50 N.J.R. 2044(a)

VOLUME 50, ISSUE 19, OCTOBER 1, 2018
RULE PROPOSALS

Reporter
50 N.J.R. 2044(a)
NJ - New Jersey Register  >  2018  >  OCTOBER  >  OCTOBER 1, 2018  >  RULE PROPOSALS  >  LAW AND PUBLIC SAFETY -- DIVISION OF CONSUMER AFFAIRS

Interested Persons Statement

INTERESTED PERSONS
Interested persons may submit comments, information or arguments concerning any of the rule proposals in this issue until the date indicated in the proposal. Submissions and any inquiries about submissions should be addressed to the agency officer specified for a particular proposal.

The required minimum period for comment concerning a proposal is 30 days. A proposing agency may extend the 30-day comment period to accommodate public hearings or to elicit greater public response to a proposed new rule or amendment. Most notices of proposal include a 60-day comment period, in order to qualify the notice for an exception to the rulemaking calendar requirements of    N.J.S.A. 52:14B-3. An extended comment deadline will be noted in the heading of a proposal or appear in a subsequent notice in the Register.

At the close of the period for comments, the proposing agency may thereafter adopt a proposal, without change, or with changes not in violation of the rulemaking procedures at    N.J.A.C. 1:30-6.3. The adoption becomes effective upon publication in the Register of a notice of adoption, unless otherwise indicated in the adoption notice. Promulgation in the New Jersey Register establishes a new or amended rule as an official part of the New Jersey Administrative Code.

Agency

LAW AND PUBLIC SAFETY > DIVISION OF CONSUMER AFFAIRS > STATE BOARD OF PHYSICAL THERAPY EXAMINERS

Administrative Code Citation

Proposed Amendments:  N.J.A.C. 13:39A-2.1, 2.3, 3.5, 7.1, 7.2, 7.3, 9.1, 9.2, 9.3, 9.4, 9.5, and 9.6

Proposed New Rule: N.J.A.C. 13:39A-2.2A
Text

Wound Debridement and Supervision Standards

Authorized By: State Board of Physical Therapy Examiners, Lisa Tadeo, Executive Director.

Authority: N.J.S.A. 45:9-37.18 and P.L. 2017, c. 121.

Calendar Reference: See Summary below for explanation of exception to calendar requirement.
Proposal Number: PRN 2018-087.
Submit written comments by November 30, 2018, to:

   Lisa Tadeo, Executive Director
   State Board of Physical Therapy Examiners
   PO Box 45014
   Newark, New Jersey 07101
   or electronically at: http://www.njconsumeraffairs.gov/Proposals/Pages/default.aspx.

The agency proposal follows:

Summary

P.L. 2017, c. 121 revised supervision standards for licensed physical therapists and licensed physical therapist assistants and expanded the scope of practice for licensed physical therapists to include wound debridement and treatment of balance disorders. The Board of Physical Therapy Examiners (Board) proposes to amend  N.J.A.C. 13:39A to effectuate the provisions of P.L. 2017, c. 121.

Throughout the rules, the Board proposes to change the term "continuing education" to "continuing education and competency" to reflect that the term for continuing education was changed by P.L. 2017, c. 121.

The Board proposes to amend  N.J.A.C. 13:39A-2.1 to include new definitions for "general supervision" and "wound debridement and care." The definition of "physical therapy and physical therapy practice" is proposed for amendment to reflect that identification of balance disorders and the provision of wound debridement and care have been included in physical therapy practice pursuant to P.L. 2017, c. 121.

Proposed new N.J.A.C. 13:39A-2.2A sets forth standards for the performance of wound debridement. Prior to performing wound debridement, a licensed physical therapist will be required to communicate with a patient's physician or podiatric physician and document such communication in patient records.

Proposed amendments to  N.J.A.C. 13:39A-2.3 recognize that licensed physical therapist assistants may provide services under general supervision.

P.L. 2017, c. 121 prohibits the Board from requiring a licensee from displaying his or her biennial registration. The Board proposes to amend  N.J.A.C. 13:39A-3.5 to delete provisions that require licensees to display certificates and a provision that prohibited licensees from altering a posted certificate. The Board proposes to amend this rule further, to require licensees to post a notice that states that a licensee is required to show a patient his or her license upon request. The Board also proposes to amend this rule to require licensees to either maintain biennial registration in all offices and facilities at which the licensee practices or to have registration in his or her possession while providing services. A licensee will be required to provide his or her name, professional designation, and license number to patients upon request.

