PT 5.01 (4) Limit the number of physical therapist assistants supervised practicing under general supervision to a number appropriate to the setting in which physical therapy is administered, to ensure that all patients under the care of the physical therapist receive services that are consistent with accepted standards of care and consistent with all other requirements under this chapter. No physical therapist may at any time supervise more than 2 physical therapist assistants full-time equivalents at any time practicing under general supervision.
SECTION 8. PT 5.02 is created to read:
PT 5.02 Direct supervision of physical therapist assistants and physical therapy aides. Physical therapist assistants and physical therapy aides may practice physical therapy under the direct on-premises supervision of a physical therapist. In providing direct supervision, the physical therapist shall do all of the following:
(1) Have primary responsibility for physical therapy care rendered by the physical therapist assistant or physical therapy aide.
(2) Be available at all times for consultation with the physical therapist assistant or physical therapy aide.
(3) Observe and monitor those under direct supervision on a daily basis.
(4) Evaluate the effectiveness of services provided by those under direct supervision on a daily basis by observing and monitoring persons receiving such services.
(5) Determine the competence of each physical therapist assistant and physical therapy aide based upon his or her education, training and experience.
(6) Provide interpretation of referrals and initial patient evaluation. The initial evaluation may utilize information that a physical therapist assistant or physical therapy aide has recorded, but must include direct observation and examination of the patient by the physical therapist.
(7) Delegate only those portions of an examination which are standardized objective measurements or standardized tests and which the physical therapist assistant or physical therapy aide has demonstrated competence to perform.
(8) Provide interpretation of objective tests, measurements and other data in developing and revising a physical therapy diagnosis, assessment, and treatment plan.
(9) Delegate appropriate portions of the treatment plan and program to the physical therapist assistant or physical therapy aide consistent with the education, training, and experience of the person supervised.
(10) Limit the number of physical therapist assistants and physical therapy aides practicing under direct supervision to a number appropriate to the setting in which physical therapy is administered, to ensure that all patients under the care of the physical therapist receive services that are consistent with accepted standards of care and consistent with all other requirements under this chapter. The total number of physical therapist assistants and physical therapy aides practicing under direct supervision may not exceed 5, and the total number of physical therapy aides practicing under direct supervision may not exceed 3.
Fiscal Estimate
1. The anticipated fiscal effect on the fiscal liability and revenues of any local unit of government of the proposed rule is: $0.00.
2. The projected anticipated state fiscal effect during the current biennium of the proposed rule is: $0.00
3. The projected net annualized fiscal impact on state funds of the proposed rule is: $0.00.
Initial Regulatory Flexibility Analysis
These proposed rules will be reviewed by the department through its Small Business Review Advisory Committee to determine whether there will be an economic impact on a substantial number of small businesses, as defined in s. 227.114 (1) (a), Stats.
Copies of Rule and Contact Person
Copies of this proposed rule are available without cost upon request to: Pamela Haack, Department of Regulation and Licensing, Office of Administrative Rules, 1400 East Washington Avenue, Room 171, P.O. Box 8935, Madison, Wisconsin 53708 (608) 266-0495.
Notice of Hearings
Transportation
Notice is hereby given that pursuant to ss. 85.16(1), 85.22(3)(h) and 227.11(2), Stats., and interpreting s. 85.22, Stats., the Department of Transportation will hold public hearings at the following locations to consider the amendment of ch. Trans 2, Wisconsin Administrative Code, relating to elderly and disabled transportation capital assistance program.
Hearing Information
May 12, 1999 Hill Farms State
Wednesday Transportation Bldg.
10:00 a.m. 4802 Sheboygan Ave.
Room 144-B
Madison, WI
May 13, 1999 State Patrol District 4
Thursday 2805 Martin Ave.
10:00 a.m. Junction of Hwys. 51 & NN
Upper Conference Room
Wausau, WI
An interpreter for the hearing impaired will be available on request for this hearing. Please make reservations for a hearing interpreter at least 10 days prior to the hearing.
The public record on this proposed rule making will be held open until May 27, 1999, to permit the submission of written comments from persons unable to attend the public hearing or who wish to supplement testimony offered at the hearing. Any such comments should be submitted to Ron Morse, Department of Transportation, Bureau of Transit and Local Roads, Room 951, P. O. Box 7913, Madison, WI 53707-7913.
