Missouri

Physical

Therapy

Association, Inc.

Volume 44, Number 2

Newsletter April/May—June, 2011

American Physical Therapy Association

Missouri Chapter

In this

Issue:

Thank you to

Rockhurst

Meet the New

Officers

Disaster in Joplin

MPTA Members

Honored

Winners of the 2011

Physical Activity

Grant

Shoes4Kids—Thanks

Ortho Liaison News

Mark your Calendar

Special Delegate Re-

port

Meeting Minutes

Committee Reports

The MPTA Board

and Chairs—

Reporting

M

P

T

A

MPTA SPRING CONFERENCE

Thank you to Rockhurst University!

The staff and students of Rockhurst University contributed tremendously to the success of the 2011

Spring Conference. The beautiful campus filled with blooming tulips welcomed almost 300 PTs,

PTAs and students from around the state on April 16-18.

Attendees earned up to 18 hours of CE by attending courses in the following areas in interest: pedi-

atrics, medical screening, orthopaedics, the PT Practice Act, and neurology.

The MPTA Business Meeting on April 16th allowed attendees to discuss the RCs that would be

presented in the APTA House of Delegates (see full report on the actions of the House of Delegates

on pages 12-13.) The membership was also given the opportunity to elect and welcome new offi-

cers. The following members were elected to MPTA state offices:

Michelle

Unterberg, PT,

DHS (St. Louis)

—Vice President

Mike

Gorman, PT

(St. Louis)

—Director

Paula

Burnett, PT

(Jefferson City)

—President

Ellen

Spake, PT, PhD

(Kansas City

—Chief Delegate

Mick Ward was elected to serve as a member of the Nominating Committee. He will serve a 3

year term and rotate to committee chair in 2013. (Photo unavailable.)

Devastating Tornado Strikes

Joplin, Missouri on May 22 On May 22, 2011 an E5 tornado tore through the city of Joplin, MO, killing 142 people, injuring

over 900 people, damaging 8,000 structures, and destroying over 2,000 buildings.

St. John‘s Hospital, and numerous PT Clinics were among the structures that were destroyed.

MPTA is working through Southwest Baptist University to assist. So far, over $13,000 has been

raised (APTA contributed $5000) to assist the PT community. Ongoing relief will be needed.

Please send donations to SBU—Attention: PT Storm Disaster Relief

1600 University Ave.

Bolivar, MO 65613

2

In 2012, the following MPTA Board positions will be up for election:

Secretary

PTA Delegate (open to PTA members)

Director (2 positions open)

Nominating Committee member

Are you interested in serving or do you know of a member who would be perfect for the job? A complete de-

scription of these offices, requirements to serve, and the duties involved may be found on the MPTA website:

http://www.mopt.org/proceduremanual.html

You may also contact Carol Kemna at ckemna@bardgett.net if you would like more information or you may

contact MPTA Nominations Committee Chair Jill Fitzgerald at jfitzg21@slu.edu

Will you be the next MPTA Board Member?

Sandy Ross Honored

with Anna Moudy Award

As part of the recent Faculty Development Day, the annual Anna Moudy Award for Ex-

cellence in Education was presented to Sandy Ross, DPT, MHS, PCS, coordinator of

research and associate professor for the physical therapy program.

The award, which includes a $500 cash prize, is presented annually to a faculty member

who demonstrates an interrelationship between research/original work and classroom

teaching which results in an exceptional learning environment. The University‘s Faculty

Development Committee chooses the award recipient. The award bears the name of the

late Dr. Anna Moudy, a Maryville science professor who died in 1997.

―I have such a passion for research and teaching, it was truly an honor to be recognized

by my colleagues at Maryville,‖ Ross said.

Ross has just completed a two-year National Institutes of Health grant focused on

strengthening ankles of children with cerebral palsy to improve their walking patterns.

The next step is reviewing the data and submitting results to scientific journals and con-

ferences.

Michael Cibulka Honored

as a Catherine Worthingham

Fellow of the APTA

Michael T. Cibulka, DPT, MHS, OCS, associate professor of physical therapy, has

been elected a Catherine Worthingham Fellow of the American Physical Therapy As-

sociation (APTA). The designation is the highest honor awarded by APTA. The fel-

lowship honors Catherine Worthingham, PT, PhD, FAPTA, who demonstrated lead-

ership across the domains of advocacy, education, practice, and research in the field.

It recognizes practitioners who attain the high level of professional excellence and

impact in terms of advancing the profession

3

Announcing the Winners of the

2011 MPTA Physical Activity Grant! Outstanding grant submissions and strong finances resulted in the MPTA Board of Directors opting to

award FOUR Physical Activity grants of $1000 each rather than the three planned at the beginning of

2011. The winning schools are listed below

Wydown Middle School: Step It Up—Fitness Unit

Fulton Middle School: Disc Golf

Fort Zumwalt West Middle School: Fitness and Recreation Fun for Life

Farmington Intermediate School: Friends Moving Forward

Congratulations to these schools! MPTA thanks the teachers who applied for this grant and encourages all schools to

emphasize the importance of physical health and fitness.

MPTA President Paula Burnett

(left) hands Fulton Middle

School Physical Education and

Health Teacher Ashley Wind-

miller a grant check for $1000 to

implement disc golf—the idea

that Ms. Windmiller presented in

her grant submission to help pro-

mote physical activity for middle

school students.

The grant was awarded at the

end of the year school assembly

in May.

WANT TO ADVERTISE?

If you are interested in advertising in the MPTA Newsletter

please contact Carol Kemna at ckemna@bardgett.net for more information.

4

MPTA Members: Please note that MPTA will no longer be using an 866

toll free number. The increased use of cell phones and the rising cost of

land lines led us to believe that this was no longer a wise investment for

the association. You may reach the MPTA office by calling

573-556-6730.

Thank You for Supporting the Shoes4Kids Shoe/Sock Drive

at the MPTA Spring Meeting

Brad Thuringer, PTA—South Dakota

Thank you, Kind Soles

Once again, coordinating Shoes4Kids

(S4K) has left me in awe of our pro-

fession‘s incredible generosity. To-

gether, we are meeting the needs of

children in desperate circum-

stances. This year, S4K collected over

1,100 pairs of new youth athletic

shoes and over 4,000 pairs of socks

for the children of the greater Wash-

ington, D.C. area. I am thankful for all

who made this effort so successful.

―From where do all the shoes come?‖

shelter coordinators and parents often

ask. I proudly respond, ―They come

from caring physical therapists, physi-

cal therapist assistants and stu-

dents from across the country, many

of whom are members of American Physical Therapy Association.‖

Bright smiles on the children's faces as they picked out new shoes remind me of S4K's impact. I hope the at-

tached photos provide you with a glimpse of how S4K uses your special gifts to touch the soles and hearts of

children.

Special thanks to OTC for heading up the Missouri shoe/sock collections.

