HOUSE No. 3913

By Mr. Fitzgerald of Boston, petition of Kevin W. Fitzgerald for to provide for the licensing of practitioners of certain allied health occupations. Health Care.

Commontoealtij of iHaftfadjugette

In the Year One Thousand Nine Hundred and Eighty-One

An Act providing for the licensing of practitioners of centain allied health occupations.

Be itenacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows: 1 Section 1. Chapter 13 of the General Laws is hereby 2 amended by inserting after section 11 the following sec-

3 tion: — 4 Section 11A. There shall be a council on allied health 5 occupations, hereinafter called the council, which shall con- 6 sist of fifteen members to be appointed by the governor. 7 Members of the council shall be residents of the common- 8 wealth and citizens of the United States. Two of such mem- 9 bers shall be physical therapists licensed in accordance with 10 the provisions of section twenty-three B of chapter one hun- 11 dred and twelve; two of such members shall be occupational 12 therapists licensed in accordance with the provisions of sec- 13 tion twenty-three B of chapter one hundred- and twelve; one 14 of such members shall be a speech pathologist licensed in ac- 15 cordance with the provisions of section twenty-three B of 16 chapter one hundred and twelve; one of such members shall 17 be an audiologist licensed in accordance with the provisions 18 of section twenty-three B of chapter one hundred and twelve; 19 two of such members shall be athletic trainers licensed in ac- 20 cordance with the provisions of section twenty-three B of 21 chapter one hundred and twelve; one of such members shall 22 be an acupuncturist licensed in accordance with the provi- 23 sions of section twenty-three B of chapter one hundred and 24 twelve; one of such members shall be a radiologic technolo- 2 HOUSE — No. 3913 [January

25 gist licensed in accordance with the provisions of section 26 twenty-three B of chapter one hundred and twelve; and one 27 such member shall be a radiation therapy technologist li- 28 censed in accordance with the provisions of section twenty- 29 three B of chapter one hundred and twelve; except that such 30 members constituting the first council shall be persons who 31 are eligible for licensing as practitioners of said allied health 32 occupations. One of such members shall be a physician li- 33 censed in accordance with the provisions of section two of 34 chapter one hundred and twelve, and three of such members 35 shall be selected from and shall represent the general pub- 36 lie. 37 Each member of the council shall serve for a term of three 38 years. No member shall be appointed to more than two con- 39 secutive full terms; provided, however, a member appointed 40 for less than a full term may serve two full terms in addi- 41 tion to such part of a full term, and a former member shall 42 again be eligible for appointment after a lapse of one or more 43 years. 44 A member of the council may be removed by the governor 45 for neglect of duty, misconduct, malfeasance or misfeasance 46 in office after being given a written statement of the charges 47 against him and sufficient opportunity to be heard thereon. 48 Upon the death, resignation or removal for cause of any mem- 49 ber of the council, the governor shall fill such vacancy for the 50 remainder of that member’s term. 51 The council shall, at its first meeting, and annually there- 52 after, elect from among its members a chairman, vice-chair- 53 man, and a secretary. Such officers shall serve until their 54 successors are elected and qualified. The council shall meet 55 at least once a month or more often upon the call of the 56 chairman at such times and places as the chairman shall 57 designate. 58 Each member of the council shall receive thirty-five dollars 59 for each day or part thereof spent in performing his duties 60 and shall be reimbursed for actual and necessary expenses in- 61 curred in the discharge of his official duties. An allied health 62 professional member of the council shall receive compensa- 1981] HOUSE — No. 3913 3

63 tion as a council member whether he performs duties as a 64 council member or as a rotating member of the board of reg- 65 istration and discipline in medicine under the provisions of 66 section twenty-three O of chapter one hundred and twelve. 67 The council shall have the following powers, duties, and

