Illinois · House Bill 3769 · 104th General Assembly

OCCUPATIONAL THERAPY REFERRALS

  1. Introduced Feb 7, 2025
  2. In committee Feb 18, 2025
  3. Passed the House Feb 25, 2026
  4. Passed the Senate May 21, 2026
  5. To the governor Jun 18, 2026
  6. Became law Jul 24, 2026

What it does

The legislature's own summary of the bill, or its official long title.

Amends the Illinois Occupational Therapy Practice Act. Requires a licensed occupational therapist or licensed occupational therapy assistant who intends to provide services for individuals, groups, and populations concerning occupational therapy needs without a referral to do so within the licensee's scope of practice. Provides that a referral is not required for the purpose of providing consultations, habilitation…

Read the full title (203 words)

Amends the Illinois Occupational Therapy Practice Act. Requires a licensed occupational therapist or licensed occupational therapy assistant who intends to provide services for individuals, groups, and populations concerning occupational therapy needs without a referral to do so within the licensee's scope of practice. Provides that a referral is not required for the purpose of providing consultations, habilitation services, screenings, education, wellness services, preventions services, environmental assessments, and work-related ergonomic services. Provides that, except for occupational therapy services within the licensee's scope of practice at the time of evaluation and services provided pursuant to provisions concerning when referrals are not required, an occupational therapist shall refer a patient to the patient's treating health care professional of record, or to a health care professional of the patient's choosing if there is no health care professional of record, if the patient meets certain criteria. Provides that an occupational therapist shall refer a patient to the patient's treating health care professional of record, or to a health care professional of the patient's choosing if there is no health care professional of record if the patient does not demonstrate measurable or function improvement after 10 visits (rather than after 10 visits or 15 business days, whichever occurs first).

Every action

35 steps, oldest first, as the legislature records them.

Show the 27 earlier steps
  1. HouseFiled with the Clerk by Rep. Bob Morgan
  2. HouseFirst Reading
  3. CommitteeReferred to Rules Committee · House Rules
  4. CommitteeAssigned to Health Care Licenses Committee · House Health Care Licenses
  5. HouseAdded Chief Co-Sponsor Rep. Jawaharial Williams
  6. CommitteeDo Pass / Short Debate Health Care Licenses Committee; 014-000-000 · House Health Care Licenses
  7. HousePlaced on Calendar 2nd Reading - Short Debate
  8. HouseSecond Reading - Short Debate
  9. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  10. CommitteeRule 19(a) / Re-referred to Rules Committee · House Rules
  11. CommitteeApproved for Consideration Rules Committee; 005-000-000 · House Rules
  12. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  13. HouseThird Reading - Short Debate - Passed 107-000-000
  14. SenateArrive in Senate
  15. SenatePlaced on Calendar Order of First Reading
  16. HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin
  17. SenateChief Senate Sponsor Sen. Julie A. Morrison
  18. SenateFirst Reading
  19. CommitteeReferred to Assignments · Senate Assignments
  20. CommitteeAssigned to Licensed Activities · Senate Licensed Activities
  21. CommitteeDo Pass Licensed Activities; 009-000-000 · Senate Licensed Activities
  22. SenatePlaced on Calendar Order of 2nd Reading May 7, 2026
  23. SenateSecond Reading
  24. SenatePlaced on Calendar Order of 3rd Reading May 18, 2026
  25. SenatePlaced on Calendar Order of 3rd Reading **
  26. SenateThird Reading - Passed; 059-000-000
  27. HousePassed Both Houses
  1. SenateAdded as Alternate Co-Sponsor Sen. Robert F. Martwick
  2. SenateAdded as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton
  3. SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen
  4. SenateAdded as Alternate Co-Sponsor Sen. Mattie Hunter
  5. HouseSent to the Governor
  6. HouseGovernor Approved
  7. HouseEffective Date January 1, 2027
  8. HousePublic Act . . . . . . . . . 104-0591

Roll calls

4 recorded votes: 2 on the floor, 2 in committee. Each shows how every member voted.

Third Reading · Full House

Passed 107–0
Feb 25, 2026 · journal entry
Yes 107 No 0 Not voting 11
Democrats: 69 yes, 0 no Republicans: 38 yes, 0 no
How each member voted

Yes · 107

Absent · 6

Excused · 5

Third Reading · Full Senate

Passed 59–0
May 21, 2026 · journal entry
Yes 59 No 0
Democrats: 40 yes, 0 no Republicans: 19 yes, 0 no
How each member voted

Yes · 59

Committee and other votes

DateWhereQuestionResult
Mar 19, 2025 House Health Care Licenses Health Care Licenses - Do Pass
Members

Yes · 14

Not voting · 1

Passed 14–0
May 6, 2026 Senate Licensed Activities Licensed Activities - Do Pass
Members

Yes · 9

Passed 9–0

Sponsors

The member who introduced it, joined by 6 cosponsors: 6 Democrats.

All 6 cosponsors

From Illinois's official records (www.ilga.gov), checked Nov 13, 2026. Text links go to the official versions; LegiList does not copy bill text.