Virginia 2023 Regular Session

Virginia Senate Bill SB1005

Introduced
1/6/23  
Refer
1/6/23  
Report Pass
1/19/23  
Engrossed
1/23/23  
Refer
2/9/23  
Report Pass
2/14/23  
Engrossed
2/22/23  
Engrossed
2/23/23  
Enrolled
3/7/23  
Chaptered
3/21/23  

Caption

Physical therapy; practice.

Impact

The enactment of SB1005 will systematize the practice of physical therapy in Virginia, potentially reducing the incidence of unqualified treatment by limiting the ability of physical therapists to operate independently. By requiring referrals from other licensed healthcare professionals, the bill aims to protect patient safety and ensure that individuals receive care that aligns with their medical needs. Importantly, it also mandates the Board of Physical Therapy to monitor disciplinary actions involving physical therapists, particularly in relation to invasive procedures and dry needling practices, which have raised various safety concerns in the past.

Summary

SB1005 focuses on the practice of physical therapy within the Commonwealth of Virginia. The bill establishes comprehensive guidelines for physical therapists, emphasizing the need for referrals from licensed medical professionals for treatment beyond initial evaluations. It allows licensed physical therapists to treat patients for a limited time without a referral, specifically for a maximum of 60 consecutive days, provided certain conditions are met. Additionally, it outlines the circumstances under which physical therapists must refer patients to other healthcare practitioners, thereby ensuring patients receive appropriate care for conditions outside the physical therapist's scope of practice.

Sentiment

Discussions around SB1005 reveal a generally positive sentiment among healthcare professionals regarding the need for regulation in the physical therapy practice. Supporters assert that the bill enhances patient safety and quality of care, reinforcing a framework whereby collaborative treatment approaches are encouraged among healthcare providers. However, there are also apprehensions expressed by some physical therapists about the implications of needing referrals, which could be seen as a limitation on their professional autonomy and ability to provide timely care.

Contention

One notable point of contention rests on the balance between ensuring patient safety and allowing physical therapists a degree of independence in treating patients. Supporters argue that the referral requirements are essential for protecting patients from potential harm, while opponents raise concerns that such regulations may inadvertently delay necessary treatment for patients who require physical therapy. The bill also addresses dry needling practices, which has sparked debate regarding the appropriateness and safety of such invasive techniques in physical therapy, suggesting a need for continued dialogue on this specialized area of practice.

Companion Bills

VA HB2359

Same As Physical therapy; practice.

Previously Filed As

VA HB1646

Practice of chiropractic; amends definition.

VA SB1015

Practice of chiropractic; amends definition.

VA HB841

Practice of athletic training; adds dry needling to definition.

VA SB728

Practice of athletic training; adds dry needling to definition.

VA HB978

Advanced practice registered nurses and licensed certified midwives; joint licensing.

VA SB351

Advanced practice registered nurses and licensed certified midwives; joint licensing.

VA HB841

A BILL to amend and reenact ยง 54.1-2900 of the Code of Virginia, relating to professions and occupations; definition of "practice of athletic training"; dry needling.

VA SF3049

Physical therapy practice provisions modifications

VA SB808

Practice of physical therapy; clarifying certain exemption from referral. Effective date.

VA SB808

Practice of physical therapy; clarifying certain exemption from referral. Effective date.

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DE HB165

An Act To Amend Title 24 Of The Delaware Code Relating To Dry Needling.

OR HB3824

Relating to physical therapy; and prescribing an effective date.

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Health insurance; reimbursement for services rendered by certain practitioners.

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