N.J.A.C. 13:39A-7.1 is proposed for amendment to reflect that licensed physical therapist assistants may provide services under either direct or general supervision. Proposed amendments to this section require that a licensed physical therapist has practiced for at least one year prior to providing general supervision to a licensed physical therapist assistant. A licensed physical therapist will be required to [page=2045] ensure that a licensed physical therapist assistant has practiced for at least one year prior to providing general supervision to that licensed physical therapist assistant.

Proposed amendments to  N.J.A.C. 13:39A-7.2 change the term "licensed physical therapist supervisor" to "supervising licensed physical therapist." Subsection (a) and subsection (e), which is proposed for relocation as new subsection (b) are proposed for amendment, so that they will apply when a licensed physical therapist is providing direct supervision. Proposed new subsection (c) sets forth requirements when a licensed physical therapist provides general supervision. Such a licensed physical therapist will be required to make on-site visits either every six patient visits or every 14 days, whichever occurs first. The licensed physical therapist will be required to make additional on-site visits if the licensed physical therapist assistant requests reexamination of a patient, if a change in the plan of care is needed, prior to the completion of an episode of care, or when a patient's medical status changes. A licensed physical therapist providing general supervision must be accessible by telecommunications to the licensed physical therapist assistant and must meet or communicate with the licensed physical therapist assistant as frequently as the patient's status requires. Such meeting or communication must be documented in patient records. Recodified subsection (e) requires supervising licensed physical therapists to cosign licensed physical therapist's notes contemporaneously with the provision of a service. The Board proposes to amend this requirement, so that cosigning must occur prior to the next provision of services to a patient.

The Board proposes to amend  N.J.A.C. 13:39A-7.3 to change the terms "supervisor" and "licensed physical therapist supervisor" to "supervising licensed physical therapist." Subsection (b) is proposed for amendment to recognize that a supervising licensed physical therapist has to discuss changes to a plan of care with a licensed physical therapist assistant. Subsection (c) deals with existing documentation requirements for licensed physical therapist assistants. Proposed amendments to the subsection recognize that these requirements apply when the licensed physical therapist assistant is providing services under direct supervision and that treatment notes may be written by either a licensed physical therapist or licensed physical therapist assistant. Proposed new subsection (d) recognizes that, when a licensed physical therapist assistant is providing services under direct supervision, a supervising licensed physical therapist must be on-site. Proposed new subsections (e), (f), and (g) address on-site visit requirements, accessibility of supervising licensed physical therapists, and required review of plans of care when a licensed physical therapist assistant provides physical therapy services under general supervision. These requirements are the same as imposed on supervising licensed physical therapists by proposed amendments to  N.J.A.C. 13:39A-7.2(c) and (f).

Proposed amendments to  N.J.A.C. 13:39A-9.1 and 9.2 update and clarify language. Proposed amendments to  N.J.A.C. 13:39A-9.3(f) recognize that the "Practice Review Tool" has been renamed "oPTion." The Board proposes to reduce the number of continuing education and competency credits a licensed physical therapist may obtain for completing oPTion from 10 to three credits.

The Board has provided a 60-day comment period for this notice of proposal. Therefore, this notice is excepted from the rulemaking calendar requirement pursuant to  N.J.A.C. 1:30-3.3(a)5.

Social Impact

The Board believes the proposed amendments and new rule will have a positive social impact in that they will permit licensed physical therapist assistants to provide physical therapy services under general supervision at sites where supervising licensed physical therapists are not present. This will allow patients to receive more services from licensed physical therapist assistants. The proposed amendments and new rule will also benefit society in that licensed physical therapists will be able to provide patients with wound debridement.

Economic Impact

The Board anticipates that the proposed amendments and new rule may impose costs on licensed physical therapists who provide general supervision of licensed physical therapist assistants. These costs will likely be less than those currently incurred in providing direct supervision.

Federal Standards Statement

A Federal standards analysis is not required because there are no Federal laws or standards applicable to the proposed amendments and new rule.

Jobs Impact

The Board does not believe that proposed amendments and new rule will result in the creation or loss of jobs in the State.

Agriculture Industry Impact
The proposed amendments and new rule will have no impact on the agriculture industry in the State.

