HAR Chapter 110 – Physical Therapy

HAWAII ADMINISTRATIVE RULES
TITLE 16
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
CHAPTER 110
PHYSICAL THERAPY
Subchapter 1 General Provisions
§16-110-1 	Objective
§16-110-2 	Definitions
§16-110-3 	When referrals required
§16-110-4 	Duties and minimum standards of a supervising physical therapist
§16-110-5 	Duties of support or auxiliary personnel
§16-110-6 	Identification of personnel
Subchapter 2 Applications
§16-110-10 	Application for licensure
Subchapter 3 Permanent License
§16-110-20 	Requirements for permanent physical therapist license
Subchapter 4 Repealed
§16-110-30 	Repealed
Subchapter 5 Temporary License
§16-110-40 	Requirements for temporary physical therapist license
§16-110-41 	Repealed
§16-110-42 	Repealed
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Subchapter 6 Professional Misconduct
§16-110-50 	Professional misconduct, gross carelessness, manifest incapacity
defined
Subchapter 7 Practice and Procedure
§16-110-60 	Administrative practice and procedure
Subchapter 8 Oral Testimony
§16-110-70 	Oral testimony
Subchapter 9 Fees
§16-110-80 	Fees
SUBCHAPTER 1
GENERAL PROVISIONS
§16-110-1 Objective. The objective of this chapter is to establish licensing
requirements for physical therapists in the interest of safeguarding life and health.
[Eff 6/5/87; comp 12/4/92; comp 10/13/94; comp 12/9/10] (Auth: HRS §461J-5)
(Imp: HRS §461J-5)
§16-110-2 Definitions. As used in this chapter:
"Accredited physical therapist assistant program" means a post-secondary
physical therapist assistant program that is accredited by the Commission on
Accreditation in Physical Therapy Education, its predecessor organization, or its
successor organization.
"Accredited physical therapy program" means a post-secondary physical
therapy program that is accredited by the Commission on Accreditation in Physical
Therapy Education, its predecessor organization, or its successor organization.
"APTA" means the American Physical Therapy Association, which is the
primary, voluntary, national professional organization of physical therapists and
physical therapist assistants.
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§16-110-2
"Commission 	on 	Accreditation 	in 	Physical 	Therapy 	Education" 	or
"CAPTE" means an independent accrediting body that is recognized by the United
States 	Department 	of 	Education and by the Commission on Recognition of
Postsecondary Accreditation, or their successor organizations as the entity in the
United States that is responsible for accrediting education programs for the
preparation of physical therapists and physical therapist assistants.
"Department" means the department of commerce and consumer affairs,
unless otherwise identified.
"Director" 	means 	the 	director 	of 	the 	department 	of 	commerce 	and
consumer affairs or the director's departmental representative.
"Encumbered" means a license issued by any state or territory of the United
States for the practice of physical therapy that is revoked, suspended, or made
probationary or conditional by the licensing or registering authority in that state or
territory.
"Evaluation" means the dynamic process in which the physical therapist
makes clinical judgments based on data gathered during the physical therapy
examination. 	Findings from the physical therapy examination are integrated to
establish a diagnostic classification, prognosis, and plan of care. This process may
identify problems that require consultation with or referral to another provider.
"Federation of State Boards of Physical Therapy" or "FSBPT" means the
not-for-profit organization established on February 12, 1987, under the laws of the
State of Alabama. 	The FSBPT develops and administers the National Physical
Therapy Examination and also works towards reasonable uniformity in regulation
and standards through ongoing communications between it and the states and
territories of the United States.
"Licensure examination" means a national physical therapy exam approved
by the board for the licensure of a physical therapist.
"Patient" means an individual who is the recipient of physical therapy
examination, evaluation, diagnosis, prognosis, and intervention and who has a
disease, disorder, condition, impairment, functional limitation, or disability and
also includes a person who may engage the services of a physical therapist, who
can benefit from the physical therapist's consultation, interventions, professional
advice, prevention services, or services promoting health, wellness, and fitness.
