State of Illinois
92nd General Assembly

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 1        AN ACT concerning the regulation of professions.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.  The  Illinois  Occupational Therapy Practice
 5    Act is amended by changing Section 2 and adding Sections  3.1
 6    and 11.1 as follows:

 7        (225 ILCS 75/2) (from Ch. 111, par. 3702)
 8        Sec. 2.  Definitions.  In this Act:
 9        (1)  "Department"  means  the  Department of Professional
10    Regulation.
11        (2)  "Director"  means  the  Director   of   Professional
12    Regulation.
13        (3)  "Board"  means  the  Illinois  Occupational  Therapy
14    Board appointed by the Director.
15        (4)  "Registered  Occupational  Therapist" means a person
16    licensed to practice occupational therapy as defined in  this
17    Act, and whose license is in good standing.
18        (5)  "Certified  Occupational  Therapy Assistant" means a
19    person licensed to assist in  the  practice  of  occupational
20    therapy  under  the  supervision of a Registered Occupational
21    Therapist,  and  to  implement   the   occupational   therapy
22    treatment   program   as   established   by   the  Registered
23    Occupational Therapist.  Such program may include training in
24    activities of daily living, the use of  therapeutic  activity
25    including   task  oriented  activity  to  enhance  functional
26    performance,  and  guidance  in  the  selection  and  use  of
27    adaptive equipment.
28        (6)  "Occupational Therapy" means the therapeutic use  of
29    purposeful   and   meaningful  occupations  or  goal-directed
30    activities  to  evaluate  and   provide   interventions   for
31    individuals  and  populations who have a disease or disorder,
                            -2-                LRB9205124LBgc
 1    an impairment, an activity  limitation,  or  a  participation
 2    restriction  that  interferes  with their ability to function
 3    independently in their daily life roles and to promote health
 4    and wellness.  Occupational therapy intervention may  include
 5    any of the following:
 6             (a)   remediation   or  restoration  of  performance
 7        abilities  that  are  limited  due   to   impairment   in
 8        biological, physiological, psychological, or neurological
 9        processes;
10             (b)  adaptation of task, process, or the environment
11        or the teaching of compensatory techniques  in  order  to
12        enhance performance;
13             (c)  disability  prevention  methods  and techniques
14        that facilitate the development or  safe  application  of
15        performance skills; and
16             (d)  health  promotion strategies and practices that
17        enhance performance abilities.
18             The  occupational therapist may assume a variety  of
19        roles  in  his  or her career including,  but not limited
20        to, practitioner, supervisor of professional students and
21        volunteers,     researcher,     scholar,      consultant,
22        administrator, faculty, clinical instructor, and educator
23        of  consumers,  peers,  and  family.    the evaluation of
24        functional performance ability  of  persons  impaired  by
25        physical   illness   or   injury,   emotional   disorder,
26        congenital  or  developmental  disability,  or  the aging
27        process, and the analysis, selection and  application  of
28        occupations   or   goal   directed  activities,  for  the
29        treatment or prevention of these disabilities to  achieve
30        optimum   functioning.    Occupational  therapy  services
31        include, but are  not  limited  to  activities  of  daily
32        living  (ADL);  the design fabrication and application or
33        splints,    administration    and    interpretation    of
34        standardized    tests    to    identify     dysfunctions,
                            -3-                LRB9205124LBgc
 1        sensory-integrative  and perceptual motor activities, the
 2        use  of  task  oriented  activities,  guidance   in   the
 3        selection  and  use  of  assistive devices, goal oriented
 4        activities   directed   toward    enhancing    functional
 5        performance,   prevocational  evaluation  and  vocational
 6        training, and consultation in the adaptation of  physical
 7        environments  for  the  handicapped.   These services are
 8        provided  to  individuals  or  groups  through   medical,
 9        health,  educational, and social systems. An occupational
10        therapist may  evaluate  a  person  but  shall  obtain  a
11        referral  by a physician before treatment is administered
12        by the occupational therapist. An occupational  therapist
13        shall   refer   to  a  licensed  physician,  dentist,  or
14        podiatrist any patient whose medical condition should, at
15        the time of evaluation or treatment, be determined to  be
16        beyond   the   scope  of  practice  of  the  occupational
17        therapist.
18        (7) "Occupational therapy services" means  services  that
19    may  be  provided  to  individuals and populations including,
20    without limitation, the following:
21             (a) evaluating, developing,  improving,  sustaining,
22        or  restoring skills in activities of daily living, work,
23        or productive activities, including  instrumental  living
24        and play and leisure activities;
25             (b)  evaluating, developing, improving, or restoring
26        sensory motor, cognitive, or psychosocial  components  of
27        performance;
28             (c) designing, fabricating, applying, or training in
29        the  use  of assistive technology or orthotic devices and
30        training in the use of prosthestic devices;
31             (d) adapting environments and  processes,  including
32        the  application  of  ergonomic  principles,  to  enhance
33        performance and safety in daily life roles;
34             (e) applying physical agent modalities as an adjunct
                            -4-                LRB9205124LBgc
 1        to or in preparation for engagement in occupations;
 2             (f)   evaluating   and   providing  intervention  in
 3        collaboration with  the  client,  family,  caregiver,  or
 4        others;
 5             (g)  educating  the  client,  family,  caregiver, or
 6        others   in   carrying   out    appropriate    nonskilled
 7        interventions; and
 8             (h) consulting with groups, programs, organizations,
 9        or communities to provide population-based services.
10             (8)  "Occupational  therapy aid" means an individual
11        who provides supportive services to occupational  therapy
12        practitioners  but  who  is not certified by a nationally
13        recognized occupational therapy certifying  or  licensing
14        body.
15    (Source: P.A. 88-424.)