68 functions: — 69 (a) examine and pass upon the qualifications of applicants 70 for license to practice , , 71 speech pathology, , , acupuncture, 72 radiologic technology, and radiation therapy technology in the 73 commonwealth and issue licenses to qualified applicants; 74 (b) investigate complaints and conduct investigations or 75 hearings on written complaints against licensees of said allied 76 health occupations; 77 (c) publish annually a list of the names and addresses of 78 persons who are licensed to practice said allied health occu- 79 pations; 80 (d) establish regulations for continuing education require- 81 ments for licenses; 82 (e) advise the board of registration and discipline in medi- 83 cine in any and all matters affecting practitioners of said 84 allied health occupations; serve as a liaison between said 85 board and said practitioners; and keep informed on contem- 86 plated actions of said board primarily affecting said practi- 87 tioners; 88 (f) make recommendations and forward a report to the 89 board of registration and discipline in medicine on guide- 90 lines for utilization of, and standards of practice for, licensees 91 of said allied health occupations, which recommendations and 92 report said board may accept or reject in whole or in part; 93 (g) coordinate regulation of allied health occupations with 94 state health planning and resource development functions; 95 (h) make such rules and regulations as may be necessary 96 for the purpose of implementing this section; however, the 97 council shall not make such rules and regulations which con- 98 stitute guidelines for the utilization of, and standards of prac- 99 tice for, licensees of said allied health occupations; and 100 (i) appoint an advisory committee, hereinafter called the 4 HOUSE — No. 3913 [January

101 committee, which shall consist of eleven members, eight of 102 such members shall represent each of the categories of li- 103 censure provided for in section twenty-three B of chapter one 104 hundred and twelve, except that such members constituting 105 the first committee shall be persons who are eligible for li- 106 censure under the provisions of said section. One of such 107 members shall be a physician licensed in accordance with the 108 provisions of section two of chapter one hundred and twelve; ' 109 one of such members shall be selected from and represent the 110 general public; and one of such members shall represent the 111 allied health occupation which is the subject of evaluation 112 by the committee under the provisions of this section. The 113 committee shall evaluate proposals as to licensure of existing 114 and emerging allied health occupations and shall make spe- 115 cific recommendations on an annual basis on the appropriate- 116 ness of regulation of said occupations to the council and to 117 the general court. In identifying allied health occupations for 118 licensure, the committee shall use the following criteria: li- 119 censure of allied health practitioners serves the purpose of 120 promoting safe and competent care for the public; the scope * 121 of practice of the occupation is distinguishable from that of 122 other licensed and unlicensed allied health occupations; the 123 functions and responsibilities of persons working in the scope 124 of practice require independent judgment and action based on 125 a substantive body of skill and knowledge; and the public can- 126 not be effectively protected by means other than licensure. 1 Section 2. Chapter 112 of the General Laws is hereby I 2 amended by striking out sections 23A to 23P inclusive and

3 inserting in place thereof the following: — 4 Section 23A. The following words as used in sections 23A 5 to 23 inclusive, unless the context otherwise requires, shall 6 have the following meanings;— j 7 (a) “Board,” the board of registration and discipline in ' 8 medicine, established under section ten of chapter thirteen. 9 (b) “Council,” the council on allied health occupations, es- 10 tablished under section eleven A of chapter thirteen. 11 (c) “Occupational therapy,” the application of occupation, 12 any activity in which one engages for evaluation, diagnosis, , 1981] HOUSE — No. 3913 5

