Chapter XLV

A. A physician participating in an accredited postgraduate medical training program (program) in this state under the authority of a registration, permit or license issued by the board shall report, and shall request that the program report, to the board in writing his or her sus…

A. In addition to the exemptions to licensure provided by R.S. 37:1291 , a license to practice medicine shall not be required for a physician-member of a transport team providing emergency or other medical care to an acutely ill patient during transfer or transportation to or fro…

A. Scope of Chapter. The rules of this Chapter implement enforcement of R.S. 37:1308 , which prohibits physician referral of health care services to a healthcare facility, located within the primary service area of a rural hospital, in which the referring physician or an immediat…

A. Definitions. As used in this Chapter the following terms shall have the following meanings unless the context requires otherwise. Board - the Louisiana State Board of Medical Examiners. Commercially Reasonable Terms and C onditions - those terms and conditions that would be re…

A. Except as provided in §4337 of this Subchapter, no physician shall make a referral to any healthcare facility for the receipt of healthcare services in which the referring physician or an immediate family member of the referring physician maintains a direct or indirect ownersh…

A. The prohibitions contained in Section 4235 of this Subchapter shall not apply to healthcare services furnished by a healthcare facility provided that: 1. the rural hospital in whose primary service area such facility is located is offered the option to participate in the owner…

A. Any violation or failure of compliance with the provisions of this Subchapter shall be deemed a violation of the Medical Practice Act, R.S. 37:1285 , providing cause for the board to suspend the license of a physician culpable of such violation or take such other action as the…

A. Definitions. As used in this Section the following terms shall have the meanings specified. Established Patient -a patient who is currently under the care of out-of-state physician for a diagnosed medical condition or complaint. Out-of-state Physician -a physician who is duly …

A. As used in this Section, postgraduate year one (PGY-1) or internship means the first year of postgraduate training following graduation from a medical school or college (whether allopathic or osteopathic) approved by the board. For purposes of this Section PGY-1 includes only …

A. To be eligible for registration under this Subchapter, an applicant shall possess all of the substantive qualifications for licensure specified by § 311 . A 1-4 and shall be a graduate of an approved American or Canadian medical school or college (whether allopathic or osteopa…

A. In addition to the substantive qualifications specified in §427, to be eligible for registration under this Subchapter, an applicant shall: 1. submit to the board a completed application, upon forms supplied by the board, subscribed by the applicant and by the administrator or…

A. If the qualifications, requirements, and procedures prescribed or incorporated by § 427 are met to the satisfaction of the board, the board shall issue a certificate to the applicant evidencing his registration under this Subchapter for enrollment and participation in a first …

A. The rules of this Subchapter provide standards for the continuing medical education ("CME") requisite to the renewal or reinstatement of licensure, as provided by § 417 of these rules and prescribe the procedures applicable to satisfaction and documentation of continuing medic…

A. Subject to the waiver of and exceptions to CME prescribed by § 445 and the special requirements attendant to initial renewal of licensure specified in §449, every physician seeking the renewal or reinstatement of licensure shall annually evidence and document, in a manner spec…

A. Any program, course, seminar or other activity offering Category 1 CME shall be deemed approved for purposes of satisfying the continuing medical education requirements under this Subchapter, if sponsored or offered by: 1. an organization or entity accredited by the Accreditat…

A. Licensees shall insure that documentation of CME (or "continuing education") sufficient to satisfy the annual continuing education requirement is submitted to the board. Each licensee shall request the organization or entity sponsoring or offering the activity to submit proof …

A. Non-Compliance; Reinstatement of Licensure. All licensees are required to complete CME as designated in his/her respective licensure law and/or in rules promulgated thereunder, including as a physician or surgeon pursuant to R.S. 37:1261 et seq.; as a podiatrist pursuant to R.…

A. Sections 439 of this Chapter shall apply to physicians and all allied health care providers licensed by the board who are required to complete continuing education as a prerequisite to the renewal of a license or other authority to practice a profession regulated by the board.…

A. Any licensee or applicant who falsely certifies attendance at and/or completion of the required continuing medical education requirements of §433-449 shall be deemed in violation of R.S. 37:1285 .A(3), (4), (13) and/or (30), providing cause for the board to suspend or revoke, …

A. The board may, in its discretion, waive all or part of the CME required by these rules in favor of a physician who makes written request to the board and evidences to its satisfaction a permanent physical disability, illness, financial hardship or other similar extenuating cir…

A. Except as provided in §449, the CME requirements prescribed by this Subchapter prerequisite to renewal or reinstatement of licensure shall not be applicable to a physician: 1. engaged in military service longer than one year's duration outside of Louisiana; 2. who has held an …

A. As part of the respective CME requirements for each board licensee, every physician and/or any allied healthcare provider licensee seeking the initial renewal of licensure, whether such license was originally issued by the board on the basis of examination, reciprocity or rein…

A. A physician assistant may be supervised by two or more supervising physicians practicing in any professional or clinical setting provided that: 1. any physician providing supervision meets and satisfies all of the qualifications, procedures and other requirements of Chapter 15…

A. A physician assistant may receive compensation, salary or wages only from his or her employer and may neither render a statement for service directly to any patient nor receive any payment, compensation or fee for services directly from any patient. B. Nothing in this Section …

A. The practice of a physician assistant shall include the performance of medical services that are delegated by the supervising physician and are within the scope of the physician assistant's education, training, and licensure. A physician assistant is considered to be and is de…

