CHAPTER Plc 1400  RECREATIONAL THERAPISTS

 

Statutory Authority:  RSA 326-J:1-a, II; RSA 310:6, II

 

REVISION NOTE:

 

        The Governing Board of Recreational Therapists was established under RSA 328-F:3, I pursuant to 2006, 220:4 and under RSA 326-J pursuant to 2006, 220:1, to be effective 7-1-07.

 

        Pursuant to 2022, 72:4 and 72:5, effective 7-19-22, the Governing Board of Recreational Therapists was renamed and re-established as the Advisory Board of Recreational Therapists under RSA 326-J:1, I and RSA 326-J:1-a.  The former rulemaking authority of the Governing Board of Recreational Therapists was transferred to the Executive Director of the Office of Professional Licensure and Certification under RSA 326-J:1-a, II and RSA 326-J:3, I. 

 

          The Executive Director of the OPLC adopted Chapter Plc 1400 governing recreational therapists as an interim rule in Document #13512, effective 12-30-22.  The Executive Director subsequently adopted and filed Document #13566, effective 2-23-23, repealing Chapter Rec 100 through Chapter Rec 500 of the former Governing Board of Recreational Therapists.  The repeal of Chapter Rec 100 through Chapter Rec 500 meant that Document #13512 replaced all prior filings affecting rules of the former Governing Board of Respiratory Care Practitioners.

 

          The filings prior to Document #13566 which affected the former Chapter Rec 100 through Chapter Resp 500 included the following documents, where italics indicate the rules were subject to expiration only pursuant to RSA 541-A:17, II:

 

                  Rec 100

                  #9001, effective 10-3-07

 

                  Rec 200

                  #9002, effective 10-3-07

                  #9003, effective 10-3-07

                  #10222, effective 11-6-12

 

                  Rec 300

                  #9038, effective 11-28-07

                  #9446, effective 4-7-09

                  #9970, effective 8-9-11

                  #10545, effective 3-19-14

                  #10899, effective 7-23-15

 

                  Rec 400

                  #9447, effective 4-7-09

                  #9448, effective 4-7-09

                  #9467, effective 5-5-09

                  #9546, effective 9-19-09

                  #9547, effective 9-19-09

                  #9971, effective 8-9-11

                  #10223, effective 11-6-12

                  #10546, effective 3-19-14

                  #12072, effective 12-13-16

 

                  Rec 500

                  #9972, effective 8-9-11

                  #12073, effective 12-23-16

 

        Document #13512 expired as an interim rule on 6-28-23.  The Executive Director subsequently adopted Chapter Plc 1400 as a regular rule in Document #13705, effective 8-1-23.

 

PART Plc 1401  PURPOSE AND APPLICABILITY; SENDING NOTICES AND LICENSES; INCORPORATED DEFINITIONS

 

          Plc 1401.01  Purpose.  The purpose of this chapter is to implement RSA 326-J relative to regulating the profession of recreational therapy, by establishing requirements for:

 

(a)  Obtaining and renewing a license to practice recreational therapy;

 

(b)  Obtaining the reinstatement of a license to practice recreational therapy that has expired or was revoked, or the restoration of a license that was suspended;

 

(c)  Regulating the practices of licensed recreational therapists; and

 

(d)  Establishing the qualifications to be met by educational institutions so that students can engage in recreational therapy activities that are performed by licensed recreational therapists pursuant to RSA 326-J:3, I.

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1401.02  Applicability.  This chapter shall apply to:

 

(a)  Any individual who intends to practice or who does actually practice recreational therapy in New Hampshire; and

 

(b)  Any educational entity that wishes to allow students to practice recreational therapy prior to obtaining a license pursuant to RSA 326-J:3, I, as provided in Plc 1405.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1401.03  Notifications; Issuance of Licenses.  The office of professional licensure and certification (OPLC) shall send all notifications to applicants and licensees, and all licenses issued pursuant to this chapter, in accordance with Plc 301.03.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1401.04  Incorporated Definitions.  All terms used in these rules relative to procedures, applications, inspections, and fees that are defined in Plc 100, Plc 200, Plc 300, Plc 400, or Plc 1000 shall have the meaning specified in those chapters.

 

Source.  #14442, eff 1-26-26, EXPIRES 1-26-36

 

PART Plc 1402  CHAPTER-SPECIFIC DEFINITIONS

 

          Plc 1402.01  “Advisory board” means the recreational therapy advisory board established pursuant to RSA 326-J:1-a, I.