Regulatory Flexibility Analysis

Since licensed physical therapists and licensed physical therapist assistants are individually licensed by the Board under the Regulatory Flexibility Act (the Act), N.J.S.A. 52:14B-16 et seq., they may be considered "small businesses" for the purposes of the Act.

The economic impact on small businesses will be the same as that imposed on all businesses as detailed in the Economic Impact statement. The Board does not believe that licensed physical therapists or licensed physical therapist assistants will need to employ any additional professional services to comply with the requirements of the proposed amendments and new rule. The proposed amendments and new rule impose no reporting requirements, but impose compliance and recordkeeping requirements upon licensed physical therapists and licensed physical therapist assistants as detailed in the Summary above.

The proposed amendments and new rule will protect the health, safety, and welfare of patients who receive wound debridement from licensed physical therapist and physical therapy services from licensed physical therapists under general supervision; therefore, no differing compliance requirements are provided to licensed physical therapists or licensed physical therapist assistants based upon the size of a business.

Housing Affordability Impact Analysis

The proposed amendments and new rule will have an insignificant impact on the affordability of housing in New Jersey and there is an extreme unlikelihood that the rules would evoke a change in the average costs associated with housing because the proposed amendments and new rule concern the provision of wound debridement by licensed physical therapists and physical therapy services by licensed physical therapist assistants under general supervision.

Smart Growth Development Impact Analysis

The proposed amendments and new rule will have an insignificant impact on smart growth and there is an extreme unlikelihood that the rules would evoke a change in housing production in Planning Areas 1 or 2, or within designated centers, under the State Development and Redevelopment Plan in New Jersey because the proposed amendments and new rule concern the provision of wound debridement by licensed physical therapists and physical therapy services by licensed physical therapist assistants under general supervision.

Racial and Ethnic Community Criminal Justice and Public Safety Impact

The Board has evaluated this rulemaking and determined that it will not have an impact on pretrial detention, sentencing, probation, or parole policies concerning adults and juveniles in the State. Accordingly, no further analysis is required.
Regulations

Full text of the proposal follows (additions indicated in boldface thus; deletions in brackets [thus]):

SUBCHAPTER 2.   PRACTICE AS A LICENSED PHYSICAL THERAPIST AND LICENSED PHYSICAL THERAPIST ASSISTANT

13:39A-2.1   Definitions
The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.

…

"General supervision" means supervision by a physical therapist in which the supervising physical therapist is available at all times by telecommunications but is not required to be on-site for direction [page=2046] and supervision. The supervising physical therapist shall assess, on an ongoing basis, the ability of the physical therapist assistant to perform the selected interventions as directed.

…

"Physical therapy and physical therapy practice" mean the identification of physical impairment, [or] movement-related functional limitation, or balance disorder that occurs as a result of injury or congenital or acquired disability or other physical dysfunction through examination, evaluation, and diagnosis of the physical impairment or movement-related functional limitation and the establishment of a prognosis, which includes the establishment of the plan of care and all interventions, for the resolution or amelioration thereof and treatment of the physical impairment or movement-related functional limitation, which shall include, but is not limited to, the alleviation of pain, physical impairment, and movement-related functional limitation by physical therapy intervention, including treatment by means of:

1.-2. (No change.)

3.Wound debridement and care pursuant to N.J.A.C. 13:39A-2.2A;

Recodify existing 3.-10. as 4.-11. (No change in text.)

"Physical therapy and physical therapy practice" also includes the screening, examination, evaluation, and application of interventions for the promotion, improvement, and maintenance of fitness, health, wellness, and prevention services in populations of all ages exclusively related to physical therapy practice.

…

"Wound debridement and care" means the removal of loosely adhered necrotic and nonviable tissue by a physical therapist to promote healing, done in conjunction with a physician or podiatric physician as required by N.J.A.C. 13:39A-2.2A.

13:39A-2.2A     Wound debridement

(a) A licensed physical therapist shall perform wound debridement only after communicating with the patient's licensed physician or licensed podiatric physician.

(b) A licensed physical therapist shall maintain documentation of the communication required by (a) above as part of his or her patient records.

13:39A-2.3   Authorized role of a licensed physical therapist assistant
(a) A licensed physical therapist assistant may initiate physical therapy treatment only at the direction of and under the direct or general supervision of a licensed physical therapist. A licensed physical therapist assistant shall not initiate physical therapy treatment upon the direction of a physician or other authorized health care provider without the direct or general supervision of a licensed physical therapist.