5

Upcoming Conference

October —14-16, 2011

MPTA Fall Gala/Conference

at Maryville University

St. Louis, Missouri

News from the National Orthopedic Chapter

Missouri Orthopedic Liaison Jayne Scanlan, MSPT, CMPT

1. Call for Primary Care EIG Chair

The Orthopaedic Section Board of Directors is seeking individuals interested in serving as Chair of the Pri-

mary Care Education Interest Group (EIG). The responsibilities of the Primary Care EIG Chair include: at-

tending the annual welcome breakfast at CSM, provide a proposal for 2 to 3 hours of potential CSM primary

care programming each year, serving as moderator of the EIG program, and provide a written report to the

Board of Directors describing the upcoming EIG programming at CSM. The selected EIG Chair would serve

a 3-year term. Please contact us if you are interested.

2. The Section is partnering with the APTA on the development of a National Orthopaedic Physical Therapy

Outcomes Database. A pilot program to collect and analyze outcomes data based on the Neck Pain Clinical

Practice Guidelines will be released to the membership through Osteo-blast later this year. The pilot program

will consist of the following:

Development of paper-based data collection form

Call for volunteers to pilot test form – training will be provided via a webinar

Collect data for minimum of 10 patients over 6 month period

Submit data to Orthopaedic Section office for data entry and analysis

Provide feedback on performance to those that submit data

Survey individuals regarding burden of data collection and usefulness of information

Use results to plan computerized data collection & analysis system

Please let me know if you have any questions.

Jayne Scanlan jscanlan@prorehabpc.com.

6

Committee Positions

MPTA is seeking help with several projects

and committees:

The History and Archive committee is looking for members—if you enjoy history and have talent in

video, scrapbooking and matting, etc, this might be just the place for you!

Do you love computers and technology? MPTA is seeking a Technology Task Force.

Have a specialty and enjoy teaching others? Sign up for the MPTA Speakers Bureau

Please contact the MPTA office at 888-222-6782 or ckemna@bardgett.net for additional information.

Upcoming Events

and Dates to Remember

September 24-26, 2011 APTA Policy and Payment Forum

Austin, TX

October 14,15-16, 2011 2011 MPTA Fall Conference. At Maryville University

Exhibits/Award/Gala will be held on Friday evening, October 14

Educational Sessions will be held October 15-16.

February 28, 2012 MPTA Lobby Day at the Capitol in Jefferson City

April 27-29, 2012 MPTA Spring Meeting—Tan Tar A Resort, Lake Ozark, MO

A special ―Student Track‖ is being developed with the assistance of

PR Chair Jeff Krug! Watch for the registration details in August

along will info on how to register for the great educational sessions

for PTs and PTAs. Up to 12 contact hours may be earned.

ACOs—and more

Have you visited the newly designed APTA website recently? You may be surprised at what you can find and the

amount of information available to you as a member. Want to learn more about coding and billing? What ACOs are

and what they may mean to PT? Seeking some great CE? The APTA website is a great place to start.

Just go to www.apta.org and check it out!

7

Missouri Physical Therapy Association

Board of Directors Meeting

April 15, 2011

0910-1356

Present: Sue Robinson- Southwest District Chair, Maureen Raffensperger-Northwest District Chair, Julie High, Treasurer, Bret Der-

rick-Director, Carol Kemna-John Bardgett and Associates, Ann Fick-Eastern District Chair, Kathy Bartley-Secretary, Marcie Harris

Hayes-President, Ellen Spake-Chief Delegate, Kathy Maxey-Director and Peer Review Chair, Niki Wallen-Director, PTA Caucus

Representative, Paula Barnett, President-elect candidate, Jeff Krug, Public Relations Chair and Sheryl Crawford, NW District Dele-

gate, Carmen Abbott, Practice, and Michelle Unterberg, President-elect candidate.

Welcome by Jeffery Breese, Dean of School of Graduate and Profession Studies at Rockhurst University.

Welcome with introduction of the members in attendance. Review of Voting Structure.

Sue Robinson reported on the Service awards. As Chair of District Chairs she reported that Marlene Medin was nominated in the

area of Education by Judi Pastorino and approved by the Chairs on 4/11. Judy will be asked to introduce her at the award ceremony.

BOD Sue moved and Maureen moved ―we approve the nomination for the service award in the area of education.‖ Passed.

Sue thanked the review committee who looked at the applications—Maureen, Jim Hackney, Jeanne Cook, and Kathy Bartley. The

following physical therapy students were nominated (listed in alphabetical order):

Jacqueline Carter Washington University

Rebecca Edgeworth Washington University

Krystan Fields University of Missouri

Abigail Leddy Washington University

Lauren McCray St. Louis University

Mary Nations Missouri State University

Ashley Pratt Maryville University

Clinton Rice Maryville University

John Sauer University of Missouri

The following physical therapist assistant students were nominated (listed in alphabetical order):

Paula Herries St. Louis Community College – Meramec

Brandon Maples Ozarks Technical Community College

Jennifer Wilson Ozarks Technical Community College

BOD Sue moved to ―Approve the students Kystan and Brandon for the outstanding student awards‖ which was seconded by

Nikki. Passed.

Brett Derrick presented the following 9 applicants received for the physical activity grant:

Saint Joan of Arc School – St. Louis City Monroe City R-1 Middle School – Monroe City

Richmond Middle School – Richmond Farmington Intermediate School – Farmington

Wydown Middle School – Clayton Fulton Middle School – Fulton

Fort Zumwalt West Middle School – O‘Fallon Trinity Lutheran School – Jefferson City

Orchard Farm Middle School – St. Charles

Marcie congratulated Teresa Briedwell about spear-heading this program.

BOD Ellen moved ―We accept the 3 top scores for the awards of Physical Activities Grants based on the criteria.‖ Sue seconded.

The facilities are Farmington Intermediate School, Wydown Middle School, and Fort Zumwalt. Discussion regarding whether there

are funds to award a 4th grant. Passed. Fulton is the 4th grant recipient.

BOD Ann moved and Julie seconded that ―We award a 4th activity grant.‖ Passed. There was discussion about the possibility of

adding a financial need as part of the requirement for the grant. Concern may be that even affluent schools may have needs in the

physical activity arena also. Julie recommended adding a rank list in criteria for financial. The recommendations will go to the com-

mittee for discussion and have the committee come back with recommendation on how to add financial need as a criteria.

Julie reported concern regarding annual contributions for Diversity Dinner and Split Raffle. It was missed from the budget this

year. Plans for this to be included in the Chapter Office budget by the Executive Officer. This was approved previously by a Doodle

vote. This will be added as a line item in the Executive Office budget.

8

Marcie proposed using electronic balloting as an option to take the place of paper ballots at the Spring 2012 meeting. A paper ballot

would be sent for those who don‘t have email addresses. BOD Kathy B moved ―A task force be appointed to investigate the logistics

of electronic voting and report at Summer Board meeting and to include the Chair and/or the full Nominating Committee on the task

force.‖ Seconded by Sue and was passed. Maureen, Kathy and Marcie (as chair) are also appointed as part of the committee. The

districts will be used to communicate some of the information before voting.

John Bardgett reported on government affairs/legislation:

S148/HB318 Equal Pay-- still in committees. Paula talked about possibility of Reimbursement committee looking into rates

for therapy in different practice settings from insurances to look at what equal pay level might actually be. Plan to have

some information available for summer board meeting. May ask for information from Mike Gorman also.

S233/HB507Athletic Trainer Reimbursement—the bills haven‘t had hearings yet.

