Illinois · Senate Bill 2153 · 104th General Assembly

PHYSICAL THERAPY TELEHEALTH

  1. Introduced Feb 7, 2025
  2. In committee Feb 7, 2025
  3. Passed the Senate Apr 10, 2025
  4. Passed the House May 29, 2025
  5. To the governor Jun 27, 2025
  6. Became law Aug 15, 2025

What it does

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

Amends the Illinois Physical Therapy Act. Provides that initial physical therapy evaluations without a referral or an established diagnosis may be performed by a licensed physical therapist via telehealth when the physical therapist determines that an in-person examination is not required based on the physical therapist's clinical judgment and the applicable standard of care (rather than cannot be performed via…

Read the full title (179 words)

Amends the Illinois Physical Therapy Act. Provides that initial physical therapy evaluations without a referral or an established diagnosis may be performed by a licensed physical therapist via telehealth when the physical therapist determines that an in-person examination is not required based on the physical therapist's clinical judgment and the applicable standard of care (rather than cannot be performed via telehealth unless necessary to address a documented hardship). Provides that a physical therapist or a licensed physical therapy assistant may require the patient to undergo an in-person visit instead of providing telehealth services (rather than the use of telehealth as a primary means of delivering physical therapy must be an exception and documentation must support the clinical justification). Provides that a physical therapist providing telehealth must have the capacity to provide or be able to facilitate a referral to in-person care within the State (rather than must only have the capacity to provide in-person care). Provides that the standard of care for a patient receiving physical therapy through telehealth is equal to the standard of care for in-person care.

Every action

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

Show the 45 earlier steps
  1. SenateFiled with Secretary by Sen. Cristina Castro
  2. SenateFirst Reading
  3. CommitteeReferred to Assignments · Senate Assignments
  4. CommitteeAssigned to Licensed Activities · Senate Licensed Activities
  5. CommitteeDo Pass Licensed Activities; 007-000-000 · Senate Licensed Activities
  6. SenatePlaced on Calendar Order of 2nd Reading March 18, 2025
  7. SenateSecond Reading
  8. SenatePlaced on Calendar Order of 3rd Reading April 4, 2025
  9. SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Cristina Castro
  10. CommitteeSenate Floor Amendment No. 1 Referred to Assignments · Senate Assignments
  11. CommitteeSenate Floor Amendment No. 1 Assignments Refers to Licensed Activities · Senate Licensed Activities
  12. CommitteeSenate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; 005-000-000 · Senate Licensed Activities
  13. SenateRecalled to Second Reading
  14. SenateSenate Floor Amendment No. 1 Adopted; Castro
  15. SenatePlaced on Calendar Order of 3rd Reading
  16. SenateThird Reading - Passed; 054-000-000
  17. SenateAdded as Co-Sponsor Sen. Lakesia Collins
  18. HouseArrived in House
  19. HouseChief House Sponsor Rep. Angelica Guerrero-Cuellar
  20. HouseFirst Reading
  21. CommitteeReferred to Rules Committee · House Rules
  22. CommitteeAssigned to Health Care Licenses Committee · House Health Care Licenses
  23. HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Angelica Guerrero-Cuellar
  24. CommitteeHouse Committee Amendment No. 1 Referred to Rules Committee · House Rules
  25. CommitteeDo Pass / Short Debate Health Care Licenses Committee; 014-000-000 · House Health Care Licenses
  26. HouseHouse Committee Amendment No. 1 Tabled
  27. HousePlaced on Calendar 2nd Reading - Short Debate
  28. HouseSecond Reading - Short Debate
  29. HouseHeld on Calendar Order of Second Reading - Short Debate
  30. HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Angelica Guerrero-Cuellar
  31. CommitteeHouse Floor Amendment No. 2 Referred to Rules Committee · House Rules
  32. HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Angelica Guerrero-Cuellar
  33. CommitteeHouse Floor Amendment No. 3 Referred to Rules Committee · House Rules
  34. CommitteeHouse Floor Amendment No. 3 Rules Refers to Health Care Licenses Committee · House Health Care Licenses
  35. HouseThird Reading/Final Action Deadline Extended-9(b) May 31, 2025
  36. CommitteeHouse Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; 013-000-000 · House Health Care Licenses
  37. HouseHouse Floor Amendment No. 3 Adopted
  38. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  39. HouseThird Reading - Short Debate - Passed 112-000-000
  40. HouseHouse Floor Amendment No. 2 Tabled
  41. SenateSecretary's Desk - Concurrence House Amendment(s) 3
  42. SenatePlaced on Calendar Order of Concurrence House Amendment(s) 3 - May 29, 2025
  43. SenateHouse Floor Amendment No. 3 Motion to Concur Filed with Secretary Sen. Cristina Castro
  44. CommitteeHouse Floor Amendment No. 3 Motion to Concur Referred to Assignments · Senate Assignments
  45. CommitteeHouse Floor Amendment No. 3 Motion to Concur Assignments Referred to Licensed Activities · Senate Licensed Activities
  1. CommitteeHouse Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Licensed Activities; 007-000-000 · Senate Licensed Activities
  2. SenateHouse Floor Amendment No. 3 Senate Concurs 056-000-000
  3. SenateSenate Concurs
  4. SenatePassed Both Houses
  5. SenateSent to the Governor
  6. SenateGovernor Approved
  7. SenateEffective Date August 15, 2025
  8. SenatePublic Act . . . . . . . . . 104-0411

Roll calls

8 recorded votes: 3 on the floor, 5 in committee. Each shows how every member voted.

Third Reading · Full Senate

Passed 54–0
Apr 10, 2025 · journal entry
Yes 54 No 0 Not voting 5
Democrats: 37 yes, 0 no Republicans: 17 yes, 0 no
How each member voted

Yes · 54

Not voting · 5

Third Reading · Full House

Passed 112–0
May 29, 2025 · journal entry
Yes 112 No 0 Not voting 6
Democrats: 75 yes, 0 no Republicans: 37 yes, 0 no
How each member voted

Yes · 112

Excused · 6

House Floor Amendment No. 3 - Concurrence · Full Senate

Passed 56–0
May 31, 2025 · journal entry
Yes 56 No 0 Not voting 3
Democrats: 37 yes, 0 no Republicans: 19 yes, 0 no
How each member voted

Yes · 56

Not voting · 3

Committee and other votes

DateWhereQuestionResult
Mar 5, 2025 Senate Licensed Activities Licensed Activities - Do Pass
Members

Yes · 7

Not voting · 2

7–0
Apr 9, 2025 Senate Licensed Activities Senate Floor Amendment No. 1 - Licensed Activities - Recommend Do Adopt
Members

Yes · 5

Not voting · 4

Passed 5–0
May 7, 2025 House Health Care Licenses Health Care Licenses - Do Pass
Members

Yes · 14

Not voting · 1

Passed 14–0
May 28, 2025 House Health Care Licenses House Floor Amendment No. 3 - Health Care Licenses - Recommends Be Adopted
Members

Yes · 13

Not voting · 2

Passed 13–0
May 30, 2025 Senate Licensed Activities House Floor Amendment No. 3 - Licensed Activities - Recommend Do Adopt
Members

Yes · 7

Not voting · 2

Passed 7–0

Sponsors

The member who introduced it, joined by 1 cosponsor: 1 Democrat.

All 1 cosponsor

From Illinois's official records (www.ilga.gov), checked Nov 2, 2026. Text links go to the official versions; LegiList does not copy bill text.