SB 204 Utah Senate · 2026 General Session

Physical Therapy Payment Amendments

SB 204 requires Utah health insurers to apply the same cost-sharing rules (like copays and deductibles) for physical therapy services as they do for primary care visits. This directly affects patients seeking physical therapy and insurers, ensuring they pay no more out-of-pocket for PT than for a primary care visit. The bill amends Utah law to prohibit insurers from charging higher fees or imposing extra costs for physical therapy compared to primary care, while clarifying that physical therapists must still practice within existing scope-of-practice laws. It takes effect January 1, 2027, with no new funding required.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
Senate Passage
Mar 2026
House Passage
Feb 2026
Signed into Law
Mar 2026
Introduced Jan 28, 2026 Signed Mar 18, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

Amended Excerpts 3/5/2026 16:03:127 Amended 3/5/2026 16:03:127 · 5 edits
MODERATE
This bill amends Utah's health insurance laws to ensure physical therapists are treated the same as primary care providers regarding cost-sharing. It requires insurers to allow patients to choose physical therapists as primary care providers and prohibits higher copayments, coinsurance, or deductibles for physical therapy visits compared to primary care visits. The changes also prevent insurers from charging higher premiums if a patient selects a primary care physician.
Scope change
The bill expands the scope of covered providers to explicitly include physical therapists within the primary care provider framework for insurance plans, applying to policies renewed or entered into on or after January 1, 2027.
ELIGIBILITY

Added physical therapists to the list of providers who can be selected as primary care providers under accident and health insurance policies.

REQUIREMENT

Modified cost-sharing rules to prohibit insurers from imposing higher copayments, coinsurance, or office visit deductibles for physical therapy visits than those applicable to primary care provider visits.

Added a prohibition against insurers charging higher premiums or additional expenses if an insured selects a primary care physician in accordance with the new physical therapist provisions.

Added a specific clause ensuring physical therapists cannot practice outside their defined scope of practice under the Physical Therapy Practice Act.

TIMELINE

Updated the effective date for the new cost-sharing restrictions to January 1, 2027, for plans renewed or entered into on or after that date.

Floor votes · Senate Mar 4, 2026 · House Mar 4, 2026

How they voted

270
Passed · 2 other
Total votes 29
Mar 4, 2026
D Democratic6
5 Yea 1
83% Yea
N Forward1
1 Yea
100% Yea
R Republican22
21 Yea 1
95% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
45
Key actions
11
Committee
7
Amendments
2
Mar 18, 2026
Signed into law
Governor Signed
executive
Mar 5, 2026
Upper · Passed
Senate/ signed by President/ sent for enrolling
upper
Mar 5, 2026
Upper · Passed
House/ signed by Speaker/ returned to Senate
upper
Mar 4, 2026
Lower · Passed
Senate/ concurs with House amendment
lower
Mar 4, 2026
Upper · Passed
House/ passed 3rd reading
upper
Mar 4, 2026
Introduced
House/ floor amendment
lower
Mar 2, 2026
Lower · Passed
House/ return to Rules due to fiscal impact [House Rules Committee]
lower
Mar 2, 2026
Lower · Passed
House/ committee report favorable [House Economic Development and Workforce Services Committee]
lower
Feb 28, 2026
Lower · Passed
House Comm - Favorable Recommendation [House Economic Development and Workforce Services Committee]
lower
Feb 26, 2026
Committee
House/ to standing committee [House Economic Development and Workforce Services Committee]
lower
Feb 25, 2026
Introduced
House/ 1st reading (Introduced)
lower
Feb 23, 2026
Lower · Passed
Senate/ passed 3rd reading
lower
Feb 9, 2026
Upper · Passed
Senate/ committee report favorable [Senate Business and Labor Committee]
upper
Feb 6, 2026
Upper · Passed
Senate Comm - Favorable Recommendation [Senate Business and Labor Committee]
upper
Jan 29, 2026
Committee
Senate/ to standing committee [Senate Business and Labor Committee]
upper
Jan 28, 2026
Introduced
Senate/ 1st reading (Introduced)
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Mike McKell
Mike McKell
RRepublican
UT
25