PHYSICAL THERAPY TELEHEALTH
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 status
signed
all 5 stages cleared
Introduction
Apr 2025
Committee Review
May 2025
Senate Passage
May 2025
House Passage
May 2025
Signed into Law
Aug 2025
Introduced Apr 10, 2025
Signed Aug 15, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Enrolled
·
4 edits
·
Aug 15, 2025
MODERATE
The bill was finalized from its 'Engrossed' version to the 'Enrolled' version, making it ready for the Governor's signature. The text includes minor formatting corrections and clarifies that telehealth services must be an exception rather than the primary method of care. Crucially, the exemption for early intervention programs was expanded to require consultation with the Department of Human Services and the Department of Early Childhood, and new language was added to ensure compliance with federal disability education laws.
Scope change
The bill's scope remains focused on regulating telehealth services for physical therapy in Illinois, but the enforcement and exemption rules were slightly broadened and clarified.
REQUIREMENT
Clarified that telehealth must be an exception to in-person care, requiring clinical justification and documentation.
Added a new subsection (d) explicitly stating that telehealth rules cannot override federal laws regarding the education of individuals with disabilities.
ENFORCEMENT
Updated the exemption process for early intervention programs to require consultation with the Department of Human Services and the Department of Early Childhood.
TECHNICAL
Corrected minor formatting errors and clarified phrasing regarding the supervision requirements for physical therapist assistants.
Floor votes · Senate Apr 10, 2025 · House May 29, 2025
How they voted
53–0
Passed · 5 other
Total votes 58
Apr 10, 2025
D
Democratic39
92% Yea
R
Republican19
89% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
53
Key actions
10
Committee
14
Amendments
14
Aug 15, 2025
Signed into law
Governor Approved
upper
May 31, 2025
Upper · Passed
Passed Both Houses
upper
May 31, 2025
Introduced
House Floor Amendment No. 3 Senate Concurs 056-000-000
upper
May 30, 2025
Introduced
House Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Licensed Activities; 007-000-000
upper
May 30, 2025
Committee
House Floor Amendment No. 3 Motion to Concur Assignments Referred to Licensed Activities
upper
May 30, 2025
Committee
House Floor Amendment No. 3 Motion to Concur Referred to Assignments
upper
May 29, 2025
Introduced
Placed on Calendar Order of Concurrence House Amendment(s) 3 - May 29, 2025
upper
May 29, 2025
Introduced
Secretary's Desk - Concurrence House Amendment(s) 3
upper
May 29, 2025
Amended
House Floor Amendment No. 2 Tabled
lower
May 29, 2025
Lower · Passed
Third Reading - Short Debate - Passed 112-000-000
lower
May 29, 2025
Lower · Passed
House Floor Amendment No. 3 Adopted
lower
May 28, 2025
Lower · Passed
House Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; 013-000-000
lower
May 23, 2025
Lower · Passed
House Floor Amendment No. 3 Rules Refers to Health Care Licenses Committee
lower
May 22, 2025
Committee
House Floor Amendment No. 3 Referred to Rules Committee
lower
May 22, 2025
Introduced
House Floor Amendment No. 3 Filed with Clerk by Rep. Angelica Guerrero-Cuellar
lower
May 21, 2025
Committee
House Floor Amendment No. 2 Referred to Rules Committee
lower
May 21, 2025
Introduced
House Floor Amendment No. 2 Filed with Clerk by Rep. Angelica Guerrero-Cuellar
lower
May 7, 2025
Amended
House Committee Amendment No. 1 Tabled
lower
May 7, 2025
Lower · Passed
Do Pass / Short Debate Health Care Licenses Committee; 014-000-000
lower
May 6, 2025
Committee
House Committee Amendment No. 1 Referred to Rules Committee
lower
May 6, 2025
Introduced
House Committee Amendment No. 1 Filed with Clerk by Rep. Angelica Guerrero-Cuellar
lower
Apr 17, 2025
Committee
Assigned to Health Care Licenses Committee
lower
Apr 11, 2025
Committee
Referred to Rules Committee
lower
Apr 10, 2025
Introduced
Arrived in House
lower
Apr 10, 2025
Upper · Passed
Third Reading - Passed; 054-000-000
upper
Apr 10, 2025
Upper · Passed
Senate Floor Amendment No. 1 Adopted; Castro
upper
Apr 9, 2025
Introduced
Senate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; 005-000-000
upper
Apr 8, 2025
Introduced
Senate Floor Amendment No. 1 Assignments Refers to Licensed Activities
upper
Apr 4, 2025
Committee
Senate Floor Amendment No. 1 Referred to Assignments
upper
Apr 4, 2025
Introduced
Senate Floor Amendment No. 1 Filed with Secretary by Sen. Cristina Castro
upper
Mar 6, 2025
Upper · Passed
Do Pass Licensed Activities; 007-000-000
upper
Feb 25, 2025
Committee
Assigned to Licensed Activities
upper
Feb 7, 2025
Committee
Referred to Assignments
upper
2 primary · 1 co-sponsor
Sponsors
Role
Legislator
Party
State
District
P
Angie Guerrero-Cuellar
DDemocratic
P
Cristina Castro
DDemocratic
Co
Lakesia Collins
DDemocratic
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