SB 144 Michigan Senate · 2025-2026 Regular Session

Health occupations: physical therapists; prescription requirement for physical therapy treatment; eliminate, and make other modifications to the practice of physical therapy. Amends secs. 17801, 17820, 17822, 17824 & 17825 of 1978 PA 368 (MCL 333.17801 et seq.) & adds sec. 17825a.

Senate Bill 144 revises the regulations for physical therapists and physical therapist assistants, primarily impacting how patients can access physical therapy services. The bill eliminates the general requirement for a patient to have a prescription from another healthcare professional to receive physical therapy treatment. It allows physical therapists to treat patients directly, either for a limited period (21 days or 10 treatments) or for injury prevention and fitness, while also clarifying when a physical therapist must refer a patient to another healthcare professional. Additionally, the bill updates the legal definition of the "practice of physical therapy" to clarify what activities are included and excluded from a physical therapist's scope.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
Jun 2026
Senate Passage
Apr 2025
House Passage
Governor
Introduced Mar 12, 2025 Last action Jun 24, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Senate Introduced Bill As Passed by the Senate · 5 edits · Apr 22, 2025
MODERATE
This bill updates Michigan's Public Health Code to clarify definitions for physical therapy and physical therapist assistants, allowing them to treat patients without a prescription from an advanced practice registered nurse for up to 21 days or 10 treatments. It also mandates that therapists consult with a primary care provider if a patient does not improve within 60 days or if symptoms worsen, and requires therapists treating patients without referrals to inform them of potential financial liability.
Scope change
The scope of practice for physical therapists and assistants was expanded to allow short-term treatment without a prescription, while adding specific consultation timelines and financial disclosure requirements.
DEFINITION

Updated definitions for 'health care professional' and 'physical therapist' to clarify licensing requirements and scope.

REQUIREMENT

Added a provision allowing physical therapists to treat patients without a prescription for 21 days or 10 treatments, whichever comes first.

Required physical therapists to consult with a primary care professional if a patient does not show improvement within 60 days or if symptoms worsen.

Mandated that physical therapists treating patients without a referral must inform the patient of their potential financial liability.

Clarified that physical therapy does not include establishing medical diagnoses or prescribing treatment.

Floor votes · Senate Apr 22, 2025

How they voted

370
Passed · 1 other
Total votes 38
Apr 22, 2025
D Democratic19
19 Yea
100% Yea
R Republican19
18 Yea 1
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
13
Key actions
4
Committee
7
Jun 24, 2026
Committee
referred to second reading
lower
Jun 24, 2026
Lower · Passed
reported with recommendation without amendment
lower
Apr 22, 2025
Committee
referred to Committee on Health Policy
lower
Apr 22, 2025
Introduced
received on 04/22/2025
lower
Apr 22, 2025
Upper · Passed
PASSED ROLL CALL # 64 YEAS 36 NAYS 0 EXCUSED 1 NOT VOTING 0
upper
Apr 17, 2025
Upper · Passed
REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S)
upper
Mar 20, 2025
Committee
REFERRED TO COMMITTEE OF THE WHOLE
upper
Mar 20, 2025
Upper · Passed
REPORTED FAVORABLY WITHOUT AMENDMENT 3/19/2025
upper
Mar 12, 2025
Committee
REFERRED TO COMMITTEE ON HEALTH POLICY
upper
Mar 12, 2025
Introduced
INTRODUCED BY SENATOR SYLVIA SANTANA
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Sylvia Santana
Sylvia Santana
DDemocratic
MI
2