SB2153 - 104th General Assembly (2025-2026)

PHYSICAL THERAPY TELEHEALTH
Last Action
8/15/2025 - Senate: Public Act . . . . . . . . . 104-0411
Statutes Amended In Order of Appearance
225 ILCS 90/1.3  
Synopsis As Introduced
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.

Senate Floor Amendment No. 1
Replaces everything after the enacting clause. Amends the Illinois Physical Therapy Act. In provisions concerning telehealth services, provides that physical therapists may use telehealth to perform an initial physical therapy evaluation if certain criteria are met. Removes language providing that initial physical therapy evaluations without a referral or established diagnosis may only be performed by a licensed physical therapist and cannot be performed via telehealth unless necessary to address a documented hardship. Provides that a physical therapist may require a patient to undergo an in-person visit instead of providing telehealth services. Removes language providing that 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 or a physical therapist assistant may engage in the practice of telehealth services in this State to the extent of his or her scope of practice as established in the Act and consistent with the standards of care for in-person services. Provides that the provisions concerning telehealth services shall not be construed to authorize the delivery of physical therapy services in a setting or in a manner not otherwise authorized by law. Provides that a physical therapist treating a patient located in the State through telehealth services must be licensed or authorized to practice physical therapy in the State. Provides that the Department of Financial and Professional Regulation may, by rule, exempt physical therapists and physical therapist assistants providing physical therapy services as part of the Illinois Early Intervention Program, an individualized education program, or a federal Section 504 plan through a school system from the provisions concerning telehealth services to address service delays.

House Floor Amendment No. 3
Replaces everything after the enacting clause. Amends the Illinois Physical Therapy Act. In provisions concerning telehealth services, provides that physical therapists may use telehealth to perform an initial physical therapy evaluation if certain criteria are met. Removes language providing that initial physical therapy evaluations without a referral or established diagnosis may only be performed by a licensed physical therapist and cannot be performed via telehealth unless necessary to address a documented hardship. Provides that a physical therapist or physical therapist assistant may require a patient to undergo an in-person visit instead of providing telehealth services. Removes language providing that 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 or a physical therapist assistant may engage in the practice of telehealth services in this State to the extent of the physical therapist's or the physical therapist assistant's scope of practice as established in the Act and consistent with the standards of care for in-person services. Provides that the provisions concerning telehealth services shall not be construed to authorize the delivery of physical therapy services in a setting or in a manner not otherwise authorized by law. Provides that a physical therapist or a physical therapist assistant working under the general supervision of a physical therapist treating a patient located in the State through telehealth services must be licensed or authorized to practice physical therapy in the State. Provides that the Department of Financial and Professional Regulation may, in consultation with the Department of Human Services and the Department of Early Childhood, exempt physical therapists and physical therapist assistants providing physical therapy services as part of the Illinois Early Intervention Program, an individualized education program, or a federal Section 504 plan through a school system from the amendatory provisions by rule to address service delays. Provides that nothing in the amendatory provisions shall be construed to allow noncompliance with any requirements under the federal Individuals with Disabilities Education Act, the Early Intervention Services System Act, the Department of Early Childhood Act, or any other State or federal law or rules. Makes other changes. Effective immediately.
Actions
DateChamberAction
2/07/2025SenateFiled with Secretary by Sen. Cristina Castro
2/07/2025SenateFirst Reading
2/07/2025SenateReferred to Assignments
2/25/2025SenateAssigned to Licensed Activities
3/06/2025SenateDo Pass Licensed Activities; 007-000-000
3/06/2025SenatePlaced on Calendar Order of 2nd Reading March 18, 2025
4/03/2025SenateSecond Reading
4/03/2025SenatePlaced on Calendar Order of 3rd Reading April 4, 2025
4/04/2025SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Cristina Castro
4/04/2025SenateSenate Floor Amendment No. 1 Referred to Assignments
4/08/2025SenateSenate Floor Amendment No. 1 Assignments Refers to Licensed Activities
4/09/2025SenateSenate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; 005-000-000
4/10/2025SenateRecalled to Second Reading
4/10/2025SenateSenate Floor Amendment No. 1 Adopted; Castro
4/10/2025SenatePlaced on Calendar Order of 3rd Reading
4/10/2025SenateThird Reading - Passed; 054-000-000
4/10/2025SenateAdded as Co-Sponsor Sen. Lakesia Collins
4/10/2025HouseArrived in House
4/10/2025HouseChief House Sponsor Rep. Angelica Guerrero-Cuellar
4/11/2025HouseFirst Reading
4/11/2025HouseReferred to Rules Committee
4/17/2025HouseAssigned to Health Care Licenses Committee
5/06/2025HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Angelica Guerrero-Cuellar
5/06/2025HouseHouse Committee Amendment No. 1 Referred to Rules Committee
5/07/2025HouseDo Pass / Short Debate Health Care Licenses Committee; 014-000-000
5/07/2025HouseHouse Committee Amendment No. 1 Tabled
5/07/2025HousePlaced on Calendar 2nd Reading - Short Debate
5/16/2025HouseSecond Reading - Short Debate
5/16/2025HouseHeld on Calendar Order of Second Reading - Short Debate
5/21/2025HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Angelica Guerrero-Cuellar
5/21/2025HouseHouse Floor Amendment No. 2 Referred to Rules Committee
5/22/2025HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Angelica Guerrero-Cuellar
5/22/2025HouseHouse Floor Amendment No. 3 Referred to Rules Committee
5/23/2025HouseHouse Floor Amendment No. 3 Rules Refers to Health Care Licenses Committee
5/23/2025HouseThird Reading/Final Action Deadline Extended-9(b) May 31, 2025
5/28/2025HouseHouse Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; 013-000-000
5/29/2025HouseHouse Floor Amendment No. 3 Adopted
5/29/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
5/29/2025HouseThird Reading - Short Debate - Passed 112-000-000
5/29/2025HouseHouse Floor Amendment No. 2 Tabled
5/29/2025SenateSecretary's Desk - Concurrence House Amendment(s) 3
5/29/2025SenatePlaced on Calendar Order of Concurrence House Amendment(s) 3 - May 29, 2025
5/30/2025SenateHouse Floor Amendment No. 3 Motion to Concur Filed with Secretary Sen. Cristina Castro
5/30/2025SenateHouse Floor Amendment No. 3 Motion to Concur Referred to Assignments
5/30/2025SenateHouse Floor Amendment No. 3 Motion to Concur Assignments Referred to Licensed Activities
5/30/2025SenateHouse Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Licensed Activities; 007-000-000
5/31/2025SenateHouse Floor Amendment No. 3 Senate Concurs 056-000-000
5/31/2025SenateSenate Concurs
5/31/2025SenatePassed Both Houses
6/27/2025SenateSent to the Governor
8/15/2025SenateGovernor Approved
8/15/2025SenateEffective Date August 15, 2025
8/15/2025SenatePublic Act . . . . . . . . . 104-0411