Missouri Revised Statutes
Chapter 334 - Physicians and Surgeons — Therapists — Athletic Trainers — Health Care Providers
Section 334.1218 - Establishment of the physical therapy compact commission.

Effective - 28 Aug 2016
*334.1218. Establishment of the physical therapy compact commission. — A. The compact member states hereby create and establish a joint public agency known as the physical therapy compact commission:
1. The commission is an instrumentality of the compact states.
2. Venue is proper and judicial proceedings by or against the commission shall be brought solely and exclusively in a court of competent jurisdiction where the principal office of the commission is located. The commission may waive venue and jurisdictional defenses to the extent it adopts or consents to participate in alternative dispute resolution proceedings.
3. Nothing in this compact shall be construed to be a waiver of sovereign immunity.
B. Membership, Voting, and Meetings
1. Each member state shall have and be limited to one delegate selected by that member state's licensing board.
2. The delegate shall be a current member of the licensing board, who is a physical therapist, physical therapist assistant, public member, or the board administrator.
3. Any delegate may be removed or suspended from office as provided by the law of the state from which the delegate is appointed.
4. The member state board shall fill any vacancy occurring in the commission.
5. Each delegate shall be entitled to one vote with regard to the promulgation of rules and creation of bylaws and shall otherwise have an opportunity to participate in the business and affairs of the commission.
6. A delegate shall vote in person or by such other means as provided in the bylaws. The bylaws may provide for delegates' participation in meetings by telephone or other means of communication.
7. The commission shall meet at least once during each calendar year. Additional meetings shall be held as set forth in the bylaws.
C. The commission shall have the following powers and duties:
1. Establish the fiscal year of the commission;
2. Establish bylaws;
3. Maintain its financial records in accordance with the bylaws;
4. Meet and take such actions as are consistent with the provisions of this compact and the bylaws;
5. Promulgate uniform rules to facilitate and coordinate implementation and administration of this compact. The rules shall have the force and effect of law and shall be binding in all member states;
6. Bring and prosecute legal proceedings or actions in the name of the commission, provided that the standing of any state physical therapy licensing board to sue or be sued under applicable law shall not be affected;
7. Purchase and maintain insurance and bonds;
8. Borrow, accept, or contract for services of personnel, including, but not limited to, employees of a member state;
9. Hire employees, elect or appoint officers, fix compensation, define duties, grant such individuals appropriate authority to carry out the purposes of the compact, and to establish the commission's personnel policies and programs relating to conflicts of interest, qualifications of personnel, and other related personnel matters;
10. Accept any and all appropriate donations and grants of money, equipment, supplies, materials and services, and to receive, utilize and dispose of the same; provided that at all times the commission shall avoid any appearance of impropriety and/or conflict of interest;
11. Lease, purchase, accept appropriate gifts or donations of, or otherwise to own, hold, improve or use, any property, real, personal or mixed; provided that at all times the commission shall avoid any appearance of impropriety;
12. Sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise dispose of any property real, personal, or mixed;
13. Establish a budget and make expenditures;
14. Borrow money;
15. Appoint committees, including standing committees comprised of members, state regulators, state legislators or their representatives, and consumer representatives, and such other interested persons as may be designated in this compact and the bylaws;
16. Provide and receive information from, and cooperate with, law enforcement agencies;
17. Establish and elect an executive board; and
18. Perform such other functions as may be necessary or appropriate to achieve the purposes of this compact consistent with the state regulation of physical therapy licensure and practice.
D. The Executive Board
The executive board shall have the power to act on behalf of the commission according to the terms of this compact.
1. The executive board shall be comprised of nine members:
a. Seven voting members who are elected by the commission from the current membership of the commission;
b. One ex officio, nonvoting member from the recognized national physical therapy professional association; and
c. One ex officio, nonvoting member from the recognized membership organization of the physical therapy licensing boards.
2. The ex officio members will be selected by their respective organizations.
3. The commission may remove any member of the executive board as provided in bylaws.
4. The executive board shall meet at least annually.
5. The executive board shall have the following duties and responsibilities:
a. Recommend to the entire commission changes to the rules or bylaws, changes to this compact legislation, fees paid by compact member states such as annual dues, and any commission compact fee charged to licensees for the compact privilege;
b. Ensure compact administration services are appropriately provided, contractual or otherwise;
c. Prepare and recommend the budget;
d. Maintain financial records on behalf of the commission;
e. Monitor compact compliance of member states and provide compliance reports to the commission;
f. Establish additional committees as necessary; and
g. Other duties as provided in rules or bylaws.
E. Meetings of the Commission
1. All meetings shall be open to the public, and public notice of meetings shall be given in the same manner as required under the rulemaking provisions in section 334.1224.