(b)-(d) (No change.)
SUBCHAPTER 3.   BUSINESS PRACTICES; PROFESSIONAL CONDUCT

13:39A-3.5   Display of notice of licensure; notification of availability of fee information

(a) Every licensee shall conspicuously display [his or her original, current certificate of registration and] the following notices in a public area in all offices and health care facilities at which the licensee practices physical therapy:

1.-2. (No change.)

[(b) A licensee shall not alter, deface or obscure the information on the certificate of registration in any manner including, but not limited to, the licensee's address.]

(b)In addition to the requirements of (a) above, a licensee shall conspicuously display the following notice in a public area in all offices and health care facilities at which the licensee practices physical therapy: "A physical therapist or a physical therapist assistant is required to show a patient his or her license upon request."

(c) A licensee shall either:

1. Maintain his or her original or duplicate biennial registration in all offices and health care facilities at which the licensee practices physical therapy; or

2. Have his or her original or duplicate biennial registration in his or her possession while providing physical therapy services.

(d) A licensee shall provide his or her name, professional designation, and license number to any patient upon request.

SUBCHAPTER 7.   SUPERVISION OF LICENSED PHYSICAL THERAPIST ASSISTANTS

13:39A-7.1   Supervision requirement; licensed physical therapist assistant

(a) A licensed physical therapist assistant shall work only under the direct or general supervision of a licensed physical therapist pursuant to the provisions of this subchapter.

(b)-(e) (No change.)

(f) Every effort shall be made by the licensed physical therapist and/or the licensed physical therapist assistant to obtain [direct] supervision in the care described in (e) above.

(g)A licensed physical therapist shall not provide general supervision of a licensed physical therapist assistant until the licensed physical therapist has practiced, either in New Jersey or in another state, for at least one year. A licensed physical therapist shall ensure that a licensed physical therapist assistant has worked, either in New Jersey or in another state, for at least one year prior to providing general supervision of that licensed physical therapist assistant.

13:39A-7.2   Responsibilities of designated supervising licensed physical therapist [supervisor]

(a) [The] When providing direct supervision, a supervising licensed physical therapist [supervisor] shall be in the same building or, where physical therapy is rendered in several contiguous buildings, in one of the contiguous buildings, while the licensed physical therapist assistant is rendering care. The supervising licensed physical therapist [supervisor] shall be constantly available through electronic communications for consultation or for recall to the area where the licensed physical therapist assistant is rendering care.

(b)When providing direct supervision, a supervising licensed physical therapist shall, at least once every 30 days after initial review of a new or revised plan of care with the licensed physical therapist assistant, document in the patient record that he or she has reviewed the patient's progress and plan of care with the assistant, including the dates when those reviews took place. Such documentation may be incorporated into progress notes written by the licensed physical therapist or the licensed physical therapist assistant and need not require separate or additional notes.

(c) When providing general supervision, a licensed physical therapist shall:

1. Make an on-site visit and participate in the treatment of the patient at least every six patient visits or every 14 days, whichever occurs first. During this on-site visit, the licensed physical therapist shall review the plan of care in order to determine the need for revisions to the plan or for the completion of the episode of care;

2. In addition to the on-site visits required by (c)1 above, a licensed physical therapist shall make an on-site visit:

i. If the licensed physical therapist assistant requests a reexamination of the patient;

ii. If a change in the plan of care is needed;

iii. Prior to the planned completion of an episode of care; and

iv. When the patient's medical status has changed;

3. Be accessible by telecommunications to the licensed physical therapist assistant at all times while the physical therapist assistant is treating patients; and

4. Meet or communicate with the licensed physical therapist assistant regarding patients, as frequently as the licensed physical therapist determines is necessary based on the needs of the patient and of the licensed physical therapist assistant. Such meeting or communication shall be documented in the patient's record.

[(b)] (d) (No change in text.)

[(c)] (e) The supervising licensed physical therapist shall cosign the licensed physical therapist assistant's notes [contemporaneously with the [page=2047] services rendered] prior to the next provision of physical therapy services to that patient.

[(d)] (f) The supervising licensed physical therapist shall review the plan of care with the licensed physical therapist assistant:

1.-2. (No change.)

3. On or before the patient's next visit in the event of a change in [the designated supervisor] supervising licensed physical therapist.