16        (225 ILCS 75/3.1 new)
17    Sec.  3.1.  Referrals.  An occupational therapist may enter a
18    case for the purposes of providing  consultation,  education,
19    and  monitoring services and for evaluating an individual for
20    the need for occupational therapy  services  for  non-medical
21    client  needs.  Implementation of direct occupational therapy
22    to individuals for  their  specific  health  care  conditions
23    shall  be  based  upon  a referral from a licensed physician,
24    dentist, podiatrist,  optometrist,  or  any  other  qualified
25    licensed  health  care  professional who, within the scope of
26    the professional licensure, is authorized to refer for health
27    care services.

28        (225 ILCS 75/11.1 new)
29        Sec. 11.1.  Continuing education  requirement.   Licensed
30    occupational  therapists  and  certified occupational therapy
31    assistants  shall  demonstrate  continued  competency  as   a
32    requirement  for  the  renewal  of their licenses.  Continued
                            -5-                LRB9205124LBgc
 1    competency is the  ongoing  application  and  integration  of
 2    knowledge,  critical thinking, interpersonal, and psychomotor
 3    skills  essential   to   safely   and   effectively   deliver
 4    occupational   therapy  services  within  the  context  of  a
 5    practitioner's role  and  environment.    The  indicators  of
 6    continued  competency  change  over  time as various factors,
 7    such as  a  change  in  role,  practice  setting,  or  client
 8    population  and  responsibility,  reshape  the  scope  of  an
 9    occupational   therapist's  practice.   Continued  competency
10    includes the demonstration  of  observable  and  quantifiable
11    behaviors   throughout   the   occupational  therapy  process
12    including evaluation, planning, analysis, and modification of
13    interventions,  supervision,  administration,  research,  and
14    education.  Interpersonal and behavioral  characteristics  of
15    continued competency include a safe, efficient, and effective
16    service   of   practice   and   an   ongoing   assumption  of
17    responsibility  for   continued   professional   growth   and
18    development.

19        Section  99.   Effective  date.  This Act takes effect on
20    January 1, 2002.

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