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Committee Debates Bill to Allow Eight Initial Physical/Occupational Therapy Visits Without Prior Authorization
Summary
Supporters say SB 480 would reduce delays, prevent downstream surgery and ease administrative burden by guaranteeing up to eight initial PT/OT visits before requiring further review; insurers warn mandated minimums could raise premiums and disrupt tailored utilization management.
Senate Bill 480, introduced in committee as a measure to reduce prior‑authorization barriers for physical and occupational therapy, prompted testimony from dozens of clinicians and insurers. Senator Sue Apprentice framed the bill as a cost‑saving, early‑intervention policy that “guarantees eight medically necessary treatments” before prior authorization, arguing that early therapy reduces risk of surgery, imaging and opioid prescriptions.
Physical‑therapy associations and…
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