[(e) At least once every 30 days after initial review of a new or revised plan of care with the licensed physical therapist assistant, the supervising licensed physical therapist shall document in the patient record that he or she has reviewed the patient's progress and plan of care with the assistant, including the dates when those reviews took place. Such documentation may be incorporated into progress notes written by the licensed physical therapist and the licensed physical therapist assistant and need not require separate or additional notes.]

13:39A-7.3   Responsibilities of licensed physical therapist assistant

(a) A licensed physical therapist assistant shall not render nor continue to render care unless he or she has obtained ongoing direction from his or her designated [supervisor] supervising licensed physical therapist.

(b) A licensed physical therapist assistant shall obtain the signature of the designated supervising licensed physical therapist [supervisor] indicating that the designated supervisor reviewed the plan of care and the date when that review took place. The supervising licensed physical therapist's signature in the record shall serve as evidence that the plan of care has been reviewed by the supervising licensed physical therapist and discussed with the physical therapist assistant.

(c) [At] When providing physical therapy services under direct supervision, a licensed physical therapist assistant shall, at least once every 30 days after the initial review of a new or revised plan of care with the supervising licensed physical therapist, [the licensed physical therapist assistant shall] document in the patient record that the patient's progress and plan of care were reviewed with the supervising licensed physical therapist, including the dates when those reviews took place. Such documentation may be incorporated into progress notes or treatment notes written by the licensed physical therapist [and] or the licensed physical therapist assistant and need not require separate or additional notes.

(d)When providing physical therapy services under direct supervision, a licensed physical therapist assistant shall provide services only when the supervising licensed physical therapist is in the same building or, where physical therapy is rendered in several contiguous buildings, in one of the contiguous buildings and when the supervising licensed physical therapist is constantly available through electronic communications for consultation or for recall to the area where the licensed physical therapist assistant is rendering care.

(e) When providing physical therapy services under general supervision, a licensed physical therapist assistant shall provide services only when the supervising physical therapist makes an on-site visit:

1. At least every six patient visits or every 14 days, whichever occurs first;

2. If the licensed physical therapist assistant requests a reexamination of the patient;

3. If a change in the plan of care is needed;

4. Prior to the planned completion of an episode of care; or

5. When the patient's medical status has changed.

(f) When providing physical therapy services under general supervision, a licensed physical therapist assistant shall provide services only when the supervising physical therapist is accessible by telecommunications to the licensed physical therapist assistant at all times while the physical therapist assistant is treating patients.

(g) A licensed physical therapist assistant shall review the plan of care with the supervising licensed physical therapist:

1. Before a licensed physical therapist assistant provides care to a patient for the first time;

2. Before the licensed physical therapist assistant implements a new or revised plan of care; and

3. On or before the patient's next visit in the event of a change in supervising licensed physical therapist.

SUBCHAPTER 9.   CONTINUING EDUCATION AND COMPETENCY

13:39A-9.1   Licensure renewal: continuing education and competency requirement

(a) A licensee applying for biennial licensure renewal shall complete, during the preceding biennial period, the continuing education and competency requirement as specified in  N.J.A.C. 13:39A-9.2.

(b) Upon biennial license renewal, a licensee shall attest that he or she has completed the continuing education and competency requirement of the types and number of credits specified in  N.J.A.C. 13:39A-9.3. [Falsification] Submission of any false information [submitted] on the renewal application may require an appearance before the Board and may result in disciplinary action.

13:39A-9.2   Credit hour requirements

(a) Except as provided in (b) below, each applicant for biennial license renewal as a licensed physical therapist and as a licensed physical therapist assistant shall complete during the preceding biennial period a minimum of 30 credits of continuing education and competency, which shall include four credits of jurisprudence and professional ethics.

(b) An applicant for biennial license renewal as a licensed physical therapist or as a licensed physical therapist assistant who receives an initial license in the first year of a biennial period shall complete a minimum of 15 of the 30 required credits of continuing education and competency during that biennial renewal period. An applicant for biennial license renewal as a licensed physical therapist or as a licensed physical therapist assistant who receives an initial license in the second year of a biennial period shall be exempt from completing continuing education and competency credits during that biennial renewal period.

(c) For the purposes of this subchapter, an hour of continuing education and competency means 60 minutes of instructional time spent in learning activities, exclusive of breaks, meals, pre-tests, or vendor exhibits.

