The Illinois House of Representatives has introduced House Bill 3769, a significant amendment to the Illinois Occupational Therapy Practice Act, aimed at enhancing access to occupational therapy services for residents. Introduced on March 19, 2025, by Representative Bob Morgan, the bill seeks to allow licensed occupational therapists and assistants to provide a range of services without requiring a referral, streamlining the process for individuals seeking care.

At the heart of House Bill 3769 is the intention to expand the scope of practice for occupational therapists. The bill specifies that these professionals can offer consultations, habilitation services, screenings, education, wellness services, prevention services, environmental assessments, and work-related ergonomic services without needing a referral. This change is particularly relevant for individuals who may face barriers in accessing timely care due to referral requirements.

One of the notable provisions of the bill is the adjustment in referral criteria. Previously, occupational therapists were required to refer patients after either 10 visits or 15 business days, whichever came first, if there was no measurable improvement. Under the new proposal, this threshold is simplified to just 10 visits, potentially allowing for quicker intervention and support for patients who are not progressing as expected.

The bill has sparked discussions among healthcare professionals and lawmakers, with supporters arguing that it will improve patient access to necessary services and reduce delays in treatment. However, some concerns have been raised regarding the potential for overstepping professional boundaries and the implications for patient safety. Critics argue that while the intention is to enhance access, it is crucial to ensure that patients still receive comprehensive care that includes appropriate referrals when necessary.

The implications of House Bill 3769 extend beyond just occupational therapy. By facilitating easier access to these services, the bill could lead to improved health outcomes for individuals who may otherwise struggle to navigate the healthcare system. This is particularly important in communities where healthcare resources are limited, and timely access to therapy can make a significant difference in quality of life.

As the bill moves forward in the legislative process, it will be essential for stakeholders to engage in constructive dialogue to address concerns while emphasizing the importance of accessible healthcare. The next steps will involve further discussions and potential amendments as it progresses through the Illinois General Assembly, with the hope of ultimately benefiting residents in need of occupational therapy services.