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QUESTIONS AND ANSWERS ABOUT THE DIETITIAN LICENSURE LAW
CHAPTER 4759 OF THE OHIO REVISED CODE
| Q. |
What
areas of nutrition and dietetic practice require licensure? |
| A. |
Ohio's
law, set forth in Ohio Revised Code Chapter 4759 is a mandatory
licensure law, which became effective on
July 1, 1987. This means that everyone who practices dietetics,
as defined in the law, must be licensed, unless specifically exempted.
The three areas defined as dietetic practice are:
- Nutritional
assessment to determine nutritional needs and to recommend appropriate
nutritional intake, including enteral and parenteral nutrition.
-
Nutritional counseling or education as components of preventive,
curative, and restorative health care
- Development,
administration, evaluation, and consultation regarding nutritional
care standards.
Ohio Revised Code section 4759.01(A)
Dietitian
licensure law sets minimum standards. Agencies, hospitals, nursing
homes, etc. are free to add additional requirements to job descriptions
and requirements, e.g. R.D., length of experience, type of experience.
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| Q. |
Who
can become licensed as a dietitian? |
| A. |
The
requirements for licensure are set forth in Ohio Revised Code Section
4759.06(A) and are as follows:
- Has
satisfactorily completed an application for licensure in accordance
with division (A) of section 4759.05 of the Revised Code;
- Has
paid the fee required under division (A) of section 4759.08 of
the Revised Code;
- Is
a resident of the state or performs or plans to perform substantial
dietetic services within the state;
- Is
of good moral character;
- Has
received a baccalaureate or higher degree from an institution
of higher education that is approved by the Board or a regional
accreditation agency that is recognized by the Commission on Recognition
of Post-Secondary Accreditation, and has completed a program consistent
with the academic standards for dietitians established by the
American Dietetic Association;
- Has
successfully completed a pre-professional dietetic experience
approved by the American Dietetic Association, or experience approved
by the board under division (A)(3) of section 4759.05 of the Revised
Code;
- Has
passed the examination approved by the board under division (A)(1)
of section 4759.05 of the Revised Code;
- Is
an applicant for renewal of a license, and has fulfilled the continuing
education requirements adopted under division (A)(5) of section
4759.05 of the Revised Code.
Registered
Dietitians with the Commission on Dietetic Registration do not need
to take an additional examination.
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| Q. |
What
titles are restricted by the law? |
| A. |
The
law restricts the use of the title "dietitian". The law
also prohibits anyone, other than a licensed dietitian, from using
any words, abbreviations, letters, insignia, etc. tending to indicate
the practice of dietetics. Only licensed persons can use dietitian
as a part of their position title.
Ohio
Revised Code Section 4759.02(B)
By
definition, the terms "Nutritionist," "Nutrition
Counselor," and like terms tend to indicate that the person
is practicing dietetics.
Ohio
Administrative Code 4759-2-01(K)
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| Q. |
What
about the R.D.? |
| A. |
The
R.D. or registered dietitian is a trademark of the American Dietetic
Association and is not completely restricted by the Ohio law. Those
who are registered may continue to use the title R.D., but they
may not practice dietetics as defined in the law, unless they are
also licensed.
Ohio
Revised Code Section 4759.02(C)
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| Q. |
Who
is exempt from licensure and regulation by the Ohio Board of Dietetics? |
| A. |
Sections
4759.01 to 4759.09 of the Revised Code do not apply to:
- A
person licensed under chapters 4701. to 4755. of the Revised Code
who is acting within the scope of his profession provided that
he complies with division (B) of section 4759.02 of the Revised
Code;
- A
person who is a graduate of an associate degree program approved
by the American Dietetic Association or the Ohio Board of Dietetics
who is working as a dietetic technician under the supervision
of dietitian licensed under section 4759.06 of the Revised Code
or registered by the Commission on Dietetic Registration, except
that the person is subject to division (B) of section 4759.02
of the Revised Code if he uses a title other than "Dietetic
Technician"
- A
person who practices dietetics related to employment in the armed
forces, veteran's administration, or the public health service
of the United States;
- Persons
employed by a nonprofit agency approved by the board or by a federal,
state, municipal or county government, or by any other political
subdivision, elementary or secondary school, or an institution
of higher education approved by the board or by a regional agency
recognized by the council on postsecondary accreditation, WHO
PERFORMS ONLY NUTRITIONAL EDUCATION ACTIVITIES and such other
nutritional activities as the Board of Dietetics, by rule, permits,
provided the person does not violate division (B) of section 4759.02
of the Revised Code;
- A
person who has completed a program meeting the academic standards
set by the American Dietetic Association for dietitians, received
a baccalaureate or higher degree from a school, college, or university
