Illinois 100th Regular Session Status: Enacted Bipartisan · 3 R · 2 D cosponsors

HB 4643 — PHYSICAL THERAPY-DIAGNOSIS

Last action — Public Act . . . . . . . . . 100-0897

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 07, 2018. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 21 sponsors

    0 primary, 21 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 R · 2 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Amends the Illinois Physical Therapy Act. Provides that the limitation on determining a differential diagnosis shall not in any manner limit a physical therapist from establishing a relevant diagnosis. In the definition of "documented current and relevant diagnosis" and in provisions concerning disciplinary actions, removes language requiring a diagnosis to be substantiated by a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician. Effective immediately.

Bill Text

What changed in the latest version

13 added · 13 removed

Plain-language change summary

The latest version of HB 4643 has replaced its previous formatting with a new enrolled version, which is a finalized draft of the bill. This change indicates that the bill has gone through its necessary legislative steps and is ready for final approval. It is important because it shows that the bill is moving forward and could soon become law, impacting the issues it addresses.

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Previous
Latest
HB4643 Engrossed LRB100 18534 XWW 33752 b AN ACT concerning regulation.
HB4643 Enrolled LRB100 18534 XWW 33752 b AN ACT concerning regulation.
(B) Alleviating impairments, functional limitations, or disabilities by designing, implementing, and modifying therapeutic interventions that may include, but are not limited to, the evaluation or treatment of a person through the use of the effective properties of physical measures and heat, cold, light, water, radiant energy, electricity, HB4643 Engrossed - 2 - LRB100 18534 XWW 33752 b sound, and air and use of therapeutic massage, therapeutic exercise, mobilization, and rehabilitative procedures, with or without assistive devices, for the purposes of preventing, correcting, or alleviating a physical or mental impairment, functional limitation, or disability.
(B) Alleviating impairments, functional limitations, or disabilities by designing, implementing, and modifying therapeutic interventions that may include, but are not limited to, the evaluation or treatment of a person through the use of the effective properties of physical measures and heat, cold, light, water, radiant energy, electricity, HB4643 Enrolled - 2 - LRB100 18534 XWW 33752 b sound, and air and use of therapeutic massage, therapeutic exercise, mobilization, and rehabilitative procedures, with or without assistive devices, for the purposes of preventing, correcting, or alleviating a physical or mental impairment, functional limitation, or disability.
(a) performance of specialized tests and measurements, (b) administration of specialized treatment procedures, (c) interpretation of referrals from physicians, dentists, advanced practice registered nurses, physician assistants, and podiatric physicians, (d) establishment, and modification of physical therapy treatment programs, (e) administration of topical medication used in generally accepted physical therapy procedures when such medication is either prescribed by the patient's physician, licensed to practice medicine in all its branches, the patient's physician licensed to practice podiatric medicine, the patient's advanced practice registered nurse, the patient's physician assistant, or the patient's dentist or used following the physician's orders or written instructions, (f) supervision or teaching of physical therapy, HB4643 Engrossed - 3 - LRB100 18534 XWW 33752 b and (g) dry needling in accordance with Section 1.5.
