IllinoisSB2153104th General Assembly (2025–2026)Senate

PHYSICAL THERAPY TELEHEALTH

Sponsored By: Cristina Castro (Democratic)

Signed by Governor

Summary

Amends the Illinois Physical Therapy Act. Provides that initial physical therapy evaluations without a referral or an established diagnosis may be performed by a licensed physical therapist via telehealth when the physical therapist determines that an in-person examination is not required based on the physical therapist's clinical judgment and the applicable standard of care (rather than cannot be performed via telehealth unless necessary to address a documented hardship). Provides that a physical therapist or a licensed physical therapy assistant may require the patient to undergo an in-person visit instead of providing telehealth services (rather than the use of telehealth as a primary means of delivering physical therapy must be an exception and documentation must support the clinical justification). Provides that a physical therapist providing telehealth must have the capacity to provide or be able to facilitate a referral to in-person care within the State (rather than must only have the capacity to provide in-person care). Provides that the standard of care for a patient receiving physical therapy through telehealth is equal to the standard of care for in-person care.

assignmentslicensed activitieshealth care licenses

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Cristina Castro

    Democratic • Senate

Cosponsors

  • Angelica Guerrero-Cuellar

    Democratic • House

  • Lakesia Collins

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 268 • No: 0

Senate vote • 5/31/2025

House Floor Amendment No. 3 Senate Concurs

Yes: 56 • No: 0

Senate vote • 5/30/2025

House Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Licensed Activities;

Yes: 7 • No: 0

House vote • 5/29/2025

Third Reading - Short Debate - Passed

Yes: 112 • No: 0

House vote • 5/28/2025

House Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee;

Yes: 13 • No: 0

House vote • 5/7/2025

Do Pass / Short Debate Health Care Licenses Committee;

Yes: 14 • No: 0

Senate vote • 4/10/2025

Third Reading - Passed;

Yes: 54 • No: 0

Senate vote • 4/9/2025

Senate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities;

Yes: 5 • No: 0

Senate vote • 3/6/2025

Do Pass Licensed Activities;

Yes: 7 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0411

    8/15/2025Senate
  2. Effective Date August 15, 2025

    8/15/2025Senate
  3. Governor Approved

    8/15/2025Senate
  4. Sent to the Governor

    6/27/2025Senate
  5. Passed Both Houses

    5/31/2025Senate
  6. Senate Concurs

    5/31/2025Senate
  7. House Floor Amendment No. 3 Senate Concurs 056-000-000

    5/31/2025Senate
  8. House Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Licensed Activities; 007-000-000

    5/30/2025Senate
  9. House Floor Amendment No. 3 Motion to Concur Assignments Referred to Licensed Activities

    5/30/2025Senate
  10. House Floor Amendment No. 3 Motion to Concur Referred to Assignments

    5/30/2025Senate
  11. House Floor Amendment No. 3 Motion to Concur Filed with Secretary Sen. Cristina Castro

    5/30/2025Senate
  12. Placed on Calendar Order of Concurrence House Amendment(s) 3 - May 29, 2025

    5/29/2025Senate
  13. Secretary's Desk - Concurrence House Amendment(s) 3

    5/29/2025Senate
  14. House Floor Amendment No. 2 Tabled

    5/29/2025House
  15. Third Reading - Short Debate - Passed 112-000-000

    5/29/2025House
  16. Placed on Calendar Order of 3rd Reading - Short Debate

    5/29/2025House
  17. House Floor Amendment No. 3 Adopted

    5/29/2025House
  18. House Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; 013-000-000

    5/28/2025House
  19. Third Reading/Final Action Deadline Extended-9(b) May 31, 2025

    5/23/2025House
  20. House Floor Amendment No. 3 Rules Refers to Health Care Licenses Committee

    5/23/2025House
  21. House Floor Amendment No. 3 Referred to Rules Committee

    5/22/2025House
  22. House Floor Amendment No. 3 Filed with Clerk by Rep. Angelica Guerrero-Cuellar

    5/22/2025House
  23. House Floor Amendment No. 2 Referred to Rules Committee

    5/21/2025House
  24. House Floor Amendment No. 2 Filed with Clerk by Rep. Angelica Guerrero-Cuellar

    5/21/2025House
  25. Held on Calendar Order of Second Reading - Short Debate

    5/16/2025House

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • House Amendment 2

  • House Amendment 3

  • Introduced

  • Senate Amendment 1

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