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FEDERATION OF STATE BOARDS OF PHYSICAL THERAPY

2017 ANNUAL MEETING & DELEGATE ASSEMBLY

DELEGATE HANDBOOK

Federation of State Boards of Physical Therapy

2017 Delegate Handbook 2017 Annual Meeting & Delegate Assembly November 2-4, 2017 Santa Ana Pueblo, New Mexico

The Federation has received both Stage One and Stage Two Accreditation from the Buros

Institute for Assessment Consultation and Outreach, or BIACO. FSBPT earned the

accreditation status following a rigorous evaluation of our National Physical Therapy

Examination (NPTE) test development, administration and security practices.

http://www.unl.edu/buros/biaco/



Table of Contents

DELEGATE ASSEMBLY POLICY DEVELOPMENT PROCESS .......................................................................3

DELEGATE/ALTERNATE DELEGATE JOB DESCRIPTION ..........................................................................5

DELEGATE ASSEMBLY AGENDA ...........................................................................................................7

MOTIONS FOR THE DELEGATE ASSEMBLY ...........................................................................................9

DEL-17-01 ................................................................................................................................................. 9

ROLL CALL ........................................................................................................................................ 10

2017 PRESIDENT’S REPORT ............................................................................................................... 11

FINANCIAL INFORMATION AND REPORTS ......................................................................................... 16

HONORARY MEMBERS OF THE FEDERATION ..................................................................................... 26

NPTE EXAM, ITEM WRITER AND STANDARD-SETTING TASK FORCE VOLUNTEERS ............................... 27

ACADEMY OF ADVANCED ITEM WRITERS.......................................................................................... 31

RICHARD MCDOUGALL LONG TERM SERVICE AWARD ....................................................................... 32

PRESIDENT’S AWARD ....................................................................................................................... 33

OUTSTANDING SERVICE AWARDS ..................................................................................................... 34

EXCELLENCE IN REGULATION AWARD ............................................................................................... 35

2016-2017 BOARD OF DIRECTORS ..................................................................................................... 36

FEDERATION COMMITTEES AND COUNCIL REPORTS ......................................................................... 40

CONTINUING COMPETENCE COMMITTEE ......................................................................................................... 41 EDUCATION COMMITTEE .............................................................................................................................. 42 ETHICS AND LEGISLATION COMMITTEE ............................................................................................................ 44 EXAMINATION CHAIRS ................................................................................................................................. 45 FOREIGN EDUCATED STANDARDS COMMITTEE ................................................................................................. 46 NOMINATING COMMITTEE ........................................................................................................................... 47 RESOLUTIONS COMMITTEE ........................................................................................................................... 48 COUNCIL OF BOARD ADMINISTRATORS ........................................................................................................... 50

CANDIDATE STATEMENTS ................................................................................................................ 52

MISSION, VISION AND AREAS OF FOCUS ........................................................................................... 60

2016 DELEGATE ASSEMBLY MINUTES ............................................................................................... 61

ATTACHMENT A: 2016 DELEGATE ASSEMBLY MOTIONS ..................................................................... 63

DEL-16-01 ............................................................................................................................................... 63 DEL-16-02 ............................................................................................................................................... 64

FSBPT 2017 Delegate Handbook page 3

Delegate Assembly Policy Development Process Informational Reports Most Board of Directors, committee and area of focus reports are provided to the Delegate Assembly for information. Informational reports provide highlights or an update on activities or projects and do not require any decision making on the part of the Delegate Assembly. Members will find these reports in the Delegate Handbook, which is posted on the Federation’s website prior to the annual meeting. Motions Member Boards and the Board of Directors may submit motions for consideration by the Delegate Assembly. A motion is a way to express an idea or identify a problem or opportunity and suggest that an action be taken. Although a motion may deal with complex issues, most motions begin simply when a problem is recognized and a solution is suggested. Delegate Assembly motions are structures to first declare the recommended action and then provide background information regarding the issue and why this particular action is recommended. They will need to reference the area of focus and the fiscal impact of the motion. Per the Bylaws and Standing Rules, Member Boards and the Board of Directors need to submit their motions to the Resolutions Committee 90 days prior to the Delegate Assembly. Motions not submitted by the deadline may still be heard at the Delegate Assembly. However, any main motion that has not been submitted by the deadline requires a two-thirds vote without debate to be considered by the Delegate Assembly. Comments on motions Member Boards who have credentialed their Voting Delegates but whose delegates cannot attend the annual meeting may send a letter or email to the Resolutions Committee with their comments on a motion. Those comments may be share during the Delegate Workshop (in print or by being read by the Resolutions Committee chair) without further debate. Resolutions Committee The purpose of the Resolutions Committee is to receive and correlate motions and resolutions to be presented to the Delegate Assembly and identify motions which fall outside the purpose of the Federation. The committee also provides advice and counsel to delegates regarding form, wording and method of presentation of matters to the Delegate Assembly. Delegate Workshop At each annual meeting, the Resolutions Committee schedules a Delegate Workshop. The purpose of the workshop is to:

Provide an overview of the Federation’s governance process and Delegate Assembly procedures

Encourage an informal and frank discussion by Federation delegates and the Board of Directors of that year’s motions

The Resolutions Committee’s role in the workshop is to provide education regarding the governance process and facilitate the discussion of the motions. This facilitation includes seeking out appropriate information and/or viewpoints on each item under discussion from the maker of the motion, the Board of Directors and other delegates. The committee may also seek out information from other attendees or staff, as appropriate. Members of the Resolutions Committee are not allowed to engage in debate or express their own opinions during the workshop and they are not empowered to entertain motions or make decisions on motions during the workshop. However, the chair is empowered to provide feedback to the jurisdictions that are making the motions.


When the motions are discussed, the chair of the Resolutions Committee will invite the maker of each motion to come forward and explain the purpose and/or intent of the motion. The chair will then ask for comments and questions from other delegates and the Board of Directors. Because these are motions for the Delegate Assembly, the discussion should be among the delegates and Board of Directors. Speakers should identify themselves by their name, their state and whether they are a voting or alternate delegate or on the Board of Directors. If the delegate or Board of Directors would like a staff member or other attendee (such as legal counsel) to speak on an issue, they should introduce them. The chair of the Resolutions Committee will determine whether an attendee other than the delegate or Board of Directors is permitted to speak.


Delegate/Alternate Delegate Job Description Established by: Bylaws Delegate Assembly Summary:

A. Delegate Assembly Membership The Delegate Assembly comprises Member Board Delegates and the Board of Directors.

B. Annual Meeting The Federation will hold an annual meeting of the Delegate Assembly at a time and place determined by the Board of Directors. Member Boards and Council Administrators shall be notified of the meeting not less than 45 days prior to the meeting.

C. Special Meetings A majority of the member Boards; the President, with approval of the Board of Directors; or three quarters of the membership of the Board of Directors without the approval of the President; may call special meetings of the Delegate Assembly. Member Boards and Council(s) will be notified of a special meeting not less than 14 days prior to the meeting.

D. Conduct of Business by Mail or Electronically When the Board of Directors or a majority of the Member Boards determine it is necessary to conduct a mail or electronic vote of the Delegate Assembly, the vote will be conducted as directed in the Standing Rules. Each voting delegate will receive information to make informed decisions.

E. Voting Body The voting body will consist of the Delegates elected by the Member Boards. Each Member Board is entitled to one Delegate. Each Delegate will have the right to attend, speak, make motions, nominate, and vote. No Federation Officer or Director may serve as a Delegate.

F. Quorum The quorum for any meeting of the Delegate Assembly will be Delegates from a majority of the Member Boards of the Federation.

G. Seating i. All voting Delegates and Alternate Delegates shall be seated together in a separate designated

area. ii. Members of the Member Boards who are not a part of the Delegate Assembly and Member

Board Administrative Staff may be seated in the area of the assembly designated for Member Boards.

iii. Others, including but not limited to Affiliate Members, Associate Members, Honorary Members, Federation staff, invited guests, and visitors, shall be seated in a designated area.

Term of Delegate: Delegate(s) and Alternate Delegates will serve a term of one year which commences when the Member Board submits the delegate credentials for the upcoming Delegate Assembly and continues until delegate credentials are submitted for the next Delegate Assembly. Credentialing for Delegates and Alternate Delegates will be submitted to Federation offices as specified in the Standing Rules. Duties of the Delegates:

A. Delegates will represent their jurisdiction in all meetings of the Delegate Assembly and if needed, by mail ballot.

B. Delegates will attend the annual Delegate Assembly meeting. One delegate from each member Board is expected to attend the Leadership Issues Forum.

C. Delegates will disseminate information from the Federation of State Boards of Physical Therapy to their Member Board.

D. Delegates will respond to requests for information and ensure that their Member Board meets deadlines as established by the Federation of State Boards of Physical Therapy.


Delegate Requirements: A. Delegate means the member of, or administrator to, a Member Board elected by the Member Board to

be its representative to meetings of the Delegate Assembly. In addition, the Board of Directors, on a case-by-case basis, may credential a delegate who is an officer, administrator, director or regulator employed by the jurisdiction and defined by statute as having the power and authority to conduct all aspects of the administration of the physical therapy law of the jurisdiction including the exercise of independent decision-making in all areas of the law’s administrative interpretation or implementation and promulgation of rules – or such person’s chosen representative.

B. Alternate Delegate(s) means the member of, or administrator to, a Member Board elected by the Member Board to be its representative to meetings of the Delegate Assembly in the event that the Member Board’s Delegate cannot or does not attend the meeting. In addition, the Board of Directors, on a case-by-case basis, may credential an alternate delegate who is an officer, administrator, director or regulator employed by the jurisdiction and defined by statute as having the power and authority to conduct all aspects of the administration of the physical therapy law of the jurisdiction, including the exercise of independent decision-making in all areas of the law’s administrative interpretation or implementation and promulgation of rules – or such person’s chosen representative.

Rights and Privileges of Persons Not a Part of the Delegate Assembly: Alternate Delegates, members of Member Boards who are not part of the Delegate Assembly, Affiliate Members, Associate Members, Honorary Members, Member Board Administrative Staff, Federation Staff, and invited guests may attend the meetings of the Delegate Assembly with the privilege to speak after Delegates have spoken and with permission of the Delegate Assembly, but may not make motions, make nominations, or vote.


Delegate Assembly Agenda

November 4, 2017 5:30 PM- 6:30 PM MT

Santa Ana Pueblo, New Mexico Presiding Officer: Nancy Kirsch, President

I. Call to Order The annual meeting of the Federation of State Boards of Physical Therapy will come to order at 5:30 PM MT November 4, 2017.

II. Roll Call of Delegates- Thomas Caldwell

The secretary will call the roll of delegates.

III. 2016 Minutes The minutes of the 2016 meeting were approved by the Minute’s Approval Committee [David Haynes, (Oklahoma); Judi Pastorino, (Missouri); Martha Vigneault, (Rhode Island)] and no further action is required.

IV. Appointment of the 2017 Minutes Approval Committee Appointed the following delegates to approve the 2017 Delegate Assembly minutes.

Steven Baur, Maryland

Wendy Bircher, New Mexico

Alicia Rabena-Amen, California

V. CEO Report – William A. Hatherill

VI. Appointment of the Teller Committee Appointed the following people to the Teller Committee.

Lauren Boner, West Virginia

JoAnn Reid, Wyoming

Alan Taniguchi, Hawaii

VII. Adoption/Reordering of Agenda

VIII. Elections

Director #2

Director #3

Nominating Committee Member

IX. Election Results X. Financial Information and Reports – Natalie Harms and Nancy Kirsch

XI. Acceptance of Audit Report

An audit of the Financial Statements appears in the Financial Information and Reports section of the Delegate Handbook.


XII. Other Reports Standing Committees, Task Forces and Councils Committee/Task Force

Continuing Competence Michele Thorman, Chair

Education Connie Clarkston, Chair

Ethics and Legislation Larry Ohman, Chair

Examination Chairs (overall report)

Foreign Educated Standards Charlotte Martin, Chair

Nominating Raymond Bilecky, Chair

Resolutions Timothy Vidale, Chair

Council of Board Administrators Charles Brown, FSBPT Director

XIII. Motions The following motion is included in the Delegate Handbook. If new motions are brought forward, they will be available at the Delegate Assembly. DEL-17-01, Areas of Focus

XIV. New Business

XV. Installation of New Officers and Nominating Committee Member – Secretary

XVI. Announcements

XVII. Adjournment President Nancy Kirsch adjourned the meeting at **** PM MT November 4, 2017


Motions for the Delegate Assembly

DEL-17-01

Motion adopted/adopted as amended/defeated Areas of Focus Proposed by: Board of Directors Vote Required: Majority Contact: David Relling Motion: To adopt the Areas of Focus as they currently read. 1. Examinations: Ensure the ongoing excellence, reliability, defensibility, security and validity of the NPTE and related examinations. 2. Membership: Enhance the Federation’s value to its membership by developing and maintaining programs and services responsive to membership needs. 3. States’ Rights, States’ Responsibilities and Professional Standards: Identify and promote effective regulation in physical therapy that ensures the delivery of safe and competent physical therapy care, while respecting states’ rights and responsibilities. 4. Education: Provide and promote educational programs and products for board members, administrators, the public and other stakeholders. 5. Leadership: Broaden the Federation’s leadership role and recognition within regulatory, professional and related communities. 6. Organizational and Financial Stability: Ensure the long-term organizational and financial stability and viability of the Federation. Rationale: The Areas of Focus represent the activities required to achieve the mission of the Federation. In accordance with 2002 Delegate Assembly motion DEL-02-26, the Board of Directors must complete an annual review of the focus areas and present them to the Delegate Assembly for review and adoption. The board has reviewed the Areas of Focus and has determined that they accurately reflect the Federation’s current areas of focus. Reference Area of Focus: Leadership Fiscal Impact: The adoption of this motion has no specific fiscal impact. However, the Board of Directors and committees use these areas of focus as the basis for long-term strategic planning and as the basis for funding Federation activities in each annual budget.


Roll Call as of September 15, 2017

Delegate In

Attendance Delegate In

Attendance

Alabama Chad Hobbs Nebraska Scott Edwards

Alaska James Parietti Nevada Sherise Smith

Arizona Whitney Lawrence New Hampshire Gillian Cavezzali

Arkansas Ginger Fenter New Jersey Barbara Behrens

California Alicia Rabena-Amen New Mexico Wendy Bircher

Colorado Carolyn Armstrong New York

Connecticut Michael Parisi North Carolina Angela Hunter

Delaware Nicole Williams North Dakota Jeanne DeKrey

District of Columbia

Timothy Vidale Ohio Erin Hofmeyer

Florida Ellen Donald Oklahoma David Haynes

Georgia Dorothy Gaskin Oregon Richard Rutt

Hawaii Jill Wakabayashi Pennsylvania David Kozich

Idaho Angela Lippiello Puerto Rico Ana Mulero Portela

Illinois Sandra Levi Rhode Island Wendy Baltzer Fox

Indiana Heather Freeman South Carolina Anna Dilts

Iowa Holly Little South Dakota

Kansas Tennessee David Harris

Kentucky Talia Weinberg Texas Liesl Olson

Louisiana Kristina Lounsberry Utah Kim Cohee

Maine Vermont David Scribner

Maryland Stephen Baur Virgin Islands Jerry Smith

Massachusetts Jay Bernasconi Virginia Allen Jones

Michigan Brian Gilbert Washington Andrew Wodka

Minnesota Steven Scherger West Virginia Nonnie Ramsey

Mississippi Cynthia Scott Wisconsin Sarah Olson

Missouri William Hopfinger Wyoming Sandra Champlin

Montana Kelsey Wadsworth


2017 President’s Report

One of the advantages of putting together “an annual report” is the opportunity to take stock of what occurred over the past year. We are always aware that we were busy and engaged in a variety of activities, but when we take the time to look at what we hoped to occur and what actually did occur, we can be quite proud of our accomplishments. This time last year we were just starting to hear of the first states adopting the licensure compact and now it is “up and running.” There are many other activities that you will recall as being in their nascent stages of development and are now up and functioning. As you read the year in review I think you will agree that together, staff and volunteers, we have had some very significant accomplishments that advance public protection. The report that follows highlights accomplishments by Areas of Focus since the 2016 annual meeting. Please take the opportunity to look for further detail in each area in the respective committee report.

Areas of Focus Examinations: Ensure the ongoing excellence, reliability, defensibility, security and validity of the NPTE and

related examinations NPTE Development

Obtained Buros Stage 2 Accreditation for the NPTE examinations administered and developed in 2016.

Published revised NPTE Content Outlines, effective January of 2018.

Published the key findings of the 2016 PT and PTA Practice Analyses in a new format that is more useful to candidates and educators.