13 and treatment of problems interfering with functional per- 14 formance in persons impaired by physical illness or injury, 15 emotional disorder, congenital or developmental disabilities, 16 or the aging process in order to achieve optimum functioning 17 for prevention and health maintenance. Specific occupational 18 therapy services include, but are not limited to, activities of 19 daily living; the design, fabrication, and application of splints; 20 sensorimotor activities; the use of specifically designed crafts; 21 guidance in the selection and use of adaptive equipment: 22 'therapeutic activities to enhance functional performance; pre- 23 vocational evaluation and training: and consultation concern- 24 ing the adaptation of physical environments for the handi- 25 capped. These services are provided to individuals or groups 26 through medical, health, educational or social systems. 27 (d) “Occupational therapist,” a person who is duly licensed 28 to practice occupational therapy in the Commonwealth in 29 accordance with section 23B and who practices occupational 30 therapy upon the referral of a physician or dentist duly li- 31 censed by the Commonwealth. 32 (e) “Physical therapy,” the application of principles, meth- 33 ods and procedures of evaluation, treatment, instruction and 34 consultation related to neuromuscular, musculo-skeletal, car- 35 diovascular and respiratory functions. Such evaluation shall 36 include performance of tests as an aid to the diagnosis or 37 planning of treatment programs. Such treatment shall in- 38 elude but is not limited to the use of therapeutic exercise, 39 mobilization, functional training, traction, postural drainage, 40 temporary splinting and bracing, , heat, cold, water, 41 radiant energy, electricity or sound. Such instruction shall 42 include teaching both patient and family physical therapy 43 procedures as part of a patient’s on-going program. Physical 44 therapy also shall include the delegating of selective forms 45 of treatment to supportive personnel with assumption of the 46 responsibilities for the care of the patient and the continu- 47 ing direction of the supportive personnel and the providing 48 of consultative services for health, educational and commu- 49 nity agencies. Physical therapy shall not include radiology 50 or chiropractic as defined in Section 89. 6 HOUSE — No. 3913 (January

51 (f) “Physical therapist,” a person who is duly licensed in 52 accordance with Section 23B of this chapter as a physical 53 therapist and who practices physical therapy upon the re- 54 ferral of a physician or dentist duly licensed by the Com- 55 monwcalth. 56 (g) “Speech pathology,” the application of principles, meth- 57 ods and procedures of measurement, prediction, evaluation, 58 testing, counseling, consultation and instruction related to 59 the development and disorders of speech and language. Any 60 representation to the public by title or by description of serv- 61 ices, methods or procedures for the evaluation, examination 62 or counseling of persons suffering or suspected of suffering 63 from conditions or disorders affecting voice, speech and lan- 64 guage, whereby remedial services are provided, shall be con- 65 sidered to be the practice of speech pathology. 66 (h) “Speech pathologist,” any person who is duly licensed 67 as a speech pathologist in accordance with Section 23B of this 68 chapter and who practices speech pathology upon the refer- 69 ral of a physician or dentist duly licensed by the Common- 70 wealth. 71 (i) “Audiology,” the application of principles, methods and 72 procedures of measurement, prediction, evaluation, testing, 73 counseling, consultation and instruction related to the devel- 74 opment and disorders of speech and hearing, for the purposes 75 of identifying, evaluating, or modifying an individual’s hear- 76 ing; and the planning, direction or participation in identifi- 77 cation and hearing-conservation programs. Any representa- 78 tion to the public by title or by description of services, 79 methods or procedures for the evaluation, examination or 80 counseling of persons suffering or suspected of suffering from 81 conditions or disorders affecting hearing, whereby remedial 82 services are provided, shall be considered to be the practice 83 of audiology. Remedial services include, but are not limited 84 to hearing aid evaluation, recommendation, fitting and dis- 85 pensing, auditory training and speech reading. 86 (j) "Audiologist,” any person who is duly licensed as an 87 audiologist in accordance with Section 23B of this chapter 88 and who practices audiology upon the referral of a physician 1981] HOUSE — No. 3913 7

