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AMERICAN PHYSICAL THERAPY ASSOCIATION 70th Annual Session HOUSE OF DELEGATES June 9-11, 2014 Charlotte Convention Center Charlotte, North Carolina SUBJECT Summary of Meetings......................................................................................................................................................................... 2 In Memoriam ...................................................................................................................................................................................... 2 Introduction of Newly Elected Catherine Worthingham Fellows ....................................................................................................... 2 Committees of the House of Delegates .............................................................................................................................................. 3 Student House Ushers ........................................................................................................................................................................ 3 Reports................................................................................................................................................................................................ 4 A Guide to the Minutes of the 2014 House of Delegates ................................................................................................................... 4 Adoption of the Rules of the House of Delegates .............................................................................................................................. 5 Adoption of General Order of Business .............................................................................................................................................. 5 Adoption of Detailed Agenda ............................................................................................................................................................. 5 Report of Elections............................................................................................................................................................................ 18 Installation of New Officers, Directors, and Nominating Committee Members .............................................................................. 19 BUSINESS OF THE HOUSE RC 00-14 Consent Calendar ................................................................................................................................................................ 5 RC 01-14 Amend: Standing Rules of the American Physical Therapy Association, 21. Definition of Association Viewpoints and Administrative Directives………………………………………………………………….………………………………………....Withdrawn RC 02-14 Rescind: Cover the Uninsured Campaign: Awareness and Promotion (HOD P06-08-19-13) .............................................. 6 RC 03-14 Amend: Physical Therapist Responsibility and Accountability for Delivery of Care, Proviso to Resolved Clause (HOD P06-12-06-08)……………………………………………………………………………………………………………………….……Not Considered RC 04-14 Amend: Physical Therapist Responsibility and Accountability for Delivery of Care, Resolved Clause (HOD P06-12-06-08) ……………………………………………….………………………………………………………………………………………Not Considered RC 05-14 Amend: Access to, Admission to, and Patient/Client Rights Within Physical Therapy Services (HOD P06-03-16-13)..................................................................................................................................................................... 6 RC 06-14 Amend: Non-Discrimination (HOD Y06-98-14-06) ............................................................................................................... 6 RC 07-14 Amend: Entry Point into Health Care (HOD P06-02-23-45) ................................................................................................. 7 RC 08-14 Adopt: Telehealth ................................................................................................................................................................ 7 RC 09-14 Pursuit of DPT as Regulatory Designation of Physical Therapists ....................................................................................... 8 RC 10-14 Consumer Protection Through Licensure of Physical Therapists and Physical Therapist Assistants .................................. 8 RC 11-14 Membership Value for the Physical Therapist Assistant .................................................................................................. 12 RC 12-14 Adopt: Promoting Excellence in Physical Therapist Professional Education ..................................................................... 12 RC 13-14 Best Practice for Physical Therapist Clinical Education .................................................................................................... 12 RC 14-14 Adopt: Definition of Underrepresented Minority Populations in Physical Therapy Education ........................................ 13 RC 15-14 Membership Retention of Early-Career Individuals .......................................................................................................... 13 RC 16-14 Tools to Negotiate Productivity and Performance Standards in Physical Therapist Practice ........................................... 14 RC 17-14 Adopt: Physical Therapists Qualified to Determine Mobility Status for Patients and Clients Applying for Disability Placards, Disability License Plates, or Paratransit Services........................................................................................................ 14 RC 18-14 Adopt: Endorsement of Interprofessional Education Collaborative Core Competencies ................................................. 14 RC 19-14 Election to Honorary Membership in the American Physical Therapy Association: Michael J. Axe, MD .......................... 15 RC 20-14 Amend: Bylaws of The American Physical Therapy Association, Article VIII., House of Delegates, Section 4: Nonvoting Delegates................................................................................................................................................. 16 RC 21-14 Efforts to Curb Fraud, Waste, and Abuse .......................................................................................................................... 16 RC 22-14 Rescind: Physical Therapist Responsibility and Accountability for Delivery of Care (HOD P06-12-06-08)........................ 17 RC 23-14 Use of APTA Positions, Standards, Guidelines, Policies, and Procedures………………………………….…………………………………16

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Page 1: AMERICAN PHYSICAL THERAPY ASSOCIATION...HOD 6/14 2 1 SUMMARY OF MEETINGS 2 The 70th Annual Session of the House of Delegates of the American Physical Therapy Association (APTA) was

AMERICAN PHYSICAL THERAPY ASSOCIATION

70th Annual Session

HOUSE OF DELEGATES June 9-11, 2014

Charlotte Convention Center Charlotte, North Carolina

SUBJECT Summary of Meetings ......................................................................................................................................................................... 2 In Memoriam ...................................................................................................................................................................................... 2 Introduction of Newly Elected Catherine Worthingham Fellows ....................................................................................................... 2 Committees of the House of Delegates .............................................................................................................................................. 3 Student House Ushers ........................................................................................................................................................................ 3 Reports................................................................................................................................................................................................ 4 A Guide to the Minutes of the 2014 House of Delegates ................................................................................................................... 4 Adoption of the Rules of the House of Delegates .............................................................................................................................. 5 Adoption of General Order of Business .............................................................................................................................................. 5 Adoption of Detailed Agenda ............................................................................................................................................................. 5 Report of Elections............................................................................................................................................................................ 18 Installation of New Officers, Directors, and Nominating Committee Members .............................................................................. 19 BUSINESS OF THE HOUSE RC 00-14 Consent Calendar ................................................................................................................................................................ 5 RC 01-14 Amend: Standing Rules of the American Physical Therapy Association, 21. Definition of Association

Viewpoints and Administrative Directives………………………………………………………………….………………………………………....Withdrawn RC 02-14 Rescind: Cover the Uninsured Campaign: Awareness and Promotion (HOD P06-08-19-13) .............................................. 6 RC 03-14 Amend: Physical Therapist Responsibility and Accountability for Delivery of Care, Proviso to Resolved

Clause (HOD P06-12-06-08)……………………………………………………………………………………………………………………….……Not  Considered RC 04-14 Amend: Physical Therapist Responsibility and Accountability for Delivery of Care, Resolved Clause

(HOD P06-12-06-08) ……………………………………………….………………………………………………………………………………………Not Considered RC 05-14 Amend: Access to, Admission to, and Patient/Client Rights Within Physical Therapy Services

(HOD P06-03-16-13) ..................................................................................................................................................................... 6 RC 06-14 Amend: Non-Discrimination (HOD Y06-98-14-06) ............................................................................................................... 6 RC 07-14 Amend: Entry Point into Health Care (HOD P06-02-23-45) ................................................................................................. 7 RC 08-14 Adopt: Telehealth ................................................................................................................................................................ 7 RC 09-14 Pursuit of DPT as Regulatory Designation of Physical Therapists ....................................................................................... 8 RC 10-14 Consumer Protection Through Licensure of Physical Therapists and Physical Therapist Assistants .................................. 8 RC 11-14 Membership Value for the Physical Therapist Assistant .................................................................................................. 12 RC 12-14 Adopt: Promoting Excellence in Physical Therapist Professional Education ..................................................................... 12 RC 13-14 Best Practice for Physical Therapist Clinical Education .................................................................................................... 12 RC 14-14 Adopt: Definition of Underrepresented Minority Populations in Physical Therapy Education ........................................ 13 RC 15-14 Membership Retention of Early-Career Individuals .......................................................................................................... 13 RC 16-14 Tools to Negotiate Productivity and Performance Standards in Physical Therapist Practice ........................................... 14 RC 17-14 Adopt: Physical Therapists Qualified to Determine Mobility Status for Patients and Clients Applying for Disability