"Physical therapist assistant" or "PTA" means an individual who has
graduated from an accredited physical therapist assistant program or an accredited
physical therapy program.
"Physical therapy examination" means the process of obtaining a history, a
systems review, and selecting and administering tests and measures to gather data
about the patient. 	The initial physical therapy examination is a comprehensive
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§16-110-2
screening and specific testing process. 	Tests and measurements may include, but
are not limited to:
(1) 	Muscle strength, force, endurance, and tone;
(2) 	Joint motion, mobility, and stability;
(3) 	Reflexes and automatic reaction;
(4) 	Movement skill and accuracy;
(5) 	Sensation and perception;
(6) 	Peripheral nerve integrity;
(7) 	Locomotor skill, stability, and endurance;
(8) 	Activities of daily living;
(9) 	Cardiac, pulmonary, and vascular functions;
(10) 	Fit, function, and comfort of prosthetic, orthotic, and other assistive
devices;
(11) 	Posture and body mechanics;
(12) 	Limb length, circumference, and volume;
(13) 	Thoracic excursion and breathing patterns;
(14) 	Vital signs;
(15) 	Nature and locus of pain and conditions under which pain varies;
(16) 	Photosensitivity; and
(17) 	Home, community, and work physical environments.
"Student" means an individual who is currently enrolled in an accredited
physical therapist assistant program or in an accredited physical therapy program.
"Support or auxiliary personnel" means a physical therapist assistant, a
temporary physical therapist licensee, or a physical therapy student who perform
duties delegated by the supervising physical therapist.
"Temporary physical therapist licensee" means a person who meets the
applicable requirements set forth in section 16-110-40.
"Treatment" or "Intervention" means purposeful and skilled interaction
between the physical therapist, PTA, temporary physical therapist licensee or
student and the patient in the care of the patient using various physical therapy
methods and techniques to produce changes in the patient's condition that are
consistent with the diagnosis and treatment. 	A physical therapy treatment or
intervention may consist of the following components:
(1) 	Air;
(2) 	Sound;
(3) 	Compression;
(4) 	Light;
(5) 	Mechanical stimulation;
(6) 	Biofeedback;
(7) 	Positioning;
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§16-110-2
(8) 	Therapeutic heat and cold;
(9) 	Therapeutic exercise;
(10) 	Gait training;
(11) 	Activities of daily living and functional training;
(12) 	Therapeutic electric current;
(13) 	Therapeutic massage;
(14) 	Ultrasound;
(15) 	Behavior modification;
(16) 	Traction;
(17) 	Hydrotherapy;
(18) 	Pulmonary therapy;
(19) 	Wound care and external dressings;
(20) 	Orthoses and external supports;
(21) 	Assistive/adaptive devices;
(22) 	Therapeutic equipment;
(23) 	Neurodevelopmental activities;
(24) 	Mobilization and manipulation;
(25) 	Posture training;
(26) 	Prosthetic management;
(27) 	Cardiopulmonary rehabilitation;
(28) 	Coordination, communication and documentation;
(29) 	Patient-related instruction; and
(30) 	Procedural interactions including but not limited to:
(A) 	Therapeutic exercise;
(B) 	Functional 	training 	in 	self-care 	and 	home 	management,
including activities of daily living and instrumental activities
of daily living;
(C) 	Functional training in work, including school and play,
community and leisure integration or reintegration, including
instrumental activities of daily living, work hardening, and
work conditioning;
(D) 	Manual 	therapy 	techniques, 	including 	mobilization 	or
manipulation;
(E) 	Prescription, application, and, as appropriate, fabrication of
devices, 	and 	assistive, 	adaptive, 	orthotic, 	protective,
supportive, and prosthetic equipment;
(F) 	Airway clearance techniques;
(G) 	Integumentary repair and protection techniques;
(H) 	Electrotherapeutic modalities;
(I) 	Physical agents; and
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§16-110-2
(J) 	Mechanical modalities. 	[Eff 6/5/87; am and comp 12/4/92;
am and comp 10/13/94; am and comp 12/9/10] (Auth: HRS
§461J-5) (Imp: HRS §§461J-1, 461J-3, 461J-5, 461J-9)
§16-110-3 	When referrals required. 	A licensed physical therapist may
perform an evaluation of any person without a referral. 	A physical therapist may
treat a patient with or without a referral unless the physical therapist has reasonable
cause to believe that the patient has a symptom or condition that is either beyond
the 	physical 	therapist's 	scope 	of 	practice, or for which physical therapy is
contraindicated, in which case the physical therapist shall refer that patient to an
appropriate healthcare provider. 	[Eff 6/5/87; comp 12/4/92; am and comp
10/13/94; am and comp 12/9/10] (Auth: 	HRS §461J-5) (Imp: 	HRS §§461J-1,
461J-2, 461J-5)
§16-110-4 	Duties and minimum standards of a supervising physical
therapist. (a) A physical therapist shall supervise all physical therapy care provided
by support or auxiliary personnel.