(d) Any continuing education and competency courses, programs, or seminars directed or ordered by the Board to be taken by a licensee as all or part of a disciplinary or remedial measure or to remediate a deficiency in continuing education and competency credits for a prior biennial renewal period shall not qualify to fulfill the mandatory continuing education and competency requirements required for biennial renewal.

13:39A-9.3   Acceptable course offerings; credit hour calculation
(a) The Board shall grant continuing education and competency credit, at a rate of one credit for each hour of attendance unless otherwise specified in this section, only for courses, programs, or seminars that have been successfully completed and have significant educational or practical content, which deal with matters related to the practice of physical therapy or with the professional responsibilities or ethical obligations of licensees, such as the following:

1.-9. (No change.)

(b) All courses, programs, or seminars offered by the following sources and providers are pre-approved and a licensee shall be allowed the number of credits as follows:

1.-2. (No change.)

3. Successful completion of a continuing education and competency course sponsored by the American Physical Therapy Association (APTA), or the American Physical Therapy Association of New Jersey (APTANJ): one credit for each hour of the course.

(c) The Board shall grant a maximum of 10 of the mandatory 30 continuing education and competency credits required in a biennial renewal period of licensed physical therapists and licensed physical therapist assistants from any or all of the following:

1.-2. (No change.)

3. Preparation and presentation of a Board-approved continuing professional education and competency course, program, or seminar: two credits for each hour of a new presentation up to a maximum of 10 credits. For purposes of this subsection, "new" means a course, program, [page=2048] or seminar that the licensee has not taught previously in any educational setting. One credit for each hour of a presentation shall be given for subsequent sessions involving substantially identical subject matter up to a maximum of 10 credits, provided the original material has been updated and subject to the credit limits of [ N.J.A.C. 13:39A-9.3] this section;

4.-7. (No change.)

(d) A licensed physical therapist who becomes certified or recertified in a clinical specialty by the American Board of Physical Therapy Specialties shall receive 15 continuing education and competency credits for the biennial licensure period in which it takes place.

(e) A licensed physical therapist who successfully completes a residency or fellowship approved by the American Physical Therapy Association (APTA) shall receive 15 continuing education and competency credits for the biennial licensure period in which the residency takes place.
(f) A licensed physical therapist who completes the Federation of State Boards of Physical Therapy (FSBPT) [Practice Review Tool (PRT)] oPTion shall receive [10] three continuing education and competency credits for the biennial licensure period in which the [PRT] oPTion is taken.

(g)-(h) (No change.)

(i) The Board may review and approve courses, programs, and seminars, which are not pre-approved pursuant to (b) above, when such courses, programs, and seminars are submitted for approval by a licensee for continuing professional education and competency credit. The licensee shall submit, on a form approved by the Board, the title, date, and location of the course, program, or seminar for which approval is being sought and the information required of a continuing professional education and competency provider pursuant to  N.J.A.C. 13:39A-9.6(a)1.

(j) Continuing education and competency courses, programs, and seminars shall be offered on a nondiscriminatory basis. Membership organizations may discount the cost of attending continuing education and competency courses, programs, and seminars for dues-paying members.
13:39A-9.4   Documentation of continuing education and competency credits

(a) Each licensee shall maintain a record of all continuing education and competency activity completed and shall submit evidence of completion of the credit requirements to the Board upon request. Each licensee shall obtain from the continuing education and competency course, program, or seminar provider and retain for a period of at least four years following the license renewal a record of attendance which shall include, at a minimum, the following:

1.-5. (No change.)

6. The number of continuing education and competency credits awarded; and
7. (No change.)

(b)-(e) (No change.)

(f) The Board shall monitor compliance with the mandatory continuing education and competency requirements by conducting a random audit of licensees, who, upon request, shall provide proof of successful completion of continuing education and competency credits.

(g)-(i) (No change.)
13:39A-9.5   Waiver of continuing education and competency requirements

(a) The Board may waive, extend, or otherwise modify the time period for completion of the continuing education and competency requirements on an individual basis for reasons of hardship, such as illness, disability, or active service in the military.

(b) A licensee who seeks a waiver, extension, or modification of the time period for the completion of the continuing education and competency requirements shall provide to the Board in writing, no less than two months prior to the end of the licensure period, the specific reasons for requesting the waiver, extension, or modification and such additional information as the Board may require in support of the request.

13:39A-9.6   Responsibilities of continuing education and competency providers

(a) All providers of continuing education and competency not included in  N.J.A.C. 13:39A-9.3(b) shall:

1.-6. (No change.)