reglab/statecodes huggingface dataset:
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 10.00 - UNIFORM STATE PLUMBING CODE › Section 10.12 - Indirect Waste Piping

Current through Register 1525, July 5, 2024
(1)
Indirect Wastes Required
.
(a)
Food and Beverage Handling
			 Establishments
.
1. Food and
			 beverage handling establishments engaged in the storage, preparation, selling,
			 serving, processing, or in any manner the handling of food shall provide
			 indirect waste piping for refrigerators, refrigerator coils, walk-in freezers
			 or coolers, ice compartments, ice making machines, steam kettles, steam tables,
			 potato peelers, egg boilers, coffee urns, coffee, soda and beverage trays and
			 all similar types of equipment.
2.
			 In establishments which serve soda and alcohol, individual sink compartments
			 which store ice shall discharge independently into a floor drain or floor
			 sink.
3. Dishwashing pre-rinse
			 sinks installed in combination with a commercial dishwasher, pot sinks,
			 scullery sinks, hand washing sinks and similar shall not be indirectly wasted
			 and shall be directly connected to the sanitary drainage system.
4. Single compartment sinks or individual
			 compartments of multi-bay sinks for culinary or produce shall be individually
			 discharged into a properly vented floor sink or floor drain. These compartments
			 shall be properly labeled for produce preparation using a laminated sign with
			 letters two inches in height that reads: "This Compartment ONLY Is Designated
			 for Produce Preparation."
See
10.12
: Example
			 1
10.12: Example 1 - Culinary Sink
Click to
				view image
5. All
			 indirect waste shall discharge either through an air gap or air-break into a
			 properly trapped and vented receptor.
See 10.12, Example 4
. An
			 air gap shall be required if the indirect waste pipe is under vacuum.
6.
Vacuum Systems for Food
			 Service Facilities
.
a. Vacuum
			 drainage systems shall be installed in accordance with the equipment
			 manufacturer's installation instructions or be designed by a Massachusetts
			 professional engineer, regardless of discipline.
b. Plastic pipe and fittings shall be allowed
			 within ten feet of the equipment or above the equipment being served prior to
			 transitioning to commercial materials.
See
10.12:
Example 2
.
10.12: Example 2 - Plastic with Vacuum
				Systems
Click to
				view image
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 10.00 - UNIFORM STATE PLUMBING CODE › Section 10.14 - Water Supply and the Distribution System

Current through Register 1525, July 5, 2024
(1)
General
. All water for human consumption shall comply
			 with the requirements of the Safe Water Drinking Act (SWDA),
			 42 U.S.C. §
									300f
et. seq
.
(a) NFPA 13D multipurpose residential fire
			 sprinkler systems which utilize potable cold- water piping as part of a fire
			 sprinkler protection system in one-and two-family dwellings shall comply with
			 the requirements of
			 248
			 CMR 10.14. Installation of these systems
			 includes the direct connection of sprinkler heads to potable water piping. When
			 installing said system, the plumber shall adhere to the design plans of a
			 Massachusetts professional engineer, who is responsible for ensuring the design
			 complies with 248 CMR and NFPA 13D (2022 edition), including the requirements
			 as to pipe sizing and dimensions to ensure the proper functioning of the system
			 as well as the safety of the consumers who will rely on that system.
(b)
Potable Water
			 Supply
.
1.
Buildings
.
a. Every
			 building used for human occupancy or habitation shall be provided with an
			 adequate supply of potable water.
b. Every building used for human occupancy or
			 habitation shall be provided with an adequate supply of hot water.
2.
Use of Non-potable
			 Water Prohibited
. Only potable water shall be accessible to
			 plumbing fixtures supplying water for:
a.
			 drinking;
b. bathing;
c. culinary use; or
d. the processing of food, medical or
			 pharmaceutical products.
(c)
Building Water
			 Piping
. The building water piping shall be of sufficient size to
			 furnish water to the building in the quantities required elsewhere in
			 248 CMR
			 10.00.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 10.00 - UNIFORM STATE PLUMBING CODE › Section 10.15 - Sanitary Drainage System

Current through Register 1525, July 5, 2024
(1)
Materials
. Pipe, tubing, fittings, and traps to be
			 used on any part of the sanitary drainage system in a building or adjacent to a
			 building shall comply with all relevant sections of
			 248 CMR
			 3.00 through
			 10.00.
(2)
Determining Size of Drainage
			 System
.
(a)
Fixture
			 Units for Drainage Piping
. The waste discharge calculations for
			 the drainage system piping shall be computed in terms of drainage fixture units
			 in accordance with
			 248
			 CMR 10.15:
Table 1
:
Fixture Unit Values for Various Plumbing Fixtures
and
			 248
			 CMR 10.15(2)(b).
(b)
Values for Continuous
			 Flow
. Fixture unit values for continuous or semi-continuous flow
			 into a building sanitary drainage system, such as from a waste pump, sewage
			 ejector pump, or similar device that discharges sewage waste shall be computed
			 on the basis of two fixture units for each gallon per minute of flow.
Exception
: Installation of ejector pumps installed in
			 compliance with 10.15(9):
Table 5
with a maximum of 20
			 GPM.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 10.00 - UNIFORM STATE PLUMBING CODE › Section 10.16 - Vents and Venting