 

          Plc 1402.02  “Certified therapeutic recreation specialist (CTRS)” means an individual who, having met the established standards of education, experience, and continued professional development, has been issued the professional certificate of the National Council for Therapeutic Recreation Certification.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1402.03  “Direct supervision” means supervision by a supervisor who is present and observing the activity of the individual being supervised.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1402.07), eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1402.04  “IACET-approved provider” means an organization of any kind that has been approved by the International Accreditors for Continuing Education and Training (IACET) to provide continuing education for recreational therapists.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1402.09), eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1402.05  “National Council for Therapeutic Recreation Certification (NCTRC)” means the national credentialing organization for the profession of therapeutic recreation.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1402.16), eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1402.06  “NCTRC knowledge domain” means any of the NCTRC professional knowledge domains listed in the NCTRC’s “Job Analysis Report / Report on the International Job Analysis of Certified Therapeutic Recreation Specialists”, available via the NCTRC’s website at https://nctrc.org/wp-content/uploads/2021JobAnalysisReport.pdf, which follows a title page labeled “2021 CTRS® Job Analysis Study”.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1402.17), eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1402.07  “Recreational therapy” means “recreational therapy” as defined in RSA 326-J:1, III, reprinted in Appendix C.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1402.20), eff 1-26-26, EXPIRES 1-26-36

 

PART Plc 1403  ADVISORY BOARD

 

          Plc 1403.01  Advisory Board Members Appointment and Qualifications.

 

(a)  As required by RSA 326-J:1-a, I, the executive director shall establish an advisory board of recreational therapists consisting of 3 members, who shall be licensed recreational therapists.

 

(b)  As provided in RSA 326-J:1-a, I:

 

(1)  Each member shall be appointed to a term of 3 years; and

 

(2)  No member shall serve more than 2 consecutive full terms.

 

(c)  Each of the recreational therapists appointed to the advisory board shall:

 

(1)  Have been certified by the NCTRC for at least 3 years preceding the appointment;

 

(2)  Be currently licensed in New Hampshire when appointed and for the duration of the term; and

 

(3)  Have been actively engaged in the practice of recreational therapy in New Hampshire for at least one year immediately preceding appointment to the advisory board.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1403.02  Advisory Board Officers.  Annually, at the first meeting of the calendar year, the duly-appointed advisory board members shall elect, from among the advisory board members, a chair and a vice chair.

 

Source.  #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1403.03  Advisory Board Address and Contact Information.

 

(a)  The advisory board’s offices shall be at the OPLC offices, located as provided in Plc 103.03.

 

(b)  All correspondence with the advisory board shall be addressed as specified in Plc 103.03(d).

 

(c)  The telephone number of the advisory board shall be the number specified in Plc 103.03(e).

 

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          Plc 1403.04  Meetings and Records of Advisory Board.

 

(a)  The advisory board shall meet at the call of the advisory board chair or the executive director.

 

(b)  Meetings of the advisory board shall be held at the OPLC’s offices in Concord, NH, or in such location as the executive director determines will be most convenient for the largest number of anticipated attendees.

 

(c)  Notice of meetings shall be provided as required by RSA 91-A and RSA 310:5, VII.

 

(d)  Records of the advisory board shall be maintained by the executive director as required by RSA 91-A.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1403.02), eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1403.05  Responsibilities of Advisory Board.

 

(a)  As provided in RSA 326-J:1-a, I, the advisory board shall advise the executive director regarding the implementation of RSA 326-J, including in particular by reviewing and commenting on proposed rules and proposed revisions to rules intended to implement RSA 326-J.

 

(b)  If requested by the executive director based on a determination that the expertise of the advisory board members is needed, one or more members of the advisory board shall sit as part of a panel for an adjudicative hearing conducted pursuant to applicable provisions in Plc 200 and RSA 541-A.

 

(c)  If requested by the executive director based on a determination that the expertise of the advisory board members is needed, one or more members of the advisory board shall assist with an investigation commenced pursuant to Plc 204 relative to complaints and investigations.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1403.03), eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1403.06  Records of Predecessor Board.  The records of the recreational therapy governing board that existed prior to July 19, 2022, the effective date of Laws of 2022 ch. 72, shall be:

 

(a)  Retained by the executive director in accordance with the retention schedule established pursuant RSA 310:4, II(e) and available in the frequently asked questions (FAQ) section of the OPLC website at https://www.oplc.nh.gov; and

 

(b)  Available for public review as provided in Plc 100.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1403.04), eff 1-26-26, EXPIRES 1-26-36

 

PART Plc 1404  INITIAL LICENSURE

 

          Plc 1404.01  Statutory Qualifications for Licensure.