Hosted expert panels to review the NPTE-PT and NPTE-PTA passing standards, and published information to help educators and candidates understand the implications of the new standards.

Created the 2017 NPTE Resource Packet for Member Jurisdictions.

Updated all eight forms of the Practice Examination and Assessment Tool (PEAT).

Continued to find creative ways to involve new volunteers in the NPTE development process, including conducting offsite item writing workshops in Puerto Rico, New York, Arkansas, Texas, and Michigan.

Continued outreach to educators by conducting an NPTE Workshop for Educators, a webinar on services and reports for schools, and presenting at the APTA Education Leadership Conference.

Exam Services

Launched a new school-centered NPTE registration system in October 2016. In the first year of school, schools create the cohort and start the student’s FSBPT profile. In the last year of school, schools validate that the students are on track to graduate. This step is required prior to registering for the NPTE.

Texas became the first state to use the Alternate Approval Pathway (AAP) in June 2017. With AAP, FSBPT makes candidates eligible to sit for the NPTE and sends the scores to the jurisdiction for licensing determination. In addition, FSBPT reviews and approves testing accommodation requests.

39,174 exams administered in 2016 o NPTE PT - 14,524 o NPTE PTA – 9,604 o LAW – 9,804 o JAM – 5,242


Membership: Enhance the Federation’s value to its membership by developing and maintaining programs and services responsive to membership needs

Regulatory Training for Members and Board Staff It is crucial for regulatory board members to understand their role in public protection. As many, if not most, board members are practitioners or licensees in the professions they are asked to regulate; it is important for such public servants to distinguish between the role of the professional association, such as the American Physical Therapy Association (APTA) and the state boards. Equally important is the role of administrators on the state boards, who do the day-to-day work of the board. Learning more about how their work supports the bigger picture of regulation for the protection of the public may be a welcome refresher. The annual Regulatory Training provides a weekend of educational sessions intended to prepare new and veteran board members/administrators for their service to the public. The sessions are engaging and cover a wide range of topics addressing not only the legal and practical aspects of serving on or running a physical therapy licensing board, but also a detailed description of the programs and services provided by FSBPT to its membership. Examination, Licensure & Disciplinary Database (ELDD) The database continues to provide value to our membership. The database has generated more than 1,000 disciplinary action notifications in the last year to 51 of the 53 member jurisdictions. The participating states along with the Federation’s staff have added more than 600 disciplinary actions to the database, bringing the total number of disciplinary actions to more than 7,500. These disciplinary actions will serve as a basis for ensuring public protection as we begin to use the ELDD to evaluate eligibility for a therapist to receive a compact privilege. We continue to see improving participation among the member jurisdictions. As of mid-year, we had the largest number of jurisdictions in history receiving the 5-star rating. And more than half of the 53 member jurisdictions were either 5-star or 4-star rated. Thank you to each person who has helped each of those jurisdictions setup their systems and processes to ensure that the rest of the membership is aware of your licenses and disciplinary actions. As we look ahead to a new era in which compact privileges, along with licenses, help extend a therapist’s ability to provide services in multiple jurisdictions, it is increasingly important that we share information with one another so decisions that affect public protection can be well informed. Federations staff stands ready to help each jurisdiction that does not currently hold a 5-star rating improve their participation. Please reach out to find out what your jurisdiction can do to improve. States’ Rights, States’ Responsibilities and Professional Standards: Identify and promote effective regulation

in physical therapy that ensures the delivery of safe and competent physical therapy care, while respecting states’ rights and responsibilities

Continuing Competence Since the November 2016 annual meeting:

Developed jurisprudence assessment modules (JAM) for Oregon and Texas. Since it was first launched in early 2015, over 18,000 individuals have completed one of the six JAMs. Unlike the other five JAMs, the Texas JAM has 75 total questions, including 25 focused on ethics. In addition, there is no cost for applicants completing the Texas JAM for initial licensure purposes. Completion of the Texas JAM is mandatory for license renewal to meet the ethics and jurisprudence requirement. These individuals are required to pay a fee to complete the Texas JAM.

Over 32,000 registered users of aPTitude --- Recent enhancements to the system have focused on enhancing the end-user experience. One project completed in 2017 will also allow continuing competence/continuing education (CC/CE) vendors to easily upload their entire course catalog to


aPTitude. This should address one of the most common complaints about the aPTitude system from licensees – the lack of an activity being found through the search functionality.

Certified over 3,800 activities through the ProCert program with 30 jurisdictions accepting ProCert certified activities for licensure renewal.

Released oPTion, the online and on-demand scenario based self-assessment tool to replace the Practice Review Tool (PRT). To date, over 130 individuals have completed oPTion and 18 jurisdictions have confirmed that licensees can use oPTion to meet the CC/CE requirements.

Professional Standards Since the November 2016 annual meeting:

Published three new charts in the Jurisdiction Licensure Reference Guide and five more are ready for development. The charts have more functionality than previous versions and are more dynamic. Additionally, all the data in the charts is tied to a statute, regulation, or policy reference.

The Framework for Considering the non-CAPTE Graduate’s Experiences in Licensing was completed by the Foreign Educated Standards Committee. The framework provides options and guidelines for graduates of non-CAPTE programs to remedy deficiencies in clinical education hours. An accompanying verification form allows the applicant to submit to the credentialing agency evidence of the hours of experience.

CWT 6 and PTA Tool 2 have become effective.

Developed model statutory language to collect workforce data; this language has been added to the Model Practice Act but could also be pulled out and used independently. The MDS web page has been updated and the complete MDS survey has been posted.

Completed a first draft of model disciplinary guidelines. The Ethics and Legislation committee continues work on finalizing model disciplinary guidelines and an accompanying background paper.

Presentations were done for the Alaska and Kentucky boards regarding the Supervised Clinical Practice Performance Evaluation Tool (PET). Kentucky’s board has made the decision to transition to the PET. Virginia, North Dakota, and Louisiana are all using SCP PET now.

Developed a PowerPoint presentation for jurisdictions to demonstrate the advantages and strengths of the PET.

Development has begun on a Primer for member Boards regarding foreign-educated issues and resources.

Dry needling resource paper was updated- 6th edition published.

Compact

A webpage was developed on the FSBPT website to publish updates and information for interested persons.

14 states have adopted the PTC Statutory language. On April 25, 2017, the 10th state joined the Compact and it became official. Members of the Compact include: AZ, CO, KY, MO, MS, MT, NC, ND, NH, OR, TN, TX, UT, WA.

The Compact Commission appointed a rules task force which has met and begun promulgating rules by which the Compact will govern itself.

Education: Provide and promote educational programs and products for board members, administrators, the public and other stakeholders

Webinars Webinars for board members, administrators, and educators are held regularly as a means to provide information and discuss important topics throughout the year. The webinars held to date in 2017 include:

Services available to Schools

The Supervised Clinical Practice Performance Evaluation Tool

Using aPTitude and oPTion


Professional Conferences FSBPT staffed a booth in the exhibit hall at various American Physical Therapy Association (APTA) meetings, including Combined Sections Meeting (CSM), APTA NEXT, National Student Conclave (NSC), and the Education Leadership Conference (ELC). Information about the National Physical Therapy Exam (NPTE), continuing competence resources, the updated exam registration process, and volunteer opportunities are shared with individuals who stop by the FSBPT booth. FSBPT staff also presented at the Board of Certification for Athletic Trainers Annual Meeting, APTA Education Leadership Conference, National Conference on Measurement in Education, Conference on Test Security, and others. News Briefs (Monthly) FSBPT News Briefs are emailed to members and educators. Each issue includes timely, FSBPT-specific updates as well as U.S. regulatory news articles and press releases. Faculty Newsletter (Quarterly) The Faculty Newsletter serves as one way for FSBPT to communicate with faculty in physical therapist (PT) and physical therapist assistant (PTA) programs on a regular basis. The publication provides current information and updates on the National Physical Therapy Examination (NPTE) as well as information on other regulatory issues that may impact or be of interest to program faculty. Electronic subscription to the newsletter is open to all educators. Those who would like to receive the newsletter can subscribe online at: http://www.fsbpt.org/FreeResources/FacultyNewsletter.aspx Regulatory Training for Members and Board Staff This training has remained popular; interest in the 2017 training sparked a wait list and jurisdictions interested in sending more than two representatives. For three days, FSBPT-funded attendees receive comprehensive training on current regulatory matters. Refer to the Membership Area of Focus for additional information. NPTE Workshop of Educators At the time of this writing, the NPTE Workshop for Educators is scheduled for October 20-22, 2017 at FSBPT offices in Alexandria, Virginia. The workshop is highly attended, with space for up to 30 educators. Educators get training in how to write questions that meet the NPTE style guidelines, information about FSBPT and our role in regulation of physical therapy professionals, recent organizational initiatives, NPTE development and standards, examination security, and services for candidates and educators. 2017 Annual Meeting: The Art of Regulation The Education Committee has planned an exciting 2017 Annual Meeting program. Topics include Risk Based Regulation, Model Disciplinary Guidelines, Best Practices for Disciplinary Investigations, Antitrust Compliance Training, Occupational Burnout, Telehealth Guidelines -- just to name a few. This year, the Annual Meeting is being held in a beautiful resort location versus in a downtown city hotel. It should be a great opportunity to network, learn and share. Leadership: Broaden the Federation’s leadership role and recognition within the regulatory, professional

and related communities Leadership Issues Forum (LIF) The 2017 Leadership Issues Forum was held July 29-30, 2017 in Alexandria, Virginia. The purpose of the LIF is:

• Provide information and data on critical regulatory issues that impact the regulation of physical therapy. • Explore various ways of addressing the critical regulatory issues identified above. • Establish a plan for addressing the regulatory issues identified. • Provide an opportunity for delegates or other jurisdiction representatives to understand and discuss

issues prior to the Annual Meeting.


• Provide updates on previous LIF initiatives.

Eighty-two participants attended, including delegates/board representatives, board administrators, the board of directors, and representatives from APTA, ACAPT and CAPTE. The topics presented and discussed included risk based regulation, model disciplinary guidelines, clinical education, continuing competence, deregulation and consolidation of regulatory boards, as well as general updates. There were also several opportunities for the participants to provide input to the FSBPT Board of Directors on issues that they are having in their jurisdictions. LIF topics will be discussed during Updates on Current FSBPT Initiatives and other sessions during the Annual Meeting. International Network of Physiotherapy Regulatory Authorities (INPTRA) The International Network of Physiotherapy Regulatory Authorities (INPTRA) held its 2017 Biennial Meeting June 30 and July 1 in Cape Town, South Africa. The 50+ attendees represented Australia, Canada, Croatia, France, Nepal, New Zealand, Philippines, South Africa, Sri Lanka, United Kingdom, and the United States. The main themes of the program were governance issues in regulation, education and regulation, professionalism, policy and practice, and Data Driven Regulation. Healthcare Regulatory Research Institute In 2017, FSBPT created the Healthcare Regulatory Research Institute (HRRI; HRRInstitute.org). In the coming months and years, FSBPT plans to use this nonprofit entity to sponsor research relating to regulators’ roles in public protection for healthcare professions, pursue grant funding, and to disseminate research and best practices to state boards, other licensing organizations, and healthcare professionals themselves. Organizational and Financial Stability: Ensure the long-term organizational and financial stability and viability of the Federation Financials Please refer to the Treasurer’s Report for the details on the operations for 2016. It is worth reiterating from that report that we continue to be in a financially good positions and have maintained our reserves. Updating Policies and Budgets The Board continues to review, update and approve the Policies, Salary Administration Manual, NPTE Policies, operating budget, capital budget and reserve funding each year in December.

I am sure that you will agree that this has been a productive year and that each of the major initiatives has come to fruition through the collaborative effort of the membership and the staff. I encourage you to read about each of the topics in relevant committee reports and attend sessions throughout the annual meeting that will target and highlight some of the newest FSBPT activities. I look forward to seeing you and encourage you to seek out the Board Members to ask us questions and share information. We are here for you! Nancy R. Kirsch, PT, DPT, PhD, FAPTA President


Financial Information and Reports

This financial report includes the Treasurer’s Annual Report, Finance Committee Report, Investment Committee Report, the 2016 Independent Auditors’ Report, and the 2016 Financials.

Treasurer’s Annual Report FSBPT operations for the twelve months ended December 31, 2016 produced a net operating income of $1,605,714 which was $1,538,113 greater than the budget. Therefore, I can continue to report that as of the end of 2016 the overall financial position of the Federation of State Boards of Physical Therapy was strong. Some of the most notable variances are:

Exam fee revenue was unfavorable to budget by ($480,146) due to lower than budgeted volume for the PT exam. Volume budgeted was higher than actual by 1,497 registrants, or 9.4%.

Jurisprudence exam revenue was favorable to budget due to the introduction of new jurisprudence exams – Georgia and Oregon. The New Jersey exam revenue was notable – it exceeded expectations by $119,000.

PEAT income was below budget by ($77,600) while Score Transfers, Exam Reports and Continuing Competence were above budget, collectively, by $61,700.

Investment markets were quite strong in 2016 and with being slightly above budget but exceptionally unfavorable variance to budget and prior year. It is important to remember that the investments are considered long-term and that unrealized losses do not impact cash.

Expenses of note that were under budget were wages & benefits (delay in filling certain positions), travel & meetings (reduced rates and less attendees for some events than budgeted), Occupancy & Infrastructure costs and depreciation expenses (depreciable life of new operating system determined to be longer than the estimated five years for the previous operating system thus depreciation expense was less) .

Achievements in 2016 – Financial and Operational One of our long-established strategic goals was to develop additional revenue sources and reduce our reliance on the NPTE. As in 2015, we continued in 2016 to beat the initial 1995 baseline in which exam revenue represented 94% of total revenue, excluding investment income. In 2016 and 2015 the exam revenue was 68% and 71%, respectively, of the total revenue (excluding investment income). Another of the Federation’s significant financial accomplishments in 2016 was that we were able to maintain our goal of total invested funds exceeding annual operating expenses. This has placed the Federation in a position to be able to respond to unexpected disasters and to take advantage of future service opportunities. Throughout 2016, FSBPT continued a focus on capital investments for our core online operating systems. Projects included a major revision to the exam registration process for candidates, incorporating schools into the approval process for the NPTE, and creating an alternate approval pathway for states that choose to allow FSBPT to authorize candidates to sit for the NPTE. There were also notable projects to enhance aPTitude and ProCert, make a new faculty version of PEAT, improve school ranking reports, and design and publish new tables and features for the Jurisdiction Licensure Reference Guide. The FSBPT Finance Committee met in December 2016 in Alexandria. A Finance Committee Report is included in this section of this handbook. I wish to again thank committee members Steven Alstot, Ruggie Canizares, Trent Casper, Sandra Champlin, Ellen Kroog Donald, and Tina Kelly for their work and participation on the Finance Committee, along with Nancy Kirsch who served as the Board Liaison.


