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SB2153

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PHYSICAL THERAPY TELEHEALTH

What this bill does

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.

Sponsor: Cristina Castro Chamber: Senate Introduced: 2025-02-07
PASSED INTO LAW

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Pipeline Progress

Current stage: Signed into Law · Last action 237 days ago

How does a bill become law in Illinois?
  1. Introduction of Bill

    A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.

  2. Committee Work — Hearings

    The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.

  3. Committee Work — Markup, Amendments, Report

    The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.

  4. Floor Debate

    The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.

  5. Passage and Consideration in Second Chamber

    If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.

  6. Gubernatorial Action

    The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.

Sponsor Context

Public Engagement

15 witness slips filed 6 proponents / 1 opponents 7 organizations

Witness slips

15 slips filed. Proponent / opponent / no position as filed with the committee.

Name Organization Representing Position Hearing committee Hearing date
David Schwartz Self Self Proponent Health Care Licenses 2025-05-07
Jessica Nardulli Fulcrum Government Strategies IL Physical Therapy Association Proponent Health Care Licenses 2025-05-07
Jim Long Illinois Policy Illinois Policy Proponent Health Care Licenses 2025-05-07
Maria Virginia Martinez Point of Difference Strategies Hinge Health Proponent Health Care Licenses 2025-05-07
Hunter Young ATA Action ATA Action Proponent Licensed Activities 2025-03-05
Jake Butcher Fulcrum Government Strategies Illinois Physical Therapy Association Opponent Licensed Activities 2025-03-05
Dan Lewis Illinois Department of Financial and Professional Regulation Illinois Department of Financial and Professional Regulation No Position On Merits Health Care Licenses 2025-05-07
Dan Lewis Illinois Department of Financial and Professional Regulation Illinois Department of Financial and Professional Regulation No Position On Merits Health Care Licenses 2025-04-30
Marc Reiter IDFPR IDFPR No Position On Merits Health Care Licenses 2025-04-23
Dan Lewis Illinois Department of Financial and Professional Regulation Illinois Department of Financial and Professional Regulation No Position On Merits Licensed Activities 2025-03-05
Maria Virginia Martinez Point of Difference Strategies Hinge Health Proponent Licensed Activities 2025-04-09
Dan Lewis Illinois Department of Financial and Professional Regulation Illinois Department of Financial and Professional Regulation No Position On Merits Licensed Activities 2025-04-09
Jessica Nardulli Fulcrum Government Strategies Illinois Physical Therapy Association No Position On Merits Licensed Activities 2025-04-09
Dan Lewis Illinois Department of Financial and Professional Regulation Illinois Department of Financial and Professional Regulation No Position On Merits Licensed Activities 2025-05-30
Dan Lewis Illinois Department of Financial and Professional Regulation Illinois Department of Financial and Professional Regulation No Position On Merits Health Care Licenses 2025-05-28

Roll-call votes

Total votes and outcome per event. Deciding vote = margin of 1; those voters on the winning side could have changed the outcome by flipping.

Date Chamber Type Description Yea Nay Present NV Outcome Margin Deciding voters
2025-05-07 H Committee Health Care Licenses 14 0 0 1 Passed 14 —
2025-05-29 H Floor Third Reading 112 0 0 6 Passed 112 —
S Committee Licensed Activities 7 0 0 2 Passed 7 —
S Floor Third Reading 54 0 0 5 Passed 54 —

Action History

53 actions recorded. Last action: 2025-08-15 — Public Act . . . . . . . . .104-0411. Each action's meaning and outcome signal are classified automatically.