HB 287 to be heard 4/18/11 in committee regarding a requirement for name badges on all employees in hospitals and ambu-

latory care centers that include name and job title. Department of Health and Human Services will be address what will

be on the badges. The office will look at offering Carol‘s services to the Department of Health and Human Services to

be sure that the correct credentialing is available.

HCS/HB 732 – BOHA use of ―Dr.‖ This language has been defeated in committee. Maureen moved and Ellen seconded

BOD that if amendment brought forward to limit the use of the term doctor then MPTA will support no limit of the use

of the term. Passed.

S216/HB300 Concussion Language—moving forward in Senate; now any qualified health care professional can release an

athlete to return to competing.

Any Willing Provider—will not pass legislation this year.

PTA/MO HealthNet—Paula‘s facility is developing a document regarding who reimburses PTA and how in settings in their

system. She reports she will be willing to share at Summer Board meeting.

Bill Hopfinger was reappointed to the Advisory commission and approved by the Governor on April 14, 2011.

Marcie presented a proposal to place the procedure manuals online for easy access. Discussion regarding increasing web based ac-

tivities throughout organization for things such as registration, etc. Members of the Board who are going off board need to review

their section of the manual for corrections. Carol will be sending out the sections for review next week. Task force appointed with

Brett (chair), Sue, and Kathy B and looking for outside expertise from the membership. Plan to have a report for Summer Board

meeting.

Sue discussed the core ambassador program regarding the previous request to the BOD from MSIG. They will be voting on an

amendment to their by-laws at their meeting tonight for this position. After it is approved by their membership it will need to be ad-

dressed at a future board meeting for the board approval.

Julie discussed recommendations made by the APTA (Mike Bostler) regarding our funds with the following:

―My recommendation is to replace the Hennesy Cornerstone fund to the Cambiar Opportunity Fund, Ticker ―CAMOX‖.

My recommendation is to consider adding the Master‘s Select International Fund symbol ―MSILX‖ by transferring $4,000

each from the JHancock Small Cap fund and the Ranier small Mid Cap fund, and consider moving $10,000 from the

Vanguard 500 VFINX fund into this fund. These transfers will bring the total to $18,000 or roughly a 10% allocation

to international.

Concerns from the financial committee in regards to the funds left for emergencies about the following recommendation:

―If you don‘t see a need to pull cash out in the next three years then my recommendation would be to invest 10% or 2/3 or

what you currently have back into the funds leaving $10,000 for emergencies. Of the $20,000 I would recommend you

invest $5,000 with the Value fund (either Hennesy or Cambiar), invest $10,000 in a new growth-oriented fund like the

PrimeCap Odyssey Growth Fund symbol ―POGRX‖ and the remaining $5,000 with the Vanguard Bond Fund, symbol

―VBIIX‖.

BOD Julie moved ―Board support replacing the Hennesy Cornerstone fund with Cambiar Opportunity Fund.‖ Ann seconded.

Passed.

BOD Julie moved ―Board support Manning and Napier World Opportunites (EXWAX) funds and transferring a total of $18000

funds.‖ Kathy Maxey seconded. Discussion regarding this move will result in diversification into international markets which is de-

sirable. Passed.

Julie will investigate the option #3 for additional information and report at Summer Board meeting.

Research fund: The organization can give money to the PT fund and be tax exempt. BOD Julie moved ―We disband the Research

fund.‖ Ann seconded. Supporting documentation: The rationale for this motion is that the Research Fund does not have any re-

sources and in fact funding to support research has come from the MPTA general budget for the past three years. Research is listed

as a service provided by the PT fund. Both the Research and PT funds are tax exempt funds. Passed

Cont‘d on pg. 9

9

Announcements/Discussions during lunch:

Kathy Maxey updated the board on Mary Gaub.

Maureen has been recognized as Distinguished Faculty.

Sean Newton and Carmen Abbot are recovering from some health issues.

Marcie appointed two positions—Jane Scanlion with Orthopedic Section and Tracy Norris with Geriatric Section. Maureen

has agreed to serve as Student Liaison when Sue‘s rotation is completed.

Carol to report data for spring meetings at the summer BOD meeting.

Membership program update—no real activity yet. Be sure to promote the program.

CEU follow up—Ann reports process is now going to Board of Healing Arts, to the Insurance commission, Secretary of State,

the Governor and then posted to the website.

Reimbursement forum –was there attendance?

Member survey for priorities—Marcie looking at options to conduct a survey.

Ann reports very strong research grant applications being submitted. Discussion regarding fund raising for some of the re-

search groups.

Delegate Report was given by Ellen Spake: There are 28 motions at this time that have been posted.

a. The Supervision of Student Physical Therapist Assistants (HOD P06-00-19-31) be amended by substitution: Student physical

therapist assistants, when participating as part of a physical therapist assistant education curriculum, and when acting in accordance

with the American Physical Therapy Association policy and applicable state laws and regulations, are qualified to perform selected

physical therapy interventions under the direction and direct supervision of either the physical therapist alone or the physical therapist

and/physical therapist assistant team. The physical therapist Association practice act does not supersede the state practice act. The cur-

rent practice act in the state of Missouri requires on-site supervision of physical therapist while the APTA position currently is direct

contact with patient/client.

RC-13 The Missouri delegation is a co-sponsor of a motion on full payment for physical therapy services rendered by a physical

therapist assistant that is being brought to the 2011 House of Delegated by the PTA Caucus. The American Physical Therapy

Association (APTA) supports full payment for physical therapy interventions whether provided by the physical therapist or

the physical therapist/physical therapist assistant team operating in accordance with the American Physical Therapy Associa-

tion‘s policies, positions, guidelines, standards, and Code of Ethics.

If this is passed it would become a position statement. Concern that by bringing this forward it may raise this awareness with other

insurance organizations that might also reduce reimbursement that is provided by PTA. Another comment is that other profes-

sions are paid on a tiered system—may need additional research to support the need to pay at full payment level. More atten-

tion to address the tiered level—why should PT different than other profession.

Private practice RC3 PT accountability. Written in resolution language. Passage of RC3 might change what the definition of

physical therapy is since currently only PT and PTA are the only ones who can provide PT. RC 3 would allow ATC, massage

therapists, etc., to be providers under the direction of a physical therapist. RC4-12 would be changes that would need to occur

if RC3 passes. These would be pulled by the Private Practice Section if RC3 does not pass. Passage of this RC would be the

first step in changing position and policy. The idea of the RC was to maintain control and autonomy over a practice by the

provider being able to decide what and who they would delegate practice activities. Who do we as a profession do we want to

have as an extender; there is nothing that prevents a therapist from referring a patient for services from a massage therapist but

not as an extender of a physical therapist.

APTA communities for HOD

By-Law amendment with ICF model

Healthcare benefits

Co-pay systems

Hospice and Palliative Care

Concussion management

Beyond Vision 2020

Annual physical therapy examination

Federal disaster assistance licensure issues

Overseas

Slate for candidates—will not be interviewing candidates of nominating committee; they have already been interviewed at CSM and

posted online. Much more information is being presented before the HOD for ease of decision-making.

Jeff Krug shared a working proposal for a separate education tract at State meeting. Discussion with board occurred with direction to

develop a more formal proposal for Summer Board meeting. A point person/chair needs to be identified whether from Student Liaison

or PR.

