall discuss with the patient the
				  potential risks and benefits of opioid treatment for chronic pain, as well as
				  expectations related to prescription requests and proper medication use. In
				  doing so, the physician assistant shall do the following:
(1) Where alternative modalities to opioids
				for managing pain exist for a patient, discuss them with the patient.
(2) Provide a simple and clear explanation to
				help patients understand the key elements of their treatment plans.
(3) Counsel women between fourteen (14) and
				fifty-five (55) years of age with child bearing potential about the risks to
				the fetus when the mother has been taking opioids while pregnant. Such
				described risks shall include fetal opioid dependency and neonatal abstinence
				syndrome (NAS).
(4) Discuss with
				the patient risks of dependency and addiction.
(5) Discuss with the patient safe storage
				practices for prescribed opioids.
(6) Provide a written warning to the patient
				disclosing the risks associated with taking extended release medications that
				are not in an abuse deterrent form, if the physician assistant prescribes for
				the patient a hydrocodone-only extended release medication that is not in an
				abuse deterrent form.
(7) Discuss
				with the patient the risks and benefits of using an abuse deterrent
				formulation, as opposed to a non-abuse deterrent formulation, if such a
				formulation exists for the opioid product the physician assistant is
				prescribing to the patient. Nothing in this subdivision shall be construed to
				require a physician assistant to prescribe an opioid in an abuse deterrent
				formulation.
(8) Together with the
				patient, review and sign a "Treatment Agreement", which shall include at least
				the following:
(A) The goals of the
				treatment.
(B) The patient's
				consent to drug monitoring testing in circumstances where the physician
				assistant determines that drug monitoring testing is medically
				necessary.
(C) The physician
				assistant's prescribing policies, which must include at least a:
(i) requirement that the patient take the
				medication as prescribed; and
(ii)
				prohibition of sharing medication with other individuals.
(D) A requirement that the patient inform the
				physician assistant:
(i) about any other
				controlled substances prescribed or taken by the patient; and
(ii) if the patient drinks alcohol while
				taking opioids.
(E) The
				granting of permission to the physician assistant to conduct random pill
				counts.
(F) Reasons the opioid
				therapy may be changed or discontinued by the physician assistant. A copy of
				the treatment agreement shall be retained in the patient's
				chart.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 3 - Opioid Prescribing Requirements › Section 3-6 - Patient visits to physician assistant

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-22.5-13-3
Affected: IC
				  25-1-9; IC 25-27.5
Sec. 6.
(a) Physician
				assistants shall not prescribe opioids for patients without periodic scheduled
				visits. Visits for patients with a stable medication regimen and treatment plan
				shall occur face-to-face at least once every four (4) months. More frequent
				visits may be appropriate for patients working with the physician assistant to
				achieve optimal management. For patients requiring changes to the medication
				and treatment plan, if changes are prescribed by the physician assistant, the
				visits required by this subsection shall be scheduled at least once every two
				(2) months until the medication and treatment has been stabilized.
(b) During the visits required by subsection
				(a), the physician assistant shall evaluate patient progress and compliance
				with the patient's treatment plan regularly and set clear expectations along
				the way, such as attending physical therapy, counseling, or other treatment
				options.
Indiana Administrative Code › Title 844 - MEDICAL LICENSING BOARD OF INDIANA › Article 2.2 - PHYSICIAN ASSISTANTS › Rule 3 - Opioid Prescribing Requirements › Section 3-7 - INSPECT report

Current through July 10, 2024
Authority: IC
				  25-22.5-2-7; IC
				  25-22.5-13-3
Affected: IC
				  25-1-9; IC
				  25-26-24-19; IC 25-27.5
Sec. 7.
At the outset of an opioid treatment plan, and at least
				  annually thereafter, a physician assistant prescribing opioids for a patient
				  shall run an INSPECT report on that patient under IC
				  35-48-7-11.1(d)(4)
[IC
				  35-48-7 was repealed by
				  P.L.
				  51-2019,
				  SECTION
				  21, effective April 18, 2019. See IC
				  25-26-24-19.]
and
				  document in the patient's chart whether the INSPECT report is consistent with
				  the physician assistant's knowledge of the patient's controlled substance use
				  history.