2025-02-07 Introduction & Filing
Filed with Secretary bySen. Cristina Castro Rule 2-7(b)
Bill officially submitted to the Senate Secretary during the session.
2025-02-07 Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-02-07 Committee Assignment
Referred toAssignments Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-02-25 Committee Assignment
Assigned toLicensed Activities Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-03-06 Committee Action Positive
Do PassLicensed Activities; 007-000-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-03-06 Floor Process Positive
Placed on Calendar Order of 2nd Reading March 18, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
2025-04-03 Floor Process Positive
Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)
Bill reaches the floor amendment stage. Floor amendments can be offered here.
2025-04-03 Floor Process Positive
Placed on Calendar Order of 3rd Reading April 4, 2025 Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-04 Amendment Actions
Senate Floor Amendment No. 1 Filed with Secretary bySen. Cristina Castro
[Amendment] Bill officially submitted to the Senate Secretary during the session.
2025-04-04 Amendment Actions
Senate Floor Amendment No. 1 Referred toAssignments
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-04-08 Amendment Actions
Senate Floor Amendment No. 1 Assignments Refers toLicensed Activities
[Amendment] Senate Assignments Committee forwards the bill to a substantive committee.
2025-04-09 Amendment Actions
Senate Floor Amendment No. 1 Recommend Do AdoptLicensed Activities; 005-000-000
[Amendment] Amendment sub-action.
2025-04-10 Floor Process
Recalled to Second Reading Rule 5-4(a)
Bill pulled back from Third Reading to Second Reading, usually to adopt a floor amendment. Common and not negative — sponsors often recall bills to incorporate negotiated changes.
2025-04-10 Amendment Actions
Senate Floor Amendment No. 1 Adopted; Castro
[Amendment] Amendment sub-action.
2025-04-10 Floor Process Positive
Placed on Calendar Order of 3rd Reading Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-10 Floor Vote Positive
Third Reading - Passed;054-000-000 Rule 5-1(f)
Bill PASSED a floor vote on Third Reading. Major milestone — bill has cleared one chamber.
2025-04-10 Co-Sponsorship Mild +
Added as Co-SponsorSen. Lakesia Collins Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-04-10 Cross-Chamber Positive
Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate bill arrives in the House after passing the Senate.
2025-04-10 Cross-Chamber Positive
Chief House SponsorRep. Angelica Guerrero-Cuellar Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
House sponsor assigned for a Senate bill — bill is being actively managed in the second chamber.
2025-04-11 Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-04-11 Committee Assignment
Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-04-17 Committee Assignment
Assigned toHealth Care Licenses Committee Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-05-06 Amendment Actions
House Committee Amendment No. 1 Filed with Clerk byRep. Angelica Guerrero-Cuellar
[Amendment] Amendment sub-action.
2025-05-06 Amendment Actions
House Committee Amendment No. 1 Referred toRules Committee
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-05-07 Committee Action Positive
Do Pass / Short DebateHealth Care Licenses Committee; 014-000-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b)
Committee recommends passage and places it on the Short Debate calendar (limited floor discussion time). Strong positive signal — committee believes bill has broad support.
2025-05-07 Amendment Actions Mild −
House Committee Amendment No. 1 Tabled
[Amendment] Bill tabled — temporarily set aside. In IL, tabling is less final than in Congress; bills can be brought back (Rule 7-11). But it's a negative signal when the bill itself (not an amendment) is tabled.
2025-05-07 Floor Process Positive
Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill placed on the Second Reading calendar. Positive — bill is queued for floor action.
2025-05-16 Floor Process Positive
Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1)
Bill reaches the floor amendment stage on Short Debate calendar. Major milestone — bill has passed committee and is on the floor.
