Michigan House Bill 4101 aims to join Physical Therapy Licensure Compact

The Michigan Legislature convened on May 8, 2025, to discuss critical health care workforce issues, focusing on House Bill 4101, which aims to establish Michigan's participation in the Physical Therapy Licensure Compact. This compact is designed to address workforce shortages and enhance access to physical therapy services across state lines.

The meeting began with a presentation highlighting the current challenges in health care, particularly in physical therapy, where demand is rising amid workforce shortages. Proponents of the bill emphasized that joining the compact would allow licensed physical therapists and physical therapist assistants in Michigan to practice in other member states without the need for multiple licenses. This change is expected to streamline the licensure process and improve workforce mobility, ultimately benefiting residents by increasing access to essential therapy services.

Brian Gilbert, a physical therapist and president of the American Physical Therapy Association of Michigan, testified in support of the bill. He noted that over 30 states have already joined the compact, which facilitates easier practice across state lines. Gilbert pointed out that Michigan's participation would not only enhance opportunities for licensed professionals but also ensure that the state remains competitive in attracting skilled health care workers.

The bill includes provisions for maintaining regulatory standards, such as background checks and continuing education requirements, ensuring that only qualified professionals are granted compact privileges. Additionally, it offers flexibility for active-duty military personnel and their spouses regarding licensure, making relocations smoother for service members.

During the discussion, committee members raised questions about the implications of joining the compact. Gilbert clarified that while physical therapists would need to familiarize themselves with the laws of the states where they practice, they would not face additional continuing education requirements beyond those mandated by Michigan. Participation in the compact would be voluntary, allowing therapists the option to opt-out if they choose not to pay the associated fee.

The meeting concluded with a consensus on the importance of the bill in addressing Michigan's health care needs and enhancing the state's physical therapy workforce. The committee plans to move forward with further discussions and potential voting on the legislation in the coming weeks.