Friday, May 10, 2013 Oregon Removes Restrictions to Patient Access to Physical Therapist Services New Oregon legislation eliminates the 60-day time restriction tied to treatment for services provided by a physical therapist without a physician referral, granting unrestricted patient access to the services of a physical therapist. Oregon Gov John Kitzhaber signed House Bill 2684 into law yesterday. "This is a significant achievement for Oregon, and we are pleased to see it happen," said APTA President Paul A. Rockar Jr, PT, DPT, MS. "This law removes an arbitrary time limit that was an unwarranted and unnecessary barrier to the continuum of treatment by a physical therapist." "Oregon has a proud tradition of pioneering change in health care, which was recently demonstrated through 2 large projects that steer patients directly to a physical therapist for treatment of low back pain," said Chris Murphy, PT, president of the Oregon Physical Therapy Association (OPTA). "Removal of the unnecessary restriction on access to a physical therapist is a welcome improvement for our patients and aligns perfectly with the goals of health care reform to foster improved collaborative care with each professional working at the top of his or her scope of practice." Patient direct access, for which OPTA vigorously advocated, initially was introduced in the state in 1993. This was a win for OPTA and the profession, but the original law imposed a 30-day time limit for treatment without a physician referral. In 2007, the Oregon Chapter again achieved success, with legislation that extended the time limit from 30 to 60 days. HB 2684 completely removed restrictions that prevented patients from receiving unhindered treatment from a physical therapist. The legislation will take effect on January 1, 2014.