Title 201 | Chapter 029 | Regulation 070REG
PROPOSED
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PREVIOUS VERSION
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GENERAL GOVERNMENT CABINET
Board of Respiratory Care
(Amendment)
201 KAR 29:070.Scope of practice.
Section 1.
Definitions. "Agency or facility guidelines" shall mean a written set of guidelines for initiating, adjusting or discontinuing care which have been approved by the medical director. The "agency or facility guidelines" shall also describe the specific training or education necessary to enable the respiratory care practitioner to competently perform each of these procedures.Section 2.
A respiratory care practitioner shall perform respiratory care procedures not specified by KRS 314A.100 in accordance with agency or facility guidelinesSection 3.
(1)
A respiratory care practitioner shall be responsible for practicing within their(2)
The following conduct by a respiratory care practitioner shall constitute unethical conduct in the practice of respiratory care:(a)
Failure to practice within their level of competence;(b)
Engaging in those procedures specifically prohibited by KRS 314A.100; or(c)
Performing procedures not listed in the agency or facility guidelines.MARLENE MCKINLEY, RRT, Board Chair
ADOPTED BY AGENCY: April 17, 2025
FILED WITH LRC: August 15, 2025 at 9:45 a.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on October 28, 2025 at 10:00 AM at the Kentucky Board of Respiratory Care, 1712 Perryville Rd, Suite 200, Danville, Kentucky 40422. Individuals interested in being heard at this hearing shall notify this agency in writing by October 21, 2025, five workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing was received by that date, the hearing may be cancelled. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through October 31, 2025. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.
CONTACT PERSON: Morgan G. Ransdell, Board Attorney, Kentucky Board of Respiratory Care. 1712 Perryville Rd, Suite 200, Danville, Kentucky 40422. Phone: (502) 665-9600, Email: Morgan.Ransdell@ky.gov.
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Morgan G. Ransdell
Subject Headings:
Boards and Commissions, Respiratory Care, Occupations and Professions
(1) Provide a brief summary of:
(a) What this administrative regulation does:
This administrative regulation clarifies the types of activities which are permissible by persons holding certification as a respiratory care practitioner.
(b) The necessity of this administrative regulation:
This administrative regulation is needed to clarify the types of activities which are permissible by persons holding certification as a respiratory care practitioner.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
By clarifying the types of activities which are permissible by persons holding certification as a respiratory care practitioner.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
By clarifying the types of activities which are permissible by persons holding certification as a respiratory care practitioner.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
The amendment replaces the word "his" with the word "their".
(b) The necessity of the amendment to this administrative regulation:
The amendment is not necessary, but is offered for purposes of uniformity with the other regulations in 201 KAR Chapter 29.
(c) How the amendment conforms to the content of the authorizing statutes:
The amendment is a minor word changes that does not relate to the content of the authorizing statutes.
(d) How the amendment will assist in the effective administration of the statutes:
The amendment is not necessary, but is offered for purposes of uniformity with the other regulations in 201 KAR Chapter 29.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
: No.
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
The 4141 active credential holders subject to the Board’s regulatory authority, the 195 inactive credential holders, and future applicants for initial licensure or reinstatement.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
No actions are necessary as a consequence of the amendment. The regulation requires respiratory care practitioners to perform respiratory care within their level of competence and scope of practice.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
No costs will result from the amendment.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
Other than uniformity within 201 KAR Chapter 29, the amendment will not be a benefit. The regulation benefits the profession by defining each respiratory care practitioner’s scope of practice.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
There are no monetary costs associated with the implementation of the amendment, either initially or on an ongoing basis.
(b) On a continuing basis:
There are no monetary costs associated with the implementation of the amendment, either initially or on an ongoing basis.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
Agency funds.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No fee increase or funding is required.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
It does not.
(10) TIERING: Is tiering applied?
Tiering is not applied and is not needed given the context and substance of the regulation.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 314A.100(4), 314A.205(3).
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
KRS 314A.100(4) and 314A.205(3) expressly authorizes the agency to promulgate administrative regulations to define the scope of practice of a respiratory care practitioner, and to carry out the purposes of the KRS Chapter 314A.
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
The Kentucky Board of Respiratory Care.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
The amendment will not impact expenditures.
For subsequent years:
The amendment will not impact expenditures.
2. Revenues:
For the first year:
The amendment will not impact revenues.
For subsequent years:
The amendment will not impact revenues.
3. Cost Savings:
For the first year:
The amendment will not impact cost savings.
For subsequent years:
The amendment will not impact cost savings.
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
None.
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
N/A
For subsequent years:
N/A
2. Revenues:
For the first year:
N/A
For subsequent years:
N/A
3. Cost Savings:
For the first year:
N/A
For subsequent years:
N/A
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
Licensure applicants and licensees.
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
The amendment will not impact expenditures.
For subsequent years:
The amendment will not impact expenditures.
2. Revenues:
For the first year:
The amendment will not impact revenues.
For subsequent years:
The amendment will not impact revenues.
3. Cost Savings:
For the first year:
The amendment will not cost savings.
For subsequent years:
The amendment will not cost savings.
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
The amendment will not have a fiscal impact on the entities identified in (3)(a), (4)(a), and (5)(a).
(b) Methodology and resources used to reach this conclusion:
None.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
This administrative regulation will not have a major economic impact as it relates to the entities identified in (3)(a), (4)(a), and (5)(a).