 

(a)  As required by RSA 326-J:5, I, to qualify for licensure under RSA 326-J and Plc 1400, an applicant shall:

 

(1)  Be at least 18 years of age;

 

(2)  Be of good moral character;

 

(3)  Subject to (b), below, successfully complete an academic program with a baccalaureate degree or higher from an accredited college or university with a major in therapeutic recreation or a major in recreation or leisure with an option in therapeutic recreation;

 

(4)  Successfully complete a period of field experience as defined by the NCTRC under the supervision of a CTRS approved by the educational institution where the applicant is meeting or has met applicable academic requirements; and

 

(5)  Successfully complete the proctored examination administered by the NCTRC.

 

(b)  Pursuant to RSA 326-J:5, III, the executive director shall grant initial licenses to recreational therapists who were certified by the NCTRC prior to July 1, 2007 and who hold an active CTRS credential, provided the individual:

 

(1)  Has maintained the credential for at least 3 years in the 5 years immediately preceding submitting an application; and

 

(2)  Has met the continuing competence requirements for license renewal in the 2 years prior to application.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1404.02  Application for Initial Recreational Therapist License.  Any individual who meets the statutory qualifications as reiterated in Plc 1404.01 and wishes to engage in the practice of recreational therapy who is not already licensed in New Hampshire shall apply by complying with Plc 304.01, subject to the following:

 

(a)  On or with the “Recreational Therapy Supplement To Universal Application For Initial License” dated 11/2025, the applicant shall provide the information required by Plc 1404.03 and the documentation required by Plc 1404.04, and attest to the statements in Plc 304.05(b);

 

(b)  A criminal background check shall not be required; and

 

(c)  The fee shall be the application processing and licensing fee specified in Plc 1002.46, provided that an applicant who is active military or a military spouse shall not pay the fee.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1404.03  Additional Information Required for Initial License Application.  In addition to the information required by Plc 304.03, the applicant for an initial license to practice recreational therapy shall provide information about the applicant’s field experience, as follows:

 

(a)  The name of each employer at which the applicant worked or volunteered;

 

(b)  The name and credentials of each CTRS who supervised the applicant’s field experience; and

 

(c)  Confirmation that the applicant met the NCTRC requirements for field experience that were in effect at the time the applicant completed the field experience.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1404.04  Additional Documentation Required for Initial License Application.  In addition to the information and documentation required by Plc 304.04, the applicant shall submit proof of completion of the proctored examination administered by the NCTRC, which may be provided by submitting a copy of the applicant’s NCTRC certification.

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

             Plc 1404.05  Processing of Applications for Initial Licensure; Decisions.

 

(a)  Within 30 days of receipt of an application for initial licensure submitted pursuant to Plc 1404.02, the licensing bureau shall process the application as provided in Plc 304.06.

 

(b)  The application shall be subject to the abandonment provisions of Plc 304.06(h) and the withdrawal provisions of Plc 304.07.

 

(c)  After determining that an application is complete, the licensing bureau shall review the application in accordance with Plc 304.08.

 

(d)  The licensing bureau shall make a decision and notify the applicant in accordance with Plc 304.09, subject to (e), below.

 

(e)  The licensing bureau shall approve an application for initial licensure and issue a license to practice recreational therapy if the applicant:

 

(1)  Has submitted an application that meets the requirements of Plc 1404.02;

 

(2)  Has demonstrated good moral character in the answers to the background and character questions in Plc 304.03(e) and any explanations provided pursuant to Plc 304.04; and

 

(3)  Meets all statutory requirements, as restated in Plc 1404.01.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1404.06  Initial Licenses: Issuance and Duration.

 

(a)  The OPLC shall issue initial licenses to practice recreational therapy in accordance with Plc 304.11.

 

(b)  Initial licenses shall be valid as provided in Plc 304.12.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1404.08), eff 1-26-26, EXPIRES 1-26-36

 

        Plc 1404.07  Challenging a Denial of Initial Licensure; Challenging License Conditions.  An applicant who wishes to challenge the denial of an application for initial licensure or who wishes to challenge conditions included in the license shall do so as provided in Plc 304.10.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1404.09), eff 1-26-26, EXPIRES 1-26-36

 

PART Plc 1405  RECREATIONAL THERAPY STUDENTS

 

          Plc 1405.01  Purpose and Applicability.

 

(a)  The purpose of this part is to implement RSA 326-J:3, I, which authorizes the adoption of rules relative to allowing students enrolled in approved schools or courses for recreational therapy to perform recreational therapy incidental to their courses of study or supervised work.

 

(b)  This part shall apply to:

 

(1)  Any educational institution that offers courses or programs that include internships to educate and train individuals who wish to become licensed recreational therapists; and

 

(2)  Any individual enrolled in a course or program to be educated and trained in recreational therapy.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1405.02  Student Internships Allowed.

 

(a)  An individual may engage in activities normally undertaken by a licensed recreational therapist as an internship, without obtaining a license under RSA 326-J or Plc 1400, if the individual is enrolled in a course or program to be educated and trained in recreational therapy that is offered by an educational institution that meets the requirements of Plc 1405.03.

