SB28GBSE62-1 ENROLLED: YKE826-3 By Senator Melson RFD:

Healthcare4/5/2023 First: Read:

07-Mar-23ZK PFD:AMENDMENT TO THE SUBSTITUTE FOR SB28 OFFERED BY TIM MELSON Replace line 42 on page 2 with the following:

02-Mar-23amputation 2023above Regularthe SessionChopart Pagejoint 0or SB28total Enrolledankle Enrolled,arthroplasty. An Act, 3 Relating to podiatry;

toA amendpodiatrist Sectionmay 34-24-230,prescribe CodePage of1 Alabama 1975;

to expand the scope of the practice of podiatry to include treatment of disorders of the foot and ankle.

BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:

Section 1.

Section 34-24-230, Code of Alabama 1975, is amended to read as follows:

"§34-24-230 For purposes of this title, the following terms shall have the respective meanings ascribed by this section:

(1) ANKLE.

Consists of the ankle joint which consists of the distal third of the tibia and fibula and their articulations with the talus and the soft tissue structures surrounding the foot and ankle.

(1)(8) PODIATRY.

The diagnosis and treatment of disorders of the human foot and ankle, as described herein.

(2)(9) PRACTICE OF PODIATRY.

The diagnosis and medical or surgical or mechanical or manipulative or electrical treatment of any ailment of the human foot or ankle except such definition does not include the amputation of the foot or the administering of an anesthetic other than local and the surgical treatment of ailments of the human foot or ankle limited anatomically to the foot or ankle.

The practice of podiatry shall include the amputation of the toes and other parts of the foot and ankle, but shall not include any amputation above the Chopart joint or total ankle arthroplasty Page 1 SB28 Enrolled or the administration of any anesthetic other than local.

A podiatrist may prescribe drugs that relate specifically to the scope of practice authorized herein.

(4) FOOT.

The terminal appendage of the lower extremity and contains 28 bones and is divided into three parts - the forefoot, the midfoot, and the hindfoot.

The forefoot consists of 14 phalanges, five metatarsals, and the tibial and fibular sesamoid bones.

The midfoot consists of five tarsal bones and their articulations.

The hindfoot consists of two tarsal bones, the calcaneus, and the talus.

The foot is defined as including all 28 complete bony structures below the ankle joint.

(2) DIAGNOSIS.

The process of ascertaining a disease or ailment by its general symptoms.

(4)(7) MEDICAL TREATMENT.

The application to or prescription for the foot or ankle of pads, fiberglass, adhesives, felt, plaster, or any medicinal agency for both external and internal use in connection with treatment of local ailments of the human foot or ankle, except such definition.

The term does not include the medical treatment of any systemic disease, but does allow treating includes treatment for the local manifestations of those systemic diseases in the foot or ankle.

(5)(10) SURGICAL TREATMENT.

The use of any cutting instrument to treat a disease, ailment, or condition of the human foot or ankle as defined herein, except that a podiatrist shall not be authorized to amputate the human foot, or perform any surgery on the human body at or above the ankle Page 2 SB28 Enrolled joint, or administer anesthetics other than local anesthetics.

(6) MECHANICAL TREATMENT.

The application of any mechanical appliance made of steel, leather, felt, or any material to the foot or ankle or in the shoe for the purpose of treating any disease, deformity, or ailment.

(7)(5) MANIPULATIVE TREATMENT.

The use of the hand or machinery in the operation or working upon the foot and or ankle its articulations.

(8)(3) ELECTRICAL TREATMENT.

Any treatment by means and methods supplied by electric current.

(9) HUMAN FOOT.

The terminal appendage of the lower extremity.

It contains 26 bones and is divided into three parts - the forefoot, the midfoot, and the hindfoot.