(b) 	A supervising physical therapist shall be responsible for managing
all aspects of the physical therapy care of each patient. 	A licensed physical
therapist shall utilize only the assistance of support or auxiliary personnel in the
practice of physical therapy. A supervising physical therapist shall provide:
(1) 	An interpretation of referrals when available;
(2) 	An initial physical therapy examination, evaluation, diagnosis and
prognosis of the patient;
(3) 	The development or implementation of a plan of care based on the
initial 	physical 	therapy 	examination 	or 	physical 	therapy
re-examination, and which includes the physical therapy goals and
anticipated outcomes;
(4) 	A determination of the components and the intervention that shall be
provided by a physical therapist and the components that may be
delegated to support or auxiliary personnel;
(5) 	Direct one-on-one re-examination of the patient and revision of the
plan of care when indicated;
(6) 	The establishment of the discharge plan and documentation of the
patient's discharge status;
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§16-110-5
(7) 	Oversight of all services rendered to each patient, including the
applicable documentation in accordance with APTA guidelines and;
(8) 	Telecommunications accessibility at all times when the supervising
physical therapist is not on site and the ability to be on site within
two hours if the supervising physical therapist's physical presence is
needed.
(c) 	A supervising physical therapist shall assure that the support or
auxiliary personnel under the physical therapist's supervision are competent and
able to safely complete all delegated activities.
(d) 	A supervising physical therapist may supervise a maximum of three
persons, which may include any combination of the following:
(1) 	A temporary physical therapist licensee;
(2) 	A student; or
(3) 	A 	physical 	therapist 	assistant. 	[Eff 	and 	comp 	12/4/92;
comp 10/13/94; am and comp 12/9/10] (Auth: HRS §461J-5) (Imp:
HRS §§461J-3, 461J-5, 461J-9)
§16-110-5 	Duties of support or auxiliary personnel. 	Support or auxiliary
personnel may perform the following treatment or intervention components that
they are qualified to perform and as delegated by the supervising physical therapist:
(1) 	A 	physical 	therapist 	assistant, 	a 	temporary 	physical 	therapist
licensee and physical therapy student may perform:
(A) 	Coordination, communication, and documentation;
(B) 	Patient-related instruction;
(C) 	Procedural interactions including but not limited to:
(i) 	Therapeutic exercise;
(ii) 	Functional 	training 	in 	self-care 	and 	home
management, including activities of daily living and
instrumental activities of daily living;
(iii) 	Functional training in work, including school and
play, 	community 	and 	leisure 	integration 	or
reintegration, 	including 	instrumental 	activities 	of
daily living, work hardening, and work conditioning;
(iv) 	Prescription, 	application, 	and, 	as 	appropriate,
fabrication of devices, and assistive, adaptive,
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§16-110-5
orthotic, 	protective, 	supportive, 	and 	prosthetic
equipment;
(v) 	Airway clearance techniques;
(vi) 	Integumentary repair and protection techniques;
(vii) 	Electrotherapeutic modalities;
(viii) 	Physical agents; and
(ix) 	Mechanical modalities;
(2) 	A 	physical 	therapist 	assistant 	may 	perform 	manual 	therapy,
excluding thrust joint mobilization and spinal and peripheral joint
mobilization or manipulation; and
(3) 	A temporary physical therapist licensee and a physical therapy
student 	may 	perform 	manual 	therapy 	techniques, 	including
mobilization or manipulation.