2. The commission or the executive board or other committees of the commission may convene in a closed, nonpublic meeting if the commission or executive board or other committees of the commission must discuss:
a. Noncompliance of a member state with its obligations under the compact;
b. The employment, compensation, discipline or other matters, practices or procedures related to specific employees or other matters related to the commission's internal personnel practices and procedures;
c. Current, threatened, or reasonably anticipated litigation;
d. Negotiation of contracts for the purchase, lease, or sale of goods, services, or real estate;
e. Accusing any person of a crime or formally censuring any person;
f. Disclosure of trade secrets or commercial or financial information that is privileged or confidential;
g. Disclosure of information of a personal nature where disclosure would constitute a clearly unwarranted invasion of personal privacy;
h. Disclosure of investigative records compiled for law enforcement purposes;
i. Disclosure of information related to any investigative reports prepared by or on behalf of or for use of the commission or other committee charged with responsibility of investigation or determination of compliance issues pursuant to the compact; or
j. Matters specifically exempted from disclosure by federal or member state statute.
3. If a meeting, or portion of a meeting, is closed pursuant to this provision, the commission's legal counsel or designee shall certify that the meeting may be closed and shall reference each relevant exempting provision.
4. The commission shall keep minutes that fully and clearly describe all matters discussed in a meeting and shall provide a full and accurate summary of actions taken, and the reasons therefore, including a description of the views expressed. All documents considered in connection with an action shall be identified in such minutes. All minutes and documents of a closed meeting shall remain under seal, subject to release by a majority vote of the commission or order of a court of competent jurisdiction.
F. Financing of the Commission
1. The commission shall pay, or provide for the payment of, the reasonable expenses of its establishment, organization, and ongoing activities.
2. The commission may accept any and all appropriate revenue sources, donations, and grants of money, equipment, supplies, materials, and services.
3. The commission may levy on and collect an annual assessment from each member state or impose fees on other parties to cover the cost of the operations and activities of the commission and its staff, which must be in a total amount sufficient to cover its annual budget as approved each year for which revenue is not provided by other sources. The aggregate annual assessment amount shall be allocated based upon a formula to be determined by the commission, which shall promulgate a rule binding upon all member states.
4. The commission shall not incur obligations of any kind prior to securing the funds adequate to meet the same; nor shall the commission pledge the credit of any of the member states, except by and with the authority of the member state.
5. The commission shall keep accurate accounts of all receipts and disbursements. The receipts and disbursements of the commission shall be subject to the audit and accounting procedures established under its bylaws. However, all receipts and disbursements of funds handled by the commission shall be audited yearly by a certified or licensed public accountant, and the report of the audit shall be included in and become part of the annual report of the commission.
G. Qualified Immunity, Defense, and Indemnification
1. The members, officers, executive director, employees and representatives of the commission shall be immune from suit and liability, either personally or in their official capacity, for any claim for damage to or loss of property or personal injury or other civil liability caused by or arising out of any actual or alleged act, error or omission that occurred, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of commission employment, duties or responsibilities; provided that nothing in this paragraph shall be construed to protect any such person from suit and/or liability for any damage, loss, injury, or liability caused by the intentional or willful or wanton misconduct of that person.
2. The commission shall defend any member, officer, executive director, employee or representative of the commission in any civil action seeking to impose liability arising out of any actual or alleged act, error, or omission that occurred within the scope of commission employment, duties, or responsibilities, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of commission employment, duties, or responsibilities; provided that nothing herein shall be construed to prohibit that person from retaining his or her own counsel; and provided further, that the actual or alleged act, error, or omission did not result from that person's intentional or willful or wanton misconduct.
3. The commission shall indemnify and hold harmless any member, officer, executive director, employee, or representative of the commission for the amount of any settlement or judgment obtained against that person arising out of any actual or alleged act, error or omission that occurred within the scope of commission employment, duties, or responsibilities, or that such person had a reasonable basis for believing occurred within the scope of commission employment, duties, or responsibilities, provided that the actual or alleged act, error, or omission did not result from the intentional or willful or wanton misconduct of that person.
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(L. 2016 H.B. 1816 merged with S.B. 608 merged with S.B. 635 merged with S.B. 973)
Effective 4-25-17, see § 334.1230.
*S.B. 608 was vetoed July 5, 2016. The veto was overridden on September 14, 2016.