 

(b)  Nothing in these rules shall be construed as prohibiting payment to a student intern for work done during an internship.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1405.03  Requirements for Educational Institutions.  To qualify as an educational institution that is authorized to allow students to engage in activities normally undertaken by a licensed recreational therapist as an internship, the institution shall:

 

(a)  Be accredited to offer educational programs by the applicable accreditation authority in the jurisdiction in which the programs are offered or by a federal accrediting agency, or both; and

 

(b)  Offer courses or programs for recreational therapy that include internships and are accredited by the NCTRC.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

PART Plc 1406  LICENSEE OBLIGATIONS; CONTINUING COMPETENCE

 

          Plc 1406.01  Licensee Obligations to Notify.  Each licensee shall comply with Plc 307.02 relative to required notifications, updates of contact information, and providing information on how complaints can be filed.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.02  Licensee Responsibilities for Renewal.  Each licensee shall:

 

(a)  Know when the licensee’s license is due to expire; and

 

(b)  File an application for renewal prior to the expiration of the current license in accordance with Plc 1407 if the licensee wishes to continue to practice in New Hampshire.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.03  Maintenance of NCTRC Certification Required.

 

(a)  Each licensee shall comply with the requirements for maintaining certification established by the NCTRC.

 

(b)  Each licensee shall maintain continuous NCTRC certification during a licensure period.

 

(c)  If a licensee’s NCTRC certification is revoked or suspended by the NCTRC, or if the certification expires, the licensee shall:

 

(1)  Notify the licensing bureau within 10 working days; and

 

(2)  Not engage in recreational therapy for compensation in New Hampshire unless and until reobtaining NCTRC certification and a license under RSA 326-J and Plc 1400.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.04  Continuing Competence Required.

 

(a)  As required by RSA 326-J:6, I(b), to be eligible for license renewal a licensee shall complete a minimum of 30 hours of continuing education in formal courses and other activities that meet applicable requirements.

 

(b)  As provided in RSA 326-J:6, II, any continuing education program that meets the recertification standards of the NCTRC shall be deemed approved by the executive director.

 

(c)  Continuing education courses taken to satisfy NCTRC requirements for recertification shall count towards the required 30 hours at the same number of hours assigned by the NCTRC.

 

(d)  All of the required hours shall be in topics related to the profession of recreational therapy, and at least 20 hours of the required hours shall be taken in professional courses or professional activities having as their subject one or more of the NCTRC job analysis knowledge domains.

 

(e)  Continuing competence shall be maintained through the following continuing professional education and professional activities:

 

(1)  Successful completion of academic course work, as further described in Plc 1406.06;

 

(2)  Successful completion of live programming given by IACET-approved providers, as further described in Plc 1406.07;

 

(3)  Participation in facility-based in-service training including grand rounds, as further described in Plc 1406.08;

 

(4)  Publication of an article in a professional journal, as further described in Plc 1406.09;

 

(5)  Self-directed education, as further described in Plc 1406.10;

 

(6)  Participation as a member in the work of professional boards and committees, as further described in Plc 1406.11;

 

(7)  Direct supervision of recreation therapy interns, as further described in Plc 1406.12;

 

(8)  Attainment of special certifications, as further described in Plc 1406.13; and

 

(9)  Professional presentations, as further described in Plc 1406.14.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.05  Documentation Requirements; Audits.  Licensees shall comply with the continuing education recordkeeping requirements in, and shall be subject to the audit provisions of, Plc 308.04.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.06  Academic Coursework in Recreation Therapy.

 

(a)  A licensee may claim credit towards the continuing competence requirement for successful completion of academic course work in recreation therapy if the course work is:

 

(1)  Presented as live programming;

 

(2)  Sponsored and assigned credit by a college or university that is accredited by the Council for Higher Education Accreditation or any other accrediting body recognized by the  U.S. Secretary of Education as a reliable authority concerning the quality of education or training offered by the institutions of higher education or higher education programs they accredit, as listed on https://www2.ed.gov/admins/finaid/accred/index.html; and

 

(3)  Related to one or more of the NCTRC knowledge domains.

 

(b)  The licensee may claim 5 hours for each credit hour of academic course work described in (a), above, to a maximum of 15 hours per renewal cycle.

 

(c)  Documentation of a licensee’s successful completion of academic course work in recreation therapy shall be:

 

(1)  An official transcript showing successful completion of the course, the date of the course, and the credits assigned by the college or university; and

 

(2)  One of the following descriptions of the course:

 

a.  The description of the course copied from the college or university catalogue; or

 

b.  The course syllabus or outline that includes a description of the course and the course competencies.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.07  Non-Academic Education Programs in Recreation Therapy Given by IACET-Approved Providers.

