Cheat sheet

Florida PT Jurisprudence Cheat Sheet

Quick Facts

Exam
FL Laws and Rules
Questions
50 total; 40 scored
Pretest
10 unscored items
Time
60 minutes
Format
Closed book; Prometric
Pass score
Scaled; set by FSBPT
Score validity
2 years
Fee
Paid directly to FSBPT
Blueprint rule
64B17-3.002(2)
Retake form
DH-MQA 1143

Direct Access Clock

30 days, then get signature

Days 1-30: PT planDay 31: practitioner signsOut-of-state exam exemptsChapter 395 excluded

PT vs PTA Tasks

PT only

  • Initial evaluation
  • Interpret evaluations
  • Set goals, plan
  • Judge progress

PTA may

  • Carry out plan
  • Subsequent reassessments
  • Document treatment
  • Report changes

Decide vs deliver

Supervision Picker

  1. PTA, hospital inpatientReadily, physically available(64B17-6.001(4)(b))
  2. PTA, acute injury phaseReadily, physically available(Same standard)
  3. PTA, outpatient non-acuteGeneral supervision(Same geographic location)
  4. Aide or technicianDirect supervision(Immediately available)
  5. Student, any settingDirect supervision(64B17-6.001(3)(g))
  6. Student via telehealthSynchronous direct supervision(See, hear, speak)
  7. Temporary permit holderStatutory direct supervision(Cosign all records)
  8. PTA for orthopedistGeneral supervision(486.021(6))
  9. PTA for podiatristOnsite PT supervision(Chapter 461)
  10. PTA for dentistOnsite PT supervision(Chapter 466)

Direct Access Rules

PT-written plan
Allowed without any referral
30-day limit
Practitioner reviews, signs plan486.021(11)(a)
Outside PT scope
Refer or consult immediately
Out-of-state physician exam
Signature not required
Chapter 395 facility
No PT-developed plan486.021(11)(d)
APRN plan
Accepted under 464.012
Contraindicated plan
Refuse; notify referrer immediately64B17-6.001(3)(b)
Diagnosis support
Give referrer useful information

Never Delegate Five

Evaluate, Interpret, Goals, Plan, Progress

Initial evaluationInterpretationGoal settingPlan developmentProgress evaluation

PTA vs Unlicensed Aide

PTA

  • Licensed under 486
  • General supervision allowed
  • Reassesses patients

Unlicensed aide

  • No license held
  • Direct supervision always
  • Documents tasks only

General vs direct supervision

Direct Access Picker

  1. PT wrote the planTreat up to 30 days
  2. Care past 30 daysPractitioner reviews and signs
  3. Out-of-state physician examNo signature needed(486.021(11)(a))
  4. Condition outside PT scopeRefer or consult(Any day)
  5. Patient in hospitalNo PT-developed plan(Chapter 395)
  6. Needs spinal manipulationRefer to chiropractor(Chapter 460)
  7. Plan seems contraindicatedRefuse; notify referrer

PTA Supervision

Hospital inpatient
PT readily, physically available64B17-6.001(4)(b)
Acute injury phase
Same physical-availability standard
Outpatient, non-acute
Telecommunication, same geographic location64B17-6.001(5)(c)
Direction method
Frequent reporting and observation
PTA cap
No numeric ratio published
Ortho, physiatrist, chiropractor
General supervision; no onsite486.021(6)
Other MD, DO, DPM, DDS
Onsite PT supervision required
Skilled functions
Never below PTA level64B17-6.001(5)(d)
PTA duties
Report changes; refer prognosis

Record Copy Costs

First 25 = $1, then $0.25

X-rays: actual costNo payment preconditionTimely, no legal delay

Who May Do It

  1. Initial evaluationPT only
  2. Interpreting an evaluationPT only
  3. Changing plan of carePT only
  4. Subsequent reassessmentPT or PTA
  5. Patient progress notesPT or PTA
  6. Recording tasks performedUnlicensed personnel allowed
  7. Dry needlingQualified PT only
  8. Specific spinal manipulationNobody under 486(486.021(11)(c))

Delegation Limits

Aide supervision
Direct supervision, always64B17-6.007(1)
Initial evaluation
PT only; never delegated
Reevaluation, interpretation
PT only
Goals, plan of care
PT only
Progress against plan
PT only
Subsequent reassessment
PTA skill; not aides64B17-6.007(6)(b)
Patient progress notes
Never unlicensed personnel
Task documentation
Aides may record tasks
Aide count
PT judgment, setting-based64B17-6.007(8)
Training duty
Written policies before delegation

Records + Retention

Required chart contents
Assessment, plan, notes, discharge64B17-6.001(3)(h)
Falsified records
Express unprofessional conduct
Copy cost, first 25
$1.00 per page64B17-6.005
After 25 pages
$0.25 per page
X-rays
Actual cost of duplication
Payment condition
Cannot withhold for fees456.057(6)
Closing practice notice
4 ads over 4 weeks64B17-6.0042(2)
Facade sign
Posted 30 days prior
Records available
2 years after closing
After licensee death
2 years from death