approved by a regional accreditation agency recognized by the
Commission on Recognition of Post-Secondary Accreditation, works
under the supervision of a licensed dietitian or registered dietitian,
and does not violate division (B) of section 4759.02 of the Revised
Code;
- A
person when acting, under the direction and supervision of a person
licensed under chapters 4701. to 4755. of the Revised Code, in
the execution of a plan of treatment authorized by the licensed
person, provided the person complies with division (B) of section
4759.02 of the Revised Code;
- The
free dissemination of literature in the state;
- Provided
that the persons involved in the sale, promotion, or explanation
of the sale of food, food materials, or dietary supplements do
not violate division (B) of the section 4759.02 of the Revised
Code, the sale of food, food materials, or dietary supplements
and the marketing and distribution of food, food materials, or
dietary supplements and the promotion or explanation of the use
of food, food materials, or dietary supplements provided that
the promotion or explanation does not violate chapter 1345. of
the Revised Code;
- A
person who offers dietary supplements for sale and who makes the
following statements about the product if the statements are consistent
with the dietary supplement's label or labeling:
- Claim
a benefit related to a classical nutrient deficiency disease
and disclose the prevalence of the disease in the United States;
- Describe
the role of a nutrient or dietary ingredient intended to affect
the stucture or function of the human body;
- Characterize
the documented mechanism in which a nutrient or dietary ingredient
acts to maintain the structure or function of the human body;
- Describe
general well being from the consumption of a nutrient or dietary
ingredient.
- Provided
that the persons involved in presenting a general program of instruction
for weight control do not violate division (B) of section 4759.02
of the Revised Code, a general program of instruction for weight
control approved in writing by a licensed dietitian, a physician
licensed under Chapter 4731. of the Revised Code to practice medicine
or surgery or osteopathic medicine or surgery, a person licensed
in another state that the Board considers to have substantially
equivalent licensure requirements as this state, or a registered
dietitian.
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| Q |
What
would happen if I dropped my RD status? |
| A. |
The
documentation process for continuing education/professional development
would change (see question on continuing education documentation). |
| Q. |
What
are the penalties for violations of the law? |
| A. |
The
Board may seek an injunction to stop the activities of a person who
is practicing dietetics illegally under Ohio Revised Code Section
4759.09. In addition, practicing without a license is a misdemeanor
crime (Ohio Revised Code Section 4759.99). The Board may refuse
to issue, suspend, revoke, or impose probationary conditions upon
the licensee who violates the standards set in the statutes and rules. |
| Q. |
How
do I make a complaint if I think that someone is violating the dietitian
licensure law? |
| A. |
A
complaint form should be completed. Contact the Ohio Board of Dietetics
at 614-466-3291 for a form or download one from the O.B.D. website
www.dietetics.ohio.gov.
To aid in the investigation, please provide as much information as
possible. Keep a copy of all information provided to the Board. |
| Q. |
What
other states have licensure for dietitians? |
| A. |
More
than two thirds of States have some form of regulation for dietitians.
The majority of these states have mandatory licensure similar to Ohio's
law. Most of the other states are in the process of seeking licensure
in some form.
Ohio's law and the laws of most states allow for reciprocity between
states; being licensed in one state may make one eligible for licensure
in another state, provided that one complies with Section 4759.06
of the Ohio Revised Code. |
| Q. |
What
titles and signatures are appropriate for the licensed dietitian? |
| A. |
The
Ohio Board of Dietetics makes the following recommendations to ensure
compliance with Ohio Revised Code Chapter 4759:
Licensed
dietitians may use the title "licensed dietitian", "dietitian",
or "nutritionist,"or "L.D.". If the licensed dietitian
is also a registered dietitian, the letters "L.D.,R.D."
may be used.
Students
-- Students enrolled in an A.D.A. approved baccalaureate, associate,
or Coordinated Program in Dietetics (C.P.D.) students may use the
title "student dietitian" or "student dietetic technician".
Persons
in Pre-professional experiences
Dietetic
Intern --- may use title "dietetic intern".
Dietetic Technician --- may use "student dietetic
technician".
Dietetic
Technicians meeting the exemption and working under the supervision
of the licensed dietitian may use D.T. or D.T.R. if registered.
Baccalaureate
Graduates (meeting the exemption and working under the supervision
of the licensed dietitian) may not use "dietitian"
as a part of their job title. Nutrition Associate or Nutrition Assistant
are suggested titles.
Limited
Permit Holders who have completed educational and pre-professional
experience requirements, but who have not yet taken the examination
should use L.P. with their permit number - -i.e. Name, L.P. number.
If an L.P. holder has passed the R.D. exam, the R.D. credential
may be added to their title, i.e. Name, R.D., L.P. number,
until the limited permit expires.