Current through Register 1525, July 5, 2024
(1)
Prohibited Venting
.
(a)
Combination Waste and
			 Vent
. A combination waste and vent system shall be prohibited
			 without Special-permission by the Board and shall comply with the following:
1. A combination waste-and-vent system is
			 limited to the installation of floor drains and sinks.
2. A combination waste-and-vent system
			 consists of a wet vented installation of waste piping in which fixture drains
			 are not individually vented.
3.
			 Every drainage pipe in a combination waste-and-vent system shall be not less
			 than two pipe sizes larger than the size required in
			 248
			 CMR 10.15.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 10.00 - UNIFORM STATE PLUMBING CODE › Section 10.17 - Storm Drains

Current through Register 1525, July 5, 2024
(1)
Storm Water Drainage
. Any pipe receiving the discharge
			 from rain or surface water which at any point enters the building or structure
			 shall be considered storm water drainage piping including, but not limited to,
			 area drainage and clear water waste.
(2)
Storm Water Drainage to Sewer
			 Prohibited
. Storm water shall not be drained into sewers intended
			 for sewage only.
(3)
Size of Building Storm Drain
. The size of the building
			 storm drainage system including all horizontal branches shall be based upon the
			 maximum projected surface area to be handled according to
			 248
			 CMR 10.17(2):
Table
			 1
:
Size of Horizontal Storm Drains
.
Exception
: Siphonic Roof Drainage
				Systems.
(a) A Massachusetts
			 professional engineer is, per 248 CMR, responsible for the design of the
			 symphonic roof drainage system.
(b)
			 As part of the design process, the Massachusetts professional engineer shall be
			 responsible for assuring that the piping installation, including pipe sizing,
			 dimension, and other aspects, meet the requirements for proper functioning as
			 designed.
(c) The Local or State
			 plumbing Inspector shall be responsible for all other aspects of the
			 installation, as required by 248 CMR but is under no obligation to approve or
			 otherwise involve themselves in the design process or ensuring the System meets
			 the design specifications.
Table 1
Size of Horizontal Storm Drains
Diameter of Drain in
							 Inches
Maximum Projected Area for Storm
							 Drains of Various Slopes
1/8 Slope
¼ inch Slope
½ inch Slope
Square Feet
Square Feet
Square Feet
3
1,160
1,644
4
1,880
2,650
3,760
5
3,340
4,720
6,680
6
5,350
7,550
10,700
8
11,500
16,300
23,000
10
20,700
29,200
41,400
12
33,300
47,000
66,600
15
59,500
84,000
119,000
Note 1: Table is based upon a maximum rate of rainfall four
				inches per hour.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 10.00 - UNIFORM STATE PLUMBING CODE › Section 10.19 - Manufactured/Mobile Homes, Modular Homes, Construction and Temporary Use Trailers

Current through Register 1525, July 5, 2024
(1)
Manufactured/Mobile
			 Home
. Manufactured/Mobile home means a structure, transportable in
			 one or more sections, which in the traveling mode is eight body feet or more in
			 width or 40 body feet or more in length or which when erected on-site is 320 or
			 more square feet, and which is built on a permanent chassis and designed to be
			 used as a dwelling with or without a permanent foundation when connected to the
			 required utilities, and includes the plumbing, heating, air-conditioning, and
			 electrical systems contained in the structure.
(a)
Labeled
. When
			 referring to Manufactured/Mobile homes, labeled means a label, symbol or other
			 identifying mark of a nationally recognized testing laboratory, inspection
			 agency, or other organization concerned with product evaluation that maintains
			 periodic inspection of production of labeled equipment or materials, and by
			 whose labeling is indicated compliance with nationally recognized standards or
			 tests to determine suitable usage in a specified manner.
(b)
Inspections
.
			 Plumbing and gas inspections for installation of Manufactured/Mobile homes
			 shall be limited to connection of services to the existing structure.
(c)
Additions or
			 Renovations
. Additions and renovations made to the plumbing and/or
			 gas systems of such units shall be made in compliance with all provisions of
			 M.G.L. c. 142 and
			 248 CMR
			 3.00 through
			 10.00.
Exception
: Individual fixture
				replacements which do not create a nuisance that may involve health or safety
				hazards.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 10.00 - UNIFORM STATE PLUMBING CODE › Section 10.20 - Swimming Pools