[Eff and comp 12/9/10] (Auth: HRS §§461J-3, 461J-5) (Imp: HRS
§§461J-3, 461J-5)
§16-110-6 	Identification of personnel. 	(a) A licensed physical therapist
shall wear a conspicuously placed name tag stating, at a minimum, the person's
name and the title "physical therapist" or "PT".
(b) 	The supervising physical therapist shall ensure that all support or
auxiliary 	personnel 	wear 	a 	conspicuously 	placed 	name 	tag 	identifying 	the
individual's name and professional designation at the time of care. 	[Eff and comp
12/9/10] (Auth: HRS §461J-5) (Imp: HRS §§461J-2, 461J-5)
SUBCHAPTER 2
APPLICATIONS
§16-110-10 Application for licensure. (a) All applicants for licensure shall
apply on a form or forms prescribed by the board.
(b) 	The proper documentation and fee shall accompany the application
forms.
(c) 	It shall be the applicant's responsibility to submit all evidence of
qualifications, including the passage of any required licensure examination and
payment of any applicable fee, within one year of the application date.
(d) 	If a license is not issued within one year of the application date as a
result of the applicant's failure to complete licensure requirements, take the
required 	licensure 	examination, 	if 	required, 	or 	to 	submit 	the 	required
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§16-110-20
documentation and evidence of qualifications, the applicant shall submit a new
application form, documentation of qualifications, and applicable fees in addition to
meeting licensure requirements that are in effect at the time of filing the new
application. 	[Eff 	6/5/87; 	am 	and 	comp 	12/4/92; 	comp 	10/13/94; 	am 	and
comp 12/9/10] (Auth: 	HRS §461J-5) (Imp: 	HRS §§461J-5, 461J-6, 461J-7,
461J-9, 461J-10)
SUBCHAPTER 3
PERMANENT LICENSE
§16-110-20 	Requirements for permanent physical therapist license. 	(a) A
person seeking a permanent license to practice as a physical therapist in the State
shall submit an application for the license on forms provided by the board.
(b) 	An applicant for licensure shall provide the board with:
(1) 	A certified transcript indicating graduation from a physical therapy
education program from a school or college accredited by CAPTE;
or
(2) 	In the case of a person who is a graduate of a school or college of
physical 	therapy 	located 	outside 	the 	United 	States 	that 	is 	not
accredited by CAPTE, a certified credentials evaluation indicating
successful 	completion 	of 	a 	program 	or 	programs, 	including
education and training, equivalent to programs in the United States
accredited pursuant to paragraph (1). 	That evaluation shall be
prepared 	within 	one 	year 	from 	the 	date 	of 	the 	application's
submission and shall be performed by a credentials evaluation
agency approved by the board. Additionally the applicant shall take
and pass one of the following English language proficiency tests if
the school or college is in a country, state, or province where the
official language is other than English:
(A) 	The 	Test 	of 	English 	as 	a 	Foreign 	Language
(TOEFL) with a score of not less than 560 for a
paper-based 	examination, 	a 	score 	of 	213 	for 	a
computer based examination, or the passing score
for each exam as recommended by the FSBPT; the
Test of Written English with a score of not less than
4.5 or the passing score as recommended by the
FSBPT; and the Test of Spoken English with a
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§16-110-20
score of not less than 50 or the passing score as
recommended by the FSBPT; or
(B) 	The 	TOEFL 	ibt 	exam 	with 	a 	passing 	score 	as
recommended by the FSBPT.