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| Q. |
How
often am I required to renew my license? |
| A. |
Licenses
are renewed annually and are valid from July 1st through June 30th.
Renewal applications and information are mailed to all licensees
thirty (30) days prior to the expiration date of the license. The
completed application and current renewal fee must be submitted
to the Board by June 30th.
Ohio Revised Code Section 4759.06(E)
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| Q. |
I
am currently not employed. Do I need to renew my license? |
| A. |
An
individual is required to have a license only if he is practicing
dietetics either as a volunteer or for a fee as defined in the law,
(see Question #1). If you are not currently practicing dietetics,
you may apply for "INACTIVE STATUS".
Ohio
Revised Code Section 4759.06(G)
However,
a person holding an inactive status must comply with certain requirements
of Ohio Revised Code Chapter 4759. The title of dietitian may be
used, provided that the person does not practice or offer to
practice dietetics either as a volunteer or for a fee, and does
not use the title "licensed dietitian" or "L.D".
Ohio
Revised Code Section 4759.02(B)
While
a license is in inactive status, the licensee shall meet the cumulative
continuing education/professional development requirements as required
by Rule 4759-4-04 of the Administrative Code, but is not required
to pay the annual fee.
Ohio
Administrative Code 4759-4-06(B)
A license
may be withdrawn from inactive status by completion of the application
for reactivation of license to practice dietetics, and evidence
of compliance with continuing education/professional development
requirements, and payment of the current reactivation fee.
Ohio
Administrative Code 4759-4-06(C)
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| Q. |
What
can happen if I forget to renew my license? |
| A. |
Occasionally
this does happen. However, licenses expire on June 30th, and a valid
license is mandatory for practicing dietetics in Ohio. Practicing
dietetics without a license is a violation of the law and the person
would be subject to penalties noted above.
Individuals
failing to renew will be notified and be given an opportunity to
renew their licenses. An additional fee equal to fifty percent (50%)
of the fee for renewal will be assessed.
A renewal
application received after the postmarked date of June
30th will be assessed the late fee. Licenses not renewed by
August 15 will lapse, requiring reinstatement. Applications will
not be processed until all required fees are paid.
Ohio Administrative Code 4759.08(A)(5) and Ohio Adminstrative Code
4759-4-10(C)
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| Q. |
What
should I do if my license card is lost or stolen? |
| A. |
Contact
the Board office as soon as possible. You will need to complete an
affidavit form and provide identification information. A $20 fee is
assessed for issuance of a duplicate card. |
| Q. |
What
is the procedure for name or address changes? |
| A. |
Contact
the Board office and request an official "change of address/name
form" or download one from our website: www.dietetics.ohio.gov.
Forms must be signed and returned to the Board office.
You
may, also, make appropriate name or address changes on your application
during licensure renewal. It is the licensee's responsibility to
inform the Board office of name and address changes.
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| Q. |
How
must a licensed dietitian document continuing education? |
| A. |
The
licensed dietitian who is also an R.D. will, by maintaining registration,
meet the requirements for continuing education in the Ohio law. The
licensed dietitian who is not an R.D. must provide evidence
of continuing education/professional development to the Board. Details
for meeting these continuing education/professional development requirements
are sent to the licensed dietitian. |
| Q. |
Are
temporary permits available to practice dietetics? Who is eligible? |
| A. |
A limited
permit may be granted to a person who has completed the education
and pre-professional requirements as specified in the law and who
presents evidence to the Board of intent to take the examination
approved by the board. The permit enables the holder to engage in
the full scope of practice and requires compliance with the laws
and rules. A limited permit holder who has failed the examination
once must report the results to the Board office immediately and
establish a direct supervisory relationship with a licensed dietetian
to continue to practice. Failing the examination twice results in
the immediate expiration of the limited permit. A limited permit
shall not be issued to a person who has failed the examination two
or more times.
Direct
supervision, as described in 4759-4-08, must be provided by a licensed
dietitian for a person holding a limited permit who has failed
the examination once. The licensee providing the direct supervision
must be present on site or readily available by telecommunication.
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For further information about supervision, you may request Guidelines
A and C from the Board office or print them from the OBD website:
www.dietetics.ohio.gov.
Ohio Revised Code Section 4759.06(F), Ohio Administrative Code 4759-4-08
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| Q. |
What
are the requirements for supervision of persons, claiming exemption
from licensure, i.e., dietetic technicians or baccalaureate degree
persons? |
| A. |
These
persons must be supervised by a licensed dietitian in a manner which
protects the public and given sufficient guidance to enable them to
perform competently. 4759-5-01 OAC specifically addresses supervision
requirements. The licensee providing the supervision need not be on
site at all times. |
| Q. |
What
can unlicensed assistive personnel, such as dietary managers, dietary
clerks, or dietary aides do in the area of nutrition care? |
| A. |
Persons
who do not meet the criteria for licensure or exemption from licensure
may not practice dietetics even under supervision. If properly trained,
unlicensed assistive personnel may collect and record nutritional
data to assist the dietitian with assessments and counseling. Evaluating
or interpreting nutritional data is considered the practice of dietetics.
