Thursday, April 04, 2013 California PTs Rally Against Senate Bill 381 California physical therapists (PTs) are preparing for a key hearing and possible vote on legislation aimed at prohibiting them from performing joint manipulation. California Senate Bill 381 (SB 381), authored by state Sen Leland Yee and sponsored by the California Chiropractic Association, is scheduled to be heard on Monday, April 15, at 1:00 pm, in the California Senate Business, Professions, and Economic Development Committee in Sacramento. The legislation would prohibit anyone other than a chiropractor, physician, or osteopath from performing joint manipulation in the state and make the term "joint manipulation" synonymous with "joint adjustment." Under SB 381, any health care practitioner other than a chiropractor, physician, or osteopath who performs a joint manipulation in California would be considered to be engaged in the unlawful practice of chiropractic and result in the possible revocation or suspension of the health care practitioner's license. The legislation has been introduced under the guise of "public protection," despite that fact that there is no data or evidence suggesting that there is a greater threat to patient safety from physical therapists performing joint manipulation techniques. The performance of joint manipulation by physical therapists is different from a joint adjustment performed by chiropractors. The legislation is part of an ongoing turf battle against qualified physical therapists who perform joint manipulation. APTA and its California Chapter strongly oppose SB 381, as treatment interventions do not fall under the exclusive domain of any one specific profession. Physical therapists, chiropractors, medical doctors, and osteopathic physicians are all educated and trained to employ joint manipulation within the scope of their respective licenses and in a manner that protects the public's health, safety, and welfare. Unnecessarily restricting any qualified licensed health care providers whose education and scope of practice includes joint manipulation from being able to provide joint manipulation is anti-competitive, and would diminish patient choice and increase health care costs. California Chapter members are encouraged to contact their state legislator and the members of the Senate Business, Professions, and Economic Development Committee to oppose SB 381 and, if possible, attend the April 15 hearing at the state capitol in Sacramento. Meanwhile, the chapter has a number of other contentious legislative battles looming this year: legislation to provide for full patient access (Assembly Bill 1000) was recently introduced in the California Assembly, while legislation to repeal its current anti-POPTS law (Assembly Bill 1003) also has been introduced.