Current through Register 1525, July 5, 2024
(1)
General
.
(a) All
			 swimming pools must be installed in full compliance with all provisions of
			 105 CMR
			 435.00:
Minimum Standards for Swimming Pools
			 (State Sanitary Code: Chapter V)
.
(b) The issuing of permits, payment of fees,
			 inspection, approval and installation of all swimming pools must also conform
			 to all provisions of
			 248 CMR
			 3.00 through
			 10.00.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 10.00 - UNIFORM STATE PLUMBING CODE › Section 10.21 - Vacuum Powered Sanitary Drainage Systems

Current through Register 1525, July 5, 2024
(1)
General
.
			 248
			 CMR 10.21 shall include all fixtures, piping,
			 connections, vacuum equipment, associated tanks and the method of receiving
			 discharge from or discharging to a conventional drainage system as regulated in
			 248
			 CMR 10.15.
(a) Vacuum drainage systems may be designed
			 by a Massachusetts professional engineer.
(b) Vacuum drainage systems shall be
			 installed in accordance with the equipment manufacturer's installation
			 instructions.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 10.00 - UNIFORM STATE PLUMBING CODE › Section 10.22 - Boiler Discharge to the Building Drainage System

Current through Register 1525, July 5, 2024
(1)
General
.
(a) Water entering the building drainage
			 system shall not exceed 150 °F.
(b) The pressure of boiler discharge into the
			 building drainage system shall not exceed five PSI.
(c) Steam discharge shall not be directly
			 connected to a building, drainage system but shall first pass through a proper
			 drain water tempering system or device.
(d) Potable water connection to blow-off tank
			 must be properly protected by a backflow preventer.
(e) Types of devices shall include, but not
			 be limited to, boiler blow-off tanks, automatic cooling facilities and drain
			 water tempering devices.
Figure 1: Illustration of Boiler Blow off Tank
Click to
				view image
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 11.00 - Education and Experience Standards and Requirements for Licensure › Section 11.01 - Scope and Application

Current through Register 1525, July 5, 2024
(1)
Scope
. The provisions of
			 248 CMR 11.00 govern the
			 educational and experience requirements for licensure as a journeyman plumber
			 or journeyman gas fitter, licensure as a master plumber or master gas fitter
			 and licensure as either an undiluted liquefied petroleum gas installer or
			 limited undiluted liquefied petroleum gas installer. In addition,
			 248 CMR 11.00 governs the
			 continuing education requirements for all licensed plumbers and gas fitters in
			 the Commonwealth. Finally, the provisions of
			 248 CMR 11.00 govern the
			 requirements for providers of plumbing and gas fitting primary and continuing
			 education.
(2)
Sections
			 Declared Independent
.
			 248 CMR
			 1.00 through
			 11.00 is hereby declared to
			 be an independent section and part of section and the holding of any section or
			 part of section to be void and ineffective for any cause shall not be deemed to
			 affect any other section or part of section.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 11.00 - Education and Experience Standards and Requirements for Licensure › Section 11.03 - Application Requirements and Examination Administration

Current through Register 1525, July 5, 2024
(1)
Application
			 Materials
. It is the responsibility of the applicant for
			 examination to make certain that all the required application documents and
			 required supplementary documents demonstrating completion of experience and
			 education requirements are completed before they are submitted for approval.
(a) Applications which are not complete, not
			 legible, or are not accompanied by the required documentation, information and
			 fee(s) shall not be accepted and shall be returned to the applicant.
(b)
Veterans
.
			 Qualified applicants for examination who are Veterans when making application
			 for examination shall file a copy of their DD-214 Discharge Papers/Separation
			 Papers. The DD-214 shall include the date of induction into active service and
			 date of separation. The Board shall grant a qualified applicant who is a
			 veteran as defined in M.G.L. c. 4, § 7, Forty-third clause a credit of 5%
			 of the examination as described in M.G.L. c. 142, § 4.
(c) Board approval of an applicant to take an
			 examination shall be valid for a period of one year. Upon the expiration of one
			 year, an applicant may be required to submit additional or updated application
			 materials in order to take the examination.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 11.00 - Education and Experience Standards and Requirements for Licensure › Section 11.04 - Mandatory Continuing Education (MCE) Requirements for Master and Journeymen Plumbers, Master and Journeyman Gasfitters and for Undiluted Liquefied Petroleum Gas Installers

Current through Register 1525, July 5, 2024
(1)
General Continuing Education Provisions
.
(a) All Massachusetts licensed plumbers,
			 gasfitters, and undiluted liquefied petroleum gas installers, shall, during
			 every two year license cycle, complete a course of continuing education without
			 repetition. Apprentices shall not be required to complete continuing
			 education.
(b) Continuing education
			 policies, procedures, course content, and providers are subject to Board
			 approval and must adhere to Board rules, regulations and policies. Continuing
			 education courses shall focus on 248 CMR. In addition, the Board may approve
			 continuing education courses that may include industry related business, law,
			 technology or other subject matters.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 11.00 - Education and Experience Standards and Requirements for Licensure › Section 11.05 - Qualifications and Requirements for Mandatory Continuing Education Providers and Instructors