89 or dentist duly licensed by the Commonwealth. 90 (k) “Athletic training,” the application of principles, 91 methods and procedures of prevention and/or physical reha- 92 bilitation of injuries incurred by athletes. Such treatment 93 shall include the use of physical modalities such as heat, cold, 94 and other mechanical rehabilitative devices. 95 (1) “Athletic trainer,” a person who is duly licensed as an 96 athletic trainer in accordance with Section 23B of this chap- 97 ter and who practices athletic training upon the referral of 98 a physician or dentist duly licensed by the Commonwealth. 99 (m) “Acupuncture,” the insertion of needles into the hu- 100 man body by piercing the skin of the body for the purpose of 101 curing disease or relieving pain. 102 (n) “Acupuncturist,” a person who is duly licensed as an 103 acupuncturist in accordance with Section 23B of this chapter 104 and who practices acupuncture upon the referral of physi- 105 dan or dentist duly licensed by the Commonwealth. 106 (o) “Radiologic technology,” the means by which a person 107 studies the diagnosis of disease, by the use of x-rays. 108 (p) “Radiologic technologist,” a person who is duly licensed 109 as a radiologic technologist in accordance with Section 23B 110 of this chapter and who practices ionizing radiation for diag- 111 nostic use only. 112 (q) “Radiation therapy,” the means by which a person is 113 treated for certain diseases with the applications of radium 114 and x-rays. 115 (r) “Radiation therapy technologist,” a person who is duly 116 licensed as a radiation therapy technologist in accordance 117 with Section 23B of this chapter and who uses ionizing radia- 118 tion producing equipment or material on humans for thera- 119 peutic purposes only. 120 Section 23B. The council shall examine applicants for li- 121 censure in each of the fields it supervises at such times and 122 places as it may determine and shall conduct at least two such 123 examinations in each field in each calendar year. An appli- 124 cant who fails the examination shall be allowed to take the 125 examination two additional times. Fourth and subsequent 126 examinations shall be at the discretion of the council. The 8 HOUSE — No. 3913 [January

127 council shall establish written, oral and practical examination 128 and testing procedures to enable the council to ascertain the 129 competency of persons wishing to be registered as qualified 130 athletic trainers and acupuncturists. Applications for such 131 licenses, signed and sworn to by the applicants, shall be made 132 on blanks furnished by the council. An applicant who fur- 133 nishes satisfactory proof that he is of good moral character 134 and that he has met the educational and clinical practice re- 135 quirements set forth in sections 23F through 23M shall, upon 136 payment of twenty-five dollars, be examined by the council, 137 and if found qualified, shall be licensed to practice and shall 138 receive a certificate thereof from the council. 139 Every person licensed hereunder shall, on or before his 140 birthday in each odd numbered year, renew his license for 141 the ensuing two year period by payment of five dollars to the 142 council and thereupon the council shall issue a license show- 143 ing that the holder is entitled to practice for the period cov- 144 ered by said payment; provided, that if a birthday of any 145 person who shall be licensed hereunder shall occur within 146 three months after such original licensing, such person need 147 not renew his license until the birthday in the odd numbered 148 year next following the birthday aforesaid. In default of such 149 renewal, a person licensed hereunder shall forfeit the right to 150 practice until such fee shall have been paid. 151 Section 23C. A person who meets the qualifications to be 152 admitted to the examination for licensure as an occupational 153 therapist, physical therapist, speech pathologist, audiologist, 154 athletic trainer, acupuncturist, radiologic technologist, or 155 radiation therapy technologist may between the date of fil- 156 ing an application for licensure and the announcement of the 157 results of the next succeeding examination for licensure, ac- 158 cording to which application he has filed, practice: as an 159 occupational therapist under the direction of an occupational 160 therapist duly licensed under this chapter; as a physical thera- 161 pist under the direction of a physical therapist duly licensed 162 under this chapter; as a speech pathologist under the direc- 163 tion of a speech pathologist duly licensed under this chapter; 164 as an audiologist under the direction of an audiologist duly 1981] HOUSE — No. 3913 9