(c) 	Each 	applicant 	for 	licensure 	shall 	be 	required 	to 	take 	the
standardized physical therapist licensure examination scheduled and
administered 	by 	the 	board's 	designated 	licensing 	examination
service;
(d) 	The 	passing 	score 	for 	the 	licensure 	examination 	shall 	be 	the
criterion-referenced passing score recommended by the Federation of State Boards
of Physical Therapy.
(e) 	Each applicant shall ensure that after each administration of the
licensure examination the licensing examination service reports directly to the
board the applicant's score on the licensing examination. The board shall notify the
applicant of the applicant's licensure examination score.
(f) 	Any applicant who fails to achieve a passing score on the licensure
examination may be entitled to re-take the examination;
(g) 	In the case of an applicant who was initially licensed by taking the
standardized physical therapist licensure examination prior to November 1994, the
passing score shall be that number of correctly answered questions on the licensure
examination which statistically represents one standard deviation below the national
mean 	at 	the 	time 	the 	applicant 	sat 	for 	the 	standardized 	physical 	therapist
examination.
(h) 	For an applicant seeking an examination waiver, the Board may
waive the licensure examination if the applicant received a passing score pursuant
to this section. 	Additionally, the applicant shall provide the written verification,
from each physical therapy licensing authority that granted the applicant a physical
therapist license, of the applicant's passing the required licensure examination, the
status of the license, whether or not the license is or has been encumbered, and
whether disciplinary action has been taken against the applicant or is currently
pending, or the applicant is being investigated.
(i) 	An applicant may submit a letter of completion by the licensure
examination date from the appropriate college authority which states that the
student is in the final year of that physical therapy program and has completed the
physical therapy program which at the time of graduation was accredited by
CAPTE to be accepted in lieu of the final transcript to sit for the licensure
examination. 	However, the license shall not be issued, even if the applicant has
passed the licensure examination for physical therapists, until the final transcript is
submitted showing graduation from the physical therapy program. [Eff 6/5/87;
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§16-110-40
am and comp 12/4/92; am and comp 10/13/94; am and comp 12/9/10] (Auth: HRS
§461J-5) (Imp: HRS §§461J-2, 461J-5, 461J-6, 461J-7)
SUBCHAPTER 4
§16-110-30 Repealed. [R 12/9/10]
SUBCHAPTER 5
TEMPORARY LICENSE
§16-110-40 Requirements for temporary physical therapist license. (a) An
applicant for a temporary license who has applied for a permanent license, shall
provide the board with:
(1) 	The 	documents 	and 	evidence 	of 	qualifications 	as 	set 	forth 	in
paragraph 16-110-20(b)(1) or (2); and
(2) 	Evidence that the applicant has submitted to the board either an
application to take the licensure examination within six months or
evidence 	showing 	that 	the 	applicant 	has 	taken 	the 	licensure
examination and is awaiting its results; or
(3) 	For examination waiver, evidence that the applicant has fulfilled the
requirements of section 16-110-20(h).
(b) 	The applicant shall submit to the board a completed Statement of
Supervising Licensed Physical Therapist, on a form prescribed by the board, from
each proposed supervising physical therapist, to verify that each supervising
physical therapist shall provide supervision to the applicant. 	The Statement of
Supervising Licensed Physical Therapist shall indicate the name of the applicant,
the name and license number of each supervising physical therapist, the date when
the supervision shall commence, and shall be signed by each supervising physical
therapist. 	The temporary licensee shall be supervised throughout the period of
temporary licensure by a physical therapist holding a permanent active license.