A. 1. A physician assistant who is registered with the board pursuant to § 1521 of these rules to prescribe medication and/or medical devices may, to the extent delegated by a supervising physician: a. issue prescriptions for medication or medical devices to a patient of the supe…

A. The supervising physician (SP) is responsible for the supervision, control, and direction of the physician assistant (PA) and retains responsibility to the patient for the competence and performance of the PA. B. An SP may delegate medical services identified as core competenc…

A. A physician qualified, registered and approved under this Part, who is not registered as a physician assistant's primary supervising physician, shall be designated as locum tenens physician for such physician assistant. B. If the physician assistant to be supervised is registe…

A. The physician assistant and supervising physician shall: 1. within 15 days notify the board, in writing, of: a. the termination of the physician assistant's supervision relationship with a supervising physician or supervising group of physicians; b. the retirement or withdrawa…

A. For each practice setting, a PA and SP shall develop and implement a meaningful performance plan for evaluating whether the PA has performed medical services delegated by the SP with professional competence and with reasonable skill and safety to patients. At a minimum, the pl…

A. The board may refuse to issue, or may suspend, revoke or impose probationary or other restrictions on, any license issued under this Chapter, or issue a private or public reprimand, for the following causes: 1. conviction of or entry of a plea of guilty or nolo contendere to a…

A. The rules of this Chapter govern the practice of occupational therapy in the state of Louisiana. Notes La. Admin. Code tit. 46 , § XLV-4901 Promulgated by the Department of Health and Human Resources, Board of Medical Examiners, LR 12:767 (November 1986). AUTHORITY NOTE: Promu…

A. As used in this Chapter, the following terms shall have the meanings specified. Activities of Daily Living -the components of everyday activity. Activity Limitation -the exclusion of certain activities, or restrictions in method of duration of performance. Assistive/Adaptive E…

A. This Subchapter provides the minimum standards for occupational therapy practice applicable to all persons licensed to practice occupational therapy in the state of Louisiana. Notes La. Admin. Code tit. 46 , § XLV-4905 Promulgated by the Department of Health and Human Resource…

A. Occupational therapists have the responsibility to identify clients who may present problems in occupational performance that would require an evaluation. B. Occupational therapists may screen independently or as members of a team. C. Screening methods shall be appropriate to …

A. A client is appropriately referred to occupational therapy for remediation, maintenance, or prevention when the client has, or appears to have, a dysfunction or potential for dysfunction in occupational performance or performance skills . B. Clients shall be referred to occupa…

A. Occupational therapists shall evaluate the client 's performance according to the current AOTA guidelines. B. Initial occupational therapy evaluations shall consider the client 's medical, vocational, educational, activity, context , environment, social history, and personal/f…

A. Occupational therapists shall use the results of the evaluation to develop an individual occupational therapy program that is: 1. stated in measurable and reasonable terms appropriate to the client 's needs and goals and expected prognosis; 2. consistent with current principle…

A. Implementation of direct occupational therapy to individuals for their specific medical condition or conditions shall be based on a referral or order from a physician, dentist, podiatrist, optometrist or advanced practice registered nurse licensed to practice in the state of L…

A. Occupational therapists shall discontinue services when the client has achieved the goals or has achieved maximum benefit from occupational therapy . B. Occupational therapists shall document the comparison of the initial and current state of functional abilities and deficits …

A. The occupational therapist shall periodically and systematically review all aspects of individual occupational therapy programs for effectiveness and efficiency. B. Occupational therapists shall periodically and systematically review the quality and appropriateness of total se…

A. The board may refuse to issue or renew, may suspend or revoke, or many impose probationary conditions on any occupational therapy or occupational therapy assistant license, if the licensee or applicant for license has been guilty of unprofessional conduct which has endangered …

A. The rules of this Section, together with those specified in § 4915 and §4919, govern supervision of an occupational therapy assistant by a supervising occupational therapist in any clinical setting. B. An occupational therapy assistant may assist in implementation of a client …

A. No individual shall engage in the practice of occupational therapy in this state in the absence of a current license or permit duly issued by the board . Notes La. Admin. Code tit. 46 , § XLV-4927 Promulgated by the Department of Health and Hospitals, Board of Medical Examiner…

A. No person who is not licensed under this Chapter as an occupational therapist or an occupational therapy assistant , or whose license has been suspended or revoked , shall use, in connection with his name or place of business, the words " occupational therapist ," "licensed oc…

A. The board may refuse to issue or renew, may suspend or revoke, or many impose probationary conditions on any occupational therapy or occupational therapy assistant license , if the licensee or applicant for license has been guilty of unprofessional conduct which has endangered…

A. The rules of this Chapter govern the practice of acupuncture by physician acupuncturists, licensed acupuncturist and of acupuncture detoxification by acupuncture detoxification specialists in the state of Louisiana. Notes La. Admin. Code tit. 46 , § XLV-5101 Promulgated by the…

A. No person may act as or undertake to perform or practice acupuncture or acupuncture detoxification unless he or she holds a current license, certificate or permit issued by the board. While any physician may practice acupuncture, and may apply to the board for registration to …

A. Repealed. B. Acupuncture Detoxification Specialist. General supervision of an ADS shall not be construed to require the physical presence of a supervising physician or supervising licensed acupuncturist. General supervision shall exist when the services of an ADS: 1. are provi…

A. A licensed acupuncturist shall not: 1. perform, provide, attempt to perform or provide, or hold himself or herself out to the public as being capable of performing or providing any procedure, service or function required by law to be performed or provided by one possessing a c…