In March 2017, the CPA firm of Kaiser, Scherer & Schlegel completed the independent audit of the FSBPT for 2016 with a clean opinion. Their report is included in this Delegate Handbook along with financial summaries. If you have any questions or comments, please forward them to me. This is my fifth year as your Treasurer. It has been an exciting and challenging five years and I am grateful to have this opportunity to serve as your Treasurer. I believe the future will hold opportunities and challenges, which I am confident that the FSBPT staff and Board are prepared to respond to. Respectfully submitted, Natalie Harms, PT Treasurer and Finance Committee Chair


Finance Committee Annual Report As a Standing Committee of the Board of Directors, the Finance Committee’s responsibilities include:

o To oversee the budget process and make recommendations o Advise the Board

• Is there a sound financial plan? • Does FSBPT have enough cash and reserves? • Are expenses in line? • Are fees reasonable? • Is FSBPT insured appropriately against risk?

o Provide regular review of the operations (Financial/Internal Control Function)

• Review Financial Reports – understand and compare to budget • Are Supplemental Reports informative? • Review Investment Activity - understand and consider if funds are invested and results

are reasonable. • Review the Audit Report and understand any recommendations by auditors

During 2016, the Finance Committee received and reviewed FSBPT’s monthly financial statements, which included a comparison to budget and prior year. In addition, the committee met on December 10, 2016 to discuss and recommend approval of the 2017 Operating Budget, Capital Budget and Board Designated Reserves. The committee also received updates on different operational areas of the organization including the status of the Operating System and the new Accounting Structure and Reporting. I wish to again thank committee members Steven Alstot, Ruggie Canizares, Trent Casper, Tina Kelley, Sandra Champlin and Ellen Kroog Donald for their work and participation on the Finance Committee, along with Nancy Kirsch who served as the Board Liaison. Respectfully submitted, Natalie Harms, PT Treasurer and Finance Committee Chair


Investment Committee Annual Report Committee Members: Nancy Kirsch, PT, Chair Charles Brown Natalie Harms, PT David Relling, PT On December 31, 2016 the market value of the Federation’s investments totaled $19,212,351. Thus the effective market value reflected an increase of $933,200 from the prior year. 2016 started with a drop in the market for January and February but rallied with the Dow Jones ending 13% higher than the ending of 2015. The market value of our total investments covers slightly more than a year of our operating expenses – consistent with the norm in like organizations and non-profits. We are always pleased when investments exceed operating expenses because it enables us to increase our reserve funds, placing the Federation in a position to respond to an unforeseen disruption that could occur in the future and to fund major new programs such as the licensure compact, continuing competence initiative, alternate approval, JAM, regulatory research and the total re-write of our operating system. The committee constantly evaluates our investment managers and challenges the investment policy. The committee previously performed a complete risk tolerance analysis and revised the investment policy to reduce bond investments and increase equity investments. In 2015 there were some changes in fund managers due to less than expected performance. During the first eight months of 2017 the Dow Jones increased approximately 9.7%. As a result, our financials are currently showing an overall positive investment increase. However, we are always cognizant that volatility during the year can be swift and unexpected (dependent on economic and world events). As a result, we are unable to firmly predict year-end results. Even with this, we remain confident that the market will continue to improve over the next few years and we will continue to achieve our long-term investment objectives. Respectfully submitted, Nancy Kirsch, Chair


Independent Auditors’ Report


2016 FSBPT BALANCE SHEET

2015 FSBPT BALANCE SHEET


2016 FSBPT FINANCIALS

2015 FSBPT FINANCIALS


Investment Income, $1,117,029

Management Services, $292,191

Equity in Related Orgs, $124,115

LAW/JAM Fees, Continuing Competence, $731,591

Miscellaneous Income, $180,049

Exam Feedback, $222,690

PEAT, $1,527,172

Score Transfer , $1,398,495

PTA Exam, $3,942,369

PT Exam, …

FSBPT 2016 Revenue by Category

Investment Income Management Services

Equity in Related Orgs LAW/JAM Fees, Continuing Competence

Miscellaneous Income Exam Feedback

PEAT Score Transfer

PTA Exam PT Exam


Honorary Members of the Federation

Grateful acknowledgment is expressed to our honorary members, whose dedication, insight and vision helped created the Federation of State Boards of Physical Therapy. The 2002 Delegate Assembly closed further nominations for this position.

Carolyn Bloom Kansas

Richard McDougall Kentucky

Donna Borden Arizona

Susan Rush Tennessee

Robert Harden Alabama

J. Scott Stephens North Carolina

Eugene R. Lambert Massachusetts

Patricia Van Wagner Washington


NPTE Exam, Item Writer and Standard-Setting Task Force Volunteers

We want to recognize the individuals who volunteer their services as committee members and item writers and help with other exam functions. They are committed to developing the highest quality examination and without them, there would be no NPTE. They demonstrate the highest level of professionalism. FSBPT is truly grateful.

2017 Examination Committee Volunteers

Examination Development Committee (PT) Examination Development Committee (PTA) Amy Bayliss, PT Betsy Becker, PT (Co-Chair) Anissa Davis, PT Carla Gleaton, PT Chad Lairamore, PT Carol Brooks, PT Erica Peterson, PT Dawn Smathers, PT Frank Glenn, PT Heather Van Grootheest, PTA Jade Bender-Burnett, PT (Co-Chair) Janice Haas, PTA (Co-Chair) Julie Ronnebaum, PT Jennifer Mercer, PTA Lisa Dannemiller, PT Joanne Rice, PT Manuel Domenech, PT Karma Peters, PT Martha Somers, PT Kelly King, PT (Co-Chair) Michelle Finnegan, PT Krista Wolfe, PT Nushka Remec, PT (Co-Chair) Kristin Schroeder, PT Robert Nithman, PT Mary Conway, PT Ruth Maher, PT Morris Beato, PT Sara Maher, PT (Co-Chair) Zach Frank, PT (Co-Chair) Item Writer Coordinator (PT) Item Writer Coordinator (PTA) Becky Rodda, PT Carol Sawyer, PT Carlo DeCastro, PT Joan Morse, PT Jeanne Cook, PT Mary Elizabeth Parker, PT Robert Friberg, PT Shannon Turner, PTA Sheri Hale, PT


2017 Item Writing Task Force, Item Bank Clean Up, and Item Writer Volunteers

2017 Item Writing Task Force Item Bank Clean Up Brandi Lipovsky, PTA Becky Rodda, PT Bryce Woodfield, PT Brandi Lipovsky, PTA Claudia Medeiros, PT Carol Sawyer, PT Colleen Keogh, PT Frank Bates, PT Danette Neikirk, PT Jennifer Mercer, PTA Debra McDowell, PT Jessica Johnson, PT Frank Bates, PT Jill Heitzman, PT Jacqueline Kopack, PT Joan Morse, PT Jasmin Riehl Jimeno, PT Karen Cascardi, PT Jason Delavan, PT Kathleen Lieu, PT Jennifer McDonald, PT Kevin VanWart, PT Jill Heitzman, PT Krista Wolfe, PT Karen Cascardi, PTA Kristen Metzler-Wilson, PT Karen Holtgrefe, PT Linda Carlson, PT Kathleen Lieu, PT Lisa Dannemiller, PT Kristen Metzler-Wilson, PT Marie Vazquez Morgan, PT Lucinda Bouillon, PT Mary Elizabeth Parker, PT Marsha Rutland, PT Mary Jane Rapport, PT Mayra Eschbach, PT Mary Suarez, PT Michael Nanzer, PT Morris Beato, PT Myles Quiben, PT Nancy Henderson, PT Pam Kikillus, PT Rebecca Johnson, PT Rebecca Johnson, PT Rebecca Porter, PT Ron Barredo, PT Robert Friberg, PT Sean Griech, PT Ronald Barredo, PT Shana Harrington, PT Shana Harrington, PT Stephanie Thurmond, PT Shannon Turner, PTA Susan Callanan, PT Stacy Sawyer, PT Teresa Briedwell, PT Susan Howard, PT Tania Tablinsky, PT Item Writers Allison Angeli, PT Leah Rust, PT Amy Walters, PT Leslie Russek, PT Andrew Yannaccone, PT Leslie Smith, PT Anita Killins, PT Linda Carlson, PT Ashwini Sansare Lisa Bradley, PT Aubrey Bailey, PT Lisa VanHoose, PT Barry McLeod Hughes, PT Lori BoRight, PT Bethany Froboese, PT Madeline Powers, PT Bijlee Patel, PTA Marc Campo, PT Bill Bandy, PT Marcia Downer, PT Bryan Boyea, PT Margaret McGee, PT Catherine Ortega, PT Maribeth Vowell, PT Cecilia Kitterman, PT Marie Kelly, PT Charlotte Yates, PT Marissa Cruz, PT Chelsea Bill, PTA Mark Salcedo, PT Chris Walter, PT Martina Quivers, PT Christine Melius, PT Mary Walker, PT


Christopher Edmundson Megan Eikenberry, PT Cindy Lavine, PTA Meghan Griech, PT Constance Fleming, PT Michelle Daguanno, PT Darla Cathcart, PT Mitchell Batavia, PT David Smith, PT Mohamed Elhamadany, PT Dawn James, PT Nancy Reese, PT Deanne Yates, PTA Natalia Ruiz, PT Deborah Prouty, PT Navpreet Kaur, PT Deborah Zagray, PT Nichole Laird, PT Debra Gray, PT Nicole Borman, PT Diane Page, PT Nicole Robinson, PT Disha Lakhami, PT Nora Fritz, PT Elizabeth Garcia, PT Paras Goel, PT Ellen Godwin, PT Paul-Neil Czujko, PT Fatema Taher, PT Peggy Lynam, PT Floris Van de Ven, PT Priti George, PT Gavindaraj Srinivasan Manivannan Renee Strobl, PT Germaine Ferreira, PT Rhonda Heffner, PTA Hisham Senan, PT Robyn Towner, PTA Holly Daniel, PT Rodiel Baloy, PT Ira Convalecer, PT Ryan Bean, PT Jacqueline Scully, PT Sarah Case, PT Jai Bhawsar, PT Sarah Keller, PT James Taylor, PT Senora Simpson, PT Janey Prodoehl, PT Shannon Herrin, PT Jason Ashby, PT Sharon Dunn, PT Jason Falvey, PT Sheri Altenburg, PT Jason Shaw, PT Sheri Brown, PT Jeff Leatherman, PT Shreepal Chanduri, PT Jenifer Dickson, PT Shweta Gore, PT Jennifer Canbek, PT Stacia Britton, PT Jo-Ellen Burgett, PT Steven Forbush, PT John Jefferson, PT Sujay Galen, PT John Sutera, PT Susan Tomica, PT Joseph Leech, PT Suzanne O’Neal, PT Julius Somera, PT Tammy Simmons, PT Kacey Lewis, PT Tammy Wadsworth, PT Kameron Causey, PT Tina Schaffner, PT Kathryn Ryans, PT Twala Maresh, PT Kellee Hanigan, PT Upen Yvas, PT Kim Schwartz, PT Victoria McDowell, PTA Kimberly Wynarczuk, PT William Moore, PT Kunal Bhanot, PT Yvonne Jackson Lane Sidebottom, PT Laura Kabiri, PT Laura LoVasco, PT Laurel Sexton, PT Leah Lowe, PT


2017 Standard-Setting Task Force

Standard-Setting Task Force (PT) Standard-Setting Task Force (PTA) Burke Selbst, PT Angela Webb, PT Donna Skelly, PT Anna Evans, PT Jennifer Brilmyer, PT Barnett Keitt, PTA John Rocco De Lara, PT Bruce Wassung, PTA Katie Brittain, PT Carlene Jensen, PT Katie Carberry, PT Deanne Yates, PTA Kunal Bhanot, PT Elissa Ranes, PTA Larry Chinnock, PT George Chudleigh, PT Lindsey Robinson, PT John Reichard Marius, PTA Lynne Sturgill, PT Kevin VanWart, PT Mario Moncada, PT Marie Cole, PT Maryrose de Guzman, PT Mary Suarez, PT Paul-Neil Czujko, PT Matthew Connell, PT Robert Whittaker, PT Perry Flowers, PTA Samantha Satterfield, PT Peter Zawicki, PT Sonya Dick, PT Sidney Morgan, PTA Stacia Troshynski Brown, PT Tracy Douthard, PT Suzanne Trojanowski, PT Victoria McDowell, PTA Tracey Collins, PT Tricia Blalock, PT


Academy of Advanced Item Writers

The Academy of Advanced Item Writers consists of those National Physical Therapy Examination (NPTE) item writers who develop both quality and quantity items as defined in the criteria below.

Developed 60 items which were approved by the Item Bank Review Committee and entered into the item bank.

Attended at least one FSBPT beginning item writing workshop.

Fulfilled content area assignments during beginning item writing workshops.

Recommended by an Item Writer Coordinator

Provide additional service on an NPTE committee or taskforce

2017 Academy Members

Jill Heitzman, PT, Alabama Floris G. H. Van de Ven, PT, DPT, MHA, California


Richard McDougall Long Term Service Award

The Richard McDougall award recognizes and honors individuals who have made a lasting, significant and distinguished contribution to the Federation through their volunteerism for at least ten years.

2017 2009 Veronica Reynolds, South Carolina Nancy Blankenship Brinly, Kentucky Peter-John Zawicki, Arizona Eric Schmidt, South Carolina 2016 2008 Joni Kalis, Oregon Jeanne DeKrey, North Dakota 2015 2007 Ronald De Vera Barredo, Tennessee Ann E. Tyminski, Maryland 2014 2006 Kathy Fleischaker, Minnesota Ronald J. Seymour, New York Senora Simpson, District of Columbia 2005 2013 Eileen Bach, New York Nina Hurter, Texas Deb Tharp Hatherill, Kentucky Chuck Meacci, Pennsylvania 2004 2012 Donna Borden, Arizona Dargan Ervin, Jr., South Carolina Cheryl Gaudin, Louisiana 2003 John Wadsworth, North Carolina 2011 Barbara Safriet, Washington 2002 Steve Hartzell, California 2010 Mary Kay Solon, Indiana Thomas Mohr, North Dakota Blair J. Packard, Arizona


President’s Award

The Federation’s first President, Scott Stephens, created this award. At each Annual Meeting, the President of the Federation honors someone who contributed extensive talent and time to the mission of the Federation in the previous year – someone who deserves special recognition for their contribution.

2017 2003 1990 Carol Sawyer, Missouri Carolyn Hultgren, Nevada Donna Borden, Arizona 2016 2002 1989 Jane Julian, South Carolina Susan Glover Takahashi, Ontario,

Canada Carolyn Bloom, Kansas

Senator Bo Watson, Tennessee Judy White, North Carolina Donna Borden, Arizona Robert Harden, Alabama 2015 2001 Richard McDougall, Kentucky Scott Majors, Kentucky Ann Tyminski, Maryland Susan Rush, Tennessee Patricia Van Wagner, Washington 2014 2000 Mary Keehn, Illinois Candace Bahner, Kansas Tina Kelley, New Hampshire Richard McDougall, Kentucky 2013 1999 Phillip B. Palmer, Georgia Thomas Mohr, North Dakota 2012 1998 Nancy Henderson, Washington Eileen Bach, New York Donna Borden, Arizona 2011 Meri Goering, Michigan 1997 Carol Neva, Washington 2010 Blair Packard, Arizona R. Scott Ward, Utah 1996 2009 Nancy Brinly, Kentucky James D. Heider, Oregon 1995 2008 Richard McDougall, Kentucky Nancy Kirsch, New Jersey 1994 2007 Donna Borden, Arizona Ronald Barredo, Tennessee 1993 2006 Steve Hartzell, California Gregory Cizek, North Carolina 1992 2005 John Mirone, Virginia Pam Leerar Kikillus, Washington Rebecca Porter, Indiana 1991 Carolyn Bloom, Kansas 2004 Barbara Safriet, Connecticut


Outstanding Service Awards

The Outstanding Service Award was created to recognize and honor individuals who have made a significant and distinguished contribution to the Federation through their volunteer work during the past 12 months.

2017 Award Recipients

Tina Baum Linda Carlson, PT, DPT Carolyn Chanoski, PT, DPT, MS Connie Clarkston Linda Gustafson George (Bo) Hamil Kathleen Lieu Sara F. Maher Charlotte Martin Jennifer S. McDonald Lawrence C. Ohman, PT, OCS David C. Reed, PT James R. Roush, PT, PhD, AT, ATC Angela Shuman Liyongo Tolin Kory Zimney


Excellence in Regulation Award

The Excellence in Regulation Award was created to recognize jurisdictions that have made significant accomplishments towards increasing public protection for their consumers of physical therapy services.

2017 Jurisdiction: Oregon Members Staff Richard Rutt, PT, PhD, Chair James Heider, Executive Director Aubree Benson, PT Gayla Goodwin Ruggiero Canizares, PT Sherri Paru, PT Troy Costales Richard Sullivan, PTA Phillip Haworth, PT Jennifer Julkowski, PTA Alan McAvoy, PT Carol Sutton Jurisdiction: Texas Members Staff Harvey Aikman, PT, DPT, Chair John Maline, Executive Director Glenda Clausell Karen Gordon Gary Gray, PT Mark Turek Liesl Olson, PT Daniel Reyna Barbara Sanders, PT, PhD Jeffrey Tout, PT Philip Vickers 2016 Jurisdiction: Kentucky

To receive this award, the jurisdiction boards demonstrated significant accomplishments in increasing public protection for their consumers of physical therapy services in any of the following areas.

Rules were passed that substantially protect the public.

Legislation was passed that was based on the FSBPT Model Practice Act for Physical Therapy and the licensing authority was a key component in getting it passed.

Adoption of the FSBPT Continuing Competence Model.

Maintained 5 stars in the Exam, Licensure and Disciplinary Database (ELDD) for three years in a row.

Increased the number of ELDD stars by three or more in one year.

Adopted the Physical Therapy Licensure Compact.

Engaged the public in a meaningful way or provided meaningful resources directed to the public.

Conducted research on a topic related to public protection.

Incorporated measures to increase the effectiveness and/or efficiency of the licensing board.


