SENATE BILL NO. 548 April 28, 1999, Introduced by Senator EMMONS and referred to the Committee on Economic Development, International Trade and Regulatory Affairs. A bill to amend 1978 PA 368, entitled "Public health code," by amending section 16263 (MCL 333.16263), as amended by 1995 PA 126, and by adding section 16348a and part 187. THE PEOPLE OF THE STATE OF MICHIGAN ENACT: 1 Sec. 16263. (1) Except as provided in subsection (2), the 2 following words, titles, or letters or a combinationthereofOF 3 THEM, with or without qualifying words or phrases, are restricted 4 in use only to those persons authorized under this article to use 5 the terms and in a way prescribed in this article: 6 (a) "Chiropractic", "doctor of chiropractic", 7 "chiropractor", "d.c.", and "chiropractic physician". 8 (b) "Dentist", "doctor of dental surgery", "oral and 9 maxillofacial surgeon", "orthodontist", "prosthodontist", 10 "periodontist", "endodontist", "oral pathologist", "pediatric 01617'99 CPD 2 1 dentist", "dental hygienist", "registered dental hygienist", 2 "dental assistant", "registered dental assistant", "R.D.A.", 3 "d.d.s.", "d.m.d.", and "r.d.h.". 4 (c) "Doctor of medicine" and "m.d.". 5 (d) "Physician's assistant" and "p.a.". 6 (e) "Registered professional nurse", "registered nurse", 7 "r.n.", "licensed practical nurse", "l.p.n.", "nurse midwife", 8 "nurse anesthetist", "nurse practitioner", "trained attendant", 9 and "t.a.". 10 (f) "Doctor of optometry", "optometrist", and "o.d.". 11 (g) "Osteopath", "osteopathy", "osteopathic practitioner", 12 "doctor of osteopathy", "diplomate in osteopathy", and "d.o.". 13 (h) "Pharmacy", "pharmacist", "apothecary", "drugstore", 14 "druggist", "medicine store", "prescriptions", and "r.ph.". 15 (i) "Physical therapy", "physical therapist", 16 "physiotherapist", "registered physical therapist", "licensed 17 physical therapist", "physical therapy technician", "p.t.", 18 "r.p.t.", "l.p.t.", and "p.t.t.". 19 (j) "Chiropodist", "chiropody", "chiropodical", "podiatry", 20 "podiatrist", "podiatric", "doctor of podiatric medicine", "foot 21 specialist", "podiatric physician and surgeon", and "d.p.m.". 22 (k) "Consulting psychologist", "psychologist", 23 "psychological assistant",and"psychological examiner", 24 "licensed psychologist", and "limited licensed psychologist". 25 (l) "Licensed professional counselor", "licensed counselor", 26 "professional counselor", and "l.p.c.". 01617'99 3 1 (m) "Sanitarian", "registered sanitarian", and "r.s.". 2 (n) "Veterinary", "veterinarian", "veterinary doctor", 3 "veterinary surgeon", "doctor of veterinary medicine", "v.m.d.", 4 "d.v.m.", "animal technician", or "animal technologist". 5 (o) "Occupational therapist", "occupational therapist 6 registered", "certified occupational therapist", "o.t.", 7 "o.t.r.", "c.o.t.", "certified occupational therapy assistant", 8 "occupational therapy assistant", or "c.o.t.a.". 