(a) performance of specialized tests and measurements, (b) administration of specialized treatment procedures, (c) interpretation of referrals from physicians, dentists, advanced practice registered nurses, physician assistants, and podiatric physicians, (d) establishment, and modification of physical therapy treatment programs, (e) administration of topical medication used in generally accepted physical therapy procedures when such medication is either prescribed by the patient's physician, licensed to practice medicine in all its branches, the patient's physician licensed to practice podiatric medicine, the patient's advanced practice registered nurse, the patient's physician assistant, or the patient's dentist or used following the physician's orders or written instructions, (f) supervision or teaching of physical therapy, HB4643 Enrolled - 3 - LRB100 18534 XWW 33752 b and (g) dry needling in accordance with Section 1.5.
(6) "Referral" means a written or oral authorization for HB4643 Engrossed - 4 - LRB100 18534 XWW 33752 b physical therapy services for a patient by a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician who maintains medical supervision of the patient and makes a diagnosis or verifies that the patient's condition is such that it may be treated by a physical therapist.
(6) "Referral" means a written or oral authorization for HB4643 Enrolled - 4 - LRB100 18534 XWW 33752 b physical therapy services for a patient by a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician who maintains medical supervision of the patient and makes a diagnosis or verifies that the patient's condition is such that it may be treated by a physical therapist.
The patient care activities provided by the physical therapist assistant shall not include HB4643 Engrossed - 5 - LRB100 18534 XWW 33752 b the interpretation of referrals, evaluation procedures, or the planning or major modification of patient programs.
The patient care activities provided by the physical therapist assistant shall not include HB4643 Enrolled - 5 - LRB100 18534 XWW 33752 b the interpretation of referrals, evaluation procedures, or the planning or major modification of patient programs.
(b) A physical therapist providing services without a referral from a health care professional must notify the patient's treating health care professional within 5 business days after the patient's first visit that the patient is HB4643 Engrossed - 6 - LRB100 18534 XWW 33752 b receiving physical therapy.
(b) A physical therapist providing services without a referral from a health care professional must notify the patient's treating health care professional within 5 business days after the patient's first visit that the patient is HB4643 Enrolled - 6 - LRB100 18534 XWW 33752 b receiving physical therapy.
HB4643 Engrossed - 7 - LRB100 18534 XWW 33752 b (225 ILCS 90/17) (from Ch.
HB4643 Enrolled - 7 - LRB100 18534 XWW 33752 b (225 ILCS 90/17) (from Ch.
HB4643 Engrossed - 8 - LRB100 18534 XWW 33752 b E.
HB4643 Enrolled - 8 - LRB100 18534 XWW 33752 b E.
Revocation or suspension of a license to practice physical therapy as a physical therapist or physical therapist assistant or the taking of other disciplinary HB4643 Engrossed - 9 - LRB100 18534 XWW 33752 b action by the proper licensing authority of another state, territory or country;
Revocation or suspension of a license to practice physical therapy as a physical therapist or physical therapist assistant or the taking of other disciplinary HB4643 Enrolled - 9 - LRB100 18534 XWW 33752 b action by the proper licensing authority of another state, territory or country;
Nothing in this paragraph (L) shall be construed to require an employment arrangement to receive professional fees for HB4643 Engrossed - 10 - LRB100 18534 XWW 33752 b services rendered;
Nothing in this paragraph (L) shall be construed to require an employment arrangement to receive professional fees for HB4643 Enrolled - 10 - LRB100 18534 XWW 33752 b services rendered;
HB4643 Engrossed - 11 - LRB100 18534 XWW 33752 b T.
HB4643 Enrolled - 11 - LRB100 18534 XWW 33752 b T.
Interpretation of referrals, performance of evaluation procedures, planning or making major HB4643 Engrossed - 12 - LRB100 18534 XWW 33752 b modifications of patient programs by a physical therapist assistant;
Interpretation of referrals, performance of evaluation procedures, planning or making major HB4643 Enrolled - 12 - LRB100 18534 XWW 33752 b modifications of patient programs by a physical therapist assistant;
This Act takes effect upon HB4643 Engrossed - 13 - LRB100 18534 XWW 33752 b becoming law.
This Act takes effect upon HB4643 Enrolled - 13 - LRB100 18534 XWW 33752 b becoming law.
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Action History