10

Missouri Physical Therapy Association

Spring Membership meeting

April 16, 2011 1200-1330

Marcie welcomed the membership. She introduced Carol Kemna and Sandy Ross as part of the conference committee

involved with planning this year‘s seminar sessions. Marcie thanked the following speakers: Advisory Commission: Bill Hopfin-

ger, Judith Pastorino, Tammy Burlis, Jim Dronberger; Cerebral Palsy: Ashley Cavendar, Courtney Dunn, Kathy Herndon, Sarah

Hickey, Jennifer Miros, Nicole Weckherlin; Trunk/Core Stabilization: Chris Sebelski; Motor Control: Anne Burleigh Jacobs;

Medical Screening : Michael Koopmeiners. Marcie thanked all the vendors who were available in the reception hall during the

conference. She also introduced the Head Table: Kathy Bartley, Sue Robinson, Julie High, Ellen Spake, and Kathy Maxey.

Exciting activities of MPTA

Lobby day attendees – Approx. 200 in ‗11

Physical Activity grants – 9 applicants in ‘11; Special thanks to Teresa Briedwell for all her work on this program;

award winners will be in the newsletter

Research grants – 2 applicants for ‗11

Fall prevention screenings – MPTA events in every district in ‗10

Falls task force

Facebook – be ―friends‖ with MPTA on Facebook

MSSIG events

1215 – 1230 Bret Derrick spoke regarding PT-PAC: There are 900 PT in MPTA with 10% participating in the PAC; there are more

PTs in the state who aren‘t members of the MPTA. Can you afford $1 a day to support our profession? Everyone participating is

important. The hat was passed and there are PAC forms on the table to complete.

1230-1330

The membership meeting was called to order by Marcie Harris Hayes.

Elections:

Three tellers were appointed and nominations were presented by Jill Fitzpatrick with opportunities to nominate from the floor given

by Marcie. Ballot closed from floor nominations yielding no additional names for positions of President, Vice President, Director,

and Nominating Committee. Chief Delegate position was omitted from the ballot: Ellen Spake nominated from the floor and Ann

Fick seconded. Ballot was reviewed: President-- Paula Barnett, Vice President—Michelle Unterberg, Director--Mike Gorman,

Nominating Committee-- Brendan Tanner and Mick Ward and Chief Delegate—Ellen Spake. Marcie explained the voting proce-

dure. PT ballot is white and PTA ballot is green and there is a typo on the white ballot but it is the PT ballot.

John Bardgett spoke to the membership regarding government affairs:

John thanked Carol Kemna for all she does to assist in coordinating the meeting. Cheri Gibson was introduced with her husband Tim

has been assisting today. He is leaving to go overseas for 3rd tour of duty in the military.

John introduced Sue Allen who is a Representative in Missouri who then spoke to the membership. John thanked Marcie for all her

work for the membership and the assistance she has given the office over her term. There was a great turnout for the Lobby Day

which helps educate the legislators regarding physical therapy and what the profession offers. There are still 2-3 weeks left in

legislative session.

John discussed the following legislations:

HB to discipline physicians with an amendment for the use of the word ―doctor‖ which could result in a class D felony. The

language was ultimately removed from the bill.

Bill regarding nomenclature for information on badges for hospitals and ambulatory surgery center.

Bill regarding reimbursement for ATC; our request is that the visits they use will not go against physical therapy authorized

visits.

HB 300 regarding concussions to allow a licensed healthcare provider to release a student athlete to return to a game after

being injured for a possible concussion.

John then introduced Mike Gorman who spoke regarding equal pay bill. Bill Hopfinger, Carol Kemna, and Shawn Tucker

have all assisted in multiple ways to help move the process forward regarding the bill. S148/HB318 equality for reim-

bursement. There is a new website that was recently launched: www.equalpay4equalservices.com .

Cont‘d on page 11

11

Marcie also reminded the membership to be aware of the legislation is out there that could affect the profession; be

sure that your email address is current with the Executive Office. Be sure to introduce yourself to your members of

Congress when they go out on break May 14th.

Ellen Spake gave the Delegate report:

Ellen Spake introduced the members of the delegation. Almost half of the delegation is new this year. Carol Beckel introduced

the ballot for election at HOD.

Treasurer: Elmer Plasts from New Jersey with Al Almato speaking on his behalf from the floor and the second candi-

date is Steve Tolson, Washington, without comment.

Speaker for HOD: Shawn (current) without comments.

Director (3 to elect): Jennifer, Kevin and Kathleen from NJ, and Dave, Kentucky. Tammy supported from floor for

Kevin as Director, Support for Shawn late, and Dave.

Nominating Committee(4 candidtes,2 to elect): Tammy supporting LeBeck, Jerry Smith from Indiana with support

from Tammy.

Ellen spoke regarding the RC addressing the supervision of the PTA. Co-sponsored by OK. No comments from the floor.

Becky Crocker presented RC13 Full payment for physical therapy interventions being sponsored by the PT Caucus. No dis-

cussion.

Diana Chartrau presented RC3 Physical Therapist Responsibility and Accountability for the Delivery of Care. Tammy Burlis

asked what would happen if RC3 passed but if one of the RC 4-12 didn‘t pass how would the conflict between current policy

and what RC3 would change. There are discussion occurring on the communication boards and Ellen feels there is some back-

ground work being done to address this concern. Maureen Raffensperger expressed concern that this RC has significant im-

pact on a significant number of documents by the action of one RC. Julie High responded delegating tasks is different than

delegating interventions for skilled needs. Marilyn Sanford spoke about Private Practice may be giving us an opportunity to

address this has the new health care changes move forward over the next several years. Ellen spoke regarding the RC4-12

titles. Be sure to think about the RCs and speak to your District delegate.

All RCs are on the APTA website in APTA communities for further information.

Election Results were announced by Jill Fitzpatrick ( Nominating Committee Chair ‘11):

President: Paula Barnett

Vice President: Michelle Unterberg

Director: Mike Gorman

Nominating Committee: Mick Ward

Chief Delegate: Ellen Spake

Marcie thanked everyone for joining us for the meeting and reminded the membership of the awards meeting with a wine and

cheese reception following the afternoon sessions of the conferences today. PAC funds collected today were $1470.

The meeting was adjourned.

12

Delegate Report

Ellen Spake, Chief Delegate The full Missouri delegation is as follows:

Ellen Spake, Chief Delegate Teresa Briedwell – Central District

Paula Burnett - President Diana Chartrau – Southeast District

Greg Holtzman –Eastern District Sheryl Crawford – Northwest District

Carol Beckel – Eastern District Niki Wallen – PTA Caucus Rep

Becky Crocker – Southwest District

The summary of House actions for 2011 has been posted as both a Word document and PowerPoint presentation on the

House of Delegates Community (please be sure to log on to the APTA Web site before accessing the link). Developed

annually by the Secretary, this summary provides a brief synopsis of RCs considered by the House and serves as the ba-

sis for preparing presentations for your component members related to House actions; please feel free to modify the

documents as you see fit. Delegates were alerted to the availability of these documents this week.

