Assigned to HHS FOR COMMITTEE ARIZONA STATE SENATE Fifty-Seventh Legislature, First Regular Session FACT SHEET FOR H.B. 2583 physical therapists; imaging; laboratory tests Purpose Specifies that a physical therapist may order imaging only for patients with an established patient relationship with the physical therapist and for whom there is a clinical need for the imaging. Removes the specification that imaging ordered by a physical therapist be musculoskeletal consisting of plain film radiographs. Background The practice of physical therapy includes, but is not limited to, examining, evaluating and testing persons with mechanical, physiological and developmental impairments, functional limitations and disabilities or other health and movement related conditions in order to determine a diagnosis, prognosis and plan of therapeutic intervention and to assess the ongoing effects of intervention, including ordering imaging (A.R.S. § 32-2001). Laws 2022, Chapter 289 authorized physical therapists to order musculoskeletal imaging consisting of plain film radiographs. The imaging must be performed by a health care practitioner who is authorized by statute to perform the imaging and must be interpreted by a licensed physician trained in radiology interpretation. The physical therapist must report the results for all imaging tests ordered to the patient's health care practitioner of record or the referring health care practitioner, if designated, within seven days after receiving the results. The physical therapist must refer the patient to an appropriate health care practitioner if the patient does not have a health care practitioner of record and the physical therapist has reasonable cause to believe that any symptoms or conditions are present that may require services beyond the physical therapist's scope of practice (A.R.S. § 32-2041.01). There is no anticipated fiscal impact to the state General Fund associated with this legislation. Provisions 1. Limits a physical therapist's authority to order images to imaging for patients with an established patient relationship with the physical therapist and for whom there is a clinical need for the imaging. 2. Removes the specification that imaging ordered by a physical therapist be only musculoskeletal imaging consisting of plain film radiographs. 3. Makes technical changes. 4. Becomes effective on the general effective date. FACT SHEET H.B. 2583 Page 2 House Action HHS 2/13/25 DPA 10-2-0-0 3 rd Read 2/26/25 45-15-0 Prepared by Senate Research March 17, 2025 MM/KS/mg