Placards, Disability License Plates, or Paratransit Services........................................................................................................ 14 RC 18-14 Adopt: Endorsement of Interprofessional Education Collaborative Core Competencies ................................................. 14 RC 19-14 Election to Honorary Membership in the American Physical Therapy Association: Michael J. Axe, MD .......................... 15 RC 20-14 Amend: Bylaws of The American Physical Therapy Association, Article VIII., House of Delegates,

Section 4: Nonvoting Delegates ................................................................................................................................................. 16 RC 21-14 Efforts to Curb Fraud, Waste, and Abuse .......................................................................................................................... 16 RC 22-14 Rescind: Physical Therapist Responsibility and Accountability for Delivery of Care (HOD P06-12-06-08)........................ 17 RC 23-14 Use of APTA Positions, Standards, Guidelines, Policies, and Procedures…………………………………….…………………………………16

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AMERICAN PHYSICAL THERAPY ASSOCIATION

70th Annual Session

HOUSE OF DELEGATES June 9-11, 2014

Charlotte Convention Center Charlotte, North Carolina

Monday, June 9, 2014 Opening Meeting, Votes Present 404 Tuesday, June 10, 2014 First Meeting, Votes Present 404 Second Meeting, Votes Present 404 Wednesday, June 11, 2014 Third Meeting, Votes Present 404 Fourth Meeting, Votes Present 404 Officers of the House of Delegates Shawne E. Soper, PT, DPT, MBA

Speaker of the House (VA) Stuart H. Platt, PT, MSPT

Vice Speaker of the House (IL) Laurita M. Hack, PT, DPT, PhD, MBA, FAPTA

Secretary (PA) Presiding Shawne E. Soper, PT, DPT, MBA

Speaker of the House (VA) Voting Delegates Chapter delegates from 51 chapters Non-Voting Delegates APTA Board of Directors Assembly Delegates from Student Assembly Section Delegates from 18 Sections Caucus Delegates from PTA Caucus

Parliamentarian Nancy Sylvester, MA, PRP, CPP-T, Parliamentary Services Consultants Katherine Harris, PT, PhD, Chair, Reference Committee (CT) Lynn Rudman, PT, Reference Committee (MD) Susan R. Griffin, PT, DPT, MS, GCS, Reference Committee (WI) Lynn Rivers, PT, PhD, Reference Committee (NY) Stephanie Yu, PT, MSPT, PCS

American Board of Physical Therapy Specialties Barbara Sanders, PT, PhD, FAPTA, SCS

American Council of Academic Physical Therapy Terrence Nordstrom, PT, EdD

Ethics and Justice Committee Recorder Cheryl Robinson, Director, National Governance and Leadership, APTA

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SUMMARY OF MEETINGS 1 The 70th Annual Session of the House of Delegates of the American Physical Therapy Association (APTA) was held in the 2 Charlotte Convention Center, Charlotte, North Carolina, on Monday, June 9; Tuesday, June 10; and Wednesday, June 11, 2014. 3 4 5 IN MEMORIAM 6 The delegation stood in honor of those members who died in 2013 between January 2013 and June 2014. Following is the list of 7 members who were recognized during the 70th Session of the House of Delegates on Monday, June 9. The In Memoriam list for 8 those members who died in 2013 was printed on page 1 of the 2014 House of Delegates Handbook. 9 Manford E. Anliker, PT Arnold T. Bell, PT, PhD, ATC, SCS Rachel M. Bjorklund, PT, DPT Donald A. Boughter, PT Chantel A. Bowen, PT Cheryl Cavallo, PT Carol E. Clayton, PT, PhD Eugene Connolly, PT Mildred H. Doerr, PT John F. Dooley III, PT, DPT, MS, ECS Doris Dove, PT Meredith Drench, PT, PhD William Durnil, PT, MPT, ATC, MS John L. Echternach Sr, PT Barbara Fassett, PT Elizabeth J. Fellows, PT Paul Goebel, PT Benjamin Gordon, PT Marvin Allan Gross, PT, MS, GCS Elvin J. Hirl, PT Helen Hislop, PT John J. Ivanoff, PT Gloria C. Jantzen, PT JoAnn Jordon Johnston, PT Slosson B. Jong, PT Margaret Ann Kholi, PT Willem Klokman, PT Harry Girard Knecht, PT David E. Krebs, PT Lenore M. Krusell, PT Elizabeth Lambertson, PT Betty R. Landen, PT, PhD Jerry Lerman, PT

William E. Lloyd Jr, PT Vera Long, PT John A. Madden, PT Joseph D. McCarthy, PT Thomas Girard McClure, PT Ruth A. McDonald, PT Ann McElroy, PT M. Eileen McEown, PT Rita Meanwell, PT Peter D. Mosher, PT David A. Pariser, PT, PhD Duane Pepiot, PT Jacqueline Perry, MD Randy J. Ponozzo, PTA Pauline Potts, PT William E. Rhoads, PT Ann M. Robillard, PT Adam Rudawsky, SPT Gary D. Sartin, PT John P. Scholz, PT, PhD, FAPTA Kenneth W. Seaman, PT, DPT, CPT, MSCS Donovan O. Sessions, PT Garland M. Smith, PT Valecia Marie Snyder, PTA Michael Tempalski, PT JoAnn Tomberlin, PT James Walsh, PT Roxanna L. Watts, PTA Margaret Weiner, PT Elizabeth B. Wheelwright, PT Ruth G. Wright, PT Mitzi B. Zeno, PT

INTRODUCTION OF NEWLY ELECTED CATHERINE WORTHINGHAM FELLOWS 10 APTA Speaker of the House Shawne E. Soper, PT, DPT, MBA, announced Dale Lynn Avers, PT, DPT, PhD, FAPTA (NY); 11 Lisa A. Chiarello, PT, PhD, FAPTA, PCS (PA); John David Childs, PT, PhD, MBA, FAPTA, OCS (TX); 12 Meryl Cohen, PT, MS, DPT, FAPTA, CCS (MA); Pamela Ann Duffy, PT, PhD, RP, FAPTA, OCS (IA); 13 Beth E. Fisher, PT, PhD, FAPTA (CA); Julie M. Fritz, PT, PhD, FAPTA (UT); Kathleen M Gill-Body, PT, DPT, MS, FAPTA, NCS (MA); 14 Nancy R. Kirsch, PT, DPT, PhD, FAPTA (NJ); Stephen Mark Levine, PT, DPT, MSHA, FAPTA (FL); 15 Kathleen Kline Mangione, PT, PhD, FAPTA (PA); William H. O'Grady, PT, DPT, FAAOMPT, FAPTA, OCS (WA); and 16 R. Scott Ward, PT, PhD, FAPTA (UT), as having been elected by the APTA Board of Directors to the Catherine Worthingham 17 Fellow membership category. 18

