New Mexico 2019 Regular Session Status: Enacted 1 D cosponsors

HB 72 — OCCUPATIONAL THERAPY SCOPE OF PRACTICE

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced December 17, 2018. Enacted.

Prognosis

Advancing 52% · moderate confidence

Where this bill stands today.

Odds of enactment

High

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  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

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Bill Text

What changed in the latest version

221 added · 327 removed

Plain-language change summary

The updated version of Bill HB 72 has added specific definitions related to occupational therapy practice. Notably, it clarifies the roles and responsibilities of occupational therapists and assistants. These changes are important because they help ensure that the regulations governing these professionals are clear, potentially improving the quality of care for patients in New Mexico.

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HOUSE BILL 72 54TH LEGISLATURE - STATEOFNEWMEXICO- FIRST SESSIO, 2019 INTRODUCED BY Elizabeth "Liz" Thomson 6 8 FOR THE LEGISLATIVE HEALTH AND HUMAN SERVICES COMMITTEE 10 AN ACT RELATING TO PROFESSIONAL LICENSURE;
AN ACT RELATING TO PROFESSIONAL LICENSURE;
14 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
5 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
e t 17 "61-12A-3.
"61-12A-3.
DEFINITIONS.--As used in the Occupational w l n d 18 Therapy Act:
DEFINITIONS.--As used in the Occupational Therapy Act:
= = 19 A.
A.
"board" means the board of examiners for a l i a e r 20 occupational therapy;
"board" means the board of examiners for occupational therapy;
a t m m 21 B.
B.
"censure" means a formal expression of d r e 22 disapproval that is publicly announced;
"censure" means a formal expression of disapproval that is publicly announced;
c e s k 23 C.
C.
"denial of license" means that a person is e a n b 24 barred from becoming licensed to practice in accordance with u [ the provisions of the Occupational Therapy Act either .211554.1 indefinitely or for a certain period;
"denial of license" means that a person is barred from becoming licensed to practice in accordance with the provisions of the Occupational Therapy Act either indefinitely or for a certain period;
"occupational therapist" means a person who holds an active license to practice occupational therapy in New Mexico in accordance with board rules ;
"occupational therapist" means a person who holds an active license to practice occupational therapy in New Mexico in accordance with board rules;
"occupational therapy" means the therapeutic use of occupations, including everyday life activities with persons [or] across the life span, including groups, populations or organizations, to [participate] enhance or enable participation, performance or function in roles, [and situations] habits and routines in home, school, workplace, community and other settings [to promote ].
"occupational therapy" means the therapeutic use of occupations, including everyday life activities with persons across the life span, including groups, populations HB 72 Page 1 or organizations, to enhance or enable participation, performance or function in roles, habits and routines in home, school, workplace, community and other settings.
Occupational therapy services are provided for habilitation, rehabilitation and the promotion of health and wellness [in] to those clients who have or are at risk for developing an illness, injury, e e 17 disease, disorder, condition, impairment, disability, activity e e n d 18 limitation or participation restriction.
Occupational therapy services are provided for habilitation, rehabilitation and the promotion of health and wellness to those clients who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation or participation restriction.
"Occupational = = l ] 19 therapy" includes addressing the physical, cognitive, a l r i 20 psychosocial, [sensory ] sensory-perceptual and other aspects of t e a t performance in a variety of contexts and environments to m m 21 e d r e 22 support [a client's ] engagement in [everyday life activities] c e r c 23 occupations that affect physical and mental health, well-being e a n b 24 and quality of life.
"Occupational therapy" includes addressing the physical, cognitive, psychosocial, sensory-perceptual and other aspects of performance in a variety of contexts and environments to support engagement in occupations that affect physical and mental health, well-being and quality of life.