Current through Register 1525, July 5, 2024
(1)
Qualifications and Requirements for Mandatory Continuing Education
			 Providers
.
(a) A Provider of
			 Mandatory Continuing Education seminars or courses may include:
1. vocational schools;
2. association-sponsored programs;
3. labor training programs;
4. employer training programs;
5. private program.
Code of Massachusetts Regulations › 248 CMR - BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS › Title 248 CMR 11.00 - Education and Experience Standards and Requirements for Licensure › Section 11.06 - Education Hour and Course Content Requirements

Current through Register 1525, July 5, 2024
(1)
Board Certification
			 Required
.
(a) All Public,
			 Private, Proprietary, Occupational Trade Schools, College/University programs,
			 or other educational programs must be certified by the Board in order to
			 qualify for credit towards a Board issued license.
(b) Educational Programs not certified by the
			 Board shall not be granted any credit towards licensure unless the Board deems,
			 in its discretion, that there was good cause for the program's failure to
			 obtain certification.
(c) All
			 educational programs certified by the Board must divide the education provided
			 into Tiers as described in
			 248 CMR 11.00.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 2.00 - General Provisions › Section 2.01 - Purpose

Current through Register 1525, July 5, 2024
The purpose of 249 CMR 2.00 through 7.00 is to prescribe substantive standards governing the practice of podiatric medicine
,
such as criteria for medical necessity and documentation guidelines which will promote the public health, welfare and safety, and inform podiatrists of the Board's expectations and requirements. The Board presumes that every podiatrist in the Commonwealth has notice of 249 CMR and expects that he or she will practice podiatric medicine in accordance with them.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 2.00 - General Provisions › Section 2.02 - Definitions

Current through Register 1525, July 5, 2024
For the purpose of 249 CMR, the terms listed in 249 CMR 2.02 have the following meanings:
Adjudicatory Hearing
means a hearing conducted in accordance with M.G.L. c. 30A and 801 CMR 1.00:
Standard Adjudicatory Rules of Practice and Procedure
.
APMA
means American Podiatric Medical Association.
Board
means the Board of Registration in Podiatry, established by M.G.L. c. 13, § 12A.
CME
means continuing medical education.
Health Care Facility
means a hospital or other institution of the Commonwealth, or of a county or of a municipality within it, and a hospital or clinic duly licensed or approved by the Department of Public Health.
License
means a certificate of registration which the Board issues to a person pursuant to the requirements of M.G.L. c. 112, § 16, and which authorizes the person to engage in the practice of podiatric medicine. There are three categories of license: full, limited and temporary. A full license entitles a licensee to practice podiatric medicine as an independent practitioner free from specific limitations in his or her practice except as otherwise provided by law. Any other category of license limits a licensee's practice according to the provisions of M.G.L. c. 112, §§ 16A, 16B and 16C.
Practice of Podiatry
means the following conduct: the maintenance of human podiatric health by the prevention, alleviation or cure of disorders, injuries or disease of the human foot and ankle by medical, mechanical, surgical, manipulative and electrical means, and the prescription and administration of drugs for the relief of disease or adverse physical podiatric conditions
.
The scope of practice of podiatry includes resections of the foot; as well as surgical procedures involving the ankle joint. In the course of treating the human foot or ankle, a registered podiatrist may perform an Achilles tendon lengthening and he or she may also perform tendon transfers that require incisions into the lower leg. The scope of practice of podiatry includes the diagnosis of systemic diseases.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 2.00 - General Provisions › Section 2.03 - Availability of Forms

Current through Register 1525, July 5, 2024
The Board will make available upon request any forms prepared in accordance with 249 CMR 2.00. Only those forms authorized by the Board shall be submitted. Forms approved and recommended by the Board for the documentation of podiatry services rendered will be made available to each licensee for use in documenting podiatry care.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 2.00 - General Provisions › Section 2.04 - Computation of Time

Current through Register 1525, July 5, 2024
Any period of time specified in 249 CMR 2.00 includes every calendar day, whether or not the office of the Board is open that day, except that, when the last day of the period falls on a day when the Board's office is closed, the period ends instead on the next day on which the office is open.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 2.00 - General Provisions › Section 2.05 - Submission of Papers and Documents

Current through Register 1525, July 5, 2024
The Board will accept an affidavit in
lieu
of original documents only in extraordinary circumstances and only in the Board's discretion. A person who wishes to submit an original document or photocopy written in a foreign language must also submit a notarized translation into English of the documents or copy prepared by a translation service approved by the Board.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 3.00 - Application and Licensure › Section 3.01 - Forms of and Requirements for Licensure