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COMMITTEES OF THE HOUSE OF DELEGATES 1 2 Committee to Approve the Minutes 3 Eileen Rodri Carter, PT, MBA, chief delegate, North Carolina Chapter 4 Lynn Czup, PT, DPT, chief delegate, Ohio Chapter 5 Trevor J. Mills, PT MSPT, OCS, chief delegate, Maine Chapter 6 Alecia Thiele PT, DPT, MSEd, ATC, section delegate, Wisconsin Chapter 7 8 Nominating Committee 9 Benjamin S. Braxley, PT, DPT, NCS, Chair (GA) 10 Cecilia Louise Graham, PT, PhD (AL) 11 Peggy DeCelle Newman, PT, MHR (OK) 12 Babette S. Sanders, PT, DPT, MS, FAPTA (IL) 13 Jerry Arthur Smith, PT, ATC/L, MBA (IN) 14 15 Reference Committee 16 Katherine Harris, PT, PhD, Chair (CT) 17 Susan R. Griffin, PT, DPT, MS, GCS (WI) 18 Lynn Celeste Rivers, PT, PhD (NY) 19 Lynn Rudman, PT (MD) 20 Shawne E. Soper, PT, DPT, MBA, Ex-Officio (VA) 21 22 Elections Committee 23 Maureen  “Reenie” Kavalar, PT, Chair (WI) 24 Neva F. Greenwald, PT, MSPH, CHES, Vice-Chair (MS) 25 26 STUDENT HOUSE USHERS 27 Laura Barber, SPT (SD) 28 Jillian Carney, SPTA (MN) 29 Jeffrey Chan, SPT (CA) 30 Whitney Ebke, SPT (SD) 31 Jarrod Evans, SPTA (KY) 32 Jamie Flint, SPT (ND) 33 Arantzazu Garate, SPT (FL) 34 Kayla Godwin, SPT (GA) 35 Megan Heiser, SPT (OH) 36 Casey Hodgin, SPT (FL) 37 Jessica Hogan, SPT (NY) 38 Amanda Kayser, SPT (CA) 39 Mackenzie Marinello, SPTA (OR) 40 Hang Nguyen, SPT (IL) 41 Sarah Nockengost, SPT (VA) 42 Kristi Perko, SPTA (OR) 43 Dhara Shah, SPT (AL) 44 Rebecca Stevens, SPTA (PA) 45 Stephanie Vaughan, SPT (FL) 46 Aimee Winston, SPT (MA) 47 Dustin Workinger, SPTA (GA) 48 Keline Yoshimura, SPT (WI) 49

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REPORTS 1 The report of the APTA President is printed in the 2013 Annual Report. Additional comments from APTA President Paul A. 2 Rockar Jr, PT, DPT, MS, were reported to the 2014 House of Delegates on Monday, June 9, 2014. 3 4 The report of the APTA House Officers, including the report of the APTA Secretary, is printed in the 2014 House of Delegates 5 Handbook. 6 7 The report of the APTA Treasurer is printed in the 2014 Annual Report. 8 9 The report of the APTA Nominating Committee is printed in the 2014 House of Delegates Handbook. Ben S. Braxley, PT, DPT, 10 NCS (GA), Chair of the APTA Nominating Committee, presented the following slate of candidates to the 2014 House of Delegates 11 on Monday, June 9, 2014. 12 13 Board of Directors: 14 15 Treasurer: Elmer Platz, PT (NJ) 16 17 Speaker: Susan R. Griffin, PT, DPT, MS, GCS, RP (WI) 18 William F. McGehee, PT, MHS (FL) 19 20 Director: Jeremy S. Angaran, PT, DPT, OCS (HI) 21

Susan A. Appling, PT, DPT, PhD, OCS (TN) 22 Jennifer E. Green-Wilson, PT, MBA, EdD (NY) 23 Matthew R. Hyland, PT, PhD, MPA (NY) 24 Kathleen K. Mairella, PT, DPT, MA (NJ) 25 Sheila K. Nicholson, PT, DPT, JD, MBA, MA (FL) 26

27 Nominating Committee: Susan M. Chalcraft, PT, MS (WA) 28

Secili H. DeStefano, PT, DPT, OCS (VA) 29 Linda K. Eargle, PT, DPT, CEEAA, MinEd (FL) 30 Dode Jackson, PT (WA) 31

32 The report of the APTA Reference Committee is printed in the 2014 House of Delegates Handbook. 33 34 Other reports of the association’s  activities  are  printed  in  the  2014 House of Delegates Handbook under  the  heading  “Special  35 Reports to the 2014 House  of  Delegates.” 36 37 38 A GUIDE TO THE MINUTES OF THE 2014 HOUSE OF DELEGATES 39 The minutes of the 2014 House of Delegates (House) are presented in numeric order by RC number; the vote number reflects the 40 chronological order of business voted upon by the House. The dates and page numbers listed throughout the minutes indicate 41 where discussion about the motion will be located within the verbatim transcript of the House. 42 43 “FINAL”  indicates  the  final  action  taken  by  the  House  and  is  always  listed  first  under  the  number  and  name  of  the  RC.   44 45 “V-”  followed  by  a  number  indicates the number of the vote (ie, V-1 refers to the first vote; V-2 refers to the second vote, etc). 46 47 Only final language as adopted by the House, including any adopted amendments, is listed. To see the original motion language 48 as originally moved on the floor of the House, please see Packet I, Packet II, or Packet III. To see any primary or secondary 49 amendments, please refer to the verbatim minutes available at APTA headquarters. 50 51 Motions that were withdrawn or not considered are not included within the minutes; however, the motion titles will be found 52 listed within the table of contents. 53 54 Support statements are not included in these minutes. For statements in support of motions, please see Packet I, Packet II, 55 Packet III, or the verbatim minutes available at APTA headquarters. 56

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ADOPTION OF THE RULES OF THE HOUSE OF DELEGATES 1 2 PASSED (Proposed by Officers of the House of Delegates) June 9, Pages 8–9 3 4 V-1 That the 70th Annual Session of the APTA House of Delegates, Rules of the House of Delegates Required by APTA 5

Bylaws - May Not be Suspended; Rules of the House of Delegates, Required by Relevant APTA Standing Rules - May be 6 Suspended; and Rules of the House of Delegates – Adopted for this Session - May be Suspended, be adopted. 7

8 9 ADOPTION OF GENERAL ORDER OF BUSINESS 10 11 PASSED (Proposed by Officers of the House of Delegates) June 9, Pages 9–10 12 13 V-2 That the 70th Annual Session of the APTA House of Delegates General Order of Business be adopted as amended. 14 15 16 ADOPTION OF DETAILED AGENDA 17 18 PASSED (Proposed by Officers of the House of Delegates) June 10, Pages 25–30 19 20 V-3 That the 70th Annual Session of the APTA House of Delegates Detailed Agenda including the Order of New Business be 21

adopted as amended. 22 23 24 BUSINESS OF THE HOUSE 25 26 RC 00-14 CONSENT CALENDAR 27 28 Required for Adoption: General Consent 29 30 FINAL – PASSED June 10, Page 39 31 32 That the following motions be adopted by general consent: 33 RC# Title Proposed by

V-4 RC 02-14 Rescind: Cover the Uninsured Campaign: Awareness and Promotion (HOD P06-08-19-13)

Board of Directors

V-5 RC 05-14 Amend: Access to, Admission to, and Patient/Client Rights Within Physical Therapy Services (HOD P06-03-16-13)

Pennsylvania Chapter

V-6 RC 06-14 Amend: Non-discrimination (HOD Y06-98-14-06) Pennsylvania Chapter

V-7 RC 08-14 Adopt: Telehealth Florida Chapter

V-8 RC 14-14 Adopt: Definition of an Underrepresented Minority In Physical Therapy Education

Board of Directors

V-9 RC 18-14 Adopt: Endorsement of Interprofessional Education Collaborative Core Competencies