(c) 	An applicant may submit a written request to the board for a change
in supervising physical therapist. 	The request shall include the reason for the
change, the date of change, and a Statement of Supervising Physical Therapist from
the new proposed supervising physical therapist. The request shall be signed by the
applicant, new proposed supervising physical therapist, and the immediate prior
supervising 	physical 	therapist, 	unless 	the 	applicant 	can 	provide 	adequate
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§16-110-40
documentation to establish that the immediate prior supervising physical therapist
cannot be contacted.
(d) 	Except as provided herein, a temporary license shall expire within
six months of its effective date or be terminated at an earlier date upon any of the
following:
(1) 	Termination of the supervisory relationship between the applicant
and the supervising physical therapist verifying the supervision of
the applicant;
(2) 	The applicant's failure to pass the applicable physical therapy
licensure examination identified in paragraph (a)(2);
(3) 	Determination by the board that the applicant's qualifications for
licensure are not as represented by the applicant at the time of
application;
(4) 	If the board determines that there is cause for termination due to the
temporary licensee committing any act specified in HRS §§461J-12,
436B-19, or §16-110-50; or
(5) 	The person has received a permanent license.
(e) 	The six month period for a temporary license may be extended to
one year by the board for good cause. 	Only one temporary license will be issued
per applicant.
(f) 	A temporary license shall not be issued to a person who is not
authorized to work in the United States. 	[Eff 6/5/87; am and comp 12/4/92; am
and comp 10/13/94; am and comp 12/9/10] (Auth: 	HRS §461J-5) (Imp: 	HRS
§§461J-5, 461J-6, 461J-7, 461J-9)
§16-110-41 Repealed. [R 12/9/10]
§16-110-42 Repealed. [R 12/9/10]
SUBCHAPTER 6
PROFESSIONAL MISCONDUCT
§16-110-50 	Professional 	misconduct, 	gross 	carelessness, 	manifest
incapacity defined. 	For purposes of section 461J-12(8), HRS, "professional
misconduct, gross carelessness, or manifest incapacity in the practice of physical
therapy" includes, but shall not be limited to:
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§16-110-60
(1) 	Administering treatments or evaluation in a negligent manner;
(2) 	Falsifying or otherwise altering patient records;
(3) 	Misappropriating drugs, money, supplies, or equipment;
(4) 	Aiding or abetting, or both, the practice of physical therapy by any
person not licensed to practice as defined by chapter 461J, HRS;
(5) 	Accepting fees for services not provided;
(6) 	Improper 	delegation 	or 	supervision 	of 	support 	or 	auxiliary
personnel;
(7) 	Practicing physical therapy outside the scope of this chapter;
(8) 	Failure to abide by the APTA Guildelines for Physical Therapy
Documentation, the APTA Code of Ethics, or the APTA Guide to
Professional Conduct; and
(9) 	Failing to immediately refer any patient to an appropriate healthcare
provider if there is reasonable cause to believe that the patient's
condition is beyond the physical therapist's scope of practice or is a
condition 	for 	which 	physical 	therapy 	is 	contraindicated. 	[Eff
6/5/87; am and comp 12/4/92; am and comp 10/13/94; am and
comp 12/9/10] 	(Auth: 	HRS 	§461J-5) 	(Imp: 	HRS 	§§461J-5,
461J-12)
SUBCHAPTER 7
PRACTICE AND PROCEDURE
§16-110-60 	Administrative practice and procedure. 	The rules of practice
and procedure for physical therapists shall be as provided in chapter 16-201, the
rules of administrative practice and procedure of the department of commerce and
consumer affairs, as adopted and as may subsequently be amended, which are
incorporated by reference and made a part of this chapter. 	[Eff 6/5/87; comp
12/4/92; am and comp 10/13/94; am and comp 12/9/10] (Auth: HRS §§91-2,
461J-5) (Imp: HRS §§91-2, 461J-5)
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§16-110-70
SUBCHAPTER 8
ORAL TESTIMONY
§16-110-70 	Oral testimony. 	(a) The board shall accept oral testimony on
any item which is on the agenda, provided that the testimony shall be subject to the
following conditions:
(1) 	Each person seeking to present oral testimony is requested to notify
the board not later than forty-eight hours before the meeting, and at
that time, to state the item on which testimony is to be presented;
(2) 	The board may request that any person providing oral testimony
submit the remarks, or a summary of the remarks, in writing to the
board;
(3) 	The board may rearrange the items on the agenda for the purpose of
providing for the most efficient and convenient presentation of oral
testimony;
(4) 	Persons presenting oral testimony at the beginning of the testimony
shall identify themselves and the organization, if any, that they
represent;
(5) 	The board may limit oral testimony to a specified time period but in
no case shall the period be less than five minutes, and the person
testifying shall be informed prior to the commencement of the
testimony of the time constraints to be imposed; and
(6) 	The board may refuse to hear any testimony which is irrelevant,
immaterial, or unduly repetitious to the agenda item on which it is
presented.