 

(a)  A licensee may claim credit towards the continuing competence requirement for successful completion of live programming given by a provider approved by IACET, provided that the program is related to one or more of the NCTRC knowledge domains.

 

(b)  The licensee may claim the same number of hours attributed to the program by its provider.

 

(c)  Documentation of a licensee’s successful completion of a non-academic education program in recreation therapy given by a IACET-approved provider shall be:

 

(1)  A certificate showing:

 

a.  The title of the program or, if the title does not characterize the program, a description of the program’s content;

 

b.  Evidence of IACET approval of the provider, which may comprise information, including advertising or registration materials, that state the provider is IACET-approved;

 

c.  The hours of continuing education credited by the provider;

 

d.  The name of the licensee;

 

e.  The name of each instructor; and

 

f.  The date(s) of the licensee’s program attendance; or

 

(2)  A written statement that:

 

a.  Provides the information required by (1), above; and

 

b.  Is signed and dated by the instructor of the program.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.08  Participation in Facility-Based Recreation Therapy In-Service Training, Including Grand Rounds.

 

(a)  A licensee may claim credit towards the continuing competence requirement for participation as a speaker or attendee at a facility-based recreational therapy in-service training, including grand rounds, if the in-service training:

 

(1)  Includes a scheduled speaker; and

 

(2)  Is on a specific topic related to one or more of the NCTRC knowledge domains.

 

(b)  The licensee may claim one hour for each clock hour of such participation, to a maximum of 10 hours per renewal cycle.

 

(c)  Documentation of a licensee’s participation in facility-based recreation therapy in-service training, including grand rounds, shall be a written statement on the letterhead of the facility that shows:

 

(1)  The name of the licensee;

 

(2)  The title of the in-service training or grand round;

 

(3)  The date and the total number of hours of the in-service training or grand round; and

 

(4)  The printed name and signature of the licensee’s supervisor at the facility or of the instructor of the in-service training or grand round.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.09  Publication of an Article in a Professional Journal.

 

(a)  A licensee may claim credit towards the continuing competence requirement for publication of an article in a professional journal.

 

(b)  The licensee may claim no more than 10 contact hours per renewal cycle in accordance with the following:

 

(1)  For a peer-reviewed article:

 

a.  If the licensee was the sole or primary author, 6 contact hours; and

 

b.  If the licensee was a co-author or secondary author, 3 contact hours; and

 

(2)  For a non-peer reviewed article:

 

a.  If the licensee was the sole or primary author, 4 contact hours; and

 

b.  If the licensee was a co-author or secondary author, 2 contact hours.

 

(c)  Documentation of a licensee’s publication of an article in a professional journal shall be:

 

(1)  A copy of:

 

a.  The publication or its title page showing the licensee’s authorship;

 

b.  The table of contents of the journal; and

 

c.  The publication date of the journal; or

 

(2)  If publication of the article is still in progress, the journal publisher’s letter of acceptance of the article with a copy of the article.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.10  Self-Directed Education.

 

(a) A licensee may claim credit towards the continuing competence requirement for successful completion of courses that meet the definition of “self-directed education” in Plc 1402, provided that the courses are related to one or more of the NCTRC knowledge domains.

 

(b)  The licensee may claim the same number of hours attributed by the sponsor or provider of the course.

 

(c)  Documentation of a licensee’s successful completion of courses taken through self-directed education shall be a certificate of completion that shows:

 

(1)  The name of the licensee;

 

(2)  The course title and description;

 

(3)  The name and address of the sponsor or provider of the course;

 

(4)  The name and professional credentials of the course instructor;

 

(5)  The number of hours attributed by the sponsor or provider to completion of the course; and

 

(6)  The date the licensee completed the course.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.11  Participation in the Work of Professional Boards and Committees.

 

(a)  A licensee may claim credit towards the continuing competence requirement for participating as a member in the work of a board or committee of a professional recreation therapy organization or government agency.

 

(b)  The licensee may claim 5 hours for each board or committee served, to a maximum of 10 hours per renewal cycle.

 

(c)  Documentation of a licensee’s participation as a member in the work of a board or committee of a professional recreation therapy organization or government agency shall be a dated letter on the organization’s letterhead confirming the licensee’s membership and the approximate total hours of the licensee’s service, signed by:

 

(1)  The president, head, or chair of the board or committee; or

 

(2)  If the licensee is the president, head, or chair, 2 or more members of the board or committee.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.12  Direct Supervision of Recreation Therapy Interns.

 

(a) A licensee may claim credit towards the continuing competence requirement for the direct supervision of one or more recreation therapy interns when the licensee acts as the primary internship supervisor.