Board of Directors

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RC 02-14 RESCIND: COVER THE UNINSURED CAMPAIGN: AWARENESS AND PROMOTION (HOD P06-08-19-13) – PACKET I 1 2 Required for Adoption: Majority Vote 3 4 Proposed By: Board of Directors 5 6 FINAL – PASSED [CONSENT CALENDAR] June 10, Page 39 7 8 V-4 That Cover the Uninsured Campaign: Awareness and Promotion (HOD P06-08-19-13) be rescinded. 9 10 11 RC 05-14 AMEND: ACCESS TO, ADMISSION TO, AND PATIENT/CLIENT RIGHTS WITHIN PHYSICAL THERAPY SERVICES 12 (HOD P06-03-16-13) – PACKET I 13 14 Required for Adoption: Majority Vote 15 16 Proposed By: Pennsylvania Chapter 17 18 FINAL – PASSED [CONSENT CALENDAR] June 10, Page 39 19 20 V-5 That Access to, Admission to, and Patient/Client Rights Within Physical Therapy Services (HOD P06-03-16-13), second 21

paragraph,  first  sentence,  be  amended  by  striking  out  the  word  “gender”  after  the  word  “color”  and  inserting  the  22 words  “sex,  gender,  gender  identity,  gender  expression”  so  that  it  would  read: 23

24 The physical therapist shall ensure services regardless of race, creed, color, gender sex, gender, gender identity, gender 25 expression, age, national or ethnic origin, sexual orientation, disability, or health status. The physical therapist respects 26 the rights of individuals referred or admitted to the physical therapy service. The individual referred or admitted to the 27 physical therapy service has rights, which include but are not limited to: 28

29 30 RC 06-14 AMEND: NON-DISCRIMINATION (HOD Y06-98-14-06) – PACKET I 31 32 Required for Adoption: Majority Vote 33 34 Proposed By: Pennsylvania Chapter 35 36 FINAL – PASSED [CONSENT CALENDAR] June 10, Page 39 37 38 V-6 That Non-discrimination (HOD Y06-98-14-06),  first  paragraph,  be  amended  by  inserting  the  words  “gender  identity,  39

gender  expression”  after  the  word  “gender”  so  that  it  would  read: 40 41

The American Physical Therapy Association (APTA) prohibits preferential or adverse discrimination on the basis of race, 42 creed, color, sex, gender, gender identity, gender expression, age, national or ethnic origin, sexual orientation, 43 disability or health status in all areas including, but not limited to, its qualifications for membership, rights of members, 44 policies, programs, activities, and employment practices. 45

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RC 07-14 AMEND: ENTRY POINT INTO HEALTH CARE (HOD P06-02-23-45) – PACKET II 1 2 Required for Adoption: Majority Vote 3 4 Proposed By: New York Chapter 5 6 FINAL – PASSED June 10, Pages 134–143 7 8 V-11 That Entry Point Into Health Care (HOD P06-02-23-45) be amended by substitution: 9 10 A physical therapist is an appropriate health professional for persons seeking entry into the health care system. Physical 11 therapists are entry point providers into the health care system. 12 13 Physical therapists are qualified to provide a broad range of evaluative services to optimize movement, including screening, 14 examination, evaluation, diagnosis, prognosis, intervention, coordination of care, prevention, wellness and fitness, and, when 15 indicated, referral to other providers. 16 17 18 RC 08-14 ADOPT: TELEHEALTH – PACKET I 19 20 Required for Adoption: Majority Vote 21 22 Proposed By: Florida Chapter 23 24 FINAL – PASSED [CONSENT CALENDAR] June 10, Page 39 25 26 V-7 That the following be adopted: 27 28

TELEHEALTH 29 30

Whereas, Telehealth is the use of secure electronic communications to provide and deliver a host of health-related 31 information and health care services, including but not limited to physical therapy-related information and services for 32 patients and clients; 33

34 Whereas, Telehealth is used to enhance patient and client interactions, and encompasses a variety of health care and 35 health promotion activities, including but not limited to education, advice, reminders, consultations, screenings, 36 assessments, interventions, and monitoring of interventions; 37

38 Whereas, When possible and appropriate, telehealth is offered in conjunction with face-to-face communication, hands-39 on examination, and follow-up; 40

41 Whereas, Telehealth is used to overcome barriers of access to services caused by inaccessibility of specialists and/or 42 subspecialists, unavailable resources, or impaired patient or client mobility; 43

44 Whereas, Telehealth offers the potential to provide physical therapist services where health disparities exist; and, 45

46 Whereas, The physical therapy provider documents in the record that the services provided occurred via telehealth and 47 how informed consent is established; 48

49 Resolved, It is the position of the American Physical Therapy Association (APTA) that telehealth is an appropriate model 50 of service delivery for the profession of physical therapy when provided in a manner consistent with association 51 positions, standards, guidelines, policies, procedures, Standards of Practice for Physical Therapy, Code of Ethics for the 52 Physical Therapist, Standards of Ethical Conduct for the Physical Therapist Assistant, the Guide to Physical Therapist 53 Practice, and APTA Telehealth Definitions and Guidelines; as well as federal, state, and local regulations. 54

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RC 09-14 PURSUIT OF DPT AS REGULATORY DESIGNATION OF PHYSICAL THERAPISTS – PACKET I 1 2 Required for Adoption: Majority Vote 3 4 Proposed By: Arizona Chapter 5 6 FINAL – PASSED June 10, Pages 143–173 7 8 V-12 That the American Physical Therapy Association shall begin to pursue a uniform change in the regulatory designation of 9

physical  therapists  in  all  states  to  “DPT”  by  the  year  2025. 10 11 12 RC 10-14 CONSUMER PROTECTION THROUGH LICENSURE OF PHYSICAL THERAPISTS AND PHYSICAL THERAPIST 13 ASSISTANTS –PACKET II 14 15 Required for Adoption: Majority Vote 16 17 Proposed By: Board of Directors 18 19 FINAL – PASSED June 10, Pages 173–189; and June 11, 10–75 20 21 (Note: This is a conforming amendment with 2 parts – A and B.) 22 23 V-18 PART A 24 25

That the following be adopted: 26 27

CONSUMER PROTECTION THROUGH LICENSURE OF PHYSICAL THERAPISTS AND PHYSICAL THERAPIST ASSISTANTS 28 29

It is the position of the American Physical Therapy Association (APTA) that licensure of physical therapists and licensure 30 or certification of physical therapist assistants is required in and by all United States jurisdictions to achieve public 31 protection and consumer transparency for individuals who access physical therapist services. Physical therapy should 32 be provided only by, or under the direction and supervision of, a licensed physical therapist. Physical therapist 33 assistants, under the direction and supervision of the physical therapist, are the only individuals who assist in the 34 provision of selected physical therapy interventions. Licensure should include a defined jurisdictional scope of practice 35 for physical therapists, a protected regulatory designator, and term and title protection for physical therapists and 36 physical therapist assistants. APTA supports open, flexible, and dynamic principles of licensure to ensure workforce 37 mobility and timely access to care. These principles are outlined as follows: 38

39 PRINCIPLE I. MINIMUM QUALIFICATIONS AND REQUIREMENTS FOR LICENSURE OR REGULATION 40

41 A. PHYSICAL THERAPIST AND PHYSICAL THERAPIST ASSISTANT LICENSURE OR REGULATION 42

Physical therapists are licensed and physical therapist assistants are licensed or certified in all United States 43 jurisdictions. 44

45 1. State regulation of physical therapists should at a minimum: 46

(a) require graduation from a physical therapist education program accredited by the 47 Commission on Accreditation in Physical Therapy Education (CAPTE) or in the case of an 48 internationally educated physical therapist from a non-CAPTE accredited program seeking 49 licensure as a physical therapist, a substantially equivalent education; 50

(b) require passing an exam of entry-level competence; 51 (c) provide title and term protection; 52 (d) allow for disciplinary action; and 53 (e) provide for a defined scope of practice. 54

