Rules Updates

OTPTAT Board Administrative Rules

Ohio law, also known as the Ohio Revised Code, is amplified by administrative rules created by state agencies. The rules for the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board may be found here:

OTPTAT Guide to Rulemaking

OTPTAT rules

OPP rules

Any person may comment on on OTPTAT Board rules at any time by simply sending an email to Please include your name, email, and the rule number on which you are commenting.

Register of Ohio

The Register of Ohio is the official repository of rules filed with JCARR. This website contains the official text of the proposed changes, as well as the "Rule Summary and Fiscal Analysis" for each rule filed by the Board.

Business Impact Analysis - Common Sense Initiative 

A state rule-making agency may propose to adopt a new rule, amend, or rescind an existing rule, or propose to continue a rule without any changes. Executive Order 2011-01K and sections 107.62 and 121.82 of the Ohio Revised Code require state agencies to draft rules in collaboration with stakeholders, assess and justify any adverse impact on the  business community, and provide an opportunity for the affected public to provide input on the proposed rules. The Business Impact Analysis for proposed rules discusses the purpose of the rule and identifies the nature of the adverse impact on licensees. The Common Sense Initiative review must be complete before the rules can begin the formal rule-making process through the Joint Committee on Agency Rule Review (JCARR).

Rules Under Review

The Athletic Trainers Section of the OTPTAT Board seeks your comments and feedback on the following proposed rules which are being submitted for early stakeholder review. These rules are being proposed for change as a result of the passage of House Bill 176 (Carfagna, Hall), which amends the Athletic Training practice act for Ohio effective January 25, 2022. In short, the amended language will allow an athletic trainer to enter into a collaboration agreement with a physician. Under this collaboration agreement, the athletic trainer may practice under an expanded scope, if they have the training and knowledge to do so and if addressed in the collaboration agreement. Provisions of the law pertaining to ATs practicing without a collaboration agreement remain unchanged. You can read more information about the changes at this link. Additional guidance will be forthcoming from the OTPTAT Board’s AT Section.

Please review the language of the rules below by clicking on the link to open a pdf version of the rules. Submit your comments to Include contact information with your name, phone number, email address, and license type (if applicable). The Board will accept comments through December 10, 2021.

Rule Number


Summary of Changes


Code of Ethical Conduct

Changes include:

  1. Reference to the updated “Professional Practice and Discipline Guidelines and Procedures,” effective January 1, 2020 from the Board of Certification, Inc.
  2. Correcting a cross reference that has changed as a result of House Bill 176.
  3. Updating the rules around sexual misconduct to match changes to the statute as a result of House Bill 119, which passed last year.
  4. Corrects a typographical error (missing word).


Scope of Practice

This new rule defines the scope of practice for those practicing with a collaboration agreement with a physician versus those who are not.


Referring Practitioner

House Bill 176 makes changes to the list of referring practitioners to explicitly refer to other athletic trainers, physician assistants, and certified nurse practitioners. This rule has been updated with those changes.


Approval of an event

Corrects a cross reference that has changed as a result of House Bill 176.



Athletic Training Students

Changes include:

  1. Clarifying changes to the definition of a student.
  2. A provision requiring an athletic trainer who is supervising a student athletic trainer to be able to demonstrate knowledge and competency in any procedure or services delegated to the student.


The OTPTAT Board seeks your comments and feedback on the following proposed rule which is being submitted for review by the Common Sense Initiative. Please submit your comments to and Include contact information with your name, phone number, email address, and license type (if applicable). The Board will accept comments through November 12, 2021.

Rule Number


Summary of Changes


Business Impact Analysis

Ethical and professional conduct

Updates the orthotics, prosthetics, and pedorthics ethics rule to add additional items that line up with the rest of the OTPTAT professions and the language in House Bill 110 that updates the sexual conduct disciplinary provisions. Updates include:

1. Prohibition on billing for services not provided.

2. Prohibition on falsifying and destroying records and requiring accurate records.

3. Prohibition on patient abandonment.

4. Updating the sexual conduct and harrassment provisions.

5. Requiring cooperation with the OTPTAT Board.




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