2016-2017 Board of Directors

Nancy R. Kirsch, PT, DPT, PhD, FAPTA, New Jersey President Term: 2016-2019 Nancy R. Kirsch, PT, DPT, PhD, FAPTA received her PT degree from Temple University, her Masters in Health Education from Montclair University, Certificate in Health Administration from Seton Hall University, her PhD concentration in ethics from Rutgers University (formerly UMDNJ), and a Doctor of Physical Therapy from MGH Institute of Health Professions. She practiced in a variety of settings including in-patient rehabilitation, acute care, long term care and home care. She owned a private practice for twenty years and currently practices in a school based setting. In addition, she is the Director of the Doctor of Physical Therapy Program at Rutgers, The State University of New Jersey. Nancy has been a member of the New Jersey Board of Physical Therapy Examiners since 1990 and was chairperson of the board for 12 years. She served as an evaluator for FCCPT. Nancy has been involved with the Federation of State Boards of Physical Therapy in the following capacities: she served two terms on the Finance committee and also served on several task forces, in addition to the Board of Directors. Nancy has been active in the American Physical Therapy Association since she was a student. She served the New Jersey Chapter as Secretary and President, and as a delegate and chief delegate to the House of Delegates. She served the national association as a member of the ethics document revision task force. She also served a five year term on the APTA Ethics and Judicial Committee and the APTA Reference Committee. She received the Lucy Blair Service Award and was elected a Catherine Worthingham Fellow from National APTA and received an Outstanding Service Award and the President's Award from the FSBPT.

David Relling, PT, PhD, North Dakota Vice President Term 2016-2019 David Relling, PT, PhD, is Associate Professor and Chair of the Department of Physical Therapy at the University of North Dakota in Grand Forks. He has practiced in a variety of settings, including acute care, orthopedics and long-term care. Dave was appointed to the North Dakota Board of Physical Therapy in 2010 and served as President of the board from 2014-2016. Dave is a member of the state association and the American Physical Therapy Association. Dave began his involvement with the Federation in 2005 as an item writer and has served as a member and then co-chair of the NPTE Exam Development Committee for physical therapists. He was inducted into the Academy of Advanced Item Writers in 2010.


Thomas J. Caldwell, PT, DPT, AT, Ohio Secretary Term: 2015-2018 Tom Caldwell, PT, DPT, AT serves as the Associate Executive Director of Sports Medicine & ambulatory Services for The Ohio State University Wexner Medical Center. He received his undergraduate degree in physical therapy from The Ohio State University in 1988 and later earned his post-professional masters degree from the University of Indianapolis and transitional doctorate from Alabama State. He maintained the credential as a board certified sports clinical specialist for twenty years. Tom is also licensed as an Athletic Trainer. His professional service has included a term as Vice President of the Ohio Chapter of the American Physical Therapy Association from 2003-2005 prior to his appointment on the PT Section of the Ohio AT, OT, PT Licensure Board, where he served for nine years, including Chair from 1012-2013. He served three and six year terms, respectively, on the Nominating and Finance Committees of the Federation. Caldwell was awarded the APTA State Legislative Leadership Award in 2004 for his leadership role in Ohio’s successful campaign to obtain direct access to physical therapy services. He was appointed to the USA Rigby Medical & Safety Committee in December of 2008. Caldwell has enjoyed a successful career as a clinician, administrator and entrepreneur in the areas of orthopedics and sports physical therapy, athletic training, wellness and fitness.

Natalie Harms, PT, DPT, GCS, Nebraska Treasurer Term: 2015-2018 Natalie Harms, PT, DPT, GCS received a Master of Physical Therapy degree from the University of Nebraska Medical Center and transitional Doctor of Physical Therapy degree from Creighton University. She has been an ABPTS board certified clinical specialist in geriatrics since 1999. Currently, she is Vice President and co-owner of Makovicka Physical Therapy in Omaha, NE. She has practiced in a variety of settings in physical therapy and management for over 30 years. In 2006 Natalie was appointed to the Nebraska State Board of Physical Therapy, served as Board Chair, and currently is a professional member. She has been actively involved with the Federation since 2008 as a Delegate and most recently was on the Continuing Competence and Finance Committees. Natalie has served the Nebraska Physical Therapy Association in the role of President, Vice President and Nominating Committee Chair, in addition to numerous committees and task forces. She was a Delegate representing Nebraska at the APTA House of Delegates for six years. Natalie received a 2011 Outstanding Service Award from FSBPT, 2008 Caring Kind Award from the Nebraska Hospital Association, and the 2007 Mary Ellen Sacksteder Award from the Nebraska Physical Therapy Association.


Ron Barbato, PT, Kentucky Director Term: 2016-2018 Ron earned his Physical Therapy degree from the University of Pittsburgh, School of Health Related Professions, in 1979. He began his career as a Physical Therapist in Pennsylvania and moved to Kentucky in 1981 to pursue a career in contract therapy management. In 1981, as Director of Physical Therapy, Ron established rehabilitation services at Ephraim McDowell Health (EMH) in Danville, Kentucky. What began as a solo practice quickly expanded into services to include a multitude of rehabilitation programs and offerings, and he is currently the Administrative Director of Rehabilitative Services at EMH. He directs therapy services located on five separate campuses, which provide over 80,000 treatments a year, and includes Speech, Occupational, and Physical Therapy, as well as Pediatric Rehabilitation. In addition to directing these services, he is currently serving as Corporate Liaison for the Ephraim McDowell Commonwealth Cancer Center, a comprehensive cancer treatment center located in Danville. Ron has been an APTA member for over 35 years and is a member of the HP/SOA section. He has been active in the Kentucky Physical Therapy Association as a member of the Legislative and Continuing Education Committees and as a past member of the Ethics Committee. He most recently served on the KPTA Board as Secretary. He is Chairman elect of the Kentucky Board of Physical Therapy and has also served several terms on that Board in various capacities. Ron has been active in the Federation since 2006, previously serving as delegate and a member of the Resolutions Committee.

Charles Brown, Arizona Director Term: 2014-2017 Chuck graduated in 2008 from Grand Canyon University with a Bachelor of Science in Business Administration. He is also a former Marine. Chuck has worked in the licensing and regulating of healthcare providers since 2001. During his time with the Arizona Boards, he has served at the levels of investigator, Deputy Director and Executive Director. Chuck actively participated in the CBA and served as Chair and Vice Chair from 2010-2011. He has served as Chair of the Exam Administration Committee and as a member of the Education Committee, Finance Committee, and other task forces and focus groups.

James Heider, Oregon Director Term: 2010-2017 Jim is a graduate of Central Washington State University. Following graduation, he worked for a national financial institution as a senior staff accountant, eventually transitioning into the human resources division as manager of employee services, overseeing payroll, benefits and training. In 1990, Jim accepted a position as Administrative Manager for a large Portland branch of a global insurance brokerage firm. As part of the management team, Jim was accountable for human resources, operations and administrative management. During his tenure, he earned the designation of Senior


Professional in Human Resources, as awarded by the Society of Human Resource Professionals. In a planned effort to complete a balance in his career, in 2003, Jim left the private sector to accept a position in the public sector as Executive Director for the Oregon Physical Therapist Licensing Board. Per an Oregon Board directive, Jim became involved with the Federation. Over the past several years, he has served on numerous task forces and committees. In recognition of his accomplishments and contributions, the Federation awarded Jim an Outstanding Service Award in 2006; in 2009, he was awarded the President’s Award, and in 2010 he again was recognized with an Outstanding Service Award. Jim’s commitment and achievements, both with the Oregon Member Board and the Federation were the preface to his appointment to the Board of Directors.

John M. Young, DPS, EML, District of Columbia Public Member Term: one year-appointments John M. Young, DPS, EML is on the full-time faculty as an Assistant Professor of Clinical Research and Leadership at The George Washington University School of Medicine and Health Sciences. Prior to joining the GW faculty, he was a Senior Principal in the Health Innovation Mission Area at Noblis, Inc., a science, technology and strategy advisory services firm. John is a former senior advisor in the Centers for Medicare and Medicaid Services (CSM) Innovation Center where he was instrumental in the development and execution of key provisions of the Patient Protection & Affordable Care Act (“Affordable Care Act”) and implementation of many other Medicare, Medicaid and CHIP legislative provisions, including physician-based clinical quality measurement programs, physician value-based purchasing initiatives, the National Quality Strategy, health disparity strategies, HIPAA implementation and the identification of an initial core set of children’s quality measures in CHIP during his eleven year tenure at CMS in Baltimore MD and Washington. He received his undergraduate degree in Heath Systems Management from University of Maryland University College, his Executive Masters in Leadership from Georgetown University McDonough School of Business, and his Doctor of Professional Studies in Information Management from Syracuse University School of Information Studies.


Federation Committees and Council Reports FSBPT committees and task forces respond to a changing climate by investigating the key issues affecting the regulation of physical therapy care. They are committed to developing the programs and policy recommendations to assist jurisdictions in the common mission of protecting the public.


Continuing Competence Committee

Annual Report Committee Members: Michele Thorman, Chair, Wisconsin Mary Addison Blackstone, South Carolina Linda Gustafson, Minnesota Bo Hamil, Georgia David Harris, Tennessee Jasmin Jimeno, California Sandra Levi, Illinois Andrew Mix, Idaho The role of the Continuing Competence Committee is to make recommendations regarding updates to the Federation of State Boards of Physical Therapy (FSBPT) continuing competence model, assist in evaluating tools that might be appropriate for demonstrating ongoing competence, and make recommendations on the continued development and integration of FSBPT continuing competence tools. Committee Meetings 2017 Meetings The Committee met via WebEx on July 11, 2017 and met in person on October 28-29, 2017. A summary of the October meeting was not available in time for inclusion in this report due to the timing of the publishing deadline, but it will appear in the 2018 Annual Meeting Delegate Handbook. Review of September 2016 Meeting At the meeting held September 24-25, 2016, the Committee reviewed the current continuing competence model and key definitions. The Committee identified core elements to include in any recommendation to the Board of Directors for changes to the model and/or definitions. Focus of the Committee In 2018 and beyond, the Committee will be focusing on further investigation of how to incorporate the concept of risk-based regulation into a continuing competence framework. This will include identifying appropriate risks and supports for licensees and developing tools and resources that licensees can use to mitigate risks. Respectfully submitted, Michele Thorman, PT, DPT, MBA


Education Committee

Annual Report Committee Members: Connie Clarkston, Chair, CBA Chair, Missouri Arkena Dailey, Virginia Robin Jenkins, District of Columbia Debbie Kubota, Hawaii Nicole Lavoie, New Hampshire Stefanie Palma, Georgia Sherri Paru, Oregon William Quillen, Florida Tom Ryan, CBA Vice Chair, Wisconsin Joe Shanley, New Hampshire Nikki Snyder, Florida We are excited about our 2017 program and the location of our meeting: Santa Ana Pueblo, NM (approximately 30 minutes from Albuquerque, NM). Our theme is “The Art of Regulation” and we have much to learn and share as we focus on our mission of public protection. We have put together an exciting educational program to help lay the foundation for exploring and understanding the current FSBPT initiatives that support our member jurisdictions. We appreciate the opportunity to plan and execute the annual meeting and hope you will benefit from our efforts. We will hold a welcome dinner for attendees on Thursday, November 2nd at 6:30 PM, kick-off the formal meeting early Friday, November 3rd at 8:00 AM, and conclude on Saturday, November 4th at 6:30 PM. The Council of Board Administrators will meet on Thursday, November 2nd beginning with lunch at 11:00 AM and conclude just before the “Welcome Reception” on Thursday evening honoring First-Time Attendees. On Friday morning, we will begin our meeting with a welcome from our host jurisdiction, followed by the “State of the Federation” address by our President, Nancy Kirsch, and an introduction of the candidates running for the Board of Directors and the Nominating Committee. We have four keynote presentations which include:

State of Healthcare & Regulation featuring John Young, DPS (FSBPT public member), Justin Moore, PT, DPT (CEO of American Physical Therapy Association), and Barbara Safriet (FSBPT former public member);

The Economic and Structural Effects of Occupational Licensure with Beth Redbird, PhD, Assistant Professor at Northwestern University;

The Journey to a Harms Reduction Approach to Excellence in Regulatory Oversight with David Collie, FCPA, FCMA, MBA, C. Dir (President and CEO at The Electrical Safety Authority of Ontario); and

The Outward Mindset presented by David Moss, Senior Consultant and Master Facilitator, The Arbinger Institute

Following the Board Updates on Friday morning, our breakout sessions will include presentations focused on Medication Management and Medicare’s interplay with State Law, Regulatory Research, the ELDD, Risk based Regulation and Legislative Updates. Our Saturday breakout sessions will include presentations and discussions on APTA Registry, NPTE Updates, Updates from a Legal Perspective, Disciplinary Guidelines, Antitrust Compliance Training, Public Members, Licensing Board Performance Indices from Medicine and Nursing, Professional Identity Violations and Remediation, Justifying your Board’s Existence, Continuing Competence, and Telehealth.


Once again we have three state submissions presenting on Friday and Saturday from Indiana, Kentucky and Minnesota, focused on Board Use of Technology, Best Practices for Disciplinary Investigations, and Occupational Burnout. The Education Committee met multiple times during the year to prepare the 2017 program via WebEx and we have continued to find this approach both functional and cost effective. In addition to the Education Committee, representatives of the Council of Board Administrators (CBA) attended our WebEx sessions to ensure continuity and coordination between meeting agendas. Tom Caldwell, Board Liaison, also proved a valuable resource to the committee’s discussion. We appreciate all of the programming ideas coming from the Federation committees and members. Further, we encourage you to complete the 2017 Annual Meeting survey to give us feedback on the meeting and on how we can continue to improve and to share ideas for future meetings. We sincerely hope you’ll enjoy this year’s annual meeting. Santa Ana Pueblo is a unique and wonderful location and we hope you find some time before or after the Annual Meeting to explore New Mexico. As always, we hope this will be our best meeting yet! The 2018 Annual Meeting will be held in Reston, Virginia October 25-27, 2018. We look forward to seeing all of you soon! Respectfully submitted, Connie Clarkston


Ethics and Legislation Committee

Annual Report Committee Members: Larry Ohman, Chair, Idaho Tina Baum, Nevada Jean Bickel, New Jersey David Reed, North Carolina Lana Svien, South Dakota Judd Warren, South Carolina The Ethics and Legislation Committee is responsible for developing and analyzing methods to improve consumer protection and recommending position statements regarding standards of practice and disciplinary issues to the Federation of State Boards of Physical Therapy (FSBPT) Board of Directors. Below are the major topics the Ethics and Legislation Committee has been working on since the last meeting of the FSBPT Delegate Assembly. Model Practice Act 6th edition

1. Adds 3 additional duties of the Board: have the power to do background checks, reporting to ELDD, and collecting workforce data through a minimum data set

2. Requires background checks for all PT/PTA applicants 3. Allows for evaluation of a military trained PTA 4. Reconciles MPA with other FSBPT resource document recommendations

Model Disciplinary Guidelines The purpose of the Federation of State Boards of Physical Therapy’s Model Guidelines for Disciplinary Sanctions is to promote intra- and inter-jurisdiction consistency with regard to the application of discipline for a given basis for action. It can cause confusion for the board, the public, and the licensee when an individual is disciplined in one jurisdiction and the same offense has completely different consequences in another jurisdiction. Jurisdictions need internal consistency to minimize potential claims if similar cases are handled in a vastly different manner. Jurisdictions could use the FSBPT Model Disciplinary Guidelines to stay consistent from case to case, rather than relying on recollection. They also may help to mitigate vast differences when board members change, board administrators leave, or the jurisdiction board is assigned a new Attorney General. Common working definitions and understanding of the terms used in different jurisdictions would be valuable. In guidelines, the terms to be used need to be defined to allow consistent application in all states regardless if the specific terminology used differs from the terminology of the model; the intent of the terms defined in the model is clear. Even more importantly is that the development of model guidelines is in line with the public protection mission of the Board. Respectfully submitted, Larry Ohman


Examination Chairs

Report Members: Item Writing Task Force Representative: Jennifer McDonald Item Writing Coordinator Representative: Sheri Hale EDC PTA Co-Chairs: Betsy Becker, Zach Frank, Jan Haas, Kelly King EDC-PT Co-Chairs: Jade Bender-Burnett, Manuel Domenech, Sara Maher, Nushka Remec The Examination Chairs Meeting (ECM) is an opportunity for representatives and chairs responsible for the development and review of National Physical Therapy Examination (NPTE) items and test forms to meet together and discuss the current status of the program and make recommendations for future improvement. Several areas were reviewed during the meeting, including productivity of the item writing workshops and examination committee meetings, pre-test item survival rates, the number of operational (scored) and pre-test items that have references older than five years, the increasing demand for high-quality new items, and the year-end Item Writing Task Force and coordinator and committee member surveys. The ECM reviewed the draft committee and item writing workshop calendar for 2018; discussed current and future initiatives; and approved updated versions of the style manual, rubric classification tool, and abbreviations list. The ECM made the following recommendations:

1. Recommend to the Board of Directors to add an additional requirement for the Academy of Advanced Item Writers: “Provide additional service on an NPTE committee or taskforce” (with rationale presented to the board).