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2. State regulation of physical therapist assistants should at a minimum: 1 (a) require graduation from a physical therapist assistant or physical therapist education 2

program accredited by CAPTE or in the case of a graduate of an international physical 3 therapist assistant program or international physical therapist program from a non-CAPTE 4 accredited program seeking licensure, certification, or registration as a physical therapist 5 assistant, a substantially equivalent education; 6

(b) require passing an exam of entry-level competence; 7 (c) provide title and term protection; 8 (d) allow for disciplinary action; and 9 (e) require that all physical therapist assistants work under the direction and supervision of the 10

physical therapist. 11 12

B. FOREIGN-EDUCATED PHYSICAL THERAPIST: SUBSTANTIAL EQUIVALENCE FOR LICENSURE ELIGIBILITY 13 APTA supports the concept that to be eligible for jurisdictional licensure as a physical therapist, an individual 14 educated outside of the United States must demonstrate substantial equivalence in content of education and 15 clinical preparation to that received in a program accredited by CAPTE. 16

17 PRINCIPLE II. STATE REGULATORY DESIGNATIONS FOR THE PHYSICAL THERAPY PROFESSION 18

19 A. DESIGNATION  “PT,”  “PTA,”  “SPT,”  AND  “SPTA” 20

APTA  supports  the  use  of  “PT”  as  the  regulatory  designation  of  a  physical  therapist.  Other  letter  designations  21 such as  “RPT,”  “LPT,”  or  academic  and  professional  degrees  should  not  be  substituted  for  the  regulatory  22 designation  of  “PT.”  “PTA”  is  the  preferred  regulatory  designation  of  a  physical  therapist  assistant. 23

24 APTA supports the recognition of the regulatory designation of a physical therapist or a physical therapist 25 assistant as taking precedence over other credentials or letter designations. To promote consistent 26 communication of the presentation of credentials and letter designations, the association shall recognize the 27 following preferred order: 28

29 1. PT/PTA 30 2. Highest earned physical therapy-related degree 31 3. Other earned academic degree(s) 32 4. American Board of Physical Therapy Specialties certification credentials in alphabetical order 33 5. Other credentials external to APTA 34 6. Other certification or professional honors (e.g., FAPTA) 35

36 APTA  supports  the  designations  “SPT”  and  “SPTA”  for  physical  therapist  students  and  physical  therapist  37 assistant students, respectively, up to the time of graduation. Following graduation and prior to licensure or 38 certification, graduates should be designated in accordance with state law. If state law does not stipulate a 39 specific designation, graduates should be designated in a way that clearly identifies that they are not licensed 40 physical therapists or licensed or certified physical therapist assistants. 41

42 Proviso: When the intent of RC 9-14  is  achieved  in  any  state  and  a  uniform  designation  of  “DPT”  is  approved  43 by legislative change of a practice act and/or by a licensing authority for all licensed physical therapists in that 44 state,  APTA  supports  the  use  of  the  regulatory  designation  of  “‘DPT.”  Such  designation  denotes  the  successful  45 completion of professional education and entry-level examination, thus meeting the dual requirements for 46 licensure that assures entry-level competence to practice physical therapy. In this instance, #1 and #2 in the 47 preferred  order  of  letter  designations  (above)  are  subsumed  in  the  single  designation  “DPT”  for  physical  48 therapists. 49

50

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PRINCIPLE III. APPROPRIATE USE OF PROTECTED TERMS AND TITLES BY LICENSEES 1 2

A. PROTECTION OF TERM, TITLE, AND DESIGNATION 3 The  terms  “physical  therapy”  and  “physiotherapy”  shall  be  used  only  in  reference  to  services  that  are  provided  4 by or under the direction and supervision of a licensed physical therapist/physiotherapist; when so used the 5 terms  are  synonymous.  Only  physical  therapists  may  use  or  include  the  initials  “PT”  or  “DPT,”  and  only  6 physical  therapist  assistants  may  use  or  include  the  initials  “PTA”  in  their  professional,  technical, or regulatory 7 designation. 8 9 APTA  supports  the  use  of  the  titles  “Physical  Therapist”  and  “Doctor  of  Physical  Therapy”  only  for  physical  10 therapists and in accordance with jurisdictional law. To provide accurate information to consumers, use of 11 “Dr.”  or  “Doctor”  should  always  be  associated  with  words  that  clearly  communicate  that  it  is  identifying  a  12 licensed physical therapist. 13

14 Additionally, APTA supports the inclusion of language to protect the exclusive use of these terms, titles, and 15 designations in statutes and regulations. 16

17 PRINCIPLE IV. TEMPORARY EXEMPTIONS TO STATE LICENSURE 18

19 A. TEMPORARY EXEMPTIONS FOR LICENSEES WITH TRAVELING TEAMS OR PERFORMANCE GROUPS 20

APTA supports temporary exemptions to state licensure for physical therapists who are licensed in a 21 jurisdiction in the United States but who are temporarily in another jurisdiction providing physical therapist 22 services to members of established athletic teams, athletic corporations, or performing arts companies that 23 are training, competing, or performing. 24

25 B. TEMPORARY EXEMPTIONS FOR EDUCATION 26

APTA supports inclusion of temporary exemptions to state licensure for physical therapists who are licensed in 27 a United States jurisdiction and are temporarily in another jurisdiction for teaching, demonstrating, or 28 providing physical therapist services in connection with teaching or participating in an educational seminar, 29 fellowship, or residency program. 30

31 C. TEMPORARY EXEMPTIONS FOR DECLARED DISASTER OR EMERGENCY 32

APTA supports temporary exemptions to state licensure for physical therapists or physical therapist assistants 33 who are licensed or certified in a United States jurisdiction and enter another jurisdiction to provide physical 34 therapy services during a declared local, state, or national disaster or emergency. APTA also supports 35 temporary exemptions to state licensure for physical therapists or physical therapist assistants who are 36 licensed or certified in a United States jurisdiction and are forced to leave their residences or places of 37 employment due to a local, state, or national disaster or emergency, and because of such displacement they 38 seek to provide physical therapy in another jurisdiction. APTA encourages state chapters and state regulatory 39 boards to include such exemption language in their state practice acts and to promulgate and/or review 40 emergency management plans to ensure continuity in the event of a local, state, or national disaster or 41 emergency. 42

43 PRINCIPLE V. CONTINUING EDUCATION AND CONTINUING COMPETENCE REQUIREMENTS FOR LICENSURE RENEWAL 44

45 A. LICENSURE RENEWAL: CONTINUING EDUCATION AND CONTINUING COMPETENCE 46

APTA supports the concept of continuing education and continuing competence as an integral component of 47 professional development and as a condition of licensure renewal. 48

49 Licensure renewal requirements to demonstrate evidence of continuing competence should be limited to 50 meeting the current minimum standards necessary to ensure ongoing safe and effective practice for public 51 protection. 52

53 APTA recognizes and supports the approval of continuing education related to roles in practice management, 54 administration, research, or education in addition to or as components of continuing education in 55 patient/client management, for meeting continuing education requirements for license renewal. 56

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PRINCIPLE VI. OPPOSITION TO INSTITUTIONAL LICENSURE 1 2

A. INSTITUTIONAL LICENSURE 3 APTA is strongly opposed to the concept of institutional licensure for individuals who deliver health care 4 services without jurisdictional licensure. 5

6 PRINCIPLE VII. LICENSURE PORTABILITY 7

8 A. INTERSTATE LICENSURE PORTABILITY 9

APTA supports state licensure models that allow for licensure portability, including but not limited to an 10 Interstate Licensure Compact for Physical Therapy. 11