 

(b)  The licensee may claim 5 hours per student for such internship supervision, to a maximum of 10 hours per renewal cycle.

 

(c)  Documentation of a licensee’s direct supervision of one or more recreation therapy interns shall be a letter on professional letterhead that:

 

(1)  Is dated and signed by the internship supervisor of the educational institution the student attends;

 

(2)  Identifies the licensee and each intern supervised by the licensee; and

 

(3)  Identifies, by beginning and ending dates, the period(s) during which the licensee performed the direct supervision of each intern.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.13  Special Certifications.

 

(a)  A licensee may claim credit towards the continuing competence requirement for receipt during the renewal cycle of a special certification, including:

 

(1)  Certification or re-certification in adult, infant, and child cardio-pulmonary resuscitation issued by the American Heart Association, the American Red Cross, the American Safety and Health Institute, Medic First Aid, or any other nationally-recognized organization providing training in infant, child, and adult cardiopulmonary resuscitation; and

 

(2)  Any other special certification related to recreation therapy issued by a professional organization, accredited college or university, or professional certifying body.

 

(b)  The licensee may claim 5 hours per certification to a maximum of 10 hours per renewal cycle.

 

(c)  Documentation of a licensee’s certification or re-certification in adult, infant, and child cardio-pulmonary resuscitation shall be a photocopy of:

 

(1)  The front and back of a current cardiopulmonary resuscitation certificate, known as basic life skills for healthcare providers, issued by the American Heart Association;

 

(2)  The front and back of a current certificate in adult cardiopulmonary resuscitation issued by the American Red Cross together with a current certificate in infant and child cardiopulmonary resuscitation issued by the American Red Cross; or

 

(3) The front and back of a current certificate in adult, child, and infant cardiopulmonary resuscitation issued by Medic First Aid, by the American Safety and Health Institute, or by any other nationally recognized organization providing training in infant, child, and adult cardiopulmonary resuscitation.

 

(d)  Documentation of any other special certification shall be a copy of the front and back of the certificate showing:

 

(1)  The licensee’s name;

 

(2)  The date of issuance;

 

(3)  The name of the certifying body; and

 

(4)  The printed name and signature of:

 

a.  The instructor of the course leading to the certification; or

 

b.  A representative of the certifying body.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1406.14  Professional Presentations.

 

(a)  A licensee may claim credit towards the continuing competence requirement for a professional presentation at a professional symposium, conference, or workshop, provided that:

 

(1)  The licensee is the primary presenter; and

 

(2)  The content of the presentation relates directly to one or more of the NCTRC knowledge domains.

 

(b)  The licensee may claim one hour for each clock hour of the presentation to a maximum of 10 hours per renewal cycle.

 

(c)  The licensee shall not claim credit for multiple or repeat presentations of the same material, provided that the licensee may claim credit for a presentation of the same topic in a subsequent renewal cycle if the licensee has substantially revised the presentation materials.

 

(d)  Documentation of a licensee’s professional presentation at a professional symposium, conference, or workshop shall be:

 

(1)  The printed program of the symposium, conference, or workshop showing:

 

a.  A description of the subject(s) of the presentation;

 

b.  The date of the presentation;

 

c.  The number of hours of the presentation; and

 

d.  If the licensee previously claimed credit for a presentation on the same topic, a written explanation of the revisions made by the licensee to the materials presented; and

 

(2)  A copy of:

 

a.  An evaluation of the presentation;

 

b.  A summary of the evaluations of the presentation;

 

c.  A letter of thanks specifically identifying the presentation and addressed to the licensee; or

 

d.  Any other document confirming that the presentation was completed.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

PART Plc 1407  LICENSE RENEWAL

 

          Plc 1407.01  Eligibility for License Renewal.  To be eligible for renewal of a license to practice recreational therapy, an individual shall:

 

(a)  As required by RSA 326-J:6, I:

 

(1)  Have not violated RSA 326-J or rules adopted to implement RSA 326-J or demonstrated poor moral character; and

 

(2)  Meet the continuing competency requirements specified in Plc 1406;

 

(b)  As required by Plc 1406.03, maintain NCTRC certification; and

 

(c)  Meet the eligibility for renewal criteria specified in Plc 308.02.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1407.02  Notification of Pending License Expiration.  The licensing bureau shall notify licensees of the pending expiration of their licenses in accordance with Plc 308.03.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1407.03  Application for License Renewal.  A practitioner who wishes to renew a license shall apply by complying with Plc 308.05, subject to the following:

 

(a)  On or with the “Recreational Therapy Supplement To Universal Application For License Renewal” dated 11/2025, the applicant shall provide:

 

(1)  The documentation required by Plc 1407.04; and

 

(2)  The information and attestation relative to meeting continuing competence requirements required by Plc 1407.05; and

 

(b)  The fee shall be the application processing and licensing fee specified in Plc 1002.46, provided that an applicant who is active military or a military spouse shall not pay the fee.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1407.04  Additional Documentation Required for Renewal Application.  In addition to the information and documentation required by Plc 308.07, the applicant shall submit documentation of current NCTRC certification with the renewal application.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1407.05  Information and Attestation Relative to Continuing Competence.