2. Ideas to enhance item survival rates

Present information to EDC, Item Writer Coordinators, and Item Writing Task Force regarding the pretest survival rates based on the type of workshop (e.g., regional, basic), cognitive level (e.g., knowledge, interpretation), and whether it has a graphic associated with it.

Present to EDC, Item Writer Coordinators, and Item Writing Task Force a set of items that failed statistically from a recent administration.

Present to EDC a set of items that the committee previously identified with comments such as “EDC would like to see stats”.

3. Ideas to enhance effectiveness of meetings

Have EDC chairs start each meeting by setting goals for the weekend and a quick review of the process before reviewing forms.

Consider EDC moving group dinner to Thursday nights.

Calendar the IWTF meeting earlier in the year to encourage writing/review throughout the year. 4. Other:

ECM is agreeable to provide oversight on practice analysis surveys if the FSBPT Board elects to sample new candidates yearly.

Alternative Item Types (video and scenario-based items) IWTF is agreeable to write a couple sample items in each format. EDC is agreeable to review these items during the November workshop.

Continue to hold the Examination Chairs Meeting the Friday before the Leadership Issues Forum to help decrease the total number of trips for the chairs.


Foreign Educated Standards Committee

Annual Report Committee Members: Charlotte Martin, Chair, Louisiana Leslie Kesler, North Carolina Alicia Rabena-Amen, California Sherise Smith, Nevada Traci Zeh, Florida This Committee’s charge is to recommend updates to the Coursework Tool (CWT); assure that the CWT is validated and oversee the validation process; promote the use of the CWT; develop and maintain quality assurance tools and processes for agencies that use the CWT; evaluate and recommend additional measures to assure entry-level competence of foreign educated PTs and PTAs (including clinical competence). Framework for Considering the non-CAPTE Graduate’s Experiences in Licensing The Foreign Educated Standards Committee (FESC) began exploring post-graduate professional experiences as a component of a licensure review process when the 2014 FSBPT Delegate Assembly demonstrated the membership’s interest in using professional experience as part of the licensure decision when educational deficiencies have been noted. Although a jurisdiction may wish to take post-graduate experiences into consideration for licensure purposes, traditionally credentialing agencies only reviewed post-secondary education to determine equivalency and did not include an evaluation of work experience or a review of continuing education taught outside of the college or university system. CWT 6 increases the number of clinical education hours required for a PT by an additional 250, for a total of 1050. A large number of PTs who did not graduate from a CAPTE-accredited educational program will not meet this criterion of 1050 hours. The framework developed by the Committee provides options and guidelines for graduates of non-CAPTE programs to remedy deficiencies in clinical education hours on CWT 6 and the retro tools. An accompanying verification form allows the applicant to submit to the credentialing agency evidence of the hours of experience. For clinical work experience to be eligible, the following must be true:

Individual Eligibility o Minimum of 1,000 hours of PT clinical work experience with direct patient care o Applicant eligible to practice as a PT in the country in which the experience was

completed o No disciplinary action on license for last 3 years

Post-graduate clinical experience hours requirements o Physical therapists only at this time o Maximum of 300 hours accepted toward the required 1050 clinical education hours o Completed an average of at least 20 hours per week for a minimum of 1,000 hours o Completed 1,000 hours in direct patient care internationally or in the USA o Completed the hours within the most recent three years preceding the application

Primer for Board Members & Administrators The Primer being developed by the Foreign Educated Standards Committee will serve as a useful resource for new and experienced board members and administrators alike. The primer is a compendium of one page descriptions of resources regarding physical therapist and physical therapist assistant applicants that graduated from education programs located outside of the United States and not accredited by CAPTE. Respectfully submitted, Charlotte Martin


Nominating Committee

Annual Report Committee Members: Ray Bilecky, Chair, Ohio Danny Landry, Louisiana Tom Ryan, Wisconsin The Nominating Committee slated candidates for the Director #2, Director #3 and Nominating Committee Member positions. The Director #2 position requires that the candidate be a current administrator of a Member Board. The Director #3 position requires that the candidate be a current member of a Member Board, administrator of a Member Board, or an Associate Member. The Nominating Committee Member position requires that the candidate be a member of a Member Board, administrator of a Member Board, an Associate Member, or an individual with expertise to facilitate the task of the committee. The following slate of candidates is offered for the 2017 Delegate Assembly elections. Candidate qualifications and statement are included in this Delegate Handbook. 2017 Slate Director #2

Charles Brown, Arizona

Robin Jenkins, District of Columbia Director #3

Joni Kalis, Oregon

Phillip Palmer, Georgia Nominating Committee Member

James Clahane, Pennsylvania

Timothy Vidale, District of Columbia Respectfully submitted, Ray Bilecky


Resolutions Committee

Annual Report Committee Members: Timothy Vidale, Chair, District of Columbia Adrienne Price, Georgia Sarah Schmidt, Virginia Liz Guthridge, Parliamentarian Delegate Assembly Policy Development Process Motions Member Boards and the Board of Directors may submit motions for consideration by the Delegate Assembly. A motion is a way to express an idea or identify a problem or opportunity and suggest that an action be taken. Although a motion may deal with complex issues, most motions begin simply when a problem is recognized and a solution is suggested. Delegate Assembly motions are structured to first declare the recommended action and then provide background information regarding the issue and why this particular action is recommended. They will need to reference the area of focus and the fiscal impact of the motion. Per the Bylaws and Standing Rules, Member Boards and the Board of Directors need to submit their motions to the Resolutions Committee 90 days prior to the Delegate Assembly. Motions not submitted by the deadline may still be heard at the Delegate Assembly. However, any motion that has not been submitted by the deadline requires a two-thirds vote without debate to be considered by the Delegate Assembly. Comments on Motions Member Boards who have credentialed their Voting Delegates but whose delegates cannot attend the annual meeting may send a letter or email to the Resolutions Committee with their comments on a motion. Those comments may be shared during the Delegate Workshop (in print or by being read by the Resolutions Committee chair) without further debate. Resolutions Committee The purpose of the Resolutions Committee is to receive and correlate motions and resolutions to be presented to the Delegate Assembly and identify motions which fall outside the purpose of the Federation. The committee also provides advice and counsel to delegates regarding form, wording, and method of presentation of matters to the Delegate Assembly. Delegate Workshop At each annual meeting, the Resolutions Committee schedules a Delegate Workshop. The purpose of the workshop is to:

Provide an overview of the Federation’s governance process and Delegate Assembly procedures

Encourage an informal and frank discussion by Federation delegates and the Board of Directors on that year’s motions

The Resolutions Committee’s role in the workshop is to provide education regarding the governance process and facilitate the discussion of the motions. This facilitation includes seeking out appropriate information and/or viewpoints on each item under discussion from the maker of the motion, the Board of Directors and other delegates. The committee may also seek out information from other attendees or staff, as appropriate. Members of the Resolutions Committee are not allowed to engage in debate or express their own opinions during the workshop, and they are not empowered to entertain motions or make decisions on the motions during the workshop. However, the chair is empowered to provide feedback to the jurisdictions that are making the motions.


When the motions are discussed, the chair of the Resolutions Committee will invite the maker of each motion to come forward and explain the purpose and/or intent of the motion. The chair will then ask for comments and questions from other delegates and the Board of Directors. Because these are motions for the Delegate Assembly, the discussion should be among the delegates and the Board of Directors. Speakers should identify themselves by their name, their state and whether they are a voting or alternated delegate or on the Board of Directors. If the delegate or Board of Directors would like a staff member or other attendee (such as legal counsel) to speak on an issue, they should introduce them. The chair of the Resolutions Committee will determine whether an attendee other than the delegate or Board of Directors is permitted to speak. Delegate Workshop Presentation Topics

Roles of the Delegate Assembly and Board of Directors in governing FSBPT

How FSBPT Bylaws and Robert’s Rules are used during the Delegate Assembly

Roles of the Delegate, Presiding Officer, Parliamentarian. and Resolutions Committee

How to amend a motion

How to bring a new motion forward

Motions for the Delegate Assembly this year 2017 Motions This year, the Resolutions Committee received one (1) motion 90 days prior to the Delegate Assembly. This motion is in the Delegate Handbook. DEL-17-01 Areas of Focus Proposed by: Board of Directors Vote Required: Majority Motion: To adopt the Areas of Focus as they currently read. Respectfully submitted, Timothy Vidale


Council of Board Administrators

Annual Report Purpose The Council of Board Administrators (CBA) was created by the FSBPT bylaws to provide its members a forum to share information relevant to board functions, regulatory practices, practice standards and issues, licensing processes and security, and enforcement issues in the practice of physical therapy. Membership is open to currently or formerly employed administrative staff personnel assisting our 53 Member Boards. Participation in Federation Activities CBA members have participated and continue to participate in all facets of the Federation. One position on the Board of Directors is designated for a current administrator of a Member Board. A second administrator, Jim Heider (OR), currently fills another Director position on the Board of Directors. Below are other examples of administrator participation in the Federation.

Annual Meeting 2016: Met November 3rd in Columbus, OH (CBA Forum)

Thirty-four administrators attended the meeting Elected the following officer for 2017:

CBA Vice Chair: Maulid Miskell (CO) Charles Brown (AZ) was slated to run for the Director position on the FSBPT Board Report by CBA Admin Director on the Board of Directors Presentations:

Reentry to Practice Adjusting to the Supreme Court Decision Round Table Discussions

Dealing with toxic employees

Working effectively with your board members

How to recover from a failed legislative effort

CBA Leadership CBA Vice Chair, Maulid Miskell (CO), left his position in Colorado and stepped down as CBA Vice Chair. Tom Ryan (WI) was appointed to serve the unexpired term. Regulatory Training Regulatory Training was held in Alexandria, VA June 9-11, 2017. Topics included regulatory law; terminology; board powers, responsibilities, and roles; regulation of physical therapy practice; delegation of authority; immunity; and FSBPT services. Five administrators attended this meeting.

Leadership Issues Forum The Leadership Issues Forum was held in Alexandria, VA July 29-30, 2017. This meeting provides an opportunity to learn more about current regulatory issues as well as prepare for the Delegate Assembly. Topics included risk based regulation; anti-trust coalition; disciplinary guidelines; eligibility requirements and NPTE updates; the licensure compact; clinical education; Exam, Licensure, and Disciplinary Database (ELDD); Jurisdictional Licensure Reference Guide updates; deregulation/consolidation; minimum data set; and foreign educated issues Sixteen administrators attended this meeting. Committees and Task Forces Federation committees and task forces that currently have administrators as members:

Education Committee Finance Committee Foreign Educated Standards Committee Nominating Committee


Resolutions Committee Compact Rules Identification and Process Task Force

CBA Webinars The CBA has effectively used the FSBPT’s WebEx tool as a means of expanding the opportunities for discussion of important topics throughout the year. WebEx topics this year included:

The Alternate Approval Pathway Services for Schools Supervised Clinical Practice Performance Evaluation Tool

Respectfully submitted, Chuck Brown Director, Federation Board of Directors


Candidate Statements

Candidate for Director #2 Position: Charles Brown

Licensure Experience I have worked in the licensing and regulating of healthcare providers for over 15 years to include eight years with the Arizona Board of Chiropractic Examiners and 7 years with the Arizona Board of Physical Therapy. I have served at the levels of Investigator, Deputy Director and Executive Director.

Federation Experience

Past CBA, Chair and Vice Chair

2010 Outstanding Service Award, FSBPT

Past Member Exam Security Committee

Member Finance Committee

Chair, Exam Administration Committee

NPTE Summit 2011

Director, FSBPT Board of Directors 2014 to Present Other experience pertinent to position

Presenter for Arizona Physical Therapy Association, FSBPT, and all Arizona Physical Therapist and Physical Therapist Assistant Programs.

Oversight Committee for Arizona's Telecommunications Contract (AZNET II)

Volunteer Investigative Panel Member, Arizona Dental Examiners

Candidate Statement I am honored to be considered for the position of Director on The Board of Directors. My experience with the FSBPT began with my attendance at the 2009 Annual Meeting. At every opportunity from that meeting forward I have volunteered for any FSBPT activity I thought my skills could be useful and accepted every request for volunteering. I have had the privilege of seeing the functions of the FSBPT from many angles as a member of the CBA, a member of several committees and as a Director on the Board of Directors. I see myself as a team player making my skills and experience available as a tool, a leader that provides direction and influence when appropriate, and a person with a strong work ethic as a dedicated problem solver. It is exciting to again be considered for a position of leadership in such professional and honorable organization. Many of us are facing a changing regulatory environment, with increasing workloads and shrinking resources, we face challenges that will take collective problem solving to overcome. The FSBPT has many continuing projects to enhance the jurisdictions ability to be effective regulators while ensuring a continually improving and smooth process to licensure. If re-elected, I will endeavor to continue providing jurisdictions with effective and efficient resources. In my value system, the public is best protected through clear expectations provided to the professionals, firm consequences for misconduct, effective tools of rehabilitation, and most importantly a smooth process for getting qualified healthcare providers treating the public as quickly as possible. I look forward to discussing any issues with the members in New Mexico and would appreciate your support for a Director position on the FSBPT Board of Directors.


Candidate for Director #2 Position: Robin Y. Jenkins

Current and past work experience I am currently the executive director for 13 health licensing boards in the District of Columbia. I have worked with regulatory boards for more than 17 years in an administrative capacity. In addition I have several years of experience working in the association arena with policy making committees, credentials, examinations, and regulatory issues. Licensure experience I have been a licensed professional as well as the current executive director for multiple licensing boards.

Federation experience pertinent to position I am currently a member of the education committee. I addition, I have attended the Regulatory Training for Board Members program, the Leadership Issues Forums, and Annual Delegate Assembly meeting. Other experience pertinent to position I have served on the Board of Directors for the Council on Licensure Enforcement and Regulation as a member and President.

Candidate Statement As a result of my experience within private associations and governmental entities I have the skill set necessary to complement the FSBPT Board of Directors. As the past president of an international regulatory association and the current executive director for multiple regulatory boards, I have been a key contributor in large complex organizations like FSBPT for the last 17 years. I have intimate knowledge of regulatory and association management operations. I am responsible for the daily implementation of strategic goals and implement regulatory policies and procedures while directing a staff of regulatory professionals. I maintain working relationships with a variety of regulatory leaders, governmental officials, and association constituents. In addition, to my non- profit knowledge and association and regulatory experience, I have budget development and implementation know-how. I have expert knowledge of examination programs due to my work for a national association where I was the point of contact for credentials, examinations, and the policy development committees. Finally, I have success in leading teams, managing complex issues and people, and representing national and international membership organizations.


Candidate for Director #3 Position: Joni Kalis

Current and past work experience

Department Manager, Samaritan North Lincoln Hospital, Lincoln City, OR 2015-present

University of Arizona Medical Center, AZ Institute for Sports Medicine, 2007-2015

Kalis Contracting Services, LLC, 1993-2015

University Medical Center, Tucson, AZ, 1995-2004

Clinic Manager, Tucson Physical Therapy, 1992-1993

Orthopedic Rehab Institute, 1991-1992 Licensure Experience Arizona State Board of Physical Therapy, 2002-2010 (President 2008-2010) Federation Experience Pertinent to this Position

Ethics and Legislation Committee, 2013-2016

NPTE Eligibility Task Force, March 2013

Performance Evaluation Tool Standard Setting, 2013

Speaker at the Federation Annual Meeting 2008-2009, 2011-2012

Foreign Educated Standard Committee 2008-2012, Chair 2010-2012

Supervised Clinical Practice Performance Evaluation Tool Task Force 2009-2012

FES Committee Representative to Annual Meeting of Credentialing Agencies 2009-2012

Committee Leadership Meeting, 2008-2012

NPTE Summit, 2011

Chair, Bylaws and Standing Rules Review and Revision Task Force, 2009

Credential Review Agencies Standard Setting Workgroup, 2008-2009

Arizona Delegate 2002-2005, 2007-2008

Arizona Alternate Delegate, 2006

Item Writer, 2003-2004

Outstanding Service Award, 2009, 2013

Richard McDougall Long Term Service Award, 2016 Other experience pertinent to position CAPTE On-site Clinician Reviewer 2014-present

Candidate Statement It is a significant honor to be considered for a director position on the Board of Directors of the Federation of State Boards of Physical Therapy. The Federation is an outstanding and exceptional organization of which I am very proud to have been a part of over the last several years. In fact, my service with the Federation has been one of the most rewarding and fulfilling experiences of my professional career. My involvement began in 2002 when I served as the delegate from Arizona and progressed to working on various committees and task forces. My work on the Foreign Educated Standards Committee enhanced my understanding of the challenges associated with the licensure process for foreign educated PTs and led to the development of the model for supervised clinical practice, the Performance Evaluation Tool for supervised clinical practice and quality standards for the credentialing agencies. My work on the Ethics and Legislation Committee included projects related to the MPA, re-entry, telehealth for PTs and disciplinary guidelines for jurisdictional boards. I have a strong


interest in the examination and I have worked as an item writer, attended the NPTE summit and served as a member of the NPTE Eligibility Task Force. My long term service with the Federation has given me a unique historical perspective, familiarity with past challenges and current initiatives and has prepared me for service on the board of directors. I have formed strong relationships with many of the talented people in this organization and moving forward, will continue to establish collaborative relationships with colleagues and stake-holders. It is with passion for the Federation’s mission and my personal desire to serve that I seek the director position. I will work tirelessly to execute the duties of a director and to serve the Federation and its membership. Thank you for your consideration of my candidacy and I would appreciate your support.