Structure Missouri Revised Statutes

Missouri Revised Statutes

Title XXII - Occupations and Professions

Chapter 334 - Physicians and Surgeons — Therapists — Athletic Trainers — Health Care Providers

Section 334.001 - Open records subject to release — board disclosure of confidential information, when.

Section 334.002 - Inactive license status granted, when.

Section 334.010 - Unauthorized practice of medicine and surgery prohibited — practice of medicine across state lines, definition — sports-related medical services, inapplicability.

Section 334.020 - Board defined.

Section 334.021 - Reference to terms in prior laws, how construed — no hiring discrimination permitted based on medical degree held.

Section 334.031 - Qualifications of candidates for licenses.

Section 334.035 - Application for permanent license, postgraduate training requirement.

Section 334.036 - Assistant physicians — definitions — limitation on practice — licensure, rulemaking authority — collaborative practice arrangements — insurance reimbursement.

Section 334.037 - Assistant physicians, collaborative practice arrangements, requirements — rulemaking authority — identification badges required, when — prescriptive authority.

Section 334.038 - Assistant physicians, program to serve in medically underserved areas, requirements — fund created — grant eligibility — rulemaking authority.

Section 334.040 - Examination of applicants, how conducted, grades required, time limitations, extensions.

Section 334.043 - Reciprocity — reciprocal compacts — fee.

Section 334.044 - Gratuitous medical services, summer camps, physician licensed in other state may perform, when.

Section 334.045 - Temporary license granted, when, fee — conditional temporary license issued, when, limitations, expires when — no renewal.

Section 334.046 - Temporary license to teach for physicians, requirements — interns or residents from adjoining states may act in this state, requirements — waivers granted for temporarily licensed physicians seeking permanent license.

Section 334.047 - License to show degree held by licensee — use on stationery and displays required.

Section 334.050 - Board fund created, use — funds transferred to general revenue, when — examination and reexamination fees.

Section 334.070 - Issuance of certificates of registration to licensees, contents — relocation, notification required.

Section 334.073 - Continuing medical education on autism required.

Section 334.075 - Renewal of certificate, minimum continuing education requirement, exception, retired physicians.

Section 334.080 - Licensees to renew registration, when — application, content — failure to renew, effect.

Section 334.090 - Fees, amounts, how set.

Section 334.097 - Medical records, maintenance of, requirements, contents — corrections, additions, and changes.

Section 334.098 - Disposition of certain records.

Section 334.099 - Contested hearing, when, procedure — revocation of license, when — hearing to resume practice, when — rulemaking authority.

Section 334.100 - Denial, revocation or suspension of license, alternatives, grounds for — reinstatement provisions.

Section 334.101 - List, publication of all licensees and of persons whose licenses have been revoked, when — reports of disciplinary actions, exception, voluntary entrance into treatment programs.

Section 334.102 - Emergency suspension or restriction, when, procedure — removal from record, when — disciplinary proceedings permitted, when — judicial review, when.

Section 334.103 - Automatic revocation or reinstatement of license, grounds.

Section 334.104 - Collaborative practice arrangements, form, contents, delegation of authority — rules, approval, restrictions — disciplinary actions — notice of collaborative practice or physician assistant agreements to board, when — certain nurses...

Section 334.105 - Intractable pain treatment act — definitions.

Section 334.106 - Intractable pain treatment physician may prescribe controlled substances for therapeutic purposes, requirements — exceptions.

Section 334.107 - Improperly prescribing controlled substances and failure to keep required records grounds for license denial, suspension or revocation.

Section 334.108 - Telemedicine or internet prescriptions and treatment, establishment of physician-patient relationship required.

Section 334.110 - Retired licensees not required to register.

Section 334.112 - Limited license to practice medicine, requirements — limitations of practice.

Section 334.120 - Board created — members, appointment, qualifications, terms, compensation.

Section 334.123 - Organization of board — employment of executive director and employees — meetings — records as evidence — quorum.

Section 334.125 - Seal — regulations — offices — rulemaking, procedure, this chapter.

Section 334.127 - Subpoenas for witnesses, administration of oaths — enforcing subpoena, procedure.

Section 334.128 - Investigation and hearings, persons participating not to be liable for civil damages, when.

Section 334.150 - Treatments of ill excepted from regulation by this chapter.

Section 334.153 - Intervention pain management, practice of only by licensed physician, when — board to promulgate rules — expiration date.

Section 334.155 - Applicability of chapter.

Section 334.157 - Board to promulgate certain rules relating to vaccines and immunizations.