RC 3-11 Comments for Missouri Membership

Support

RC 3-11 would allow the profession of PT the flexibility to adapt to upcoming changes in health care reimbursement and coor-

dinate with an existing APTA task force on alternative payment systems Opportunity to evaluate the role of the PTA and the

necessary educational preparation to make PTAs the preferred support personnel; possibility to strengthen their role in PT care

Amendment to the original language: ―Investigate changes to the educational preparation and scope of work of the PTA.‖

Many other states already utilize other support personnel as allowed by state practice acts; this will allow the Board of Directors

to address this issue and move toward an agreement in terms of reimbursement

If we are all guided by the APTA principles we need to be playing on a level field and this could assist in developing guidelines

that are now inconsistent by state practice acts

RC 3-11 could allow this model to assist with current work force concerns to provide physical therapy services in areas cur-

rently under served (i.e. limited access to physical therapy services by physical therapists or physical therapist assistants)

The discussion of RC 3-11 on the House floor made it more clear that this motion was not necessarily a statement against the

practice of PTAs. The discussion in the House also clarified that the proposed motion was not solely about money .

RC 3-11 would provide the profession of physical therapy greater latitude to better position the profession of physical therapy

given the concern that future payment models are still not well formed.

Concerns:

There are potential risks of other disciplines moving in a comparable manner toward the possible supervision of support person-

nel such as the PTA.

Concerns were raised that licensed professionals such as Exercise Physiologists, ATCs and massage therapists would not appre-

ciate being listed in a subservient position to PTs.

A concern rose regarding the definition of skilled Physical Therapy practice and if RC 3-11 would allow for the skilled services

previously viewed as the responsibilities of PT and PTA to be lost to other professionals to perform tasks under the direction of

physical therapist.

A concern was raised as to whether this model would allow for the incursion of other professions or does it facilitate the disper-

sion of physical therapy services?

A concern was raised to how this motion affects all delivery settings of physical therapy – so could and how supportive person-

nel can be utilized in home health, inpatient, outpatient, pediatrics, etc

A concern was raised related to the number of support personnel that can be supervised by a PT at one time – some practice acts

limit the number of PTAs that can be supervised but do not have anything listed related to the number of support personnel

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Outcomes

RC 3 was adopted (Yes 233; No 167 by an electronic vote) with amendments to language including

Proviso – doesn‘t go into effect until July 1, 2012 so more work to be performed

RCs 4-11 to 12-11 have been referred to the Board of Directors as they look at other models of care and the possible roles of

other personnel, including PTA and PT aide

Part of the investigation is to perform risk benefit analysis for potential models of delivery of care and an opportunity to

investigate liability and related issues.

Even though this motion passed with ; opportunities exist now to continue to address these areas

Practice must still be in compliance with state practice acts and this was reinforced by APTA legal counsel (Should reprint the

current language of MO Practice Act when this message is distributed)

The delegates can be liaisons to bring any membership concerns to the Board of Directors or they can e-mail the MO Liaison to

the Board of Directors directly.

Bill McGehee is the Board Liaison to Missouri and he may be reached at billmcgehee@apta.org

Recognized that RC 3-11 will impact all practice areas beyond outpatient orthopedic or private practices.

Acknowledged that the other potential professional and consumers need to be brought to the table to discuss this model.

PTA CAUCUS IS PUTTING TOGETHER A SYNOPSIS OF RC3 AND THEIR FUTURE PLANS – PTA Delegate Niki

Wallen can be contacted at nikiwallen@hotmail.com for those details as they come together.

UPDATE: The House of Delegates recently adopted a motion charging the Board of Directors to review the current model of the

physical therapist (PT), physical therapist assistant (PTA), and physical therapy aide (PT aide) as the only participants involved in

delivery of physical therapist services and to identify other potential models for delivery of these services. This work will be con-

ducted by the new Board-appointed RC 4-11 Through RC 12-11 Task Force.

Earlier this week, APTA's PT and PTA full members received an email message about the opportunity to serve on this task force.

Interested APTA members who are eligible to serve were asked to submit a volunteer application by e-mail no later than July 5. Mo-

tion language, details about the task force and the volunteer application form can be found here. Please direct questions to the Execu-

tive Department.

Some of Missouri‘s Delegates pose in front of the Nation‘s Capitol during legislative visits.

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Practice Committee Report

Carmen Casanova Abbott, Chair Activities: Responded to practice questions through October, 2010 that consisted of issues dealing with:

1. Delegation of exercise to rehabilitation technicians

2. PTA ability to perform balance assessments

3. Early intervention pediatric evaluations

We reviewed the Practice Act and if questions were not easily answered then a referral was made to the PT Advisory

Board for clarification.

Finance Committee Report

Julie High, MPTA Treasurer—Finance Report Investments Activity

Settle Transaction Description Quantity Price Total

Date

05/17 Sold HENNESSY CORNERSTONE (1,598.5260) 13.2900 21,219.41

VALUE FUND: HFCVX

05/17 Sold JHANCOCK SMALL CO FD A: (190.4870) 21.1300 4,000.00

JCSAX

05/17 Bought MANNING & NAPIER WORLD 1,945.9460 9.2500 (18,025.00)

OPPTY A: EXWAX

05/17 Sold RAINIER SMALL/MID CAP (114.8030) 35.0600 4,000.00

EQUITY PORTFOLIO: RIMSX

05/17 Sold VANGUARD 500 INDEX FUND (82.1040) 122.7100 10,000.00

INVESTOR SHARE: VFINX

05/18 Bought CAMBIAR OPPORTUNITY FUND 1,084.1130 19.5500 (21,219.41)

INV CL: CAMOX

The APTA recommendation to decrease the percentage of reserves in cash/bonds was tabled until the summer meeting.

Carol Kemna has submitted the 2010 MO tax return statement, annual audit report and balance sheet to the APTA. Thank you Carol.

In April the PAC returned $2,500.00 of the $10,000.00 loan.

The following non-budgeted expenses were approved by the board in the spring:

$1,000.00 (a fourth Physical Activity Grant).

$1,100.00 (chapter office to include MPTA contributions to the PT Foundation/Diversity).

$850.00 (student liaison expenses for student awards).

At the end of April (May budget vs. actual statement not available at the time of this report) the MPTA Spring Meeting income was

81% of expected income and expenses were 58% of expected. The net income from the spring meeting was $1,692.69. Our Jefferson

Bank Small Business Account balance as of May 31, 2011 is $125,998.14.

Schwab Account Value Summary as of May 2011

Cash & Sweep Money Market Funds $ 30,216.45

Total Investments Long $ 158,979.32

Total Investments Short $ 0.00

Total Account Value $ 189,195.77

Year-to-Date Change in Value Since 1/1/11 $9,903.61

Student Liaison Report

Sue Robinson, Chair Twelve nominations were received for the Outstanding MPTA Student PT and Student PTA Awards.

The following physical therapy students were nominated (listed in alphabetical order):

Jacqueline Carter -Washington University Rebecca Edgeworth—Washington University

Krystan Fields—University of Missouri Abigail Leddy—Washington University

Lauren McCray—St. Louis University Mary Nations—Missouri State University

Ashley Pratt—Maryville University Clinton Rice—Maryville University

John Sauer—University of Missouri

The following physical therapist assistant students were nominated (listed in alphabetical order):

Paula Herries—St. Louis Community College – Meramec Brandon Maples Ozarks Technical Community College

Jennifer Wilson Ozarks Technical Community College

Congratulations to Krystan Fields and Brandon Maples for being selected to receive these awards!

