Senate File 2128 - Introduced SENATE FILE BY DVORSKY Passed Senate, Date Passed House, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act establishing a therapeutic recreation board, requiring the 2 licensure of therapeutic recreation specialists, and providing 3 for fees and penalties. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 5140XS 82 6 jr/rj/5 PAG LIN 1 1 Section 1. Section 147.1, subsection 2, paragraphs c and 1 2 f, Code Supplement 2007, are amended to read as follows: 1 3 c. "Licensed" or "certified" when applied to a physician 1 4 and surgeon, podiatric physician, osteopath, osteopathic 1 5 physician and surgeon, physician assistant, psychologist or 1 6 associate psychologist, chiropractor, nurse, dentist, dental 1 7 hygienist, optometrist, speech pathologist, audiologist, 1 8 pharmacist, physical therapist, occupational therapist, 1 9 therapeutic recreation specialist, respiratory care 1 10 practitioner, practitioner of cosmetology arts and sciences, 1 11 practitioner of barbering, funeral director, dietitian, 1 12 marital and family therapist, mental health counselor, social 1 13 worker, massage therapist, athletic trainer, acupuncturist, or 1 14 sign language interpreter or transliterator means a person 1 15 licensed under this subtitle. 1 16 f. "Profession" means medicine and surgery, podiatry, 1 17 osteopathy, osteopathic medicine and surgery, practice as a 1 18 physician assistant, psychology, chiropractic, nursing, 1 19 dentistry, dental hygiene, optometry, speech pathology, 1 20 audiology, pharmacy, physical therapy, occupational therapy, 1 21 therapeutic recreation, respiratory care, cosmetology arts and 1 22 sciences, barbering, mortuary science, marital and family 1 23 therapy, mental health counseling, social work, dietetics, 1 24 massage therapy, athletic training, acupuncture, or sign 1 25 language interpreting or transliterating. 1 26 Sec. 2. Section 147.2, unnumbered paragraph 1, Code 1 27 Supplement 2007, is amended to read as follows: 1 28 A person shall not engage in the practice of medicine and 1 29 surgery, podiatry, osteopathy, osteopathic medicine and 1 30 surgery, psychology, chiropractic, physical therapy, nursing, 1 31 dentistry, dental hygiene, optometry, speech pathology, 1 32 audiology, occupational therapy, therapeutic recreation, 1 33 respiratory care, pharmacy, cosmetology, barbering, social 1 34 work, dietetics, marital and family therapy or mental health 1 35 counseling, massage therapy, mortuary science, athletic 2 1 training, acupuncture, or sign language interpreting or 2 2 transliterating, or shall not practice as a physician 2 3 assistant as defined in the following chapters of this 2 4 subtitle, unless the person has obtained from the department a 2 5 license for that purpose. 2 6 Sec. 3. Section 147.13, Code Supplement 2007, is amended 2 7 by adding the following new subsection: 2 8 NEW SUBSECTION. 24. For therapeutic recreation 2 9 specialists, the board of therapeutic recreation. 2 10 Sec. 4. Section 147.14, Code Supplement 2007, is amended 2 11 by adding the following new subsection: 2 12 NEW SUBSECTION. 24. For therapeutic recreation, three 2 13 licensed therapeutic recreation specialists who have engaged 2 14 in the practice of therapeutic recreation in Iowa for at least 2 15 three years immediately preceding their appointment to the 2 16 board and two members who are not licensed to practice 2 17 therapeutic recreation and who shall represent the general 2 18 public. A majority of members of the board constitutes a 2 19 quorum. 2 20 Sec. 5. Section 147.74, Code Supplement 2007, is amended 2 21 by adding the following new subsection: 2 22 NEW SUBSECTION. 9A. A therapeutic recreation specialist 2 23 licensed under chapter 148F may use the words "therapeutic 2 24 recreation specialist" after the person's name or signify the 2 25 same by the use of the letters "T.R.S." after the person's 2 26 name. 2 27 Sec. 6. Section 147.80, subsection 1, Code Supplement 2 28 2007, is amended by adding the following new paragraph: 2 29 NEW PARAGRAPH. rr. License to practice therapeutic 2 30 recreation issued upon the basis of an examination given by 2 31 the national council for therapeutic recreation certification, 2 32 license to practice therapeutic recreation issued under a 2 33 reciprocal agreement, renewal of a license to practice 2 34 therapeutic recreation. 2 35 Sec. 7. NEW SECTION. 148F.1 TITLE AND PURPOSE. 3 1 This chapter may be cited and referred to as the 3 2 "Therapeutic Recreation Practice Act". 3 3 The purpose of this chapter is to provide for the 3 4 regulation of persons offering therapeutic recreation services 3 5 to the public in order to safeguard the public health, safety, 3 6 and welfare. 3 7 Sec. 8. NEW SECTION. 148F.2 DEFINITIONS. 3 8 As used in this chapter: 3 9 1. "Board" means the board of therapeutic recreation. 