(b) The methodology and resources used to reach this conclusion:
None.
GENERAL GOVERNMENT CABINET
Board of Respiratory Care
(Amendment)
201 KAR 29:070.Scope of practice.
Section 1.
Definitions. "Agency or facility guidelines" shall mean a written set of guidelines for initiating, adjusting or discontinuing care which have been approved by the medical director. The "agency or facility guidelines" shall also describe the specific training or education necessary to enable the respiratory care practitioner to competently perform each of these procedures.Section 2.
A respiratory care practitioner shall perform respiratory care procedures not specified by KRS 314A.100 in accordance with agency or facility guidelinesSection 3.
(1)
A respiratory care practitioner shall be responsible for practicing within their level of competence.(2)
The following conduct by a respiratory care practitioner shall constitute unethical conduct in the practice of respiratory care:(a)
Failure to practice within their level of competence;(b)
Engaging in those procedures specifically prohibited by KRS 314A.100; or(c)
Performing procedures not listed in the agency or facility guidelines.MARLENE MCKINLEY, RRT, Board Chair
ADOPTED BY AGENCY: April 17, 2025
FILED WITH LRC: August 15, 2025 at 9:45 a.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on October 28, 2025 at 10:00 AM at the Kentucky Board of Respiratory Care, 1712 Perryville Rd, Suite 200, Danville, Kentucky 40422. Individuals interested in being heard at this hearing shall notify this agency in writing by October 21, 2025, five workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing was received by that date, the hearing may be cancelled. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through October 31, 2025. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.
CONTACT PERSON: Morgan G. Ransdell, Board Attorney, Kentucky Board of Respiratory Care. 1712 Perryville Rd, Suite 200, Danville, Kentucky 40422. Phone: (502) 665-9600, Email: Morgan.Ransdell@ky.gov.
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Morgan G. Ransdell
Subject Headings:
Boards and Commissions, Respiratory Care, Occupations and Professions
(1) Provide a brief summary of:
(a) What this administrative regulation does:
This administrative regulation clarifies the types of activities which are permissible by persons holding certification as a respiratory care practitioner.
(b) The necessity of this administrative regulation:
This administrative regulation is needed to clarify the types of activities which are permissible by persons holding certification as a respiratory care practitioner.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
By clarifying the types of activities which are permissible by persons holding certification as a respiratory care practitioner.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
By clarifying the types of activities which are permissible by persons holding certification as a respiratory care practitioner.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
The amendment replaces the word "his" with the word "their".
(b) The necessity of the amendment to this administrative regulation:
The amendment is not necessary, but is offered for purposes of uniformity with the other regulations in 201 KAR Chapter 29.
(c) How the amendment conforms to the content of the authorizing statutes:
The amendment is a minor word changes that does not relate to the content of the authorizing statutes.
(d) How the amendment will assist in the effective administration of the statutes:
The amendment is not necessary, but is offered for purposes of uniformity with the other regulations in 201 KAR Chapter 29.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
: No.
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
The 4141 active credential holders subject to the Board’s regulatory authority, the 195 inactive credential holders, and future applicants for initial licensure or reinstatement.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
No actions are necessary as a consequence of the amendment. The regulation requires respiratory care practitioners to perform respiratory care within their level of competence and scope of practice.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
No costs will result from the amendment.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
Other than uniformity within 201 KAR Chapter 29, the amendment will not be a benefit. The regulation benefits the profession by defining each respiratory care practitioner’s scope of practice.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
There are no monetary costs associated with the implementation of the amendment, either initially or on an ongoing basis.
(b) On a continuing basis:
There are no monetary costs associated with the implementation of the amendment, either initially or on an ongoing basis.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
Agency funds.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No fee increase or funding is required.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
It does not.
(10) TIERING: Is tiering applied?
Tiering is not applied and is not needed given the context and substance of the regulation.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 314A.100(4), 314A.205(3).
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
KRS 314A.100(4) and 314A.205(3) expressly authorizes the agency to promulgate administrative regulations to define the scope of practice of a respiratory care practitioner, and to carry out the purposes of the KRS Chapter 314A.
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
The Kentucky Board of Respiratory Care.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
The amendment will not impact expenditures.
For subsequent years:
The amendment will not impact expenditures.
2. Revenues:
For the first year:
The amendment will not impact revenues.
For subsequent years:
The amendment will not impact revenues.
3. Cost Savings:
For the first year:
The amendment will not impact cost savings.
For subsequent years:
The amendment will not impact cost savings.
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
None.
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
N/A
For subsequent years:
N/A
2. Revenues:
For the first year:
N/A
For subsequent years:
N/A
3. Cost Savings:
For the first year:
N/A
For subsequent years:
N/A
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
Licensure applicants and licensees.
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
The amendment will not impact expenditures.
For subsequent years:
The amendment will not impact expenditures.
2. Revenues:
For the first year:
The amendment will not impact revenues.
For subsequent years:
The amendment will not impact revenues.
3. Cost Savings:
For the first year:
The amendment will not cost savings.
For subsequent years:
The amendment will not cost savings.
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
The amendment will not have a fiscal impact on the entities identified in (3)(a), (4)(a), and (5)(a).
(b) Methodology and resources used to reach this conclusion:
None.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
This administrative regulation will not have a major economic impact as it relates to the entities identified in (3)(a), (4)(a), and (5)(a).
(b) The methodology and resources used to reach this conclusion:
None.