 

(a)  An applicant for renewal of a recreational therapist license shall provide the following information relative to continuing competence:

 

(1)  The total number of hours achieved by the applicant in continuing professional education courses or professional activities since the beginning of the current license term; and

 

(2)  The following information for each continuing professional education course and professional activity for which credit is claimed:

 

a.  The name of the course or activity;

 

b.  The beginning and ending date(s) of the course or activity;

 

c.  The name of the sponsor or provider of the course or activity;

 

d.  The number of clinical hours attributable to the course or activity;

 

e.  The number of non-clinical hours attributable to the course or activity; and

 

f.  The total number of hours attributable to the course or activity.

 

(b)  Submission of the information shall constitute the applicant’s attestation that the applicant has met all continuing competence requirements.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

             Plc 1407.06  Processing of Renewal Applications; Decisions.

 

(a)  Within 30 days of receipt of an application for license renewal submitted pursuant to Plc 1408.03, the licensing bureau shall process the application as provided in Plc 308.09.

 

(b)  The application shall be subject to the abandonment and withdrawal provisions of Plc 308.10.

 

(c)  The licensing bureau shall review complete applications and notify the applicant of its decision as provided in Plc 308.11 and RSA 541-A:29, II.

 

(d)  The licensing bureau shall issue a renewal license if the applicant:

 

(1)  Has submitted a renewal application in accordance with Plc 1407.03; and

 

(2)  Meets the requirements for renewal stated in Plc 1407.01.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1407.08), eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1407.07  Renewal Licenses: Issuance and Duration.

 

(a)  The OPLC shall issue renewals of recreational therapist licenses in accordance with Plc 308.13(a).

 

(b)  Renewal licenses shall be valid as provided in Plc 308.13(b).

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1407.09), eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1407.08  Challenging a Denial of License Renewal; Challenging License Conditions.  An applicant who wishes to challenge the denial of an application for license renewal or who wishes to challenge conditions included in the license shall do so as provided in Plc 308.12.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442 (formerly Plc 1407.10), eff 1-26-26, EXPIRES 1-26-36

 

PART Plc 1408  ETHICAL AND PROFESSIONAL STANDARDS

 

          Plc 1408.01  Applicability.

 

(a)  The standards in this part shall apply to each individual who applies to be licensed under RSA 326-J or who is licensed under RSA 326-J.

 

(b)  Violations of these standards shall constitute unprofessional conduct that subjects the violator to disciplinary proceedings pursuant to Plc 1409.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1408.02  ATRA Code of Ethics for Recreational Therapists.  All recreational therapists shall comply with the Code of Ethics of the American Therapeutic Recreation Association (ATRA) dated July 2009, available as noted in Appendix B.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1408.03  Professional Obligations.  Each person subject to this chapter shall:

 

(a)  Comply with RSA 326-J, Plc 300, and Plc 1400;

 

(b)  Comply with any disciplinary or remedial orders issued by the executive director within the specified time period(s);

 

(c)  Interact with colleagues and patients with honesty and integrity;

 

(d)  Not misrepresent professional qualifications or credentials;

 

(e)  Cooperate with inspections and with lawful investigations by the executive director;

 

(f)  Treat all individuals with whom the person interacts in a professional capacity with respect and civility;

 

(g)  Maintain sexual boundaries by:

 

(1)  Refraining from any behavior that exploits the practitioner-patient relationship in a sexual way; and

 

(2)  Avoiding any behavior that is sexual or sexually demeaning, or that could be reasonably interpreted as such, even when initiated by or consented to by the patient or colleague;

 

(h)  Not engage in hazing or sexual, verbal, or physical harassment of any individual when interacting in a professional capacity; and

 

(i)  Not discriminate based on age, sex, gender identity, sexual orientation, race, creed, color, marital status, familial status, physical or mental disability, or national origin.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

PART Plc 1409  PROCEDURES; OBTAINING A LICENSE AFTER EXPIRATION, SUSPENSION, REVOCATION, OR LAPSE

 

          Plc 1409.01  Rules of Practice and Procedure.

 

(a)  The rules in Plc 200 and Plc 311 shall govern:

 

(1)  The receipt of misconduct complaints and the investigation thereof;

 

(2)  The conduct of disciplinary hearings;

 

(3)  Disciplinary and non-disciplinary remedial proceedings;

 

(4)  Imposing license conditions;

 

(5)  Reciprocal discipline; and

 

(6)  Rehearings and appeals.