Parking for persons with disabilities and an accessible entrance are available on the north and south sides of the Hill Farms State Transportation Building, and at the south side of the State Patrol District 4 office.
NOTE: This hearing is being conducted at 2 locations in order to give the public greater opportunity to present its facts, arguments and opinions. The records from both locations will be combined into a single Hearing Record on which the Department will base its decisions. Individuals need only attend one of the public hearings for their testimony to be fully considered.
Analysis Prepared by the Wisconsin Department of Transportation
STATUTORY AUTHORITY: ss. 85.16(1), 85.22(3)(h) and 227.11(2)
STATUTE INTERPRETED: s. 85.22
General Summary of Proposed Rule. Chapter Trans 2 establishes the Department's administrative interpretation of s. 85.22, Stats., including the administration of assistance under the federal sec. 5310 program (formerly sec. 16), and prescribes administrative policies and procedures for implementing the elderly and disabled transportation capital assistance program authorized under s. 85.22, Stats. The purpose of this rule making is to clarify existing provisions of the rule as well as incorporate changes to reflect current program policy and conditions and improve program administrative procedures.
This proposed rule:
Simplifies the requirements an applicant must satisfy to qualify for elderly and disabled transportation capital assistance. The proposed rule eliminates an applicant's requirement to give private transportation providers the opportunity to submit proposals to provide service. The proposed rule merely requires applicants to give private transportation providers the opportunity to comment on the applicant's decision to seek capital assistance from the Department.
Establishes a simplified process for the Department to review challenges to an application for elderly and disabled capital assistance.
Revises and clarifies criteria, relative weights, and minimum point totals for evaluating applications for elderly and disabled transportation capital assistance.
Provides the Department with greater discretion to determine the types of vehicles that may be provided under the elderly and disabled capital assistance program.
Eliminates the option of allowing applicants awarded capital assistance to purchase vehicles. The proposed rule will continue to authorize the Department to procure vehicles on behalf of applicants awarded capital assistance, but will eliminate the option of allowing applicants to purchase vehicles on their own.
Establishes record and reporting requirements.
Allows for greater flexibility in membership requirements of transportation coordinating committees.
Fiscal Effect
No fiscal impact is anticipated from the promulgation of this proposed rule.
Initial Regulatory Flexibility Analysis
This proposed rule has no significant impact on small businesses.
Copies of Proposed Rule
Copies of the proposed rule may be obtained upon request, without cost, by writing to Ron Morse, or by calling (608) 266-1650. Hearing-impaired individuals may contact the Department using TDD (608) 266-3351. Alternate formats of the proposed rule will be provided to individuals at their request.
Notice of Submission of Proposed Rules to the Presiding Officer of each House of the Legislature, Under S. 227.19, Stats.
Please check the Bulletin of Proceedings for further information on a particular rule.
Agriculture, Trade and Consumer Protection
(CR 98-81):
Ch. ATCP 48 - Relating to drainage districts.
Agriculture, Trade and Consumer Protection
(CR 98-117):
Ch. ATCP 127 - Relating to home solicitation selling (direct marketing).
Ch. DOC 349 - Relating to holding in municipal lockup facilities juveniles who are alleged to have committed a juvenile act.
Ch. DOC 330 - Relating to the pharmacological treatment of serious child sex offenders.
Chs. ETF 10 & 11 - Relating to dividing Wisconsin Retirement System accounts or annuities per a qualified domestic relations order (QDRO).
S. Ins 2.80 - Relating to valuation of life insurance policies model regulation.
SS. NR 25.05, 25.07 and 25.08 - Relating to commercial fishing on Lake Michigan and Lake Superior.
S. NR 20.03 (1) (k) 7. - Relating to sport fishing for yellow perch in portions of tributaries to Lake Michigan defined as outlying trout and salmon waters.
S. PD 6.04 (5) - Relating to multiple appointments on the same case.
Ch. PSC 187 - Relating to sewer main extension and cost recovery.
Ch. PSC 183 - Relating to requirements for joint local water authorities.