2025-05-16 Floor Process
Held on Calendar Order of Second Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill was ready for Second Reading but was paused/held by the sponsor. Usually indicates the sponsor is still negotiating amendments or gathering votes. NOT a negative signal — the sponsor controls the pace.
2025-05-21 Amendment Actions
House Floor Amendment No. 2 Filed with Clerk byRep. Angelica Guerrero-Cuellar
[Amendment] Amendment sub-action.
2025-05-21 Amendment Actions
House Floor Amendment No. 2 Referred toRules Committee
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-05-22 Amendment Actions
House Floor Amendment No. 3 Filed with Clerk byRep. Angelica Guerrero-Cuellar
[Amendment] Amendment sub-action.
2025-05-22 Amendment Actions
House Floor Amendment No. 3 Referred toRules Committee
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-05-23 Amendment Actions
House Floor Amendment No. 3 Rules Refers toHealth Care Licenses Committee
[Amendment] Amendment sub-action.
2025-05-23 Deadlines & Re-referrals Mild +
Third Reading/Final Action Deadline Extended-9(b) May 31, 2025 Rule 2-10(d)
Floor vote and final action deadline extended.
2025-05-28 Amendment Actions
House Floor Amendment No. 3 Recommends Be AdoptedHealth Care Licenses Committee; 013-000-000
[Amendment] Amendment sub-action.
2025-05-29 Amendment Actions Positive
House Floor Amendment No. 3 Adopted
[Amendment] Bill or resolution adopted by the chamber.
2025-05-29 Floor Process Positive
Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-05-29 Floor Vote Positive
Third Reading - Short Debate - Passed112-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50
Bill PASSED on Short Debate Third Reading. Bill cleared the chamber.
2025-05-29 Amendment Actions Mild −
House Floor Amendment No. 2 Tabled
[Amendment] Bill tabled — temporarily set aside. In IL, tabling is less final than in Congress; bills can be brought back (Rule 7-11). But it's a negative signal when the bill itself (not an amendment) is tabled.
2025-05-29 Concurrence
Secretary's Desk - Concurrence House Amendment(s) 3 Senate Rule 8-1/Article VIII; House Rule 72/Article VIII
Bill placed on Secretary's Desk awaiting Senate concurrence vote on House amendments.
2025-05-29 Concurrence Mild +
Placed on Calendar Order of Concurrence House Amendment(s) 3 - May 29, 2025 Senate Rule 8-1/Article VIII; House Rule 72/Article VIII
Concurrence vote scheduled on the calendar.
2025-05-30 Amendment Actions
House Floor Amendment No. 3 Motion to Concur Filed with SecretarySen. Cristina Castro
[Amendment] Motion filed to agree with the other chamber's amendments.
2025-05-30 Amendment Actions
House Floor Amendment No. 3 Motion to Concur Referred toAssignments
[Amendment] Motion filed to agree with the other chamber's amendments.
2025-05-30 Amendment Actions
House Floor Amendment No. 3 Motion to Concur Assignments Referred toLicensed Activities
[Amendment] Motion filed to agree with the other chamber's amendments.
2025-05-30 Amendment Actions
House Floor Amendment No. 3 Motion To Concur Recommended Do AdoptLicensed Activities; 007-000-000
[Amendment] Motion filed to agree with the other chamber's amendments.
2025-05-31 Amendment Actions Positive
House Floor Amendment No. 3 Senate Concurs056-000-000
[Amendment] Senate agrees with House amendments to the bill.
2025-05-31 Concurrence Positive
Senate Concurs Senate Rule 8-1/Article VIII; House Rule 72/Article VIII
Senate agrees with House amendments to the bill.
2025-05-31 Concurrence Positive
Passed Both Houses Rule 8-1, Rule 8-4
Bill PASSED BOTH CHAMBERS. Major milestone — bill goes to the Governor next.
2025-06-27 Governor Action Positive
Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
Bill transmitted to the Governor for signature. Strong positive — bill has passed both chambers.
2025-08-15 Governor Action Positive
Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
GOVERNOR SIGNED THE BILL. Bill is now law (pending effective date).
2025-08-15 Enacted Into Law Law
Effective Date August 15, 2025 Article IX
Law's effective date announced. Most IL laws take effect January 1 of the next year unless otherwise specified.
2025-08-15 Enacted Into Law Law
Public Act . . . . . . . . .104-0411 Article IX
Bill signed into law — assigned a Public Act number (e.g., PA 104-0032).