165 licensed under this chapter; as an athletic trainer under the 166 direction of an athletic trainer duly licensed under this chap- 167 ter; as an acupuncturist under the direction of an acupunctur- 168 ist duly licensed under this chapter; as a radiologic technolo- 169 gist under the direction of a radiologic technologist duly 170 licensed under this chapter; or as a radiation therapy technol- 171 ogist under the direction of a radiation therapist technologist 172 duly licensed under this chapter. If any person so practicing 173 fails to qualify for and pass the first announced examination 174 after filing for licensure, all privileges under this section shall 175 automatically cease upon due notice to the applicant of such 176 failure. Such privileges shall be renewed upon filing for a 177 second examination for licensure and shall automatically cease 178 upon due notice to the applicant that he has failed to pass 179 the second examination. Such privileges shall again be re- 180 newed upon the applicant’s filing for a third examination and 181 shall automatically cease upon due notice that he has failed 182 to pass the third examination. The privilege shall not ex- 183 ceed beyond the third examination. 184 Section 23D. The council may in its discretion and with- 185 out examination, license as an occupational therapist, physi- 186 cal therapist, speech pathologist, audiologist, athletic trainer, 187 acupuncturist, radiologic technologist or radiologic therapy 188 technologist, any applicant who is duly licensed or registered 189 under the laws of another state or territory of the United 190 States, the District of Columbia or the Commonwealth of 191 Puerto Rico. At the time of making such application, the ap- 192 plicant shall pay the council a fee of twenty-five dollars. 193 Section 23E. Nothing in this section shall prohibit any 194 person employed as an occupational therapist, physical thera- 195 pist, speech pathologist, audiologist, athletic trainer, acupunc- 196 turist, radiologic technologist, or radiologic therapy lechnolo- 197 gist, by an agency of the federal government from practicing 198 within the commonwealth while discharging his official duties 199 as such employee. 200 Section 23F. An applicant for licensure as an occupational

201 therapist shall: — 202 (1) have successfully completed the academic require- in HOUSE — No. 3913 [January

203 ments of an accredited program in the field of occupational 204 therapy. Such program shall be accredited by the American 205 Medical Association and approved by the American Occupa- 206 tional Therapy Association. 207 (2) have successfully completed the required period of 208 supervised field work experience at an educational institution 209 accredited or approved as provided in subsection (1), or at a I 210 training program approved by such an educational institution 211 but shall be at least six months of supervised field work 212 experience. 213 (3) have successfully passed an examination as described 214 in Section 23G. 215 Section 23G. 216 (1) The examination conducted by the council for appli- 217 cants for licensure as occupational therapists shall be writ- 218 ten and shall test the applicant’s knowledge of the basic and 219 clinical sciences relating to occupational therapy theory and 220 practice, including the applicant’s professional skills and judg- ; 221 ment in the utilization of occupational therapy techniques ' 222 and methods, and such other subjects as the council may 223 deem useful to determine the applicant’s fitness to act as an 224 occupational therapist. 225 Section 23H. To be eligible for licensure by the council as 226 a physical therapist an applicant shall (1) be of good moral 227 character, (2) have graduated from an approved educational 228 program within the United States and its territories leading j 229 to professional qualification in physical therapy which pro- 230 gram was approved at the time of his graduation by the 231 American Physical Therapy Association or have graduated 232 from an approved educational program in physical therapy 233 chartered in a sovereign state outside the United States and re- 234 have furnished to the council such evidence as it may , 235 quire provided: (a) that his education is substantially the 236 equivalent of that of graduates of approved programs in the 237 United States, (b) that he has sufficient qualifications as de- 238 termined by the council, including proficiency in the English 2.39 langauge, (o practice physical therapy, and (c) that he has 240 passed to the satisfaction of the council an examination con- 1981] HOUSE — No. 3913 11

241 ducted by it to determine his fitness to practice as a physical 242 therapist. 243 Section 231. The examination for physical therapist shall

244 embrace the following subjects: — the applied sciences of anat- 245 omy, kinesiology, physiology, pathology, psychology, physics; 246 physical therapy, applied to medicine, neurology, orthopedics, 247 pediatrics, psychiatry and surgery; medical ethics and tech- 248 nical procedures in the practice of physical therapy. The type 249 of examination shall be determined by the council. 250 Section 23J. An applicant for licensure as an athletic

251 trainer shall: — 252 (1) have completed the athletic training curriculum or 253 meet the physical education requirements of a college or uni- 254 versity approved by the council and give proof of graduation; 255 or 256 (2) hold a degree in physical therapy or corrective ther- 257 apy with at least a minor in physical education or a health 258 field, have taken a basic athletic training course, and have 259 spent at leaset two academic years working under the direct 260 supervision of a licensed athletic trainer; or 261 (3) have completed at least four years beyond the sec- 262 ondary level, as an undergraduate or graduate student as an 263 apprentice athletic trainer under the direct supervision of a 264 licensed athletic trainer. These must be consecutive years of 265 supervision (military duty excepted). 266 Section 23K. To be eligible for licensure by the council as

