Illinois 104th Regular Session Status: Enacted 3 D cosponsors

SB 2153 — PHYSICAL THERAPY TELEHEALTH

Last action — Public Act . . . . . . . . . 104-0411

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

This bill has been enacted into law. Introduced February 07, 2025. Enacted.

Signed by Governor JB Pritzker (Democratic) on August 15, 2025.

Prognosis

Likely to advance 76% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 3 sponsors

    2 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 D).

  • Cleared a recorded vote

    Passed 8 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

67 added · 51 removed

Plain-language change summary

The updated version of SB 2153 clarifies that only licensed physical therapists or their assistants, under the supervision of a therapist, can provide telehealth physical therapy services, and it tightens the conditions under which telehealth can be used. Specifically, it now requires that patients must have a referral or an established relationship with the physical therapist for telehealth sessions, ensuring there is a prior medical basis for remote care. This change matters because it ensures patient safety and care quality by emphasizing the importance of pre-existing relationships and medical assessments before engaging in virtual therapy.

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SB2153 Engrossed LRB104 09779 AAS 19845 b AN ACT concerning regulation.
SB2153 Enrolled LRB104 09779 AAS 19845 b AN ACT concerning regulation.
(b) A physical therapist or physical therapist assistant working under the general supervision of a physical therapist may provide physical therapy through telehealth services pursuant to the terms and use defined in the Telehealth Act and the Illinois Insurance Code subject to the following conditions:
(b) Only a A physical therapist or physical therapist assistant working under the general supervision of a physical therapist may provide physical therapy through telehealth services pursuant to the terms and use defined in the Telehealth Act and the Illinois Insurance Code and subject to the following conditions:
(i) the patient has a referral or diagnosis;
(i) the patient has a referral or diagnosis from a SB2153 Enrolled - 2 - LRB104 09779 AAS 19845 b health care professional;
SB2153 Engrossed - 2 - LRB104 09779 AAS 19845 b (ii) the patient is an established patient;
(ii) the patient has an established relationship with the physical therapist;
or (iii) the physical therapist has the capacity to perform or facilitate a referral for an in-person, hands-on examination or re-examination by a physical therapist at any time throughout the course of the patient's care.
or (iii) the physical therapist has the capacity to perform or facilitate a referral for an in-person, hands-on examination or re-examination by a physical therapist at any time throughout the course of the patient's care, as needed.
(2) A physical therapist may require a patient to undergo an in-person visit instead of providing telehealth services.
(2) A physical therapist or a physical therapist assistant may require the patient to undergo an in-person visit instead of providing telehealth services.
(3) A patient receiving physical therapy must be able to request and receive in-person care at any point during their treatment.
(3) A patient receiving physical therapy via telehealth must be able to request and receive in-person care at any point during their treatment.
(5) A physical therapist or a physical therapist assistant may engage in the practice of telehealth services in this State to the extent of his or her scope of SB2153 Engrossed - 3 - LRB104 09779 AAS 19845 b practice as established in this Act and consistent with the standards of care for in-person services.
SB2153 Enrolled - 3 - LRB104 09779 AAS 19845 b (5) A physical therapist or a physical therapist assistant may engage in the practice of telehealth services in this State to the extent of the physical therapist's or the physical therapist assistant's scope of practice as established in this Act and consistent with the standards of care for in-person services.
(6) A physical therapist treating a patient located in this State through telehealth services must be licensed or authorized to practice physical therapy in this State.
(6) A physical therapist or a physical therapist assistant working under the general supervision of a physical therapist treating a patient located in this State through telehealth services must be licensed or authorized to practice physical therapy in this State.
(7) The Department may, by rule, exempt physical therapists and physical therapist assistants providing physical therapy services as part of the Illinois Early Intervention Program, an individualized education program, or a federal Section 504 plan through a school system from this Section to address service delays.
(c) The Department may, in consultation with the Department of Human Services and the Department of Early Childhood, exempt physical therapists and physical therapist assistants providing physical therapy services as part of the Illinois Early Intervention Program, an individualized education program, or a federal Section 504 plan through a school system from this Section by rule to address service delays.
(d) Nothing in this Section shall be construed to allow noncompliance with any requirements under the federal Individuals with Disabilities Education Act, the Early Intervention Services System Act, the Department of Early SB2153 Enrolled - 4 - LRB104 09779 AAS 19845 b Childhood Act, or any other State or federal law or rules.
1-1-25.)
1-1-25.) Section 99.
Effective date.
This Act takes effect upon becoming law.
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Amendments

4 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Public Act . . . . . . . . . 104-0411