9 (p) "Marriage advisor" or "marriage consultant"; "family 10 counselor", "family advisor", "family therapist", or "family 11 consultant"; "family guidance counselor", "family guidance 12 advisor", or "family guidance consultant"; "marriage guidance 13 counselor", "marriage guidance advisor", or "marriage guidance 14 consultant"; "family relations counselor"; "marriage relations 15 counselor", "marriage relations advisor", or "marriage relations 16 consultant"; "marital counselor" or "marital therapist"; "limited 17 licensed marriage and family therapist" or "limited licensed mar- 18 riage counselor"; "licensed marriage and family therapist" or 19 "licensed marriage counselor"; and "l.m.f.t.". 20 (R) "THERAPEUTIC RECREATOR", "T.R.", "REGISTERED THERAPEUTIC 21 RECREATION SPECIALIST", "R.T.R.S.", "RECREATION THERAPIST", 22 "R.T.", "RECREATIONAL THERAPIST", "CERTIFIED RECREATION 23 THERAPIST", "C.R.T.", "THERAPEUTIC RECREATION SPECIALIST", AND 24 "T.R.S.". 25 (2) Notwithstanding section 16261, a person who was spe- 26 cially trained at an institution of higher education in this 27 state to assist a physician in the field of orthopedics and upon 01617'99 4 1 completion of training, received a 2-year associate of science 2 degree as an orthopedic physician's assistant before January 1, 3 1977, may use the title "orthopedic physician's assistant" 4 whether or not the person is licensed under this article. 5 SEC. 16348A. FEES FOR A PERSON REGISTERED OR SEEKING REGIS- 6 TRATION AS A REGISTERED THERAPEUTIC RECREATION SPECIALIST UNDER 7 PART 187 ARE AS FOLLOWS: 8 (A) APPLICATION PROCESSING FEES.............. $ 20.00 9 (B) REGISTRATION FEE, PER YEAR............... 60.00 10 PART 187. RECREATIONAL THERAPY 11 SEC. 18701. (1) AS USED IN THIS PART: 12 (A) "RECREATION SERVICES" MEANS THE SPECIFIC USE OF SERVICES 13 DESIGNED TO PROVIDE RESOURCES AND OPPORTUNITIES TO IMPROVE HEALTH 14 AND WELL-BEING THROUGH RECREATION INTERVENTION. 15 (B) "RECREATION THERAPIST" MEANS AN INDIVIDUAL WHO, UNDER 16 THE SUPERVISION AND DIRECTION OF A LICENSED ALLOPATHIC OR OSTEO- 17 PATHIC PHYSICIAN, IS RESPONSIBLE FOR PROVIDING RECREATION SERV- 18 ICES TO AN INDIVIDUAL WITH A DISABLING CONDITION AS DIAGNOSED BY 19 A LICENSED ALLOPATHIC OR OSTEOPATHIC PHYSICIAN, AND WHO IS REGIS- 20 TERED UNDER THIS ARTICLE AS A RECREATION THERAPIST. 21 (2) IN ADDITION TO THE DEFINITIONS IN THIS PART, ARTICLE 1 22 CONTAINS GENERAL DEFINITIONS AND PRINCIPLES OF CONSTRUCTION 23 APPLICABLE TO ALL ARTICLES IN THIS CODE AND PART 161 CONTAINS 24 DEFINITIONS APPLICABLE TO THIS PART. 25 SEC. 18703. BEGINNING ON THE EFFECTIVE DATE OF THIS PART, 26 AN INDIVIDUAL SHALL NOT USE THE TITLES "THERAPEUTIC RECREATOR", 27 "T.R.", "REGISTERED THERAPEUTIC RECREATION SPECIALIST", 01617'99 5 1 "R.T.R.S.", "RECREATION THERAPIST", "R.T.", "RECREATIONAL 2 THERAPIST", "CERTIFIED RECREATION THERAPIST", "C.R.T.", 3 "THERAPEUTIC RECREATION SPECIALIST", "T.R.S.", OR SIMILAR WORDS 4 THAT INDICATE THAT THE PERSON IS A REGISTERED THERAPEUTIC RECRE- 5 ATION PROFESSIONAL UNLESS THE PERSON IS REGISTERED UNDER THIS 6 ARTICLE. 