Candidate for Director #3 Position: Phillip B. Palmer, PT, PhD

Licensure experience

Member, Texas Board of Physical Therapy Examiners (2005 – 2010)

Member, Education Committee (2006 – 2010); Chair (2008 – 2010)

Member, Vision Committee (2007 – 2010)

Alternate Member, Rules & Practice Committee (2007 – 2010)

Funded Alternate Delegate to the FSBPT Annual Meeting (2007)

Delegate to the FSBPT Annual Meeting (2008)

Alternate Delegate to the FSBPT Annual Meeting (2009)

As a member of the Vision and Education Committees, spear-headed the efforts to move Texas from a “continuing education” to a “continuing competence” model; drafted the legislation and spoke to the changes at a legislative committee hearing; communicated with various constituents about the changes through articles in the “Synergy” (TPTA publication) and providing a workshop at a TPTA Annual Meeting

As an educator, provided insight into matters pertaining to the credentialing of foreign-educated candidates for licensure in Texas

Doctoral dissertation, Quality improvement in physical therapy education: What contributes to high first-time pass rates on the National Physical Therapy Examination? focused on the development and use of examinations (i.e., the NPTE) for making licensure decisions and program qualities related to first-time pass rates among licensure candidates. Federation experience pertinent to position

Physical Therapy Practice Analysis Task Force (2006)

Practice Review Tool Task Force (2007 – 2008)

Continuing Competence Committee (2008)

Item Writer Review Committee (2001 - 04)

Participant in Pass-Point Study for the NPTE (2002)

Associate Member (2008 – present)

Finance Committee (2009 – 2014)

Advanced Item Writer Review Committee (2010)

Trinity Focus Group – Continuing Competence (2010)

Participant – NPTE Summit (2011)

Presenter, Continuing Competence Credentialing Reviewer Training Workshop (2011)

Final Reviewer for ProCert (2012 – present)

Presenter, Continuing Competence Credentialing Reviewer Training Workshop (2014)

Nominating Committee (2014 – 2016); Chair (2016)

Membership Survey Task Force (2015)

Participant – Leadership Issues Forum (2016) Other experience pertinent to position (i.e., same position with another organization)

As Director of the Physical Therapy Department in the Gaza Baptist Hospital (1980 – 1981), I was responsible for development and oversight of the budget for a small department with 6 other employees. During that same time period, I served as a member of the Finance Committee for the Gaza Baptist Mission, which included budgeting for all ministries of the Mission, including a 75-bed general hospital.


I had primary responsibility for financial matters for the outpatient department at Fort Worth Rehabilitation Hospital (1991 – 1992) as Outpatient Supervisor and during my tenure as Inpatient Program Manager at Hendrick Medical Center in Abilene, TX (1993 – 1995).

Served as the Interim Chair of the PT Department at University of North Georgia (2016)

Currently, founding Chair of a PT education program at the Georgia Campus -- Philadelphia College of Osteopathic Medicine

Member, Board of Elders, Abilene Bible Church (2005 – 2010)

Candidate Statement “To run or not to run?” This is the question I asked myself over and over. After all, serving as a member of the Board of Directors for the FSBPT requires a huge time commitment and carries tremendous responsibility. If you are reading this statement, then you know my answer to that question. I am ready to make that commitment and carry that responsibility. I am truly honored to be slated as a candidate for the position of Director. Throughout my career as a physical therapist, I have always been an advocate for the consumers of our services. This led me to seek appointment to the Texas State Board of Physical Therapy Examiners and drove me to seek ways to become involved with the FSBPT. My first exposure to the FSBPT was as an item writer in 2001. Since that time, I have served on various task forces and committees. My experiences with serving as a volunteer at FSBPT has exposed to me to aspects of each of the six areas of focus:

Examinations: I have served on a practice analysis task force, written items for the NPTE, and served as a panelist in a pass point study. My dissertation looked at the examination development process and sought to demonstrate how pass rates may be related to various program characteristics.

Membership: I was honored to participate in review of the last membership survey and to make recommendations for consideration by the BOD.

States' Rights, States' Responsibilities and Professional Standards: Participation as a member of the TSBPTE gave me insight into the responsibilities of a local jurisdiction. I have also been actively involved in the development and implementation of the model and products for continuing competence.

Education: As a member of the Texas Physical Therapy Association, I was asked to write a column for the association's newsletter "Synergy." The column was entitled "Continuing Competence Corner" and served to educate Texas licensees about changes in the rules related to the continuing education requirements and to explain the differences between CE and CC.

Leadership: I have watched and listened as staff and Board members shared their experiences with other organizations. Attendance at the Annual Meeting and Delegate Assembly has exposed me to issues related to regulation both nationally and internationally.

Organization and Financial Stability: Serving as a member of the Finance Committee for 6 years opened my eyes to the breadth and depth of Federation activities. It was an honor to help in making decisions about finances with the intent of ensuring the financial stability and viability of the Federation.

I believe I am well-qualified to assume this role. I firmly believe in the mission and vision of the FSBPT, and would be honored to serve as a member of the Board.


Candidate for Nominating Committee Member: James Clahane

Current and past work experience

I am currently owner of Inspired Physical Therapy in Mechanicsburg PA: April 2015-present

Worked for Functional Pathways: per diem from Aug 2014-April 2015 while I was putting together my new practice

Adjunct professor Central Penn PTA program Sept 2014-Jan 2015

Area Manager/Center Manager for Drayer Physical Therapy: April 2004-July 2014

PT/Center Manager: Joyner Sports Medicine: March 1997-April 2004

Staff PT: Action Therapeutics 1994-1997

Staff PT: Shriner’s Hospital 1992-1994 Licensure experience

I served from 2001-2011 on the Pennsylvania State Board of which 1 year I served as secretary and for my last 2 years served at the Board Chair

Federation experience pertinent to position

I served on the Ethics and Legislative Committee from 2010-2013

I served on the Education Committee from 2013-2016

I have been to at least three different LIF meetings Other experience pertinent to position

I am currently on the Board of Directors of a non-profit organization Hope Across Horizons

I currently own and operate my own successful PT clinic of which I do all my own budgeting and administrative tasks.

Candidate Statement I believe the key to being a successful Board of Director starts first with leadership and vision. I believe the key to success as a leader is to serve. I spent 2 weeks in Sierra Leone Africa in 2014 working directly with the people of a small village Panguma. It was during this time of service that my life was changed. I came to realize that it is not about the things you possess, but rather what you do and the difference you make in the lives of others. I served on the Pennsylvania State Board for 10 years with my final 2 years as Board Chair. During my tenure with the PA board I was part of drafting regulations for Direct Access as well as being the board chair during the time we updated our practice act and regulations including continuing competence. I was responsible to attend meetings with our state chapter of the APTA as well as other member boards including the chiropractic board. During my role as Board Chair I made concerted efforts to bridge the gap between the state board and the PPTA. This allowed us to work together to assure safe and competent practice in the commonwealth of Pennsylvania. I believed by building bridges with all those involved would only help assure public protection. I have been involved with the FSBPT for over 10 years both as a delegate from Pennsylvania as well as serving on the Ethics and Legislative Committee and more recently the Education Committee. I believe in the mission of the FSBPT and feel it aligns with my own personal mission of service and public protection. I believe I possess the qualities necessary to be an effective board of director including being an organized, effective leader, who can think outside the box while listening to both sides of an argument, understanding that at times compromise may be a good thing.


Candidate for Nominating Committee Member: Timothy Vidale

Licensure experience

3 years state board experience

2 years as board chair

Federation experience pertinent to position

Attended all FSBPT annual conferences since a member of the board

Delegate at every annual conference attended

Attended LIF

2 years on Resolutions Committee

1 year as Resolutions Committee Chair

Candidate Statement The experience that I have gained from attending FSBPT Annual Conference and LIF over the years have enlightened and inspired me. The people that I have met are true leaders and the work that is being done will impact and shape our profession for years to come. The combination of these factors has intrigued me to become a part of it and serve the Federation and my peers. I have been a member of my state board for the past 3 years and have been the chairman for roughly a year and a half. I have made it my mission to champion the regulation of our profession and take back the things I learn from the Federation meetings to my home state in an effort to achieve consistent improvement. I have served on the Resolutions committee since 2015 and was appointed chair of the committee in 2016. My experience on this committee has given me an intimate understanding of our bylaws, its interpretation and how it should be carried out. It has also given me the opportunity to meet many members from different states and build relationships with them. I have also been the owner of a physical therapy practice since 2014. The success of my practice requires me to wear many hats, a few of which being the manager of personalities and a good judge of character. The prosperity of my clinic proves my ability to perform these tasks efficiently and optimally. I believe that my experiences as a board member, committee member and a business owner has prepared me well to serve the Federation as a member of the Nominating Committee. I humbly submit my name as a candidate.


Mission, Vision and Areas of Focus Mission To protect the public by providing service and leadership to promote safe and competence physical therapy practice. Vision State licensing boards and their Federation of State Boards of Physical Therapy will achieve a high level of public protection through a strong foundation of laws and regulatory standards in physical therapy, effective tools and systems to assess entry-level and continuing competence, and public and professional awareness of resources for public protection. Areas of Focus

I. Examination Goals Ensure the ongoing excellence, reliability, defensibility, security and validity of the NOTE and related examinations.

II. Membership Goals Enhance the Federation’s value to its membership by developing and maintaining programs and services responsive to membership needs.

III. States’ Rights, States’ Responsibilities and Professional Standards Goals Identify and promote effective regulation in physical therapy that ensures the delivery of safe and competent physical therapy care, while respecting states’ rights and responsibilities.

IV. Education Goals Provide and promote educational programs and products for board members, administrators, the public, and other stakeholders.

V. Leadership Goals Broaden the Federation’s leadership role and recognition within the regulatory, professional and related communities.

VI. Organizational and Financial Stability Goals Ensure the long-term organizational and financial stability and viability of the Federation.


2016 Delegate Assembly Minutes

I. Call to Order Presiding Officer Maggie Donohue called the annual meeting of the Federation of State Boards of Physical Therapy to order at 5:30 PM ET November 5, 2016.

II. Roll Call of Delegates Secretary Thomas Caldwell called roll. A total of 48 jurisdictions was present. The five jurisdictions not present were Alaska, Delaware, Maine, New Mexico and New York. III. 2015 Minutes The minutes of the 2015 meeting were approved by a minutes’ approval committee (Lori Dominiczak, Wisconsin, Ricardo Fernandez, Illinois; Sandra Worrell, Connecticut) and no further action is required. IV. Appointment of the 2016 minutes approval committee Presiding Officer Donohue appointed the following delegates to approve the 2016 Delegate Assembly minutes.

David Haynes, Oklahoma

Judi Pastorino, Missouri

Martha Vigneault, Rhode Island V. CEO Report - William A. Hatherill VI. Appointment of Teller Committee Presiding Officer Donohue appointed the following people to the Teller Committee.

Connie Clarkston, Missouri

Janice Haas, Pennsylvania

Andrew Wodka, Washington VII. Adoption/Reordering of Agenda The agenda was adopted. VIII. Elections Conducted by Voice Vote and Electronically IX. Election Results President Nancy Kirsch, New Jersey Based on a voice vote, the Presiding Officer declared Nancy Kirsch, New Jersey, elected President. Vice President David Relling, North Dakota Based on a voice vote, the Presiding Officer declared David Relling, North Dakota, elected Vice President. Director Ron Barbato, Kentucky John Greany, Wisconsin Kay Tasso, Florida Based on the votes cast, the Presiding Officer declared Ron Barbato, Kentucky, elected Director.


Nominating Committee Robert Friberg, Texas Danny Landry, Louisiana Based on the votes cast, the Presiding Officer declared Danny Landry, Louisiana the new member of the Nominating Committee. X Financial Information and Reports – Natalie Harms and Maggie Donohue XI. Acceptance of Audit Report The Delegate Assembly adopted the motion to accept the audit report. XII. Other Reports These Standing Committee, Task Force and Council reports can be found in the Delegate Handbook, which is posted in the Meetings & Events |Annual Meeting section of the Members Area.

a. Continuing Competence Kathleen Arney, Chair b. Education Jim Clahane, Chair c. Ethics & Legislation Jane Julian, Chair d. Exam Development (Overall report) e. Foreign Educated Standards Mary Keehn, Chair f. Nominating Phillip Palmer, Chair g. Resolutions Cynthia Cruz Gomez, Chair h. Compact Rules Identification Task Force i. TOEFL Task Force j. Coursework Tool (CWT) 6 Task Force k. Council of Board Administrators Charles Brown, FSBPT Director

XIII. Motions (See Attachment A for complete motions.)

DEL-16-01, Areas of Focus; motion adopted.

DEL-16-02, Bylaws and Standing Rules; motion adopted. XIV. New Business XV. Installation of New Officers & Nominating Committee Member – Thomas Caldwell, Secretary XVI. Announcements XVII. Adjournment Presiding Officer Maggie Donohue adjourned the meeting at 6:00 PM ET November 5, 2016.


Attachment A: 2016 Delegate Assembly Motions

DEL-16-01 Motion adopted Areas of Focus Proposed by: Board of Directors Motion: To adopt the Areas of Focus as they currently read. 1. Examinations: Ensure the ongoing excellence, reliability, defensibility, security and validity of the NPTE and related examinations. 2. Membership: Enhance the Federation’s value to its membership by developing and maintaining programs and services responsive to membership needs. 3. States’ Rights, States’ Responsibilities and Professional Standards: Identify and promote effective regulation in physical therapy that ensures the delivery of safe and competent physical therapy care, while respecting states’ rights and responsibilities. 4. Education: Provide and promote educational programs and products for board members, administrators, the public and other stakeholders. 5. Leadership: Broaden the Federation’s leadership role and recognition within regulatory, professional and related communities. 6. Organizational and Financial Stability: Ensure the long-term organizational and financial stability and viability of the Federation. Rationale: The Areas of Focus represent the activities required to achieve the mission of the Federation. In accordance with 2002 Delegate Assembly motion DEL-02-26, the Board of Directors must complete an annual review of the focus areas and present them to the Delegate Assembly for review and adoption. The board has reviewed the Areas of Focus and has determined that they accurately reflect the Federation’s current areas of focus. Reference Area of Focus: Leadership Fiscal Impact: The adoption of this motion has no specific fiscal impact. However, the Board of Directors and committees use these areas of focus as the basis for long-term strategic planning and as the basis for funding Federation activities in each annual budget.


DEL-16-02

Motion adopted Bylaws and Standing Rules Proposed by: Board of Directors Motion: To revise the current bylaws and standing rules through substitution of the following bylaws and standing rules. (See attached table.) Proviso: These amendments will not go into effect until after the close of the 2016 Delegate Assembly. Rationale: These changes update, clarify and streamline the bylaws and standing rules. Reference Area of Focus: Organizational and Financial Stability Fiscal Impact: None.


Current Bylaws with track changes Rationale

Article I. Name

The name of this organization is the Federation of State Boards of Physical Therapy, hereinafter referred to as the Federation.

Article II. Purpose and Key Functions

Section 1. Purpose

The purpose of the Federation is to protect the public by providing service and leadership to promote safe and competent physical therapy practice.

Section 2. Key Functions

A. Develop and maintain a valid reliable licensing exam.

B. Collect and disseminate information relevant to physical therapy regulation.

C. Identify and promote desirable and reasonable uniformity in physical therapy regulatory standards and practices.

D. Promote desirable and reasonable uniformity in determining foreign education equivalency.

E. Provide educational programs on licensure and regulation in the practice of physical therapy.

F. Promote consumer protection through research and development of examination methodology.

Article III. Membership

Section 1. Classes and Qualifications

All members will comply with the Bylaws of the Federation, promote the purpose and key functions of the Federation and pay the required dues; and in addition, members in the various classes will meet the following qualifications.