(b) 	Nothing in this section shall require the board to hear or receive any
oral or documentary evidence from a person on any matter which is the subject of
another proceeding pending subject to the hearings relief, declaratory relief, or rule
relief provisions of chapter 16-201.
(c) 	Nothing in this section shall prevent the board from soliciting oral
remarks from persons present at the meeting or from inviting persons to make
presentations to the board on any particular matter on the board's agenda. 	[Eff
6/5/87; am and comp 12/4/92; am and comp 10/13/94; comp 12/9/10] (Auth: HRS
§461J-5) (Imp: HRS §§92-3, 461J-5)
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§16-110-80
SUBCHAPTER 9
FEES
§16-110-80 Fees. (a) The fees for the board of physical therapy shall be as
adopted by the director in chapter 16-53, after hearing, pursuant to chapter 91,
HRS.
(b) 	The dishonoring of any check upon first deposit shall be considered
a failure to meet the requirements of this chapter. 	[Eff and comp 12/4/92;
comp 10/13/94; am and comp 12/9/10] (Auth: 	HRS §461J-5) (Imp: 	HRS
§§436B-15, 461J-5)
110-15

Amendments to and compilation of Chapter 16-110, Hawaii Administrative
Rules, on the Summary page dated November 9, 2010, were adopted on November
9, 2010, following a public hearing held on November 9, 2010, after public notices
were given in the Honolulu Star-Advertiser, The Garden Island, Hawaii Tribune-
Herald, West Hawaii Today, and The Maui News on October 4, 2010.
These amendments shall take effect ten days after filing with the Office of
the Lieutenant Governor.
/s/ H. Christina Baxendale
H. CHRISTINA BAXENDALE, Chairperson
Board of Physical Therapy
APPROVED AS TO FORM: 	Date 11/22/10
/s/ James F. Nagle
Deputy Attorney General
APPROVED: 	Date 11/23/10
/s/ Ronald Boyer
RONALD BOYER, Director
Commerce and Consumer Affairs
APPROVED: 	Date 11/23/10
/s/ Linda Lingle
LINDA LINGLE
Governor
State of Hawaii
November 29, 2010
Filed
110-17

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Amendments and Compilation of Chapter 16-110
Hawaii Administrative Rules
November 9, 2010
SUMMARY
1. 	§§16-110-2 through 16-110-4 are amended.
2. 	A new §16-110-5 is added.
3. 	A new §16-110-6 is added.
4. 	§16-110-10 is amended.
5. 	§16-110-20 is amended.
6. 	§16-110-30 is repealed.
7. 	§16-110-40 is amended.
8. 	§§16-110-41 and 16-110-42 are repealed.
9. 	§16-110-50 is amended.
10. 	§16-110-60 is amended.
11. 	§16-110-80 is amended.
12. 	Chapter 110 is compiled.
This material can be made available for individuals with special needs. 	Please call the Program
Specialist, Professional and Vocational Licensing Division, DCCA, at 586-2692, to submit your request.
Effective 12/09/10