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| Q. |
What
can the student dietitian or student dietetic technician do? |
| A. |
The
Board recognizes that work experiences are a proper and necessary
part of an educational program pursuant to 4759-5-02 O.A.C. A student
may not engage in dietetic practice beyond that which is a part of
the academic or pre-professional program. The dietitian that provides
supervision should remember that students should only be working at
the level of his/her educational experiences. |
| Q. |
What
are the fees associated with dietitian licensure? |
| A. |
| Application-Initial
License |
$125.00
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| Reinstatement
- Inactive License (Reactivation) |
$125.00
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| Reinstatement-Lapsed,
Revoked or Suspended License |
$180.00
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| Renewal
of License |
$95.00
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| Limited
Permit and Renewal of Permit |
$65.00
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| Late
Fee (applies to renewal applications postmarked after 6/30 ) |
$47.50
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The Board does not require a licensed dietitian holding an inactive
license to pay the renewal fee.
Ohio
Revised Code section 4759.08 (B)
The
Board waives fifty per cent of the initial licensure fee if the
license is only valid for a period between April first and June
thirtieth.
Ohio
Administrative Code 4759-4-10
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| Q. |
Who
is on the Ohio Board of Dietetics? |
| A. |
The
five (5) members of the Board are appointed by the Governor for
a five year term. The law states that three members are to be licensed
dietitians, one is to be a Ph.D. educator, and one member is to
be a public member.
Ohio
Revised Code Section 4759.03
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| Q. |
Where
is the office of the Ohio Board of Dietetics? |
| A. |
The
Ohio Board of Dietetics is located at the Vern Riffe Center for
Government and the Arts, 77 South High Street, 18th floor, Columbus,
Ohio 43215-6119.
The
Board office is open for business Monday through Friday from 8:00
A.M. to 5:00 P.M. The phone number is (614)-466-3291. FAX number
is (614) 728-0723. Website is www.dietetics.oh.gov.
e-mail: obd.contact@exchange.state.oh.us
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The Board office receives many inquiries regarding dietetic practice.
Information on the following topics may provide guidance for you in practice:
Guidelines
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A
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Supervision
-- This guideline assists the dietitian supervisor in determining
appropriate academic preparation for exempt individuals, and gives
suggestions for consideration when supervising and monitoring the
practice for these persons. |
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B
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Signatures
of Students and Titles for Persons Claiming Exemption-- suggests
titles that are appropriate for use by students and persons claiming
exemption from licensure. |
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C
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Direct
Supervision of Limited Permit Holder -- The purpose of this
document is to clarify the supervision required for a limited permit
holder who has failed the examination.
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D
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Unlicensed
Assistive Personnel -- For the safety and welfare of the public,
this guideline reviews the tasks that should be done by either licensed
or exempt individuals and suggests those nutrition related tasks
which may be properly delegated to unlicensed assistive personnel. |
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F
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Personal
Trainers/Fitness Facilities -- The purpose of this document
is to provide information about dietetic practice for unlicensed,
non-exempt personal trainers and other persons associated with fitness
facilities. |
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G
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Dietetic
Technicians -- The purpose of this guideline is to provide guidance
for nutrition care responsibilities which may be appropriately delegated
to dietetic technicians working under the supervision of a licensed
dietitian. |
Bulletins
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| Bulletin
1 |
Discontinued. |
| Bulletin
2 |
describes
the nutrition education exemption
and situations in which it applies. |
| Bulletin
3 |
informs
persons involved in the operation of weight
control programs of the regulations regarding the dietitian
licensure law. |
| Bulletin
4 |
informs
dietetic students, interns, educators, potential employers, and
the general public of Ohio regulations regarding the dietitian
licensure laws. It clarifies requirements for the "Limited
Permit." |
| Bulletin
5 |
informs
dietitians, educators, and employers about licensing regulations
which apply to dietitians who
are not directly involved in providing nutritional care. |
| Bulletin
6 |
describes
the exemption from licensure for persons involved in the sale, promotion,
or explanation of the sale
of food, food materials, or dietary supplements. |
| Bulletin
7 |
informs
persons who are employed in food, nutritional, and pharmaceutical
companies about licensing regulations
which apply to those who work in areas such as research, development,
sales, and marketing. |
| Bulletin
8 |
describes
the types of general non-medical
nutrition information that may be provided by unlicensed
individuals. |
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