Section 334.160 - Right of school to recognition, how determined.

Section 334.170 - Issuance or acceptance of false diploma or certificate, misdemeanor.

Section 334.190 - Practice of midwifery limited.

Section 334.230 - Unlawful practices, injunction procedure.

Section 334.240 - Investigation and commencement of prosecutions.

Section 334.245 - Abortions, only physicians to perform — violations, penalty.

Section 334.250 - Unlawful practice, fraudulent filing of license or identification, penalties.

Section 334.252 - Physicians prohibited referral to certain physical therapists, definitions.

Section 334.253 - Physicians prohibited referral to certain physical therapists, when, financial relationship, defined — exceptions, effective when.

Section 334.260 - Midwives licensed.

Section 334.265 - Intoxicated person, motor vehicle accident, treatment for injuries, physician may report to law enforcement agencies, rule of confidentiality not to apply.

Section 334.285 - Maintenance of licensure or certification, requirement by state prohibited — definitions.

Section 334.400 - Definitions.

Section 334.402 - Anesthesiologist assistants, may assist in anesthesia care plan for patients, activities authorized and prohibited — identification, assistants and students — faculty members of anesthesia program, requirements.

Section 334.404 - Licensure, application, fee, contents — license duration — renewal — lost or stolen license, replacement of.

Section 334.406 - Temporary license issued, when, procedure.

Section 334.408 - Inactive license status granted, when — return to active status, procedure.

Section 334.410 - Retirement, affidavit to be filed with board — renewal of registration for resumption of practice.

Section 334.412 - Licensure without examination permitted, when — reciprocal compacts permitted.

Section 334.414 - Certificate of registration issued, when — rules promulgated by board — authority of board — complaint procedure — penalty.

Section 334.416 - Renewal of certificate of registration, when, procedure, fee.

Section 334.418 - Certificate required to practice, not required, when.

Section 334.420 - Continuing education requirements, waiver of requirements, when.

Section 334.422 - Fees, deposit in board of registration for the healing arts fund, use of funds.

Section 334.424 - Supervision required by anesthesiologist, limitations — written practice protocol required.

Section 334.426 - Hospitals may limit function of anesthesiologist assistants, procedure.

Section 334.428 - Anesthesiologist assistant, use of title permitted, when — penalty.

Section 334.430 - Advisory commission for anesthesiologist assistants established, duties, members, qualifications, terms, vacancies, compensation, annual meetings.

Section 334.500 - Definitions.

Section 334.506 - Physical therapists may provide certain services without prescription or direction of an approved health care provider, when — limitations.

Section 334.507 - Continuing education requirements.

Section 334.510 - License required, effective when.

Section 334.520 - Board to license.

Section 334.525 - Inactive license status permitted, when, procedure.

Section 334.530 - Qualifications for license — examinations, scope.

Section 334.540 - License without examination, when — reciprocal agreements authorized.

Section 334.550 - Temporary license, issuance, fees.

Section 334.560 - Examination fees, reexamination.

Section 334.570 - Certificate of registration — notice to renew — fees — display of certificate, requirements.

Section 334.580 - Registration, fee.

Section 334.600 - Affidavit of retirement.

Section 334.601 - Fees to be set by board.

Section 334.602 - Patient record documentation requirements.

Section 334.610 - License to practice required, exceptions — unauthorized use of titles prohibited.

Section 334.611 - Examination not required, when.

Section 334.612 - Complaints by persons incarcerated, no documentation or disciplinary action permitted, when — destruction of records permitted, when.

Section 334.613 - Refusal to issue or renew a license, procedure — complaint may be filed, when, requirements for proceedings on — disciplinary action authorized.

Section 334.614 - Licensed physical therapists, board to publish list of and make a report on disciplinary actions available to the public.

Section 334.615 - Clear and present danger, information to be brought to board — sanctioning authority — hearing required, when, procedure.

Section 334.616 - Automatic revocation of licensure, when.

Section 334.617 - Injunction or restraining order authorized, when.

Section 334.618 - Investigation and filing of complaints for violations.

Section 334.620 - Short title.

Section 334.625 - Advisory commission for physical therapists created — powers and duties — appointment, terms, expenses, compensation, staff, meetings, quorum.

Section 334.650 - Physical therapist assistant, license required — supervision by licensed physical therapist.

Section 334.655 - Physical therapist assistant, educational requirements — board examination, applications — written examination — examination topics — examination not required, when.

Section 334.660 - Reciprocity with other states.