 

(b)  The rules in Plc 200 shall govern:

 

(1)  The conduct of all other adjudicative and non-adjudicative proceedings;

 

(2)  Waivers of rules;

 

(3)  Voluntary surrender of licenses; and

 

(4)  Any other procedures not included in this chapter.

 

Source.  (See Revision Note at chapter heading for Plc 1400) #13705, eff 8-1-23; ss by #14442, eff 1-26-26, EXPIRES 1-26-36

 

          Plc 1409.02  Obtaining a License After Expiration, Revocation, Suspension, or Lapse.

 

(a)  The holder of a license that has expired but has not lapsed, or that was revoked, who wishes to resume practice shall apply for reinstatement in accordance with Plc 312.

 

(b)  The holder of a license that was suspended but has not lapsed shall apply for restoration of the license in accordance with Plc 312.

 

(c)  The holder of a license that has lapsed shall apply for initial licensure in accordance with Plc 1404.02.

 

Source.  #14442, eff 1-26-26, EXPIRES 1-26-36


 

Appendix A:  State Statutes Implemented

 

Rule

State Statute(s) Implemented

Plc 1401

RSA 326-J

Plc 1402

RSA 326-J:1

Plc 1403

RSA 326-J:1-a

Plc 1404

RSA 310:4, II(c); RSA 310:8, I-II; RSA 326-J:5, I & III

Plc 1405

RSA 326-J:3, I

Plc 1406

RSA 326-J:6, I(b)

Plc 1407

RSA 310:8, III-IV; RSA 326-J:6; RSA 326-J:5, II

Plc 1408

RSA 326-J:1-a, II

Plc 1409

RSA 326-J:1-a, II

 

 

Appendix B:  Document Incorporated by Reference

 

Rule

Reference Incorporated

Available at:

Plc 1408.02

Code of Ethics of the American Therapeutic Recreation Association (ATRA), dated July 2009

https://www.atra-online.com/code-of-ethics; no cost

 

 

Appendix C:  Statutory Definition

 

326-J:1 Definitions. –

III. “Recreational therapy” means a treatment service designed to restore, remediate, and rehabilitate a person's level of functioning and independence in life activities, to promote health and wellness as well as reduce or eliminate the activity limitations and restrictions to participation in life situations caused by an illness or disabling condition.

  (a) For purposes of accomplishing therapeutic recreation goals, recreational therapy may include:

     (1) Remediating or restoring an individual's participation levels that are limited due to impairment in physical, cognitive, social, or emotional abilities.

     (2) Analyzing and evaluating recreational and psychosocial activities to determine the physical, social, and programmatic elements necessary for involvement and modifying those elements to promote full participation and maximization of functional independence.

     (3) Using recreational modalities in designed intervention strategies to maximize physical, cognitive, social, or emotional abilities.

     (4) Incorporating the individual's interests and the individual's family and community to maximize relevance to the individual's goals.

     (5) Promoting the concept of healthy living into treatment strategies to decrease the potential for secondary conditions.

     (6) Developing community support and encouraging attitudinal changes to reflect dignity, self respect, and involvement within one's community.

     (7) Fostering peer and intergenerational relationships.

  (b) Recreational therapy services include, but are not limited to:

     (1) Conducting an individualized assessment for the purpose of collecting systematic, comprehensive, and accurate data necessary to determine the course of action and subsequent individualized treatment plan.

     (2) Planning and developing the individualized treatment plan that identifies an individual's goals, objectives, and treatment intervention strategies.

     (3) Implementing the individualized treatment plan that is consistent with the overall treatment program.

     (4) Systematically evaluating and comparing the individual's response to the individualized treatment plan and suggesting modifications as appropriate.

     (5) Developing a discharge plan in collaboration with the individual, the individual's family, and other treatment team members.

     (6) Identifying, designing, fabricating, applying, or training in the use of, adaptive recreational equipment.

     (7) Identifying, applying, and evaluating the use of non-invasive and non-pharmacological approaches to reduce or alleviate pain or manage pain to minimize its impact upon participation.

     (8) Identifying, providing, and educating individuals to use resources that support a healthy, active, and engaged life.

     (9) Minimizing the impact of environmental constraints as a barrier to participation.

     (10) Collaborating with and educating the individual, family, caregiver, and others to foster an environment that is responsive to the needs of the individual.

     (11) Consulting with groups, programs, organizations, or communities to improve physical, social, and programmatic accessibility.

Source. 2006, 220:1, eff. July 1, 2007. 2022, 72:4, eff. July 19, 2022.