12 B. LICENSURE: EXPEDITED LICENSURE 13

APTA supports an expedited licensure process for physical therapists who have an unrestricted license in a 14 United States jurisdiction to practice in another United States jurisdiction, in order to participate in 15 educational opportunities such as fellowship and residency programs. 16

17 C. TEMPORARY JURISDICTIONAL LICENSURE 18

APTA opposes temporary unrestricted jurisdictional licensure of physical therapists or licensure or certification 19 of physical therapist assistants for previously non-U.S.-licensed or non-U.S.-credentialed applicants in all 20 jurisdictions. 21

22 PRINCIPLE VIII. STATE LICENSURE FOR STUDENT CLINICAL EDUCATION AND EXAM-ELIGIBLE GRADUATES 23

24 APTA supports provisional or restricted state licensure for student physical therapists enrolled in clinical internships. 25 Clinical internships are defined as the extended full-time clinical education experience(s) that typically follow the 26 completion of the didactic coursework for the doctor of physical therapy degree. 27

28 APTA also supports provisional or restricted licensure for graduates, or for those who have completed all of the 29 requirements for graduation, of programs accredited by CAPTE who are eligible for the National Physical Therapy 30 Examination. 31

32 PART B 33

34 That the following positions be rescinded: 35

36 • Consumer Protection in the Provision of Physical Therapy Services: Qualifications of Persons Providing Physical 37

Therapy Services (HOD P06-01-20-20) 38 • Physical Therapist and Physical Therapist Assistant Licensure/Regulation (HOD P05-07-09-10) 39 • Foreign-Educated Physical Therapist: Substantial Equivalence for Licensure Eligibility (HOD P06-03-26-24) 40 • Designation “PT,”  “PTA,”  “SPT,”  and  “SPTA” (HOD P06-03-17-14) 41 • Protection of Term, Title, and Designation (HOD P06-03-18-15) 42 • Use  of  the  Title  “Doctor”  by  Physical  Therapists (HOD P06-06-21-14) 43 • Licensure: Expedited Licensure or Qualified Exemption (HOD P06-10-10-12) 44 • Temporary Exemptions in State Licensure in the Case of Declared Disaster or Emergency (HOD P06-11-21-20) 45 • Licensure Renewal: Continuing Education (HOD P06-09-26-09) 46 • Institutional Licensure (HOD P06-73-31-38) 47 • Temporary Jurisdictional Licensure and Credentialing (HOD P06-96-26-40) 48

49

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RC 11-14 MEMBERSHIP VALUE FOR THE PHYSICAL THERAPIST ASSISTANT – PACKET I 1 2 Required for Adoption: Majority Vote 3 4 Proposed By: Arizona Chapter 5 6 FINAL – PASSED June 10, Pages 190–225 7 8 V-13 That the American Physical Therapy Association (APTA) create a plan for increasing the value of APTA membership for 9

the physical therapist assistant (PTA) and present the plan to the 2015 House of Delegates by December 2014. 10 11 12 RC 12-14 ADOPT: PROMOTING EXCELLENCE IN PHYSICAL THERAPIST PROFESSIONAL EDUCATION – PACKET I 13 14 Required for Adoption: Majority Vote 15 16 Proposed By: Board of Directors 17 18 FINAL – PASSED June 10, Pages 225–232 19 20 V-14 That the following be adopted: 21 22

PROMOTING EXCELLENCE IN PHYSICAL THERAPIST PROFESSIONAL EDUCATION 23 24

To sustain present and promote future excellence in physical therapist education, APTA recommends adoption and 25 implementation of the following practices: 26

27 1. That physical therapists with an interest in teaching in physical therapist entry-level programs seek a terminal 28

academic degree or clinical doctorate degree and other credentials and experiences that qualify them to 29 become faculty members. 30

31 2. That people qualified to serve as program directors do so only when the program has adequate resources and 32

a commitment to innovation and excellence. 33 34

3. That people qualified to serve as faculty members do so only when the program has adequate resources and a 35 commitment to innovation and excellence. 36

37 4. That clinical sites be innovative in how they provide clinical education experiences and commit to providing 38

resources for clinical education experiences only when the academic program commits to excellence in 39 education and ongoing improvement  and  when  the  program’s  students  meet  the  standards  for  clinical  40 performance. 41

42 5. That the Commission on Accreditation in Physical Therapy Education (CAPTE) make the criteria for existing 43

programs, expansion of existing programs, and candidate for accreditation status for new programs more 44 stringent to reflect the needs for qualified faculty and program directors, access to sufficient clinical education 45 sites, and adequate infrastructure (e.g., physical, fiscal, and personnel); and the current and emerging needs 46 of society. 47

48

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RC 13-14 BEST PRACTICE FOR PHYSICAL THERAPIST CLINICAL EDUCATION – PACKET I 1 2 Required for Adoption: Majority Vote 3 4 Proposed By: California and Oregon Chapters 5 6 FINAL – PASSED June 10, Pages 232–244 7 8 V-15 That the American Physical Therapy Association, in collaboration with relevant stakeholders, identify best practice for 9

physical therapist clinical education, from professional level through postgraduate clinical training, and propose 10 potential courses of action for a doctoring profession to move toward practice that best meets the evolving needs of 11 society with a report to the 2017 House of Delegates. 12

13 This effort shall include, but not be limited to, the examination of: 14 • Current models of physical therapist clinical education from professional level through postgraduate clinical 15

training 16 • Mandatory postgraduate clinical training 17 • Stages of licensure 18 • Findings from related studies and conferences 19 • Models and studies of clinical education in other health care professions 20

21 22 RC 14-14 ADOPT: DEFINITION OF UNDERREPRESENTED MINORITY POPULATIONS IN PHYSICAL THERAPY 23 EDUCATION – PACKET I 24 25 Required for Adoption: Majority Vote 26 27 Proposed By: Board of Directors 28 29 FINAL – PASSED [CONSENT CALENDAR] June 10, Page 39 30 31 V-8 That the following be adopted: 32 33

DEFINITION OF UNDERREPRESENTED MINORITY POPULATIONS IN PHYSICAL THERAPY EDUCATION 34 35

The  American  Physical  Therapy  Association  defines  "Underrepresented”  in  physical  therapy  education  as  the  racial  and  36 ethnic populations that are underrepresented in physical therapy education relative to their numbers in the general 37 population, as well as individuals from geographically underrepresented areas, lower economic strata, and 38 educationally disadvantaged backgrounds. 39

40 41 RC 15-14 MEMBERSHIP RETENTION OF EARLY-CAREER INDIVIDUALS – PACKET III 42 43 Required for Adoption: Majority Vote 44 45 Proposed By: Student Assembly 46 47 FINAL – PASSED June 10, Pages 245–255 48 49 V-16 That the American Physical Therapy Association explore new and innovative ways to increase membership recruitment 50

and retention of early-career individuals. The status shall be reported to the 2016 House of Delegates. 51 52

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RC 16-14 TOOLS TO NEGOTIATE PRODUCTIVITY AND PERFORMANCE STANDARDS IN PHYSICAL THERAPIST 1 PRACTICE – PACKET II 2 3 Required for Adoption: Majority Vote 4 5 Proposed By: Illinois Chapter 6 7 FINAL – PASSED June 10, Pages 258–271; and June 11, Pages 6–10 8 9 V-17 That the American Physical Therapy Association identify and develop resources that equip physical therapists and 10

physical therapist assistants to negotiate successfully in establishing an agreed upon conceptual framework of 11 productivity and performance that ensures the provision of quality physical therapy care with a report to the 2015 12 House of Delegates. 13