All actions (table)

Date Chamber Action Category Signal
2025-02-07 Senate Filed with Secretary bySen. Cristina Castro Rule 2-7(b) Introduction & Filing —
2025-02-07 Senate First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2025-02-07 Senate Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —
2025-02-25 Senate Assigned toLicensed Activities Senate Rule 3-8(a); House Rule 18(b) Committee Assignment —
2025-03-06 Senate Do PassLicensed Activities; 007-000-000 Rule 3-11(a)(1), Rule 3-12(a) Committee Action Positive
2025-03-06 Senate Placed on Calendar Order of 2nd Reading March 18, 2025 Rule 3-12(a), Rule 4-4(7) Floor Process Positive
2025-04-03 Senate Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) Floor Process Positive
2025-04-03 Senate Placed on Calendar Order of 3rd Reading April 4, 2025 Rule 4-4(8) Floor Process Positive
2025-04-04 Senate Senate Floor Amendment No. 1 Filed with Secretary bySen. Cristina Castro Amendment Actions —
2025-04-04 Senate Senate Floor Amendment No. 1 Referred toAssignments Amendment Actions —
2025-04-08 Senate Senate Floor Amendment No. 1 Assignments Refers toLicensed Activities Amendment Actions —
2025-04-09 Senate Senate Floor Amendment No. 1 Recommend Do AdoptLicensed Activities; 005-000-000 Amendment Actions —
2025-04-10 Senate Recalled to Second Reading Rule 5-4(a) Floor Process —
2025-04-10 Senate Senate Floor Amendment No. 1 Adopted; Castro Amendment Actions —
2025-04-10 Senate Placed on Calendar Order of 3rd Reading Rule 4-4(8) Floor Process Positive
2025-04-10 Senate Third Reading - Passed;054-000-000 Rule 5-1(f) Floor Vote Positive
2025-04-10 Senate Added as Co-SponsorSen. Lakesia Collins Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-10 House Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) Cross-Chamber Positive
2025-04-10 House Chief House SponsorRep. Angelica Guerrero-Cuellar Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) Cross-Chamber Positive
2025-04-11 House First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2025-04-11 House Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —
2025-04-17 House Assigned toHealth Care Licenses Committee Senate Rule 3-8(a); House Rule 18(b) Committee Assignment —
2025-05-06 House House Committee Amendment No. 1 Filed with Clerk byRep. Angelica Guerrero-Cuellar Amendment Actions —
2025-05-06 House House Committee Amendment No. 1 Referred toRules Committee Amendment Actions —
2025-05-07 House Do Pass / Short DebateHealth Care Licenses Committee; 014-000-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b) Committee Action Positive
2025-05-07 House House Committee Amendment No. 1 Tabled Amendment Actions Mild −
2025-05-07 House Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 Floor Process Positive
2025-05-16 House Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1) Floor Process Positive
2025-05-16 House Held on Calendar Order of Second Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 Floor Process —
2025-05-21 House House Floor Amendment No. 2 Filed with Clerk byRep. Angelica Guerrero-Cuellar Amendment Actions —
2025-05-21 House House Floor Amendment No. 2 Referred toRules Committee Amendment Actions —
2025-05-22 House House Floor Amendment No. 3 Filed with Clerk byRep. Angelica Guerrero-Cuellar Amendment Actions —
2025-05-22 House House Floor Amendment No. 3 Referred toRules Committee Amendment Actions —
2025-05-23 House House Floor Amendment No. 3 Rules Refers toHealth Care Licenses Committee Amendment Actions —
2025-05-23 House Third Reading/Final Action Deadline Extended-9(b) May 31, 2025 Rule 2-10(d) Deadlines & Re-referrals Mild +
2025-05-28 House House Floor Amendment No. 3 Recommends Be AdoptedHealth Care Licenses Committee; 013-000-000 Amendment Actions —
2025-05-29 House House Floor Amendment No. 3 Adopted Amendment Actions Positive
2025-05-29 House Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) Floor Process Positive
2025-05-29 House Third Reading - Short Debate - Passed112-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 Floor Vote Positive
2025-05-29 House House Floor Amendment No. 2 Tabled Amendment Actions Mild −
2025-05-29 Senate Secretary's Desk - Concurrence House Amendment(s) 3 Senate Rule 8-1/Article VIII; House Rule 72/Article VIII Concurrence —
2025-05-29 Senate Placed on Calendar Order of Concurrence House Amendment(s) 3 - May 29, 2025 Senate Rule 8-1/Article VIII; House Rule 72/Article VIII Concurrence Mild +
2025-05-30 Senate House Floor Amendment No. 3 Motion to Concur Filed with SecretarySen. Cristina Castro Amendment Actions —
2025-05-30 Senate House Floor Amendment No. 3 Motion to Concur Referred toAssignments Amendment Actions —
2025-05-30 Senate House Floor Amendment No. 3 Motion to Concur Assignments Referred toLicensed Activities Amendment Actions —
2025-05-30 Senate House Floor Amendment No. 3 Motion To Concur Recommended Do AdoptLicensed Activities; 007-000-000 Amendment Actions —
2025-05-31 Senate House Floor Amendment No. 3 Senate Concurs056-000-000 Amendment Actions Positive
2025-05-31 Senate Senate Concurs Senate Rule 8-1/Article VIII; House Rule 72/Article VIII Concurrence Positive
2025-05-31 Senate Passed Both Houses Rule 8-1, Rule 8-4 Concurrence Positive
2025-06-27 Senate Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 Governor Action Positive
2025-08-15 Senate Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 Governor Action Positive
2025-08-15 Senate Effective Date August 15, 2025 Article IX Enacted Into Law Law
2025-08-15 Senate Public Act . . . . . . . . .104-0411 Article IX Enacted Into Law Law