[G.] Occupational therapy [aide or u [ technician" means an unlicensed person who assists in .211554.1 - 2 - occupational therapy, who works under direct supervision of an occupational therapist or occupational therapy assistant] uses everyday life activities to promote mental health and support functioning in people with or at risk of experiencing a range of mental health disorders, including psychiatric, behavioral, 6 emotional and substance abuse disorders;
Occupational therapy uses everyday life activities to promote mental health and support functioning in people with or at risk of experiencing a range of mental health disorders, including psychiatric, behavioral, emotional and substance abuse disorders;
[H.] G.
G.
"occupational therapy assistant" means a person having no less than an associate degree in occupational therapy and holding an active license to practice occupational therapy in New Mexico who assists [an ] in the practice of occupational [therapist] therapy under the supervision of the occupational therapist in accordance with board rules ;
"occupational therapy assistant" means a person having no less than an associate degree in occupational therapy and holding an active license to practice occupational therapy in New Mexico who assists in the practice of occupational therapy under the supervision of the occupational therapist in accordance with board rules;
[I.] H.
H.
"person" means an individual, association, partnership, unincorporated organization or corporate body;
"person" means an individual, association, HB 72 Page 2 partnership, unincorporated organization or corporate body;
[J.] I.
I.
"probation" means that continued licensure is subject to fulfillment of specified conditions such as e e 17 monitoring, education, supervision or counseling;
"probation" means that continued licensure is subject to fulfillment of specified conditions such as monitoring, education, supervision or counseling;
e e n d 18 [K.] J.
J.
"reprimand" means a formal expression of = = l ] 19 disapproval that is retained in the licensee's file but not a l r i 20 publicly announced;
"reprimand" means a formal expression of disapproval that is retained in the licensee's file but not publicly announced;
t e a t [L.] K.
K.
"revocation" means permanent loss of m m 21 e d r e 22 licensure;
"revocation" means permanent loss of licensure;
and c e r c 23 [M.] L.
and L.
"suspension" means the loss of licensure e a n b 24 for a certain period, after which the person may be required to u [ apply for reinstatement." .211554.1 - 3 - SECTION 2.
"suspension" means the loss of licensure for a certain period, after which the person may be required to apply for reinstatement." SECTION 2.
OCCUPATIONAL THERAPY SERVICES.--The practice of occupational therapy [services include:
OCCUPATIONAL THERAPY SERVICES.--The practice of occupational therapy includes the following processes and services:
selected strategies to direct the process of interventions, such as:
evaluation of factors affecting all areas of occupation, including activities of daily living, instrumental activities of daily living, rest and sleep, education, work, productivity, play, leisure and social participation;
(1) establishment, remediation or restoration of a skill or ability that has not yet developed or is impaired;
(2) compensation, modification or adaptation of activity or environment to enhance performance;
(3) maintenance and enhancement of capabilities without which performance in everyday life activities would decline;
(4) health promotion and wellness to enable enhanced performance in everyday life activities;
and e e 17 (5) prevention of barriers to performance, e e n d 18 including disability prevention] includes the following = = l ] 19 processes and services:
a l r i 20 [B.] A.
evaluation of factors affecting all areas t e a t of occupation, including activities of daily living, m m 21 e d r e 22 instrumental activities of daily living, rest and sleep , c e r c 23 education, work, productivity , play, leisure and social e a n b 24 participation;
u [ (1) client factors, including neuromuscular, .211554.1 - 4 - sensory, visual, [perceptual and ] mental, cognitive [functions] and pain factors and body structures, including cardiovascular, digestive, integumentary and genitourinary systems and structures related to movement;
(1) client factors, including neuromuscular, sensory, visual, mental, cognitive and pain factors and body structures, including cardiovascular, digestive, HB 72 Page 3 integumentary and genitourinary systems and structures related to movement;
[and ] B.
B.
design, implementation and modification of therapeutic interventions, including the following activities related to selection of intervention strategies to direct the e e 17 process of interventions:
design, implementation and modification of therapeutic interventions, including the following activities related to selection of intervention strategies to direct the process of interventions:
e e n d 18 (1) establishment, remediation or restoration = = l ] 19 of a skill or ability that has not yet developed, is impaired a l r i 20 or is in decline;
(1) establishment, remediation or restoration of a skill or ability that has not yet developed, is impaired or is in decline;
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t e a t (2) compensation, modification or adaptation m m 21 e d r e 22 of activity or environment to enhance performance or to prevent c e r c 23 injuries, disorders or other conditions;
(2) compensation, modification or adaptation of activity or environment to enhance performance or to prevent injuries, disorders or other conditions;
e a n b 24 (3) retention, maintenance and enhancement of u [ skills and capabilities without which performance in everyday .211554.1 - 5 - life activities would decline;
(3) retention, maintenance and enhancement of skills and capabilities without which performance in everyday life activities would decline;
(4) promotion of health and wellness, including the use of self-management strategies to enable or enhance performance in everyday life activities;
(4) promotion of health and wellness, HB 72 Page 4 including the use of self-management strategies to enable or enhance performance in everyday life activities;
(5) prevention of barriers to performance, 6 including injury and disability prevention;
(5) prevention of barriers to performance, including injury and disability prevention;
and [C.] (6) interventions and procedures to promote or enhance safety and performance in [activities of daily living, instrumental activities of daily living, education, work, play, leisure and social participation] areas of occupation, including:
and (6) interventions and procedures to promote or enhance safety and performance in areas of occupation, including:
[(1)] (a) therapeutic use of occupations, exercises and activities;
(a) therapeutic use of occupations, exercises and activities;
[(2)] (b) training in self-care, self- management, health management and maintenance , home management, ] community-work reintegration, school activities and work [and e e 17 performance;
(b) training in self-care, self- management, health management and maintenance, home management, community-work reintegration, school activities and work performance;
e e n d 18 [(3)] (c) development, remediation or = = l ] 19 compensation of [physical ] neuromusculoskeletal, sensory- a l r i 20 perceptual, sensory-integrative and modulation, visual, mental t e a t and cognitive [neuromuscular and sensory] functions, pain m m 21 e d r e 22 tolerance and management, developmental skills and behavioral c e r c 23 skills;
(c) development, remediation or compensation of neuromusculoskeletal, sensory-perceptual, sensory-integrative and modulation, visual, mental and cognitive functions, pain tolerance and management, developmental skills and behavioral skills;
e a n b 24 [(4)] (d) therapeutic use of self, u [ including one's personality, insights, perceptions and .211554.1 - 6 - judgments, as part of the therapeutic process;
(d) therapeutic use of self, including one's personality, insights, perceptions and judgments, as part of the therapeutic process;
[(5)] (e) education and training of persons, including family members, caregivers, groups, populations and others;
(e) education and training of persons, including family members, caregivers, groups, populations and others;
] (f) care coordination, case [(6) management and transition services;
(f) care coordination, case management HB 72 Page 5 and transition services;
[(7)] (g) consultative services to groups, programs, organizations or communities;
(g) consultative services to groups, programs, organizations or communities;
[(8)] (h) modification of home, work, school and community environments and adaptation [or] of processes, including the application of ergonomic principles;
(h) modification of home, work, school and community environments and adaptation of processes, including the application of ergonomic principles;
[(9)] (i) assessment, design, fabrication, application, fitting and training in seating and positioning, assistive technology, adaptive devices and orthotic devices and training in the use of prosthetic devices;
(i) assessment, design, fabrication, application, fitting and training in seating and positioning, assistive technology, adaptive devices and orthotic devices and training in the use of prosthetic devices;
