LSBME Discusses New OT Supervision Guidelines and Clarifies Rules Changes

The Louisiana State Board of Medical Examiners' Occupational Therapy Advisory Committee convened on July 25, 2025, to address significant updates regarding occupational therapy regulations and practitioner inquiries. A key focus of the meeting was the clarification of educational requirements and supervision guidelines for occupational therapy assistants (OTAs) and occupational therapists (OTs).

The committee discussed the recent changes to the rules governing OT practices, particularly the new privileges for OTs to perform dry needling. Members emphasized the importance of understanding these changes and how they impact the supervision of OTAs. The committee noted that while OTs can now supervise OTAs more flexibly, there remains a requirement for OTs to provide adequate oversight, particularly for new graduates.

In response to practitioner questions about the rules, the committee acknowledged a rise in inquiries regarding licensure requirements and ethics courses. It was confirmed that all renewing practitioners must now complete 14 hours of continuing education, including an ethics course, as part of their licensure renewal process. The committee also addressed technical delays in the integration of these new rules into the CE broker system, assuring practitioners that compliance checks are now operational.

Additionally, the committee recognized the need for clearer communication regarding the supervision of OTAs, especially given the significant changes from previous regulations. Members discussed the possibility of issuing an advisory opinion to help practitioners better understand the new guidelines and alleviate confusion.

The meeting concluded with a commitment to track ongoing questions from practitioners to identify trends and areas needing further clarification. The committee plans to draft a narrative summary of the new rules to be shared with OTs and OTAs, ensuring that all stakeholders are informed and equipped to navigate the updated regulatory landscape effectively.