Concerning occupational therapists performing intramuscular needling.

HB 2184 requires Washington State occupational therapists to obtain a special "intramuscular needling endorsement" before performing this specific pain treatment technique. To qualify, therapists must complete 325 hours of training (including 100 hours of anatomy/pain management education, 75 hours of hands-on technique practice, and 150 supervised patient sessions) plus one year of full-time clinical experience. The endorsement process involves documentation of training and a clinical review by a qualified provider (such as a physician or licensed physical therapist). This bill directly affects occupational therapists seeking to offer intramuscular needling as part of their practice. It does not change other occupational therapy services but adds specific requirements for this technique.