“Shall” has been changed to “will” throughout for consistency.

A. Member Board

1. Is a United States jurisdictional body or other entity, composed of physical therapists and others, appointed or elected to such body, and authorized by statute or regulation to provide or assist in the administration or regulation of the practice of physical therapy.

2. Uses the licensing examinations provided by the Federation as contracted by the jurisdiction.


B. Affiliate Member

Is a physical therapy regulating body or association of physical therapy regulating bodies of another countriescountry.

Clarifies the definition.

C. Associate Member

Is a former member or administrator of a Member Board, a former member of the Board of Directors, a former committee or task force member or a member of the Academy of Advanced Item Writers.

D. Honorary Member

1. Is an individual who has contributed to the Federation in significant ways.

2. Was ratified by a two-thirds vote of the Federation Delegates at an Annual Meeting prior to 2002.

Section 2. Rights of Members

A. To attend meetings of the Federation:

1. Member Boards Delegates.

2. Associate Members.

3. Affiliate Members.

4. Honorary Members.

B. To speak and debate:

1. Member Board Delegates.

2. Associate Members.

3. Affiliate Members.

4. Honorary Members.

5. Members of the Board of Directors.

C. To make motions:

1. Member Boards - through Delegate representation.

2. Members of the Board of Directors.

D. To make nominations:

1. Nominating Committee.

2. Member Boards - through Delegate representation.

E. To vote:

Member Boards - through Delegate representation.

Section 3. Termination of Membership

A. Voluntary

Membership may be terminated at any time by action of the Member communicated to the Federation in writing.

B. Involuntary

1. Unless dues have been postponed at the discretion of the


Board of Directors, membership will be terminated if dues are delinquent more than 90 days.

2. Membership will be terminated for Cause (as defined in Section 1. I of the Standing Rules) if ordered by a unanimous vote of the full membership of the Board of Directors. The decision is subject to appeal to the Delegate Assembly.

Explains where to find the definition for Cause.

3. If termination is ordered, the Secretary will notify the Member by certified mail within ten days of such action.

Section 4. Reinstatement

A. A Member, whose membership has been involuntarily terminated for non-payment of dues, will be eligible for reinstatement upon payment of current dues.

B. A Member, whose membership has been terminated for Cause, may reapply and be admitted to membership if the reason for termination has been corrected to the satisfaction of the Board of Directors.

Article IV. Finance

Section 1. Fiscal Year

The Fiscal Year of the Federation will be January 1 through December 31.

Section 2. Dues

The Delegate Assembly will establish the annual dues, which will be delinquent if not paid by January 15 of each year unless postponed by the Board of Directors.

Section 3. Assessments

Assessments may be levied by a majority vote of Delegates voting at a Federation meeting, previous notice having been sent to Member Boards at least 45 days prior to the meeting.

Section 4. Finances

A. Budget

The Board of Directors will adopt an annual budget, which will be circulated to the membership prior to the beginning of the fiscal year.

B. Authority to Expend and Disperse Money


No officer, director, committee or employee of the Federation will have the right or authority to expend any money of the Federation, to incur any liability in its behalf or to make any commitment which binds the Federation to any expense or financial liability, unless such expenditure, liability or commitment has been incorporated in the budget or the Board of Directors has made an appropriationappropriation or has approved a topolicy to pay same.

The Policies Manual includes procedures for obtaining approval for expenditures not included in the original budget. This acknowledges those procedures.

C. Audit

The financial records of the Federation will be audited by an independent certified public accountant annually. The audit report will be presented to the Board of Directors when the report is received and to the Delegate Assembly at its Annual Meeting.

Article V. Officers and Board of Directors

Section 1. Officers

A. Officers

The Officers of the Federation will be the President, Vice President, Secretary and Treasurer.

B. Qualifications of Officers

1. The offices of President and Vice President will be a current or past member of a Member Board or current or past administrator of a Member Board.

2. The offices of Secretary and Treasurer will be a member of a Member Board, administrator of a Member Board, or an Associate Member.

3. No Officer will concurrently hold an elected or appointed office in a physical therapy state, national or international association or hold credentials in another healthcare profession that would result in a potential or actual conflict of interest with the Federation have a Conflict of Interest as defined in Section 1J of the Standing Rules.

This moves the definition of Conflict of Interest to the Standing Rules where it is more easily found and updated.

Section 2. Board of Directors

A. Composition

The Board of Directors will consist of the Officers of the Federation and four Directors.

B. Qualifications of Directors

1. One Director will be a current member of a Member Board at the time of the election.

2. One Director will be a current administrative staff of a Member


Board.

3. One Director will be a member of a Member Board, administrator of a Member Board, or an Associate Member.

4. One Director will be a public member.

5. No Director will have a Conflict of Interest.concurrently hold an elected or appointed office in a physical therapy state, national or international association or hold credentials in another healthcare profession that would result in potential or actual conflict of interest with the Federation.

C. Duties. The Board of Directors will:

1. Have general supervision of the affairs of the Federationbetween meetings of the Delegate Assembly.

The Board always has this fiduciary responsibility.

2. Conduct business of the Federation on behalf of the Delegate AssemblyFederation between meetings of the Delegate Assembly.

This identifies the fiduciary responsibility of the Board of Directors to the Federation. (Note the duties of Delegates in Standing Rule 4.F.i is to the jurisdiction rather than the Federation.) Staff conducts the business with oversight by the Board.

3. Conduct business referred to it by the Delegate Assembly.

4. Make appointments as provided in these Bylaws.

5. Establish the fees for the National Physical Therapy Examination.

6. Select an independent certified public accountant to prepare the financial audit of the Federation.

7. Review and adopt policies.

8. Adopt and provide oversight to an annual budget.

9. Perform the duties prescribed by these Bylaws, the Articles of Incorporation, Standing Rules and the Policies.

D. Quorum

A majority of the Board of Directors will constitute a quorum.

Section 3. Elections

Elections will occur at the Annual Meeting and will be by ballot unless there is only one candidate for an office in which case election may be by voice vote.

Section 4. Term of Office

A. Officers

1. Officers will be elected for a term of three years or until their successors are elected and assume office.

2. Officers will not serve a third consecutive full term in the same office.

3. Officers will assume office at the close of the Annual Meeting at which the officers are elected.


B. Directors

1. All Directors except the Public Member will be elected for a term of three years or until a successor is elected and assumes office.

2. The Director who is a Public Member will be appointed by the Board of Directors and will serve a term of one year. The Public Member will not serve more than ten consecutive terms in this office.

3. Elected Directors will not serve a third consecutive full term in the same office.

4. Elected Directors will assume office at the close of the Annual Meeting at which they are elected.

Section 5. Vacancies in Office

A. President

The Vice President will fill a vacancy occurring in the office of President for the remainder of the unexpired term.

B. Officers

A vacancy occurring in the position of an Officer other than the President between meetings of the Delegate Assembly may be filled by appointment by the Board of Directors. The appointee will serve for the remainder of the unexpired term.

This is a clarification, since in paragraph A, the Vice President fills a vacancy in the office of President.

C. Directors

A vacancy occurring in the position of the Director between meetings of the Delegate Assembly may be filled by appointment by the Board of Directors. The appointee will serve for the remainder of the unexpired term.

Section 6. Removal from Office

A. Delegate Assembly

An Officer or Director may be removed from office for Cause by a two-thirds vote of the Delegates voting at any meeting of the Delegate Assembly.

B. Officers and Board of Directors

The Board of Directors may, by a vote of three- quarters of the membership of the Board of Directors, decide that an Officer ora member of the Board of Director’s has a Conflict of Interest; has become incapacitated and unable to fulfill his/her duties; or has engaged in conduct constituting Cause. position in another healthcare profession or organization could result in a potential or actual Conflict of Interest with the Federation.In that event, Tthe Officer or member will be removed or, in the case of Conflict of Interest, resolve the Conflict of Interest to

Clarifies the process for deciding whether an Officer or member of the Board of Directors should be removed for Conflict of Interest, incapacitation, or Cause.


the satisfaction of the Board of Directorsor be removed from office. The affected Officer or member of the Board of Directors will not vote on, and may be excluded from the discussion of, the issues. The decision of the Board of Directors is final.

The Board of Directors may, by a vote of three quarters of the membership of the Board of Directors, decide that a member of the Board of Directors has become incapacitated and unable to fulfill their duties on the Board of Directors. The member shall be removed from office.

Deleting this section as it is included in the section above.

Article VI. Delegate Assembly

Section 1. Conduct of Business

A. Delegate Assembly Membership

The Delegate Assembly comprises Member Board Delegates and the Board of Directors.

B. Annual Meeting

The Federation will hold an annual meeting of the Delegate Assembly at a time and place determined by the Board of Directors. Member Boards and Council Administrators will be notified of the meeting not less than 45 days prior to the meeting.

C. Special Meetings

A majority of the Member Boards; the President, with approval of the Board of Directors; or three quarters of the membership of the Board of Directors without the approval of the President; may call special meetings of the Delegate Assembly. Member Boards and Council(s) will be notified of a special meeting not less than 14 days prior to the meeting.

D. Conduct of Business by Mail or Electronically

When the Board of Directors or a majority of the Member Boards determine it is necessary to conduct a mail or electronic vote of the Delegate Assembly, the vote will be conducted as directed in the Standing Rules. Each voting delegate will receive information to make informed decisions.

Section 2. Voting Body

The voting body will consist of the Delegates elected by the Member Boards. Each Member Board is entitled to one Delegate. Each Delegate will have the right to attend, speak, make motions, nominate, and vote. No Federation Officer or Director may serve as a Delegate.


Section 3. Delegates

A. Delegate means the member of, or administrator to, a Member Board elected by the Member Board to be its representative to meetings of the Delegate Assembly. In addition, the Board of Directors, on a case-by-case basis, may credential a delegate who is an officer, administrator, director or regulator employed by the jurisdiction and defined by statute as having the power and authority to conduct all aspects of the administration of the physical therapy law of the jurisdiction including the exercise of independent decision-making in all areas of the law’s administrative interpretation or implementation and promulgation of rules – or such person’s chosen representative.

B. Alternate Delegate(s) means the member of, or administrator to, a Member Board elected by the Member Board to be its representative to meetings of the Delegate Assembly in the event that the Member Board’s Delegate cannot or does not attend the meeting. In addition, the Board of Directors, on a case-by-case basis, may credential an alternate delegate who is an officer, administrator, director or regulator employed by the jurisdiction and defined by statute as having the power and authority to conduct all aspects of the administration of the physical therapy law of the jurisdiction including the exercise of independent decision-making in all areas of the law’s administrative interpretation or implementation and promulgation of rules – or such person’s chosen representative.

C. Delegates and Alternate Delegates will serve a term of one year starting at the Annual Meeting of the Delegate Assembly which commences when the Member Board submits the delegate credentials for the upcoming Delegate Assembly and continues until delegate credentials are submitted for the next Delegate Assembly. Credentialing for Delegates and Alternate Delegates will be submitted to Federation offices as specified in the Standing Rules.

This reflects actual practice.

Section 4. Quorum

The quorum for any meeting of the Delegate Assembly will be Delegates from a majority of the Member Boards of the Federation.

Section 5. Cancellation of Meeting in Event of Emergency

In the event of an emergency, the Board of Directors, by a two-thirds vote, may cancel a meeting. All Member Boards will be notified of the cancellation, and, in the case of an Annual Meeting being canceled, the Board of Directors will provide for election by ballot as prescribed in the


Standing Rules.

Article VII. Committees and Councils

Section 1. Standing Committees

A. Committees of the Federation

The Delegate Assembly may establish Standing Committees as deemed necessary to carry on the work of the Delegate Assembly.

1. Nominating Committee

The Nominating Committee will consist of three persons elected at the Annual Meeting. The terms of the members will be three years with staggered terms so that one term expires each year. The senior member will be the chair.

2. Resolutions Committee

The Resolutions Committee will consist of at least three persons appointed by the Board of Directors. The terms of the members will be three years with staggered terms. A Parliamentarian will serve as an ex officio member of the committee. The chair will be the senior member of the committee.

3. Specific functions of the standing committees are described in the Standing Rules.

B. Committees of the Board of Directors

In addition to the following committees, the Board of Directors may establish such other Standing Committees from time to time as are deemed the Board deems necessary to carry on the work of the Federation. Specific functions of the standing committees are described in the Standing Rules.

Clarifies that this is the board’s decision since this is a committee of the Board of Directors.

1. Examination Development Committee

The committee will consist of at least five members, who will serve three-year terms.

2. Finance Committee

The Committee will consist of at least five members, who will serve three-year terms, in addition to the Treasurer. The Treasurer will serve as chairperson.

Section 2. Task Forces

Task Forces may be established by the Board of Directors and the Delegate Assembly may recommend that the Board of Directors establish a task force. Membership will consist of a number sufficient to complete the assigned task and will be assigned for a specific time


frame.

Section 3. Councils

Councils may be established by the Delegate Assembly, and will be defined in the Standing Rules, for the purpose of bringing together individuals with similar interests to provide a forum for sharing information and performing such other functions as described in the Standing Rules.

Article VIII. Parliamentary Authority

The rules contained in the current edition of Robert's Rules of Order Newly Revised, govern the proceedings of the Federation in all cases to which they are applicable and in which they are not inconsistent with these Bylaws and any special rules of order the Federation may adopt.

Article IX. Amendment of Bylaws

Section 1.

These bylaws may be amended at any meeting of the Delegate Assembly, a quorum being present, or by a mail or electronic vote of the Delegate Assembly, a quorum being represented by the number of valid ballots received by the deadline date. A two-thirds vote is required for adoption of the amendment, provided the amendment has been submitted to the members not less than 45 days prior to the meeting or 90 days prior to the deadline for the receipt of ballots for a vote.

Section 2.

In the absence of previous notice, these Bylaws may be amended at any meeting, a quorum being present, or by a mail or electronic vote of the Delegate Assembly, a quorum being represented by the number of valid ballots received by the deadline date. A nine-tenths vote is required for adoption of the amendment.

Section 3.

These Bylaws may be edited by the Secretary throughout the remainder of the Bylaws for consistency after amendments have been made. There will be no editorial change that affects the Bylaw intent.


Article X. Dissolution

In the event of dissolution of the Federation, all the business, property, and assets of the Federation will, after payment of all bona fide obligations, be distributed to a succeeding non-profit corporation or to other non-profit corporations as provided in the Federation's Articles of Incorporation and as determined by the Board of Directors. In no case will any of the assets or property go to or be distributed to any private individual.

Standing Rules

1. Definitions

A. “The National Physical Therapy Examination (NPTE)”

or the “licensing examination” is the examination provided by the Federation for use by Member Boards when licensing, registering or certifying physical therapists or physical therapist assistants.

B. “Delegate Credentials”

means a document signifying official representation of a Member Board issued by the Federation and verified by an appropriate officer of a Member Board. Delegate Credentials are required of Delegates and Alternate Delegates.

C. “State”

means any political subdivision of the United States, including any state, commonwealth, territory, dependency and the District of Columbia, which has a law regulating the practice of physical therapy.

D. “State Board”

means the jurisdictional body, or other entity, composed of physical therapists and others appointed to such body, and authorized by statute or regulation to provide or assist in examining, licensing, certifying, approving, registering, or disciplining physical therapists and (when applicable) physical therapist assistants which may include, but is not limited to, independent boards, advisory committees, subcommittees, subdivisions of joint licensing boards or umbrella agencies.

E. “Administrative Staff”

means those persons employed by the legal jurisdiction to facilitate the functions of the Member Board.

F. “Public Member”

means an individual who is not or has not been a) a physical therapist,


b) a physical therapist assistant, or c) a staff member employed by a State Board, as defined above.

G. “Honorary Member”

means an individual who has contributed to the Federation in significant ways and was ratified by the Delegates at an Annual Meeting prior to 2002.

H. “Academy of Advanced Item Writers”

consists of those National Physical Therapy Examination item writers who develop both quality and quantity items as defined in the criteria below. A list of proposed members will be provided to the Board of Directors for appointment on an annual basis.

Developed 60 items which were approved by the Item Bank Review Committeeappropriate exam committee and entered into the item bank.

The Item Bank Review Committee is now part of the Exam Development Committee.

Attended at least one FSBPT beginning item writing workshop.

Fulfilled content area assignments during beginning item writing workshops.

Recommended by an Item Writer Coordinator.

I. “Cause”

Is defined as conduct that might be detrimental to the good name, business or interests of the Federation, potentially or actually disturbs its wellbeing or potentially or actually hampers its work.

This defines Cause, which had not been previously defined.

J. “Conflict of Interest”

Is defined as concurrent holding an elected or appointed office in a physical therapy state, national or international association or is a member or an employee of a body, entity or group, which might position in anotherhealthcare profession or organization could result in a potential or actual conflict of interest with the Federation.

