Senate Bill 109 aims to improve workers' comp care by allowing direct access to physical therapists

In a recent meeting of the Montana Legislature's House Business and Labor Committee, lawmakers discussed Senate Bill 109, which proposes to revise the definition of treating physicians within the workers' compensation system to include licensed physical therapists. This change aims to streamline access to care for injured workers, potentially reducing recovery times and costs associated with workplace injuries.

Currently, the list of treating physicians includes licensed physicians, chiropractors, physician assistants, osteopaths, dentists, and advanced practice registered nurses. The proposed bill would add physical therapists to this list, allowing injured workers to seek treatment directly from them without needing a referral from another healthcare provider. Proponents of the bill argue that this direct access could significantly decrease the time it takes for workers to receive necessary care, which currently averages 26 to 29 days after an injury.

Senator Hurst, the bill's sponsor, emphasized the importance of timely access to physical therapy, noting that early intervention can lead to quicker recoveries and lower workers' compensation costs. He highlighted that physical therapists are now required to hold a doctorate degree and are well-trained in neuromuscular and skeletal sciences, making them capable of providing effective treatment for various injuries.

Supporters of the bill, including representatives from the Montana chapter of the American Physical Therapy Association, shared personal anecdotes illustrating the delays caused by the current referral system. They argued that allowing direct access to physical therapists would not only expedite treatment but also enhance the overall recovery process for injured workers.

However, the bill faced opposition from representatives of the Montana Self Insurers Association and other stakeholders who raised concerns about the implications of allowing physical therapists to serve as treating physicians. They argued that physical therapists lack the authority to diagnose certain conditions, order lab tests, and determine maximum medical improvement, which are critical responsibilities within the workers' compensation framework. Opponents cautioned that the bill could lead to inefficiencies and increased costs if patients are directed to physical therapists for conditions that require more comprehensive medical evaluation.

The committee's discussions highlighted the ongoing debate over the appropriate roles of various healthcare providers in the workers' compensation system. While proponents of SB 109 advocate for increased access to care and faster recovery times, opponents stress the need for a structured approach to ensure that injured workers receive the most appropriate and effective treatment.

As the committee continues to deliberate on the bill, the outcome could significantly impact the landscape of workers' compensation in Montana, shaping how injured workers access care and recover from workplace injuries. The next steps will involve further discussions and potential amendments to address the concerns raised during the meeting.