  1. Public Act . . . . . . . . . 100-0897

  2. Effective Date August 16, 2018

  3. Governor Approved

  4. Sent to the Governor

  5. Passed Both Houses

  6. Third Reading - Passed; 054-000-001

  7. Added as Alternate Co-Sponsor Sen. Jason A. Barickman

  8. Added as Alternate Co-Sponsor Sen. Karen McConnaughay

  9. Added as Alternate Co-Sponsor Sen. John J. Cullerton

  10. Added as Alternate Co-Sponsor Sen. Dan McConchie

  11. Placed on Calendar Order of 3rd Reading May 18, 2018

  12. Second Reading

  13. Added as Alternate Co-Sponsor Sen. Martin A. Sandoval

  14. Added as Alternate Co-Sponsor Sen. John F. Curran

  15. Added as Alternate Co-Sponsor Sen. Michael Connelly

  16. Added as Alternate Co-Sponsor Sen. William R. Haine

  17. Added as Alternate Co-Sponsor Sen. Kyle McCarter

  18. Added as Alternate Co-Sponsor Sen. James F. Clayborne, Jr.

  19. Added as Alternate Co-Sponsor Sen. Chuck Weaver

  20. Added as Alternate Co-Sponsor Sen. Tom Rooney

  21. Added as Alternate Co-Sponsor Sen. Pamela J. Althoff

  22. Added as Alternate Co-Sponsor Sen. Neil Anderson

  23. Placed on Calendar Order of 2nd Reading May 15, 2018

  24. Do Pass Licensed Activities and Pensions; 009-000-000

  25. Added as Alternate Co-Sponsor Sen. Emil Jones, III

  26. Added as Alternate Co-Sponsor Sen. Melinda Bush

  27. Added as Alternate Co-Sponsor Sen. Linda Holmes

  28. Added as Alternate Co-Sponsor Sen. Paul Schimpf

  29. Added as Alternate Co-Sponsor Sen. Dale Fowler

  30. Assigned to Licensed Activities and Pensions

  31. Added as Alternate Co-Sponsor Sen. Terry Link

  32. Added as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez

  33. Added as Alternate Chief Co-Sponsor Sen. Cristina Castro

  34. Referred to Assignments

  35. First Reading

  36. Chief Senate Sponsor Sen. John G. Mulroe

  37. Placed on Calendar Order of First Reading

  38. Arrive in Senate

  39. Third Reading - Standard Debate - Passed 095-000-000

  40. Placed on Calendar Order of 3rd Reading - Standard Debate

  41. House Floor Amendment No. 3 Adopted

  42. House Floor Amendment No. 2 Adopted

  43. Recalled to Second Reading - Standard Debate

  44. Added Co-Sponsor Rep. Michael P. McAuliffe

  45. House Floor Amendment No. 3 Recommends Be Adopted Rules Committee; 004-000-000

  46. House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 004-000-000

  47. Added Co-Sponsor Rep. Jaime M. Andrade, Jr.

  48. Added Co-Sponsor Rep. LaToya Greenwood

  49. Placed on Calendar Order of 3rd Reading - Standard Debate

  50. Removed from Short Debate Status

  51. Placed on Calendar Order of 3rd Reading - Short Debate

  52. House Floor Amendment No. 1 Adopted

  53. Added Chief Co-Sponsor Rep. Ann M. Williams

  54. House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee; 016-000-000

  55. Held on Calendar Order of Second Reading - Short Debate

  56. Second Reading - Short Debate

  57. House Floor Amendment No. 3 Referred to Rules Committee

  58. House Floor Amendment No. 3 Filed with Clerk by Rep. Daniel J. Burke

  59. Added Chief Co-Sponsor Rep. Kathleen Willis

  60. House Floor Amendment No. 2 Referred to Rules Committee

  61. House Floor Amendment No. 2 Filed with Clerk by Rep. Daniel J. Burke

  62. House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee

  63. House Floor Amendment No. 1 Referred to Rules Committee

  64. House Floor Amendment No. 1 Filed with Clerk by Rep. Daniel J. Burke