Moves the definition out of the bylaws for clarity. Expands the definition so that it may include groups such as test prep companies, healthcare recruiters or individuals who have a role in physiotherapy credentialing.

2. Dues

A. Member Boards

Annual dues for Member Boards will be $500.00 plus $.75 per any person licensed, registered, or certified as a physical therapist or physical therapist assistant by Member Boards. The total amount of dues is not to exceed $2,500.00 per year. Dues will be delinquent if not paid by January 15 of each year unless postponed by the Board of Directors.

B. Affiliate Member


Annual dues will be $500.00 payable in advance on or before January 15 of each year.

C. Associate Member and Honorary Members

None.

3. Board of Directors

A. Conduct of Business

i. The Board of Directors will meet in conjunction with the Annual Meeting and at other times as necessary.

ii. When business is conducted by telecommunications, all members must be notified in advance and a majority of the members must participate.

iii. When it is necessary to conduct business by mail, the mail ballot will be conducted as prescribed in the Standing Rules.

iv. Written meeting minutes will be sent to the Board of Directors in a timely manner within five working days after the meeting is adjourned.

This allows the Board to decide what is appropriate.

v. The Board of Directors may meet in executive session when the Board of Directors deems it necessary. Consultants, staff, resource individuals or guests necessary to address the issues may be allowed to attend at the discretion of the Board of Directors.

B. Duties of the Officers and Directors

i. President

a. Preside at all meetings of the Federation, including the Delegate Assembly.

b. Preside at all meetings of the Federation Board of Directors.

c. Serve as non-voting ex officio member of all committees except the nominating committee.

d. Serve as official spokesperson of the Federation.

e. Be designated as a signatory of the Federation financial accounts.

f. Make an annual report to the Federation.

g. Schedule meetings as required.

h. Preside over the meetings and ensure that the focus is on the Board objectives.

i. Working with the Board members, complete specific strategies in support of the Federation’s mission, vision, areas of focus and goals.

j. Assume such other duties as the Board of Directors may delegate.

ii. Vice President

a. Succeed to the office of the President for the


remainder of the term in case of a vacancy in that office.

b. Assume the duties of the President in his or her absence or incapacitation.

c. Working with Board members, complete specific strategies in support of the Federation’s mission, vision, areas of focus and goals.

d. Assume such other duties as the Board of Directors may delegate.

iii. Secretary

a. Working with staff, ensures that attendance, votes and the proceedings of the Board of Directors and Delegate Assembly meetings are recorded and maintained in the permanent records of the Federation.

b. Conducts roll call of Delegates at the annual Delegate Assembly and Board of Directors meetings for the official records and to establish the presence of a quorum.

c. See that staff takes and distributes the minutes for distribution within one week of the meeting in a timely manner.

This allows the Board to decide what is appropriate.

d. Ensures that copies of the minutes of the Board meetings are approved as appropriate.

e. Working with the Board members, complete specific strategies in support of the Federation’s mission, vision, areas of focus and goals.

f. Assume such other duties as the Board of Directors may delegate.

iv. Treasurer

Be designated as a signatory of Federation financial accounts.

Treasurer is not a signatory on any financial accounts.

a. Serve as chair of the Finance Committee.

b. Make an annual report to the Federation.

c. Work with the CEO and CFO to prepare a budget and present it to the Finance Committee and the Board of Directors for approval.

d. Inform Board Members of the Federation’s financial status at the Board meetings.

e. Ensure that an annual, independent audit is conducted and the auditor’s recommendations are addressed.

f. Monitor the Federation’s financial status, financial policies and programs.

g. Help the President ensure that adequate resources are available to fund Federation programs.


h. Working with the Board members, complete specific strategies in support of the Federation’s mission, vision, areas of focus and goals.

i. Assume such other duties as the Board of Directors may delegate.

v. Directors

a. Director who is a current administrative staff of a Member Board will fill vacancies, by appointment, in the offices of Council of Board Administrators officers.

b. Working with Board members, complete specific strategies in support of the Federation’s mission, vision, areas of focus and goals.

c. Assume such duties as delegated by the Board of Directors.

4. Delegate Assembly

A. Executive Session

An executive session is a session of the Delegate Assembly conducted in private. An executive session may be convened for the purpose of discussing matters, receiving counsel or voting on issues related to personnel, litigation, examination and contracts. Consultants, staff, resource individuals or guests necessary to address the issues may be allowed to attend at the discretion of the President or by a majority vote of the voting body.

B. Election Results

When reporting election results to the Delegate Assembly, the number of votes received by each candidate will not be announced. They will be provided to the Board of Directors, candidates or individual Voting Delegates upon request. Results and original ballots will be maintained in the Federation office for one year after the Delegate Assembly concludes.

C. Seating

i. All voting Delegates and Alternate Delegates will be seated together in a separate designated area.

ii. Members of Member Boards who are not a part of the Delegate Assembly and Member Board Administrative Staff may be seated in the area of the assembly designated for Member Boards.

iii. Others, including but not limited to Affiliate Members, Associate Members, Honorary Members, Federation staff, invited guests, and visitors, will be seated in a designated area.

D. Rights and Privileges of Persons Not a Part of the Delegate


Assembly

Alternate Delegates, members of Member Boards who are not a part of the Delegate Assembly, Affiliate Members, Associate Members, Honorary Members, Member Board Administrative Staff, Federation Staff, and invited guests may attend the meetings of the Delegate Assembly with the privilege to speak after Delegates have spoken and with permission of the Delegate Assembly, but may not make motions, make nominations, or vote.

E. Conduct of Business by Mail or Electronically

i. Board of Directors

When the Board of Directors determines it is necessary to conduct a mail or electronic vote of the Delegate Assembly, each Voting Delegate will receive sufficient information to make informed decisions.

ii. Delegate Assembly

The ballot information will be mailed to each Delegate by certified or registered first-class mail to the Member Board office unless being done electronically. The ballot will clearly state the question(s) to be decided and the date by which the ballot must be received at Federation offices. A majority of ballots must be received at Federation offices by the deadline to constitute a valid vote. In the event that a Delegate no longer holds that position for any reason, an Alternate Delegate will assume the duties of the Delegate. If the Alternate Delegate(s) no longer holds that position for any reason, a new Delegate may be elected by the Member Board and credentialed in a manner not inconsistent with these bylaws and standing rules.

This tracks ballots sent by first-class mail.

F. Duties of the Delegates

i. Delegates will represent their jurisdiction in all meetings of the Delegate Assembly and if needed, by mail ballot.

ii. Delegates will attend the annual Delegate Assembly meeting. One Delegate from each Member Board will is expected to attend the Leadership Issues Forummeeting.

Delegate representation at the Leadership Issues Forum is fundamental preparation for the delegate assembly. At Idaho’s suggestion, the board of directors is making a non-substantive modification to the second sentence as highlighted.

iii. Delegates will disseminate information from the Federation of State Boards of Physical Therapy to their Member Board.

iv. Delegates will respond to requests for information and ensure that their Member Board meets deadlines as established by the Federation of State Boards of Physical Therapy.


5. Delegate Credentials Procedures

A. Each Member Board will send delegate credentials to the Federation offices no less than 90 days prior to the Annual Meeting. Credentials for Delegates and Alternate Delegates will include demographic data, verification of election from the Member Board (submission of a credentials form, which is signed by the chair or administrator of the Member Board or as otherwise provided in Bylaws Article VI Sections 3A & 3B), and a disclaimer relevant to a potential Conflict of Interest.

B. A potential conflict of interest is defined as holding an elected or appointed office in a physical therapy state, national or international association or holding credentials in another healthcare profession that would result in a potential or actual conflict of interest with the Federation’s mission at the time of the Delegate Assembly for which a Delegate is elected.Member Boards should consider whether there might beis a Conflict of interest whenInterest when electing their Delegate.

The expanded definition of Conflict of Interest is now in the Standing Rules.

C. If a Member Board elects a Delegate whose role could be considered a Conflict of Interest based on the definition in paragraph B above:

i. Within ten working days of notification, the Board of Directors will appoint a Credentials Committee of three current Member Board members, preferably already-credentialed Delegates, to decide review whether a Conflict of Interest exists.

This change makes the process consistent with the previous procedure for deciding conflict of interest.

ii. The Credentials Committee’s term will end once the current Delegate Assembly concludes.

iii. The Credentials Committee will report their decisionrecommendation to the Board of Directors, who will report their decision to and the Member Board within ten working days of being notified of the potential conflict of interest.

iv. If the Delegate is considered to have a Conflict of Interest, their credentials will be withdrawn and the Member Board will be asked to provide another Delegate to replace the original Delegate.

v. The new Delegate will have all the rights held by the original Delegate.

6. Committees of the Federation

A. Authority

The Bylaws provide for Standing Committees of the Federation.

B. Appointments

The Board of Directors will appoint committee members unless otherwise designated in the Bylaws.


C. Eligibility

Committee members will be current members of a Member Board, former members of a Member Board, current Administrative Staff of a Member Board, Associate Member or an individual with expertise to facilitate the task of the committee.

Current practice allows Associate Members to be appointed to committees.

D. Term of Appointment

Standing committee members will be appointed or elected to serve three-year terms. Members of special committees will be appointed for a specific timeframe.

E. Removal

A committee member may be removed for cause by a majority action of the Delegate Assembly or a majority action of the Board of Directors.

Revised so that there are different removal procedures for the Nominating Committee and Resolutions Committee.

FE. Vacancies

In the event a committee member is unable to complete his or her term on a committee for any reason, the President may, with input from the committee chair, appoint a member to fill the unexpired balance of the term.

GF. Reports

Committees will submit a written report to the Delegate Assembly andBoard of Directors within 30 days after a committee meeting in a timely manneror as specified by the Delegate Assembly. Committees will submit an Annual Report for publication prior to the Annual Meeting.

This revision reflects actual practice, which has worked well for a number of years. Providing reports to the Delegate Assembly beyond the annual reports is unnecessary. The Board will continue to update Members as it has in the past.

HG. Nominating Committee

i. Submits one or more candidates for each office or committee opening that is to be filled by election except for the position of the Director who is a current administrative staff of a Member Board.

This standardizes the procedures for all Board of Directors positions that are voted on by the Delegate Assembly. The FSBPT Nomination & Election Manual will be updated to encourage the FSBPT Nominating Committee to consult with the CBA Nominating Committee regarding the Administrative Staff director position.

ii. Submits to the Delegate Assembly one or more nominations for each office on the Board of Directors that becomes vacant as a result of a Delegate Assembly election.

iii. Submits an Annual Report to the Delegate Assembly 45 days prior to the Annual Meeting.

iv. Nominations may also be made from the floor at the


Annual Meeting of the Delegate Assembly.

Coordinates the election processes at the Annual Meeting.

The Teller Committee coordinates the election process at the Annual Meeting.

v. A committee member may be removed for Cause or Conflict of Interest by majority action of the Delegate Assembly or the Board of Directors.

This committee is elected by the Delegate Assembly. It seems prudent to give both the Delegate Assembly the right to remove as well as the Board of Directors the right to remove, as the Board would be able to take action when the Delegate Assembly was not in session.

IH. Resolutions Committee

i. Receives and correlates motions and resolutions to the Delegate Assembly and identifies motions which fall outside the purpose of the Federation.

ii. Provides advice and counsel to Delegates regarding form, wording, and method of presentation of matters to the Delegate Assembly.

iii. All motions to be considered shall be submitted to the Resolutions Committee in writing 90 days prior to the Delegate Assembly. Main motions once perfected will be provided to the Delegates in the Annual Report 45 days prior to the Annual Meeting.

iv. Any main motion, except procedural motions, presented to the Delegate Assembly for action shall be referred to the Resolutions Committee. Any main motion that has not been so submitted shall require a two-thirds vote without debate to be considered by the Delegate Assembly.

v. A committee member may be removed for Cause or Conflict of Interest by a majority action of the Board of Directors.

This committee is appointed by the Board of Directors and so that body should have the right to remove a committee member for Cause.

7. Committees of the Board of Directors

A. Authority

The Bylaws provide for standing and special committees established by the Board of Directors. Task forces are special committees.

B. Appointments

The Board of Directors will appoint committee members.

C. Term of Appointment

Standing committee members will be appointed to three-year terms. Members of special committees will be appointed for a specific time frame.

D. Eligibility

The committee member will be a current member of a Member Board,


former member of a Member Board, Administrative staff member of a Member Board, or individuals with expertise to facilitate the task of the committee.

E. Removal

A committee member may be removed for Cause by a majority action of the Board of Directors at any time.

F. Vacancies

In the event a committee member is unable to complete his or her term on a committee for any reason, the President may, with input from the committee chair, appoint a member to fill the unexpired balance of the term.

G. Board Liaison

The President will appoint a Board member to serve as a non-voting liaison to each committee.

H. Reports

Committees will submit a written report to the Board of Directors within 30 days after a committee meeting or as specified by the Board of Directors. In addition, each committee will submit an Annual Report for publication prior to the Annual Meeting.

I. Examination Development Committee

i. The committee will be responsible for the development and maintenance of reliable and valid forms of the licensing examinations.

ii. The committee will carry out other duties as requested by the Board of Directors.

J. Finance Committee

i. The Finance Committee will develop and present an annual budget to the Board of Directors for adoption.

ii. The committee will provide advice and assistance to the Board of Directors in completion of fiduciary responsibilities.

iii. The committee will carry out other duties as requested by the Delegate Assembly or Board of Directors.

Committees of the Board of Directors should be tasked by the Board of Directors.

8. Councils

A. Authority

The Bylaws provide for Councils established by the Delegate Assembly.

B. Council of Board Administrators

i. Purpose

The Council will provide its members a forum to share information relevant to board Member Board functions, regulatory practices,

This clarifies the term. Member Board is one of the categories of


practice standards and issues, licensing processes and security, and enforcement issues in the practice of physical therapy.

members in the Bylaws.

ii. Membership

Administrative staff personnel assisting Member Boards.

iii. Eligibility

Any person currently or formerly employed to facilitate the operation of a Member Board.

iv. Scope of Responsibility

a. Select Council leadership and submit this information to the Federation Board of Directors.

Submit the slate for the position of the Director who is a current administrative staff of a Member Board.

This standardizes the procedures for all Board of Directors positions that are voted on by the Delegate Assembly.

b. Operate under Rules of Procedure adopted by the Council and approved, in their original form and as amended, by the Federation Board of Directors.

c. Submit a written report to the Board of Directors within 30 days after a Council meeting or as specified by the Board of Directors.

d. Submit an annual report for publication prior to the Annual Meeting.

e. Hold at least one forum annually during the annual meeting of the Delegate Assembly.

9. Special Meetings

Upon receipt of signed requests for a special meeting for a specific purpose from a majority of Member Boards, the President or three quarters of the membership of the Board of Directors, the Chief Executive Officer of the Federation will schedule a special meeting of the Delegate Assembly. The notice of the special meeting, including a statement of the specific purpose of the meeting will be sent to all credentialed Delegates and Alternate Delegates and the members of the Board of Directors not less than 14 days prior to the meeting.

10. Disclaimer

No provision in these Bylaws or Standing Rules or any act of the Federation will be construed as binding on the Member Boards when such provision or act restricts the sovereignty of the individual Member Boards in the performance of their separate obligations or responsibilities.

Standing Rules should be included in this section.

11. Seal

The official seal of the Federation will be kept at Federation offices and will be used on all legal documents.


12. Indemnification

The Federation will, to the extent legally permissible, indemnify each person who may serve or who has served at any time as an officer, director, or employee of the Federation against all expenses and liabilities, including, without limitation, counsel fees, judgments, fines, excise taxes, penalties and settlement payments, reasonably incurred by or imposed upon such person in connection with any Proceeding (other than one brought by or in the right of the Federation) in which he or she may become involved by reason of his or her service in such capacity and will advance expenses to any such director or officer or employee in accordance therewith; provided that no indemnification will be provided for any such person with respect to any matter as to which he or she will have been finally adjudicated in any Proceeding to be liable for negligence or misconduct in the performance of his or her duty; and further provided that any compromise or settlement payment will be approved by a majority vote of a quorum of directors who are not at that time parties to the Proceeding. For purposes of this Standing Rule, “Proceeding” will mean any threatened, pending or completed action, suit, arbitration, investigation or hearing, whether of a civil, criminal, administrative or investigative nature, including any appeal therefrom.

This change is consistent with the first sentence.

The indemnification provided hereunder will inure to the benefit of the heirs, executors and administrators of persons entitled to indemnification hereunder. The right of indemnification under this Standing Rule will be in addition to and not exclusive of all other rights to which any person may be entitled.

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