I would like to thank the following individuals for their service reviewing and scoring the application packets: Maureen

Raffensperger, Jeanne Cook, James Hackney, and Kathy Bartley

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Northwest District Report

Maureen Raffensperger, Chair

The Northwest District enjoyed hosting the MPTA Spring meeting at Rockhurst University.

On Tuesday, May 10th at 6:30 we had our delegate report. We also have begun to plan our topics for the fall district

meetings, starting with the topic ―the Role of Physical Therapy in Managing Obesity Across the Lifespan‖ by Catherine

Thompson.

For more information on Northwest District meetings and events, please contact me at raffen@missouriwestern.edu.

Eastern District Report Ann Fick, District Chair afick@maryville.edu

Since September of 2010 we have had 5 EDMPTA programs. We thank the following for very successful presentations:

―Fall Risk Screening: A Vital Component of Everyday Practice‖ by Angela Heaton

―Why and How to Accurately Measure Blood Pressure across the Lifespan for PTs and PTAs‖ by Ethel Frese

―Breast Cancer Rehabilitation for the Non-Women‘s Health Practitioner‖ by Renee Ivens and Stacy Tylka

―Physical Therapy Golf Performance Analysis and Rehabilitation‖ by Joe Harszy

―Delegate Report‖ by Greg Holzman and Carol Beckel

In October, Mary Christman received the Helen Holzum Whealen Award at the Physical Therapy Month EDMPTA

Gala. This is honor is given for her extraordinary dedication, outstanding service and tremendous leadership. ―Mary has

imprinted her wisdom, compassion, and love for physical therapy and life on numerous students and clinicians.‖ Con-

gratulations Mary!

In June members of the Eastern District presented two Physical Activity Grant awards in the St. Louis area for the

MPTA. Amanda Stapleton-Cloud presented a check to Damon Burkhart at Fort Zumwalt School. Stacy Tylka and I

presented a check to Julie Connor from Wydown School.

The goal of the board of the Eastern District is to offer at least one 4 hour continuing education program in the next year

for our members.

Southwest District Report

Sue Robinson, Chair

Our March 8, 2011 was held at St. John‘s – Joplin in the Brady Rehabilitation Center. Dr. James Hackney gave the fol-

lowing CEU presentation, ―Running barefoot or in minimalist shoes: what happens, and why might it be useful.‖ We

would like extend our thanks to Dr. Hackney for his presentation and to St. John‘s for hosting the event.

The next SW District MPTA meeting was be held on Tuesday, May 10, 2011 at Ozarks Technical Community College

(Richwood Valley Campus Location). Dr. Becky Crocker will be discussed the House of Delegate Issues.

We have been busy in the Southwest District supporting the disaster relief efforts following the recent tornado.

For more information on upcoming SW District Meetings and events, please contact me at

SusanRobinson@MissouriState.edu

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Federal Government Affairs Report Liaison Chris Marsh

Report on the 2011 Capitol Hill Day in Washington D.C.

Thank you for allowing me to be one of the Chapter‘s representatives to our national Federal Government Affairs event.

We had a great group consisting of Beth Crowner, Jennifer Stith, Rebecca Crocker, Rebecca McKnight, Paula Burnett,

Michelle Unterberg, Jessica Chaney, Chuck Gulas, Diana Chartrau, and myself. The meeting began for the FAL‘s &

State Coordinators on Wednesday afternoon with a highly informative talk given by Dr. Aaron Carroll, a noted authority

on Health Care Reform, discussing strengths & weakness of the Affordable Care Act, nicknamed Obama Care. This was

followed by a meeting of all participants to review the Legislation that we were asked to advocate for, as well as to in-

struct us in the details of the rally and following visits with our Senators and Representatives. We advocated for 3 pieces

of legislation:

1. The Medicare Access to Rehabilitation Services Act (H.R. 1546/S. 829) which repeals the Therapy Cap.

2. The Physical Therapist Student Loan Repayment Eligibility Act of 2011(H.R. 1426/S. 975) which makes Physical

Therapy Students eligible for the National Health Service Corps (NHSC). This helps with loan forgiveness should the

Student choose to practice in an underserved rural or urban communities.

3. The Protecting Student Athletes from Concussions Act of 2011 (H.R. 469). This establishes standardized national

concussion management guidelines for all states.

On Thursday, June 9th, 1,000 PTs, PTAs and PT/PTA Students braved 97 degree. temperatures to attend an outdoor rally

in support of the these bills. Speakers included APTA President Scott Ward, Sen. Jon Tester (D-Montana), and Sen.

Roger Wicker (R-Mississippi). Our participants met with staff members of the MO House delegation followed by meet-

ings the staff of Sen. Claire McCaskill and Sen. Roy Blunt. Our ―ask‖ was for co-sponsorship of the bills. After the

meetings, we returned to report to the APTA government affairs staff for appropriate follow-up on their part.

I want to thank all of the members that attended Capitol Hill Day, for their time, effort & support of our Federal Govern-

ment Affairs efforts.

Research Committee Report

Gammon Earhart, Chair

This quarter the Research Committee oversaw the peer review of MPTA Research Grant applications. The 2011 MPTA

Research Grant was awarded to Dr. Debra Fleming-McDonnell of Washington University in St. Louis. Dr. Fleming-

McDonnell will use the grant support in a study on the use of physical therapy services to treat low back pain in the

emergency room setting. Thanks to all who submitted applications and especially to those who reviewed the submis-

sions.

Practice Committee Report Carmen Casanova Abbott, Chair

Responsibility: Field membership questions regarding practice in the state.

Activities: Responded to practice questions through May, 2011 that consisted of issues dealing with:

1. Maintenance therapy in acute care setting

2. PT role in Oxygen administration

3. Coding issue concerning modality combinations

We reviewed the Practice Act and if questions were not easily answered then a referral was made to the PT Advisory

Board for clarification. The APTA advocacy website was also recommended.

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Public Relations Committee Report Jeff Krug, Chair Participation in assistance for Joplin including ongoing coordination of statewide collection sites and identification of

organizations requiring assistance including Ozark School for Autism. Items will continue to be collected and distributed

amongst organizations in Joplin. Coordination of groups to travel to Joplin to assist as needed.

Future Activities planned:

Organization of and publicity for:

Ongoing assistance for Joplin community

3rd Annual Fall Prevention Day: statewide Sept. 2011 (exact date TBA)

Lobby Day: February 21, 2012

Activity Grants due April 1, 2012

Spring MPTA meeting: Lake of the Ozarks, April 2012

Volunteers are welcome (and needed) for all of these activities!

We want to publicize the MPTA and its members! Please share your participa-

tion in events and your accomplishments!

Please contact me: (573)882-3561 or krugj@health.missouri.edu

MSSIG Committee Report

Erin Donze, Chair Thank you to the MSSIG from Maureen Raffensperger:

Thank you so much for your donation to the India Good Shepherd Mission Physical Therapy Department. The depart-

ment has recently relocated into an "out-building" outside the hospital, which gives them a bit more space and easier ac-

cess for outpatients. They are looking forward to using this money to purchase some much needed equipment for the

clinic.