Titles + Scope Limits

P.T.
Licensees only486.135(1)(a)
D.P.T.
Doctoral degree plus license486.135(1)(b)
Doctor title
Must state PT profession486.081(1)
P.T.A.
Licensed assistants only
Specific spinal manipulation
Refer to chapter 460486.021(11)(c)
Acupuncture
Outside physical therapy scope
Roentgen rays, radium
Not physical therapy486.021(11)(b)
Electromyography
Board of Medicine criteria
Topical medications
Physician prescription required64B17-6.006

Dry Needling

Practice prerequisite
2 years licensed practice486.117(1)(a)
Course hours
50 face-to-face hours
Supervised sessions
25 patient sessions
Delegation
Never to PTA or aide
Consent
Documented in plan of care
Adverse incident report
Board within 15 days64B17-6.008(5)

Supervision Ladder

Direct = here | General = near

Direct: physically availableGeneral: two-way contactAides: always directPTAs: general allowed

Direct vs General Supervision

Direct supervision

  • Immediately physically available
  • Aides, students, permittees
  • No two-way substitute

General supervision

  • Two-way communication access
  • PTAs only
  • Same geographic location

Physically there vs reachable nearby

Statutory Definitions

License
Board grants; DOH issues486.021(3)
Endorsement
Licensure via 486.081/486.107486.021(4)
Physical therapist
Licensed; practices under 486486.021(5)
PTA
Licensed; under PT direction486.021(6)
PT practitioner
PT or PTA licensed486.021(7)
Physiotherapy
Identical to physical therapy486.021(8)
PT assessment
Movement-system function determinations486.021(10)
Dry needling
Filiform needles; trigger point486.021(12)
Practitioner of record
Active 458/459/460/461/466
Legislative purpose
Minimum requirements, safe practice486.015

Statute vs Rule Supervision

486.021(9)

  • Physical presence required
  • Temporary permit holders
  • Except in emergency

64B17-6.001(1)(e)

  • Immediately physically available
  • Aides and students
  • Governs delegation

Permittees vs subordinate personnel

Supervision Levels

Direct supervision (rule)
Immediately physically available64B17-6.001(1)(e)
Direct supervision (statute)
Physical presence; permit holders486.021(9)
General supervision
Two-way contact, same location64B17-6.001(1)(f)
Onsite supervision
PT present at site486.021(6)
Direction
PT authorizes delegated actions
Unlicensed personnel
No PT or PTA license
Acute care
Rapid medical status change
Consultation
Information resolving perceived problem

Assessment vs Diagnosis

PT assessment

  • Movement-system function
  • Guides physical therapy
  • 486.021(10)

Medical diagnosis

  • Practitioner of record
  • Outside PT scope
  • Triggers referral

Function vs disease label

486.125 vs 456.072

486.125(1)

  • PT-specific grounds
  • Eleven paragraphs
  • Scope and competence

456.072(2)

  • Penalty menu
  • Fines to $10,000
  • All health professions

Grounds vs penalties

Complaint Path

  1. Complaint arrivesTest legal sufficiency
  2. Legally sufficientInvestigate; notify subject
  3. Subject notified20-day written response
  4. Minor first offenseNotice of noncompliance(Fix in 15 days)
  5. Probable cause foundFormal complaint filed
  6. No probable causeLetter of guidance
  7. Impairment only allegedRefer to consultant(456.076(9))

Discipline + Penalties

Maximum fine
$10,000 per count456.072(2)(d)
Fraud fine
$10,000 mandatory per count
Penalty menu
Suspend, revoke, restrict, probation
Order priority
Protect public before rehabilitation
Impairment ground
Cannot practice safely486.125(1)(a)
Beyond scope
Includes specific spinal manipulation486.125(1)(j)
Fee splitting
Rebates tied to referrals486.125(1)(f)
Non-PT treatment
Treating ailments otherwise486.125(1)(d)
False report
Knowingly filing false record
Other-state discipline
Independent Florida ground
Reinstatement
Board must find compliance

Complaints + Timelines

Legally sufficient
Written, signed, ultimate facts456.073(1)
Subject response
20 days, written
Investigation benchmark
6 months to findings
Probable cause panel
At least two members
Panel deadline
30 days after report
Letter of guidance
Alternative to probable cause
Notice of noncompliance
Correct within 15 days
Probable cause found
Department files formal complaint

Unlawful Practice

No active license
Third-degree felony456.065(2)(d)
Minimum penalty
$1,000 fine; 1 year
Serious bodily injury
Second-degree felony
Inactive under 12 months
First-degree misdemeanor
Inactive 12 months plus
Third-degree felony
Unlicensed citation
Up to $5,000 per incident
Title misuse
First-degree misdemeanor486.151(2)
Concealing violations
Prohibited act486.151(1)(f)
Injunctive relief
Anyone may seek it486.153