7 SEC. 18705. THE PROFESSIONAL STANDARDS ISSUED BY THE 8 AMERICAN THERAPEUTIC RECREATION ASSOCIATION ENTITLED "STANDARDS 9 FOR THE PRACTICE OF THERAPEUTIC RECREATION", PUBLISHED IN 1992 BY 10 THE AMERICAN THERAPEUTIC RECREATION ASSOCIATION, P.O. BOX 15125, 11 HATTIESBURG, MS 39402-5215, ARE INCORPORATED BY REFERENCE FOR 12 GUIDANCE IN ANY ACTION BY THE DEPARTMENT WHILE SERVING THE FUNC- 13 TION OF A BOARD FOR PURPOSES OF THIS PART. THE DEPARTMENT MAY 14 AMEND OR SUPPLEMENT THE STANDARDS ADOPTED PURSUANT TO THIS SEC- 15 TION BY PROMULGATION OF A RULE. 16 SEC. 18707. (1) THE DEPARTMENT SHALL ISSUE A REGISTRATION 17 AS A RECREATION THERAPIST TO AN INDIVIDUAL WHO MEETS ALL OF THE 18 FOLLOWING REQUIREMENTS: 19 (A) APPLIES TO THE DEPARTMENT ON A FORM PROVIDED BY THE 20 DEPARTMENT. 21 (B) PASSES AN EXAMINATION ACCEPTED BY THE DEPARTMENT. 22 (C) IS OF GOOD MORAL CHARACTER. 23 (D) FULFILLS THE EDUCATION REQUIREMENTS DESCRIBED IN EITHER 24 SUBSECTION (2) OR (3) AND THE APPLICABLE TRAINING REQUIREMENTS OF 25 SUBSECTION (4). 26 (E) MEETS ANY OTHER REQUIREMENTS ESTABLISHED IN RULES THAT 27 THE DEPARTMENT MAY PROMULGATE. 01617'99 6 1 (2) AN INDIVIDUAL MAY SATISFY THE EDUCATION REQUIREMENTS 2 DESCRIBED IN SUBSECTION (1) BY OBTAINING AT LEAST A BACCALAUREATE 3 DEGREE FROM AN INSTITUTION OF HIGHER EDUCATION APPROVED BY THE 4 DEPARTMENT WITH A MAJOR IN THERAPEUTIC RECREATION OR A MAJOR IN 5 RECREATION WITH AN OPTION IN THERAPEUTIC RECREATION. THE DEGREE 6 DESCRIBED IN THIS SUBSECTION SHALL INCLUDE, AT A MINIMUM, THE 7 FOLLOWING: 8 (A) EIGHTEEN SEMESTER HOURS OF RECREATION WITH NOT LESS THAN 9 9 SEMESTER HOURS IN THERAPEUTIC RECREATION. 10 (B) EIGHTEEN SEMESTER HOURS INCLUDING 3 SEMESTER HOURS 11 INVOLVING EACH OF THE FOLLOWING, WITH THE REMAINING 9 SEMESTER 12 HOURS INVOLVING COURSES CONSIDERED HUMAN SERVICES: 13 (i) ANATOMY AND PHYSIOLOGY. 14 (ii) ABNORMAL PSYCHOLOGY. 15 (iii) HUMAN GROWTH AND DEVELOPMENT. 16 (3) AN INDIVIDUAL MAY SATISFY THE EDUCATIONAL REQUIREMENTS 17 DESCRIBED IN SUBSECTION (1) BY COMPLETING AT LEAST ALL OF THE 18 FOLLOWING: 19 (A) EIGHTEEN SEMESTER HOURS OF UPPER DIVISION OR GRADUATE 20 LEVEL THERAPEUTIC AND GENERAL RECREATION WITH NOT LESS THAN 9 21 SEMESTER HOURS IN THERAPEUTIC RECREATION AND 3 SEMESTER HOURS 22 INVOLVING EACH OF THE FOLLOWING: 23 (i) ANATOMY AND PHYSIOLOGY. 24 (ii) ABNORMAL PSYCHOLOGY. 25 (iii) HUMAN GROWTH AND DEVELOPMENT. 26 (B) TWENTY-FOUR SEMESTER HOURS INVOLVING ANY 3 OF THE 27 FOLLOWING SUBJECT MATTER AREAS: 01617'99 7 1 (i) ADAPTIVE PHYSICAL EDUCATION. 2 (ii) BIOLOGICAL OR PHYSICAL SCIENCES RELATED TO THERAPEUTIC 3 RECREATION. 4 (iii) HUMAN SERVICES. 5 (iv) PSYCHOLOGY. 6 (v) SOCIOLOGY. 7 (vi) SPECIAL EDUCATION. 8 (4) AN INDIVIDUAL FULFILLING THE EDUCATION REQUIREMENTS 9 DESCRIBED IN SUBSECTION (3) SHALL PRESENT PROOF ACCEPTABLE TO THE 10 DEPARTMENT OF AT LEAST 5 YEARS OF FULLTIME PAID EXPERIENCE IN A 11 CLINICAL, RESIDENTIAL, OR- COMMUNITY-BASED THERAPEUTIC RECREATION 12 PROGRAM. 01617'99 Final page. CPD