Current through Register 1525, July 5, 2024
(1)
Licensure by Examination
.
(a) An applicant must submit a completed
			 application to the Board. An application shall include verification of
			 graduation from an approved college of podiatric medicine and the original
			 results of the applicant's American Podiatric Medical Licensing Examination,
			 administered by the National Board of Podiatric Medical Examiners.
(b) An applicant shall present to the Board
			 satisfactory proof that he or she has served and satisfactorily completed a
			 residency, of at least one year in duration, in a duly-licensed clinic,
			 hospital, institution, facility or program approved by the Board. In lieu of a
			 residency, the Board will accept a preceptorship program if the following
			 conditions are satisfied:
1. The Board has
			 reviewed and approved the preceptorship program.
2. The applicant may be required to submit a
			 log of duties and responsibilities, including surgical cases, general work and
			 educational courses, during the preceptorship.
3. The preceptorship is at least one year in
			 duration.
The Board may waive the residency requirements in
				249
				CMR 3.01(1)(b) and (2) for
				an applicant who submits documentation sufficient to demonstrate, to the
				Board's satisfaction, that the applicant was licensed in another state prior to
				1995 and that the other state did not require residency or preceptorship on the
				date the applicant was licensed.
(c) The applicant must submit three original
			 letters attesting to the applicant's good moral character from individuals who
			 have known the applicant for at least three years. None of these individuals
			 may be a relative of the applicant.
(d) The applicant must pass Part I and Part
			 II of the American Podiatric Medical Licensing Examination (the APMLE) and Part
			 III (formerly known as the PMLexis examination), or other equivalent
			 examinations approved by the Board, and pass the Massachusetts Jurisprudence
			 Examination.
(e) The Board may
			 conduct a personal interview before a licensure application is
			 approved.
(f) An applicant who
			 fails the licensure examination may be re-examined, upon payment of the
			 required fee, at a time and place designated by the Board.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 3.00 - Application and Licensure › Section 3.02 - Denial of Licensure

Current through Register 1525, July 5, 2024
The Board may deny an application for a license or renewal of a
				license if it determines that the applicant lacks good moral character or is
				otherwise not qualified for licensure.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 3.00 - Application and Licensure › Section 3.03 - Fees

Current through Register 1525, July 5, 2024
(1) The Secretary of the Executive Office of
			 Administration and Finance has set a fee schedule, which may be revised from
			 time to time, for all documents processed by the Board.
(2) If an applicant submits an application
			 which is processed by the Board and the applicant subsequently withdraws the
			 application, the application fee is forfeited. In addition, any applicant
			 failing to appear for a scheduled examination forfeits the application
			 fee.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 3.00 - Application and Licensure › Section 3.04 - Requirements for Renewal and Reinstatement of a License

Current through Register 1525, July 5, 2024
(1)
Renewal
.
			 Pursuant to M.G.L. c. 112, § 16, a licensee must annually renew a license
			 obtained by examination or reciprocity. In order to renew a license the
			 following requirements must be met:
(a) A
			 licensee must submit to the Board a completed renewal application form
			 demonstrating that he or she meets the statutory and regulatory requirements
			 for renewal and the proper fee prior to the renewal date; and
(b) A licensee must provide proof of
			 fulfillment of his or her continuing podiatric medical education requirement as
			 described in
			 249
			 CMR 3.05 or obtain a waiver from the Board
			 pursuant to
			 249
			 CMR 3.05(1).
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 4.00 - Practice of Podiatric Medicine › Section 4.01 - Role of the Podiatrist

Current through Register 1525, July 5, 2024
In the provision of podiatric care, the podiatrist examines,
				diagnoses and treats or prescribes course of treatment for patients with
				disorders, diseases or injuries of the foot and ankle; interviews patients and
				writes case histories to determine previous ailments, complaints and areas of
				investigation; examines footwear to determine proper fit, evidence of proper
				gait, and corrective care or treatment required; conducts complete physical
				examinations of the foot and ankle, including tissue, bone and muscular
				structure with emphasis on the relationship to diabetes, peripheral vascular
				disease and pathomechanical disease; make systemic as well as lower extremity
				diagnoses; conducts physical examination of any and all other areas of the body
				evidencing symptoms or conditions potentially contributing to disorders,
				diseases, injuries or symptoms of the foot; supplements examination by ordering
				or performing various laboratory tests, analyses and diagnostic procedures,
				including X-rays, which may be taken by the podiatry assistant under the
				registered podiatrist's supervision; interprets laboratory results and
				evaluates examination findings; refers patients to, or consults with, other
				physicians for further case diagnoses or treatment; administers treatment to
				eliminate lesions, infections, contagious diseases affecting the foot and ankle
				and other symptomatic conditions of the foot and ankle causing pain or
				affecting ambulation; performs appropriate therapeutic surgical procedures;
				prescribes appropriate medication; instructs nurses and other assistants in
				treatment and care of patients; prescribes and supervises construction and
				maintenance of orthotic foot devices and fabricates special appliances to foot
				or in footgear to meet the needs of individual patients; applies appliances to
				foot or in footwear; initiates other podiatric procedures or services and
				advises patients on proper care of feet and nail prophylaxis; reviews and
				studies case history and progress of patient; consults with surgeons and
				residents in establishing a therapeutic program for the patient; records data
				or case history on medical records; and advises on kind and quality of
				podiatric medical supplies and equipment required.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 4.00 - Practice of Podiatric Medicine › Section 4.02 - Drug Dispensing and Prescribing

