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Sen. Christopher Belt
Filed: 3/9/2023
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| 1 | | AMENDMENT TO SENATE BILL 2057
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| 2 | | AMENDMENT NO. ______. Amend Senate Bill 2057 as follows:
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| 3 | | on page 2, line 12, after "3,", by inserting "3.1,"; and |
| 4 | | on page 7, line 21, after "(l)", by inserting "remediation of |
| 5 | | and compensation for visual deficits, including"; and |
| 6 | | on page 13, immediately below line 8, by inserting the |
| 7 | | following:
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| 8 | | "(225 ILCS 75/3.1)
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| 9 | | (Section scheduled to be repealed on January 1, 2024)
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| 10 | | Sec. 3.1. Referrals. |
| 11 | | (a) A licensed occupational therapist or licensed
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| 12 | | occupational therapy assistant may evaluate, initiate, and |
| 13 | | provide occupational therapy services and consult with, |
| 14 | | educate, evaluate, and monitor
services for individuals, |
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| 1 | | groups, and populations concerning occupational therapy needs |
| 2 | | without a referral. Except as indicated in subsections (b) and |
| 3 | | (c) of this Section, implementation
of direct occupational |
| 4 | | therapy treatment to individuals for their specific
health |
| 5 | | care conditions shall be based upon a referral from a licensed
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| 6 | | physician, dentist, podiatric physician, advanced practice |
| 7 | | registered nurse, physician assistant, or optometrist.
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| 8 | | (b) (Blank). A referral is not required for the purpose of |
| 9 | | providing consultation, habilitation, screening, education, |
| 10 | | wellness, prevention, environmental assessments, and |
| 11 | | work-related ergonomic services to individuals, groups, or |
| 12 | | populations. |
| 13 | | (c) Referral from a physician or other health care |
| 14 | | provider is not required for evaluation or intervention for |
| 15 | | children and youths if an occupational therapist or |
| 16 | | occupational therapy assistant provides services in a |
| 17 | | school-based or educational environment, including the child's |
| 18 | | home. |
| 19 | | (d) An occupational therapist shall refer to a licensed |
| 20 | | physician, dentist,
optometrist, advanced practice registered |
| 21 | | nurse, physician assistant, or podiatric physician any a |
| 22 | | patient to the patient's treating health care professional of |
| 23 | | record, or to a health care professional of the patient's |
| 24 | | choosing if there is no health care professional of record, |
| 25 | | if: |
| 26 | | (1) the patient does not demonstrate measurable or |
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| 1 | | functional improvement after 10 visits or 15 business |
| 2 | | days, whichever occurs first, and continued improvement |
| 3 | | thereafter; |
| 4 | | (2) the patient was under the care of an occupational |
| 5 | | therapist without a diagnosis established by a health care |
| 6 | | professional of a chronic disease that may benefit from |
| 7 | | occupational therapy and returns for services for the same |
| 8 | | or similar condition 30 calendar days after being |
| 9 | | discharged by the occupational therapist; or |
| 10 | | (3) the patient's whose medical condition should, at |
| 11 | | the
time of evaluation or services treatment, is be |
| 12 | | determined to be beyond the scope of
practice of the |
| 13 | | occupational therapist.
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| 14 | | (Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18.)"; |
| 15 | | and
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| 16 | | on page 24, by replacing lines 11 through 21 with the |
| 17 | | following: |
| 18 | | "(24) Failing to refer a patient or individual whose |
| 19 | | medical condition should, at the time of evaluation or |
| 20 | | treatment, be determined to be beyond the scope of |
| 21 | | practice of the occupational therapist to an appropriate |
| 22 | | health care professional Having treated patients other |
| 23 | | than by the practice of occupational therapy as defined in |
| 24 | | this Act, or having treated patients as a licensed |
| 25 | | occupational therapist independent of a referral from a |
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| 1 | | physician advanced practice registered nurse or physician |
| 2 | | assistant in accordance with Section 3.1, dentist, |
| 3 | | podiatric physician, or optometrist, or having failed to |
| 4 | | notify the physician, advanced practice registered nurse, |
| 5 | | physician assistant, dentist, podiatric physician, or |
| 6 | | optometrist who established a diagnosis that the patient |
| 7 | | is receiving occupational therapy pursuant to that |
| 8 | | diagnosis;".
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