Many physical therapy providers are rightfully celebrating breakthrough legislation that allows direct access to physical therapy services without a medical referral or prescription from a physician. Direct Access to physical therapy is now available In all 50 states, plus the District of Columbia and the US Virgin Islands.   However, there is a significant problem with the current legislation.

Barriers to physical therapy

Since, each state has passed it’s own variation of Direct Access Legislation, some states still have significant barriers for full access to direct care.  For example, in some states, legislation permits a patient to see a PT without a physician only if the patient:

• Seeks a physician referral after a certain number of PT visits.
• Has experienced a specific type of injury, including an athletic injury.
• Resides in certain settings, including long-term care.

But in states without barriers to care in place, patients have direct access to care whenever they feel they need it. This creates a tremendous opportunity for therapy clinics.

It is the stance of the American Physical Therapy Association (APTA) that barriers still in place are outdated and unnecessary given that, “Entry into the profession and practice of the profession are stringently regulated by all states, and as highly trained healthcare professionals, physical therapists have a proven track record of effectively treating millions of patients. Physical therapists are well qualified, both through formal education and clinical training, to evaluate a patient’s condition, assess their physical therapy needs and, if appropriate, safely and effectively treat the patient.”

The expertise of physical therapists

It is the stance of the American Physical Therapy Association (APTA) that barriers still in place are outdated and unnecessary given that, “Entry into the profession and practice of the profession are stringently regulated by all states, and as highly trained healthcare professionals, physical therapists have a proven track record of effectively treating millions of patients. Physical therapists are well qualified, both through formal education and clinical training, to evaluate a patient’s condition, assess their physical therapy needs and, if appropriate, safely and effectively treat the patient.”

How to overcome state barriers to direct access

So what happens if you reside in a state that maintains provisions for certain barriers to therapy, and you feel these barriers are hindering the population of your state from fully embracing direct access to physical therapy services?  The APTA offers the following information to lobby for the reform of your state’s law.

First, visit the National Conference of State Legislators and find the names and addresses for your state’s lawmakers. Second, write them a letter, requesting that your Direct Access for Physical Therapy Law be reformed. By removing the remaining barriers to Direct Access for Physical Therapy Services, Congress will achieve the goal of increasing ACCESS to medical care, while at the same time LOWERING the costs of medical care for all constituents. The APTA shares the following reasons all states should reform their legislation to include barrier free direct access:

• Easier access to the traditional medical system
• Increased choice in the selection of health care professionals.
• Less expensive and more timely care.

More information about the APTA’s ongoing fight for full access to direct access care can be found here on their website.