CE Math

24 total, 12 live, 12 self

Contact hour: 50 minutesCEU: 10 hoursRisk management: 5 maxRecords: keep 4 years

Inactive vs Delinquent

Inactive

  • Chosen at renewal
  • Cannot practice
  • Reactivate with CE

Delinquent

  • Missed the renewal
  • Null after cycle
  • Reapply as new

Chosen vs lapsed

Renewal + Status Picker

  1. Practicing this bienniumActive status(24 CE hours)
  2. Pausing practiceInactive status(Cannot treat patients)
  3. Returning after inactivityReactivation package(64B17-5.001)
  4. Missed renewal deadlineDelinquent; apply immediately
  5. Delinquent past cycleLicense null(Reapply as new)
  6. Want 2 CE hoursPass jurisprudence exam(Form DH-MQA 1144)

Exam Blueprint

Patient Care
35% (14 items)
Legislative Intent
25% (10 items)
Discipline, Unlawful Practice
15% (6 items)
Consumer Advocacy
12.5% (5 items)
Licensure, Examination
7.5% (3 items)
Board Powers, Duties
5% (2 items)
Scored items
40 of 50
Who takes it
Applicants, before license issued
Not a renewal test
Optional 2 CE hours
Source rule
64B17-3.002(2)(b)

Mandatory CE Topics

Errors 2, HIV 1, Trafficking 1

Errors: every renewalHIV: by first renewalTrafficking: one hourAll count inside 24

Discipline vs Impairment Path

Discipline path

  • Probable cause panel
  • Formal complaint
  • Penalty order

Impairment path

  • Consultant referral
  • Participant contract
  • Not a discipline ground

Punish vs monitor

Continuing Education

Biennium total
24 contact hours486.109(1)
Contact hour
50 clock minutes
One CEU
10 contact hours
Live minimum
12 hours lecture or webinar
Self-paced cap
12 hours per biennium
Risk management cap
5 hours per biennium
Medical errors
2 hours, every renewal64B17-8.002
HIV/AIDS
1 hour by first renewal64B17-8.001
Human trafficking
1-hour approved course64B17-8.003
Jurisprudence credit
2 hours; form DH-MQA 1144
Record retention
Keep proof 4 years
Late-biennium licensees
Exempt except errors, HIV

Licensure + Status

Minimum age
18 years old486.031(1)(a)
Education
Approved PT program graduate
National exam
Board-approved NPTE
Background screening
Fingerprints under 456.0135
Temporary permit
Void 6 months post-graduation486.0715(2)
Permit supervisor
One permittee; cosigns records
Supervisor tenure
Licensed 6 months minimum
Active status
Only status permitting practice456.036(1)
Delinquent license
Null after that cycle
Reactivation CE
10 hours per inactive year64B17-5.001
Reactivation law hours
2 hours within 12 months

Consumer Protection

Investment referral
Written disclosure before referral456.052(1)
Alternatives listed
At least two sources
Disclosure posting
Conspicuous public office place
Kickbacks
Patient brokering under 817.505456.054
Self-referral act
456.053 investment-interest limits
Duty to report
Report known violators456.072(1)(i)
Sexual misconduct report
Any practice setting456.063(3)
HIV partner notice
Immunity either way456.061
Impaired practitioner
Contract; no discipline ground456.076(9)
Confidentiality
Written consent before release

Common Traps

Renewal myth

Required for licensure Not required at renewal

PTA ratio myth

No numeric cap 2:1 is invented

Aide supervision

Aides need direct General is PTA-only

Direct access clock

30 days now 21 days is outdated

Score validity

2 years now 5 years is outdated

Third-failure remediation

Applies to NPTE Not laws and rules

Scope vs competence

Legal scope permits Personal competence may not

Records and payment

Copies owed regardless Unpaid bill withholds nothing

Spinal technique

Mobilization is PT Specific manipulation is chiropractic

Inactive vs delinquent

Inactive is chosen Delinquent is missed

Last Minute

  1. 1.40 scored, 10 pretest, 60 minutes
  2. 2.Patient Care is 35%, the heaviest
  3. 3.Direct access: 30 days, then signature
  4. 4.Passing score expires after 2 years
  5. 5.Aides get direct; PTAs get general
  6. 6.Never delegate evaluation, goals, plan
  7. 7.PTA may reassess; aides may not
  8. 8.No PTA ratio in Florida law
  9. 9.CE: 24 hours, 12 live
  10. 10.Medical errors: 2 hours every renewal
  11. 11.Fines reach $10,000 per count
  12. 12.Complaint response window: 20 days
  13. 13.Unlicensed practice: third-degree felony
  14. 14.Copies: $1 first 25 pages
  15. 15.Only active status permits practice
  16. 16.Dry needling: 2 years, 50 hours
  17. 17.Hospital patients: no PT-written plan
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