  65. Placed on Calendar 2nd Reading - Short Debate

  66. Do Pass / Short Debate Health Care Licenses Committee; 013-002-000

  67. Added Co-Sponsor Rep. Barbara Wheeler

  68. Added Co-Sponsor Rep. Laura Fine

  69. Added Co-Sponsor Rep. Michael D. Unes

  70. Assigned to Health Care Licenses Committee

  71. Added Co-Sponsor Rep. Natalie Phelps Finnie

  72. Added Co-Sponsor Rep. Jerry Costello, II

  73. Added Co-Sponsor Rep. John C. D'Amico

  74. Added Chief Co-Sponsor Rep. Jay Hoffman

  75. Chief Co-Sponsor Changed to Rep. Robyn Gabel

  76. Added Chief Co-Sponsor Rep. Robyn Gabel

  77. Referred to Rules Committee

  78. First Reading

  79. Added Co-Sponsor Rep. Theresa Mah

  80. Filed with the Clerk by Rep. Daniel J. Burke

Sponsors

  • Daniel J. Burke · Cosponsor
  • Terry Link · Cosponsor
  • Dale Fowler · Cosponsor
  • Paul Schimpf · Cosponsor
  • Linda Holmes · Cosponsor
  • Melinda Bush · Cosponsor
  • III Emil Jones · Cosponsor
  • Neil Anderson · Cosponsor
  • Pamela J. Althoff · Cosponsor
  • Tom Rooney · Cosponsor
  • Jr. James F. Clayborne · Cosponsor
  • Kyle McCarter · Cosponsor
  • William R. Haine · Cosponsor
  • Michael Connelly · Cosponsor
  • John F. Curran · Cosponsor
  • Martin A. Sandoval · Cosponsor
  • Dan McConchie · Cosponsor
  • John J. Cullerton · Cosponsor
  • Karen McConnaughay · Cosponsor
  • Jason A. Barickman · Cosponsor
  • Travis Weaver · Cosponsor

Sponsorship breakdown

Export CSV (upgrade) →

0 sponsors · 21 co-sponsors · 162 not signed on

Sponsors (0)

None.

Co-sponsors (21)

  • Daniel J. Burke
  • Terry Link
  • Dale Fowler
  • Paul Schimpf
  • Linda Holmes Democrat
  • Melinda Bush
  • Emil Jones, III Democrat
  • Neil Anderson Republican
  • Pamela J. Althoff
  • Tom Rooney
  • James F. Clayborne, Jr.
  • Kyle McCarter
  • William R. Haine
  • Michael Connelly
  • John F. Curran Republican
  • Martin A. Sandoval
  • Dan McConchie
  • John J. Cullerton
  • Karen McConnaughay
  • Jason A. Barickman
  • Travis Weaver Republican

Not signed on (162)

162 members have not signed on to this bill.

Show all 162 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Passed 54 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 34001
Republican 7002
Democrat 13002
Total 54005
% of votes cast 92%0%0%8%
How each member voted (59)
Member Party Vote
Bertino-Tarrant — Yea
Biss — Yea
Bivins — Yea
Bush — Yea
Althoff — Yea
Clayborne — Yea
Connelly — Yea
Landek — Yea
Link — Yea
Rooney — Yea
Manar — Yea
McCann — Yea
McCarter — Yea
McConnaughay — Yea
Mulroe — Yea
Bennett — Yea
Harris — Yea
Oberweis — Yea
McGuire — Yea
Silverstein — Yea
Brady — Yea
Steans — Yea
Cullerton — Yea
Cullerton, T. — Yea
Haine — Yea
Hutchinson — Yea
Muñoz — Yea
Nybo — Yea
Raoul — Yea
Righter — Yea
Sandoval — Not Voting
Schimpf — Yea
Martinez — Yea
Barickman — Yea
Van Pelt — Yea
Bill Cunningham Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Not Voting
Don Harmon Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Yea
Julie A. Morrison Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Not Voting
Mattie Hunter Democrat Yea
Michael E. Hastings Democrat Yea
Omar Aquino Democrat Yea
Steve Stadelman Democrat Yea
Chapin Rose Republican Yea
Dale Fowler Republican Yea
Dan McConchie Republican Yea
Dave Syverson Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Neil Anderson Republican Not Voting
Sue Rezin Republican Not Voting
Travis Weaver Republican Yea