267 a speech pathologist or audiologist, an applicant shall: — 268 (1) be of good moral character. 269 (2) possess at a minimum a master’s degree or its equiva- 270 lent in the area of speech-language pathology or audiology, 271 granted by an educational institution which incorporates 272 academic course work recommended by the American Speech 273 and Hearing Association. 274 ( 3) have completed a minimum of three hundred hours of 275 supervised clinical experience in either an approved educa- 276 tional institution or in one of its cooperative programs. 277 (4) have obtained the equivalent of nine months of full 278 time supervised professional clinical work experience in the 12 HOUSE — No. 3913 [Januan

279 area in which the license is being sought. This experience 280 shall be supervised by a qualified person as defined in Sec- 281 tion 23C and must be done after completion of the academic 282 and clinical training. 283 Section 23L. To be eligible for licensure by the council as

284 a radiologic technologist, an applicant shall: — 285 (1) be of good moral character. j 286 (2) have successfully completed a four-year course of study , 287 in a secondary school approved by the state board of educa- 288 tion, or passed an approved equivalency test. 289 (3) have successfully completed a twenty-four month 290 course of study in a program of radiologic technology, ap- 291 proved by the council and the laws of the commonwealth of 292 Massachusetts as determined by the council. 293 Section 23M. To be eligible for licensure by the council as

294 a radiation therapy technologist, an applicant shall: — 295 (1) be of good moral character. 296 (2) have successfully completed a four-year course of study 297 in a secondary school approved by the state board of educa- < 298 tion, or passed an approved equivalency test. 299 (3) have successfully completed a twenty-four month 300 course of study in a program of radiation therapy technology 301 approved by the council and the laws of the commonwealth of 302 Massachusetts as determined by the council. 303 Section 23N. The council may, after a hearing pursuant to

304 Chapter 30, revoke, suspend, cancel the license of or place on , 3;)5 probation, reprimand, censure or otherwise discipline a licen- 306 see upon proof satisfactory to a majority of the council that 307 said person: 308 (a) obtained or attempted to obtain a license by fraud or 309 deception: 310 (b) been convicted of a felony or of a crime involving moral $ 311 tuipitude; 312 (c) has been grossly negligent in his practice of physical 313 therapy, occupational therapy, speech pathology, audiology, 314 acupuncture, athletic training, radiologic technology or radia- 315 tion therapy; 316 (d) been adjudged mentally ill or incompetent by a court of I 1981] HOUSE - No. 3913 13

317 competent jurisdiction; 318 (e) used drugs or intoxicating liquors to the extent which 319 adversely affects his practice; 320 (f) acted in a manner which is professionally unethical ac- 321 cording to ethical standards of the professions of physical 322 therapy, occupational therapy, speech pathology, audiology, 323 acupuncture, athletic training, radiologic technology and radi- 324 ation therapy. 325 Section 230. No person licensed under Sections 23A to 23M, 326 inclusive, shall practice as a physical therapist, occupational 327 therapist, speech pathologist, audiologist, acupuncturist, ath- 328 letic trainer, radiologic technologist, or radiation therapy 329 technologist, except upon the referral of a physician or den- 330 tist duly registered by the Commonwealth. Nothing in this 331 section shall be construed as authorizing a physical therapist, 332 occupational therapist, speech pathologist, audiologist, acu- 333 puncturist, athletic trainer, radiologic technologist, or radia- 334 tion therapy technologist, to practice medicine, osteopathy, 335 chiropractic or any other form or method of healing not speci- 336 tied in said section. 337 Section 23P. The board shall adopt reasonable rales and 338 regulations to carry into effect sections twenty-three A to 339 twenty-three V, inclusive, and may amend and revoke such 340 rules and regulations at its discretion. For purposes of mak- 341 ing rales and regulations under this section, one member of 342 the council, representing the allied health occupation affected 343 by such rales and regulations, shall sit as a voting member 344 of the board. The council shall keep a record of its proceed- 345 ings and a roster of all persons licensed by it under this sec- 346 tion. The roster shall include the licensee’s name, last known 347 business and residential addresses, date of licensing and license 348 number. 349 Section 23Q. No person shall hold himself out as a physical 350 therapist or as being able to practice physical therapy or to 351 render physical therapy services in the commonwealth unless 352 he is licensed in accordance with Section 23B. No person not 353 so licensed may use in connection with his name the words 354 or letters, “P.T.,” “R.P.T.,” “L.P.T.,” “physical therapist,” 14 HOUSE — No. 3913 [January