Current through Register 1525, July 5, 2024
In accordance with M.G.L. c. 94C, a podiatrist has the same
				rights in possessing, administering, dispensing and prescribing drugs as other
				practitioners and may prescribe, dispense and administer all reasonable
				substances which shall include, but not be limited to, all prescription drugs
				and controlled substances; or he or she may cause the same to be administered
				under his or her direction by a nurse.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 4.00 - Practice of Podiatric Medicine › Section 4.03 - Practice of Podiatric Medicine by Podiatric Medical Students

Current through Register 1525, July 5, 2024
(1) A licensee may permit a podiatric medical
			 student to practice podiatric medicine subject to the provisions of M.G.L. c.
			 112, § 16A and B. The licensee's supervision of the podiatric medical
			 student's activities must include the following requirements:
(a) The podiatric medical student must be
			 identified to a patient as a podiatric medical student and each patient must be
			 informed that the patient has a right to refuse examination or treatment by the
			 podiatric medical student.
(b) The
			 licensee must assure that the podiatric medical student practices podiatric
			 medicine in accordance with acceptable podiatric medical standards of
			 care.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 4.00 - Practice of Podiatric Medicine › Section 4.04 - The Podiatric Medical Record

Current through Register 1525, July 5, 2024
The purpose of the podiatric medical record is to provide
				information to aid the registered podiatrist in the treatment of the patient.
				The licensee's medical record is not written for the purpose of third party
				payment review and should not be relied upon as a basis for a third party
				payor's denial of payment or as a basis for a third party payor's
				determinations regarding the medical necessity of services rendered. The record
				shall contain a record of significant treatment provided and findings made by
				the podiatrist. Should a third party payor require information regarding a
				patient's podiatric past or present needs beyond what is found in the medical
				record, the licensee may provide a brief written summary regarding that patient
				within 45 days of receiving that request in writing from the third party payor
				provided that no third party payor request more than 12 summaries in any one
				calendar year.
The licensee shall not be held responsible for the maintenance
				of any patient record(s) at a nursing home facility, hospital or any other
				location other than the licensee's own office.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 4.00 - Practice of Podiatric Medicine › Section 4.05 - Documentation Guidelines and Medical Necessity

Current through Register 1525, July 5, 2024
(1) The
			 Board shall set standards for the documentation of podiatric medical care and
			 may make suggested documentation forms available to licensees. Documentation
			 should be limited to that necessary for appropriate patient care in order to
			 maximize the podiatrist's opportunity to provide direct patient care.
(2) A registered podiatrist shall determine
			 the podiatric medical necessity of podiatric services. He or she shall follow
			 guidelines established by the Board regarding the issue of medical necessity.
			 The podiatric medical record shall not be the sole source of this determination
			 but the podiatrist may also rely on other sources including, but not limited
			 to, records of other professionals.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 4.00 - Practice of Podiatric Medicine › Section 4.06 - Proper Foot Care in a Skilled Nursing Home Facility

Current through Register 1525, July 5, 2024
(1)
Independent Practice in
			 Nursing Home
. A podiatrist attending patients in a skilled nursing
			 home facility acts independently and is not under the supervision or control of
			 any person employed by or practicing nursing or medicine at the nursing home
			 facility. A licensed podiatrist is not required to obtain the approval or
			 authorization of another physician or any other person before providing
			 podiatry services in a skilled nursing home except from the patient or the
			 patient's guardian who may request or refuse a podiatrist's services at any
			 time. The direction and performance of a patient's podiatric care shall not
			 fall within the purview of the nursing or medical staff at any level of the
			 nursing home facility.
(2)
Patient Evaluation
. A patient evaluation and
			 management service, with treatment plan, detailing the type of care as well as
			 its frequency, should be prescribed exclusively by the attending podiatrist.
			 This is particularly appropriate for patients who will be receiving palliative
			 foot care on a regular basis. [Board Form PD 1102 is approved and recommended
			 for this service.] A reevaluation should be performed and treatment plan
			 prescribed by the attending podiatrist approximately every 12 months or however
			 often it is deemed necessary by the attending podiatrist for patients who
			 receive palliative care.
(3)
			 Documentation of palliation (trimming of nail and calvi) as well as treatment
			 for onychomycosis, onychogryphosis and onychauxia should be minimized so as to
			 allow the podiatrist the maximum opportunity to provide direct patient care.
			 [Board Form PD1101 is approved and recommended for these services.]
(4) A patient who demonstrates any level of
			 vascular insufficiency diagnosed by the attending podiatrist shall receive
			 palliative foot care approximately every 60 days or however frequently the
			 attending podiatrist deems that this service may be medically necessary. The
			 podiatrist is the arbiter of podiatric medical necessity.
(5) A patient evaluation should be performed
			 and treatment plan prescribed by the attending podiatrist at least every 12
			 months or more often if necessary. [Board Form PD1102 is approved and
			 recommended for this evaluation and management service.]
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 4.00 - Practice of Podiatric Medicine › Section 4.07 - Initial Patient History and Examination