14 15 RC 17-14 ADOPT: PHYSICAL THERAPISTS AS QUALIFIED TO DETERMINE MOBILITY STATUS FOR PATIENTS AND CLIENTS 16 APPLYING FOR DISABILITY PLACARDS, DISABILITY LICENSE PLATES, OR PARATRANSIT SERVICES – PACKET II 17 18 Required for Adoption: Majority Vote 19 20 Proposed By: Maryland Chapter 21 22 FINAL – PASSED UNANIMOUSLY June 11, Pages 76–80 23 24 V-19 That the following be adopted: 25 26

PHYSICAL THERAPISTS AS QUALIFIED TO DETERMINE MOBILITY STATUS FOR PATIENTS AND CLIENTS APPLYING FOR 27 DISABILITY PLACARDS, DISABILITY LICENSE PLATES, OR PARATRANSIT SERVICES 28

29 The American Physical Therapy Association supports increased consumer access to mobility status certification. As 30 movement experts, physical therapists should be included in state law among the health care professionals designated 31 as able to determine the mobility status of a patient or client for the purposes of disability parking placards or license 32 plates. In addition, transit authorities should include physical therapists among those able to determine eligibility for 33 paratransit services. 34

35 36 RC 18-14 ADOPT: ENDORSEMENT OF INTERPROFESSIONAL EDUCATION COLLABORATIVE CORE COMPETENCIES – PACKET I 37 38 Required for Adoption: Majority Vote 39 40 Proposed By: Board of Directors 41 42 FINAL – PASSED [CONSENT AGENDA] June 10, Page 39 43 44 V-9 That the following be adopted: 45 46

ENDORSEMENT OF INTERPROFESSIONAL EDUCATION COLLABORATIVE CORE COMPETENCIES 47 48

(Note: The language in brackets is the only language open to amendment.) 49 50

[The American Physical Therapy Association (APTA) encourages team-based interprofessional education and 51 collaborative practice by endorsing the 4 Interprofessional Education Collaborative (IPEC)* Core Competency1 domains 52

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and their respective general competency statement. APTA and its members will endeavor to integrate these IPEC core 1 competencies into practice and education initiatives, where feasible:] 2

3 • Competency 1: Values/Ethics for Interprofessional Practice: Work with individuals of other professions to maintain 4

a climate of mutual respect and shared values. 5 • Competency  2:  Roles/Responsibilities:  Use  the  knowledge  of  one’s  own  role  and  those of other professions to 6

appropriately assess and address the health care needs of the patients and populations served. 7 • Competency 3: Interprofessional Communication: Communicate with patients, families, communities, and other 8

health professionals in a responsive and responsible manner that supports a team approach to the maintenance of 9 health and the treatment of disease. 10

• Competency 4: Teams and Teamwork: Apply relationship-building values and the principles of team dynamics to 11 perform effectively in different team roles to plan and deliver patient-/population-centered care that is safe, 12 timely, efficient, effective, and equitable. 13

14 *As  of  the  date  of  this  position’s  adoption,  IPEC  consists  of  the  American  Association  of  Colleges  of  Nursing  (AACN),  the 15 American Association of Colleges of Osteopathic Medicine (AACOM), the American Association of Colleges of Pharmacy 16 (AACP), the American Dental Education Association (ADEA), the Association of American Medical Colleges (AAMC), and 17 the Association of Schools of Public Health (ASPH). 18

19 1 Interprofessional Education Collaborative Expert Panel. Core competencies for interprofessional collaborative practice: report of an expert panel. 20 Washington, DC: Interprofessional Education Collaborative; 2001. 21

22 23 RC 19-14 ELECTION TO HONORARY MEMBERSHIP IN THE AMERICAN PHYSICAL THERAPY ASSOCIATION: 24 MICHAEL J. AXE, MD – PACKET I 25 26 Required for Adoption: 2/3 Vote to Adopt 27 28 Proposed By: Board of Directors 29 30 FINAL – PASSED UNANIMOUSLY June 11, Pages 131–136 31 32 V-21 Whereas, Michael J. Axe, MD, has made significant contributions to the science and practice of physical therapy; 33 34

Whereas, Michael J. Axe, MD, participated as a pivotal member of the team of researchers that has advanced the 35 rehabilitative care of people with ACL tears; 36

37 Whereas, Michael J. Axe, MD, has a greater than 20-year history of partnerships as an investigator for rehabilitation 38 research, which has resulted in significant findings related to the care of a variety of patient populations, including 39 those with knee osteoarthritis and total knee arthroplasty, and throwing injuries in baseball; 40

41 Whereas, Michael J. Axe, MD, has authored or coauthored over 60 peer-reviewed articles contributing to a better 42 understanding of rehabilitation for musculoskeletal injuries and impairments across the lifespan, with over 80% of 43 those papers coauthored with physical therapists; and, 44

45 Whereas, Michael J. Axe, MD, has been a friend to physical therapy and a mentor to physical therapist students, 46 residents, clinicians, and researchers throughout his career, generously sharing his time and expertise; 47

48 Resolved, That Michael J. Axe, MD, be elected as an Honorary Member of the American Physical Therapy Association. 49

50

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RC 20-14 AMEND: BYLAWS OF THE AMERICAN PHYSICAL THERAPY ASSOCIATION, ARTICLE VIII., HOUSE OF DELEGATES, 1 SECTION 4: NONVOTING DELEGATES – PACKET I 2 3 Required for Adoption: Previous Notice, 2/3 Vote to Consider, 2/3 to Vote to Adopt 4 5 Proposed By: Board of Directors 6 7 FINAL – PASSED June 11, Pages 81–83 8 9 V-20 That Bylaws of the American Physical Therapy Association, Article VIII., House of Delegates, Section 4: Nonvoting 10

Delegates, A. Qualifications of Nonvoting Delegates, (3), be amended by adding a paragraph, so that it would read: 11 12

ARTICLE VIII. HOUSE OF DELEGATES 13 * * * 14

Section 4: Nonvoting Delegates 15 16

The nonvoting delegates of the House of Delegates shall be the section delegates, PTA Caucus delegates, Student 17 Assembly delegates, and the members of the Board of Directors. 18

19 A. Qualifications of Nonvoting Delegates 20

* * * 21 (3) Student Assembly delegates: Only Student Physical Therapist and Student Physical Therapist Assistant members 22

who have been association members in good standing for the 4 months immediately preceding the start of the 23 House session may serve as Student Assembly delegates. 24

25 For the purposes of this subparagraph (3), members who have converted under Article XI, Section 3, from Student 26 Physical Therapist to Physical Therapist or from Student Physical Therapist Assistant to Physical Therapist Assistant 27 shall be deemed members of the Student Assembly until the close of the House of Delegates meeting immediately 28 following the date of graduation and shall be eligible to serve as Student Assembly delegates during that period. 29

30 31 RC 21-14 EFFORTS TO CURB FRAUD, WASTE, AND ABUSE –PACKET II 32 33 Required for Adoption: Majority Vote without Debate to Consider, Majority Vote to Adopt 34 35 Proposed By: Massachusetts Chapter 36 37 FINAL – REFERRED TO APTA BOARD OF DIRECTORS June 11, Pages 85–131 38 39 V-21 That RC 21-14 Efforts to Curb Fraud, Waste, and Abuse (see below), be referred to the Board of Directors for 40

development of a position on the role and responsibility of physical therapists (PT) and physical therapist assistants 41 (PTA) in reducing fraud, waste, and abuse in physical therapy. The position should include at least the following 42 elements: 43