  2. Effective Date August 15, 2025

  3. Governor Approved

  4. Sent to the Governor

  5. Passed Both Houses

  6. Senate Concurs

  7. House Floor Amendment No. 3 Senate Concurs 056-000-000

  8. House Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Licensed Activities; 007-000-000

  9. House Floor Amendment No. 3 Motion to Concur Assignments Referred to Licensed Activities

  10. House Floor Amendment No. 3 Motion to Concur Referred to Assignments

  11. House Floor Amendment No. 3 Motion to Concur Filed with Secretary Sen. Cristina Castro

  12. Placed on Calendar Order of Concurrence House Amendment(s) 3 - May 29, 2025

  13. Secretary's Desk - Concurrence House Amendment(s) 3

  14. House Floor Amendment No. 2 Tabled

  15. Third Reading - Short Debate - Passed 112-000-000

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

  17. House Floor Amendment No. 3 Adopted

  18. House Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; 013-000-000

  19. Third Reading/Final Action Deadline Extended-9(b) May 31, 2025

  20. House Floor Amendment No. 3 Rules Refers to Health Care Licenses Committee

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

  22. House Floor Amendment No. 3 Filed with Clerk by Rep. Angelica Guerrero-Cuellar

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

  24. House Floor Amendment No. 2 Filed with Clerk by Rep. Angelica Guerrero-Cuellar

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

  26. Second Reading - Short Debate

  27. Placed on Calendar 2nd Reading - Short Debate

  28. House Committee Amendment No. 1 Tabled

  29. Do Pass / Short Debate Health Care Licenses Committee; 014-000-000

  30. House Committee Amendment No. 1 Referred to Rules Committee

  31. House Committee Amendment No. 1 Filed with Clerk by Rep. Angelica Guerrero-Cuellar

  32. Assigned to Health Care Licenses Committee

  33. Referred to Rules Committee

  34. First Reading

  35. Chief House Sponsor Rep. Angelica Guerrero-Cuellar

  36. Arrived in House

  37. Added as Co-Sponsor Sen. Lakesia Collins

  38. Third Reading - Passed; 054-000-000

  39. Placed on Calendar Order of 3rd Reading

  40. Senate Floor Amendment No. 1 Adopted; Castro

  41. Recalled to Second Reading

  42. Senate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; 005-000-000

  43. Senate Floor Amendment No. 1 Assignments Refers to Licensed Activities

  44. Senate Floor Amendment No. 1 Referred to Assignments

  45. Senate Floor Amendment No. 1 Filed with Secretary by Sen. Cristina Castro

  46. Placed on Calendar Order of 3rd Reading April 4, 2025

  47. Second Reading

  48. Placed on Calendar Order of 2nd Reading March 18, 2025

  49. Do Pass Licensed Activities; 007-000-000

  50. Assigned to Licensed Activities

  51. Referred to Assignments

  52. First Reading

  53. Filed with Secretary by Sen. Cristina Castro

Sponsors

Sponsorship breakdown

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2 sponsors · 1 co-sponsors · 180 not signed on

Sponsors (2)

Co-sponsors (1)

Not signed on (180)

180 members have not signed on to this bill.

Show all 180 →

"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

Concurrence, Amendment 3

Passed 56 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 3000
Democrat 33003
Republican 19000
Total 55003
% of votes cast 95%0%0%5%
How each member voted (58)
Member Party Vote
Simmons — Yea
Glowiak Hilton — Yea
Loughran Cappel — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Yea
Graciela Guzmán Democrat Yea
Gregg Johnson Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Not Voting
Lakesia Collins Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Not Voting
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mark L. Walker Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Yea
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Not Voting
Mike Porfirio Democrat Yea
Napoleon Harris III Democrat Yea
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Yea
Chapin Rose Republican Yea
Chris Balkema Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Darby A. Hills Republican Yea
Dave Syverson Republican Yea
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Seth Lewis Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Licensed Activities, Amendment 3

Passed 7 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 5001
Republican 2001
Total 7002
% of votes cast 78%0%0%22%
How each member voted (9)
Member Party Vote
Christopher Belt Democrat Yea
Emil Jones, III Democrat Yea
Javier L. Cervantes Democrat Yea
Michael E. Hastings Democrat Not Voting
Ram Villivalam Democrat Yea
Suzy Glowiak Hilton Democrat Yea
Dave Syverson Republican Not Voting
Erica Harriss Republican Yea
Steve McClure Republican Yea

