# Illinois SB2153: PHYSICAL THERAPY TELEHEALTH Illinois SB2153, PHYSICAL THERAPY TELEHEALTH, is a 104th General Assembly (2025–2026) Senate bill sponsored by Cristina Castro (Democratic); status signed, last action 2025-08-15 (Public Act . . . . . . . . . 104-0411) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-SB2153-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois SB2153 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: PHYSICAL THERAPY TELEHEALTH - Status: signed - Chamber: Senate - Introduced: 2025-02-07 - Last action: 2025-08-15, Public Act . . . . . . . . . 104-0411 - Sponsor: Cristina Castro (Democratic) - Cosponsors: 2 - Subjects: assignments, licensed activities, health care licenses - Touches household money: no - Roll calls: 8 (268 yes, 0 no in all) - Economic provisions PRIA read: 0 ## 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. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: Cristina Castro (Democratic), Senate - Cosponsor: Angelica Guerrero-Cuellar (Democratic), House - Cosponsor: Lakesia Collins (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-31 | Senate | House Floor Amendment No. 3 Senate Concurs | pass | 56 | 0 | | | 2025-05-30 | Senate | House Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Licensed Activities; | pass | 7 | 0 | | | 2025-05-29 | House | Third Reading - Short Debate - Passed | pass | 112 | 0 | | | 2025-05-28 | House | House Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; | pass | 13 | 0 | | | 2025-05-07 | House | Do Pass / Short Debate Health Care Licenses Committee; | pass | 14 | 0 | | | 2025-04-10 | Senate | Third Reading - Passed; | pass | 54 | 0 | | | 2025-04-09 | Senate | Senate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; | pass | 5 | 0 | | | 2025-03-06 | Senate | Do Pass Licensed Activities; | pass | 7 | 0 | | ## Actions (53) - 2025-08-15: Public Act . . . . . . . . . 104-0411 (Senate) - 2025-08-15: Effective Date August 15, 2025 (Senate) - 2025-08-15: Governor Approved (Senate) - 2025-06-27: Sent to the Governor (Senate) - 2025-05-31: Passed Both Houses (Senate) - 2025-05-31: Senate Concurs (Senate) - 2025-05-31: House Floor Amendment No. 3 Senate Concurs 056-000-000 (Senate) - 2025-05-30: House Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Licensed Activities; 007-000-000 (Senate) - 2025-05-30: House Floor Amendment No. 3 Motion to Concur Assignments Referred to Licensed Activities (Senate) - 2025-05-30: House Floor Amendment No. 3 Motion to Concur Referred to Assignments (Senate) - 2025-05-30: House Floor Amendment No. 3 Motion to Concur Filed with Secretary Sen. Cristina Castro (Senate) - 2025-05-29: Placed on Calendar Order of Concurrence House Amendment(s) 3 - May 29, 2025 (Senate) - 2025-05-29: Secretary's Desk - Concurrence House Amendment(s) 3 (Senate) - 2025-05-29: House Floor Amendment No. 2 Tabled (House) - 2025-05-29: Third Reading - Short Debate - Passed 112-000-000 (House) - 2025-05-29: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2025-05-29: House Floor Amendment No. 3 Adopted (House) - 2025-05-28: House Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; 013-000-000 (House) - 2025-05-23: Third Reading/Final Action Deadline Extended-9(b) May 31, 2025 (House) - 2025-05-23: House Floor Amendment No. 3 Rules Refers to Health Care Licenses Committee (House) - 2025-05-22: House Floor Amendment No. 3 Referred to Rules Committee (House) - 2025-05-22: House Floor Amendment No. 3 Filed with Clerk by Rep. Angelica Guerrero-Cuellar (House) - 2025-05-21: House Floor Amendment No. 2 Referred to Rules Committee (House) - 2025-05-21: House Floor Amendment No. 2 Filed with Clerk by Rep. Angelica Guerrero-Cuellar (House) - 2025-05-16: Held on Calendar Order of Second Reading - Short Debate (House) - 2025-05-16: Second Reading - Short Debate (House) - 2025-05-07: Placed on Calendar 2nd Reading - Short Debate (House) - 2025-05-07: House Committee Amendment No. 1 Tabled (House) - 2025-05-07: Do Pass / Short Debate Health Care Licenses Committee; 014-000-000 (House) - 2025-05-06: House Committee Amendment No. 1 Referred to Rules Committee (House) - 2025-05-06: House Committee Amendment No. 1 Filed with Clerk by Rep. Angelica Guerrero-Cuellar (House) - 2025-04-17: Assigned to Health Care Licenses Committee (House) - 2025-04-11: Referred to Rules Committee (House) - 2025-04-11: First Reading (House) - 2025-04-10: Chief House Sponsor Rep. Angelica Guerrero-Cuellar (House) - 2025-04-10: Arrived in House (House) - 2025-04-10: Added as Co-Sponsor Sen. Lakesia Collins (Senate) - 2025-04-10: Third Reading - Passed; 054-000-000 (Senate) - 2025-04-10: Placed on Calendar Order of 3rd Reading (Senate) - 2025-04-10: Senate Floor Amendment No. 1 Adopted; Castro (Senate) - 2025-04-10: Recalled to Second Reading (Senate) - 2025-04-09: Senate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; 005-000-000 (Senate) - 2025-04-08: Senate Floor Amendment No. 1 Assignments Refers to Licensed Activities (Senate) - 2025-04-04: Senate Floor Amendment No. 1 Referred to Assignments (Senate) - 2025-04-04: Senate Floor Amendment No. 1 Filed with Secretary by Sen. Cristina Castro (Senate) - 2025-04-03: Placed on Calendar Order of 3rd Reading April 4, 2025 (Senate) - 2025-04-03: Second Reading (Senate) - 2025-03-06: Placed on Calendar Order of 2nd Reading March 18, 2025 (Senate) - 2025-03-06: Do Pass Licensed Activities; 007-000-000 (Senate) - 2025-02-25: Assigned to Licensed Activities (Senate) - 2025-02-07: Referred to Assignments (Senate) - 2025-02-07: First Reading (Senate) - 2025-02-07: Filed with Secretary by Sen. Cristina Castro (Senate) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153enr.pdf) - House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153ham001.pdf) - House Amendment 2: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153ham002.pdf) - House Amendment 3: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153ham003.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153.pdf) - Senate Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153sam001.pdf) ## Related bills - HB5198: AFFORDABLE HOUSING-CILAS (passed house) - SB1937: PENSION CODE-VARIOUS (passed senate) - HB2563: CONDO-RESERVE STUDY (in committee) - HB4701: LIMITATIONS FACILITY FEES ACT (in committee) - SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate) - SB3484: VEH CD-PLATES-REGISTRATION (signed) ## Sources - [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153enr.pdf) - [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153ham001.pdf) - [House Amendment 2 (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153ham002.pdf) - [House Amendment 3 (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153ham003.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153.pdf) - [Senate Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB2153sam001.pdf) ## Related - [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026) - [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026) - [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026) - [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026) - [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026) - [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026) - [Illinois bills](https://policyrisk.com/states/illinois/bills) - [Illinois state hub](https://policyrisk.com/states/illinois) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IL-SB2153-2025-2026 (as of 2026-11-01).