Official roll call →

Third Reading

Passed 95 Yea · 0 Nay · 23 Other
Party YeaNayPresentNot Voting
Unaffiliated 610013
Republican 8004
Democrat 26006
Total 950023
% of votes cast 81%0%0%19%
How each member voted (118)
Member Party Vote
Batinick — Yea
Bellock — Yea
Bourne — Not Voting
Breen — Yea
Bristow — Yea
Butler — Yea
Carroll — Yea
McAuliffe — Yea
Flowers — Yea
Long — Yea
Pritchard — Yea
Sente — Yea
Stewart — Yea
Stratton — Yea
Bennett — Yea
Tabares — Yea
Brady — Yea
Harris, David — Yea
Thapedi — Yea
Harris, Gregory — Yea
Turner — Yea
Unes — Yea
Wallace — Yea
Burke, Daniel — Yea
Burke, Kelly — Yea
Cavaletto — Yea
Connor — Yea
Conroy — Yea
Conyears-Ervin — Yea
Costello — Yea
Currie — Yea
D'Amico — Yea
Frese — Yea
Greenwood — Yea
Hays — Yea
Hurley — Yea
Ives — Yea
Davis — Yea
Lang — Not Voting
Wheeler, Keith — Yea
Mitchell, Bill — Yea
Madigan — Not Voting
Williams — Yea
Mitchell, Christian — Yea
McDermed — Yea
McSweeney — Yea
Finnie, Natalie — Yea
Sauer — Not Voting
Phillips — Not Voting
Hernandez — Not Voting
Wheeler, Barbara — Not Voting
Wehrli — Yea
Welter — Yea
Willis — Yea
Jones — Not Voting
Winger — Yea
Demmer — Yea
Drury — Not Voting
Durkin — Yea
Fortner — Not Voting
Yingling — Yea
Jesiel — Yea
Jimenez — Yea
Olsen — Yea
Parkhurst — Yea
Reis — Not Voting
Riley — Yea
Skillicorn — Yea
Sommer — Yea
Soto — Not Voting
Zalewski — Yea
Andersson — Yea
Arroyo — Not Voting
Chapa LaVia — Yea
Anna Moeller Democrat Yea
Anthony DeLuca Democrat Not Voting
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Yea
Emanuel "Chris" Welch Democrat Yea
Fred Crespo Democrat Yea
Jaime M. Andrade, Jr. Democrat Yea
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Julie A. Morrison Democrat Not Voting
Justin Slaughter Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Not Voting
La Shawn K. Ford Democrat Yea
Laura Fine Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Marcus C. Evans, Jr. Democrat Not Voting
Martin J. Moylan Democrat Yea
Michael W. Halpin Democrat Yea
Michelle Mussman Democrat Not Voting
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robert F. Martwick Democrat Yea
Robyn Gabel Democrat Not Voting
Sara Feigenholtz Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Theresa Mah Democrat Yea
Will Guzzardi Democrat Yea
Brad Halbrook Republican Yea
Charles Meier Republican Yea
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Not Voting
Dave Severin Republican Yea
Joe C. Sosnowski Republican Not Voting
John M. Cabello Republican Not Voting
Norine K. Hammond Republican Yea
Ryan Spain Republican Not Voting
Steven Reick Republican Yea
Terri Bryant Republican Yea
Tony M. McCombie Republican Yea

Official roll call →

Subjects

healthcare labor
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 4643 do?
Amends the Illinois Physical Therapy Act. Provides that the limitation on determining a differential diagnosis shall not in any manner limit a physical therapist from establishing a relevant diagnosis. In the definition of "documented current and relevant diagnosis" and in provisions concerning disciplinary actions, removes language requiring a diagnosis to be substantiated by a physician, dentist, advanced practice registered nurse, physician assistant, or podiatric physician. Effective immediately.
Who sponsors HB 4643?
HB 4643 is sponsored by Daniel J. Burke, Terry Link, Dale Fowler, Paul Schimpf, Linda Holmes (Democrat), Melinda Bush, Emil Jones, III (Democrat), Neil Anderson (Republican), Pamela J. Althoff, Tom Rooney, James F. Clayborne, Jr., Kyle McCarter, William R. Haine, Michael Connelly, John F. Curran (Republican), Martin A. Sandoval, Dan McConchie, John J. Cullerton, Karen McConnaughay, Jason A. Barickman, and Travis Weaver (Republican).
What is the current status of HB 4643?
This bill has been enacted into law. Introduced February 07, 2018. Enacted.
Where can I track HB 4643?
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