] (j) assessment, recommendation [(10) e e 17 and training in techniques to enhance functional mobility, e e n d 18 including [wheelchair ] management of wheelchairs and other = = l ] 19 mobility devices;
(j) assessment, recommendation and training in techniques to enhance functional mobility, including management of wheelchairs and other mobility devices;
a l r i 20 (k) low-vision rehabilitation;
(k) low-vision rehabilitation;
t e a t [(11)] (l) driver rehabilitation and m m 21 e d r e 22 community mobility;
(l) driver rehabilitation and community mobility;
c e r c 23 [(12)] (m) management of feeding, eating e a n b 24 and swallowing;
(m) management of feeding, eating and swallowing;
[to enable eating and feeding performance;
(n) application of physical agent modalities and use of a range of specific therapeutic procedures such as wound care management;
and u [ (13)] (n) application of physical agent .211554.1 - 7 - modalities and use of a range of specific therapeutic procedures such as wound care management;
(o) facilitating the occupational performance of groups, populations or organizations;
(o) facilitating the occupational HB 72 Page 6 performance of groups, populations or organizations;
e e 17 (6) enhanced performance;
(6) enhanced performance;
and e e n d 18 (7) prevention criteria." = = l ] 19 SECTION 3.
and (7) prevention criteria." SECTION 3.
Section 61-12A-5 NMSA 1978 (being Laws 1996, a l r i 20 Chapter 55, Section 5, as amended) is amended to read:
Section 61-12A-5 NMSA 1978 (being Laws 1996, Chapter 55, Section 5, as amended) is amended to read:
t e a t "61-12A-5.
"61-12A-5.
SUPERVISION--REQUIRED--DEFINED.--[A.
SUPERVISION--REQUIRED--DEFINED.-- Occupational therapy shall not be performed by an occupational therapy assistant or by any person practicing on a provisional permit unless the occupational therapy is supervised by an occupational therapist.
] m m 21 e d r e 22 Occupational therapy shall not be performed by an occupational c e r c 23 therapy assistant [occupational therapy aide or technician ] or e a n b 24 by any person practicing on a provisional permit unless [such ] u [ the occupational therapy is supervised by an occupational .211554.1 - 8 - therapist.
The board shall adopt rules defining supervision." SECTION 4.
The board shall adopt rules defining supervision.
A new section of the Occupational Therapy Act is enacted to read:
[which definitions may include various categories such as "close supervision", "routine supervision" and "general supervision".
"APPLICABILITY TO OTHER HEALTH PROFESSIONS.--Nothing in the Occupational Therapy Act shall be construed as limiting HB 72 Page 7 the practice of other licensed and qualified health professionals in their specific disciplines." HB 72 Page 8 5 7 9 25
B.
An occupational therapy aide or technician is 6 not a primary service provider of occupational therapy in any practice setting and, therefore, does not provide skilled occupational therapy services.
An occupational therapy aide or technician is trained by an occupational therapist or an occupational therapy assistant to perform specifically delegated tasks, and the occupational therapist is responsible for the overall use and actions of the occupational therapy aide or technician.
An occupational therapy aide or technician must demonstrate competence to perform the assigned, delegated client and nonclient tasks.]" SECTION 4.
A new section of the Occupational Therapy Act e e 17 is enacted to read:
e e n d 18 "[NEW MATERIAL] APPLICABILITY TO OTHER HEALTH = = l ] 19 PROFESSIONS.--Nothing in the Occupational Therapy Act shall be a l r i 20 construed as limiting the practice of other licensed and t e a t qualified health professionals in their specific disciplines." m m 21 e d r e 22 - 9 - c e r c 23 e a n b 24 u [ .211554.1
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Action History

  1. Signed

  2. passed Senate

  3. DO PASS committee report adopted

  4. Sent to Senate Judiciary Committee

  5. passed House

  6. DO PASS committee report adopted

  7. Sent to House Judiciary Committee

  8. Sent to House Pre-file

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 111 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (111)

111 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Frequently asked questions

Who sponsors HB 72?
HB 72 is sponsored by Elizabeth "Liz" Thomson (Democrat).
What is the current status of HB 72?
This bill has been enacted into law. Introduced December 17, 2018. Enacted.
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