355 “physiotherapist,” or any other words, letters, abbreviations 356 or insignia indicating that he is a physical therapist. 357 Section 23R. No person shall hold himself out as an occu- 358 pational therapist or as being able to practice occupational 359 therapy or to render occupational therapy or to render occu- 360 pational therapy services in the commonwealth unless he is 361 licensed in accordance with Section 23B. No person not so 362 licensed may use in connection with his or her name or place 363 of business the letters, “O.T.R.” or “C.O.T.A.” or any other 364 words, letters, abbreviations or insignia indicating that he is 365 an occupational therapist. 366 Section 23S. No person shall hold himself out as a speech 367 pathologist or as being able to practice speech pathology or 368 to render speech pathology services in the commonwealth un- 369 less he is licensed in accordance with Section 23B. No person 370 not so licensed may use in connection with his name or place 371 of business the title “speech-language pathologist” or provide 372 services described as “speech pathology,” “speech correction- 373 ist,” “speech therapy,” speech therapist,” “speech clinic," 374 “speech clinician,” “logopedist,” “communicologist,” “language 375 therapist,” “language clinician,” “voice therapist,” “aphasia 376 therapist” or any similar title or description. 377 No person shall hold himself out as an audiologist or as be- 378 ing able to practice audiology or to render audiology serv- 379 ices in the commonwealth unless he is licensed in accordance 380 with Section 23B. No person not so licensed may use in con- 381 nection with his name or place of business the title audiolo- 382 gist or provide services described as “audiology,” "audiolo- 383 gist,” “hearing clinic," “hearing clinician,” and “hearing 384 therapist," or any other similar title or description 385 Section 23T. No person shall hold himself out as an ath- 386 letic* trainer or as being able to practice athletic training or 387 to render athletic training services in the commonwealth un- 388 less he is licensed in accordance with Section 23B. 389 Section 2SU. No person shall hold himself out as an acu- 390 puncturist or as being able to practice acupuncture or to he 391 render acupuncture services in the commonwealth unless 392 is licensed in accordance with Section 23B. 1981] HOUSE - No. 3913 15

393 Section 23V. No person shall hold himself out as a radio- 394 logic technologist or as being able to practice radiologic tech- 395 nology or to render radiologic technology services in the corn- 396 monwealth unless he is licensed in accordance with Section 397 23B. 398 Section 23W. No person shall hold himself out as a radia- 399 tion therapy technologist or as being able to practice radia- 400 tion therapy technology services in the commonwealth unless 401 he is licensed in accordance with Section 23B.

1 Section 3. For two years from the effective date of this 2 act, a license as an occupational therapist, speech pathologist, 3 audiologist, athletic trainer, acupuncturist, radiologic tech- 4 nologist, or radiation therapy technologist, shall be issued 5 without examination to an applicant who satisfied the council, 6 established by section one of this act, that when necessary he 7 has obtained an appropriate educational degree from an ac- 8 credited institution, or who satisfied the council that he is 9 and actually has been engaged, for at least two years in the 10 practice of occupational therapy, speech pathology, audiology, 11 athletic training, acupuncture, radiologic technology, or ra- 12 diation therapy technology, as defined by sections twenty- 13 three A to twenty-three V of chapter one hundred and 14 twelve of the General Laws, inserted by section two of this 15 act. 16 Any person who is presently a duly registered physical 17 therapist in the Commonwealth will not be required to apply 18 for physical therapy licensure under this chapter until his 19 current registration expires.

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