Current through Register 1525, July 5, 2024
(1) A
			 registered podiatrist shall perform any and all patient examinations, including
			 complete examinations, that are necessary for the effective identification and
			 treatment of disorders, diseases, injuries or symptoms of the foot and ankle.
			 Complete examinations, which are often necessary for the identification and
			 assessment of systemic and localized conditions contributing to or causing
			 disorders, diseases, injuries or symptoms of the foot and ankle, may encompass
			 the evaluation of all organ systems or body parts.
(2) A registered podiatrist shall order the
			 performance of any test or study necessary to establish a proper diagnosis. The
			 level and comprehensiveness of the examination performed shall be determined by
			 the attending podiatrist.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 4.00 - Practice of Podiatric Medicine › Section 4.08 - General Anesthesia

Current through Register 1525, July 5, 2024
A licensee may perform surgery or treatment as set forth in
				M.G.L. c. 112, § 13 upon the human foot and ankle of a patient who is
				under anesthesia which is not local, provided that the anesthetic is
				administered by or under the direction of a qualified
				anesthesiologist.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 4.00 - Practice of Podiatric Medicine › Section 4.09 - Nitrous-oxide-oxygen Analgesia

Current through Register 1525, July 5, 2024
A licensee may employ nitrous-oxide-oxygen analgesia in the
				practice of podiatric medicine; provided however, that the quantity of
				nitrous-oxide-oxygen administered does not produce loss of consciousness of the
				patient.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 5.00 - Ethical Standards And Professional Conduct › Section 5.01 - Requirement to Respond to Board

Current through Register 1525, July 5, 2024
A licensee shall respond within 30 days to a written communication from the Board or its designee and shall make available to the Board any relevant and authorized records with respect to an inquiry or complaint about the licensee's professional conduct. The 30-day period commences on the date the Board sends the communication by registered or certified mail with return receipt requested to the licensee's last known address. It is the responsibility of the licensee to notify the Board, in writing, of any change of his or her mailing address.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 5.00 - Ethical Standards And Professional Conduct › Section 5.03 - Grounds for Disciplinary Action

Current through Register 1525, July 5, 2024
The Board may impose discipline on a licensee if it is determined, after a consent agreement between the parties or an opportunity for an adjudicatory proceeding in accordance with M.G.L. c. 30A and 801 CMR 1.00:
Standard Adjudicatory Rules of Practice and Procedure
that such licensee has:
(a) Engaged in conduct which constitutes willful or negligent failure to comply with substantial provisions of federal, state, or local laws, rules or regulations governing the practice of Podiatric Medicine;
(b) Been convicted of a crime involving moral turpitude;
(c) Practiced while under the influence of alcoholic beverages or narcotic drugs;
(d) Engaged in unprofessional conduct;
(e) Engaged in conduct in the practice of Podiatric Medicine which evidences moral unfitness to practice the profession;
(f) Engaged in deceit, malpractice and/or gross misconduct in the practice of podiatry;
(g) Engaged in any act or acts constituting gross incompetence in the practice of podiatry.
(h) Failed to report to the Board in writing any of the following within 30 days of the finalization of action:
1. Disciplinary action by a state licensing board in another jurisdiction;
2. The denial, suspension, or revocation of staff privileges, employment, or appointment in a hospital or other health care institution;
3. Resignation from a medical staff in
lieu
of disciplinary action;
4. Disciplinary action taken by any governmental authority, health care facility, and/or professional medical association;
5. Having been a criminal defendant in any criminal proceeding other than minor traffic offenses;
6. Findings being made against the licensee in connection with a medical malpractice proceeding or settlement in a medical malpractice proceeding; and
7. Suspension, revocation, restriction of, or surrender of a privilege to possess, dispense, or prescribe controlled substances.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 5.00 - Ethical Standards And Professional Conduct › Section 5.04 - Gross Misconduct and Deceit

Current through Register 1525, July 5, 2024
Gross misconduct and/or deceit in violation of M.G.L. c. 112, § 61 may include, but not be limited to, the following acts:
(a) Making false statements to the Board; or any attempt to deceive, or attempt to make misrepresentations to the Board;
(b) Failure to provide documentation for care rendered in a facility; or
(c) Filing documentation with third parties which is not substantiated by patient histories and/or field.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 5.00 - Ethical Standards And Professional Conduct › Section 5.05 - Podiatrist's Responsibility to the Patient

