HB 1042 Colorado House · 2026 Regular Session

Dry Needling by Occupational Therapists

Summary
The act authorizes an occupational therapist to perform dry needling on and after September 1, 2027, if the occupational therapist:Has the knowledge, skill, ability, and documented competency to perform the act;Has successfully completed a dry needling course of study that meets supervisorial, educational, and clinical prerequisites to be established by rule; andObtains a written informed consent from each patient for dry needling, including information concerning the potential benefits and risks of dry needling and a statement that the occupational therapist performing dry needling is not an acupuncturist.     The act requires the director of the division of professions and occupations within the department of regulatory agencies to adopt rules to implement the authorization for an occupational therapist to perform dry needling. At a minimum, the rules must establish requirements for dry needling performed by an occupational therapist that are equivalent to the requirements in rules adopted by the state physical therapy board for dry needling performed by a physical therapist.(Note: This summary applies to this bill as enacted.)
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Apr 2026
Introduced Jan 14, 2026 Signed Apr 2, 2026
Maddy AI version diff · 5 comparisons

What changed between versions

Rerevised Final Act · 5 edits · Mar 24, 2026
MODERATE
The bill was finalized to authorize occupational therapists to perform dry needling starting September 1, 2027, provided they meet specific competency and education requirements. A key addition requires the state director to adopt rules by June 1, 2027, ensuring these new requirements are equivalent to those for physical therapists. The legislation also clarifies that this practice is not considered acupuncture and includes a formal informed consent process for patients.
Scope change
The bill's scope remains focused on occupational therapists, but it now explicitly mandates that the rules governing their dry needling practice must be equivalent to the existing rules for physical therapists.
REQUIREMENT

Added a specific deadline of June 1, 2027, for the state director to adopt rules establishing dry needling requirements.

Added a requirement that the new rules for occupational therapists must be equivalent to rules adopted for physical therapists.

Added a requirement for the director to seek input from the Colorado Medical Board before adopting the new rules.

DEFINITION

Added a specific clause stating that dry needling by occupational therapists is not considered the practice of acupuncture.

TECHNICAL

Reformatted the bill text to meet final act standards, including adding signatures and removing preliminary session headers.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
13
Key actions
7
Committee
2
Apr 2, 2026
Signed into law
Governor Signed
executive
Mar 26, 2026
Upper · Passed
Signed by the President of the Senate
upper
Mar 25, 2026
Lower · Passed
Signed by the Speaker of the House
lower
Mar 17, 2026
Upper · Passed
Senate Third Reading Passed - No Amendments
upper
Mar 11, 2026
Upper · Passed
Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
upper
Feb 20, 2026
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
Feb 18, 2026
Lower · Passed
House Third Reading Passed - No Amendments
lower
Feb 4, 2026
Lower · Passed
House Committee on Health & Human Services Refer Unamended to House Committee of the Whole
lower
Jan 14, 2026
Introduced
Introduced In House - Assigned to Health & Human Services
lower
3 primary · 15 co-sponsors

Sponsors