Official roll call →

Third Reading

Passed 112 Yea · 0 Nay · 6 Other
Party YeaNayPresentNot Voting
Democrat 66003
Republican 36003
Unaffiliated 9000
Total 111006
% of votes cast 95%0%0%5%
How each member voted (117)
Member Party Vote
Stava-Murray — Yea
Costa Howard — Yea
Du Buclet — Yea
Faver Dias — Yea
Hernandez, Lisa — Yea
Katz Muhl — Yea
La Ha — Yea
Williams, Jawaharial — Yea
Yang Rohr — Yea
Aarón M. Ortíz Democrat Yea
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Not Voting
Curtis J. Tarver, II Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Debbie Meyers-Martin Democrat Yea
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Yea
Gregg Johnson Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Yea
Jaime M. Andrade, Jr. Democrat Yea
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
Kevin John Olickal Democrat Yea
La Shawn K. Ford Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Yea
Lindsey LaPointe Democrat Yea
Lisa Davis Democrat Yea
Marcus C. Evans, Jr. Democrat Not Voting
Margaret Croke Democrat Yea
Martha Deuter Democrat Yea
Martin J. Moylan Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Yea
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael Crawford Democrat Yea
Michael J. Kelly Democrat Yea
Michelle Mussman Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Nicolle Grasse Democrat Yea
Norma Hernandez Democrat Yea
Rick Ryan Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sharon Chung Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Not Voting
Suzanne M. Ness Democrat Yea
Thaddeus Jones Democrat Yea
Theresa Mah Democrat Yea
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Yea
Yolonda Morris Democrat Yea
Adam M. Niemerg Republican Yea
Amy Elik Republican Yea
Amy L. Grant Republican Yea
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Yea
Bradley Fritts Republican Yea
Brandun Schweizer Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Yea
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Yea
Jackie Haas Republican Yea
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Jeff Keicher Republican Yea
Jennifer Sanalitro Republican Yea
Joe C. Sosnowski Republican Yea
John M. Cabello Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Martin McLaughlin Republican Not Voting
Michael J. Coffey, Jr. Republican Yea
Norine K. Hammond Republican Yea
Patrick Sheehan Republican Not Voting
Patrick Windhorst Republican Yea
Paul Jacobs Republican Yea
Regan Deering Republican Yea
Ryan Spain Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea
Travis Weaver Republican Yea
Wayne A. Rosenthal Republican Not Voting
William E Hauter Republican Yea

Official roll call →

Health Care Licenses, Amendment 3

Passed 13 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 8002
Republican 5000
Total 13002
% of votes cast 87%0%0%13%
How each member voted (15)
Member Party Vote
Aarón M. Ortíz Democrat Not Voting
Anna Moeller Democrat Yea
Bob Morgan Democrat Yea
Jawaharial Williams Democrat Not Voting
Lindsey LaPointe Democrat Yea
Natalie A. Manley Democrat Yea
Rick Ryan Democrat Yea
Sharon Chung Democrat Yea
Terra Costa Howard Democrat Yea
Theresa Mah Democrat Yea
Dennis Tipsword Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Paul Jacobs Republican Yea
William E Hauter Republican Yea

Official roll call →

Health Care Licenses

Passed 14 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 9001
Republican 5000
Total 14001
% of votes cast 93%0%0%7%
How each member voted (15)
Member Party Vote
Aarón M. Ortíz Democrat Yea
Anna Moeller Democrat Yea
Bob Morgan Democrat Yea
Jawaharial Williams Democrat Yea
Lindsey LaPointe Democrat Yea
Natalie A. Manley Democrat Yea
Rick Ryan Democrat Yea
Sharon Chung Democrat Yea
Terra Costa Howard Democrat Yea
Theresa Mah Democrat Not Voting
Dennis Tipsword Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Paul Jacobs Republican Yea
William E Hauter Republican Yea

Official roll call →

Third Reading

Passed 54 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 3000
Democrat 33003
Republican 17002
Total 53005
% of votes cast 91%0%0%9%
How each member voted (58)
Member Party Vote
Simmons — Yea
Glowiak Hilton — Yea
Loughran Cappel — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Not Voting
Graciela Guzmán Democrat Yea
Gregg Johnson Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mark L. Walker Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Not Voting
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Yea
Napoleon Harris III Democrat Yea
Omar Aquino Democrat Not Voting
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Not Voting
Chapin Rose Republican Not Voting
Chris Balkema Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Darby A. Hills Republican Yea
Dave Syverson Republican Yea
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Seth Lewis Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Licensed Activities, Amendment 1

Passed 5 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Democrat 3003
Republican 2001
Total 5004
% of votes cast 56%0%0%44%
How each member voted (9)
Member Party Vote
Christopher Belt Democrat Not Voting
Emil Jones, III Democrat Not Voting
Javier L. Cervantes Democrat Yea
Michael E. Hastings Democrat Not Voting
Ram Villivalam Democrat Yea
Suzy Glowiak Hilton Democrat Yea
Dave Syverson Republican Not Voting
Erica Harriss Republican Yea
Steve McClure Republican Yea

Official roll call →

Licensed Activities

Passed 7 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 3002
Republican 3000
Unaffiliated 1000
Total 7002
% of votes cast 78%0%0%22%
How each member voted (9)
Member Party Vote
Glowiak Hilton — Yea
Christopher Belt Democrat Yea
Emil Jones, III Democrat Not Voting
Javier L. Cervantes Democrat Yea
Michael E. Hastings Democrat Not Voting
Ram Villivalam Democrat Yea
Dave Syverson Republican Yea
Erica Harriss Republican Yea
Steve McClure Republican Yea

Official roll call →

Subjects

healthcare technology
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Frequently asked questions

Who sponsors SB 2153?
SB 2153 is sponsored by Cristina Castro (Democrat), Lakesia Collins (Democrat), and Angelica Guerrero-Cuellar (Democrat).
What is the current status of SB 2153?
This bill has been enacted into law. Introduced February 07, 2025. Enacted.
Where can I track SB 2153?
Track SB 2153 free on One Click Politics — get push/email alerts when it moves.

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