Section 334.665 - Temporary license — fee authorized — expires, when.

Section 334.670 - Examination fee.

Section 334.675 - Renewal of license, application, fee — display of license, requirements.

Section 334.680 - Fees deposited in state treasury.

Section 334.685 - Retirement of physical therapist assistant, affidavit.

Section 334.686 - Titles authorized.

Section 334.687 - Rulemaking authority.

Section 334.700 - Short title.

Section 334.702 - Definitions.

Section 334.703 - Referral to physician, when — limitations on scope of practice.

Section 334.704 - Athletic trainers required to be licensed.

Section 334.706 - Board of healing arts, powers and duties — rules and regulations, procedure.

Section 334.708 - Licensure, examination — reciprocity.

Section 334.710 - Licensure forms and fee — deposit of fees.

Section 334.712 - License issued, when — content.

Section 334.715 - Refusal to issue or renew license, grounds, alternatives — complaint procedure — reinstatement, procedure.

Section 334.717 - Missouri athletic trainer advisory committee, appointment — duties — members, qualifications, terms, vacancies.

Section 334.720 - Compensation of board members.

Section 334.721 - Athletic trainers not to be construed as practicing medicine — persons exempt from registration provision.

Section 334.725 - Violations, penalty.

Section 334.735 - Definitions — scope of practice — prohibited activities — board of healing arts to administer licensing program — duties and liability of physicians — collaborative practice arrangement requirements.

Section 334.736 - Physician assistants, temporary license, requirements, fees, renewal.

Section 334.737 - Certifying entity to register with department — information required — approval or termination of certification after review and public hearing.

Section 334.738 - License, application, form, fee, not refundable — requirements — license issued, when — destroyed license replacement, fee.

Section 334.740 - Title of licensed profession — used only by licensed persons — service may be performed without licensure, when — violation, penalty.

Section 334.741 - Revocation or suspension, notice to department, requirement — list of licensed persons to be available.

Section 334.742 - Nonresident of Missouri may apply for licensure, requirements.

Section 334.743 - Rulemaking, procedure — rules effective, when, void, when.

Section 334.745 - Fees deposited in board of registration for the healing arts fund.

Section 334.746 - Staff for health care provider — certification.

Section 334.747 - Prescribing controlled substances authorized, when — collaborating physicians — certification.

Section 334.748 - Physician assistant, notice required to be posted that assistant is serving — hospital may limit assistant's activities.

Section 334.749 - Advisory commission for physician assistants, established, responsibilities — appointments to commission, members — compensation — annual meeting, elections.

Section 334.800 - Title of act — definitions.

Section 334.810 - Practice of respiratory care, definition — practice, where — practice, special training required, when — rules and regulations, authority to promulgate.

Section 334.820 - License required — practice of medicine not authorized.

Section 334.830 - Missouri board for respiratory care created, members, appointment — terms — physician member — public member — hospital administrator member — respiratory therapist member — removal of a member.

Section 334.840 - Board chairperson elected, vice chairperson — rules and regulations, adoption by board — compensation and expenses.

Section 334.850 - Personnel provided through division of professional registration, duties — rulemaking.

Section 334.860 - Promulgation of rules, authority.

Section 334.870 - Licensing requirements, background checks.

Section 334.880 - License renewal — inactive status.

Section 334.890 - Six-month education permit, requirements — supervision required, when — conditional permit issued, when.

Section 334.900 - Individuals and activities not limited by respiratory care practice act.

Section 334.910 - Complaints received by the board, investigation, subpoenas, petitions, filing complaint with administrative hearing commission.

Section 334.920 - Board powers — disciplining and sanctions — violations, penalty.

Section 334.930 - Immunity from liability for emergency care.

Section 334.950 - Collaboration between providers and medical resource centers — definitions — recommendations — rulemaking authority, SAFE CARE providers.

Section 334.1135 - Joint task force established, members, duties, meetings — report.

Section 334.1200 - Purpose.

Section 334.1203 - Definitions.

Section 334.1206 - State participation in the compact.

Section 334.1209 - Compact privilege.

Section 334.1212 - Active duty military personnel or their spouses

Section 334.1215 - Adverse actions.

Section 334.1218 - Establishment of the physical therapy compact commission.

Section 334.1221 - Data system.

Section 334.1224 - Rulemaking.

Section 334.1227 - Oversight, dispute resolution, and enforcement.

Section 334.1230 - Date of implementation of the interstate commission for physical therapy practice and associated rules, withdrawal, and amendment.

Section 334.1233 - Construction and severability.