A team of 7 PTs/PTAs/PTA students will be traveling to India in June, and will bring the money at that time. In the

meantime, rest assured that your gift will be very much appreciated and well spent. You cannot believe how much equip-

ment, and how many supplies $100 can buy. I am privileged to deliver your donation, and proud to represent your group

to the Good Shepherd PT staff.

The MSSIG also donated $100 to the Convoy of Hope and the Southwest Baptist University PT Disaster Relief Fund to

assist in the aid efforts following the recent tornado.

Education Committee Sandy Ross, Chair

Planning for the Fall Conference at Maryville University is underway. The event will begin with exhibits and we will

make the Gala that Eastern District traditionally hosts a statewide event. We currently just have Ana Mieres (Autism

Spectrum Disorder), Chuck Gulas/Bridget Webb (Geriatric Assessment and Interventions) and Jim Hackney/Mark Coal-

son (Rehabilitation for Runners) are scheduled to speak.

Registration information will be e-mailed and posted on the MPTA website in July.

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State Governmental Affairs Report Chris Marsh, Chair; John Bardgett, Lobbyist

The First Regular Session of the 96th Missouri General Assembly concluded Friday, May 13th at 6:00 PM. It was a slow start to the

legislative session this year due to the large number of freshman legislators and many new Committee Chairmen in the House of Rep-

resentatives. Adding to the delay, the new Senate leadership did not announce Committee assignments until the last week of January.

This session brought a super majority of Republicans in both chambers of the legislature, with 106 Republican House members and

26 Republican Senators. Despite these historic numbers, House and Senate leadership were unable in the end to agree on an eco-

nomic development proposal and reforms to existing tax credit programs even though job creation had been a priority for both

Speaker Tilley and President Pro Tem Rob Mayer. However, the top priority of Republicans this session was the redrawing of Mis-

souri‘s Congressional districts in light of losing one seat due to slow population growth from 9 Congressional districts to 8 districts.

Most of the session was spent on hammering out the differences between the House and Senate versions of the map and sending the

final version to Governor Nixon. As was anticipated, Governor Nixon vetoed the map; however, both House and Senate garnered

enough votes to override the veto, thereby avoiding having a map drawn by the courts.

General Session Information & Dates of Interest

There were a total of 1496 pieces of legislation filed during the 2011 legislative session with only 149 bills actually making it all the

way through the process to final passage. This includes 19 appropriation bills. Of the bills that were Truly Agreed to and Finally

Passed, well over half of these are what are considered ―consent‖ bills, which means they are generally noncontroversial and carry no

fiscal impact to the state.

Governor Nixon has until July 14, 2011 to either sign or veto bills passed during the legislative session. All legislation passed by the

General Assembly, if signed into law by Governor Nixon, will become effective on August 28, 2011 unless the legislation provided

for a specific effective date or contained an emergency clause.

Highlights of Bills Truly Agreed To and Finally Passed (TAFP):

Listed below are the major pieces of legislation that were passed and now await Governor Nixon‘s final action:

Corporate Franchise Tax Phase Out – Signed by Governor

Unemployment Benefits Extended – Signed by Governor

Dog Breeding Changes – Signed by Governor

Employment Law Reform – Vetoed by Governor

Concealed Guns lowering age from 23 to 21

Water Permit Fees

Medical Provider Taxes

Federal Stimulus Appropriation

Drug Testing of Welfare Recipients

Voter ID/Early Voting

Missouri RX Renewal

Presidential Primary to March

Small Business Tax Breaks

Human Trafficking

Highlights of Bills That Did Not Pass

Listed below are some of the issues which were heavily debated and took up a great deal of floor time but did not pass the legislature

this session:

Aerotropolis/Economic Development Proposal

Local Control of St. Louis Police Department

Tax Amnesty

Workers Compensation

Right to Work

Pseudoephedrine prescription

Health Care Exchange

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Nonpartisan Court Plan

Payday Loan Reform

Fair Tax

Charter School Expansion

Minimum Wage cap

Nuclear Power Plant

Turner Fix for School Districts

Ethics law fix

Fiscal Year 2012 Budget

The Missouri Senate and the Missouri House of Representatives approved the Fiscal Year 2012 budget one day in advance of the

May 6th Constitutional deadline. The $23 billion budget that will go into effect on July 1, 2011 went through the budget drafting

process in both chambers with very little opposition. The Senate Appropriations Committee Chairman, Sen. Schaefer (R-Columbia),

and the House Budget Committee Chairman, Rep. Silvey (R-North Kansas City), agreed on compromise positions for the four major

differences within the House and Senate versions of the budget that include the following:

$12 million additional funding for public higher education institutions (in

agreement that higher education institutions lower out-of-pocket student

expenses)

$10 million additional funding for elementary and secondary school transportation

$19.6 million to maintain the MO Rx Program that assists seniors and the

disabled covered by Medicare to pay for prescription drugs

$9 mission restoration funding for the Department of Health and Senior

Services In-Home Providers

The Fiscal Year 2012 Budget now awaits final action by the Governor. It is expected Governor Nixon and his staff will take weeks

to sift through the various state departments‘ line items to double check all action taken by the House and Senate before signing or

line item vetoing any amount of money. The revenue figures continue to stay positive; leaving Capitol observers to believe the Gov-

ernor will not be inclined to withhold funding from the FY 2012 Budget once it is enacted on July 1st.

Upcoming Special Elections

During the interim, several special elections will be held around the state to fulfill numerous vacated House of Representatives seats.

The special elections will include the following:

* House of Representatives District #15, former Rep. Faith (R-St. Charles) left the House to begin her new role as

the Mayor of St. Charles.

* House of Representatives District #39, former Rep. Peters-Baker (D-Kansas City) left the House to begin her new

role as Jackson County Prosecutor.

* House of Representatives District #41, former Rep. Curls (D-Kansas City) left the House to begin her new role as

Senator of the 9th District, Kansas City

* House of Representatives District #83, former Rep. Zimmerman (D-Olivette) left the House to begin his new role

as the St. Louis County Assessor.

HB 45 has been Truly Agreed to and Finally Passed by the Missouri General Assembly. This bill is known as ―Big Government –

Get Off My Back Act‖ and provides tax relief to certain small businesses. I would encourage you to read the summary of this bill.

The one major highlight of this bill authorizes, through 2014, an income tax deduction for a small business for each full-time job

created with an annual salary of at least the county wage as determined by the Department of Economic Development. There are

other provisions of this act but it was a major priority of the House of Representatives.

Bills of Interest to Physical Therapists

MPTA‘s legislative priority, Equal Pay for Equal Service, was given new life on the second to last day of session. The language

originally filed by Sen. Schaefer (R-Columbia) in SB 148 and Rep. Brandom (R-Sikeston) in HB 318 was amended to HCS/SCS/SB

177 through Rep. Lichtenegger‘s (R-Jackson) amendment in the House of Representatives. After the conference committee for SB

177 met to negotiate the differences between the House and Senate, the provisions of equal pay for equal service were kept in the

conference committee report for SB 177. However, the conference committee report was never taken on the last day of session for

final passage. A great deal of credit goes to Rep. Sue Allen, P.T. for her efforts late into the night to try to get our language passed.