Current through Register 1525, July 5, 2024
(1) A licensee shall maintain a podiatric record for each of his or her office patient(s) only, which is adequate to enable the licensee to provide proper diagnosis and treatment. A licensee must maintain a patient's podiatric medical record for five years from the date of the last visit provided that the patient was seen in the podiatrist's office. In
lieu
of maintaining the patient's records, the podiatrist may choose to turn over the office chart or a copy of the original chart to the patient. A registered podiatrist is not responsible for any patient records of any kind if the patient was not seen in the podiatrist's office.
(2) A licensee shall provide a patient or, upon patient's request, another licensee or another specifically authorized person, with the following, provided that the entire chart or a copy of the entire chart has not already been surrendered to the patient:
(a) A summary which includes all relevant data, of that portion of the patient's podiatric medical record which is in the licensee's possession, or a copy of that portion of the patient's entire podiatric medical record which is in the licensee's possession. It is within the licensee's discretion to determine whether to make available a summary or a copy of the entire podiatric medical record.
(b) A copy of any previously completed report required for third party reimbursement.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 6.00 - Administrative Duties Of The Board › Section 6.01 - Approval of Health Care Facility Affiliations

Current through Register 1525, July 5, 2024
The Board must approve by a majority vote affiliations between health care facilities and podiatric medical training programs. In order to approve an affiliation, the Board must determine, among other things, that the supervision available for training purposes is adequate.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 6.00 - Administrative Duties Of The Board › Section 6.02 - Investigator's Duties

Current through Register 1525, July 5, 2024
It shall be the duty of the Board's investigator upon proper written notice, to visit from time to time, the offices of registered, licensed podiatrists to observe if the offices are maintained in a clean and sanitary manner. The investigator shall investigate complaints and obtain other information as directed by the Board.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 6.00 - Administrative Duties Of The Board › Section 6.03 - Board Approval of Colleges of Podiatric Medicine

Current through Register 1525, July 5, 2024
The Board may establish standards for colleges of podiatric medicine. The Board shall issue a certificate of approval to those colleges of podiatric medicine which have been accredited by the Council on Pediatric Medical Education and shall review such approval in accordance with the M.G.L. c. 112, § 16.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 6.00 - Administrative Duties Of The Board › Section 6.04 - Discipline

Current through Register 1525, July 5, 2024
(1) The Board may, after written notice and hearing, take disciplinary action against the license of a registered podiatrist for violation of any provision in M.G.L. c. 112, §§ 13 through 22, and §§ 61 through 65B or 249 CMR.
(2) The Board may impose civil administrative penalties against individuals engaged in the practice of podiatry without a license pursuant to M.G.L. c. 112, § 65A.
(3) Nothing in 249 CMR 6.04 shall be interpreted to prohibit the Board from taking any other action permitted by law.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 7.00 - Insurance Requirements For Limited Liability Corporations And Limited Liability Partnerships › Section 7.01 - Liability Insurance Requirements for Limited Liability Corporations and Limited Liability Partnerships

Current through Register 1525, July 5, 2024
(1) A limited liability company and a limited liability partnership which owns or operates any facility or business which provide spodiatric services shall maintain professional liability insurance which meets the minimum standards of 249 CMR 7.00.
(2) The insurance shall cover negligence, wrongful acts, errors and omissions and insure the LLC and its officers or the LLP and its partners as required by M.G.L. c. 156C, § 65 and M.G.L. c. 108A, § 45(8)(a), respectively.
(3) For each claim concerning an LLC, the minimum insurance coverage shall be either:
(a) in an amount of at least $50,000.00 multiplied by the number of individual licensees employed by or who are officers of the LLC; or
(b) in an aggregate amount of at least $150,000.00 multiplied by the number of individual licensees employed by or who are officers of the LLC.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 7.00 - Insurance Requirements For Limited Liability Corporations And Limited Liability Partnerships › Section 7.02 - Cancellation of Insurance

Current through Register 1525, July 5, 2024
(1) Cancellation or any other interruption in required insurance coverage shall require an LLC or LLP to immediately cease the practice of podiatry until such time as the LLC or LLP is in compliance with 249 CMR 7.02.
(2) An LLC or LLP must notify the Board within five business days if its insurance coverage is cancelled or otherwise interrupted. Failure to provide the required notice to the Board will subject to disciplinary action pursuant to M.G.L. c. 112, §§ 12 and 19 licensees who are officers of the LLC or are partners of the LLP.
Code of Massachusetts Regulations › 249 CMR - BOARD OF REGISTRATION IN PODIATRY › Title 249 CMR 7.00 - Insurance Requirements For Limited Liability Corporations And Limited Liability Partnerships › Section 7.03 - Verification of Insurance

Current through Register 1525, July 5, 2024
An officer of an LLC or a partner of an LLP may be required to provide verification of compliance with 249 CMR 7.03 to the Board when he or she seeks initial licensure, renewal of a license or at any other time as requested by the Board.