44 • Identification of the problem of fraud, waste, and abuse in the provision of physical therapy services. 45 • The role of the PT and PTA in becoming educated in both the intended and unintended consequences of fraud, 46

waste, and abuse. 47 • The role of the PT and PTA in both reporting and reducing potential fraud, waste, and abuse in the provision of 48

physical therapy services. 49 50 The position will be forwarded to the 2015 House of Delegates. 51 52

RC 21-14 EFFORTS TO CURB FRAUD, WASTE, AND ABUSE 53 That the American Physical Therapy Association (APTA) accelerate its commitment to efforts to curb the 54

55

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incidence of fraud, waste, and abuse in the health care system. Actions shall include, but are not limited to, the 1 following: 2

3 • Review APTA positions, standards, guidelines, policies, and  procedures  to  clearly  delineate  the  association’s  4

positions on these issues, with a report to the 2015 House of Delegates. 5 • Implement the strategies in the APTA Integrity in Practice Campaign, including development of educational 6

resources for physical therapist and physical therapist assistants, and students of physical therapy, and 7 collaboration with the Federation of State Boards of Physical Therapy (FSBPT) and other internal and external 8 stakeholders. 9

• Development of educational resources specific to fraud, waste, and abuse issues for physical therapist and 10 physical therapist assistant academic programs and for members and non-members.* 11

• Evaluate the effectiveness of strategies APTA pursues to curb fraud, waste, and abuse within the profession. 12 13

*Note: the motion to delete these words was pending when the motion to refer RC 21-14 to the Board was moved 14 and adopted. 15

16 17 RC 22-14 RESCIND: PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE 18 (HOD P06-12-06-08) – PACKET II 19 20 Required for Adoption: Majority Vote without Debate to Consider, Majority Vote to Adopt 21 22 Proposed By: Board of Directors 23 24 FINAL – PASSED June 10, Pages 126–133 25 26 V-10 That Physical Therapist Responsibility and Accountability for the Delivery of Care (HOD P06-12-06-08), be rescinded. 27 28 29 RC 23-14 USE OF APTA POSITIONS, STANDARDS, GUIDELINES, POLICIES, AND PROCEDURES – PACKET III 30 31 Required for Adoption: Majority Vote without Debate to Consider, Majority Vote to Adopt 32 33 Proposed By: Board of Directors 34 35 FINAL – PASSED June 11, Pages 142–145 36 37 V-22 That the following be adopted: 38 39

USE OF APTA POSITIONS, STANDARDS, GUIDELINES, POLICIES, AND PROCEDURES 40 41

The American Physical Therapy Association (APTA) positions, standards, guidelines, policies, and procedures are 42 intended to communicate best practice for physical therapist practice. Acknowledging that these APTA documents are 43 and should be used to inform state practice acts, these documents are not intended to limit the development of 44 innovative approaches to physical therapist practice in the evolving health care system. 45

46

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REPORT OF ELECTIONS June 9, Pages 65–68 1 2 The following election results were reported by Maureen  “Reenie”  Kavalar,  PT, Chair, APTA Elections Committee: 3 4 June 9, 2014 5 6 Board of Directors: 7 8 Treasurer (1 to be elected): 9 Elmer Platz, PT (NJ) 392 10 Write-ins: 9 11 12

Number Eligible to Vote: 404 13 Number of Ballots Cast: n/a 14 Number of Votes Cast: 401 15 Number of Votes Necessary for Election: 202 16 Number of Illegal Votes Cast: 0 17

18 Speaker (1 to be elected): 19 Susan R. Griffin, PT, DPT, MS, GCS, RP (WI) 247 20 William F. McGehee, PT, MHS (FL) 154 21 Write-ins: 0 22 23

Number Eligible to Vote: 404 24 Number of Ballots Cast: n/a 25 Number of Votes Cast: 401 26 Number of Votes Necessary for Election: 202 27 Number of Illegal Votes Cast: 0 28

29 Director (3 to be elected): 30 Jeremy S. Angaran, PT, DPT, OCS (HI) 100 31 Susan A. Appling, PT, DPT, PhD, OCS (TN) 206 32 Jennifer E. Green-Wilson, PT, MBA, EdD (NY) 95 33 Matthew R. Hyland, PT, PhD, MPA (NY) 304 34 Kathleen K. Mairella, PT, DPT, MA (NJ) 234 35 Sheila K. Nicholson, PT, DPT, JD, MBA, MA (FL) 254 36 Write-ins: 5 37 38

Number Eligible to Vote: 404 39 Number of Ballots Cast: n/a 40 Number of Votes Cast: 1,198 41 Number of Illegal Votes Cast: 1 42

43 Nominating Committee: 44 45 Nominating Committee (2 to be elected): 46 Susan M. Chalcraft, PT, MS (WA) 196 47 Secili H. DeStefano, PT, DPT, OCS (VA) 334 48 Linda K. Eargle, PT, DPT, CEEAA, MinEd (FL) 230 49 Dode Jackson, PT (WA) 41 50 Write-in 0 51 52

Number Eligible to Vote: 404 53 Number of Ballots Cast: n/a 54 Number of Votes Cast: 801 55 Number of Illegal Votes Cast: 0 56

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INSTALLATION OF NEW OFFICERS, DIRECTORS, AND NOMINATING COMMITTEE MEMBERS 1 The American Physical Therapy Association (APTA) Speaker of the House Shawne E. Soper, PT, DPT, MBA, installed the newly 2 elected treasurer, speaker, and directors. The following pledge to the membership was made by Elmer Platz, PT (NJ); 3 Susan R. Griffin, PT, DPT, MS, GCS, RP (WI); Matthew R. Hyland, PT, PhD, MPA (NY); Kathleen K. Mairella, PT, DPT, MA (NJ); and 4 Sheila K. Nicholson, PT, DPT, JD, MBA, MA (FL): 5 6

“I,  …,  having  been  elected  to  office  in  the  American  Physical  Therapy  Association,  do  agree  to  execute  the  duties  of  my  7 office to the best of my abilities; to protect the rights and privileges of membership in the American Physical Therapy 8 Association; to repay with full measure the trust and confidence placed in me; to abide by the House policy Integrity in 9 Serving the Association; to demonstrate the Association Organizational Values of respecting differences, 10 professionalism, integrity, honesty, excellence, innovation, collaboration, and accountability; and to assume these 11 responsibilities  at  the  close  of  the  House  of  Delegates  and  to  fulfill  them  during  my  entire  term.” 12

13 APTA Speaker of the House Shawne E. Soper, PT, DPT, MBA, installed the newly elected members of the Nominating 14 Committee. The following pledge to the membership was made by Secili H. DeStefano, PT, DPT, OCS (VA), 15 and Linda K. Eargle, PT, DPT, CEEAA, MinEd (FL): 16 17

“I, …,  having  been  elected  to  the  Nominating Committee of the American Physical Therapy Association do agree to 18 execute the duties of my position to the best of my abilities; to abide by the House policy Integrity in Serving the 19 Association; to demonstrate the Association Organizational Values of respecting differences, professionalism, integrity, 20 honesty, excellence, innovation, collaboration, and accountability; to provide the membership with qualified 21 candidates for office; and to assume these duties immediately and to fulfill them during my entire  term  of  office.” 22

23 24 ADJOURNMENT 25 The 2014 House of Delegates session adjourned on Wednesday, June 11, 2014. 26

27 Laurita M. Hack, PT, DPT, PhD, MBA, FAPTA, APTA Secretary 28