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Bill

Bill

SB 668

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 & 17824 of 1978 PA 368 (MCL 333.17801 et seq.) & repeals sec. 17819 of 1978 PA 368 (MCL 333.17819).

2023-2024 Regular Session Introduced by Kevin Hertel

Michigan bill eliminates physician prescription requirement for physical therapy, allowing direct patient access to PT services without prior medical authorization.

referred to second reading
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Bill Summary · SB 668

Legislative bill overview

SB 668 would eliminate the requirement for Michigan patients to obtain a physician's prescription before receiving physical therapy treatment. The bill amends Michigan's health occupations laws to allow physical therapists greater autonomy in treating patients directly and modifies related regulatory provisions governing physical therapy practice.

Why is this important

This change affects access to healthcare by potentially reducing barriers and wait times for physical therapy services, while also shifting the gate-keeping role traditionally held by physicians. It reflects a broader national trend toward expanding scope of practice for allied health professionals, which has cost and care coordination implications for Michigan's healthcare system.

Potential points of contention

  • Professional scope creep concerns: Physicians and their organizations may argue that removing prescription requirements eliminates important clinical oversight and coordination, potentially leading to fragmented care or inappropriate treatment recommendations
  • Patient safety and liability questions: Stakeholders may debate whether physical therapists possess sufficient diagnostic training to independently assess conditions that might require physician evaluation, and who bears liability for treatment decisions
  • Insurance and reimbursement impacts: Third-party payers may have concerns about coverage policies, billing practices, and whether direct-access physical therapy will increase or decrease overall healthcare costs

Compiled from official sources — confirm details with the bill’s official record.

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