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<ns0:ActionText>INTRODUCED</ns0:ActionText>
<ns0:ActionDate>2026-02-20</ns0:ActionDate>
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<ns0:ActionText>AMENDED_ASSEMBLY</ns0:ActionText>
<ns0:ActionDate>2026-03-19</ns0:ActionDate>
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<ns0:SessionYear>2025</ns0:SessionYear>
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<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Assembly Member Johnson</ns0:AuthorText>
<ns0:Authors>
<ns0:Legislator>
<ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
<ns0:House>ASSEMBLY</ns0:House>
<ns0:Name>Johnson</ns0:Name>
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<ns0:Title>An act to amend Sections 2601, 2620.3, 2622, and 2633 of, to add Sections 2620.4 and 2620.6 to, to repeal Sections 2620.1 and 2689 of, and to repeal and add Sections 2620 and 2620.5 of, the Business and Professions Code, relating to healing arts.</ns0:Title>
<ns0:RelatingClause>healing arts</ns0:RelatingClause>
<ns0:GeneralSubject>
<ns0:Subject>Physical therapists.</ns0:Subject>
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<html:p>Existing law, the Physical Therapy Practice Act, establishes the Physical Therapy Board of California to license and regulate physical therapists and the practice of physical therapy. Existing law defines the terms “physical therapist,” “physical therapist assistant,” and “physical therapy” and sets forth the scope of practice of a physical therapist. Existing law authorizes a licensed physical therapist to use the initials “DPT” only if certain requirements are satisfied. Existing law establishes conditions for the initiation of services by a physical therapist directly, including providing a specified notice, orally and in writing, to a patient that is signed by the patient. Existing law prohibits a physical therapist from prescribing medications.</html:p>
<html:p>This bill,
among other changes to the act, would redefine “physical therapy,” “physical therapist,” and “physical therapist assistant” for purposes of the act, as specified. The bill would authorize any person holding a license as a physical therapist to use the title “doctor of physical therapy” or the letters “D.P.T.” The bill would revise the scope of practice of a physical therapist to include the authority to prescribe nonopioid analgesic and nonsteroidal anti-inflammatory medications and would require the board to adopt regulations implementing that provision after meeting and conferring with the Medical Board of California and the California State Board of Pharmacy to specify those medications. The bill would delete existing requirements for the performance of tissue penetration by a physical therapist and instead would include within the practice of physical therapy the performance of tissue penetration for the purpose of evaluating, interpreting, and treating the neuromuscular system. The bill would authorize
a physical therapist to perform and interpret musculoskeletal ultrasound imaging and refer a patient for imaging studies. The bill would increase the number of physical therapist assistants a physical therapist is authorized to supervise from 2 to 3. The bill would repeal the notice and other requirements for the provision of direct physical therapy treatment services.</html:p>
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<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
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<ns0:Num>SECTION 1.</ns0:Num>
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Section 2601 of the
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is amended to read:
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<ns0:Num>2601.</ns0:Num>
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<html:p>For the purpose of this chapter, the following terms shall have the following meanings, unless otherwise specified:</html:p>
<html:p>
(a)
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“Board” means the Physical Therapy Board of California.
</html:p>
<html:p>
(b)
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“Physical therapist” means a health care professional who is licensed pursuant to this chapter to practice physical therapy. The term
“physiotherapist” shall be synonymous with “physical therapist” pursuant to this chapter. A physical therapist is part of the primary care team who works in a variety of settings to help improve function of the movement system. The movement system is the collection of all bodily systems that interact to move the body or its parts. As movement specialists, physical therapists facilitate motion, force, energy, and motor control to maximize health, well-being, function, and community participation across the diversity of age, sex, gender, culture, environment, psychosocial and socioeconomic statuses.
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<html:p>
(c)
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“Physical therapist assistant” means a person who is licensed pursuant to this chapter to assist
a physical therapist in the provision of physical therapy. “Physical therapy assistant” and “physical therapist assistant” shall be deemed identical and interchangeable terms.
</html:p>
<html:p>
(d)
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“Physical therapist technician” and “physical therapy aide,” as described in Section 2630.4, shall be deemed identical and interchangeable terms.
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<html:p>
(e)
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“Physiotherapy” shall be synonymous with “physical therapy.”
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<ns0:Num>SEC. 2.</ns0:Num>
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Section 2620 of the
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is repealed.
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<ns0:Num>SEC. 3.</ns0:Num>
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Section 2620 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
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<ns0:Num>2620.</ns0:Num>
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<html:p>
(a)
<html:span class="EnSpace"/>
“Physical therapy” means services provided by or under the direction and supervision of a physical therapist who is licensed pursuant to this act. Physical therapy services are provided for prevention, habilitation, rehabilitation, promotion of health and well-being of bodily and mental conditions, disease or movement-based impairments, activity limitations, and participation restrictions. Nothing in this chapter shall be construed to require a referral or prior authorization for a patient to directly access physical therapist services.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Physical therapy services include:
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<html:p>
(1)
<html:span class="EnSpace"/>
Examination and evaluation of the movement system, the system’s relation to health-related and
disabling conditions, including a review of systems and medication regimen to identify developmental, mechanical, physiological, and biopsychosocial impairments of the movement system, participation restrictions, or other conditions to determine diagnosis, prognosis, intervention, and assess outcomes.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The design, implementation, and modification of interventions to alleviate impairments, functional limitations, and participation restrictions related to the movement system or other health-related conditions.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
Physical therapy interventions may include, but are not limited to, therapeutic exercise; gait training; functional training; self-care; in-home, community, or work integration or reintegration; manual therapy, including soft tissue mobilization, joint mobilization or manipulation, and intramuscular manual therapy; therapeutic massage; lymphatic drainage; neuromuscular
reeducation; blood flow restriction; pulmonary management and airway clearance techniques; prescription and application of integumentary protection and active repair techniques; biophysical agents or modalities, including electrical, sound, light, mechanical, electromagnetic, or thermal; counseling and education; nutritional education and counseling; pain and stress management; and prescription and fabrication of assistive, adaptive, orthotic, prosthetic, protective, and supportive devices and equipment.