A tremendous number of contacts were made in this effort and the language made substantial progress. However, extensive educa-

tion and lobbying will be needed in order to overcome the strong opposition of the insurance lobby and to keep incoming legislators

aware of the importance of this legislation. Lobbying efforts will continue throughout the summer if the MPTA Board chooses to

continue this initiative.

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HCS/HB 287 – sponsored by Rep. Brandom (R-Sikeston) was the original bill that contained the health care professional identifica-

tion badges to include the employee‘s name, title, recent photograph, and the name of the health care facility or organization. The

Senate companion to this bill was SB 137, sponsored by Sen. Brown (R-Rolla). These two pieces of legislation did not make it very

far into the legislative process on their own; however, numerous efforts were made to add the I.D. badge language to additional bills.

SCS/SB 303 – sponsored by Sen. Engler (R- Farmington) and HCS/HB 732 – sponsored by Rep. Brandom (R-Sikeston) experienced

similar transformations. The intent of these Professional Registration bills was to allow the Board of Healing Arts to discipline physi-

cians more efficiently. However, at one point, controversial language was added that would have prohibited the use of the title

―Doctor‖ or ―Dr.‖ by anyone except physicians in hospitals and ambulatory surgical centers. Extensive lobbying efforts led to the

removal of this language; however, diligent oversight was required to ensure that the language was not re-added as an amendment.

The disciplinary language was added to numerous bills. The language was Truly Agreed to and Finally Passed in an acceptable for-

mat in SS/SCS/HB 265.

You should also review language that was added and passed on the last day of session in the House of Representatives to SB 62. This

bill contains compromises for the FRA provider taxes and also some health care transparency language that was part of the compro-

mise to get the FRA tax bill passed. The language states the following:

3. Any health care benefit mandate proposed after August 28, 2011, shall be subject to review by the oversight division of the joint

committee on legislative research. The oversight division shall perform an actuarial analysis of the cost impact to private and public

payors of any new or revised mandated health care benefit proposed by the General Assembly after August 28, 2011 and a recommen-

dation shall be delivered to the Speaker and the President Pro Tem prior to mandate being enacted. The provisions of this section shall become effective on January 1, 2014.

SB 62 is on the Governor‘s desk awaiting his action.

Dates of Interest

Listed below are several key dates which may be of interest.:

July 14, 2011 - Last day for Governor Nixon to sign or veto legislation

August 28, 2011 - Legislation enacted during the 2011 legislative session becomes effective unless the legislation carried a spe-

cific date or emergency clause

September 14-15, 2011

Annual Veto Session in Jefferson City

December 1, 2011

First day to pre-file legislation for the 2012 legislative session

January 4, 2012

First day of the 2012 legislative session

APTA Policy and Payment Forum—Sept 24-26, 2011

Save the date for the 2011 APTA State Policy & Payment Forum to be held in Austin, TX, on Sept. 24-26, 2011. This

event is designed to increase your involvement in and knowledge of state legislative issues that have an impact on the

practice of physical therapy, and to improve your advocacy efforts at the state level. Programming this year will focus

on PT payment issues at the state level and will include presentations on PT co-pay legislation, Silent PPOs, Medicaid,

State Health Insurance Exchanges, Referral for Profit, and much more. You will hear from influential public policy

makers and other physical therapy advocates, collaborate with colleagues in developing your chapter or section's advo-

cacy efforts, and network with other professionals from across the country. Chapter presidents, legislative chairs, reim-

bursement chairs, chapter executives, lobbyists, students and anyone interested in state-level advocacy should attend!.

General Registration Opens Friday, July 15 on www.apta.org.

$140 APTA Members

$90 APTA Student Members

$100 Texas PT and PTA Members

$50 Texas Student Members

(this event is open only to APTA members and invited guests

Reimbursement Chair Al Amato and Government Affairs Chair Chris Marsh will attend and report on activities.

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Senate Interim Committees Formed to Focus on

Natural Disaster Recovery and Health Insurance Exchanges

JEFFERSON CITY — Missouri Senate Leader Robert N. Mayer, R-Dexter, recently created two Senate in-

terim committees to examine both short- and long-term issues affecting Missouri. The Senate Interim Com-

mittee on Natural Disaster Recovery Efforts, chaired by Sen. Ron Richard, R-Joplin, was created in response

to the string of natural disasters, ranging from blizzards, tornadoes and massive flooding, that has hit the state

in the last several months.

More specifically, the committee was created to examine what actions the General Assembly should take in

order to best assist Missouri residents and local governments as they recover and rebuild from the recent wave

of natural disasters. Comprised of three subcommittees focusing on specific areas of response and recovery,

senators will work with corresponding administrative agencies and make preliminary reports to the commit-

tee‘s chairman before the annual veto session, scheduled for Sept. 14. Senators named to the subcommittees

include:

Subcommittee on Emergency Response – Sen. Mike Kehoe (chairman), R-Jefferson City; Sen. Will Kraus, R-

Lee‘s Summit; Sen. Brian Nieves, R-Washington; Senate Majority Floor Leader Tom Dempsey, R-St.

Charles; Sen. Maria Chappelle-Nadal, D-University City; and Sen. Ryan McKenna, D-Crystal City.

Subcommittee on Fiscal Response – Sen. Kurt Schaefer (chairman), R-Columbia; Sen. Brian Munzlinger, R-

Williamstown; Sen. Dan Brown, R-Rolla; Sen. Jim Lembke, R-St. Louis; Sen. Timothy Green, D-St. Louis;

and Sen. Kiki Curls, D-Kansas City.

Subcommittee on Insurance Response – Sen. Mike Parson (chairman), R-Bolivar; Sen. Scott T. Rupp, R-

Wentzville; Sen. Jay Wasson, R-Nixa; Sen. Bob Dixon, R-Springfield; Senate Minority Floor Leader Victor

Callahan, D-Independence; and Sen. Jolie Justus, D-Kansas City.

Senate Interim Committee on Health Insurance Exchanges, chaired by Sen. Rupp, was created to study vari-

ous insurance exchange proposals and their compliance with Missouri law. Health insurance exchanges were

formed as a result of the recent number of health care reform plans passed by other states, as well as the fed-

eral ―Affordable Health Care Act.‖ Exchanges are designed to offer buyers of health insurance numerous

plans from different insurance providers. Lawmakers appointed to serve on the committee will examine

whether or not Missouri should follow federal guidelines and enact its own health insurance exchange. Mem-

bers include Sen. Jane Cunningham, R-Chesterfield; Sen. Jack Goodman, R-Mt. Vernon; Sen. Brad Lager, R-

Savannah; Sen. Rob Schaaf, R-St. Joseph; Sen. Joe Keaveny, D-St. Louis; and Sen. Curls. The committee

will share its recommendations on the establishment of Missouri‘s health insurance exchange and its effect on

state law to the General Assembly.

Membership Reminder

Gerry Catapang Chair Don‘t forget that YOU are the best advocate for MPTA. Please continue to encourage non-member co-workers,

friends, and associates to join the efforts to make Physical Therapy a growing, respected, and strong profession.

Becoming a member is easy and there are a couple of payment options that will make the dues more affordable.

Just refer non-members to http://www.apta.org/Membership. There is strength in numbers!

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