3 10 2. "Therapeutic recreation" means a treatment service 3 11 designed to restore, remediate, or rehabilitate a patient's or 3 12 client's level of functioning and independence in life 3 13 activities, or to reduce or eliminate the life activity 3 14 restrictions caused by an illness or disabling condition, with 3 15 the primary purpose being to provide recreational resources 3 16 and opportunities in order to improve health and well=being. 3 17 "Therapeutic recreation" includes all direct patient or client 3 18 services of assessment, planning, design, implementation, 3 19 evaluation, and documentation of specific interventions, 3 20 management, consultation, research, and education. 3 21 Sec. 9. NEW SECTION. 148F.3 DUTIES OF THE BOARD. 3 22 The board shall administer this chapter. The board's 3 23 duties shall include but are not limited to the following: 3 24 1. Adoption of rules to administer this chapter, chapter 3 25 147, and chapter 272C with respect to the licensing of 3 26 therapeutic recreation specialists. 3 27 2. Adoption of rules relating to professional conduct and 3 28 licensing and the establishment of ethical and professional 3 29 standards of practice. 3 30 3. Adoption of rules relating to the process and knowledge 3 31 base of therapeutic recreation as delineated in the national 3 32 council for therapeutic recreation certification job analysis 3 33 study, as adopted by the board in rule. The rules shall adopt 3 34 by reference the specific edition of the job analysis study 3 35 which is to be followed. 4 1 4. Acting on matters concerning licensure and the process 4 2 of applying for, granting, suspending, imposing supervisory or 4 3 probationary conditions upon, reinstating, revoking, or 4 4 renewing a license. 4 5 5. Establishing and collecting licensure fees as provided 4 6 in section 147.80. 4 7 6. Developing continuing education requirements as a 4 8 condition of license renewal. 4 9 7. Evaluating requirements for licensure in other states 4 10 to determine if reciprocity may be granted. 4 11 Sec. 10. NEW SECTION. 148F.4 PERSONS AND PRACTICES NOT 4 12 AFFECTED. 4 13 This chapter does not prevent or restrict the practice, 4 14 services, or activities of any of the following: 4 15 1. A person licensed in this state by any other law from 4 16 engaging in the profession or occupation for which the person 4 17 is licensed. 4 18 2. A person employed as a therapeutic recreation 4 19 specialist by the government of the United States if that 4 20 person provides therapeutic recreation solely under the 4 21 direction or control of the organization by which the person 4 22 is employed. 4 23 3. A person pursuing a course of study leading to a degree 4 24 or certificate in therapeutic recreation in an accredited or 4 25 approved educational program, if the activities and services 4 26 constitute a part of a supervised course of study and the 4 27 person is designated by a title which clearly indicates the 4 28 person's status as a student or trainee. 4 29 Sec. 11. NEW SECTION. 148F.5 REQUIREMENTS FOR LICENSURE 4 30 == TEMPORARY LICENSE. 4 31 1. An applicant applying for a license as a therapeutic 4 32 recreation specialist must file a written application on forms 4 33 provided by the board, showing to the satisfaction of the 4 34 board that the applicant holds a current certification as a 4 35 certified therapeutic recreation specialist by the national 5 1 council for therapeutic recreation certification. 5 2 2. A person may qualify for a one=year, nonrenewable 5 3 temporary license if the person is eligible to sit for the 5 4 national council for therapeutic recreation certification 5 5 examination. 5 6 Sec. 12. Section 272C.1, subsection 6, Code 2007, is 5 7 amended by adding the following new paragraph: 5 8 NEW PARAGRAPH. af. The board of therapeutic recreation, 5 9 created pursuant to chapter 147. 5 10 Sec. 13. INITIAL BOARD. The initial members of the board 5 11 of therapeutic recreation shall be appointed to the following 5 12 terms: 5 13 1. Two therapeutic recreation specialist members eligible 5 14 for licensure and one public member shall be appointed for a 5 15 term of two years. 5 16 2. One therapeutic recreation specialist member eligible 5 17 for licensure and one public member shall be appointed for a 5 18 term of one year. 5 19 EXPLANATION 5 20 This bill creates new Code chapter 148F that requires the 5 21 licensure of therapeutic recreation specialists. The bill 5 22 provides for the establishment of a five=member board of 5 23 therapeutic recreation consisting of three members who are 5 24 therapeutic recreation specialists and two members who 5 25 represent the general public. The bill provides for fees to 5 26 fund the board and provides penalties for violation of the 5 27 practice requirement; those penalties are set out for all 5 28 health=related boards in Code chapters 147 and 272C. The 5 29 board is similar in composition and responsibilities to the 5 30 other health=related licensing boards. 5 31 LSB 5140XS 82 5 32 jr/rj/5.4