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Prevention or reduction of risk of injury, impairment, functional limitation, and disability, including the promotion and maintenance of fitness, health, and wellness.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Administration, consultation, education, and research.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Referring for other indicated services and tests for consultation with other
providers, decisionmaking, and patient management.
</html:p>
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<ns0:Num>SEC. 4.</ns0:Num>
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Section 2620.1 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
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<ns0:Num>SEC. 5.</ns0:Num>
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Section 2620.3 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Num>2620.3.</ns0:Num>
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<html:p>A physical therapist licensed pursuant to this chapter may prescribe, store, and administer topical medications as part of the practice of physical therapy as defined in Section 2620 if they comply with regulations duly adopted by the board pursuant to this section and the Administrative Procedure Act. The board shall adopt regulations implementing this section after meeting and conferring with the Medical Board of California and the California
State Board of Pharmacy specifying those topical medications applicable to the practice of physical therapy and protocols for their use. Nothing in this section shall be construed to authorize a physical therapist to prescribe opioids.</html:p>
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<ns0:Num>SEC. 6.</ns0:Num>
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Section 2620.4 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
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<ns0:LawSection id="id_D8B939E0-7E2B-4270-BAA6-5452B4BE5231">
<ns0:Num>2620.4.</ns0:Num>
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<html:p>
(a)
<html:span class="EnSpace"/>
A physical therapist may prescribe nonopioid analgesic and nonsteroidal anti-inflammatory medications as part of the practice of physical therapy if they comply with regulations adopted by the board pursuant to this section and the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
The board shall adopt regulations to implement this section after meeting and conferring with the Medical Board of California and the California State Board of Pharmacy specifying those medications applicable to the practice of physical therapy and protocols for their use.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
Nothing in this section shall be
construed to authorize a physical therapist to prescribe opioids.
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<ns0:Num>SEC. 7.</ns0:Num>
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Section 2620.5 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
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<ns0:Num>SEC. 8.</ns0:Num>
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Section 2620.5 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
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<ns0:Num>2620.5.</ns0:Num>
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<html:p>The practice of physical therapy includes the performance of tissue penetration for the purpose of evaluating and interpreting performance and treating the neuromuscular system.</html:p>
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<ns0:Num>SEC. 9.</ns0:Num>
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Section 2620.6 is added to the
<ns0:DocName>Business and Professions Code</ns0:DocName>
, to read:
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<ns0:Num>2620.6.</ns0:Num>
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<html:p>A physical therapist may perform and interpret musculoskeletal ultrasound imaging. A physical therapist may also order or refer a patient for imaging and studies that are performed and interpreted by other licensed health care professionals.</html:p>
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<ns0:Num>SEC. 10.</ns0:Num>
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Section 2622 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Num>2622.</ns0:Num>
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(a)
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A physical therapist shall be responsible for managing all aspects of the care of each patient as set forth in regulations promulgated by the board.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
A physical therapist shall not supervise more than three physical therapist assistants at one time to assist the physical therapist in their practice of physical therapy.
</html:p>
<html:p>
(c)
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A physical therapist may utilize the services of one aide engaged in patient-related tasks to aid the physical therapist in their practice of physical therapy.
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<ns0:Num>SEC. 11.</ns0:Num>
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Section 2633 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Num>2633.</ns0:Num>
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<html:p>A person holding a license as a physical therapist issued by the board may use the title “doctor of physical therapy” or the letters “D.P.T.” or any other words, letters, or figures that indicate that the person using same is a licensed physical therapist. No other person shall be
designated or use the term licensed or registered physical therapist, licensed or registered physiotherapist, licensed or registered physical therapy technician, or the letters “D.P.T.,” “L.P.T.,” “R.P.T.,” or “P.T.,” or any other words, abbreviation, or insignia implying that physical therapy is provided unless those services are provided by or under the direction of a licensed physical therapist. A person or business shall not advertise or otherwise promote a person as being a physical therapist or physiotherapist
unless the individual is a licensed physical therapist. A person or business that offers, provides, or bills any person for services shall not characterize those services as physical therapy unless the person performing the service is a licensed physical therapist.</html:p>
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</ns0:BillSection>
<ns0:BillSection id="id_BA4C0CD6-D24A-4313-ADD1-3F832C44AD7B">
<ns0:Num>SEC. 12.</ns0:Num>
<ns0:ActionLine action="IS_REPEALED" ns3:href="urn:caml:codes:BPC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'5.7.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'2689.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 2689 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is repealed.
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