Illinois House Bill 3769, introduced on March 19, 2025, aims to enhance the practice of occupational therapy by streamlining referral requirements for licensed therapists. The bill allows occupational therapists and assistants to provide a range of services—including consultations, habilitation, screenings, and wellness education—without needing a referral. This change is designed to improve access to care and reduce barriers for patients seeking occupational therapy services.

Key provisions of the bill include the elimination of referral requirements for specific services, particularly in school-based settings for children and youths. Additionally, the bill stipulates that if a patient does not show measurable improvement after 10 visits, the occupational therapist must refer them to their treating healthcare professional or another provider of their choice. This adjustment replaces the previous requirement, which allowed for a referral after either 10 visits or 15 business days, whichever came first.

The introduction of HB 3769 has sparked discussions among healthcare professionals and lawmakers. Proponents argue that the bill will facilitate quicker access to necessary services, particularly for patients who may struggle to obtain referrals due to various barriers. Critics, however, express concerns about the potential for over-treatment or mismanagement of patient care without the oversight of a primary healthcare provider.

The implications of this bill extend beyond immediate patient care. By reducing the need for referrals, it could lead to increased efficiency within the healthcare system and potentially lower costs for patients. However, the long-term effects on patient outcomes and the quality of care remain to be seen.

As the bill progresses through the legislative process, stakeholders are closely monitoring its developments. If passed, HB 3769 could significantly reshape the landscape of occupational therapy in Illinois, emphasizing patient autonomy and accessibility while balancing the need for professional oversight in treatment.